Mayo School of Continuous Professional Development

Neurology in Clinical Practice

2013

Bacara Resort and Spa Santa Barbara, California

Thursday – Sunday July 11-14, 2013

Featuring an ABPN-Approved MOC Self-Assessment Activity

SAVE $200 when you register for both the  Headache Symposium (May 3-5, 2013) and Neurology in Clinical Practice

www.mayo.edu/cme/neurology-and-neurologic-surgery

See registration section for details.

WHAT MAKES THIS COURSE STANDOUT•Case-based Presentations• Interactive Format › Panel Discussions and Audience Response System•Afternoon Breakout Sessions › Incorporating Tele-neurology › Concussion and Mild Traumatic Brain InjuriesSee course program for details

COURSE HIGHLIGHTSNeurologyinClinicalPracticeisanannualMayoNeurologycoursethatbringstogether a multidisciplinaryfacultyfromRochester,Minnesota,Jacksonville,FloridaandScottsdale, Arizona.Thecourse,consistingofgeneralsessionpresentationsandafternoonworkshops,willserveasaprimerofcommonneurologicalclinicalproblemsandisintendedtoprovideacomprehensive,evidence-basedreviewandrecentadvancesinthe evaluation,diagnosis,treatmentandmanagementofneurologicaldisorders.

COURSE LEARNING OBJECTIVESUponcompletionofthiscourse,participantsshouldbeableto:•RecognizethelatestguidelinesformanagementofcommonNeurologicaldisorders.•DeterminebestevidencefordiagnosisandtherapyofthemostcommonNeurological disorders.

•Recognizequalityandsafetyissuesforvariousneurologicalconditionstofacilitatepracticebasedlearningandsystemsbasedpractice.

•Comparebenefitsandrisksofdifferenttherapiesinthetreatmentofseizures•Identifydifferenttreatmentoptionsforpatientswithspinediseases•Formulateaplanforpatientswithspinalcordorbrainmetastases•Distinguishandtreatdifferenttypesofneurologicinfectiousdiseases•Constructanalgorithmforevaluatingpatientswithperipheralneuropathyandmyopathy•ComparetreatmentoptionsforParkinson’sdisease,dystonia,andrestlesslegsyndrome•Recognizethedifferencebetweenprimaryandsecondaryheadachesyndromes•Diagnoseandmanagecommonneurologicdisorders

INTENDED AUDIENCEThiscourseisdesignedforanyproviderwhoseespatientswithneurologicdiseaseincluding:neurologists,psychiatrists,primarycarephysiciansincludinginternistsandfamilycarepractitionersandalliedhealthpersonnelincludingnursepractitioners,physicianassistantsandnurses.

DISCLAIMERAttendanceatthisMayocoursedoesnotindicatenorguaranteecompetenceorproficiencyin theperformanceofanyprocedureswhichmaybediscussedortaughtinthis course.

GRANTS AND EXHIBITS Thiscourseissupportedinpartbyeducationalgrants,inaccordancewithACCMEstandards.Asofthisprinting,acompletelistingofcommercialsupporterswasnotavailable.Appropriateacknowledgmentwillbegiventoallsupportersatthemeeting.Exhibitswillbeavailableforviewingatallscheduledbreaks.

CREDIT CollegeofMedicine,MayoClinic,isaccreditedbytheAccreditationCouncilforContinuingMedicalEducationtoprovidecontinuingmedicaleducationforphysicians.CollegeofMedicine,MayoClinic,designatesthisliveactivityforamaximumof 22.25 AMA PRA Category 1 Credits™.Physiciansshouldclaimonlythecreditcommensuratewiththeextentoftheirparticipationintheactivity.TheAmericanBoardofPsychiatryandNeurologyhasreviewedtheNeurologyinClinical Practicecontinuingmedicaleducationcourse,scheduledforJuly11-14,2013awarding22.25AMA PRA Category 1 Credits™andselfassessment8.0AMA PRA Category 1 Credits™andhasapprovedthisprogramaspartofacomprehensiveselfassessmentprogram,whichismandatedbytheABMSasanecessarycomponentofMaintenanceofCertification.ApplicationforCMEcredithasbeenfiledwiththeAmericanAcademyofFamilyPhysicians.Determination of credit is pendingThisprogramhasbeenaccreditedbytheAmericanOsteopathicAssociationfor22.25 creditsofAOACategory2-A.

AMERICANS WITH DISABILITIES ACTCollegeofMedicine,MayoClinicfullyintendstocomplywiththelegalrequirementsoftheAmericanswithDisabilitiesAct.Ifyouneedassistance,pleasenotifyusatleasttwoweekspriortotheactivity.Email address: mca.cme@mayo.edu

General Information

General InformationMEETING LOCATION & ACCOMMODATIONS The Bacara Resort 8301 Hollister Avenue • Santa Barbara, CA (805) 968-0100 Hotel website: www.bacararesort.com To make reservations: (877) 422-4245Weencourageyoutomakeyourhotelaccommodationsearly.AlimitedblockofVillageGardenViewguestroomshavebeenreservedforattendeeswithaspecialcourserateof$299 pernightplus12.14%tax;and$2perdayTouristAssessment.Ratesarebasedonsingle,double,tripleandquadoccupancy.Grouprateswillapplythreedayspriortoandthreedaysafterconferencedatesbasedonavailability.Theresortfeeiswaived.Accessto thefitnesscenterandhigh-speedinternetinguestroomsisincluded.Housekeepingand bellmangratuitiesareoptionalandtobepaidattheindividualguest’sdiscretion.Childrenunder18staycomplimentary.Toreceivethespecialrate,youmustmakereservationsbySaturday,June15,2013.Reservationswillbetakenfollowingthisdatebaseduponresortroomavailability.To guaranteeanindividualreservationanamountof$598willbechargedbyBacaraResortwithinthreedaysfollowingthereservationbeingmade.Thehotelacceptsreservationsat (877)422-4245(toll-free).Attendeesareresponsiblefortheirownreservations.Reservationsmustbecancelledthree ormoredayspriortoarrivaldateinordertocancelwithoutforfeitingdeposit.Check-intimeis4p.m.;check-outat1p.m.Valetparkingis$21percarpernight.

ABOUT BACARA RESORT & SPA NestledonthebluffandbeachesoftheGaviotacoastbetweenthePacificOceanandSanta YnezMountains,Bacaraoffersrelaxedluxuryandincomparablenaturalbeauty.The resortfeatures360lavishguestroomsandsuites,eachwithaprivatebalconyoverlookingbreathtakingviewsofthePacificOceanorflower-filledgardens.

AtBacaraResort&Spa,afun-in-the-sunlifestyleisaneverydaywayoflife.Bacara boasts threezero-edgesalineswimmingpools,fourtenniscourts,78oceanfrontacresand plentyofopportunitiesforsurfing,oceankayaking,sailing,hiking,horsebackridingandcycling.Additionally,Bacaraoffersavarietyofonsiteactivitiesoverthesummer months,includingcomplimentarywinereceptions,stargazing,firesides’moresandmovienights.BacaraAdventuresisalsoonsiteforexclusivewinetoursthroughtheSantaYnezWineCountry.

MONARCH KIDS’ CLUB TheMonarchKids’Clubisaplaceforfunandexplorationforchildrenages5through12.TheprogramwasdesignedespeciallytoreflectBacara’sbeautifulandnativesurroundings,itsnaturalbeaches,rollinghillsandrichChumashhistory.NeighboringBacaraistheCoronadoButterflyPreserve.EachyearMonarchbutterflies migratetothepreservefortheirover-winteringtime.Justasthepreservefosters awarmandsafehabitatforthebutterflies,ourMonarchKids’Clubisahavenfor childrentolearnandexplore.Monarchs,muchlikeourguests,retreattoBacarato bask in theseaandsun.

SYLLABUS AND TECHNOLOGY MayoClinicisstrivingto“Go Green”byofferingacomplimentaryelectronicsyllabuswhichcanbedownloadedontoyourtabletorsmartphone.FreeWiFi

willbeavailableinthesymposiumroom.AnaudienceresponsesystemandTwitterwillbe utilizedforinteractivelearningbytheparticipantslearningbytheparticipants,viahashtag:#MayoNeuro

RECREATION/LEISURE ACTIVITIESVisithttp://www.santabarbara.comforadditionalrecreationandleisureactivities.

TRANSPORTATION Ground Transportation: Hertz isofferingareduceddailyrateforparticipantsattendingthecourse.Call(800) 654-2240andrefertoCVNumber#03NR0008whenmakingreservations.Supershuttlevansofferairporttransportationtoandfromthehotel.Tomakereservations,call (800) 258-3826or (602) 244-9000.

AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (ABPN)ABPN Approved Maintenance of Certification Self-Assessment Activity – Registration fee: $100

COURSE DESCRIPTIONSelf-AssessmentactivitiesarerequiredfortheAmericanBoardofPsychiatryandNeurology(ABPN)MaintenanceofCertificationprogram.Thisself-assessmentincludes100multiplechoicequestionsondiagnosisandmanagementofneurologicaldisordersand coverscorecompetenciesinmedicalknowledgeandpatientcare.TheABPNapprovedself-assessmentmoduleiscompletedbeforethestartofthecourse;teststartandsubmittaldatesareshownbelow.

Monday, June 17, 2013 –Learnerswillreceivetheself-assessmentmodulebye-mailSelf-assessments are sent to the e-mail address noted in your registration profile.Monday, July 1, 2013 –SubmittheSelf-AssessmentModule

Thecompletedself-assessmentmodulewillbeusedtoguidetheCMEactivity.Aftercompletingtheself-assessment,participantswillbeprovidedareportwiththeirselectedanswers,thecorrectanswers,andcomparativeperformanceofallparticipantsoneachquestion.Thisreportwillincluderecommendedliteratureresourcesforeachquestion.

CREDIT TheAmericanBoardofPsychiatryandNeurologyhasreviewedtheNeurologyinClinical Practicecontinuingmedicaleducationcourse,scheduledforJuly11-14,2013awarding22.25AMA PRA Category 1 CreditsTMandself-assessment8.0AMA PRA Category 1 CreditsTMandhasapprovedthisprogramaspartofacomprehensiveself-assessmentprogram,whichismandatedbytheABMSasanecessarycomponentofMaintenanceof Certification.

Optional Session

FacultyMAYO CLINIC

CharlesH.Adler,M.D.,Ph.D.MariaI.Aguilar,M.D.J.EricAhlskog,M.D.,Ph.D.AllenJ.Aksamit,Jr.,M.D.KevinM.Barrett,M.D.PaulW.Brazis,M.D.RobertP.Bright,M.D.JonathanL.Carter,M.D.RichardJ.Caselli,M.D.JohnN.Caviness,M.D.DwightD.Channer,M.S.JamesJ.Chien,M.D.BrianW.Chong,M.D.BrianA.Crum,M.D.BartM.Demaerschalk,M.D.DavidW.Dodick,M.D.JosephF.Drazkowski,M.D.ErikaD.Driver-Dunckley,M.D.*ScottD.Z.Eggers,M.D.WilliamD.Freeman,M.D.BrentP.Goodman,M.D.

RashmiB.Halker,M.D.MatthewT.Hoerth,M.D.JosephM.Hoxworth,M.D.NeerajKumar,M.D.DanielHonoreLachance,M.D.JoyceK.LeeIannotti,M.D.AlyxB.Porter,M.D.MarkA.Ross,M.D.DevonI.Rubin,M.D.JeffreyShih,M.D.JosephI.Sirven,M.D.EricJ.Sorenson,M.D.ErikK.St.Louis,M.D.AmaalJ.Starling,M.D.BertB.Vargas,M.D.*JamesC.Watson,M.D.DeanM.Wingerchuk,M.D.BryanK.Woodruff,M.D.KristineS.Ziemba,M.D.,Ph.D.

*CourseDirectors

FACULTY DISCLOSURE: AsaprovideraccreditedbyACCME,CollegeofMedicine,MayoClinic(Mayo School ofCPD)mustensurebalance,independence,objectivityandscientificrigorinitseducationalactivities. CourseDirector(s),PlanningCommitteeMembers,Faculty,andallotherswhoareinapositiontocontrolthecontentofthiseducationalactivityarerequiredtodiscloseallrelevantfinancialrelationshipswithanycommercialinterestrelatedtothesubjectmatteroftheeducationalactivity.Safeguardsagainstcommercialbiashavebeenputinplace.Facultywillalsodiscloseanyoff-labeland/orinvestigationaluseofpharmaceuticalsorinstrumentsdiscussedintheirpresentation.Disclosureofthisinformationwillbepublishedincoursematerialsso thoseparticipantsintheactivitymayformulatetheirownjudgmentsregardingthepresentation.

Thursday, July 11, 2013

7:00a.m. Registration and Continental Breakfast 7:45 Welcome Announcements

STROKE 8:00 Acute Management of Stroke . . . . . . . . . . . . . . . . . . . WilliamD.Freeman,M.D. 8:30 Secondary Stroke Prophylaxis . . . . . . . . . . . . . . . . . . . . . . MariaI.Aguilar,M.D. 9:00 Endovascular Management of Acute Stroke and Second Prophylaxis (To Stent or Not to Stent?) . . . . . . . . BrianW.Chong,M.D. 9:30 Panel Discussion 9:45 Break

HEADACHE 10:00 Approach to Headache – When to Worry . . . . . . . . . . . . . . . BertB.Vargas,M.D.10:30 Acute and Prophylactic Management of Primary Headache . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BertB.Vargas,M.D.11:00 Special topics in Migraine (Chronic Migraine, Hormones, and Pregnancy) . . . . . . RashmiB.Halker,M.D.11:30 Update in Vestibular Disorders . . . . . . . . . . . . . . . . . . . ScottD.Z.Eggers,M.D.Noon Panel Discussion 12:15p.m. Lunch

LEARNING THROUGH CASES 1:15 Neurologic Emergencies (Acute Stroke, Status, Myesthenic Crisis) MatthewT.Hoerth,M.D.,JoyceK.LeeIannotti,M.D.andMarkA.Ross,M.D. Neurology FAQ/MERIT AmaalJ.Starling,M.D.andKristineS.Ziemba,M.D.,Ph.D. Special Session on Pain Management NeerajKumar,M.D.andJamesJ.Chien,M.D. 2:45 Break 3:00 Neurologic Emergencies (Acute Stroke, Status, Myesthenic Crisis) MatthewT.Hoerth,M.D.,JoyceK.LeeIannotti,M.D.andMarkA.Ross,M.D. Neurology FAQ/MERIT AmaalJ.Starling,M.D.andKristineS.Ziemba,M.D.,Ph.D. Special Session on Pain Management NeerajKumar,M.D.andJamesJ.Chien,M.D. 4:30 Adjourn

Friday, July 12, 2013

7:00a.m. Continental Breakfast 7:25 Welcome Announcements

EPILEPSY AND SLEEP 7:30 Evaluation and Management of Sleep Disorders. . . . . . ErikK.St.Louis,M.D. 8:00 Initial Approach to the Seizure Patient and Differential Diagnosis of “Spells” . . . . . . . . . . . . . . JosephF.Drazkowski,M.D. 8:30 Treatment Strategies in Epilepsy (Including Surgical Management). . . . . . . . . . . . . . . . . . . . JosephI.Sirven,M.D. 9:00 Treatment of Epilepsy in Special Populations . . . . . . . . . . . . . JeffreyShih,M.D. 9:30 Panel Discussion 9:45 Break

MOVEMENT DISORDERS 10:00 Early Parkinson’s Disease Diagnosis and Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JohnN.Caviness,M.D.10:30 Advanced Parkinson’s Disease Management . . . . J.EricAhlskog,M.D.,Ph.D.11:00 Dystonia, Spasticity, and Botulinum Toxins ... CharlesH.Adler,M.D.,Ph.D.

Program

Program11:45 Panel DiscussionNoon Lunch

HOT TOPICS IN NEUROLOGY AND HEALTHCARE DELIVERY 1:00p.m. Incorporating Teleneurology Into Your Practice BartM.Demaerschalk,M.D.andDwightD.Channer,M.S. Concussion and Mild Traumatic Brain Injury DavidW.Dodick,M.D.andJosephM.Hoxworth,M.D. ThePractice of Neurohospitalist Medicine KevinM.Barrett,M.D.andWilliamD.Freeman,M.D. 2:00 Break 2:15 Incorporating Teleneurology Into Your Practice BartM.Demaerschalk,M.D.andDwightD.Channer,M.S. Concussion and Mild Traumatic Brain Injury DavidW.Dodick,M.D.andJosephM.Hoxworth,M.D. The Practice of Neurohospitalist Medicine KevinM.Barrett,M.D.andWilliamD.Freeman,M.D. 3:15 Adjourn

Saturday, July 13, 2013

7:00a.m. Continental Breakfast 7:25 Welcome Announcements

CENTRAL NERVOUS SYSTEM (CNS) DISORDERS 7:30 CNS Infections: Bacterial, Fungal, Spirochaetal. . . . AllenJ.Aksamit,Jr.,M.D. 8:00 CNS Infections: Viral, Prion, Mycobacterial . . . . . . . AllenJ.Aksamit,Jr.,M.D. 8:30 Autoimmune and Paraneoplastic Disorders . . DanielHonoreLachance,M.D. 9:00 Neuro-Oncology Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AlyxB.Porter,M.D. 9:30 Panel Discussion 9:45 Break

BEHAVIORAL NEUROLOGY AND PSYCHIATRY 10:00 Mild Cognitive Impairment. . . . . . . . . . . . . . . . . . . . . . . . RichardJ.Caselli,M.D.10:30 Alzheimer’s Dementia . . . . . . . . . . . . . . . . . . . . . . . . . . . . RichardJ.Caselli,M.D.11:00 Non-Alzheimer’s Dementia . . . . . . . . . . . . . . . . . . . . . . . BryanK.Woodruff,M.D.11:30 Psychiatry Pearls for the Non-Psychiatrist . . . . . . . . . . . . RobertP.Bright,M.D.Noon Panel Discussion 12:15p.m. Adjourn

Sunday, July 14, 2013

7:00a.m. Continental Breakfast 7:25 Welcome Announcements

NEUROMUSCULAR DISORDERS 7:30 Neuromuscular Junction Disorders . . . . . . . . . . . . . . . . . . . DevonI.Rubin,M.D. 8:00 Myopathies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BrianA.Crum,M.D. 8:30 Peripheral Neuropathies . . . . . . . . . . . . . . . . . . . . . . . . . . JamesC.Watson,M.D. 9:00 Motor Neuron Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EricJ.Sorenson,M.D. 9:30 Panel Discussion 9:45 Break

AUTONOMIC, NEURO-OPTHOMOLOGY, NEURO-IMMUNOLOGY 10:00 Orthostatic Intolerance: What You Need to Know . . . BrentP.Goodman,M.D.10:30 Neuro-Ophthalmology Pearls . . . . . . . . . . . . . . . . . . . . . . . . PaulW.Brazis,M.D.11:00 Diagnosis of Multiple Sclerosis and Its Mimics..... JonathanL.Carter,M.D.11:30 New Therapies for Multiple Sclerosis: Their Place in Practice . . . . . . . . . . . . . . . . . . . . . . . . . DeanM.Wingerchuk,M.D.Noon Panel Discussion 12:15p.m. Adjourn

Standard Fee Online Discounted Fee Physicians Active in Practice $775 $700 $ ______________ Other (resident, retired and allied health) $675 $600 $ ______________ Paper copy of the syllabus $50 $ ______________ Note: Due to printing deadlines, this option will not be available after June 30, 2013. ABPN Self-Assessment $100 $ ______________ Note: Self Assessment must be completed and submitted by Monday, July 1, 2013.

SPECIAL OFFER: SAVE $200 when you register for two courses – OFFER EXPIRES: Friday, May 3, 2013 Headache Symposium (May 3-5, 2013) and the Clinical Neurology (July 11-14, 2013) Standard Fee Online Discounted Fee Physicians Active in Practice and Other $1,275 $1,200 $ ______________

This special offer is for the General Session only, additional fees for optional workshops, course syllabus, and ABPN self-assessment module still apply.

Visit Neurology Dual at: www.mayo.edu/cme/neurology-and-neurologic-surgery

REGISTRATIONNeurology in Clinical Practice, 2013July 11-14, 2013

Registration at the standard fee may be completed using this form and faxing it to (480) 301-9176. Or you can mail it to: Mayo Clinic, Mayo School of CPD, 13400 East Shea Boulevard, Scottsdale, Arizona 85259. An email confirmation will be sent upon receipt of payment and completed registration. If you do not receive your confirmation, or if you have any questions, please email us at mca.cme@mayo.edu or call (480) 301-4580. No refund will be granted unless a written notice of cancellation is received. If registration must be canceled, tuition less a $75 administrative fee, will be refunded when notification is received on or before June 24, 2013. No refunds will be made after this date.Although it is not Mayo Clinic’s policy to limit the number of registrants for a course, conference room facilities may necessitate closure of enrollment. Early registration is strongly recommended. Walk-in registrations cannot be guaranteed. Mayo Clinic will not be responsible for expenses incurred by individuals who are not confirmed for courses with a closed registration status. Costs incurred by the registrant such as airline/ hotel fees or penalties are the responsibility of the registrant.ONLINE SYLLABUS: Your registration fee includes access to a detailed online syllabus, emailed one week prior to the course. This allows you to view, save, or print the syllabus before attending the course. Syllabus paper copy available for an additional $50 fee, see registration form to order a paper copy.

Course Registrant List (Check only if you want your name removed) I do not want information (i.e., name, degree, city, and state) to appear on the course registrants’ list.

2013S956AMA, AOA, AAFP, ABPN

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$75 DISCOUNT FOR ONLINE REGISTRATION! Go to www.mayo.edu/cme (offer expires June 13, 2013)

Note: When registering online, please be sure to “check-out” after your profile is completed/updated.

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