Neurology for the Non-Neurologist Advances in Stroke

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
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management skills related to neurologic conditions most frequently
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encountered by non-neurologists. Speakers will provide a symptom-based
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approach to diagnosis and a review of the latest literature for treatment
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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
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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,
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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
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healthcare professionals.
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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.
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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