Orthopedics Symposium for the Primary-Care Physician: Arthritis Update

When the Mind Says "Yes" but the Body Says "No"

Friday, November 4, 2016
Cherry Hill Auditorium
Swedish Cherry Hill
500 17th Ave
Seattle, Washington

The Orthopedics Symposium for the Primary-Care Physician will provide the evidence-based diagnostic tools and treatment skills that first-line providers need to effectively manage musculoskeletal pain, injuries and diseases, such as arthritis, in the primary-care setting. An interactive, hands-on approach will utilize didactic lectures from expert faculty, question-and-answer sessions and a series of hands-on workshops designed to increase the skills and confidence of providers to treat patients who experience musculoskeletal pain, injury, arthritis and other musculoskeletal diseases.

This course is intended for all primary-care and family medicine physicians, nurses and allied health professionals, as well as general internists who treat patients with arthritis, and other injuries, diseases and disorders of the musculoskeletal system in the Northwest. 

View more information about the course below or in the brochure.

Advance registration for this course is now closed.  Walk-in registration is available the day of the course.  If you have questions please contact the Swedish CME office at 206-386-2755 or cme@swedish.org


Over 50 million Americans have arthritis, making it the number one cause of disability in the country.  The aging US population combined with the obesity epidemic threatens to increase the prevalence of arthritis by nearly 150% by 2030, which will greatly increase the number of arthritis patients seen by primary-care physicians each year. Currently, as there is no cure for osteoarthritis, treatments are aimed at the management of disease symptoms.  Though multiple organizations have released evidence-based guidelines for treatment of arthritis, a study published in Arthritis Care & Research in 2011 revealed that many providers don’t follow these guidelines when prescribing treatment and thus may rely too heavily and too quickly on medications and surgery when research shows more conservative measures should be recommended first.  This leads to costly procedures and shorter-term solutions for patients by not addressing the underlying causes of their conditions.

Multiple studies and surveys reveal that more than half of primary-care physicians feel that they have insufficient training in orthopaedics and 56% of that group says that medical school was their only source for formal musculoskeletal training. Primary-care physicians have identified a disparity between the variety and volume of musculoskeletal (MSK) conditions seen in their practice and the amount of MSK training received in medical school. This has resulted in a patient population that receives less than optimal care due to delayed diagnoses, inappropriate referrals to MSK specialists, unnecessary use of therapeutic and diagnostic modalities, increased patient suffering and increased costs of care. 

To address the needs created by these gaps in care, it is necessary to provide evidence-based tools, training, guidelines and cost-effective techniques for the diagnosis, treatment and management of arthritis and other musculoskeletal injuries in the primary-care setting. This will result in decreased patient suffering and help lessen the burden of increased medical costs, disability and lost productivity on the economy.



At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:
  • Take history and perform an exam for degenerative shoulder problems, diagnose common degenerative shoulder conditions and provide treatment and appropriate referral for degenerative shoulder issues 
  • Recognize the demographics and risk factors for arthritis in the hand and wrist, correctly diagnose common arthritic conditions based on history and physical exam, utilize diagnostic imaging in the correct circumstances, apply non-surgical treatment options for different joints and recognize when referral for surgical consultation is appropriate
  • Identify common hip disorders in adults and recognize mechanical hip problems that predispose patients to arthritis of the hip 
  • Determine the causes of knee arthritis, evaluate a patient for arthritis of the knee, including the factors that can affect the outcome of surgery and explain the alternatives for managing knee arthritis, along with the potential risks and alternatives 
  • Identify common conditions of the foot and ankle, demonstrate evidence-based examination techniques to triage conditions and arthritis of the foot and ankle, list appropriate radiological exams for evaluation of foot and ankle complaints
  • Review regenerative medicine, minimally invasive techniques and MSK ultrasound
  • Discuss the anatomy of the knee and shoulder, identify indications for shoulder and knee joint injection, employ skills required for proper injection and aspiration technique for the shoulder and knee 
  • Perform an examination and special tests on the shoulder to evaluate pain and recognize the predictive value of shoulder tests for shoulder diagnosis
  • Describe the anatomic landmarks for the joints of the hand and wrist, diagnose arthritic conditions based on physical exam skills and utilize injection and splinting techniques for non-surgical management
  • Identify best-practices and exam techniques for diagnostic examination of the hip
  • Recognize the anatomy of the knee, perform a physical examination of the knee and order and interpret x-rays of the knee
  • Identify and apply best-practices and exam techniques for treatment and management of common conditions of the foot and ankle in the primary-care setting


Accreditation with Commendation
Swedish Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™
Swedish Medical Center designates this live activity for a maximum of 7.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP Prescribed Credits
This Live activity, Orthopedics Symposium for the Primary-Care Physician - Arthritis Update, with a beginning date of 11/04/2016, has been reviewed and is acceptable for up to  7.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing CE Contact Hours
Swedish Medical Center Clinical Education and Practice is an approved provider of continuing nursing education by the Washington State Nurses Association Continuing Nursing Education Approver (A-CNE), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.


Sean Colio, M.D.
Director Ambulatory MSK Ultrasound
Faculty Swedish Sports Medicine Fellowship
Co-Director Swedish Sports Concussion Program
Swedish Medical Group

Michael S. Erickson, M.D.
Director Swedish Sports Medicine
Swedish Health Services

Frederick B. Lee, M.D.
Orthopedic Surgeon
Orthopedic Physician Associates

Laura J. Matsen Ko, M.D.
Orthopedic Surgeon
Orthopedic Physician Associates

John A. Miyano, M.D. 
Orthopedic Surgeon
Seattle Hand 
Darin Morrow, PA-C, MPAS 
Clinical Instructor University of Washington School of Medicine
Department of Orthopedics
The Polyclinic 

Nicholas R. Seibert, M.D. 
Orthopedic Surgery 
Orthopedic Physician Associates

Beverly Ting, M.D.

Orthopedic Surgeon 
Seattle Hand 

William F. Wagner, Jr., M.D.
Orthopedic Surgeon 
Seattle Hand

Swedish CME maintains full control of the context of every course we provide. It is our policy to identify and resolve all speaker and planner conflicts of interest. Each speaker is required to give a balanced, evidence-based presentation that is free of commercial bias.

Planning Committee

John A. Miyano, M.D., Co-course Director 
William F. Wagner, Jr., M.D., Co-course Director
Amy Aaselund, R.N., MSN, ACNS-BC
Catherine Boosalis, M Ed, CME Manager
Michael S. Erickson, M.D.
Billierose Hair, ARNP, MN
Danielle Westley, CME Specialist


M.D./D.O.   $260*
Allied Health Professionals   $130*
Resident/Fellow   No Charge
Medical Student   No Charge

*After Monday, October 24, add $30 to Advance Registration pricing.

Registration Information
Pre-registration is required as space is limited. Participants who register by the “Advance Registration” deadline will receive a confirmation postcard after Monday, October 24, 2016. Registrations will only be processed when accompanied by full payment. No registrations are accepted by phone or e-mail.

Registration Fees

The fee for this course includes catering, all instruction materials, online syllabus access and a certificate of AMA PRA Category 1 Credits™.

To receive a refund, notice of cancellation must be received no later than Friday, Oct. 28, 2016.

Special Needs
If you have special needs or food restrictions, please contact the CME office at 206-386-2755.