Orthopedics Symposium for Primary Care

Know When to Hold ‘em, Know When to Fold ‘em - A Primary Care Guide for Musculoskeletal Diagnosis, Management and the Timing of Referrals

This event occurred on Friday, November 12, 2021. Please check back for details about on-demand access as well as the next program in Fall 2022.

Orthopedics Symposium ImageThis year’s symposium will give primary care providers practical knowledge and skills in the diagnosis and management of common musculoskeletal conditions. Emphasis will be placed on providing concrete, evidence-based guidelines to help care providers define their own threshold for managing problems on their own versus referral to specialty care. Didactic lectures by a panel of faculty experts will cover hand, wrist, elbow, shoulder, knee, foot and ankle, including pediatrics. This will be followed by small group, interactive, demonstration and Q&A sessions covering the same anatomic groups to hone physical exam skills and practice fundamental procedures such as joint injections.

Reviewing updates in physical exam criteria, evidence-based diagnostic tests, and treatment options, is vital to the care of our diverse patient population and will enable providers to care for their patients with musculoskeletal conditions efficiently and effectively.

This course is intended for all primary care and family medicine physicians, general internists, and healthcare professionals who treat patients with injuries, diseases and disorders of the musculoskeletal system, including physicians, nurses, allied health professionals, and residents/fellows in the Pacific Northwest.

View more information about the symposium below. Registration options and fees are listed under the "Fees" tab. To register, select the button below to be directed to the registration portal.

Registration is closed.  Access to the on-demand, recorded lectures will be available in early 2022.


By attending this course, the participant will provide better patient care through an increased ability to:
  • Review anatomical landmarks of the hand, wrist, elbow, shoulder, spine, hip, knee, foot and ankle
  • Perform physical examinations and diagnostic tests on patients with potential musculoskeletal injuries
  • Identify common musculoskeletal conditions
  • Select and interpret diagnostic imaging, when appropriate, to aid in correct diagnosis
  • Discuss appropriate referral for surgical consult and assess the potential risk factors as well as alternative treatment options
  • Detail non-surgical management techniques in the primary care setting
  • Identify indications for knee joint injection and employ skills required for proper injection and aspiration technique for the knee



The Association of Orthopaedic Surgeons recently published the findings of the Washington (D.C.) Health Policy Fellows that found a significant disparity between the number of patients with musculoskeletal conditions seen by primary-care physicians and the amount of musculoskeletal training these physicians have received. This report quotes from subjective studies of primary care physicians, family medicine doctors and pediatricians claiming that medical school was their only source of formal musculoskeletal training, that they had the least amount of training in orthopedics and that they felt significantly more confident in performing physical exams, and diagnosing and treating non-musculoskeletal disorders than they did for musculoskeletal conditions. 

The identified knowledge gap in provider training has resulted in a patient population receiving less than optimal care due to delayed diagnoses, unnecessary use of therapeutic and diagnostic modalities/tests, inappropriate referrals to MSK specialists, and increased patient suffering and costs of care. Primary care physicians are often the first point of contact for patients experiencing symptoms of orthopedic injury, creating a need for up-to-date information regarding appropriate office management of common musculoskeletal injuries and use of diagnostic tests. To address the needs created by these learning gaps, it is necessary to provide evidence-based tools, training, diagnostic evaluation guidelines and cost-effective techniques for the diagnosis and treatment of musculoskeletal injuries in the primary care setting. Attendees of this course will leave with updated information regarding appropriate diagnostic tests, treatment options and hands-on management techniques in order to provide optimal patient care.


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 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

AAFP Prescribed Credits
The AAFP has reviewed Orthopedics Symposium for Primary Care: Know When to Hold ‘em, Know When to Fold ‘em - A Primary Care Guide for Musculoskeletal Diagnosis, Management and the Timing of Referrals and deemed it acceptable for up to 7.00 Online Only, Live AAFP Prescribed credit. Term of Approval is from 11/12/2021 to 11/12/2021. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Registered Nurses
AMA PRA Category 1 Credits™ are accepted for Washington State RN Continuing Education requirements as well as for application and renewal of specialty and advance practice certification through both  ANCC and AANP (1 CNE hour is equivalent to 1 CME hour). The American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME for the purpose of recertification. 

Nurse Practitioners
The American Academy of Nurse Practitioners Certified Program (AANPCP) and the American Association of Nurse Practitioners (AANP) accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

Physician Assistants
The National Commission on Certification of Physician Assistants (NCCPA) states that the AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.

Many credentialing bodies, societies and boards accept AMA PRA Category 1 Credits™ as an equivalent as long as the topic is relevant to the applicant’s field or discipline. If you have doubts whether an activity will qualify for CE, contact your board prior to registering for the course.


Wilson Chang, M.D., MPH
Physical Medicine and Rehabilitation Specialist
Pain Specialist
Swedish Pain Services
Swedish Medical Center

Michael S. Erickson, M.D.
CAQ Sports Medicine
Fellowship Director
Swedish Sports Medicine Fellowship
Swedish Medical Center
Head Team Physician
Seattle Storm

Jimmy Daruwalla, M.D.
Orthopedic Surgeon
Seattle Hand Surgery Group

Elizabeth Joneschild, M.D.
Orthopedic Surgeon
Seattle Hand Surgery Group

Sara K. Jurek, M.D.
Orthopedic Shoulder Surgeon
Orthopedic Physician Associates

John A. Miyano, M.D.
Orthopedic Surgeon
Seattle Hand Surgery Group

Laurel H. Saliman, M.D.
Pediatric Orthopedic Surgeon
Swedish Pediatric Specialty Care

Adam Sangeorzan, M.D.
Orthopedic Surgeon
Foot and Ankle Specialist
Evergreen Health 

Steven Stanos, D.O.
Medical Director
Swedish Pain Services
Medical Director
Swedish Health System Pain Medicine
Swedish Medical Center

Nicholas R. Seibert, M.D.
Orthopedic Surgeon
Proliance Surgeons

Beverlie L. Ting, M.D.
Orthopedic Surgeon
Seattle Hand Surgery Group

Jason J. Wilcox, M.D.
Orthopedic Surgeon
Proliance Surgeons

Additional workshop faculty - Swedish Medical Center Sports Medicine Fellows:
Andre Abdin, D.O.
Jordon Orr, M.D.

Swedish CME maintains full control of the content 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. 


John A. Miyano, M.D., Course Co-Chair
Beverlie Ting., M.D., Course Co-Chair
Michael S. Erickson, M.D.
Danielle Posadas, CME Specialist Sr.


M.D./D.O.  $245*
Allied Health Professionals $125*
Residents/Fellows/Students $25**

*After November 1 add $30 to Advance Registration pricing.
**Confirmation of residency or fellowship program will be confirmed to be eligible for this pricing.

Registration Information
Pre-registration is required. Participants who register by Monday, November 1, will receive a confirmation postcard via email. Registrations will only be processed when accompanied by full payment.


To receive a refund, notice of cancellation must be received no later than Friday, November 5, 2021.  In the event of a course format change due to COVID-19, all requests for refunds or cancellations will be honored.

Special Accommodations
If you have a specific need in order to participate fully in this program, please contact the CME office at 206-386-2755, and we will do our best to accommodate requests and requirements.

Registration Fees
The fee for this course includes all learning materials, online syllabus access and a digital certificate of AMA PRA Category 1 Credits™.

This conference is financially supported in part by educational grants in accordance with the ACCME’s Standards for Commercial Support. A complete listing of commercial supporters is not available at this time. Appropriate acknowledgment will be given to all supporters at the time of the conference.