I am pleased to introduce the latest article, “How To Determine The Appropriate Level Of Amputation,” in our CE series. This series, brought to you by the North American Center for Continuing Medical Education (NACCME), consists of regular CE activities that qualify for one continuing education contact hour (.1 CEU). Readers will not be required to pay a processing fee for this course.
As Kathleen Satterfield, DPM, points out in her article, several studies have shown that the rate of revisional amputations ranges from 10 to 50 percent. While there are many factors that may lead to repetitive amputations, Dr. Satterfield says “poor planning is at the top of the list.” With this in mind, Dr. Satterfield describes the key factors that one must consider in order to determine the appropriate level for an amputation.
At the end of this article, you’ll find a nine-question exam. Please mark your responses on the enclosed postcard and return it to NACCME. This course will be posted on Podiatry Today’s Web site (www.podiatrytoday.com) roughly one month after the publication date. I hope this CE series contributes to your clinical skills.
Jeff A. Hall
INSTRUCTIONS: Physicians may receive one continuing education contact hour (.1 CEU) by reading the article on pg. 60 and successfully answering the questions on pg. 66. Use the enclosed card provided to submit your answers or log on to www.podiatrytoday.com and respond electronically.
ACCREDITATION: NACCME is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine.
DESIGNATION: This activity is approved for 1 continuing education contact hour or .1 CEU.
DISCLOSURE POLICY: All faculty participating in Continuing Education programs sponsored by the NACCME are expected to disclose to the audience any real or apparent conflicts of interest related to the content of their presentation.
DISCLOSURE STATEMENTS: Dr. Satterfield has disclosed that she has no significant financial relationship with any organization that could be perceived as a real or apparent conflict of interest in the context of the subject of her presentation.
GRADING: Answers to the CE exam will be graded by NACCME. Within 60 days, you will be advised that you have passed or failed the exam. A score of 70 percent or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the exam.
TARGET AUDIENCE: Podiatrists.
RELEASE DATE: January 2005.
EXPIRATION DATE: January 31, 2006.
LEARNING OBJECTIVES: At the conclusion of this activity, participants should be able to:
• discuss key diagnostic signs of infection one should look for when assessing tissue viability;
• explain how ulcerations can impact one’s planning for amputations;
• compare the various methods of assessing circulation prior to surgery;
• describe possible biomechanical issues that may arise after a lower-extremity amputation; and
• discuss how the patient’s cardiac demand and energy expenditure can affect post-op results.
Sponsored by the North American Center for Continuing Medical Education.