sir robert jones lecture 2020 - nyu langone health...ffie 2020 scientific program and sir robert...

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GUEST SPEAKER Marc J. Philippon, MD Orthopedic Surgeon and Managing Partner, e Steadman Clinic, Vail, Colorado Co-Chairman and Co-Director of Sports Medicine Fellowship, Steadman Philippon Research Institute Provided by NYU School of Medicine e Alumni Association of the Department of Orthopedic Surgery presents T h e 2 0 2 0 S c i e n t i f c P r o g r a m a n d S i r R o b e r t J o n e s L e c t u r e N o v e m b e r 1 2 - 1 3 , 2 0 2 0 DC 10/29/2020

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Page 1: Sir Robert Jones Lecture 2020 - NYU Langone Health...ffie 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020 2 3 Message from Program Chair Michael J. Alaia,

The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

G U E S T S P E A K E R

Marc J. Philippon, MDOrthopedic Surgeon and Managing Partner, The Steadman Clinic, Vail, Colorado

Co-Chairman and Co-Director of Sports Medicine Fellowship, Steadman Philippon Research Institute

Provided by NYU School of Medicine

The Alumni Association of theDepartment of Orthopedic Surgery

presentsTh

e 20

20 S

cientif

c Program and Sir Robert Jones Lecture

November 12-13, 2020

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

Alumni Board and Officers page 2

Welcome from Dr. Alaia page 3

Welcome from Dr. Zuckerman and Dr. Kim page 4 Course Description page 6 Program page 8 Sir Robert Jones History page 13

Paul Tornetta, III, MD page 15

Accreditation / Disclosure / Credit Statements page 16

The 2020 Scientifc Program and Sir Robert Jones Lecture

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

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Message from Program Chair Michael J. Alaia, MD

As Program Chair it gives me great pleasure to welcome you to the 2020 Annual Scientific Meeting of the Alumni Association, high-lighted by the 90th Sir Robert Jones Lecture delivered by our distin-guished guest Marc J. Philippon, MD.  This year’s program is certainly remarkable. Despite the fact that we had to pivot to a virtual event due to Covid-19, we received over 80 abstract submissions, which is a new high for this annual program. This is indicative of the outstanding work done by our department and our alumni. It truly underscores our academic ac complishments in every orthopedic subspecialty which will be highlighted in the Di-vision-specific virtual conferences prior to the keynote lecture. I would like to thank the alumni and members of the department for their hard work, dedication, and commitment to the advancement of the field. We would also like to thank the abstract reviewers for pro-viding us with an outstanding selection of interesting studies. I hope you find this meeting to be a rewarding experience. Sincerely,

Michael J. Alaia, MD Program Chair Alumni Association

Board of Trustees of the Alumni Association

Kevin M. Kaplan, MD (class of 2008) President of the Board

Craig Roberts, MD (class of 1991)

Sharon Hame, MD (class of 1996)

Stephen G. Maurer, MD (class of 2002)

Brett R. Levine, MD, MS (class of 2005)

Stuart Hershman, MD (class of 2011)

Rachel Goldstein, MD (class of 2012)

Officers of the Alumni Association

Yong H. Kim, MD (class of 1998), President, Alumni

Association

Charles Jordan, MD (class of 2011), Vice President

Michael J. Alaia, MD (class of 2012), Program Chair/Secretary

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

Dear Alumni: On behalf of the Alumni Association I would also like to extend my sincere appreciation for your steadfast support and loyal participa-tion. Your contributions to our Association are vital to us, especially as we face challenges we have never encountered in the training and education of future orthopedic surgeons. This year has been particularly difficult for all of us working in medi-cal centers and we are proud that we can bring you this excellent continuing medical education program while also safeguarding the health and safety of our alumni, faculty and house staff. We are also pleased that so many members of our Association are able to share their research with us at this year’s event. Please accept my best wishes and gratitude for your continued com-mitment.

Sincerely,

Yong H. Kim, MD President Alumni Association

Dear Alumni: As Chairman of the Department of Orthopedic Surgery it gives me great pleasure to welcome you to the annual Sir Robert Jones Lecture and Alumni Scientific Meeting. We hope you and your families are all well during this unprecedented time. Although we are not able to meet in person, I am delighted that we have a virtual platform to host such an important event in our calen-dar. The Department of Orthopedic Surgery’s annual Sir Robert Jones Lecture was first delivered at the Hospital for Joint Diseases (now NYU Langone Orthopedic Hospital) in 1930 and remains the premier event of our academic year. For this reason we have made it a priority to pre-pare the 2020 program despite the challenges posed by Covid-19.  I look forward to sharing this unique program with you, which high-lights the significant research performed by our graduates and faculty. I also look forward to learning from an esteemed, out standing mem-ber of the academic orthopedic community – Marc J. Philippon, MD.  I would like to extend my very best wishes, at this time, to all of the members of the Alumni Association.

Sincerely,

Joseph D. Zuckerman, MD Professor and Chairman Department of Orthopedic Surgery

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

COURSE DESCRIPTION

The annual Sir Robert Jones Lecture, first delivered at the Hospital for Joint Diseases Orthopedic Institute in 1930, continues the tradition of excellence in orthopedics through the work of distinguished contemporary scholars and also honors the achievements of Sir Robert Jones. The papers presented are a combination of clinical experiences and results as well as basic science research that involves anatomical, biomechanical and animal research.

This year’s keynote lectures are devoted to the field of sports medicine, hip disorders, and hip arthroscopy and will be delivered by our distinguished guest lecturer Marc J. Philippon, MD.

TARGET AUDIENCE

NYU Langone Orthopedic Hospital attending staff, alumni, fellows, and residents

STATEMENT OF NEED

Orthopedics has several subspecialties. In each of these subspecialties, there are epidemiological issues that warrant discussion and need to be shared among specialists. Increasingly, orthopedists in academic medical centers also need to stay informed on the rapid changing technologies and cutting-edge surgical techniques in the field of orthopedic surgery. Our Sir Robert Jones academic meeting gathers together clinicians across all the subspecialties of orthopedic surgery to discuss advances in the field with special attention to patient outcomes research.

Our distinguished guest lecturer, Dr. Marc J. Philippon , is a leading expert in the areas of sports medicine, hip disorders, and hip arthroscopy. He is an internationally known surgeon, consultant and researcher performing joint preservation techniques utilizing arthroscopic hip surgery to treat painful joint injuries in high-level athletes.

EDUCATIONAL OBJECTIVES

At the conclusion of this activity, participants should be able to:

1. Create strategies that address the latest clinical issues in the various subspecialties of orthopedic surgery

2. Create strategies that incorporate the latest techniques in each orthopedic surgical subspecialty into practice

3. Determine how best to integrate clinical science, diagnostic imaging, and state-of-the-art techniques when planning both investigative procedures and operations

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

THURSDAY, NOVEMBER 12 (via webinar)

6:00 pm Welcome and Introduction Joseph D. Zuckerman, MD

6:30 pm - 7:30 pm Guest Lecture Evolution of Treatment of Labral Tears Marc J. Philippon, MD

FRIDAY, NOVEMBER 13(via webinar)

4:00 pm - 6:00 pm Virtual Subspecialty Division Conferences Shoulder and Elbow Conference

Session I PresentationsModerator: Mandeep Virk, MD • Introduction Andrew Rokito, MD/ Mandeep Virk, MD• Biological Augmentation in Rotator Cuff Repair Dan Guttmann, MD • Superior Capsule Reconstruction: Another Tool or a Desperate Measure? Kaveh Sajadi, MD • Prevention of Infection in Total Shoulder Arthroplasty Yoav Rosenthal, MD • Humeral-Sided Bone Loss: The Role For Allograft Prosthetic Composites (APCS) Konrad

Gruson, MD

Session II Scientific PapersModerators –Young Kwon, MD and Yoav Rosenthal, MD• Outcomes of Arthroscopic Tuberoplasty for Massive Irreparable Rotator Cuff Tendon Tear

Without Pseudoparalysis Erel Ben Ari, MD • Musculoskeletal Health Literacy in The Setting of Atraumatic Shoulder Pain: What are its

Predictive Factors? Konrad Gruson, MD• Prospective Analysis of Patient’s Willingness and Concerns for Discharge After Shoulder

Arthroplasty Kevin Magone, MD• Preoperative And Postoperative Performance Of Promis UE And Comparison With Legacy

Outcome Patients Undergoing Shoulder Arthroplasty Yaniv Pines, MD

Session III Case Presentations Case presenters: Andrew Rokito, MD, Young Kwon, MD, Mandeep Virk, MD, Michael Boin, MD Panel Faculty: Konrad Gruson, MD, Dan Guttman,MD, Kaveh Sajadi, MD, Yoav Rosenthal, MD

Sports Medicine Conference

Session I Presentations Moderators: Eric Strauss, MD, and James Ward, MD• Patient Satisfaction with Overall Care Is Equivalent Using Telemedicine Versus Traditional

Office-Based Follow Up After Arthroscopic Meniscus Surgery: A Prospective Randomized Controlled Trial Christina Herrero, MD

• Effect of skeletal maturity on incidence of associated meniscal and chondral injuries in anterior cruciate ligament injured knees Theodore Shybut, MD

• Tunnel Widening following All-Inside Anterior Cruciate Ligament Reconstruction Varies Depending on Soft Tissue Graft Type Matthew Gotlin, MD

• The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Michael Medvecky, MD

• An Opioid Minimization Protocol Results in Better Pain Control and Superior Functional Outcome After ACL Reconstruction Michael Day, MD, MPhil

Session II Question and Answer

Session III Foot and Ankle Sub-Section Case Based Discussion of Osteochondral Lesions of the TalusLew Schon, MD, John Kennedy, MD, Joseph Park, MD, Kenneth Mroczek, MD

Session IV Current Controversies in Revision ACL Reconstruction • Debate 1 – Fellow v. Fellow- Bone Loss/Tunnel Osteolysis Moderator: Michael J. Alaia, MD• I can name that tune in 1 note – the case for single stage revision Michael Pickell, MD• It takes two, babe – two stage is the only option Michael Zacchilli, MD• Debate 2 – Resident v. Resident - The role of Lateral Extra-Articular Tenodesis

Moderator: Laith M. Jazrawi, MD• One size does not fit all William Rossy, MD• LET: Just do it David Ding, MD

Session V Case Presentations Moderator: Mehul Shah, MD, and Kirk A. Campbell, MDKnee Instability, Cartilage, Joint PreservationPanel: Michael Medvecky, MD, Ray Longobardi, MD, Steven Rokito, MD, Carlos Uquillas, MD

Trauma & Fracture Conference

Session I Research Presentations• The Utility of Additional Imaging for Acute Proximal Humerus Fractures Randy Cohn, MD• A Short Course of Dehydroepiadrosterone is Associated with Accelerated Fracture Healing in

a Mouse Fracture Model David Kirby, MD• COVID-19 in the Global Epicenter: Musculoskeletal Care Volume at a New York City Level 1

Trauma Center During a Period of Social Distancing Jonathan Haskel, MD• Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19

Pandemic: A New York City Perspective Kenneth Egol, MD

PROGRAM AGENDA

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

Session II The Case that Taught Me the MostModerator: Kenneth Egol, MDSpeakers: Phil Wolinsky, MD; Mark Gage, MD; Steve Gross, MD; Rich Yoon, MD; Ken Koval, MD; David Galos, MD; Paul Lafferty, MD; Frank Liporace, MD; Richelle Takemoto, MD; Charles Jordan, MD; Jeff Richmond, MD; Sonny Konda, MD

Hip Conference

Session I Research Presentations • Institutional Reductions In Opioid Prescribing Following Hip Arthroscopy Do Not Change

Patient Satisfaction Charles Wang, MD • The Limited Reliability of Physical Examination and Imaging for Diagnosis of Iliopsoas

Tendinitis Jonathan Haskel, MD• Can The Change In Center Edge Angle Predict Patient Satisfaction After Undergoing a

Periacetabular Osteotomy For The Correction Of Acetabular Dysplasia? Christina Herrero, MD• Early Improvements in Outcome Scores Predict Mid-Term Outcomes After Hip Arthroscopy

Charles Lin, MD

Session II Panels • Labral Reconstruction and Augmentation - Techniques, Results, Indications M. Philippon,

MD; B. White, MD; R. Meislin, MD• Extra articular Hip Arthroscopy and Open Hip Preservation S. Hunt, MD; M. Ryan, MD; G.

Whyte, MD

Session III Case PresentationsMarc Philippon, MD; B. Neri, MD; A. Gupta, MD

Pediatric Surgery Conference

Introduction: Karim Masrouha, MD

Session I Research Presentations• Use of 3-D Printed Models to Determine Accurate Bone Cuts During a Periacetabular

Osteotomy for Developmental Hip Dysplasia Adam Driesman, MD; Daniel Buchalter, MD; David Kirby, MD; Nicole Wake, PhD; Pablo Castaneda, MD

• Does a Standardized Protocol Improve Documentation of Patient Protective Lead Shielding During Pediatric Orthopedic Surgical Cases? Zabrina M. Shabin, MD; Nikolas Bletnitsky; Debra A. Sala, MS, PT; Mara Karamitopoulos, MD

• Streamlining Postoperative Care After Pediatric Supracondylar Humerus Fractures. Is Follow-up After Pin Removal Routinely Needed? Harshadkumar Patel, MD; Matthew Solomito; Mark Lee, MD; Sonia Chaudhry, MD

• Training Clinical Examination Skill for Diagnosing Infants with Developmental Dysplasia of The Hip Daniel Tarazona, MD; Yolanda Rayside, MPH; Meredith Lazar-Antman, MD

Session II Case Presentations • Missed nerve palsy in pediatric trauma patients Zabrina Shabin, MD• Segmental forearm fracture with bone loss Surya Mundluru, MD

Session III ‘How I do it’ Presentation The specialized clubfoot clinic Karim Masrouha, MD

Adult Reconstructive Surgery Conference

Program Host: William MacaulayProgram Chair: Morteza MeftahZoom Facilitator: Claudette LajamWelcome & NYU AR Update: William Macaulay

Session I Debate #1Direct Anterior THA should be the workhorse for US hip surgeonsModerator: Morteza MeftahPro: Roy Davidovitch, MDCon: Brett Levine, MD

Session II Research Presentations • High Volume Surgeons Have Better Outcomes Following Revision TKA Ran Schwarzkopf, MD• A High-Volume Academic Orthopedic Specialty Hospital Provides the Shortest Operative

Time in THA Josh Rozell, MD• In Staged Bilateral TKA, MUA is Significantly More Common in the first compared with the

2nd TKA Vinay Aggarwal, MD• Opioid-Reducing Protocols Following Hip Arthroplasty Do Not Negatively Impact Patient

Satisfaction Jim Slover, MD

Session III Debate #2Outpatient TKA is Appropriate for Most Medicare BeneficiariesModerator: Jim Slover, Pro: Brian Park ‘15, Con: Claudette Lajam

Session IV Interesting Case Presentations Moderator: Will Long, MDDiscussion Panel: Carlos Alvarado, MD; Brett Levine, MD; Stephen Marwin, MD; Ran Schwarzkopf, MD; Savyasachi Thakkar, MD• Case Presentation #1: Brett Levine, MD Complex primary TKA — To salvage the limb or not?• Case Presentation: #2 Carlos Alvarado, MD Revision options in the neglected hip• Case Presentation: #3 Morteza Meftah, MD Salvage of a Persistent Hip Instability with Extreme Lumbosacral Deformity

Session V Debate #3Anatomic Dual Mobility is Useful to Combat Hip InstabilityModerator: Patrick Meere, Pro: Matt Hepinstall, MD, Con: Savyasachi Thakkar, MD

Concluding Remarks: William Macaulay

PROGRAM (continued)

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

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PROGRAM (continued)

Hand Surgery Conference

Session I Research Presentations Moderator: Omri Ayalon, MD• Percutaneous Threaded Pin Fixation of Distal Radius Fracture in the Athlete John Taras, MD• The effect of corticosteroid injections on post-operative complications in carpal tunnel release

David Kirby, MD• Efficacy of Physical Examination Maneuvers in Carpal Tunnel Syndrome (CTS) Nader Paksima, DO• Reducing Tourniquet Pressures in Hand Surgery: Are Lower Pressures as Effective? Ali Azad, MD

Session II LecturesModerator: Nader Paksima, DO• Key Note Speaker Hand Division: Jorge Orbay, MD: Innovation in Orthopedic Surgery• Invited Alumni Speaker: Joseph Gower, MD : Caring for our warriors: From the battlefield to

the homefront

Session III Case Presentations and Panel DiscussionModerator: Stuart Elkowitz, MD

Spine Surgery Conference

Session I Research PresentationsModerator: Kola Jegede, M.D.Introduction: Themistocles Protopsaltis, Yong Kim, M.D.• Outpatient Versus Inpatient Anterior Lumbar Spine Surgery: A Multi-Site, Comparative

Analysis of Patient Safety Measures Jason Cuellar, MD• Residual Foraminal Stenosis and Increasing Levels Decompressed are Risk Factors for Post-

Operative C5 Palsy Robert Brenner, MD• Low Hounsfield Units Measured at the Upper Instrumented Vertebra Are an Independent Risk

Factor for Density Related Complications in Adult Spinal Fusion Procedures Travis Philips, MD• Pseudarthrosis and rod fracture rates after transforaminal lumbar interbody fusion at the

caudal levels of long constructs for adult spinal deformity surgery Tina Raman, MD• Question and Answer

Session II Panels• Panel I Moderator: Charla Fischer, M.D. Anterior, Posterior, Lateral, or Oblique- Decision making for approaches to L4-5 Lumbar fusions? Panelist: Rakesh Patel, MD, Charles Rosen, MD, James Hale, MD• Panel II Moderator: Yong Kim, MD Cervical Disc Replacement vs ACDF in the patient with borderline radiographic findings

Panelist: Carl Giordano, Jason Cuellar, Richard Obedian

6:00 pm Sir Robert Jones Lecture -7:00pm My Journey Through Innovation in Hip Arthroscopy with Evidence-Based Medicine Marc J. Philippon, MD

SIR ROBERT JONES: ORTHOPEDICS AS A SPECIALTY

Sir Robert Jones (1857-1933) made a profound and lasting impression on Brit-ish and American orthopedic surgery, first from his organization of the treatment of the injured during the construction of the massive Manchester Ship Canal, and then through his work as Inspector of Military Orthopedics in Great Britain during World War 1 (1914-1919). Born in Rhyle, Wales, Robert Jones attended the Liverpool School of Medicine and was appointed General Surgeon to the Stanley Hospital in Liverpool in 1881. After graduating as Licentiate of the Royal College of Surgeons of Edinburgh, he joined the busy, unique Liverpool practice of his uncle, Hugh Owen Thomas (1834-1891). Robert Jones became, over time, the most important personage of his day in surgery; his work and his teaching of the principles of Hugh Owen Thomas shaped the conservative attitudes of surgeons toward orthopedic

care for many decades after his death. Orthopedics in Great Britain was founded by Hugh Owen Thomas, and the acceptance and dissemination of Thomas’ clini-cal work by Sir Robert Jones was crucial to the establishment of orthopedics as a specialty in Britain, and through teachings of his methods by John D. Ridlon in the United States. Sir Robert Jones, knighted in 1917 by Edward VIII, and Hugh Owen Thomas are widely regarded as the fathers of modern orthopedics.

The annual Sir Robert Jones Lecture was first delivered in 1930, at the then Hospi-tal for Joint Diseases, 124th Street and Madison Avenue. The Lecture continues its tradition of excellence in orthopedics at the NYU Langone Orthopedic Hospital through the work of distinguished contemporary scholars and also honors the achievements of Sir Robert Jones.

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

SIR ROBERT JONES LECTURERECENT GUEST LECTURERS*

* lecture founded in 1930

2020 MARC J. PHILIPPON

2019 PAUL TORNETTA III

2018 ANTHONY A. ROMEO

2017 KRISTY L. WEBER

2016 THOMAS P. SCULCO

2015 FREDDIE H. FU

2014 STEVEN D. GLASSMAN

2013 JOHN J. CALLAGHAN

2012 TODD J. ALBERT

2011 ROY SANDERS

2010 BERNARD R. BACH, JR.

2009 JOEL M. MATTA

2008 DEREK J.W. MCMINN

2007 DOUGLAS W. JACKSON

2006 JOSEPH P. IANNOTTI

2005 VERNON T. TOLO

2004 THOMAS S. THORNHILL

2003 BERNARD F. MORREY

2002 BARRY P. SIMMONS

2001 HENRY J. MANKIN

2000 JOHN A. BERGFELD

1999 STUART WEINSTEIN

1998 DAVID S. BRADFORD

1997 LARS PETERSON

1996 MARVIN TILE

1995 DAN M. SPENGLER

1994 CLEMENT B. SLEDGE

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GUEST SPEAKERMARC J. PHILIPPON, MD

Dr. Marc J. Philippon is the Managing Partner of The Steadman Clinic and Co-Chairman of Steadman Philippon Research Institute. Dr. Philippon joined The Steadman Clinic in 2005 from the University of Pittsburgh Medi-cal Center where he served as Director of Sports Medicine/Hip Disorders, Director of Sports Medicine/Hip Disorders Fellowship. He also was the Director of the University of Pittsburgh Medical Center’s Golf Medicine Program. Previously, he served as Chief of Orthopaedic Surgery at Holy Cross Hospi-tal in Fort Lauderdale, Florida. He earned his medical degree with an academic schol-arship from McMaster University Medical School in Hamilton, Ontario, Canada in 1990, and completed his Orthopaedic Surgery resi-

dency at the University of Miami, Jackson Memorial Hospital in 1995. Dr. Philippon, board certified by the American Board of Orthopaedic Surgery, is an Active Member with the American Orthopaedic Society for Sports Medicine and the Arthroscopy Association of North America. A Fellow with the American Academy of Orthopedic Surgeons, he is also a Master Instructor with the Arthroscopy Association of North America. Dr. Philippon is also a former President and Founding Member of the International Society of Hip Arthroscopy (ISHA) as well as an elected member of the Herodicus Society. Dr. Philippon is a consultant to the NHLPA and the Royal Spanish Tennis Federation (Real Federación Española de Tenis) and many other pro-fessional organizations. Dr. Philippon is also a Trustee with the US Olympic and Para-lympic Foundation and the US Ski and Snowboard Team Foundation. Dr. Philippon lives in Colorado with his wife and three children. He enjoys spending time with his family and participating in sports such as cycling, skiing, ice hockey, swimming and golfing.

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020REGISTRATION INFORMATIONPlease register at the following link:https://bit.ly/3jnFE0q

Access to the virtual program will be provided via email to all registered participants.

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ACCREDITATION STATEMENT The NYU School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENTThe NYU School of Medicine designates this live activity for a maxi-mum of 4.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

PROVIDED BYNYU School of Medicine

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The 2020 Scientific Program and Sir Robert Jones Lecture November 12-13, 2020

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