UCSD Musculoskeletal Radiology bonepit.com Radiology Grand Rounds |
Please join us for
Grand Rounds on Tuesday, November 5th
as we welcome, Dr David Larson from
Stanford University, speaking on "Building
an Institution-wide QI Program."
DATE:
Tuesday, November 5
12 PM – 1 PM
*JMC - 1-603-2&3
Community & Med Ed Cntr*
LECTURE:
"Building an
Institution-wide QI Program"
PRESENTER:
David B. Larson,
MD, MBA
Associate Professor
of Pediatric Radiology
Vice Chair of
Education and Clinical Operations
Department of
Radiology, Stanford University School of
Medicine
As we celebrate Women
in Medicine (WIM) month, we have planned a
special Grand Rounds on Tuesday,
October 15st. Ms
Anita Busquets will speak on "Broadening
our Impact Through Negotiation" (abstract
and objectives below).
DATE:
Tuesday, October
15
*11:30-12 PM Welcome
Reception with lite lunch
*12-1 PM - Lecture
Moores Cancer Center
- Goldberg Auditorium
LECTURE:
"Broadening our
Impact Through Negotiation"
PRESENTER:
Anita Busquets
Biotechnology
Management Consultants
Abstract
Whatever our
expertise or affiliation, we have all
experienced intense scrutiny. With or
without established track records, we must
“prove ourselves up.” We earn our place
at the table with each new assignment,
project or interaction. In order to make
an impact and get what we want and need,
we must plan for five key negotiating
challenges – gather intelligence, seek the
backing of key players, know the resources
available, get buy-in, then visibly make a
difference.
Learning
Objectives
Please join us for
Grand Rounds on Tuesday, October 1st
as Sean M Tutton, MD, FSIR delivers an
informative lecture, "Building a New
Pillar in your Cancer Center:
Interventional Palliative Care" (abstract
and objectives below).
DATE:
Tuesday, October 1
7:30-8:30 AM
Moores Cancer Center
- Goldberg Auditorium
LECTURE:
"Building a New
Pillar in your Cancer Center:
Interventional Palliative Care"
PRESENTER:
Sean M Tutton, MD,
FSIR
Professor and
Division Head, Vascular and Interventional
Radiology
Medical College of
Wisconsin
Abstract
Palliative Care is
increasingly recognized as fundamental
service in the comprehensive care of
cancer and chronic life-threatening
diseases. The field of Hospice and
Palliative Care has experienced rapid
growth in the last decade as medicine and
society recognize the need for symptom
management, focused care of the
chronically ill and dying patient, and a
dignified death. Minimally invasive
interventional therapies offer a
significant opportunity in reducing common
symptoms of pain, nausea, vomiting,
shortness of breath, visceral obstruction
in these patients.
Radiologists and
Interventionalists can play a key role by
partnering with palliative care in raising
awareness of, and providing cost-effective
image guided palliative therapies. At MCW,
we have formed a long-standing partnership
with our palliative care team and have
seen a steady growth in the therapies
provided. Interventional Palliative
Care now represents a distinct and branded
service in our cancer center seeing
patients in clinic, providing nerve blocks
and ablations, tumor ablations, drainage
and venting tubes, vertebral augmentation,
and osteoplasty. We are one of few
institutions to offer hybrid orthopedic
stabilization and fixation procedures in
pelvic metastasis patients. These services
and procedures will be reviewed. We have
incorporated formal palliative care
rotations for our trainees, and lectures
in Palliative care and IR, respectively,
which have been a differentiator in our
ability to recruit trainees and faculty.
The creation of a
dedicated Palliative IR service with
Intentional fellow training,
collaboration, and faculty expertise have
resulted in a robust service, significant
revenue growth, and Cancer Center
recognition.
Learning
Objectives
Please join us for
Grand Rounds on Tuesday, September 17th
as our very own, Donald Resnick, MD
delivers an informative lecture, "Bone and
Cartilage Injury: Traumatic Chondral,
Osteochondral, and Subchondral Failure"
(abstract and objectives below).
DATE:
Tuesday, September 17
7:30-8:30 AM
Moores Cancer Center
- Goldberg Auditorium
LECTURE:
"Bone and Cartilage
Injury: Traumatic Chondral, Osteochondral,
and Subchondral Failure"
PRESENTER:
Donald L Resnick
M.D
Professor Emeritus
Department of
Radiology
University of
California, San Diego
ABSTRACT:
Based on an
understanding of the morphology and
biomechanics of the cartilage and
subchondral bone, basic injury patterns
will be reviewed emphasizing their
appearance using MR imaging. The collagen
framework of the articular cartilage will
be highlighted in an attempt to explain
how traumatic loading of the chondral
surface leads to forces that are
transmitted to the subchondral bone plate
and subjacent bone. Wolff’s law will also
be detailed. Precise definitions will be
introduced for such entities as chondral
delamination, chondral flaps, chondral and
bone fragments, chondral defects,
chondral fractures, bone contusions,
osteochondral fractures, and subchondral
fractures.
OBJECTIVES:
Please join us for
Grand Rounds on Tuesday, September 3rd
as Peter Chang, MD delivers an
informative lecture, “Practical Guide to
Deep Learning Artificial Intelligence in
Radiology” (abstract and objectives
below).
DATE:
Tuesday, September 3
12-1 PM (note NEW
time)
Moores Cancer Center
- Goldberg Auditorium
LECTURE:
Practical Guide to
Deep Learning Artificial Intelligence in
Radiology
PRESENTER:
Peter D. Chang,
MD
Assistant
Professor-in-Residence, Department of
Radiological Sciences
Co-Director, Center
for Artificial Intelligence in Diagnostic
Medicine (CAIDM)
University of
California, Irvine
ABSTRACT:
In this talk,
participants will gain a practical
understanding of the requisite background
theory and steps for getting started in
deep learning artificial intelligence for
medical imaging. The lecture will begin
with a survey of popular types of deep
learning including standard convolutional
neural networks, recurrent neural
networks, adversarial networks and
reinforcement learning, with an emphasis
on identifying key problems in radiology
that these techniques can be used to
solve. Subsequently we will examine the
standard life cycle of algorithm
development---including data aggregation,
curation, algorithm design, validation and
clinical integration---as well as the
common hardware and software tools used in
the field. Finally we will highlight
upcoming projects and initiatives spanning
the UC campuses and beyond including
opportunities for research collaboration
as well as multi-institutional clinical
integration.
OBJECTIVES:
(1) Describe the
different types of deep learning
algorithms and how they may be applied to
various medical imaging applications
(2) Gain an
understanding of the typical life cycle of
deep learning algorithm development
including commonly used tools in the field
(3) Recognize the
opportunities for collaboration across the
UC campuses and beyond
Please join us for
Grand Rounds on Tuesday, August 20th as
Julie Bykowski and Paul Murphy deliver an
informative lecture, “Dashboards and Data
about Radiology Performance” (abstract and
objectives below).
Lecture:
Dashboards and Data
about Radiology Performance
Date:
Tuesday, August 20
7:30-8:30 AM (note
NEW later start time)
Moores Cancer Center
- Goldberg Auditorium
Co-presenters:
Paul Murphy, MD,
PhD
Vice Chair,
Information Technology, UC San Diego
Radiology
Julie Bykowski, MD
Professor, Department
of Radiology, UC San Diego Radiology
Objectives:
- Orient Radiology
clinical faculty and trainees to Tableau
and dashboards currently being developed
based on imaging data
- Use of case
examples to review issues around data
extraction, data display, and
interpretation
- Discuss other
metrics/measures for future dashboard
development and goals of
tracking/displaying that information
Abstract:
Data is collected
about all parts of the Radiology process,
from study order through payment, and
extracted in different ways to measure
performance, identify problems, and
provide context for decisions around
staffing, growth, compensation and work
expectations. While academic Radiologists
are often well versed in interpreting
clinical data and scientific reports,
there is often a lack of instruction and
understanding about the analysis and
interpretation of data about their actual
practice. UCSD has migrated to Tableau for
a variety of dashboards to allow summary
display and drill-down ability, and the
Radiology department has started to
develop Radiology-specific reports. This
session orients the faculty and housestaff
to dashboards in development with examples
including turnaround time, report
authorship (faculty independent vs
supervising trainee), and order
realization (ordered vs performed) as well
as awareness on data points being
collected about Radiology. The goals
include faculty and trainees being able to
understand and effectively communicate
limitations of dashboards, and broader
engagement regarding areas for future data
display.
Priti Balchandani,
PhD from Icahn School of Medicine at Mount
Sinai is visiting San Diego and will
deliver an outstanding lecture on the
future of 7T for Radiology, Thursday,
August 15.
Lecture:
Ultrahigh Field (7T)
Multi-Modal Brain Imaging for Surgical
Treatment
Thursday,
August 15
5:30 PM
ACTRI Auditorium
Presented by:
Priti Balchandani,
PhD
Associate Professor,
Radiology and Neuroscience
Director of Advanced
Neuroimaging Research
Translational and
Molecular Imaging Institute
Icahn School of
Medicine at Mount Sinai
Abstract
There is surprisingly
low adoption of high-resolution,
multi-modal neuroimaging in the operating
room. It is necessary to bridge the gap
between advanced imaging and surgical
care. This talk will focus on two examples
for which more advanced MRI, employing
multiple modalities and ultrahigh field
(7T) MRI scanners, could substantially
improve planning and guidance of surgery:
epilepsy and tumors of the skull base. In
epilepsy, invasive methods are currently
used to identify abnormal areas of the
brain for surgical targeting, when these
could be replaced with improved,
non-invasive MRI techniques to reveal
subtle focal abnormalities and lesion
boundaries. For tumors of the skull base,
patients may be candidates for less
invasive surgical methods such as
endoscopic endonasal approaches, however
high resolution MRI is critical to provide
clear visualization of adjacent or encased
vessels and nerves, in order to avoid
complications. Application to other skull
base pathologies such as trigeminal
neuralgia will also be briefly discussed.
Bio
Dr. Priti Balchandani
is an Associate Professor in the
Department of Radiology and Neuroscience
at the Icahn School of Medicine at Mount
Sinai. She also serves as the Director of
the The Advanced Neuroimaging Research
Program (ANRP) at the Translational and
Molecular imaging institute. The mission
of ANRP is to develop novel imaging
technologies and apply them to diagnosis,
treatment and surgical planning for a wide
range of diseases, including epilepsy,
brain tumors, psychiatric illnesses,
multiple sclerosis and spinal cord injury.
For her primary research, Dr. Balchandani
leads a team of scientists to devise
creative engineering methods to overcome
some of the main limitations of magnetic
resonance imaging at high magnetic fields,
thereby enabling high‐resolution
whole‐brain anatomical, spectroscopic and
diffusion imaging as well as unlocking new
contrast mechanisms and sources of signal.
These techniques are ultimately applied to
improve diagnosis, treatment and surgical
planning for a wide range of neurological
diseases and disorders. Some clinical
areas of focus for Dr. Balchandani’s team
are: improved localization of
epileptogenic foci; imaging to reveal the
neurobiology of depression; and
development of imaging methods to better
guide neurosurgical resection of brain
tumors. Dr. Balchandani received her BASc
in computer engineering at the University
of Waterloo in Canada and her PhD in
electrical engineering at Stanford
University.
12 PM Grand
Rounds
Hello all,
Please join us for
Grand Rounds on Tuesday, August 6th as Dr
Sherry Huang delivers an informative
lecture about Health Care in 2025,
preparing our learners and ourselves for
what’s to come.
Lecture:
"Health Care in 2025
- How to Prepare our Learners and
Ourselves”
Date:
Tuesday, August 6,
2019
12-1 PM (note NEW
start time)
Moores Cancer Center
- Goldberg Auditorium
Presented by:
Sherry C. Huang, MD
Associate Dean and DIO
Professor of Pediatrics
Office of Graduate Medical Education
UCSD School of Medicine
We hope you will be
able to attend.
Please join us for
Grand Rounds on Tuesday, July 16th
as our Department Chair, Dr Alexander
Norbash, and Executive Vice Chair, Dr
Christine Chung deliver an informative
lecture about the state of the Department.
Lecture:
UCSD Radiology -
Where we were, Where we are, Where we are
going...
Date:
Tuesday, July 16
7:30-8:30 AM (note
later start time)
Moores Cancer Center
- Goldberg Auditorium
Co-presenters:
Alexander Norbash,
MD, MS
Professor and Chair,
UC San Diego Radiology
Christine Chung,
MD
Professor and
Executive Vice-Chair, UC San Diego
Radiology
We hope you will be
able to attend.
Richard Gunderman,
MD, PhD from Indiana University is
visiting San Diego and has graciously
offered to deliver two outstanding
lectures on Monday, July 8.
We hope you will be able to attend.
Lectures:
8 am
The McDonaldization of Radiology
9 am
Hellish mismatch that leads to burnout
Presented by:
Richard Gunderman,
MD, PhD
Chancellor's
Professor of Radiology, Pediatrics,
Medical Education, Philosophy, Liberal
Arts, Philanthropy, and Medical Humanities
and Health Studies
Indiana University
Monday, July 8
8-10 am
Moores Cancer Center
Goldberg Auditorium
Bio
Richard Gunderman
is Chancellor's Professor of Radiology,
Pediatrics, Medical Education, Philosophy,
Liberal Arts, Philanthropy, and Medical
Humanities and Health Studies at Indiana
University. He is also John A Campbell
Professor of Radiology and in 2019-20 also
serves as Bicentennial Professor.
He received his AB
Summa Cum Laude from Wabash College; MD
and PhD (Committee on Social Thought) with
honors from the University of Chicago; and
MPH from Indiana University. He was a
Chancellor Scholar of the Federal Republic
of Germany and received an honorary
Doctorate of Humane Letters from Garrett
Theological Seminary at Northwestern
University.
He is a ten-time
recipient of the Indiana University
Trustees Teaching Award, and in 2015
received the Indiana University School of
Medicine's inaugural Inspirational
Educator Award. Dr. Gunderman was named
the 2008 Outstanding Educator by the
Radiological Society of North America, the
2011 American Roentgen Ray Society Berlin
Scholar in Professionalism, and the 2012
Distinguished Educator of the American
Roentgen Ray Society. In 2012, he received
the Alpha Omega Alpha Robert J. Glaser
Award for Teaching Excellence, the top
teaching award from the Association of
American Medical Colleges. In 2013, he was
the Spinoza Professor at the University of
Amsterdam.
Gunderman serves on
numerous boards, including Christian
Theological Seminary and Alpha Omega Alpha
National Honor Medical Society. He is the
faculty advisor to over a dozen student
interest groups, honorary organizations,
and annual service events.
Gunderman is the
author of more than 700 articles and has
published 12 books, including "We Make a
Life by What We Give" (Indiana University,
2008), "X-ray Vision" (Oxford University,
2013), "Essential Radiology" (3rd edition,
Thieme, 2014), and "We Come to Life with
Those We Serve" (Indiana University,
2017). Published in 2019 are "Pediatric
Imaging" and "Tesla." He has delivered
over 700 keynote addresses, named
lectures, and grand rounds presentations.
Please join us for an
informative Radiology Grand Rounds,
TUESDAY, JUNE 18, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
Healthcare in the Era
of Trump – How UC San Diego Health is
Working with Government and Community
Partners to Navigate During Turbulent
Times
Co-presenters:
Zachary Schlagel
Director of
Government Affairs
UC San Diego Health
David Mier
Director of Community
Affairs
UC San Diego Health
Please join us for an
informative Radiology Grand Rounds,
TUESDAY, JUNE 4, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
“Financial Literacy:
Things I wish I knew when I was a
resident”
Presented by:
Christopher Friend
MD, MBA
Interventional
Radiology
San Diego VA & UCSD
Tuesday, June 4
7 am | Moores CC,
Goldberg Auditorium
Please join us for an
informative Radiology Grand Rounds,
MONDAY, May 20,
2019
from 7:00 - 8:00 am at **Moores
Cancer Center, Goldberg Auditorium**
YES, it’s MONDAY, instead of Tuesday this
month.
Topic:
“Cerebral perfusion
imaging with arterial spin labeling (ASL)
MRI: Techniques and Clinical Application”
Presented by:
Div Bolar, MD, PhD
Assistant Professor
of Radiology
UC San Diego
Please join us for an
informative Radiology Grand Rounds,
Tuesday, April 2, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
"AI in Radiology - a
Practitioners Perspective"
Presented by:
Jayashree
Kalpathy-Cramer, MD
Associate Professor
of Radiology
MGH/Harvard Medical
School
Jayashree
Kalpathy-Cramer is the Director of the
QTIM lab and the Center for Machine
Learning at the Athinoula A. Martinos
Center for Biomedical Imaging and an
Associate Professor of Radiology at
MGH/Harvard Medical School. She earned a
B.Tech in Electrical Engineering from IIT,
Bombay, India, an MS and PhD in Electrical
Engineering from Rensselaer Polytechnic
Institute and an MS in Biomedical
Informatics from Oregon Health and Science
University. Her areas of research interest
include medical image analysis, machine
learning and artificial intelligence for
applications in radiology, oncology and
ophthalmology. Her lab has been actively
working in the theory and applications of
deep learning to clinical problems in
ophthalmology, oncology and radiology.
Abstract:
Artificial
intelligence is poised to transform
healthcare and radiology. The
democratization of AI is putting powerful
tools into the hands of almost anyone with
an interest, access to data and
computational resources. We will begin
with a brief discussion of the most common
types of machine learning used in
radiology with links to specific
applications. We will review deep learning
architectures and training strategies.
Next, we will cover challenges faced in
training and deploying these models in the
clinical workflow. Research to address the
challenges and limitations of the current
methods will be discussed next. We will
conclude with a hands on demo of deep
learning for two applications.
Learning
Objectives:
a. What are the types
of machine learning that are commonly used
in radiology?
b. What are some
applications of deep learning in
radiology?
c. What are some
challenges and limitations of deep
learning methods?
d. What are new
research areas in machine learning?
e. Hands-on
introduction to deep learning
Please join us for an
informative Radiology Grand Rounds,
Tuesday, March 19, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
" The Evolving Role
of the Interventional Radiologist in the
Treatment of The Obese Patient"
Presented by:
Clifford R. Weiss,
MD FSIR
Medical Director,
Center for Bioengineering Innovation and
Design
Associate Professor,
Department of Radiology and Radiological
Science, Surgery and Biomedical
Engineering
Director of
Interventional Radiology Research
Johns Hopkins
University
Abstract:
The number of people
classified as obese, defined by the World
Health Organization as having a body mass
index ≥30, has been rising since the
1980s. Obesity is associated with
comorbidities such as hypertension,
diabetes mellitus, and nonalcoholic fatty
liver disease. The current treatment
paradigm emphasizes lifestyle
modifications, including diet and
exercise; however this approach produces
only modest weight loss for many patients.
When lifestyle modifications fail, the
current "gold standard" therapy for
obesity is bariatric surgery, including
Roux-en-Y gastric bypass, sleeve
gastrectomy, duodenal switch, and
placement of an adjustable gastric band.
Though effective, bariatric surgery can
have severe short- and long-term
complications, and is not performed is
most patients. To fill the major gap in
invasiveness between lifestyle
modification and surgery, patients can now
receive a host of pharmacotherapies and
minimally invasive endoscopic techniques
to treat obesity. Recently, interventional
radiologists have also gained the
potential to treat these patients using
minimally invasive image guided
techniques. These have great
promise, and may prove to be another tool
in the toolbelt used to treat the obese
patient.
Learning
Objective:
Understand the impact
of the obesity epidemic on patients and
healthcare systems Understand the variety
of therapies that are available to the
obese patient Understand Interventional
Radiology’s potential role in the
treatment of the obese patient
Please join us for an
informative Radiology Grand Rounds,
Tuesday, March 5, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
"From Innovation to
Adoption: Policy and Research
Considerations"
Presented by:
Zeke Silva III,
MD, FACR, FSIR, RCC
ACR Commission on
Economics Chairman; Adjunct Professor (UT
Health-San Antonio)
Medical Director of
Radiology - Methodist Texsan Hospital, and
Methodist Ambulatory & Surgical Hospital
Ezequiel “Zeke” Silva
III, MD, FACR, FSIR, RCC, is a graduate of
the University of Texas at Austin. He
completed medical school and residency at
Baylor College of Medicine before pursuing
a fellowship in vascular and
interventional radiology at Massachusetts
General Hospital.
Dr. Silva is the
chairman of the American College of
Radiology (ACR) Commission on Economics
and is a founding board member of the
Neiman Health Policy Institute. He serves
on the ACR Board of Chancellors, ACR
Budget and Finance Committee and
represents the ACR as Co-Chair of the CMS
Acumen Clinical Subcommittee on Peripheral
Vascular Disease. He is also a member of
the AMA/Specialty Society RVS Update
Committee (RUC) and Co-Chair of the AMA
Digital Medicine Payment Advisory Group
(DMPAG).
Dr. Silva serves on
the editorial board of the Journal of the
American College of Radiology for which he
authored the standing column
“Reimbursement Rounds” from 2010 to 2016.
He previously served as the chairman of
economics for the Society of
Interventional Radiology and editor of the
Interventional Radiology Coding Guide. He
served on the board of the Radiology
Coding Certification Board for five years
and is Immediate Past President of the
Texas Radiological Society.
His clinical
interests include oncology imaging and
interventions.
Abstract:
Radiology has a
proven history of bringing innovation to
the forefront of patient care. This
success has been driven by the strength of
our research, clinical practice and policy
decisions. In this talk, Dr. Silva will
discuss specific actions which have
enabled radiology's success but also point
out past shortcomings. Today, radiology
remains well positioned by is clearly
being impacted by several large health
care trends heightening our need for
purposeful strategy, sound philosophy and
purposeful actions.
Learning
Objectives:
- Discuss radiology's
historical role in innovation
- Ponder strategic
actions which will enable continued
success going forward
- Propose a framework
to navigate statutes, regulations, and
sub-regulations for the betterment of our
profession
Please join us for an
informative Radiology Grand Rounds,
Tuesday, February 19, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
“The Power of
Microbubbles: The Past, Present and Future
of Contrast-Enhanced Ultrasound”
Presented by:
Yuko Kono, M.D.
Clinical Professor of
Medicine, Gastroenterology and Hepatology
Clinical Professor of
Radiology
University of
California, San Diego
Dr. Kono is a
Clinical Professor of Medicine and
Clinical Professor of Radiology at
University of California, San Diego.
She is a
transplant hepatologist and runs HCC
clinic and liver cancer tumor board.
Her academic work has
focused on the diagnosis and management of
hepatocellular carcinoma (HCC) especially
the use of contrast-enhanced ultrasound
(CEUS), for which she is a nationally and
internationally known expert. Dr. Kono has
been a national leader in promoting the
use of CEUS for HCC. She is the chair of
the LI-RADS CEUS working group and a
member of board of directors for ICUS
(International Contrast Ultrasound
Society.
Abstract:
Ultrasound contrast
agents have been approved for radiology
imaging world-wide for many years, but it
has been only for 3 years in the United
States since its first approval of CEUS
for liver imaging. It is a rapidly
progressing imaging field. CEUS has many
unique advantages and differences from CT
and MRI. History of CEUS, how microbubbles
are imaged, current use, indications, and
the future of CEUS will be discussed.
Learning
Objectives:
- Know what is CEUS
and how it works
- Describe main
indications of CEUS
- Describe advantages
and disadvantages of CEUS, differences of
CEUS from CT/MRI
- Know CEUS LI-RADS
and its difference from CT/MRI LI-RADS
Please join us for an
informative Radiology Grand Rounds,
Tuesday, February 5, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
“Gadolinium
Retention: Should We Worry?”
Presented by:
Howard A. Rowley,
M.D.
Joseph Sackett
Professor of Radiology
Professor of
Radiology, Neurology, and Neurosurgery
University of
Wisconsin
Learning
Objectives:
Please join us for an
informative Radiology Grand Rounds,
Tuesday, January 15, 2019 from 7:00 -
8:00 am at **Moores Cancer Center,
Goldberg Auditorium**
Topic:
Aging and Inactivity:
Staying Healthy in Sedentary Jobs
Presented by:
Kenneth Vitale,
MD FAAPMR
Sports Medicine, PM&R
Associate Professor,
Department of Orthopaedic Surgery
University of
California San Diego
Abstract:
Health care spending
in US projected to reach $4.2 trillion by
2016 (CDC, 2011), with 70-90% of all
health care costs stemming from
preventable lifestyle-related diseases. It
is estimated that 80% of all heart
disease, type 2 DM, and stroke could be
prevented if Americans engaged in more
physical activity, stopped smoking,
maintained healthier diet (CDC, 2011).
Regular physical activity clearly reduces
the risk of cardiometabolic disease,
numerous cancers, enhancing bone health,
muscle strength and mental health (USDHHS,
2008). However, most Americans, including
physicians, are often physically inactive
throughout the work day. Physical
inactivity is the major public health
problem of our time, however most
physicians fail to even mention exercise
to their patients. This talk summarizes
the harmful effects of physical inactivity
& the current barriers to physical
activity counseling, and provides
clinicians the tools to properly perform
risk stratification, evaluate fitness
level, and provide an exercise
prescription.
Learning
Objectives:
1. Learn health risks
of inactivity
2. How to determine
your own cardiac risk
3. How to
self-evaluate your own fitness level
4. How to write
yourself an individualized Exercise
Prescription