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ABOUT

LOCATION

HOTEL

AGENDA

FACULTY

SPONSORS

REGISTER

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2nd Canadian Musculoskeletal Conference

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Presented by Osteoporosis Canada in partnership with Bone and Joint Canada

National Conference on Osteoporosis & Osteoarthritis | May 3 – 5, 2018 | Toronto, ON

This premier conference  is an outstanding 3-day forum for clinicians, researchers and trainees with an interest in musculoskeletal health,
with a  particular focus on osteoporosis and osteoarthritis.

Participants will hear from internationally and nationally recognized speakers.
The venue is set up to promote mentorship, education and networking.

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This continuing education will be held under the auspices of Continuing Professional Development, Faculty of Medicine, University of Toronto.

Accreditation:

College of Family Physicians of Canada – Mainpro+:

This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by Continuing Professional Development, Faculty of Medicine, University of Toronto for up to 11 Mainpro+ credits.

Royal College of Physicians and Surgeons of Canada – Section 1:

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, approved by Continuing Professional Development, Faculty of Medicine, University of Toronto. You may claim a maximum of 11 hours (credits are automatically calculated).

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LOCATION

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Double Tree by Hilton Downtown Toronto
108 Chestnut Street, Toronto, ON M5G 1R3

[/vc_column_text][vc_single_image image=”6412″ img_size=”full” alignment=”center” style=”vc_box_shadow” onclick=”custom_link” link=”https://secure3.hilton.com/en_US/dt/reservation/book.htm?inputModule=HOTEL&ctyhocn=YTOCSDT&spec_plan=CDTOSC&arrival=20180503&departure=20180506&cid=OM,WW,HILTONLINK,EN,DirectLink&fromId=HILTONLINKDIRECT”][vc_gmaps link=”#E-8_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”][ult_buttons btn_title=”BOOK YOUR HOTEL ROOM” btn_link=”url:https%3A%2F%2Fsecure3.hilton.com%2Fen_US%2Fdt%2Freservation%2Fbook.htm%3FinputModule%3DHOTEL%26ctyhocn%3DYTOCSDT%26spec_plan%3DCDTOSC%26arrival%3D20180503%26departure%3D20180506%26cid%3DOM%2CWW%2CHILTONLINK%2CEN%2CDirectLink%26fromId%3DHILTONLINKDIRECT|title:Book%20Your%20Hotel%20Room|target:%20_blank|rel:nofollow” btn_align=”ubtn-center” btn_size=”ubtn-large” btn_title_color=”#ffffff” btn_bg_color=”#5425a9″ icon_size=”32″ btn_icon_pos=”ubtn-sep-icon-at-left” btn_font_size=”desktop:20px;”][vc_column_text]

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AGENDA

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The conference schedule can be viewed by clicking the link below.

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Thursday May 3, 2018

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PM

[/vc_column_text][/vc_column][vc_column width=”5/6″][vc_column_text]Young Investigators Training Day[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1519240372380{padding-top: 5px !important;padding-right: 5px !important;padding-bottom: 5px !important;padding-left: 15px !important;background-color: rgba(0,0,0,0.71) !important;*background-color: rgb(0,0,0) !important;}”]

Friday May 4, 2018

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7:30 AM

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Registration and Continental Breakfast

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8:30 AM

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Introduction and Welcome

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  • Dr. Suzanne Morin, Chair of the CMC 2018
  • Dr. Famida Jiwa, President and CEO of Osteoporosis Canada
  • Rhona MCGlasson, Executive Director of Bone and Joint Canada

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SESSION 1

[/vc_column_text][/vc_column_inner][vc_column_inner width=”5/6″][vc_column_text]Chair: Dr. Lauren Beaupre[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator color=”custom” border_width=”2″ accent_color=”rgba(0,0,0,0.71)”][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

8:45 AM

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Exercise and Musculoskeletal Health – Dr. Karim Khan

CIHR Institute of Musculoskeletal Health and Arthritis (IMHA)[/vc_column_text][vc_column_text]Objectives:

  1. Explain that anterior cruciate ligament (ACL) injury in the sportsperson does not necessarily require reconstruction
  2. Describe how ‘biologics’ are not proving to be a panacea for musculoskeletal conditions
  3. Summarize the mechanisms that underpin the beneficial effect of loading on painful conditions

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

9:15 AM

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Nutrition: Protein Intake and Musculoskeletal – Dr. Wendy Ward

Faculty of Applied Health Sciences, Brock University[/vc_column_text][vc_column_text]Objectives:

  1. List the current recommendations for dietary protein intakes for Canadians
  2. Examine the levels of dietary protein that have been shown to benefit musculoskeletal health, particularly during aging
  3. Describe the potential role of dietary protein for supporting recovery after fracture

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

9:45 AM

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The ABC’s and Many Colored Flags of Chronic Pain – Dr. Andrea Furlan and Dr. John Flannery

University Health Network, Toronto Rehab[/vc_column_text][vc_column_text]Objectives:

  1. Remember three (3) physical examination tests to help assess patients with chronic pain
  2. Remember three (3) validated tools to use with chronic pain patients
  3. List three (3) each evidence-based pharmacological + non-pharmacological options for management of chronic pain
  4. Identify the “flag system” (from red to black) in chronic pain

Active Learning: Q&A (~12 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

10:30 AM

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– BREAK –

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SESSION 2

[/vc_column_text][/vc_column_inner][vc_column_inner width=”5/6″][vc_column_text]Chair: Dr. Alexandra Papaioannou[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator color=”custom” border_width=”2″ accent_color=”rgba(0,0,0,0.71)”][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

11:00 AM

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Assessment of Fracture Risk – a Review – Dr. William Leslie

University of Manitoba[/vc_column_text][vc_column_text]Objectives:

  1. Discuss the importance of fracture risk assessment tools: CAROC, FRAX and Garvan
  2. Explain how CAROC and FRAX are used in clinical decision making
  3. Illustrate clinical decision making in challenging case scenarios

Active Learning: Case discussions and Q&A[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

11:30 AM

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Recovery from Hip Fracture: Evidence from the Baltimore Hip Studies – Dr. Jay Magaziner

University of Maryland School of Medicine[/vc_column_text][vc_column_text]Objectives:

  1. Explain the many functional and musculoskeletal consequences of hip fracture
  2. Describe the natural course of recovery from hip fracture
  3. Apply strategies for improving recovery from hip fracture

Active Learning: Q&A (~12 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

12:15 PM

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Oral Presentation selected from the Trainee Day – Winner of Trainee Abstract Submission

[/vc_column_text][vc_column_text]Active Learning: Q&A (~4 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

12:30 PM

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– NETWORKING LUNCH –

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SESSION 3

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ROOM A

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Osteoporosis and Metabolic Bone Disease

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Chair: Dr. Heather Frame

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ROOM B

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Osteoarthritis and Joints

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Chair: Dr. Maureen Ashe

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1:30 PM

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Osteoporosis Treatment and Duration of Therapy – Dr. Angela Cheung

University Health Network, University of Toronto
[/vc_column_text][vc_column_text]Objectives:

  1. To discuss when and in whom to consider a drug holiday
  2. To examine current evidence on atypical femur fractures and osteonecrosis of the jaw
  3. To describe recent controversy on the discontinuation of denosumab therapy

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][vc_column_text]

1:30 PM

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The Core Back Tool: Turning Evidence into Practice – Dr. Julia Alleyne

Toronto Rehab, MSK, University of Toronto[/vc_column_text][vc_column_text]Objectives:

  1. To identify the key components of an evidence-based clinical approach to low back pain
  2. To describe key management strategies for effective treatment of low back pain
  3. To list the appropriate indicators for imaging and referral of Low Back Pain patients.

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

2:00 PM

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Diabetes and Bone – Dr. Robert Josse

St Michael’s Hospital, University of Toronto
[/vc_column_text][vc_column_text]Objectives:

  1. Describe the bone biology in diabetes
  2. Interpret Bone Mineral Density (BMD) and Trabecular Bone Score (TBS) assessment in patients with diabetes
  3. Choose therapeutic options in patients with diabetes and osteoporosis

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][vc_column_text]

2:00 PM

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Osteoarthritis: A serious disease? – Dr. Gillian Hawker

Sir John and Lady Eaton Professor and Chair of the Department of Medicine, University of Toronto[/vc_column_text][vc_column_text]Objectives:

  1. Describe the impact of osteoarthritis on disability, loss of independence and quality of life
  2. Describe the impact of osteoarthritis on other chronic conditions
  3. Appreciate the association between osteoarthritis and increased mortality

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

2:30 PM

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Bone Health After Bariatric Surgery – Dr. Claudia Gagnon

CHU de Québec, CHU de Québec Research Centre, Université Laval
[/vc_column_text][vc_column_text]Objectives

  1. Describe the impact of bariatric surgery on bone turnover markers, bone mineral density and fracture risk
  2. Identify possible factors associated with bone loss and fracture risk after bariatric surgery
  3. Improve the management of bone health around bariatric surgery

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][vc_column_inner width=”1/6″][vc_column_text]

2:30 PM

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Appropriate Use of Injectables in the Management of Osteoarthritis – Dr. Robert Petrella

Western University[/vc_column_text][vc_column_text]Objectives:

  1. Describe the role of injectables in intra-articular treatment of osteoarthritis
  2. Define the current consensus of evidence for intra-articular treatment of osteoarthritis
  3. Discuss the future roles of intra-articular treatments in osteoarthritis

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

3:00 PM

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– BREAK –

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SESSION 4

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ROOM A

OSTEOPOROSIS AND METABOLIC BONE DISEASE

Chair: Dr. Sandra Kim

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ROOM B

OSTEOARTHRITIS AND JOINTS

Chair: Dr. Julia Alleyne

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3:30 PM

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Paget’s Disease – Dr. Laetitia Michou

CHU de Québec, Université Laval
[/vc_column_text][vc_column_text]Objectives:

  1. Describe the main clinical symptoms of Paget’s disease
  2. Identify the main complications of the disease
  3. Apply therapeutic options and follow-up management of Paget’s disease

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/3″][vc_column_text]

4:30 PM

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Osteogenesis Imperfecta in Adults – Dr. Frank Rauch

[/vc_column_text][vc_column_text]Objectives:

  1. To recognize the clinical types of osteogenesis imperfecta
  2. Explain the genetics of osteogenesis imperfecta
  3. Describe the medical treatment of osteogenesis imperfecta

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/3″][vc_column_text]

4:00 PM

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The Spectrum of Hypophosphatasia: From Children to Adults – Dr. Cheryl Greenburg

[/vc_column_text][vc_column_text]Objectives:

  1. Summarize the clinical spectrum and genetic basis of hypophosphatasia (HPP)
  2. List 2 key biochemical tests characteristic of this disorder
  3. Define Enzyme Replacement Therapy (ERT) and the status of ERT for HPP in Canada

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][/vc_column][vc_column width=”1/2″][vc_row_inner][vc_column_inner width=”1/3″][/vc_column_inner][vc_column_inner width=”2/3″][vc_column_text]

MINI SYMPOSIUM on Osteoarthritis – Appropriate care across the disease continuum

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3:30 PM

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INTRODUCTIONS

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3:40 PM

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Long Term Sequelae of Anterior Cruciate Ligament (ACL) Injuries in Young Athletes – Dr. E. Laura Cruz

[/vc_column_text][vc_column_text]Objectives:

  1. Describe the incidence of ACL rupture in youth and youth adult sport
  2. Explain ACL injury prevention strategies and their effectiveness
  3. Describe the long term outcomes of ACL injuries

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3:55 PM

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Evidence-based education and supervised neuromuscular exercise for hip and knee osteoarthritis: GLADTM Canada Implementation – Dr. Aileen Davis

[/vc_column_text][vc_column_text]Objectives:

  1. Explain how education and targeted neuromuscular exercise improves symptoms and function in people with hip and knee osteoarthritis
  2. Describe the outcomes of the program to date
  3. Define how and where the program is being implemented

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4:10 PM

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Physical activity and sedentary time in osteoarthritis – from evidence to practice – Dr. Lora Giangregorio

[/vc_column_text][vc_column_text]Objectives:

  1. Describe the recent evidence related to effect of physical activity and sedentary time on outcomes in osteoarthritis
  2. Explain how to address patient barriers and apply that evidence in your practice.

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4:25 PM

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Supporting improved non-surgical osteoarthritis care through Health Quality Ontario (HQO) Quality Standards – Dr. Carol Kennedy

[/vc_column_text][vc_column_text]Objectives:

  1. Define what HQO quality standards are and how they are developed
  2. Describe the work currently being done to develop a quality standard for osteoarthritis
  3. Discuss what is being done to support the adoption of the Osteoarthritis Quality Standard within Ontario

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4:40 PM

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 Panel Discussion

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5:00 PM

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 End of Symposium

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Saturday May 5, 2018

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8:00 AM

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Registration and Continental Breakfast

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SESSION 1

[/vc_column_text][/vc_column_inner][vc_column_inner width=”5/6″][vc_column_text]Chair: Dr. Prism Schneider[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator color=”custom” border_width=”2″ accent_color=”rgba(0,0,0,0.71)”][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

8:30 AM

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The Canadian Multicentre Osteoporosis Study (CaMos) – Dr. David Goltzman

[/vc_column_text][vc_column_text]Objectives:

  1. To define the objectives of the Canadian Multicenter Osteoporosis Study
  2. To describe the structure of the study
  3. To explain the results from the study

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

9:00 AM

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Visualizing Musculoskeletal Anatomy and its Clinical Impact – Dr. Andy Kin On Wong

[/vc_column_text][vc_column_text]Objectives:

  1. To describe imaging techniques available to visualize musculoskeletal features
  2. To explain how to quantify musculoskeletal features and what those measurements can and cannot represent
  3. To examine how these musculoskeletal features interact and could have an impact on clinical outcomes

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

9:30 AM

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Osteoporosis – New Treatments – Dr. David Kendlar

[/vc_column_text][vc_column_text]Objectives:

  1. Discuss the clinical effects of sclerostin antibody (romosozumab) and abaloparatide on bone health
  2. Compare the anti-fracture efficacy of anabolic and antiresorptive therapies
  3. Understand the antiresorptive effects of conjugated estrogen/bazodoxifene in postmenopausal women.

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

10:00 AM

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Osteoarthritis – New Treatments – Dr. Tom Appleton

[/vc_column_text][vc_column_text]Objectives:

  1. Explain the importance of motivating healthy living in the management of osteoarthritis
  2. Discuss new osteoarthritis treatments in development
  3. Describe the role for injectables currently being used off label

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

10:30 AM

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– BREAK –

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SESSION 2

[/vc_column_text][/vc_column_inner][vc_column_inner width=”5/6″][vc_column_text]Chair: Dr. Suzanne Morin[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator color=”custom” border_width=”2″ accent_color=”rgba(0,0,0,0.71)”][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

11:00 AM

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Vertebral Fracture Assessment – Dr. Jacques Brown

[/vc_column_text][vc_column_text]Objectives:

  1. Define what is a vertebral fracture
  2. Define what is not a vertebral fracture
  3. Describe the clinical impact of vertebral fracture assessment

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

11:30 AM

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Hip and Knee Arthroplasty  – Outcomes – Dr. Mike Dunbar

[/vc_column_text][vc_column_text]Objectives:

  1. Summarize the different kind of outcomes that can be applied to hip and knee arthroplasty
  2. Compare the strength and limitations of different kinds of metrics
  3. Describe the challenges and paradoxes associated with hip and knee arthroplasty outcomes

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

12:00 PM

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Sarcopenia, Osteoporosis and Fractures in Men – Dr. Peggy Cawthon

[/vc_column_text][vc_column_text]Objectives:

  1. Describe the recent advances in sarcopenia research
  2. Describe the recent advance in research for osteoporosis in men
  3. Explain the relation between sarcopenia and fractures

Active Learning: Q&A (~8 mins)[/vc_column_text][/vc_column_inner][/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner width=”1/6″][vc_column_text]

12:30 PM

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– CLOSING REMARKS –

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Bone FitTM Basic Course

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Sunday May 6, 2018

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AM

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Bone FitTM Clinical Course

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PM

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Bone FitTM Clinical Course

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REGISTRATION

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Click on here to view the full FEE SCHEDULE.[/vc_column_text][vc_column_text]Credit – Visa or MasterCard accepted. To pay by credit card, click the registration button for your registration type (i.e. Trainee, MD, Allied Health, etc.) , and provide all requested details.

Following the completion of the registration and payment process, a confirmation email will be sent to the email address provided in your registration details.[/vc_column_text][vc_column_text]Click the “Register Now” button that applies to you.

**There will be no refunds for cancellations made although substitutions may be permitted. Refunds will not be provided for registrants
who do not attend the conference. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_separator][/vc_column][/vc_row][vc_row css=”.vc_custom_1520000543216{margin-right: 25px !important;margin-left: 25px !important;background-color: #eeeeee !important;}”][vc_column width=”1/4″][vc_column_text]

1.

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Allied Health Registration

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2.

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MD Registration

[/vc_column_text][/vc_column][vc_column width=”1/4″][ult_buttons btn_title=”REGISTER NOW” btn_link=”url:https%3A%2F%2Fsecure2.convio.net%2Fostcad%2Fsite%2FTicketing%3Fview%3DTickets%26id%3D100122|title:REGISTER%20NOW||” btn_align=”ubtn-center” btn_title_color=”#ffffff” btn_bg_color=”#5425a9″ icon_size=”32″ btn_icon_pos=”ubtn-sep-icon-at-left”][/vc_column][/vc_row][vc_row][vc_column][vc_separator][/vc_column][/vc_row][vc_row css=”.vc_custom_1520000576959{margin-right: 25px !important;margin-left: 25px !important;background-color: #eeeeee !important;}”][vc_column width=”1/4″][vc_column_text]

3.

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OAMRS/CAR Technologist Registration

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4.

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NON-OAMRS/CAR Technologist Registration

[/vc_column_text][/vc_column][vc_column width=”1/4″][ult_buttons btn_title=”REGISTER NOW” btn_link=”url:https%3A%2F%2Fsecure2.convio.net%2Fostcad%2Fsite%2FTicketing%3Fview%3DTickets%26id%3D100125|title:REGISTER%20NOW||” btn_align=”ubtn-center” btn_title_color=”#ffffff” btn_bg_color=”#5425a9″ icon_size=”32″ btn_icon_pos=”ubtn-sep-icon-at-left”][/vc_column][/vc_row][vc_row][vc_column][vc_separator][/vc_column][/vc_row][vc_row css=”.vc_custom_1520000627402{margin-right: 25px !important;margin-left: 25px !important;background-color: #eeeeee !important;}”][vc_column width=”1/4″][vc_column_text]

5.

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Trainee Registration

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