Orthopedics Symposium for Primary Care: The Orthopedic Diagnostician

The below information is for the 2019 event, please check back for information about the next program occurring in November 2020.

Physical Exam and the Smart Use of Diagnostic Tests

Friday, November 8, 2019
Swedish Education & Conference Center
Swedish Cherry Hill
500 17th Avenue
Seattle, Washington

This symposium will provide practical, evidence-based diagnostic tools and treatment skills that first-line providers need to effectively manage musculoskeletal pain and injury in the primary care setting. An interactive approach will utilize didactic lectures from expert faculty and workshops designed to increase the skills and confidence of providers to treat patients who experience musculoskeletal conditions. Workshops include diagnostic exam reviews for the hand, wrist, elbow, shoulder, spine, knee, foot and ankle, as well as a hands-on knee joint injection session. Reviewing updates in physical exam criteria, evidence-based diagnostic tests, and treatment options, are vital to the care of our diverse patient population and will enable providers to provide the most appropriate care for their patients with musculoskeletal conditions.

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.

*Online registration is closed. Walk-in registration will be available the morning of the conference.*


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.



By attending this course, the participant will provide better patient care through an increased ability to:

  • Review anatomical landmarks of the hand, wrist, elbow, spine, shoulder, hip, knee, foot and ankle
  • Perform physical examinations and diagnostic tests on patients with potential musculoskeletal injuries
  • Identify common musculoskeletal condition
  • 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


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
This Live activity, Orthopedics Symposium for Primary Care: The Orthopedic Diagnostician - Physical Exam and the Smart Use of Diagnostic Tests, with a beginning date of 11/08/2019, has been reviewed and is acceptable for up to 7.00 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.

For 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).


Michael S. Erickson, M.D.
Director, Sports Medicine Fellowship
Swedish Medical Center

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

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

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

Llewellyn N. Packia Raj, M.D.
Swedish Spine, Sports & Musculoskeletal Medicine
Swedish Medical Group

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

Adam Sangeorzan, M.D.
Orthopedic Surgeon
Orthopedic Physician Associates

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

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

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

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


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
William F. Wagner, Jr., 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 October 28 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 as space is limited. Participants who register by Monday, October 28, 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 1, 2019.
Please Note: No registrations are accepted by phone or email.

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

Registration Fees
The fee for this course includes catering, 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.