2025 UHMS Northeast Chapter Town Hall on Wound Care

2025 UHMS Northeast Chapter Town Hall on Wound Care

Originally hosted October 11, 2025
www.uhms.org

Schedule:
Management of the Insensitive Limb: The Carville Approach - Lou Iannuzzi, PT, DPT, C.Ped
Hyperbaric and Wound Care Approach to the Cancer Patient: Would You or Wouldn't You Treat? - Sandra Wainwright, MD, FUHM
Management of Venous Leg Ulcers - Mikel Sadek, MD, FACS
Inflammatory Bowel Disease and Wound Care - Zachary Gaskill, DO
A Gut Reaction: Navigating The Diagnosis in Pelvic Radiation Sequelae - Nituna Phillips, CHT
Creepy Crawly Critters: Maggots, Leeches, and Wound Care - Kelly Johnson-Arbor, MD
Missed diagnosis: Nonhealing ulcer which turned out to be angiosarcoma - Leena Hani, MD, MPH
Total Contact Casting for Diabetic Foot Ulcers in Partial Foot Amputations - Garrett Ruff, BS 
Hydroxyurea Ulcers - Paige Curcio, BS

Lecture Descriptions and Objectives:

1. Total Contact Casting (TCC) remains the gold standard of care for limb threatening neuropathic ulcerations, It’s effectiveness is unparalleled, it will serve as the initial intervention standard to resolve diabetic foot ulcerations before hospitalization, antibiotic therapy, or surgery. When applied at initial insult, the TCC works 99% of the time to heal ulcers expediently, cost efficiently, and without the need for costly adjunct dressings, potions, grafting, or surgery.      TCC needs curriculum based training in medical, podiatry, nursing, and physical therapy medical education curriculums, seminar based training modules, and national sponsorship.
   
   If the most current literature supports the efficacy of TCC intervention and has designated it as the gold standard of care, while most clinicians are not using TCC, are we practicing substandard care? The rising incidence of lower extremity amputations related to diabetic foot ulcers suggests we are practicing less than the gold standard.

2. Review wound care techniques for managing a wound that is from cancer. There is also a review of current cancer treatment modalities, nutrition, and cases to discuss.

3. Overview of management of venous leg ulcers from a vascular surgeon’s perspective to include management of venous leg ulcers, review of venous leg ulcer guidelines, and indications for superficial and deep venous treatments.

4. Overview of cutaneous presentations of IBD followed by condensed review of pathophysiology impacting fibrosis in wound healing and pertinent treatment considerations. 

5. Present a case-based exploration of a patient with radiation-induced soft tissue necrosis of the terminal ileum following chemoradiation therapy for anal carcinoma. Through a clinical timeline, attendees will examine diagnostic challenges, differentiation from Crohn’s disease, and the role of hyperbaric oxygen therapy in promoting tissue repair and improving quality of life.

6. Discuss the physiology, dosing and administration, indications, and complications of medicinal maggot and leech therapy. Since many wound care physicians and clinicians do not use medicinal maggots or leeches on a regular basis and thus do not know details about their physiology, use, and complications, this talk serves to provide a basic and introductory background on these FDA-regulated medical therapies for medical professionals.

7. This is a case description of a 74-year-old female who presented for a chronic non-healing ulcer in the left lower extremity that was being managed by dermatology with local wound care and antibiotics. Given no improvement in her symptoms after 8-9 months, she was then referred to wound care clinic where a biopsy was performed which revealed cutaneous angiosarcoma extending with extension to the base. She was then referred to surgical oncology for further work-up and treatment.

8. This lecture reports demographics and clinical outcomes in patients with prior partial foot amputations suffering from diabetic foot ulcers, finding that, with total contact casting (TCC), patients can expect high rates of ulcer healing and low rates of need for revision amputation, although many patients will re-ulcerate and require repeat trials of TCC.

9. I will describe the pathophysiology behind hydroxyurea-associated ulcers. In addition, I will discuss how to recognize the clinical presentation and share a case study that demonstrates this pathology. Finally, I will explore treatment strategies and wound care considerations for patients with hydroxyurea ulcers.
   
   

Estimated time to complete this activity: 4 hours

Termination Date: January 12, 2029

Registration:
Non-Member: $90
Regular UHMS Member: $70.00
Associate UHMS Member: $50.00

Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statements:
Physician CME: The Undersea and Hyperbaric Medical Society designates this enduring material for a maximum of 4.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing/RRT Contact Hours: Approved for 4.00 contact hours. Wound Care Education Partners is a Florida based company and a licensed CE Provider through the Florida State Board of Nursing and the CE is reciprocal for nurses in the United States. Florida nursing credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide the necessary paperwork for you to file with the respective nursing board.

NBDHMT: Not recognized within their scope for CE credit.

Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with ineligible companies. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

Disclosure: The following individuals have disclosed a relevant financial relationship with ineligible companies. Financial relationships are relevant if the following three conditions are met for the individual who will control content of the education:

A financial relationship, in any amount, exists between the person in control of content and an ineligible company and;

• The content of the education is related to the products of an ineligible company with whom the person has a financial relationship and;

• The financial relationship existed during the past 24 months.

• All of the relevant financial relationships listed for these individuals have been mitigated

None of the individuals in control of content (planners/faculty/reviewers/authors) for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

No commercial support was received for this activities:

Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society.

CME For MOC Program Guide Designation Statements for ABMS Boards

Required instructions to learners on how to obtain CME for MOC

CME For MOC points are earned through completing a comprehensive evaluation component that assesses individual learner competence, performance, and/or the impact on patient outcomes. Some boards require evaluation feedback that will include a summary of what was discussed and the best next steps for the learner. The evaluation feedback will be provided to you upon submitting the evaluation form.

As an accredited ACCME provider, the UHMS is now responsible to submit physician learner CME credits into the ACCME PARS system. However, it is the physician’s responsibility to submit the necessary information required to match with the ACCME PARS system. It is also the physicians responsibility to check with their respective board(s) to see that the credits were applied accordingly.

American Board of Anesthesiology (ABA)

“This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.”

American Board of Internal Medicine (ABIM)***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.”

American Board of Otolaryngology – Head and Neck Surgery (ABOHNS) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.”

American Board of Orthopaedic Surgery (ABOS) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit."

American Board of Pathology (ABPath)

This activity has been registered to offer 4.00 AMA PRA Category 1 CreditsTM towards the American Board of Pathology’s Continuing Certification program Lifelong Learning credits.

American Board of Pediatrics (ABP) ***

“Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 4.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.”

American Board of Surgery (ABS) ***

“Successful completion of this CME activity [which includes participation in the evaluation component], enables the learner to earn credit toward the CME [and Self-Assessment] requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit."

American Board of Thoracic Surgery (ABTS) ***

“Successful completion of this CME activity [which includes participation in the evaluation component,] enables the learner to earn credit toward the CME [and Self-Assessment] of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit."

***Will require evaluation feedback