Pre-Race Medical Symposium @ Hardrock 100

***The Medical Symposium is on hiatus until further notice.***


For the second year in a row, we will again offer a day of professional medical education prior to the run. For 2019, we have put together another great event, with national level speakers and great content for HR aide station medical volunteers as well other professionals interested in race & endurance medicine. Additionally, we have partnered with the American Academy of Emergency Medicine to accredit the event for 7 AMA PRA Category 1 credits. CME credit is available to all attendees, regardless of medical specialty. This is in addition to CE credits for EMS professionals, as was offered last year.

In keeping with the philanthropic ideals of the run, we have strived to provide this educational offering at a very affordable cost. Additional discounts are available if you register by the end of May.

Thank you for your support of the run and interest in what promises to be another great time! I look forward to seeing you in Silverton!

-Timothy Durkin, DO, FAAEM, CAQSM
Program Chair

Schedule - July 18, 2019

Time Presentation
7:30am-8:00am Registration
8:00am-8:10am Welcome and Introductions
8:10am-8:30am Race Medical Infrastructure: Overview and Current State of the Art
Marty Hoffman, MD FACSM
8:30am-9:00am The Altered Runner: Approach and Differential
Timothy J. Durkin, DO FAAEM CAQSM
9:30am-10:30am Exercise Associated Hyponatremia
Marty Hoffman, MD FACSM
10:30am-11:00am AM Break
11:00am-12:00pm Dyspnea & Cardiopulmonary Symptoms in the Runner at Altitude
Stephen Halvorson, MD
12:00pm-1:00pm Lunch
1:00pm-2:00pm GI / Eye / Post Race & Miscellaneous Ultra Med Issues
Marty Hoffman, MD FACSM
2:00pm-2:30pm Environmental: Lightning, Hypothermia
Stephen Halvorson, MD
2:30pm-3:00pm Foot Care
Timothy J. Durkin, DO FAAEM CAQSM
3:00pm-3:15pm PM Break
3:15pm-3:45pm Shoulder Dx & Ortho
Timothy J. Durkin, DO FAAEM CAQSM
3:45pm-4:30pm Encouraging the Runner to the Finish Line
Nikki Kimball, MSPT
4:30pm-5:00pm Q&A, Evaluations, CE Procedures
All Faculty

Presenter Biographies

Marty Hoffman, MD, FACSM
Marty Hoffman is Professor of Physical Medicine & Rehabilitation at the University of California Davis, Chief of Physical Medicine & Rehabilitation at the VA Northern California Health Care System, former Director of Research for the Western States Endurance Run (2006-16), former team physician for the US Biathlon Association (1988-95), and Chief Medical Officer for the Ultra Medical Team. With over 200 academic publications, he is the foremost expert on exercise associated hyponatremia, and is a founding member of the Ultra Sport Science Foundation.

Nikki Kimball, MSPT
Nikki Kimball is a physical therapist with extensive experience in running medicine and the intersections of running, injury and mental health. She is an accomplished ultra runner and her experiences in the 273 mile Vermont Long Trail were featured in the 2015 documentary "Finding Traction." Nikki also serves on the Hardrock 100 board of directors.

Stephen Halvorson, MD
Stephen Halvorson has served as Hardrock 100 medical director since 2013. Additionally, he coordinates the GPS live tracking of Hardrock athletes, improving the safety of participants and the spectator experience. He has taught and practiced wilderness medicine in Nepal, South America and around the US.

Timothy Durkin, DO, FAAEM, CAQSM
Tim Durkin is a board certified sports & emergency medicine physician. 2019 will be his third year as part of the Hardrock team. In addition to his clinical work in sports and emergency medicine, he is medical director for La Plata County Search & Rescue and the author of the Pocket Guide for Event, Outdoor and Sports Medicine.

Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Emergency Medicine (AAEM) and the Hardrock Endurance Run. AAEM is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement: The American Academy of Emergency Medicine designates this live activity for a maximum of 7 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Hardrock 100 At a Glance

100-mile run with 33,050 feet of climb and 33,050 feet of descent for a total elevation change of 66,100 feet with an average elevation of 11,186 feet - low point 7,680 feet (Ouray) and high point 14,048 feet (Handies Peak).

All or part of this operation is conducted on Public Lands under special permit from the U.S. Bureau of Land Management and U.S. Forest Service.