Lower Limb Loss and Preservation Rehabilitation

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Step Status
Starts On: 2/6/2023: 12:00 AM
Ends On: 2/6/2025: 11:59 PM
Session Type: Internet Activity Enduring Material
Credits: 1


Prateek Grover, MD, PhD, MHA, FAAPMR
Assistant Professor and Interim Division Chief (Neurorehabilitation), Department of Orthopedic Surgery and Neurology, Washington University School of Medicine
Medical Director and Amputation Rehabilitation Program Medical Director, The Rehabilitation Institute of St. Louis

Disclosure: Dr. Grover has no financial relationships to disclose.

Planning Committee

Prateek Grover, MD, PhD, MHA is the Medical Director at the Rehabilitation Institute of St. Louis
Dr. Grover has no financial relationships to disclose.
Elissa Charbonneau, DO, MS is the Chief Medical Officer of Medical Services at Encompass Health.
Dr. Charbonneau has no financial relationships to disclose.
Tedra Cleveland, MSHA, MBA is the National Director of Medical Services at Encompass Health.
Ms. Cleveland has no financial relationships to disclose.
Richard C. Senelick, MD is an Adjunct Professor of Neurology.
Dr. Senelick has no financial relationships to disclose
Joseph Stillo, MD, PhD is Vice President of Medical Services, Encompass Health.
Dr. Stillo has no financial relationships to disclose.
is a Director of Clinical Excellence Informatics at Encompass Health Corporation.
Ms. Winters-Todd has no financial relationships to disclose.

Objectives: The intended result of this activity is increased knowledge/ competence, performance.
At the conclusion of this activity, attendees will be able to describe patient, provider, and health system perspectives regarding limb-loss and preservation rehabilitation, with specific attention to 3 themes:
  • What really matters?
  • Can we measure what matters?
  • How do we make a difference?

  • Additional Information: Target Audience: This course is designed for geriatricians, family and emergency physicians and nurse practitioners. May also be of interest to physician assistants and other allied health professionals who encounter geriatric patients in a health care setting.

    Publication Date: February 6, 2023
    Expiration Date: February 6, 2025

    Accreditation Information:
    In support of improving patient care, this activity has been planned and implemented by EncompassHealth Corporation and Washington University School of Medicine in St. Louis. Washington University School of Medicine in St Louis is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    Credit Awarded for this Activity:

    Credit Statement:
    American Medical Association (AMA Credit)
    Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    American Nurses Credentialing Center (ANCC Credit)
    Washington University School of Medicine in St. Louis designates this enduring material for a maximum of 1 ANCC contact hour.

    Interprofessional Continuing Education (IPCE)
    This activity was planned by and for the healthcare team, and learners will receive a maximum of 1 Interprofessional Continuing Education (IPCE) credit for learning and change.

    • Ziegler‐Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the Prevalence of Limb Loss in the United States: 2005 to 2050. Archives of Physical Medicine an d Rehabilitation2008;89(3):422‐9.
    • Cascini S, Agabiti N, Davoli M, Uccioli L, Meloni M, Giurato L, Marino C, Bargagli AM. Survival and factors predicting mortality after major and minor lower extremity amputations among patients with diabetes: a population based study using health
      information systems. BMJ Open Diabetes Res Care. 2020 Jul;8(1):e001355. doi : 10.1136/bmjdrc 2020 001355. PMID: 32690575; PMCID: PMC7371030.
    • HCUP Nationwide Inpatient Sample (NIS). Healthcare Cost and Utilization Project (HCUP). Rockville, MD: Agency for Healthcare Research and Quality; 2009.
    • Fanaroff AC, Yang L, Nathan AS, Khatana SAM, Julien H, Wang TY, Armstrong EJ, Treat Jacobson D, Glaser JD, Wang G, Damrauer SM, Giri J, Groeneveld PW. Geographic and Socioeconomic Disparities in Major Lower Extremity Amputation Rates in Metropolitan Areas. J Am Heart Assoc. 2021 Sep 7;10(17):e021456. doi : 10.1161/JAHA.121.021456. Epub 2021 Aug 25. PMID: 34431320; PMCID: PMC8649262.
    • Ostler C, Ellis Hill C, Donovan Hall M. Expectations of rehabilitation following lower limb amputation: a qualitative study. Disabil Rehabil . 2014;36(14):1169 75. doi : 10.3109/09638288.2013.833311. Epub 2013 Sep 11. PMID: 24024542.
    • Alberto Esquenazi (2004) Amputation rehabilitation and prosthetic restoration. From surgery to community reintegration, Disability and Rehabili ta tion, 26:14 15, 831 8367 Rehabilitation in limb deficiency. 4. Limb amputation. Esquenazi A, Meier RH 3rd. Arch Phys Med Rehabil . 1996 Mar;77(3 Suppl ):S18 28.
    • Hunter SW, Batchelor F, Hill KD, Hill AM, Mackintosh S, Payne M. Risk Factors for Falls in People With a Lower Limb Amputation: A Systematic Review. PM R. 2017 Feb;9(2):170 180.e1.
      doi : 10.1016/j.pmrj.2016.07.531. Epub 2016 Jul 30. PMID: 27485674.
    • Jack Duncan, Peter M. Ginter, Linda E. Swayne, The Strategic Management of Health Care Organizations, W. Wiley; 8th edition,
      Feb ruary 5, 2018, 528 pages
    Disclosure Information: It is the policy of Washington University School of Medicine in St. Louis, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships commercial interests. All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and mitigated.
    All members of the CME department have nothing to disclose.
    Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.
    Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.
    These presentations are not an endorsement of any commercial interests.
    These presentations are the views and experiences of the presenters. The presenters' views do not represent the policy or position of Washington University School of Medicine in St. Louis. Washington University School of Medicine in St. Louis, Continuing Medical Education is the provider for CME credits.
  • This course is intended for healthcare professionals only.
  • Continuing Medical Education at Washington University School of Medicine fully complies with the legal requirements of the Americans with Disabilities Act rules and regulations thereof. If any participant of this course is in need of accommodations, please contact us at cme@wustl.edu.
  • Speaker

    Prateek Grover, MD, PhD, MHA, Washington University in St Louis


    Tedra Cleveland, MBA; MSHA, Encompass Health
    Anastasia Turner, Medical Services Coordinator, Encompass Health
    Category: Encompass Health Courses


    AMA: 1.00
    ANCC: 1.00
    Attendance: 1.00
    IPCE: 1.00

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