Musculoskeletal
Galaxy
June 5 – 9, 2024 | Portland, OR
Registration is now closed. 2025 dates coming soon!
Overview
What Is the Musculoskeletal Galaxy?
Designed to provide PAs and NPs with a well-rounded foundation on orthopaedics, this conference is ideal if you are new to the specialty or if you are a family medicine, emergency medicine, or urgent care provider who sees musculoskeletal conditions in your daily practice.
Expert faculty discuss topics across orthopaedic specialties, including the most common conditions of the spine, shoulder, elbow, wrist, hand, hip, knee, ankle, and foot. Take part in engaging, hands-on instruction with Wednesday’s optional workshops on musculoskeletal injections; ultrasound; and splinting and casting. In the small group breakout sessions, learn physical exam techniques, discuss common radiology cases, and participate in a hands-on surgical skills lab for fracture fixation.
Join us June 5 – 9 in Portland, Oregon for Galaxy 2024! You’ll access:
- Our 3.5-day conference full of interactive orthopaedic sessions
- The optional pre-courses:
- Hands-on Acute Care Splinting and Casting Workshop
- Hands-on Musculoskeletal Injection Workshop for Beginners
- Hands-On MSK Focus POCUS Pre-Course – SOLD OUT, contact [email protected] to be added to waitlist.
- An optional limited edition Galaxy sweatshirt for purchase
- Networking opportunities with colleagues
- Access to Galaxy 2024’s recorded sessions available online until December 31, 2024
Course Directors
- Christopher V. Bensen, MD
- Travis L. Randolph, PA-C, ATC
- Chuck Dowell, PA-C, ATC
Registration
Please note that the Musculoskeletal Galaxy conference is not included in the Fellow Plus or Fellow Premium membership.
Optional Pre-Courses
Pre-Course #1 – Acute Care Splinting and Casting Workshop (5.0 AAPA Category 1 CME credits*)
Two sessions available:
- Wednesday, June 5, 7 a.m.-12 p.m.
- Wednesday, June 5, 1-6 p.m.
Separate registration required. Limited seats available!
The half-day, hands-on Acute Care Splinting and Casting Workshop is designed for new graduate PAs and NPs or those who are new to treating musculoskeletal injuries. Our instructors will help you develop the skills you need to effectively apply acute care splints for common upper and lower extremity injuries. This course will cover the following splints: volar wrist splint, ulnar gutter splint, upper extremity sugar tong splint, low leg posterior splint, and low leg stirrup (sugar tong) splint. The application of fiberglass short arm and short leg casts will also be covered. Unfortunately, due to time constraints, this workshop will not cover fracture reduction techniques, advanced skills, or application of plaster splints/casts. Attendees should wear shorts and a T-shirt to the workshop.
Pre-Course #2 – Musculoskeletal Injection Workshop for Beginners (2.5 AAPA Category 1 CME credits*)
Three sessions available:
- Wednesday, June 5, 7 – 9:30 a.m.
- Wednesday, June 5, 10 a.m.- 12:30 p.m.
- Wednesday, June 5, 2:30 – 5 p.m.
Separate registration required. Limited seats available!
This 2.5 hour, highly interactive injection workshop is designed for new graduate PAs and NPs or those who are new to treating musculoskeletal injuries. Our instructors will provide a lecture, demonstration, and most importantly, a hands-on learning experience. You will learn about the materials, indications, contraindications, risks, benefits, and proper technique of injection therapy. The workshop will address the evaluation and management of common musculoskeletal problems of the upper and lower extremity and the role of injection therapy in these conditions.
The following injections will be covered: shoulder joint, subacromial bursitis, lateral and medial epicondylitis, olecranon bursitis, de Quervain’s tenosynovitis, trigger finger, first carpal metacarpal (CMC) joint, trochanteric bursitis, knee joint, pes anserine bursitis, prepatellar bursitis, plantar fasciitis, and Morton’s neuroma.
Working in small groups led by an instructor, you will gain beginning competencies in proper injection technique while practicing on each other and electronic models. Attendees should wear loose, comfortable clothing (T-shirts, shorts, etc.) and be prepared to practice palpating anatomical landmarks for proper injection technique.
Pre-Course #3 – MSK Focus POCUS (4.0 AAPA Category 1 CME credits*)
One session available:
- Wednesday, June 5, 1:30 – 5:30 p.m.
Separate registration required. Limited seats available!
The Musculoskeletal Galaxy Focus POCUS ultrasound pre-course will cover an introduction on how to ultrasound as well as tips for identifying critical structures and landmarks for basic MSK injections.
Main Conference (24.75 AAPA Category 1 CME credits*)
Thursday, June 6 – Sunday, June 9
Registration includes four breakfasts, lunch on Thursday and Friday, the networking event on Thursday evening, online access to course materials, and access to recorded sessions from the conference.
*Please note that this course is not approved for Category A continuing education for certified athletic trainers.
New this year: Grab our exclusive 2024 Galaxy sweatshirt!
Registration Cancellation Policy
- Please submit your cancellation request in writing to [email protected].
- We offer a full refund for cancellations prior to March 24, 2024.
- Between March 25 – June 4 we can offer a 50% refund for cancellations.
- No refunds or credits will be granted after the conference begins on June 5.
- If AAPA must cancel the 2024 Musculoskeletal Galaxy in Portland, all registration fees will be transferred to a fully virtual conference experience.
- All hotel cancellations must be made directly with the hotel.
- No refunds or exchanges can be made for sweatshirt purchases after April 19, 2024.
Registration Discounts
Group Registration
AAPA offers a $100 discount, per registrant, on group registrations of 10+ PAs or NPs.
Restrictions apply:
- All registrants must also book a hotel room at the time of registration.
- No registrant on the list may be already registered. No refunds will be given.
- This promotion and discount may not be used in combination with any other promotion or discount.
- Group registration list must be submitted to [email protected].
Student Registration
Are you a student and want to register for this conference? Contact [email protected] to receive $200 off your registration.
Agenda
Below is a list of all sessions taking place at Galaxy 2024. Please note that times listed are in Pacific Time.
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6:00 a.m. – 6:00 p.m.
On-Site Registration
Lower Level 1, Registration Office
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7:00 a.m. – 12:00 p.m.
Pre-Course: Acute Care Splinting and Casting Workshop – Morning Session (Separate registration required.)
Tom Gocke DMSc, PA-C, DFAAPA; Travis Randolph, PA-C, ATC
Lower Level 1, Salon GHThe Acute Care Splinting and Casting course provides information on the treatment choices needed in managing selected acute musculoskeletal injures. While acute care splints are commonly applied for the initial treatment of fractures or dislocations, they are also used to decrease the spread of infection, and immobilize tendon injuries or reduce tension on sutures following complex lacerations.
At the conclusion of this session, participants should be able to:
- Demonstrate the application of acute care splints for selected lower extremity Injuries
- Illustrate the application of a short arm cast
- Demonstrate the application of a long arm cast
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7:00 a.m. – 9:30 a.m.
Pre-Course: Musculoskeletal Injection Workshop for Beginners – Morning Session (Separate registration required.)
Chuck Dowell, PA-C, ATC; Sophie Ellis,PA-C; and Joel Phillips, PA-C
Lower Level 1, Salon FThis lecture will focus on a basic introduction and understanding into the world of MSK injections. We will review common MSK problems that will require injection therapy. This session will cover different anesthetic and corticosteroid agents, relevant anatomy regarding each injection, techniques to perform common MSK injections, and potential reactions and complications you may see from each injection.
At the conclusion of this session, participants should be able to:
- Identify indications, contraindications, risks, benefits, materials, and proper technique of common MSK injection therapy
- Identify common conditions of the upper and lower extremity that may benefit from injection therapy
- Demonstrate beginning competencies regarding the location and identification of important functional anatomical landmarks and correct needle placement for injection therapy
- Review acute inflammatory response and common complications from MSK injections
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10:00 a.m. – 12:30 p.m.
Pre-Course: Musculoskeletal Injection Workshop for Beginners – Midday Session (Separate registration required.)
Chuck Dowell, PA-C, ATC; Sophie Ellis,PA-C; and Joel Phillips, PA-C
Lower Level 1, Salon FThis lecture will focus on a basic introduction and understanding into the world of MSK injections. We will review common MSK problems that will require injection therapy. This session will cover different anesthetic and corticosteroid agents, relevant anatomy regarding each injection, techniques to perform common MSK injections, and potential reactions and complications you may see from each injection.
At the conclusion of this session, participants should be able to:
- Identify indications, contraindications, risks, benefits, materials, and proper technique of common MSK injection therapy
- Identify common conditions of the upper and lower extremity that may benefit from injection therapy
- Demonstrate beginning competencies regarding the location and identification of important functional anatomical landmarks and correct needle placement for injection therapy
- Review acute inflammatory response and common complications from MSK injections
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1:00 p.m. – 6 p.m.
Pre-Course: Acute Care Splinting and Casting Workshop – Afternoon Session (Separate registration required.)
Tom Gocke DMSc, PA-C, DFAAPA; Travis Randolph, PA-C, ATC
Lower Level 1, Salon GHThe Acute Care Splinting and Casting course provides information on the treatment choices needed in managing selected acute musculoskeletal injures. While acute care splints are commonly applied for the initial treatment of fractures or dislocations, they are also used to decrease the spread of infection, and immobilize tendon injuries or reduce tension on sutures following complex lacerations.
At the conclusion of this session, participants should be able to:
- Demonstrate the application of acute care splints for selected lower Extremity Injuries
- Illustrate the application of a short arm cast
- Demonstrate the application of a long arm cast
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1:30 p.m. – 5:30 p.m.
Ultrasound guided injections: More Gain, Less Pain (Separate registration required.)
David Westerdahl, MD, Katy Martinelli, PA-C, Dan Sellers, PA-C
Lower Level 1, Salon IUltrasound is a powerful tool in the hands of a musculoskeletal trained physician and APP. Its use in the office or other points of care can assist with diagnosis, provide precise delivery of therapeutics, reduce patient anxiety and pain, and enhance the healthcare relationship between patient and provider. This session will provide an introduction to diagnostic and therapeutic use of ultrasound, with an emphasis on the foundational skills for a new sonographer to take back to their practice and build upon with time and additional training.
- Discuss the use of musculoskeletal ultrasound diagnostics and therapeutics for new users
- Identify critical structures and landmarks for basic ultrasound guided therapeutics
- Identify common soft tissue structures of the shoulder, elbow, and knee with MSKUS
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2:30 p.m. – 5:00 p.m.
Pre-Course: Musculoskeletal Injection Workshop for Beginners – Afternoon Session (Separate registration required.)
Chuck Dowell, PA-C, ATC; Sophie Ellis,PA-C; and Joel Phillips, PA-C
Lower Level 1, Salon FThis lecture will focus on a basic introduction and understanding into the world of MSK injections. We will review common MSK problems that will require injection therapy. This session will cover different anesthetic and corticosteroid agents, relevant anatomy regarding each injection, techniques to perform common MSK injections, and potential reactions and complications you may see from each injection.
At the conclusion of this session, participants should be able to:
- Identify indications, contraindications, risks, benefits, materials, and proper technique of common MSK injection therapy
- Identify common conditions of the upper and lower extremity that may benefit from injection therapy
- Demonstrate beginning competencies regarding the location and identification of important functional anatomical landmarks and correct needle placement for injection therapy
- Review acute inflammatory response and common complications from MSK injections
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7:00 a.m. – 6:00 p.m.
On-Site Registration
Lower Level 1, Registration Office
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7:00 a.m. – 8:00 a.m.
Exhibits and Breakfast (Provided)
Lower Level 1, Foyer
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8:00 a.m. – 8:15 a.m.
Welcome Remarks
Lower Level 1, Salon EF
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8:15 a.m. – 9:10 a.m.
Language of Fractures
Christopher V. Bensen, MD
Lower Level 1, Salon EFAt the conclusion of this session, participants should be able to:
- Identify appropriate imaging/testing for orthopaedic cases/questions that are submitted by the audience
- Discuss operative vs. non-operative treatment for orthopaedic cases/questions that are submitted by the audience
- Discuss different orthopaedic surgical techniques and principles from the expert panel
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9:15 a.m. – 10:10 a.m.
The Conundrum of Hip Pain – An Approach and Review
Jesse Day, MD
Lower Level 1, Salon EFThe hip is a challenging location diagnostically, with overlapping structures and poor evidence for many diagnoses. I aim to demystify the region and provide an approach to patients with challenging complaints in the anterior, lateral, and posterior hip.
At the conclusion of this session, participants should be able to:
- Identify common conditions in the hip and surrounding area
- Develop a strong regional differential list employing anatomy of the area
- Use physical examination and imaging to appropriately and quickly test hypotheses
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10:10 a.m. – 10:45 a.m.
Exhibits/Breaks
Lower Level 1, Foyer
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10:45 a.m. – 11:30 a.m.
The Not-So-Funny Bones
Brooke Beckett, MD
Lower Level 1, Salon EFThe first of two sessions dedicated to reviewing basics of MSK imaging. This first session will focus on the all-important radiograph, reviewing fracture patterns and basic arthritides, and will touch on scary versus reassuring features of bone tumors and tumor-like conditions.
At the conclusion of this session, participants should be able to:
- Determine appropriate radiographic views for joints and bones
- Distinguish degenerative, inflammatory, and infectious arthritis
- Distinguish aggressive versus nonaggressive osseous tumors and tumor-like conditions
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11:35 a.m. – 12:30 p.m.
Foot and Ankle Tour de Force: Common Pains, Strains, and Sprains
Lara Atwater, MD
Lower Level 1, Salon EFHigh-yield facts including identification and treatment of common foot and ankle pathologies including: high ankle sprains/ syndesmotic injuries, lateral ankle sprains, deltoid ligament injuries (surgical indications), posterior tibialis tendonitis/ dysfunction, peroneal tendonitis, Lisfranc injuries, Achilles tendon ruptures, plantar fasciitis/ rupture, tarsal tunnel syndrome, hallux rigidus, hallux valgus, first MTP joint sprains, sesamoiditis, medial tibial stress syndrome vs. stress fracture.
At the conclusion of this session, participants should be able to:
- Identify common foot and ankle pathologies in an outpatient clinic setting
- Discuss the acuity of these injuries and which are surgical
- Describe outpatient treatments for these common injuries
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12:30 p.m. – 1:30 p.m.
Exhibits and Lunch (Provided)
Lower Level 1, Foyer
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1:30 p.m. – 2:15 p.m.
The Tendon-cy to Tear
Brooke Beckett, MD
Lower Level 1, Salon EFThe second of two sessions dedicated to reviewing the basics of MSK imaging. This second session will concentrate on advanced MSK imaging and will largely focus on appropriateness criteria for ordering US, MRI, and CT. We will also touch on the basics of MRI sequences and interpretation.
At the conclusion of this session, participants should be able to:
- Recognize basic bone and joint MRI sequences
- Describe a general approach to musculotendinous injuries
- Describe appropriate ordering practices for MSK MRI
- Describe appropriate ordering practices for MSK US and CT
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2:20 p.m. – 3:15 p.m.
Infectious Disease for the Orthopedics Team
Laura Damioli, MD
Lower Level 1, Salon EFOrthopedic infections carry high morbidity and mortality. This session will focus on the proper treatments of these infections, as well as measures that can be taken to prevent infections.
At the conclusion of this session, participants should be able to:
- Choose appropriate antibiotics to treat a variety of infections
- Optimize patients pre-operatively to prevent infection
- Illustrate how to properly treat diabetic foot infections
- Describe treatment options for native and prosthetic joint infections
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3:15 p.m. – 3:45 p.m.
Exhibits/Breaks
Lower Level 1, Foyer
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3:45 p.m. – 5:45 p.m.
First Breakout Session (Choose One)
Fracture Management Skills Lab
Christopher V. Bensen, MD
Lower Level 1, Salons A-DAt the conclusion of this session, participants should be able to:
- Use AO/OTA classification to distinguish fractures and indicate appropriate treatment
- Indicate appropriate digital or regional anesthesia for particular fracture patterns or joint dislocations
- Recognize and indicate the proper procedures to stabilize particular fracture patterns
- Recognize the difference between different types of plate and screw fixation
- Recognize need for external fixation and the principles associated with external fixation
Lower Extremity and L-Spine Physical Exam Techniques Breakout Session
Chuck Dowell, PA-C, ATC; Tom Gocke, DMSc, PA-C, DFAAPA, PA-C; and Dan Sellers, PA-C
Lower Level 1, Salons G-IPhysical examination is the cornerstone of diagnosis and treatment of orthopedic pathology. In this session, we will be demonstrating various ways of examining the lower extremities, including the hip, pelvis, knee, ankle, and foot, as well as the lumbosacral spine. Throughout the session, moderators will be giving expert advice on technique and providing insight on history taking and approach to the orthopedic patient.
At the conclusion of this session, participants should be able to:
- Describe the basic exam techniques and how to perform an examination of the L spine to assess and rule in/out trauma, infection, instability, degenerative changes, and radiculopathy
- Explain the basic exam techniques and how to perform an examination of the hip and knee to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
- Describe the basic exam techniques and how to perform an examination of the ankle and foot to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
Upper Extremity and C-Spine Physical Exam Techniques Breakout Session
Travis Randolph, PA-C; Sophie Ellis, PA-C; and Joel Phillips, PA-C
Second Floor, Mount HoodThis physical exam session is intended to provide you with the knowledge and skillset to perform a thorough physical exam on the C-spine and upper extremity. We will review range of motion and strength test specific for the C-spine and upper extremity as well as perform special test that will help you to narrow your differential diagnosis. The faculty will include tips and tricks that we have learned along the way and leave you with a few clinical pearls for you to take back to your practice.
At the conclusion of this session, participants should be able to:- Perform physical exam special test, range of motion, and appropriate strength test for the C-spine
- Perform physical exam special test, range of motion, and appropriate strength test for the shoulder
- Perform physical exam special test, range of motion, and appropriate strength test for the elbow, wrist, and hand
Cases! Cases! Cases! (Radiology Cases Breakout)
Brooke Beckett, MD
Lower Level 1, Salon EFIn this breakout session we will review numerous realistic patient scenarios and discuss the entire imaging history of injury or disease, from initial presentation through follow-ups and/or treatment.
At the conclusion of this session, participants should be able to:
- Approach ordering imaging studies in a systemized manner
- Recognize commonly missed radiographic diagnoses
- Become more comfortable interpreting MSK radiographs
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5:45 p.m. – 7:00 p.m.
Networking Event
Second Floor, Mount St. Helen’s
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6:30 a.m. – 5:30 p.m.
On-Site Registration
Lower Level 1, Registration Office
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6:45 a.m. – 7:30 a.m.
Breakfast Industry Session sponsored by Alexion
A Clinical Approach to Hypophosphatasia (HPP)Christina Yazdani, PA-C
Lower Level 1, Salon EFThis program will provide an overview of hypophosphatasia, including:
- Recognition of the biochemical hallmark of HPP
- Identification of common signs and symptoms
- Diagnostic considerations for your practice
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8:00 a.m. – 10:00 a.m.
Second Breakout Session (Choose One)
Fracture Management Skills Lab
Christopher V. Bensen, MD
Lower Level 1, Salons A-DAt the conclusion of this session, participants should be able to:
- Use AO/OTA classification to distinguish fractures and indicate appropriate treatment
- Indicate appropriate digital or regional anesthesia for particular fracture patterns or joint dislocations
- Recognize and indicate the proper procedures to stabilize particular fracture patterns
- Recognize the difference between different types of plate and screw fixation
- Recognize need for external fixation and the principles associated with external fixation
Lower Extremity and L-Spine Physical Exam Techniques Breakout Session
Chuck Dowell, PA-C, ATC; Tom Gocke, DMSc, PA-C, DFAAPA, PA-C; and Dan Sellers, PA-C
Lower Level 1, Salons G-IPhysical examination is the cornerstone of diagnosis and treatment of orthopedic pathology. In this session, we will be demonstrating various ways of examining the lower extremities, including the hip, pelvis, knee, ankle, and foot, as well as the lumbosacral spine. Throughout the session, moderators will be giving expert advice on technique and providing insight on history taking and approach to the orthopedic patient.
At the conclusion of this session, participants should be able to:
- Describe the basic exam techniques and how to perform an examination of the L spine to assess and rule in/out trauma, infection, instability, degenerative changes, and radiculopathy
- Explain the basic exam techniques and how to perform an examination of the hip and knee to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
- Describe the basic exam techniques and how to perform an examination of the ankle and foot to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
Upper Extremity and C-Spine Physical Exam Techniques Breakout Session
Travis Randolph, PA-C; Sophie Ellis, PA-C; and Joel Phillips, PA-C
Second Floor, Mount HoodThis physical exam session is intended to provide you with the knowledge and skillset to perform a thorough physical exam on the C-spine and upper extremity. We will review range of motion and strength test specific for the C-spine and upper extremity as well as perform special test that will help you to narrow your differential diagnosis. The faculty will include tips and tricks that we have learned along the way and leave you with a few clinical pearls for you to take back to your practice.
At the conclusion of this session, participants should be able to:- Perform physical exam special test, range of motion, and appropriate strength test for the C-spine
- Perform physical exam special test, range of motion, and appropriate strength test for the shoulder
- Perform physical exam special test, range of motion, and appropriate strength test for the elbow, wrist, and hand
Cases! Cases! Cases! (Radiology Cases Breakout)
Brooke Beckett, MD
Lower Level 1, Salon EFIn this breakout session we will review numerous realistic patient scenarios and discuss the entire imaging history of injury or disease, from initial presentation through follow-ups and/or treatment.
At the conclusion of this session, participants should be able to:
- Approach ordering imaging studies in a systemized manner
- Recognize commonly missed radiographic diagnoses
- Become more comfortable interpreting MSK radiographs
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10:00 a.m. – 10:25 a.m.
Exhibits/Break
Lower Level 1, Foyer
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10:25 a.m. – 11:15 a.m.
The Knee: An Orthopaedic Sports Surgeon’s Summary (Part 1)
Jacqueline Brady, MD
Lower Level 1, Salon EFIn two parts, this tour of the knee and its most common ailments will provide the listener with the tools to recognize common knee diagnoses and know when to pursue further workup and/or refer to a surgeon.
At the conclusion of this session, participants should be able to:
- Describe typical injury mechanisms that accompany common orthopaedic knee problems
- Identify the most useful imaging modalities for diagnosing orthopaedic injuries
- Diagnose common ailments in the knee by combining history, physical examination findings, and imaging
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11:20 a.m. – 12:15 p.m.
The Knee: An Orthopaedic Sports Surgeon’s Summary (Part 2)
Jacqueline Brady, MD
Lower Level 1, Salon EFIn two parts, this tour of the knee and its most common ailments will provide the listener with the tools to recognize common knee diagnoses and know when to pursue further workup and/or refer to a surgeon.
At the conclusion of this session, participants should be able to:
- Describe typical injury mechanisms that accompany common orthopaedic knee problems
- Identify the most useful imaging modalities for diagnosing orthopaedic injuries
- Diagnose common ailments in the knee by combining history, physical examination findings, and imaging
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12:15 p.m. – 1:15 p.m.
Exhibits and Lunch (Provided)
Lower Level 1, Foyer
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1:15 p.m. – 3:15 p.m.
Third Breakout Session (Choose One)
Fracture Management Skills Lab
Christopher V. Bensen, MD
Lower Level 1, Salons A-DAt the conclusion of this session, participants should be able to:
- Use AO/OTA classification to distinguish fractures and indicate appropriate treatment
- Indicate appropriate digital or regional anesthesia for particular fracture patterns or joint dislocations
- Recognize and indicate the proper procedures to stabilize particular fracture patterns
- Recognize the difference between different types of plate and screw fixation
- Recognize need for external fixation and the principles associated with external fixation
Lower Extremity and L-Spine Physical Exam Techniques Breakout Session
Chuck Dowell, PA-C, ATC; Tom Gocke, DMSc, PA-C, DFAAPA, PA-C; and Dan Sellers, PA-C
Lower Level 1, Salons G-IPhysical examination is the cornerstone of diagnosis and treatment of orthopedic pathology. In this session, we will be demonstrating various ways of examining the lower extremities, including the hip, pelvis, knee, ankle, and foot, as well as the lumbosacral spine. Throughout the session, moderators will be giving expert advice on technique and providing insight on history taking and approach to the orthopedic patient.
At the conclusion of this session, participants should be able to:
- Describe the basic exam techniques and how to perform an examination of the L spine to assess and rule in/out trauma, infection, instability, degenerative changes, and radiculopathy
- Explain the basic exam techniques and how to perform an examination of the hip and knee to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
- Describe the basic exam techniques and how to perform an examination of the ankle and foot to assess and rule in/out trauma, sports injuries, infection, and degenerative changes
Upper Extremity and C-Spine Physical Exam Techniques Breakout Session
Travis Randolph, PA-C; Sophie Ellis, PA-C; and Joel Phillips, PA-C
Second Floor, Mount HoodThis physical exam session is intended to provide you with the knowledge and skillset to perform a thorough physical exam on the C-spine and upper extremity. We will review range of motion and strength test specific for the C-spine and upper extremity as well as perform special test that will help you to narrow your differential diagnosis. The faculty will include tips and tricks that we have learned along the way and leave you with a few clinical pearls for you to take back to your practice.
At the conclusion of this session, participants should be able to:- Perform physical exam special test, range of motion, and appropriate strength test for the C-spine
- Perform physical exam special test, range of motion, and appropriate strength test for the shoulder
- Perform physical exam special test, range of motion, and appropriate strength test for the elbow, wrist, and hand
Cases! Cases! Cases! (Radiology Cases Breakout)
Brooke Beckett, MD
Lower Level 1, Salon EFIn this breakout session we will review numerous realistic patient scenarios and discuss the entire imaging history of injury or disease, from initial presentation through follow-ups and/or treatment.
At the conclusion of this session, participants should be able to:
- Approach ordering imaging studies in a systemized manner
- Recognize commonly missed radiographic diagnoses
- Become more comfortable interpreting MSK radiographs
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3:15 p.m. – 3:30 p.m.
Exhibits/Break
Lower Level 1, Foyer
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3:30 p.m. – 4:25 p.m.
Hip and Knee Arthroplasty: Is the Risk Worth the Reward?
Harry A. Demos, MD
Lower Level 1, Salon EFAlthough hip and knee replacement are among the most commonly performed orthopedic procedures and they have beneficial outcomes, achieving these outcomes requires diligent pre, intra, and post-op optimization and management. The following topics will be discussed in detail in this Session:
— Subjective, objective, and radiographic evaluation of hip and knee arthritis and related conditions.
— Non-operative management of osteoarthritis
— Risk factor identification and modificationAt the conclusion of this session, participants should be able to:
- Discuss the assessment (including radiograph findings) and treatment of hip and knee osteoarthritis
- Determine whether conservative management or joint replacement is the best option for the patient
- Implement protocols and programs for patient optimization
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4:30 p.m. – 5:15 p.m.
Hip and Knee Arthroplasty: Every Detail Makes a Difference
Harry A. Demos, MD
Lower Level 1, Salon EFAlthough hip and knee replacement are among the most commonly performed orthopedic procedures and they have beneficial outcomes, achieving these outcomes requires diligent pre, intra, and post-op optimization and management. The following topics will be discussed in detail in this Session:
— Pre-operative planning
— Implants, bearings, and longevity
— Intra-operative risk minimization, antibiotic prophylaxis, DVT prevention
— Inpatient or Outpatient?
— Pain management
— Therapy protocolsAt the conclusion of this session, participants should be able to:
- Discuss appropriate perioperative care in THA/TKA, including DVT prophylaxis and infection prophylaxis
- Describe implant bearing surfaces and the longevity of total joints
- Review THA/TKA post-op protocols, including pain management and physical therapy
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5:45 p.m. – 6:30 p.m.
Dinner Industry Session Sponsored by Kyowa Kirin: Understanding the Diagnosis and Management in Patients with X-Linked Hypophosphatemia (XLH)
Shelley Brandstetter, ARNP
Lower Level 1, Salon EFDisease State discussion “Understanding the Diagnosis and Management in Patients with X-Linked Hypophosphatemia (XLH)”
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7:00 a.m. – 5:30 p.m.
On-Site Registration
Lower Level 1, Registration Office
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7:00 a.m. – 8:00 a.m.
Breakfast (Provided)
Lower Level 1, Foyer
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8:00 a.m. – 8:55 a.m.
Is There “Thumbthing” Wrong?: High Yield Hand and Wrist Topics
Omar Nazir, MD; and Adam Mirarchi, MD
Lower Level 1, Salon EFJoin us for an insightful journey into the intricate world of hand and wrist pathology! In this one-hour lecture, we will explore the fundamental concepts and common conditions affecting the hand and wrist. Whether you’re new to the field or seeking a refresher, this lecture will help to equip you with practical knowledge and skills to manage common hand and wrist pathology in your clinical practice.
At the conclusion of this session, participants should be able to:
- Describe the pertinent anatomy for common orthopaedic pathology about the hand and wrist
- Discuss conservative treatment options for hand and wrist conditions
- Explain the operative treatments for common hand and wrist conditions
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9:00 a.m. – 9:55 a.m.
Orthopaedic Oncology: Lumps, Bumps, and Heavy Metal
Duncan Ramsey
Lower Level 1, Salon EFOur goal is to familiarize you with some of the more common or important diagnoses in musculoskeletal oncology including bone and soft tissue sarcomas, benign lesions, and metastatic disease of bone; understand the clinical presentation and imaging characteristics of benign and malignant lesions as well as general treatment schemes; and finally, to know when to refer a patient to your friendly local orthopaedic oncologist.
At the conclusion of this session, participants should be able to:
- Describe basic diagnoses in musculoskeletal oncology
- Initiate the diagnostic workup of MSK lesions
- Discuss the basic treatment strategies for benign and malignant MSK tumors
- Explain when to refer to orthopaedic oncology
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9:55 a.m. – 10:15 a.m.
Break
Lower Level 1, Foyer
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10:15 a.m. – 11:45 a.m.
Staying Out of Trouble in Pediatric Orthopaedics
Steven Gibbons, MD
Lower Level 1, Salon EFKids are not small adults. They have different skeletons and sustain different injuries based on their age. Whether you work in an ER, primary care, or hospital setting, you are bound to encounter the more common pediatric injuries. And you know your friends are going to ask you about little Sara after she fell and what they should do. So, come learn about common injuries and how to stay out of trouble in pediatric orthopaedics.
At the conclusion of this session, participants should be able to:
- Recognize common elbow injuries
- Know when to urgently refer patients
- Treat common upper extremity injuries
- Treat common lower extremity injuries
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11:45 a.m. – 1:15 p.m.
Lunch (On Your Own)
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1:15 p.m. – 2:00 p.m.
Common Orthopaedic Conditions of the Shoulder in the Young Athlete
Christopher V. Bensen, MD
Lower Level 1, Salon EFAt the conclusion of this session, participants should be able to properly evaluate a patient with shoulder symptoms and be able to formulate an appropriate differential diagnosis based on history and physical exam findings. They should also be able to recommend initial treatment plans with patients with AC joint separation, shoulder instability, labral injuries, and biceps tendinitis.
At the conclusion of this session, participants should be able to:
- Properly evaluate a patient with shoulder symptoms
- Formulate an appropriate differential diagnosis based on history and physical exam findings
- Recommend initial treatment plans for patients with AC joint separations, shoulder instability, and labral injuries
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2:05 p.m. – 3:00 p.m.
Enlightening Elbow Enigmas: High Yield Topics About the Elbow
Omar Nazir, MD; and Adam Mirarchi, MD
Lower Level 1, Salon EFIn this one-hour lecture, we invite participants to dive into the realm of elbow pathology and emerge with a deeper understanding of this crucial joint. From tennis elbow, bursitis to arthritis, we’ll address common elbow conditions, providing a solid foundation for clinical practice.
At the conclusion of this session, participants should be able to:
- Describe the pertinent anatomy for common orthopaedic pathology about elbow
- Discuss conservative treatment options for common elbow conditions
- Explain the operative treatments for common elbow pathology
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3:00 p.m. – 3:15 p.m.
Break
Lower Level 1, Foyer
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3:15 p.m. – 4:10 p.m.
Common Orthopaedic Conditions of the Shoulder in Weekend Warriors
Christopher V. Bensen, MD
Lower Level 1, Salon EFAt the conclusion of this session, participants should be able to properly evaluate a patient with shoulder symptoms and formulate an appropriate differential diagnosis based on history and physical exam findings. They should be able to recommend an initial treatment plan for patients with shoulder impingement, rotator cuff disease, adhesive capsulitis, and glenohumeral arthritis.
At the conclusion of this session, participants should be able to:
- Properly evaluate a patient with shoulder symptoms
- Formulate an appropriate differential diagnosis based on history and physical exam findings
- Recommend initial treatment plans for patients with shoulder impingement, rotator cuff disease, adhesive capsulitis, and glenohumeral osteoarthritis
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4:15 p.m. – 5:00 p.m.
Principles Ortho Fracture Management 1
Chuck Dowell, PA-C, ATC
Lower Level 1, Salon EFThis lecture will review standard methods to describe fractures and fracture patterns based on a systematic review of injury radiographs. We will attempt to review those fracture not discussed in other lectures, or those you may get while on call. We will discuss traditional descriptive techniques, assessment of soft tissue injuries, and emergent treatment options for acute fractures.
At the conclusion of this session, participants should be able to:
- Explain and describe common upper and lower extremity fractures
- Describe appropriate management of common upper and lower extremity fractures to include appropriate immobilization and fracture reduction
- Recognize and describe differences in fractures that require emergent treatment vs those that can be sent home and follow up in the office
- Describe fractures based on location, angulation, displacement, and soft tissue injuries
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7:00 a.m. – 12:30 p.m.
On-Site Registration
Lower Level 1, Registration Office
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7:00 a.m. – 8:00 a.m.
Breakfast (Provided)
Lower Level 1, Foyer
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8:00 A.M. – 8:55 A.M.
Common Disorders of the Spine
Travis Philipp, MD
Lower Level 1, Salon EFThis talk will focus on patient presentation, exam, and imaging findings for common disorders of the spine.
At the conclusion of this session, participants should be able to:
- Describe the natural history and initial treatment of mechanical low back pain
- Describe the components of a lumbar spine exam
- Identify where a nerve may be getting compressed based on symptoms
- Describe the symptoms of neurogenic claudication
- Discuss the components of a cervical spine exam and identify cervical myelopathy
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9:00 A.M. – 9:45 A.M.
Principles Ortho Fracture Management 2
Chuck Dowell, PA-C, ATC
Lower Level 1, Salon EFThis lecture will review standard methods to describe fractures and fracture patterns based on a systematic review of injury radiographs. We will attempt to review those fracture not discussed in other lectures, or those you may get while on call. We will discuss traditional descriptive techniques, assessment of soft tissue injuries, and emergent treatment options for acute fractures.
At the conclusion of this session, participants should be able to:
- Explain and describe common upper and lower extremity fractures
- Describe appropriate management of common upper and lower extremity fractures to include appropriate immobilization and fracture reduction
- Recognize and describe differences in fractures that require emergent treatment vs those that can be sent home and follow up in the office
- Describe fractures based on location, angulation, displacement, and soft tissue injuries
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9:45 a.m. – 10:15 a.m.
Break for Hotel Check-Out
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10:15 a.m. – 11:00 a.m.
But I Hurt! Autoimmunity Pearls
Julianna Desmarais, MD
Lower Level 1, Salon EFThis is a case-based session where different patient presentations of pain are reviewed and analyzed to pick out key autoimmune features you shouldn’t miss! Know when to order labs to work up autoimmune diseases and which labs are helpful (and which are not!).
This lecture will review standard methods to describe fractures and fracture patterns based on a systematic review of injury radiographs. We will attempt to review those fracture not discussed in other lectures, or those you may get while on call. We will discuss traditional descriptive techniques, assessment of soft tissue injuries, and emergent treatment options for acute fractures.
At the conclusion of this session, participants should be able to:
- Review patient cases and pick out features that should catch your attention for further autoimmune work up
- Identify inflammatory features on physical exam and X-ray
- List basic work up with labs and limitations
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11:05 a.m. – 12:00 p.m.
Therapeutic Modalities: What Are Your Options When Surgery Isn’t an Option?
Travis Randolph, PA-C, ATC
Lower Level 1, Salon EFEven in the orthopaedic setting, surgery is not always the best option. While patients may present with a fracture, sprain or arthritis, not all patients can be treated the same. Some patients may wish to avoid surgery and others may not be great surgical candidates. This presentation will take a deeper look at some of the non-operative treatment options we can utilize to treat Orthopaedic conditions. The purpose of this talk is to provide you with alternative treatment options when your patient is not ready or able to proceed with surgery.
At the conclusion of this session, participants should be able to:
- Discuss the different types of injections available for non-operative orthopaedic treatment
- Discuss the different therapeutic modalities available through physical therapy
- Discuss commonly prescribed medications utilized in the orthopaedic setting for pain control, inflammation, infections, and DVT prophylaxis
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12:00 p.m. – 12:30 p.m.
Wrap Up/Closing Remarks
Lower Level 1, Salon EF
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This agenda may be updated or modified without notification.
Accreditation Statements
The 2024 Musculoskeletal Galaxy: Acute Care Splinting and Casting Workshop, offered June 5, 2024, has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 5.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
The 2024 Musculoskeletal Galaxy: Musculoskeletal Injection Workshop for Beginners, offered June 5, 2024, has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 2.5 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
The 2024 Musculoskeletal Galaxy: Ultrasound, offered June 4, 2024, has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 4.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
The 2024 Musculoskeletal Galaxy: General Course, offered June 6-9, 2024, has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 24.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
Are you an NP?
NPs can often claim AAPA Category 1 CME credit as continuing education with AANPCB and ANCC. Check with your certification/licensing authority to confirm that AAPA credit is acceptable – and then register for this great course!
Venue and Travel
Conference Venue
Portland Marriott Downtown Waterfront
1401 SW Naito Parkway
Portland, OR 97201
Making a Hotel Room Reservation
A discounted room rate of $209 plus applicable taxes has been secured for attendees and will be available until 11:59 p.m. on Wednesday, May 15, 2024, or until the room block is full. After that time, a room cannot be guaranteed.
Reservations can also be made over the phone by calling 1-800-546-9513. Please have your arrival/departure dates, bed type preference, and credit card information ready. You must mention the Portland Marriott Downtown Waterfront and the AAPA/AAOS Musculoskeletal Galaxy conference to receive the discounted rate.
Should you have any issues booking a hotel room, please contact Mairi Gardner.
Benefits of Staying at the Conference Hotel
You have easy access to the day’s sessions, meals, and countless networking opportunities with your peers. By staying within the block, you also help AAPA negotiate the best hotel rates for our attendees. There’s really no reason to stay anywhere else!
Hotel Perks
- Complimentary Wi-Fi in guest rooms
- Access to fitness center
Hotel Policies
Check-in time is 4 p.m. and check-out time is 12 p.m. Reservations must be canceled 72 hours prior to arrival to avoid a no-show fee equal to one night’s room and tax. All reservations and cancellations must be made directly with the hotel.
Travel
Flying? The Portland Marriott Downtown Waterfront is 9 miles from Portland International Airport (PDX). Hotel shuttle service to and from the airport is not provided; however, there are other transportation options available. Taxi, Uber, and Lyft are among the most popular and affordable options.
Driving? On-site parking and valet is $54/daily.
Airline Discount With Southwest Airlines
Southwest Airlines® is proud to partner with AAPA to offer discounted fares to/from Portland for eligible travelers attending the Musculoskeletal Galaxy!
- Book your flights by visiting SWABIZ to qualify for eligible discounted rates and bonus rapid reward points.
- Qualifying discounts on eligible fares are for reservations booked through booked through SWABIZ between now through June 5, 2024, for travel June 2, 2024 – June 12, 2024.
- As a reward for our partnership, travelers will receive 25% more Rapid Reward bonus points* on all qualifying flights* booked via SWABIZ now through June 5, 2024, and flown to or from Portland, OR (PDX) between June 2, 2024 – June 12, 2024.
*Restrictions apply. Visit southwest.com/rrterms for more information.
Things To Do in Portland
There are so many things to do and see in Portland after a day in sessions. Or, stay a few days and make a vacation out of it!
Food & Drinks
Portland has quickly become a destination for foodies! Food halls offer a variety of cuisines and there are tons of them around the city. Check out this food cart finder to search through 200+ options! Portland is also famous for craft beer and coffee. Farm-to-fork dining is also an option thanks to the proximity to natural bounty. Or indulge in the popular Voodoo Doughnut!
Tax-Free Shopping
From handmade items and vintage stores to designer goods, there is something for all shoppers, and you’ll find it all tax-free. Learn more about all the different areas you can shop at while visiting Portland.
Explore the Outdoors
Check out the outdoor trailblazer’s guide to Portland or venture a little outside the city for breathtaking waterfalls at Silver Falls State Park. Whether you want to walk around a park, explore different gardens, or hike a mountain – Portland has it all!
Family Friendly
The Oregon Zoo, World Forestry Center Discover Museum and Oaks Amusement Park are just a few options for the whole family to have a day of adventure and fun!
For more ideas on what to do, check out the Travel Portland site.
Information for Attendees
On-Site Conference Registration and Tips
- Registration is open from 6:30 a.m. to 6 p.m. on Wednesday, June 5. Registration reopens on Thursday, June 6 at 7 a.m. You only need to check in once at the on-site registration desk.
- Galaxy is BYOD (Bring Your Own Device). Use your smartphone, computer, or tablet to answer questions during CME sessions.
- Bring a sweater or light jacket in case of cold meeting rooms.
- Check out the hotel maps to see where all sessions, meals, and exhibits will be held during the conference.
Accessing Electronic Handouts
Please remember there is no paper syllabus for this course. Electronic handouts provided by conference faculty are available in Learning Central. To access the handouts:
- Log in to Learning Central using your AAPA username and password. If you don’t know your user credentials or are unable to log in, please contact [email protected].
- From your Dashboard, locate 2024 Musculoskeletal Galaxy: Pre-Course: Acute Care Splinting and Casting Workshop, 2024 Musculoskeletal Galaxy: Pre-Course: Musculoskeletal Injection Workshop for Beginners, 2024 Musculoskeletal Galaxy: Pre-Course: Ultrasound Guided Injections: More Gain, Less Pain, and/or 2024 Musculoskeletal Galaxy.
- Navigate to the different sessions by selecting the navigation tabs at the top of the screen.
- Click the session title to navigate to Session Overview and scroll down to Session Materials to access the handout for that session.
Course Evaluations and CME Certificates
Your feedback helps us plan future conferences; therefore, your completion of course evaluations is a prerequisite for a CME certificate. The course evaluations/CME certificate will be available in AAPA’s Learning Central beginning Wednesday, June 5, 2024. Please complete evaluations by Wednesday, July 31, 2024. Use the following steps to complete the course evaluations and receive your CME certificate:
- Log in to Learning Central using your AAPA username and password. If you don’t know your user credentials or are unable to log in, please contact [email protected].
- From your Dashboard, locate 2024 Musculoskeletal Galaxy: Pre-Course: Acute Care Splinting and Casting Workshop, 2024 Musculoskeletal Galaxy: Pre-Course: Musculoskeletal Injection Workshop for Beginners, Musculoskeletal Galaxy: Pre-Course: Ultrasound Guided Injections: More Gain, Less Pain, and/or 2024 Musculoskeletal Galaxy
- Navigate to the different sessions by selecting the navigation tabs at the top of the screen.
- Click the session title to navigate to Session Overview and scroll down to Session Evaluation.
- At the end of each session, complete the evaluation for that session. Be sure to ONLY complete the session evaluations for the sessions that you attended.
- Complete the Conference Evaluation at the end of the conference.
- The CME certificate will not be viewable until the overall conference evaluation is completed.
- View your certificate under Transcript.
Accessing Session Recordings
Session recordings will be available for the 2024 Musculoskeletal Galaxy on AAPA’s Learning Central a few weeks after the conference concludes. You will receive an email once they are available with more details on how to access the recordings.
Please note that the pre-courses and breakout sessions are not recorded.
You will have access to the session recordings until December 31, 2024.
Testimonials
“This is an OUTSTANDING conference for a new grad, someone new to ortho, or urgent care/ER provider who is looking to get stronger [orthopaedic] training. The speakers were dynamic and engaging. The overall organization and flow were excellent.”
“A well-rounded conference for head-to-toe orthopedics. Great to attend if you are a new grad or new to the field of ortho.”
“I was so impressed. The content was thorough but easy to follow and understand. The speakers and experts were engaging; I was never bored. The lectures were pertinent. It was fun.”
“I loved the variety of lectures, and the speakers were phenomenal!”
“All around the best AAPA conference I’ve attended. The content was superb. I will certainly return.”
“I would especially recommend this to colleagues who are new PAs or new to orthopaedics. The speakers were energetic, knowledgeable, and responsive to questions. Additionally, it was nice to learn about/get a refresher on some things that I don’t treat every day. It’s also a great chance to meet and talk with other PAs in the same specialty with similar levels of experience. The conference was very well-run and well-organized.”
“Excellent conference! This is my second time attending, and it did not disappoint. Great selection of topics, EXCELLENT SPEAKERS! The presentations were all very dynamic and interactive. Loved the case study style of teaching!”
“The speakers, content and presentations helped me understand topics and conditions I see in my practice every day and since I have gone back to my practice, I have felt more confident in recognizing and treating these conditions. As a PA in my first year in orthopedics, this has been so helpful and helped me feel much more confident in my career.”
“Great conference, amazing speakers, every session was valuable in making me a better medical provider.”
“This was a great overview of head-to-toe orthopedics. The speakers were engaging and there was a good balance of lecture and hands on learning.”
Exhibit and Sponsorship Opportunities
Partnering With AAPA
The 2024 Musculoskeletal Galaxy conference is expected to draw more than 200 PAs and NPs in orthopaedics. Don’t miss your chance to be a part of this unique conference by taking advantage of one or more of the available sponsorship opportunities. There are a variety of cost-effective options for budgets of any size.
Top 5 Specialties
*Emergency Medicine, Hospital Medicine, Pain Management, etc
Primary Work Settings
Years of Experience in Current Specialty
Attendees by Profession
Sponsorship Opportunities
Increase your ROI with exciting networking and sponsorship opportunities that will enhance your visibility at Musculoskeletal Galaxy.
Have your own 6’x30” Table-Top Exhibit located in the conference area where all meals and breaks will be held.
Become an Event Partner to extend your brand, reach the right audience, and amplify your message through thought leadership, a memorable attendee experience, or brand exposure. AAPA offers a variety of different opportunities that are available to fit your budget and needs.
- Industry Session
- Conference Registration
- Welcome Reception
- Creative Corner
- Refreshment Breaks
- Wi-Fi
- Head Shot Lounge
- Portable Chargers
- Fun Run/Walk Challenge
- Recharge Wellness Zone (no screen zone)
- Hotel Room Drop
- Hotel Key Cards
- Digital Web Banner Ad
- Attendee Conference Bag
- Attendee Bag Insert
In addition to the sponsorship benefits for each item, sponsors will also receive:
- General Event Partner & Exhibit Recognition – Conference Website, Pre-Promotional Materials, and Onsite Signage
- Access to the Pre & Post Conference Attendee Registration List (available four weeks before the conference)
For questions or to start partnering with AAPA, please contact Heather.
Connect with Partners & Exhibitors
Click on a logo below to connect with the partner.
Thank you to our Galaxy 2024 partners and exhibitors!
Questions?
We’re here to help! Email us your questions about Galaxy 2024.