2019 January AANnews

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VOLUME 33  ·  ISSUE 1  ·  JANUARY 2019

2019 FRONTIERS PLENARY SPEAKERS ANNOUNCED Clinical Implications of Research Six distinguished scientists have been announced for the 2019 Frontiers in Neuroscience Plenary Session to be held Wednesday, May 8, from 9:15 a.m. to 11:30 a.m. during the AAN Annual Meeting in Philadelphia, PA. The session will be moderated by Science Committee member Paul M. George, MD, PhD, MSE, and presenters will provide summaries their new or late-breaking basic and translational research and describe the clinical implications of the results.

of

Single Cell Analysis to Capture Disease Signatures in Neurological Disease Burkhard Becher, PhD University of Zurich, Zurich, Switzerland Continued on page 5

Emerging Science Abstracts Sought for Annual Meeting

Webinar Series Helps You Take Charge of Your Practice

Have you conducted major research since the October 22, 2018, AAN Annual Meeting abstract deadline? If so, we encourage you to submit your abstracts for the 2019 AAN Emerging Science program by February 13, 2019. Abstracts may be submitted online at AAN.com/view/19Abstracts. Work should be of major scientific importance, with key aspects of the research having been conducted after the October 22 deadline, warranting expedited presentation and publication. Case studies are not eligible for submission. The fee for abstract submission is $100 for AAN member first authors and $200 for nonmember first authors. Junior and Student members may submit abstracts at no charge. For more information, contact Callie Barnette at cbarnette@aan.com or (612) 928-6147. 

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Annual Meeting Planning Made Easy with App

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Medical school doesn’t teach you how to run a business, but that’s the position many physicians now find themselves in. This webinar series, developed for physicians and business managers alike, will offer tools and strategies on hiring, employee management, and succeeding at the administrative aspects of your practice so that you can continue to enjoy your clinical practice. Continued on page 13

Kick off a Spectacular Week with a Spectacular Night

11 Improve Care with Epilepsy Pre-visit Questionnaire


Cultivating Leaders. Building Neurology’s Future. From personal development opportunities to transformational career pathways, the AAN is here to guide your leadership growth. Apply for one of 10 unique opportunities covering the full spectrum of career stages.

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AANnews · January 2019

CONTENTS

NEWS BRIEFS Kick off a Spectacular Week with a Spectacular Night · · · · ·7

Cover 2019 Frontiers Plenary Speakers Announced Emerging Science Abstracts Sought for Annual Meeting Webinar Series Helps You Take Charge of Your Practice Conferences & Community HeadTalks Offers Real-world Implications to Out-of-thebox Experiences · · · · · · · · · ·6 Annual Meeting Planning Made Easy with App · · · · · · · ·6 Wellness Activities Offered Daily in Experiential Learning Area · · · · · · · · · · · 7

Free Exam Tools Promote Neurology to Medical Students · · · · · · · ·9 Leadership Program Helps Graduate Amplify His Passions · · · · · · · · · · · 12 Tools & Resources Improve Care with Epilepsy Pre-visit Questionnaire · · · · · 11 New Look, Broader Content for Neurology Today · · · · · · · 13 Careers · · · · · · · · · · · · · · · · 15

Neurology Department Chair Summit The AAN will host a second annual Neurology Department Chair Summit on March 24–25 in Chicago. More than 100 chairs attended the first summit in March 2018 to address issues facing academic medicine.

Industry Roundtable AAN leaders recently met with industry representatives at the Industry Roundtable Summit. A panel of AAN Board members and industry representatives held a transparent discussion on ways to work together for better access to drugs for patients and education on new technologies. In addition, Jeffrey C. McClean II, MD, FAAN, and Allison Brashear, MD, MBA, FAAN, presented on AAN priorities addressing health care disparities and women in neurology.

Correction The nickname of Robert C. “Berch” Griggs, MD, FAAN, was misspelled in the November issue. AANnews® regrets the error.

The Vision of the AAN is to be indispensable to our members. The Mission of the AAN is to promote the highest quality patient-centered neurologic care and enhance member career satisfaction. Contact Information

For advertising rates, contact:

American Academy of Neurology 201 Chicago Avenue Minneapolis, MN 55415

Eileen R. Henry Wolters Kluwer Health |   Medical Research   Lippincott, Williams & Wilkins

Phone: (800) 879-1960 (toll free) (612) 928-6000 (international) Email:

memberservices@aan.com

Website: AAN.com

Phone: (732) 778-2261 Email:   Eileen.Henry@wolterskluwer.com

AAN Executive Director: Catherine M. Rydell, CAE Editor-in-Chief:  John D. Hixson, MD Managing Editor:  Angela Babb, CAE Editor:  Tim Streeter Writers:  Ryan Knoke and Sarah Parsons Designers:  Siu Lee Email:  aannews@aan.com

AANnews is published monthly by the American Academy of Neurology for its 34,000 members worldwide. Access this magazine and other AAN publications online at AAN.com. The American Academy of Neurology ’ s registered trademarks and service marks are registered in the United States and various other countries around the world. “American Brain Foundation” is a registered service mark of the American Brain Foundation and is registered in the United States.


President’s Column

Annual Meeting Offers More to Enhance Your Career and Well-being By all signs, it’s going to be another great Annual Meeting that we will kick off on May 4 in historic Philadelphia. We have received a record 3,976 abstracts, so you can be assured there will be plenty of cutting-edge research for you to learn the latest scientific advances in our field. Registration is now open and those of you who appreciate early discounts will want to register by March 7 and reserve your hotel room as soon as possible as space fills up early. You can do both very quickly online at AAN.com/view/AM19. I’ve invited Stefan M. Pulst, MD, FAAN, chair of the Meeting Management Committee, to share his enthusiasm about the upcoming meeting and highlight some of the new features for 2019.

So, Dr. Pulst, what’s your elevator pitch for the 2019 Annual Meeting? Quite simply, the AAN Annual Meeting continues to be the world’s largest gathering of neurologists and neurology professionals. Whether interested in education, science, or networking, the neurology community will find excellent value and unparalleled opportunities for professional and personal advancement presented in various learning styles to cater to all career stages. Last year’s meeting attracted more than 14,000 attendees, and we’re confident that we’ll have a similarly strong turnout again this year. We’re excited to return to Philadelphia, a fantastic city that combines a great meeting venue with affordable accessibility to a city rich in history and culture. Our opening party—The Philly Spectacular on Sunday, May 5—will take place across the street from the convention center at Reading Terminal Market, a beautiful National Historic Landmark, and will feature great food from many local vendors, live music from Philly’s 12-piece band Jellyroll, and games at the nearby Field House sports bar.

There truly is something for everyone at this meeting, right? Yes, everyone from medical students to those established in their careers can benefit from this Annual Meeting, whether you attend all week or just a few days. We’re bringing together

Sacco

Pulst

some of the most respected members of our profession to speak in seven outstanding plenary sessions that will examine Hot Topics, Contemporary Clinical Issues, Clinical Trials, Controversies in Neurology, Neurology Year in Review: Emerging Therapies, Frontiers in Neuroscience, as well as the Presidential Plenary Session. We have a new Academic Medicine track for academic neurologists across career roles and stages. There is specific programming for future researchers and medical students. There’s a host of programs for clinicians, like the Neuroscience in the Clinic sessions that will address the interpretation of genetic results, the menstrual cycle and neurologic disease, immunotherapies, stems cells, and wearable technology. We’ve expanded the Continuing the Conversation Talks to one course per day where faculty and audience members can dialogue in a more casual setting. We hope to stimulate attendees with our popular Brainstorm competition and a new series called Advancing Medicine: Inspiration and Innovation that explore subjects like medicine and the water crisis in Flint, MI; how neurology interfaces with AI and robotics; and what happens when neuroscience and philosophy collide. We’re also expanding our popular Spanishlanguage curriculum for our Spanish-speaking colleagues. We will end this exciting week with Friday Grand Finale programming which includes the Neurology Year in Review Plenary Session, Science Innovation Lunch, Neurology Update Programs and Scientific Sessions, Education Blitz programs, and a fun-filled Closing Party celebrating May Day.

And there will be plenty of networking opportunities, correct? Yes, indeed. Along with fun-filled opening and closing parties, there is the Exhibit Hall Networking Reception, the Faculty and Trainee Reception, and more. I see innumerable people greeting each other in hallways between sessions or catching a cup of coffee together during the day. The Annual Meeting is one of the best ways to connect within our

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AANnews  •  January 2019


community, whether with a friend from residency days or one of the esteemed leaders in our profession. We also will offer a variety of opportunities to help attendees reduce stress and improve their well-being, from yoga and chair massages on-site to programs that will give attendees tools and resources they can use when they return to their homes and work places. Really, when you think about it, the Annual Meeting is so comprehensive that it truly does offer something to satisfy the mind, body, and spirit of every neurology professional—and aspiring neurology professional.

We should mention to members who haven’t been to the meeting recently that the fully flexible format enable attendees to attend almost everything for one single registration fee and tailor their schedules to fit in their favorite programs and education courses. That’s right. This format has proven exceptionally popular. But if you can’t get to everything you want to take in—or are unable to join us in Philadelphia—you can access hundreds of courses and presentations by purchasing the Annual Meeting On Demand

product through the Academy’s online learning center.

We’re still a few months away from the meeting and there’s much work yet to be done, but I’d like to thank you, the Meeting Management Committee and the Science and Education Committees, member volunteers, and staff for the tremendous effort you’ve all put into this signature AAN event. You can learn more about the innovative programs and new fun activities we will have available at the Annual Meeting on the following pages and online at AAN.com/view/AM19. We look forward to seeing you in Philly in May! 

Ralph L. Sacco, MD, MS, FAHA, FAAN President, AAN rsacco@aan.com @DrSaccoNeuro on Twitter

Conferences & Community

2019 Frontiers Plenary Speakers Announced  continued from cover

Emerging Therapies for Neurogenetic Diseases Beverly L. Davidson, PhD The Children’s Hospital of Philadelphia, Philadelphia, PA

The Silent Culprit in Neurocritical Care of Acute Brain Injury: Spreading Depolarizations Jed Hartings, PhD University of Cincinnati, Cincinnati, OH

Prion-like Propagation of Alpha-synuclein Assemblies and the Molecular Basis of Distinct Synucleinopathies Ronald Melki, PhD Paris-Saclay Institute of Neuroscience, Paris, France

Becher

Davidson

Hartings

Melki

Taylor

Tremlett

Bridging Biophysics and Neurology: The Role of Phase Transitions in Neurodegeneration J. Paul Taylor, MD, PhD St. Jude Children’s Research Hospital, Memphis, TN

The Gut Microbiota and Pediatric Multiple Sclerosis Helen Tremlett, PhD, BPharm University of British Columbia, Vancouver, Canada 

AANnews  •  January 2019 5


Conferences & Community

HeadTalks Offers Real-world Implications to Out-of-the-box Experiences Visit the HeadTalks Experiential Learning Area in the Broad Street Atrium of the Pennsylvania Convention Center daily between 12:00 p.m. and 6:00 p.m. to discover unique—and timely—experiences in neurology. HeadTalks presentations engage audiences through unconventional platforms that offer a truly transformational exploration of nontraditional neurology topics. The out-of-the-box experience provides the perfect supplement to Annual Meeting learning—outside of the traditional classroom setting—to complement, but not compete with, the meeting’s excellent education offerings and to meet the diverse learning needs of meeting attendees. 2019 audiences can expect a fresh lineup of fun and innovative presentations that will employ various teaching styles and compelling visuals to push the boundaries of storytelling, learning, reflection, and engagement even further. Look for: A game show-style experience kicking off each day Legendary presentations from the legends themselves at the conclusion of most days—grab a glass of wine and unwind as you listen! Would You Fly with This Pilot? Self-reflected: Illuminating the Brain Through Art and Science art exhibit and presentation Rocky's Legacy: Historical Controversies of Boxing-related Concussions The Teenage Brain: A Neuroscientist's Survival Guide to Raising Adolescents and Young Adults And much more! For a full schedule, visit AAN.com/view/AM19. 

Annual Meeting Planning Made Easy with App The AAN Conference Mobile App simplifies planning your Annual Meeting experience. Visit AAN.com/view/MobileApp to download it to your iPhone, iPad, or Android, then: View the most up-to-date information on speakers and talk topics Build your personalized program schedule, including taking advantage of our specially curated program tracks Discover Annual Meeting highlights and can’t-miss events Locate your favorite programs and vendors Tap into information about Philadelphia, including the hotel map and local attractions Read what’s being said at the Annual Meeting and join the conversation using #AANAM on Facebook, Twitter, and Instagram Access program materials, submit your program evaluations, and claim CME post-Annual Meeting

Be sure to check out these new features! 

Live streaming of select course events

Improved filters for adding curated program tracks to your schedule

The AAN Conference Mobile App is sponsored by EMD Serono. 

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AANnews  • January 2019


Conferences & Community

Wellness Activities Offered Daily in Experiential Learning Area You can’t give your patients the best care without first taking care of yourself. With physician burnout becoming more frequent, it’s becoming increasingly critical to understand the importance of wellness and discover and implement the methods that work best for you. The Live Well: Whole Neurologist, Whole Patient Experiential Learning Area is designed to inspire, motivate, and educate about the importance of mental, physical, and professional wellness. It will demonstrate complementary therapies such as exercise, mindfulness, nutrition, art expression, and more that can benefit both you and your patients. This highly interactive area will be open each day of the meeting and will offer a perfect learning supplement to the traditional classroom setting.

Look for more than 50 unique, fun, and meaningful experiences throughout this multi-dimensional learning space and throughout the week: Attend compelling, thought-provoking, and interactive live presentations Grab a free water bottle and take a much-needed wellness break from your busy days with free chair massages, morning yoga sessions, guided meditations, art expression sessions, and much more Participate in informal, interactive/didactic, off-stage talks based on some of the most popular topics and discussions throughout the week For a full schedule, visit AAN.com/view/AM19. 

Kick off a Spectacular Week with a Spectacular Night Kick off a spectacular week of the best education, latest science, and unparalleled networking with The Philly Spectacular—at Reading Terminal Market! Join your colleagues on Sunday, May 5, from 7:00 p.m. to 10:00 p.m. at one of the United States’ largest and oldest public markets, operating since 1893 in a beautiful National Historic Landmark building located directly across the street from the convention center.

you will incur an administration fee. Additional tickets may be purchased for $115 each through Annual Meeting registration. All tickets include all-you-can-eat food, beer/wine/soda, entertainment, and transportation to and from hotels. 

Embrace the city’s rich history and enjoy an incredible selection of locally grown and exotic produce, locally sourced meats and poultry, and the finest seafood, cheeses, baked goods, and confections. Eat, drink, and dance in the street to the sounds of Jellyroll, Philly’s original 12-piece horn party dance band, as they perform a repertoire spanning old-school classics to the newest top 40 hits. The award-winning ensemble has won over audiences from Madison Square Garden in New York City to the White House in Washington, DC. Attendees can also play games at the neighboring Field House sports bar. The first 4,000 registered Annual Meeting attendees who RSVP will receive a free all-inclusive ticket to the event. There is a limit of one free ticket per registered Annual Meeting attendee. Tickets must be picked up at the Pennsylvania Convention Center by 2:00 p.m., Sunday, May 5. Pre-reserved gratis tickets that are not picked up will be released for a rush line and

AANnews  •  January 2019 7


Conferences & Community

Build and Expand Your Leadership Potential During the Annual Meeting The AAN is committed to helping you build and expand your leadership potential, and the Leadership University offerings at the 2019 Annual Meeting are poised to do just that. No matter what your career stage, you’ll find unique opportunities throughout the week—led by world-renowned consultants and physician leaders in the field of neurology—that are designed to help you take your career to the next level. Each program is based in a leadership fundamental. Look for courses tailored specifically for women or those focused on leadership challenges in practice, as well as for anyone who simply wants to gain a deeper understanding of their strengths and how to use them to work more effectively. Note that many of these courses require advance registration. Visit AAN.com/view/LeadershipUniversity to learn more and to secure your spot.

Saturday, May 4 Women in Leadership 7:00 a.m.–3:30 p.m.

Directors: Janice M. Massey, MD, FAAN; Orly Avitzur, MD, MBA, FAAN; and Keri Bischoff and Julie Anderson, Gallup-certified Strengths Consultants This session will begin by revealing participants' unique leadership style. Through conversations and guided exercises participants will create a customized Strengths-based Leadership Statement: your guide to be the best leader you can be. Presenters will also address common experiences, challenges, and leadership issues such as negotiation skills and burnout, using the personal stories of women in neurology.

Leadership Challenges in Practice 12:00 p.m.–4:00 p.m.

Director: Brad C. Klein, MD, MBA, FAAN This program will discuss several critical leadership skills, including understanding and implementing varying communication approaches to effect change internally within an organization, addressing internal practice challenges, and discussing practical approaches to improve personal growth, professional fulfillment, and physician well-being while still improving the bottom line.

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AANnews  • January 2019

Educators' Leadership Program 1:30 p.m.–4:00 p.m.

Director: Jaffar Khan, MD, FAAN Neurology clerkship and program directors are among the most important gatekeepers of our pipeline to careers in neurology. In many cases, these education leaders are responsible for the first contact with potential candidates for the future neurology workforce. This program is designed to optimize the skill set of program/clerkship directors and associate program/clerkship directors who have been in their roles three to 10 years.

Sunday, May 5   NEW  Women in Leadership: 2019, Why Are We Still Talking About This? 1:00 p.m.–4:00 p.m.

Director: Laraine Kaminsky, CEO, Global LK While the rates of women in medicine have grown steadily over the last century, they tend to be concentrated in specialties such as pediatrics and OB/GYN and are underrepresented in other disciplines, including neurology. Evidence shows that gender diversity contributes to improved performance and effectiveness within organizations, yet there remain many systemic, organizational, and cultural barriers to women's participation and inclusion in the workplace. This presentation will draw on current and relevant research and examples to explore opportunities for women in leadership in the global workplace and marketplace.


NEW  Chief Resident Leadership Program

Directors: Keri Bischoff and Julie Anderson, Gallup-certified Strengths Consultants

Director: Jaffar Khan, MD, FAAN

An awareness of what is right about others, a practice known as Strengths Spotting, is one of the best ways to deepen your understanding of your strengths and the strengths of others. Through interactive and guided discussions, the presenters will share tools to improve relationships and increase productivity, ultimately improving patient care by maximizing their experience.

12:00 p.m.–4:00 p.m.

In this program, current and future neurology chief residents will explore their own leadership potential, learn skills to enhance their success in their leadership role, and develop critical skills for use in this and future leadership roles.

Monday, May 6 Leadership in the Era of Burnout: A Practical Approach to Becoming a True Physician Leader 1:00 p.m.–4:00 p.m.

Director: Terrence L. Cascino, MD, FAAN The challenge of being a leader is complicated by a high rate of burnout. This course will examine how to lead effectively while promoting wellness.

Tuesday, May 7   NEW  Mitigating the Impact of Unconscious Bias 1:00 p.m.–4:00 p.m.

Director: Laraine Kaminsky, CEO, Global LK During this informative, participatory, and engaging workshop, faculty will explore the science of unconscious bias, with a specific focus on the impact of bias and resulting disparities in the health care sector.

NEW  Strengths Spotting: Using Strengths to Help Improve Communication with Patients, Colleagues, and Leaders 1:00 p.m.–5:00 p.m.

NEW  The Doctor's Lounge…Helping Physicians in Mid-career Renew and Repurpose Their Work/Lives 1:00 p.m.–5:00 p.m.

Directors: Terrence L. Cascino, MD, FAAN, and Richard Leider, founder of Inventure—The Purpose Company This workshop is designed to help physicians at midlife answer the question "what's next?" It will provide the seasoned guidance and map plus peer network to help physicians figure out what they want to happen in the next phase of their work/lives. Richard Leider is one of America’s preeminent executive-life coaches.

Wednesday, May 8   NEW  Team Building in Medicine: How to Incorporate Strengths Training into Medical Teams 1:00 p.m.–5:00 p.m.

Directors: Keri Bischoff and Julie Anderson, Gallup-certified Strengths Consultants During this workshop, attendees will learn a step-by-step approach to building a strengths-based team by understanding, appreciating, and investing in the unique talents of everyone involved. 

Free Exam Tools Promote Neurology to Medical Students As part of its ongoing efforts to encourage medical students’ interest in the field of neurology, the AAN celebrated the second annual Neuroscience Is…™ Rewarding Day on November 30 in honor of the 1840 birthday of Wilhelm Henrich Erb, MD, who is credited with popularizing the reflex hammer widely used in today’s neurologic exam. The AAN helped medical students get ready for a career in neurology with tools for a successful neurologic exam. The first 200 students who responded to the AAN received a pen light. Among those students, those 50 who posted a photo with their pen light on social media along with the hashtag #NeuroscienceIs and #FutureNeurologist and a statement about why they find neuroscience rewarding also received a free Troemner reflex hammer. 

AANnews  •  January 2019 9


Conferences & Community

Annual Meeting Offers Unique Opportunities, Deep Discounts for Trainees Students, residents, and fellows who attend an AAN Annual Meeting can expect to gain firsthand access to the latest neurology education and science, hear from renowned experts in their chosen subspecialty area of interest, and make essential connections that will prove invaluable to career advancement—all for deeply discounted registration rates! AAN Medical Student members receive free registration and resident and fellow Junior members need only pay $270. In addition, trainees receive reduced rates on hotel and travel costs when booking through the AAN. For more information and a full trainee guide to the Annual Meeting, visit AAN.com/view/AMTrainee. Trainees can expect to find programs and events going on all week long that are tailored specifically to their early career needs. Highlights include:

Saturday, May 4–Friday, May 10

Sunday, May 5

NEW  Trainee Experience

NEW  Chief Resident Leadership Program

Connect with your peers and hear about the day’s highlights.

12:00 p.m.–4:00 p.m.

Experiential Learning Areas

Both current and future neurology chief residents will explore their own leadership potential, learn skills to enhance their success in their leadership role, and develop critical skills for use in this and future leadership roles. This program is designed for the resident poised to lead neurologists who promote the highest quality patient-centered neurologic care and professional development.

NEW  Futures in Neurological Research Track Grow your future career in research with a curated set of courses and learning opportunities that will improve your knowledge and skills.

Saturday, May 4   NEW  Futures in Neurological Research Boot Camp 12:00 p.m.–5:00 p.m.

Kick off your Annual Meeting experience with networking, didactic presentations, a skills workshop, and a panel presentation designed to improve your abilities in case reports, gateway publications, abstracts, specific aims, poster presentations and elevator speeches, study sections and peer review, and turning rejection into success. Lunch and light appetizers/beverages served. Registration required.

Resident Basic Science I: Neuropathology 12:00 p.m.–4:00 p.m.

Medical Student Symposium 12:30 p.m.–5:30 p.m.

Resident Basic Science II: Neuropharmacology 1:00 p.m.–5:30 p.m.

NEW  Philly Spectacular—at Reading Terminal Market! 7:00 p.m.–10:00 p.m. See page 11 for details.

Monday, May 6 Resident Basic Science III: Neuroanatomy: All the Lesions 1:00 p.m.–5:30 p.m.

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AANnews  • January 2019


Futures in Neurological Research Luncheon 2:30 p.m.–2:00 p.m.

Sunday, May 5–Thursday, May 9 Poster Hall Tour

REVAMPED!  Early Career Reception 6:00 p.m.–9:00 p.m.

Network with more than 500 academic faculty, peers, and AAN leaders; view residency/fellowship opportunities; explore career track topics in Academic/Research, Fellowship, or Private Practice; and find out how the AAN can help you succeed throughout your neurology career.

Monday evening, May 6– Thursday afternoon, May 9

Held during various poster sessions. Check the Annual Meeting Trainee website page for updates on scheduling. Sign-ups begin in January. 

Looking to Save Even More Money? Volunteer! Students, residents, and fellows can save even more by volunteering for one of the following opportunities:

Subspecialty Mentoring Sessions Kick off Monday evening after the Futures in Neurological Research Luncheon by networking with a variety of neurologists and neurology professionals from different subspecialties, including Parkinson’s disease and movement disorders, seizure disorders and epilepsy, neurocritical care, child neurology, migraine and headache, multiple sclerosis, sleep, and vascular and interventional neurology. Each event includes a meal or a happy hour.

Saturday, May 4–Tuesday, May 7 Digital Scavenger Hunt Offered daily throughout the week. Visit the Annual Meeting Trainee website page for updates on scheduling.

Education and Scientific Program Monitors Monitors are needed for all education program offerings and scientific platform sessions to assist directors, faculty, session co-chairs, and staff. Volunteers receive free Annual Meeting registration. Skills Workshop Volunteers Volunteers are needed for select skills workshops throughout week. Volunteers will receive free Annual Meeting registration, a waived workshop fee, and $40 per session. Available opportunities are limited. Sign up to volunteer at AAN.com/view/AMTrainee. 

Tools & Resources

Improve Care with Epilepsy Pre-visit Questionnaire In conjunction with the AAN’s recent publication of the updated epilepsy quality measure set, the Standing Epilepsy Quality Measurement Work Group and the Practice Management and Technology Subcommittee have worked together to update the epilepsy pre-return visit questionnaire. For clinicians, the updated questionnaire provides a standardized way to ensure AAN quality measures are met. For patients and caregivers, the survey sparks conversation and gathers important information about how their epilepsy is affecting them in order to guide treatment and ensure safety.

“Outcomes directly reported by patients are the most efficient assessment of delivered care,” said Lidia Moura, MD, MPH, a member of the AAN’s Health Services Research Subcommittee and Epilepsy Section. “The AAN pre-visit questionnaire represents one step towards excellence in epilepsy care. As with every new data collection tool, it requires further validation of usability and reliability.” Updating these questionnaires is an iterative process, and the survey will be updated as the field advances. The Academy encourages members to use the questionnaire in practice and share their testing and experiences for consideration in future updates. Feedback can be sent to quality@aan.com.

Users of the Axon Registry® should be aware that filling out the measure also will correspond with the data that is collected by the registry.

Moura

You can access the updated epilepsy pre-return visit questionnaire at AAN.com/view/EHRtemplates. Additional questionnaires for MS, sleep, and headache are available on the page. The epilepsy measurement set is located at AAN.com/view/EpilepsyMeasures.

AANnews  •  January 2019 11


Conferences & Community

Leadership Program Helps Graduate Amplify His Passions First and foremost, 2017 Diversity Leadership Program graduate Jose H. Posas, MD, credits his experience in the prestigious program with changing his perception about what leadership even means. “I had a misconception prior to getting into the program that leadership and corporate structures were only filled with self-interested, bureaucratic ladder climbers. I was completely wrong,” he said. “I was able to learn to assess my drives, passions, strengths, and weaknesses and build a more authentic path in my own institution of Ochsner Medical Center in New Orleans. I realized that I am not just a cog in the machine of modern medicine. “Furthermore, I have been able to apply this main lesson in multiple iterations,” he explained. “I have had a significant reduction in symptoms of burnout, I am more engaged in my health care system, and feel invigorated with regard to my practice of modern medicine. I have also been able to work on advocacy and reach audiences with education, information, and personal warmth.” Posas

And reach audiences Posas has. Over a million, in fact. “I was talking at a local speaking engagement in June 2018 when an audience member—a producer of the regular health show ‘Highway to Health’ on SiriusXM Trucking Channel 146—approached me to do an interview on concussion,” said Posas, who was recently promoted to head of Ochsner’s sports neurology department. The segment saw one of the show’s highest ratings, with more than one million listeners—mostly truck drivers—across the country tuning in to hear Posas. “[I made] lots of mentions of being a proud member of the AAN, as well,” he added. Posas has since been asked to a national Sirius XM forum to talk to millions of listeners about concussion. “The show did so well, they have even asked me to come back to talk about migraines, too.” More recently, Posas made an appearance on his local WWLTV morning show to discuss implicit bias against cheerleaders and concussion. To that end, he is also working within Ochsner on a preventive health and health care disparity reducing

program—called Proactive Ochsner Encounter—that uses the system itself to identify gaps in health care that may be missed by unconscious bias. “I am using the specialist role afforded by being a neurologist to help my colleagues in primary care deliver better systems-based care and, hopefully, reduce costs for some preventable illnesses and improve overall local patient population health,” he said. In just one year, Posas has helped reduce health care disparities at Ochsner by improving mammography screens by 200 percent and increasing flu vaccination by more than 100 percent. The plan is to roll the program out regionally across the Ochsner Health System. “In my way, I am able to make a measurable impact in the community I grew up in, that has implications that may improve the health of the patient population of the whole state, beyond my specialty and scope of practice. This is not something I would have ever dreamed of prior to the Diversity Leadership Program,” he said. Posas has no plans to stop applying what he learned during his time with the Diversity Leadership Program to one of his greatest passions: identifying, evaluating, and reducing health care disparities in his home health care system. “This is something I am passionate about, because I grew up in New Orleans, and I am glad to be able to engage in my community in a meaningful and fulfilling way.” 

Combat Burnout with Upcoming Live Well, Lead Well Programs Physician burnout affects at least 50 percent of US practitioners—and neurology is one of several medical specialties that has both the highest rates of burnout and the lowest rates of work-life balance. Two Live Well, Lead Well programs at the 2019 Annual Meeting in Philadelphia will empower participants to cultivate well-being and resilience in their lives, increase engagement at work, and develop strong, lasting leadership skills in an effort to reduce and prevent burnout and improve well-being. Attendees will share the skills and strategies that they learn over the course of the program with their colleagues, creating an ongoing positive effect in their practice communities. Applications are required to participate. Visit AAN.com/view/lwlw to learn more and to apply.

12

AANnews  • January 2019


Tools & Resources

New Look, Broader Content for Neurology Today A fresh look debuts this month for Neurology Today ®, the AAN’s twicemonthly news source focusing on breaking news, issues, and trends in the practice and science of neurology. “We are hoping that readers appreciate the new, clean look of the publication,” said Editor-in-Chief Joseph E. Safdieh,

MD, FAAN. “Our editorial focus remains the same, but we are placing a new emphasis on areas such as diversity, wellness, profiles of neurologists when

they are ‘off the clock,’ and explaining the science alongside reporting on new studies.” Look for the newspaper in your mailbox. 

Webinar Series Helps You Take Charge of Your Practice  continued from cover Boss, MD: Managing a Better Practice J. Todd Barnes, MBA, CMPE; Seth Lefberg; Catherine Annulli; Erica Austin, DO January 15, 2019, 12:00 p.m. Deadline to Register for Live Webinar: January 14 A live, 30- to 45-minute webinar with faculty will introduce the topic and enable registrants to ask questions. Several shorter recorded lectures will be posted on learning.aan.com the week following the overview that explore the topic in greater depth, and participants can access these at their convenience. Finally, each topic will conclude with a 30-minute live webchat, so participants can ask further questions.

Schedule January 15: Live Overview and Introduction to the Course Lectures posted week of January 21: Lecture I: Financial Consequences of Poorly Run Practices Lecture II: New Staff: When and How to Hire, and How to Keep Them Happy

Lecture III: Online Reputation Management: Ensuring Patient Satisfaction for the Good of Your Practice Lecture IV: Staying Happy: Time Management and Building HR into Your Workflow February 5: Boss, MD, live webchat

Learning Objectives Gain strategies for managing your staff without micromanaging or damaging morale Improve communication among you and your staff for increased efficiency and higher patient satisfaction Identify available tools for ongoing education and management support in your practice Learn how to hire staff that will increase your practice’s productivity Master strategies for improved online reputation management to appeal to new patients You can purchase a single webinar series for $99 or purchase a 2019 Practice Management Webinar subscription for only $189—that’s less than $32 per webinar! Webinars are accessible through the AAN Online Learning Center and feature: Convenient live webinar sessions starting at 12:00 p.m. ET On-demand access to webinar recording and presentation slides if you miss the live event On-demand access to shorter, in-depth chapters for you to access at your convenience 2 AMA PRA Category 1 Credits™ per webinar for physicians, or certificate of completion for non-physicians Visit AAN.com/view/pmw19 to learn more and register or contact Jessica Nickrand at jnickrand@aan.com.

AANnews  •  January 2019 13


JO I N U S

COMMITMENT TO

CU R E S MAY 8, 20 1 9 | P H IL A DE L P H IA

Support the important work to cure brain diseases and disorders while enjoying an evening at one of Philadelphia’s historical treasures. Join us at The Union League of Philadelphia to celebrate a community driven to find a cure. For tickets and more information, please visit AmericanBrainFoundation.org/C2C


Careers

AAN.com/careers

Visit the AAN’s Neurology Career Center to view hundreds of additional jobs and sign up for customized, confidential notifications when positions of interest are added.

Board Certified Neurologist Needed in SW Pennsylvania; Sign-on Bonus Available. Excela Health Medical Group (EHMG), a 220+ provider multi-specialty medical group in SW Pennsylvania, just outside of Pittsburgh has an immediate opportunity for a clinical neurologist. Join a highly motivated team of 4 physicians and 7 APPs. Prefer board certified candidates. Epilepsy monitoring, immunotherapy, and balance disorder services provided onsite. Defined benefit package, MGMA comp model, sign-on bonus, relocation allowance, incentive bonus, paid malpractice with tail coverage, CME reimbursement, ATO (allowed time off). Please forward CV to Kathy Dobrosky, Provider Recruiter, kdobrosky@excelahealth.org Seeking Brain Health & Dementia Prevention Neurologist: Faculty Appointment with Endowment. The University of Cincinnati Gardner Neuroscience Institute and Division of Cognitive Disorders, within the Department of Neurology & Rehabilitation, are conducting a nationwide search for a Brain Health & Dementia Prevention specialist at the Assistant, Associate, or Full Professor level for faculty and leadership roles. The University of Cincinnati Gardner Neuroscience Institute and Division of Cognitive Disorders, within the Department of Neurology & Rehabilitation, are conducting a nationwide search for a Brain Health & Dementia Prevention specialist at the Assistant, Associate, or Full Professor level for faculty and leadership roles. Founded in 1999, the UC Gardner Neuroscience Institute is the TriState area’s only Comprehensive Stroke Center, Lever IV Epilepsy Center, and Level I Trauma Center. Today, the UC Gardner Neuroscience Institute is made up of more than 125 physicians and researchers. With continued growth and immense support from the UC Health system and community, they are slated to open a brand new, state-ofthe-art building that will be tailored to providing multidisciplinary care to neurologic and psychiatric patients. We are seeking candidates who have a track record of academic excellence in clinical care, teaching, and a history of scholarly activity that advances clinical/translational research. Applicants should be capable of conducting independent research and providing multidisciplinary care in cooperation with Geriatrics, Psychiatry, and Psychology. The incoming faculty will play a crucial role in advancing the overall mission and working closely with UC Health Primary Care Network to promote brain health. Faculty rank and leadership role will be determined by the qualifications and experience of the successful candidates. Incoming faculty will enjoy very competitive salary and comprehensive benefits package as well as support for academic endeavors and promotion. Prior success competing for competitive research awards is highly desirable as endowment funds will be available to the incoming candidate. Candidates interested in the position must submit an inquiry through Merritt Hawkins to be considered. For immediate consideration please inquire with an updated copy of your CV so we can discuss the position by phone. Also, inform me of your best available times to speak. I look forward to your reply and thank you for your review. Please do not delay as we anticipate a significant response. Please contact Alyssa Barraza at medcareers@merritthawkins.com or at (866) 406-0269 and reference NEUR-90680.

Outpatient Neurologists, Subspecialists, Neurohospitalists to join our 40+ physicians in South Florida—locations in Palm Beach, Fort Lauderdale, Miami. Tenet South Florida's Advanced Neuroscience Network includes employed physicians (neurologists, interventional neurologists, neurosurgeons, and neuropsychologists), 10 award winning hospitals, 4 comprehensive stroke centers, and multiple full-service outpatient centers across Miami-Dade, Fort Lauderdale and Palm Beach counties. We are looking for additional general neurologists, neuro subspecialists and neurohospitalists to join our busy practices in South Florida. Please review our website at: (http://www.tenetfloridaphysicianservices.com/ neurology). Our team provides comprehensive neurological & ancillary services and features some of the leading neurologists in South Florida. Many professionals and programs come together under the Advanced Neuroscience Network with the goal of providing the highest quality care possible. We are adding further staff due to increased patient volumes. Some of the benefits of becoming employed by Tenet include: Guaranteed salary with production bonus. Physician paid time off (vacation + CME with stipend). Malpractice insurance. Health, dental, life insurance, retirement benefits. Residents & Fellows are welcome to apply. I am currently conducting a nationwide search for qualified candidates. If you would like to obtain additional information about this opportunity, please contact me or send a copy of your Curriculum Vitae to Lane.Mitnick@tenethealth.com for consideration.

located 100 miles northwest of Houston and centrally located between all of the big cities in Texas. Tara.Moore@BSWHealth. org. Qualifications. Doctorate Degree in Medicine. Licensed to Practice Medicine in the state of Texas by the Texas Medical Board. Employee shall be currently board certified in his or her specialty or demonstrate active pursuit of board certification as defined by the appropriate specialty board of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. Apply online to formally be considered at: Jobs. BSWHealth.com. For additional information, please contact: Tara Moore, PHR. Physician Recruiter. (254) 724-0535 office. General Neurologist for Busy Practice in Florida. Excellent opportunity for a new or experienced neurologist seeking a busy, collegial physician owned group! Our neuroscience program is dedicated to the comprehensive diagnosis and treatment of patients with a wide variety of neurological disorders so fellowship training in Headache, Behavioral Neurology, Sleep Medicine, Neuromuscular, Stroke, or Movement Disorders is helpful. Our expanding in-house neuroscience program boasts an accredited Sleep Disorders Center, EEG, EMG, evoked potential capabilities and neuroimaging capabilities (MRI, CT, PET, SPEC). Convenient access to one 800-bed hospital located 2 blocks from the Clinic. Watson Clinic is a physician owned group practice with over 220 physicians and maintains a strong referral base with over 50 primary care specialists in outpatient and inpatient practices. Our convenient location between Tampa & Orlando provides easy access to 2 international airports just 45 minutes away! Watson Clinic fosters an atmosphere of clinical excellence in an area offering a high quality of life, complete with affordable housing, safe neighborhoods, and a wealth of recreational activities year-round including golf, football, hockey, baseball, basketball as well as local attractions. And no state income tax. In addition to a salary guarantee, we offer a signing bonus, paid relocation assistance, retirement program, malpractice insurance along with many other benefits. Partnership is offered after two years. Job Requirements: Board certification or eligibility by the American Board of Psychiatry and Neurology. Apply for this job, contact person: Kacee Fagan, WCPhysicians@watsonclinic.com, (863) 680-7380.

Neurology Opportunities throughout Central Texas. Baylor Scott & White Health is seeking BC/BE Neurologists to join in multiple locations throughout Central Texas and the Austin area. Current Opportunities: General Neurology-College Station, Buda, Pflugerville, and Temple. Movement Disorder Specialist-Temple. Vascular Neurologist-Temple, Lakeway. Neurohospitalist- Temple. Several positions provide an opportunity to teach medical students and residents. The candidate may be eligible for principal faculty appointment with Texas A&M University College of Medicine with academic rank commensurate with training and experience. Leadership opportunities may also be available. We offer a competitive salary with a generous benefit package that begins with four (4) weeks of vacation and an additional three (3) weeks CME. About Baylor Scott & White Health. As the largest not-forprofit healthcare system in Texas and one of the largest in the United States, Baylor Scott & White includes 48 hospitals, more than 800 patient care sites, more than 7,800 active physicians, over 47,000 employees and the Scott &White Health Plan. About our locations: Temple is a fast-growing community that is centrally located in between all of the major cities in Texas, only 1 hour north of Austin and 2 hours south of Dallas. Pflugerville is a fast-growing community and a suburb of Austin, that is located only 15-20 miles northeast of the capitol. Lakeway is a beautiful small community that is situated as a gateway to the Texas Hill Country area, located only 20-25 miles west of Austin. Buda is a small town that is located 15 miles south of Austin. It is part of the Austin-Round Rock-San Marcos metropolitan area and is one of Austin's fastest growing suburbs. College Station is a mid-size community that is home to Texas A&M,

AANnews® Classified Advertising he AAN offers a complete package of print, online, T and in-person recruitment advertising opportunities. Visit careers.AAN.com for all AAN options, rates, and deadlines. d copy for the March 2019 print edition of AANnews A must be submitted by February 1, 2019. The same deadline applies to changes/cancellations. he American Academy of Neurology reserves the T right to decline, withdraw, or edit advertisements at its discretion. Every care is taken to avoid mistakes, but the responsibility for clerical or printer errors does not exceed the cost of the ad.

Neurology ® Podcasts:

20 Minutes Pack a Punch! Download the latest podcast at neurology.org/podcast

AANnews  •  January 2019 15


In Multiple Sclerosis–

THE ART OF BRAIN PRESERVATION Adding Grey to the Palette Completes the Picture

GREY MATTERS, TOO

Learn more about Multiple Sclerosis at MSBrainPreservation.com/art © 2018 Celgene Corporation All rights reserved. 03/18 USII-CELG180067


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