The Department of Neurology at Penn Medicine Presents Neurology for the Non-Neurologist Thursday, April 9, 2015 Advances in Stroke 2015 Friday, April 10, 2015 A CME-CERTIFIED COURSE Philadelphia Marriott Downtown 1201 Market Street Philadelphia, PA 19107 In Conjunction with Hospital of the University of Pennsylvania, Department of Nursing Education, Innovation and Professional Development www.penncmeonline.com Neurology for the Non-Neurologist Thursday, April 9, 2015 Advances in Stroke 2015 Friday, April 10, 2015 Program Overview & Target Audience This course is designed as a 2-part educational activity, and the parts Course Objectives: Day 2: Advances in Stroke 2015 can be taken individually or together. The first day, Neurology for the At the conclusion of this activity, participants should be able to: Non-Neurologist, is specifically designed to enhance the diagnostic and ■ management skills related to neurologic conditions most frequently ■ encountered by non-neurologists. Speakers will provide a symptom-based ■ approach to diagnosis and a review of the latest literature for treatment ■ decisions. Course topics are designed to simulate encounters as they would appear in actual clinical practice. The second day, Advances in Stroke 2015, is specifically designed to review the latest developments in stroke therapeutics, including both acute and preventative therapies. This will ■ ■ ■ ■ include new data on a variety of pharmacologic, surgical and endovascular approaches for stroke treatment. A case-based format will be utilized throughout to illustrate the clinical relevance of the latest research findings. This activity has been designed for Neurologists, Cardiologists, Radiologists, ■ ■ ■ Accurately select patients with acute ischemic stroke for thrombolytic therapy Implement measures to speed delivery of thrombolytic therapy Explain the role of catheter based interventions in acute ischemic stroke Determine risk of stroke in patients with TIA and implement measures to reduce this risk Optimize treatment of patients with intracerebral hemorrhage Review the approach to determining stroke mechanism Implement optimal pharmacologic therapies to minimize stroke recurrence Review features of patients at high-risk of undetected paroxysmal atrial fibrillation and understand diagnostic tools to identify paroxysmal atrial fibrillation in these patients Review current treatment options for patients with stroke and atrial fibrillation, including emerging evidence for new oral anticoagulants Determine which patients with aneurysms should be considered for treatment Discuss options for intervention in asymptomatic carotid stenosis Review the role of PFO in stroke Integrate use of smartphone apps in clinical practice to improve stroke care Neurosurgeons, Emergency Medicine Physicians, Internists, Nurses and other ■ healthcare professionals. ■ Course Objectives: Day 1: Neurology for the Non-Neurologist Hosting Department At the conclusion of this activity, participants should be able to: Neurology for the Non-Neurologist & Advances in Stroke 2015 is hosted by the Department of Neurology, Perelman School of Medicine at the University of Pennsylvania. ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Confidently perform a detailed neuromuscular examination Describe patterns of aging nervous system function and answer questions about mitigating cognitive decline by physical, dietary, and mental exercise Perform head-thrust and Dix-Hallpike maneuvers and distinguish causes of acute vestibular syndrome Explain uses and adverse effects of new anti-epileptic drugs with particular consideration of women’s issues Identify hyper and hypokinetic as well as factitious movement disorders Perform a cost-effective work-up of polyneuropathy Describe trigeminal autonomic cephalalgias and discuss new strategies for headache management: when to institute prophylactic migraine therapy, when to use botulinum toxin and new devices Discuss the role of vitamin D in neurologic disease treatment Identify optic neuritis and idiopathic intracranial hypertension Explain white matter abnormalities on MRI that are not suggestive of MS or other neurologic disease Choose appropriate pharmacotherapy for neurogenic bladder Explain and evaluate idiopathic intracranial hypertension Work collaboratively with neurologists to manage complex, chronic neurologic conditions and their co-morbidities Accreditation Physicians: The Perelman School of Medicine at the University of Pennsylvania is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Nurses: The Hospital of the University of Pennsylvania, Department of Nursing Education, Innovation and Professional Development is an approved provider of continuing nursing education by the PA State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Designation of Credit Cancellation and Refund Policy Physicians: The Perelman School of Medicine at the University of Pennsylvania designates this live activity for a maximum of 16.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. In order to process refunds for course withdrawals, cancellations must be received in writing by March 26, 2015 (subject to a service charge of 10% of the registration fee but not less than $15.00). No refunds will be issued after March 26, 2015. The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will refund registration fees but is not responsible for related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, and travel agencies. Nurses: The program will award 16.0 contact hours. Neurology for the Non-Neurologist – 8.0 AMA PRA Category 1 Credits™, Advances in Stroke 2015 – 8.0 AMA PRA Category 1 Credits™. Certificates and Transcripts: A few days prior to the symposium, pre-registered participants will receive an email containing directions, additional symposium information and a link to the symposium pre-test, a short questionnaire that will be used to gauge participant knowledge. After the symposium has concluded, all participants will receive a follow-up email containing a link to the post-test, symposium evaluation and request for credit. Once participants submit the request for credit, the credit can be viewed on a transcript or a certificate can be printed by logging onto www.penncmeonline.com once the symposium concludes. Disclosures Perelman School of Medicine at the University of Pennsylvania Office of Continuing Medical Education, adheres to the ACCME Standards for Commercial Support. Faculty disclosure information will be made available in the conference materials and syllabi. Faculty members are also expected to disclose to participants any discussions of off-label and/or investigational uses of pharmaceutical products within their presentations. Registration Fees The registration fees for Neurology for the Non-Neurologist and Advances in Stroke 2015 are the following: $325 for Physicians and Industry personnel attending both days or $250 for Physicians and Industry personnel attending either day; $200 for Nurses and Healthcare Professionals attending both days or $150 for Nurses and Healthcare Professionals attending either day; and $100 for Residents and Fellows attending both days or $75 for Residents and Fellows attending either day. Penn Medicine faculty, employees and staff will receive a 50% discount off of the above rates. A copy of your Penn Medicine ID or ID number is required with your completed registration form in order to receive the special course rate for Penn Medicine employees, faculty and staff. The registration fee includes attendance to the conference, a course booklet and a link to view the presentations online, continental breakfast, mid-morning break and afternoon breaks on both days. Lunch is not included on either day. You may register online atwww.penncmeonline.com. Click on CME Activities, then Live Events and select “Neurology for the Non-Neurologist & Advances in Stroke 2015”. Registration forms may also be mailed or faxed to the Office of Continuing Medical Education. Please see the top of the registration form for contact information. All registrations will be confirmed by e-mail. Meeting Location Neurology for the Non-Neurologist & Advances in Stroke 2015 will be held Thursday and Friday, April 9-10, 2015 at the Philadelphia Marriott Downtown, 1201 Market Street, Philadelphia, Pennsylvania. For more information on the Philadelphia Marriott Downtown, please visit their website at http://www.marriott.com/hotels/hotel-photos/phldt-philadelphia-marriottdowntown/. The Philadelphia Marriott Downtown is offering participants a special group rate (single or double occupancy) at $174.00 per night. These rates do not include the 15.5% sales and occupancy tax. The special room rate is available only until March 19, 2015 or until the block has filled (whichever comes first). Rates are subject to availability once the room block has filled. Please call the Philadelphia Marriott Downtown reservations directly at 215-625-2900 or 1-800-228-9290. Please reference “UPenn Neurology/Stroke 2015” in order to receive the discounted overnight room rate. Parking: The Philadelphia Marriott Downtown offers valet-only parking. The daily parking rate is $48 and the overnight rate is $54. The conference will not validate any parking expenses. For those seeking more economical parking solutions, there are additional parking garages and parking lots within a one or two block walk of the Philadelphia Marriott Downtown. Meals: Advances in Stroke & Neurology for the Non-Neurologist 2015 will provide continental breakfast, mid-morning break and an afternoon break on both days. Lunch is on your own. Our suggestion for lunch is Reading Terminal Market, which is located one block from the Philadelphia Marriott Downtown. Reading Terminal Market offers mouth-watering aromas. Locally grown and exotic produce. Amish specialties. Fresh meats, seafood, and poultry. Handmade confections and baked goods straight from the oven. Everything you need to create a memorable meal, from cookbooks, to table linens, to kitchen ware, to fresh cut flowers, and more. Plus the widest variety of restaurants under one roof. Find it all here at Philadelphia’s historic public market! Reading Terminal Market, 51 North 12th Street, Philadelphia, PA. AGENDA Neurology for the Non-Neurologist Thursday, April 9, 2015 COURSE DIRECTOR 7:15-8:15 AM Registration and Continental Breakfast 7:30-8:15 AM Optional Early Session: “Practice Your Examination Skills” Neurology faculty at each table, NP table run by Alisha Amendt, CRNP 8:15-8:30 AM Welcome and Introduction to the Course Amy Pruitt, MD 8:30-9:15 AM The Spin Doctor: Dizziness – Always Distressing, Sometimes Dire Raymond Price, MD 9:15-10:00 AM The Aging Nervous System: Recognizing and Mitigating Neurologic Decline in the Older Population David Wolk, MD 10:00-10:15 AM Break (speakers present for questions) Amy Pruitt, MD Professor of Neurology Vice Chair for Education Department of Neurology University of Pennsylvania Health System – HUP Michael Rubenstein, MD Assistant Professor of Clinical Neurology GUEST FACULTY David Wolk, MD Associate Professor of Neurology Brian Callaghan, MD Assistant Professor of Neurology University of Michigan FACULTY All faculty are from the University of Pennsylvania Health System, Philadelphia, PA Rizwan Akhtar, MD, PhD Assistant Professor of Neurology Joseph Berger, MD Professor of Neurology Division Chief, Multiple Sclerosis Pedro Gonzalez-Alegre, MD Associate Professor of Neurology Grant Liu, MD Professor of Neurology and Ophthalmology Matthew Mendlik, MD, PhD Assistant Professor of Clinical Neurology and Medicine Raymond Price, MD Assistant Professor of Clinical Neurology Neurology Residency Program Director Ana Recober, MD Assistant Professor of Neurology Sarah Schmitt, MD Assistant Professor of Clinical Neurology PHYSICAL EXAMINATION FACILITATORS Alisha Amendt, RN, CRNP Nurse Practitioner General Neurology Division 10:15-11:00 AM Danielle Becker MD, MS Assistant Professor of Clinical Neurology Spells: Epilepsy and Otherwise Sarah Schmitt, MD 11:00-11:45AM Maria Chen MD, PhD Assistant Professor of Clinical Neurology Movement Disorders: Is this Parkinson Disease, Alzheimer Disease, Vascular Disease, or None of These? Rizwan Akhtar, MD, PhD 11:45-12:15 PM Neuro-Ophthalmologic Diagnoses You Do Not Want to Miss Grant Liu, MD 12:15-1:30 PM Lunch (on your own) 1:30-2:15 PM Cost-Effective Approaches to Peripheral Neuropathies Brian Callaghan, MD 2:15-3:15 PM Headache Panel: What Would You Do Now? Comparative Treatment Strategies Ana Recober, MD and Michael Rubenstein, MD 3:15-3:30 PM Break (speakers present for questions) 3:30-4:00 PM Beyond Gabapentin: Symptom Management and Palliative Care in Neurologic Disease Matthew Mendlik, MD, PhD 4:00-5:15 PM Tough Consultations: Clinician Panel Joseph Berger, MD, Pedro Gonzalez-Alegre, MD, Amy Pruitt, MD 5:15 PM Adjourn Sami Khella MD Professor of Clinical Neurology Site Chief, Penn Presbyterian Medical Center Sharon Lewis MD Assistant Professor of Clinical Neurology Meredith Spindler MD Assistant Professor of Clinical Neurology Eliot Wallack MD Associate Professor of Clinical Neurology AGENDA Advances in Stroke 2015 Friday, April 10, 2015 COURSE DIRECTOR FACULTY Brett Cucchiara, MD Associate Professor of Neurology University of Pennsylvania Health System – HUP All faculty are from the University of Pennsylvania Health System, Philadelphia, PA COURSE CO-DIRECTORS Scott E. Kasner, MD (Neurology) Professor of Neurology Director, Comprehensive Stroke Center University of Pennsylvania Health System – HUP Michelle Smith, MD (Neurosurgery) Assistant Professor of Neurosurgery University of Pennsylvania Health System – HUP GUEST FACULTY Joseph Broderick, MD Professor of Neurology Director, Neuroscience Institute University of Cincinnati Robert Hurst, MD Professor of Radiology 7:45-8:15 AM Registration and Continental Breakfast 8:15-8:30 AM Welcome and Introduction Brett Cucchiara, MD 8:30-9:00 AM Acute Stroke Therapy • Basics of acute stroke supportive care • Intravenous thrombolysis • What labs should you wait for? • What CT changes should stop you from giving tPA? • Reducing door to needle time – the Helsinki model Steve Messé, MD Matt Hutchinson, MD Assistant Professor of Medicine – Cardiology Jean Luciano, RN, CRNP Assistant Director Penn Comprehensive Stroke Center Steven R. Messé, MD Associate Professor of Neurology Michael Mullen, MD Assistant Professor of Neurology 9:00-9:20 AM 9:20-10:20 AM Cathether Based Thrombolysis – The Evidence Joseph Broderick, MD 10:20-10:35 AM Break 10:35-11:00 AM Acute Transient Ischemic Attack • The evolution of risk stratification scores • Who – if anyone – can you send home? • What treatment and when? Brett Cucchiara, MD Claude Nguyen, MD Assistant Professor of Neurology 11:00-11:20 AM 11:20-12:00 PM Services for the Disabled If special arrangements are required for an individual with a disability to attend this meeting, please contact the Office of Continuing Medical Education no later than March 26, 2015, at 215-898-6400. Nondiscrimination Statement The University of Pennsylvania values diversity and seeks talented students, faculty, and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race, sex, sexual orientation, gender identity, religion, color, national or ethnic origin, age, disability, or status as a Vietnam Era Veteran or disabled veteran in the administration of educational policies, programs or activities; admissions policies; scholarship and loan awards; athletic, or other University administered programs or employment. Questions or complaints regarding this policy should be directed to Executive Director, Office of Affirmative Action and Equal Opportunity Programs, 3600 Chestnut Street, Sansom Place East Suite 228, Philadelphia, PA 19104-6106 or 215-898-6993 (Voice) or 215-898-7803 (TDD). www.upenn.edu/affirm-action. Cathether Based Thrombolysis – The Mechanics Robert Hurst, MD Intracerebral Hemorrhage • Diagnostic evaluation • BP management in acute ICH – results of the INTERACT-2 trial Michael Mullen, MD Q and A panel discussion Case Studies in Acute Stroke and TIA 12:00-1:00 PM Lunch 1:00-2:00 PM Secondary Stroke Prevention • Determining stroke mechanism • Cryptogenic stroke – what is it? • Antiplatelet therapy • Role of new oral anticoagulants • Risk factor modification Scott Kasner, MD 2:00-2:30 PM Identification of Paroxysmal Atrial Fibrillation • Limitations of inpatient telemetry • Mobile cardiac outpatient telemetry • Event loop recorders / implantable monitors Matt Hutchinson, MD 2:30-2:45 PM Break 2:45-3:15 PM Intracranial aneurysms • Who to screen • Who to treat • How to treat Michelle Smith, MD 3:15-3:35 PM Asymptomatic Carotid Stenosis – Revascularization or Medical Therapy? • Stroke risk with state-of-the-art medical therapy • Tools for identifying patients at high stroke risk Michael Mullen, MD 3:35-4:00 PM Challenges in Stroke Prevention: The Patient with PFO • Current status of RCTs • Treatment recommendations Steve Messe, MD 4:00-4:20 PM Therapeutic Apps – Using Technology to Improve Stroke Care Claude Nguyen, MD 4:20-4:45 PM Q&A Panel Discussion 4:45-5:15 PM Optional Session: Joint Commission Stroke Center Certification Jean Luciano, CRNP; Scott Kasner, MD 5:15 PM Adjourn CME REG I S T R AT I O N F O R M Neurology for the Non-Neurologist Thursday, April 9, 2015 Advances in Stroke 2015 Friday, April 10, 2015 To register online for the course please visit www.penncmeonline.com and click on CME Activities You May Also Mail or Fax Payment and Registration Information to: Conference Coordinator, Perelman School of Medicine at the University of Pennsylvania, Office of Continuing Medical Education 150 Anatomy/Chemistry Building, 3620 Hamilton Walk, Philadelphia, PA 19104-6061 Phone: 215-898-6400 or 215-898-8005; Fax: 215-898-1888 penncme@mail.med.upenn.edu Please print or type Name (First) (Last) Academic Degree Medical Specialty Affiliation (Hospital, Office, or Company) Address ( ■ Affiliation or ■ Home) City State Phone Zip Fax E-mail Registration Fees (pre-payment is required to be officially registered) Registration - Neurology for the Non-neurologist ■ $250 for Physicians and Industry personnel ■ $150 for Nurses and Other Healthcare Professionals ■ $75 for Residents and Fellows Registration - Advances in Stroke 2015 ■ $250 for Physicians and Industry personnel ■ $150 for Nurses and Other Healthcare Professionals ■ $75 for Residents and Fellows Registration - Both courses (2 days) ■ $325 for Physicians and Industry personnel ■ $200 for Nurses and Other Healthcare Professionals ■ $100 for Residents and Fellows ■ Penn Medicine Faculty, Employees and Staff – 50% discount off of the above rates Penn Medicine ID # ______________________________________ ■ Optional Physical Examination Skill Session on April 9 Payment Method Make check payable to The Trustees of the University of Pennsylvania/CME ■ Visa ■ MasterCard ■ Discover ■ American Express Authorization Signature Cardholder Name Card # Security Code Exp. Date Please Note: Walk-in registrants must bring payment to the program. Seating may be limited for walk-in registrants. 150 Anatomy/Chemistry Building 3620 Hamilton Walk Philadelphia, PA 19104-6061 Neurology for the Non-Neurologist Thursday, April 9, 2015 Advances in Stroke 2015 Friday, April 10, 2015 A CME-certified Course Philadelphia Marriott Downtown 1201 Market Street Philadelphia, PA Non-Profit Org. U.S. Postage PA I D Permit No. 2563 Phila., PA 19104
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