Injections: evidence based practice, shared decision making, and informed consent
Date : Saturday 14th March 2020
Venue : Delta by Marriott Hotel, Timbold Drive, Milton Keynes MK7 6HL
8.45-9.15 - Registration and coffee
9.15-9.30 – Introduction to day – ACPOMIT Committee
9.30-10.15 - Matt Low Managing Complexity: Balancing the tensions in and between Evidence Based Practice, Clinical Reasoning and Shared Decision Making
10.15-11.00 - Ben Dean - The rationale and evidence base for injection therapy in the upper limb
11.30-12.15 - Pip White – Informed Consent
12.15-13.00 - Stuart Wildman – Considerations for Ultrasound guided injections
13.00-14.00 Lunch and ACPOMIT AGM
14.00-14.45- Lorenzo Maci - PRP injections for MSK conditions: is it just snake oil?
14.45- 15.30-Chris Bilsborough- Adverse Reactions Following Corticosteroid Injection for Peripheral Musculoskeletal Conditions: Evidence informed shared decision making
15.30-16.15- Dave Baker- Injecting in private practice
The 2020 ACPOMIT Annual Conference promotes excellence in injection therapy. Talks from highly regarded and experienced clinicians will examine the current injection evidence base whilst tackling the complexities of evidence base practice and shared decision making along with the potential pitfalls of informed consent.
Dr Ben Dean has completed orthopaedic training, recently completing a hand surgery fellowship in Wrightington. He is currently working as a hand fellow at the Nuffield Orthopaedic Centre and senior research fellow at the University of Oxford. He completed a DPhil in Oxford in 2015 on the pathogenesis of rotator cuff tendinopathy, and his research interests include common painful upper limb conditions including osteoarthritis and tendinopathy, clinical trials, systematic reviews and medical training.
Ben Will be discussing the rationale and evidence base for injection therapy in the upper limb
Pip White qualified as a physiotherapist in 1991 and started her clinical career in the NHS followed by time as a specialist musculoskeletal physiotherapist with the Royal Air Force and elite national sports teams. She returned to the NHS as an extended scope practitioner in orthopaedics and completed her health law degree in 2012.
Pip continues to practise clinically in musculoskeletal physiotherapy and runs her own medico-legal company. Pip has been an expert witness for over 10 years and provides breach of duty and liability reports for MSK physiotherapy clinical negligence cases for both claimants and defendants.
Pip is also a Professional Adviser at The Chartered Society of Physiotherapy. She was part of the successful Department of Health and NHS England Project Teams that secured Independent Prescribing for physiotherapists in 2012 and limited controlled drug prescribing by physiotherapists in 2015. She continues to work with NHS England as an adviser with the ongoing Chief Health Professions Officer’s Medicines Management Programme (CPOMM) for all AHP groups.
Pip will be discussing the Delivery safe & effective care: the medicolegal impact of documentation
Christine Bilsborough Smith is a Consultant Physiotherapist with Central London Community Healthcare NHS Trust. Following qualification from Brunel University College in 1998 she developed an interest in the lower limb at Bart’s Health NHS Trust and has since specialised in lower limb musculoskeletal (MSK) conditions with an interest in tendinopathies. She is a member of the Association of Foot and Ankle Physiotherapists (AFAP).
Since qualifying in injection therapy in 2014 much of her focus has been around the safe and efficacious delivery of injection therapy within the community setting. To enhance these skills Christine qualified as an MSK sonographer in 2016 at University East London. Combining these two modalities has lent itself to developing the community service, which has recently won two quality awards.
Christine is a PhD candidate at the University Hertfordshire under the tutelage of Professor Jeremy Lewis. The focus of her research is people with primary idiopathic frozen shoulder investigating injection mode of delivery comparing landmark to ultrasound guided injection and anatomical site of injection delivery. The research is also investigating the effect of injections on diabetic patients with secondary systemic frozen shoulder with particular emphasis on blood glucose levels. The research has led to developing an interest in adverse reactions to corticosteroid injections for MSK conditions.
Dr Lorenzo Masci works as a specialist sports medicine physician working at ISEH and NHS. He has worked for elite sporting teams including Wasps rugby, Fulham football club, Melbourne storm rugby league and Melbourne Demons football. His interests include diagnostic ultrasound, ultrasound-guided injections and percutaneous interventions and tendinopathy management. He has published over 17 peer-reviewed papers on ultrasound and tendon disease. He has a particular interest in the use of point of care ultrasound in the clinical setting.
Lorenza will be discussing Platelet-rich plasma Injections
Dave Baker worked at Extended Scope Physiotherapists in a busy north east London hospital for many years leaving to work in full-time private practice in 2017.
Dave qualified as a Non-medical Prescriber in 2008 and has held a number of lecturing posts on post-graduate teaching programs around the UK. Dave is an honorary lecturer at Brunel University teaching on PG Cert program for diagnostic musculoskeletal ultrasound. Dave worked with CSP's medicines management committee for years and received recognition for his contribution in CSP's successful bid for the professions right to train as Independent Prescribers and was subsequently involved in the national media launch.
Saturday 14th March 2020, 0900-1700
Delta by Marriott Hotel, Timbold Drive, Milton Keynes MK7 6HL
Online registration available here:
GROUP BOOKING (please email for further details)