February, 2020 AANnews by American Academy of Neurology

VOLUME 34 · ISSUE 2 · February 2020

AAN VETERAN MARY POST NAMED NEW CEO A New Era Begins The AAN has selected Mary Post, MBA, CAE, as its next chief executive officer (CEO) to lead the world’s largest association of neurologists and neuroscience professionals. Post, a former deputy executive director of the AAN, will return to the AAN to succeed current AAN CEO Catherine M. Rydell, CAE, who will retire in May 2020 after more than 21 years as CEO. Post currently serves as executive director of the American Board of Anesthesiology, where she has led the organization since 2008. Read more in the President’s column on page 4. 

Advance Your Leadership Potential with Special Annual Meeting Programming

Presentations Will Push Boundaries at HeadTalks Area During 2020 Annual Meeting

The AAN is committed to helping you build and expand your leadership potential, and the new Advancing Leadership in Neurology Experiential Learning Area at the 2020 Annual Meeting is poised to do just that.

Visit the HeadTalks Experiential Learning Area on level 600 of the south building at the Metro Toronto Convention Centre daily between 12:00 p.m. and 5:15 p.m. to watch the stage transform with each topic into an unconventional platform for a truly transformational exploration of non-traditional neurology.

Large shifts in the landscape of the health care industry have led to a gap between the skills that health care leaders possess and the skills their organizations need. No matter what your career stage, you’ll find unique opportunities

The out-of-the-box experience provides the perfect supplement to Annual Meeting Continued on page 9

throughout the week—led by world-renowned consultants and physician leaders—to help train, support, and prepare you for desired leadership roles in your career, and assist you in achieving your desired level

Continued on page 8

Experience the Annual Meeting Your Way with Program Tracks

›

13 Read AAN Policy

on Equity, Diversity, and Inclusion

14 Axon Registry Adds New

Quality Measures for 2020

›

my heart loves

YOUR BRAIN

This Valentineâ&#x20AC;&#x2122;s Day

honor your family or loved one with a gift that supports brain research. AmericanBrainFoundation.org/MyValentine

AANnews · February 2020

February Highlights The Mission of the AAN is to promote the highest quality patient-centered neurologic care and enhance member career satisfaction.

The Vision of the AAN is to be indispensable to our members. Contact Information American Academy of Neurology 201 Chicago Avenue Minneapolis, MN 55415 Phone: (800) 879-1960 (toll free) (612) 928-6000 (international) Email:

rioritization and Focus Guide Women P Leading in Neurology Graduate to New Successes

As a busy neurologist juggling the many responsibilities of a career and family, Amy Hessler, DO, FAAN, knew as much—or more—than anyone how challenging it can be to master the art of prioritization and focus. Then she took part in the inaugural 2017–2018 Women Leading in Neurology (WLN) leadership program.

memberservices@aan.com

Website: AAN.com For advertising rates, contact: Eileen R. Henry Wolters Kluwer Health | Medical Research Lippincott, Williams & Wilkins 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 M. Babb, MS, CAE, APR Editor: Tim Streeter Writers: Ryan Knoke and Sarah Parsons Designer: Jim Hopwood Email: aannews@aan.com AANnews is published monthly by the American Academy of Neurology for its 36,000 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. The inclusion of advertisements and/or promotions of Sponsors and other Internet sites or resources that offer content, goods, or services on the Website does not imply endorsement of the advertised/promoted products or services by AAN.

New Health Care Equity Symposium to Address Disparities, Feature Renowned Speakers

The Future of the QPP: MIPS Value Pathways Coming in 2021

In today’s world, the reality is that access to quality health care varies greatly depending on race, gender, socioeconomic status, and sexual identity. A new AAN Health Care Equity Symposium during the 2020 Annual Meeting will provide an opportunity for participants to recognize disparities in care and learn how to modify their practices to eliminate the gap and help move neurology toward health equity.

The Quality Payment Program (QPP), which includes both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) tracks, saw small and expected incremental changes to program requirements in the 2020 reporting year, finalized in the 2020 Physician Fee Schedule.

News Briefs AAN Comments on Anti-kickback and Stark Regulations

and the modification of the existing safe harbor and exception for donation of electronic health record items and services. The AAN’s comments on the rules’ cybersecurity proposals received coverage in Politico.

The AAN submitted comments in response to two proposed rules that would substantially reform the antikickback statute and the Stark Law. In the comments, the AAN was supportive of new exceptions and safe harbors that would facilitate the creation of new valuebased arrangements and alternative payment models. The AAN’s comments urged CMS to work to establish opportunities for neurologists to more meaningfully participate in value-based care models. The comments also were supportive of the creation of a new safe harbor and exception for donation of cybersecurity technology and services

Record Number Register for RITE Exam A record number of both institutions (269) and examinees (3,294) registered for the 2020 RITE® (Residency In-service Training Examination), which will take place February 11-16 online. 

AANnews • February 2020 3

President’s Column

AAN Welcomes Mary Post to Lead Academy to New Heights as CEO

Stevens

I am very pleased to share that the Board of Directors of the AAN has selected Mary Post, MBA, CAE, as its next chief executive officer to lead the world’s largest association of neurologists and neuroscience professionals. The search committee tasked with finding a replacement for current CEO Catherine M. Rydell, CAE, who is retiring in May, received many outstanding, wellqualified candidates for this crucial position. Mary rose above all contenders and we are excited to bring her aboard in April.

To be sure, Mary had a significant edge: she served the AAN for 16 years in numerous leadership roles, including Rydell chief operating officer and a dual role of executive director of the United Council of Neurologic Subspecialties. She left the AAN in 2008 to take on new challenges as the executive director of the American Board of Anesthesiology. She was instrumental in introducing innovation and growth of the ABA while at the helm. Mary is well versed in both the operations and culture of the Post AAN as well as the many challenges health care practitioners face in this ever-changing environment. She is committed to ensuring our members receive the tools necessary in order to deliver the highest quality patientcentered neurologic care. Mary also is a Certified Association Executive (CAE), the highest professional credential in the association management industry. Fewer than five percent of all association professionals have earned a CAE designation. She earned a Master of Business Administration degree from Metropolitan State University and a Bachelor of Science Degree in Business Administration from St. Cloud State University, both located in Minnesota. Mary has led many meaningful, sustainable, programmatic, operational, and financial growth initiatives within organizations while increasing value for stakeholders and creating an award-winning, resilient culture. Mary established a strong and collaborative partnership with the ABA Board of Directors and 700 volunteer physicians to innovate and transform the organization’s programs. Under Mary’s leadership, the ABA became the first US medical specialty certifying board to successfully implement an Objective Structured Clinical Examination (OSCE) into the ABA’s initial certification program. In 2014, the ABA also reimagined its Maintenance of Certification in Anesthesiology Program (MOCA) and incorporated learning and assessment of knowledge into its physicians’ daily practice through MOCA Minute®.

AANnews • February 2020

Mary also led collaboration with the Accreditation Council for Continuing Medical Education (ACCME) and the CME community to link the ABA’s assessment with relevant CME programs. This collaboration positioned the ABA as a nationally recognized leader and demonstrated the benefits of partnering with other organizations to provide value to physicians. The National Association for Business Resources named the ABA one of the Best and Brightest Companies to Work For® in 2018. This is the second consecutive year the ABA was honored with this prestigious award. It recognized the ABA, under Mary’s leadership, as an effective workplace, along with its strategies and employee enrichment programs that have increased staff satisfaction and organizational success. Cathy Rydell, who is leaving the AAN after more than 21 years as CEO, will help Mary transition into her new role. Cathy will make her final farewell at the Annual Meeting in Toronto, and I hope those of you attending will thank her for the extraordinary accomplishments she has overseen during the past two decades. When Cathy began in 1999, the AAN had 16,000 members. Today, we exceed 36,000 members! Attendance at the Annual Meeting climbed from 10,000 in 2000 to nearly 15,000 last year in Philadelphia. She has personally worked with ABMS to reduce the onerous demands of continuing certification. She oversaw the establishment of our Washington, DC, advocacy office and creation of BrainPAC, the only political action committee devoted exclusively to neurology, helping lead to many extraordinary successes to improve reimbursement for neurologists, protect the practice of neurology, reduce regulatory hassles, and increase support for research. Cathy oversaw the transition of the American Brain Foundation from an AAN entity to an independent organization, and the launch of the Axon Registry® to harness real-world practice data to provide insights that could improve how neurology patients are treated. The

Neurology® journal grew several affiliate journals and member requests for patient education materials were answered with Brain & Life® magazine (including a quarterly Spanish-language version) and the robust BrainandLife.org website. The AAN embraced wellness and resiliency programs to help members reduce burnout and improve work-life imbalances. Leadership programs were formed to help cultivate new leaders in our specialty. Programs to ensure equity, diversity, and inclusion were made available to support the changing demographics of AAN members and patients. With all these activities on behalf of our growing membership, the AAN staff also grew, from 79 to nearly 200. To accommodate this growth, the Academy moved from the cramped campus it leased in St. Paul to our own state-of-the-art headquarters in downtown Minneapolis. Indeed, Cathy will be a tough act to follow. The Board and I believe, however, that Mary Post will be equal to the task and will work diligently to fulfill our Mission, Vision, and Values, shepherding us to even greater heights in the future. I offer a heartfelt “welcome home” to Mary and sincere debt of gratitude to Cathy during this exciting time of transition. 

The World’s Largest Neurology Meeting Is Coming to One of the World’s Most Diverse Cities Register by March 5 for the best rates

AAN.com/view/AM20

James C. Stevens, MD, FAAN President, AAN jstevens@aan.com @JimStevensMD on Twitter

April 25 – May 1 • Toronto, Canada

Conferences & Community

From the Annual Meeting Chairs…

Sirven

Each month leading up to the 2020 Annual Meeting, we’re asking AAN leaders tasked with planning the meeting to weigh in on can’t-miss events from their committee or subcommittee, as well as what they, personally, value most about the meeting itself.

“As chair for the Conference Subcommittee, we have planned what I believe to be an exciting neurologist-driven array of courses covering almost every imaginable topic in neurology, neurosciences, business of medicine, and so much more. Attendees should not miss

our cutting-edge courses and skills workshops designed to be indispensable for your educational purposes. Personally, I love the cross-cutting themed courses that I cannot find in a specialty meeting. I can learn about literally anything in neurology for one price. It’s an amazing value. Our Conference Subcommittee spends months with AAN staff trying to push the envelope in bringing cutting-edge neuro education to all attendees.” Joseph I. Sirven, MD, FAAN Chair, Conference Subcommittee 

Experience the Annual Meeting Your Way with Curated Career-focused Program Tracks Don’t miss these specially curated course lineups, designed to help you experience the meeting your way and maximize your time with consecutive programming intended to meet your individual career stage, path, and needs.

Academic Medicine Track Designed to help academic neurologists in early career and development, or looking to launch into private practice or academics.

Advanced Practice Provider Track Created for cutting-edge advanced practice providers who are new to neurology.

Look for education courses, scientific updates, and experiential learning area talks on a wide range of topics taught in Spanish.

Additional Curated Programming NEW! Academic Business Administrators April 27 Designed to help business administrators take their departments to the next level and get ready to face unique challenges and opportunities. This daylong set of programs will cover a variety of topics including service lines, faculty compensation plans, and more.

Business of Neurology Track

NEW! Academic Coordinators April 25-27

Perfect for private practitioners and business administrators interested in starting a new practice or learning the fundamentals of neurology business.

A three-day lineup of programming specifically designed for academic coordinators.

Career Essentials Track Offering medical students and residents help with early career and development and/or help launching into private practice or academics.

Futures in Neurological Research Track This track offers both formal coursework and learning sessions to round out research-interested trainees’ Annual Meeting experience.

Neurohospitalist Track Created specifically for neurohospitalists whose primary focus is inpatient care.

Spanish-language Track

AANnews • February 2020

Medical Students, Residents, and Fellows April 25-27 Get firsthand access to the latest education in neurology, hear from renowned experts in your subspecialty interest, and make connections that can advance your professional career. For more information, visit AAN.com/view/AM20. 

Inspiration and Innovation Talks Explore Global Themes Kick off the Annual Meeting on Saturday, April 25, with the first talk in this two-part series that will explore subjects where neuroscience intersects with global themes. Eagleman

The first talk will feature David Eagleman, PhD, host of PBS’s “The Brain with David Eagleman,” scientific advisor for HBO’s “Westworld,” and one of the world’s foremost neuroscientists. Eagleman serves on the American Brain Foundation board of directors.

Hey, Siri! Play the latest Neurology Minute episode.

Maria Konnikova, PhD, will lead the second talk, “How to Think Like Sherlock Konnikova Holmes: The Scientific Method of the Mind,” on Thursday, April 30. Konnikova is a New York Times best-selling author, contributing writer to the New Yorker, host of “The Grift” podcast from Panoply Media, and former producer on the “Charlie Rose” show on PBS.

neurology MINUTE

David Eagleman, PhD

Saturday, April 25, 5:45 p.m. Opening reception featuring free food and beverages will begin immediately following the talk. Eagleman has the rare ability to make advanced science accessible, relevant, and fun. He teaches as an adjunct professor at Stanford University and is CEO of NeoSensory, a company that develops devices for sensory substitution. As a neuroscientist, author, and science communicator, he is respected globally for his work on brain plasticity, time perception, synesthesia, and neurolaw. He also directs the non-profit Center for Science and Law, which seeks to align the legal system with modern neuroscience. Eagleman is a Guggenheim Fellow and a New York Times bestselling author published in 32 languages. He is the writer and presenter of the Emmy-nominated international PBS television series, “The Brain with David Eagleman.”

Maria Konnikova, PhD

“How to Think Like Sherlock Holmes: The Scientific Method of the Mind” Thursday, April 30, 1:00 p.m. No fictional character is more renowned for his powers of thought and observation than Sherlock Holmes. But is his extraordinary intellect merely a gift of fiction, or can we learn to cultivate these abilities ourselves, to improve our lives at work and at home? We can, as Konnikova will show in this talk. Beginning with the “brain attic”— Holmes’s metaphor for how we store information and organize knowledge—she will unpack the mental strategies that lead to clearer thinking and deeper insights. 

Get a brief daily digest on what you need to know in the field of neurology! Subscribe to the Neurology Minute™ podcast and program your Siri, Alexa, or Google Assistant.

AANnews • February 2020 7

Conferences & Community

Advance Your Leadership Potential continued from cover of leadership potential. Core leadership competencies will be explored with a strong focus on equity, diversity, and inclusion. The Advancing Leadership in Neurology Experiential Learning Area will feature: Presentation Stage: Look for a series of cutting-edge 45-minute talks on a variety of topics, including: Negotiation Skills, The Benefit of Diversity on Your Team, and Women in Health Care Leadership. Coaching Corner: Registration is now open! Secure your spot now to take time to focus on your own goals with individualized coaching from an executive coach. Whether you are looking for an objective perspective on navigating your career change or sharpening your competence as a leader, experienced coaches from a variety of backgrounds are available to provide customized guidance regardless of what career stage you’re in. Learn more about the expert coaches and be sure to sign up for a session at AAN.com/ view/coachingcorner. Advance registration required. Advancing Leadership Programs: Are you interested in the AAN multi-month leadership programs but unable to commit right now? The Annual Meeting Leadership Programs might be just what you’re looking for! Attend one or more of the following half- or full-day programs offering deep dives into key leadership principles. Many courses require advance registration.

Saturday, April 25 7:00 a.m.–4:00 p.m. Women in Leadership: Empower or Imposter: Leveraging Your Strengths as a Leader in Neurology Directors: Janice M. Massey, MD, FAAN; Orly Avitzur, MD, MBA, FAAN; and Keri Bischoff and Julie Anderson, Gallup-certified Strengths Consultants 12:00 p.m.–3:00 p.m. Leadership Challenges in Practice Director: Brad C. Klein, MD, MBA, FAAN

1:30 p.m.–4:00 p.m. Educators' Leadership Program Director: Jaffar Khan, MD, FAAN

Sunday, April 26 12:00 p.m.–4:00 p.m. Chief Resident Leadership Program Director: Maisha T. Robinson, MD, MS

Monday, April 27 1:00 p.m.–3:00 p.m. Leadership in the Era of Burnout: A Practical Approach to Becoming a True Physician Leader Director: Terrence L. Cascino, MD, FAAN

Tuesday, April 28 1:00 p.m.–4:00 p.m. Good to Great, Great to Gold: Applying the (3 G) Strengths-based Approach to Enhance Your Toolkit as a Leader Directors: Rachel Marie E. Salas, MD, FAAN; Charlene Gamaldo, MD, FAAN

Tuesday, April 28 1:00 p.m.–4:00 p.m. Mitigating the Impact of Unconscious Bias Director: Laraine Kaminsky, CEO, Global LK

Wednesday, April 29 1:00 p.m.–5:00 p.m. Strengths Foundations Workshop Directors: Keri Bischoff and Julie Anderson, Gallupcertified Strengths Consultants Visit AAN.com/view/AM20 to learn more and to secure your spot for individualized coaching sessions and programs requiring advance registration. 

Explore the Brain’s Final Frontiers at Innovation Hub Make the Innovation Hub your destination for dynamic, innovative, and interactive opportunities to tap into your creative side and explore the brain’s final frontiers during your 2020 Annual Meeting week in Toronto. From twice-daily wine and paint sessions and medical improv to expert-led 30-minute presentations showcasing innovations in practice management and patient care to the popular Brainstorm Competition, this unique area will challenge you to think differently about ways to approach your practice, patient care, and the future of neurology.

Social Media for the Modern Neurologist: How Twitter Allows You to Amplify Your Voice and Engage Your Community of Physicians and Patients Incorporating a Pharmacist into Your Neurology Practice for Free—Results of a Pilot For a full schedule, visit AAN.com/view/ELA. 

Look for these and more opportunities all week long: You Died of Dysentery: Gaming in Education Rotten Eggs: A Dozen Things to be Wary of When Considering Treatments or Trials on the Internet The Midas Touchscreen: Turn Your App Idea into Gold Twitter for Neurologists: Basics and Beyond Video Games in Neuro-Rehab: Big Bucks or Xbox Author Your Own Future: Self-publishing in Neurology Nutritional Neurology: Back to Basics Office Practice Mechanisms to Provide Services for the New CPT Codes

Presentations Will Push Boundaries at HeadTalks continued from cover learning—outside 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. 2020 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, including:

The Salem Witch Trials: How Could That Possibly Happen?

Neurology-themed game showstyle experiences over the noon hour

What’s That in Your Brain: 50 Essential Instant Pathological Recognition Cases

The Teenage Brain: A Neuroscientist's Survival Guide to Raising Adolescents and Young Adults

The Neuroscience of Magic: Sleight of Hand Is There a Neurologist on the Flight? Neuro HeadTalk: Story Slams

All Things Ice Cream: Brain Freeze

For a full schedule, visit AAN.com/view/ELA. 

AANnews • February 2020 9

Conferences & Community

Prioritization and Focus Guide Women Leading in Neurology Graduate to New Successes

Hessler

“’FOCUS’…this is what is taped to the bottom of my office computer and this is what I learned from my leadership training in the WLN program,” said Hessler, who acknowledges that despite her love for being a neurologist, family is her first priority; the challenge being how to weigh her professional decisions within the context of her personal responsibilities. “The experience taught me to prioritize my career goals and then focus on those priorities. As a working mother with a busy physician husband, it became quite clear that I had to consider my personal responsibilities. Taking care of my home and raising our beautiful daughters—one wants to go to the Olympics as a gymnast in 2028 and the other is determined to be the first female president—is my most important job.” One of the strategies Hessler’s leadership consultant, Joanne L. Smikle, PhD, employed during the program was to hold up a mirror for each participant to see herself in an objective way. “I have never had anyone push me within my career the way that Joanne pushed me,” said Hessler. “I recall one particular one-on-one coaching phone call with Joanne: I responded, ‘What, I don’t say that all the time!’” As a result of the experience, Hessler affirmed that her two career-related priorities—and, thus, focus—were neurologic education and women’s neurology. Since graduating, she has successfully pursued further leadership positions in both of these areas. In terms of neurologic education, Hessler, who is an associate professor of neurology and has been the neurology clerkship director at the University of Kentucky in Lexington since March 2011, has accomplished much since graduating from the

AANnews • February 2020

program. “Following WLN, I was elected as the chair of the M3 Clerkship Directors Committee by the other clerkship directors and I am currently working with the COM leadership and other clerkship directors to coordinate the addition of two regional campuses,” she said. “I have also served as the SIGN special project advisor and worked with SIGN students over the past three years to develop and implement a curriculum designed to teach elementary children about the brain. These students have gone on or plan to pursue neurology, neurosurgical, and psychiatry residencies. We worked to implement this curriculum within the Fayette County public school system and are now finalizing the manuscript to publish our data from this project. This became the senior research project of two of our graduating medical students going on to neurology and psychiatry residency programs.” Hessler’s hard work in neurologic education has not gone unrecognized. In the spring of 2019, she was appointed by AAN President James C. Stevens, MD, FAAN, to serve on the Academy’s Education Committee, and at her own institution she was awarded the Abraham Flexner Master Educator Award for Outstanding Contributions Within Teaching, Leadership, Innovation and Development. Even more recently, she was honored with the AAN’s A.B. Baker Teacher Recognition Award. Regarding the other priority she established during her nearly eight months in the WLN program— women’s neurology— Hessler explains, “I have been fortunate to have two incredible mentors who are pioneers in the field of women’s neurology: Dr. M. Angela O’Neal at Brigham and Women’s in Boston and Dr. Janet Waters at the University of Pittsburgh in Pennsylvania, as well as a supportive chairman, Dr. Larry Goldstein. With my WLN skills, I was able—with Dr. O’Neal’s guidance—to establish an obstetrical neurology clinic in conjunction with my obstetrics colleagues that opened in August 2018, continues bimonthly, and is soon to expand. This is only the fifth women’s neurology program in the country. Additionally, I was asked by the AAN to follow Dr. O’Neal in leading the 2019 AAN Annual

Meeting course, Case Studies in Pregnancy, and will continue in 2020.” In 2016 and 2018, mentors O’Neal and Waters organized an Obstetrical Neurology Conference in Pittsburgh. Under their guidance, Hessler hosted a similar conference at her home institution in September 2019. The conference attracted approximately 100 attendees from a regional catchment area in a variety of specialties, including OB, neurology, internal medicine/women’s health, and neuroradiology. “My long-term goal is to use the skills acquired through my WLN training to promote the field of women’s neurology as a subspecialty of neurology,” said Hessler.

physicians into practice with a basic understanding of neurology and to inspire others to join the amazing field of neurology as well as putting women’s neurology on the map.” Added Hessler, “In addition to the leadership skills gained, I met 10 absolutely amazing colleagues/friends. They became my confidants and cheerleaders and have continued to be that in the year and a half since completing our WLN program.”

The Women Leading in Neurology Program is an empowering and inspirational program designed to help participants tackle gender disparities head-on, create a peer network with other female AAN members, and advance to the top levels of leadership in their fields and within the “The experience that I gained Academy. The application through Women Leading period for the 2020-2021 Women 2017–2018 Women Leading in Neurology graduates in Neurology has been Leading in Neurology Program instrumental in elevating my will open this spring. Learn more career and teaching me to focus on my priorities—that ‘FOCUS’ about the variety of Leadership Programs available to members note will remain taped on the bottom of my computer as I at AAN.com/view/WLN.  move forward in my career. I strive to send hundreds of young MEM: 18 APP Recruitment Ad Ad—Half Page Horizontal> AN Placed in AANnews 8.25 x 5.25 +0.125 bleed, 4C

A STRONGER TEAM MEANS STRONGER CARE

Strengthen your ADVANCED PRACTICE PROVIDER’S knowledge and skills in neurology with special, reduced rate AAN memberships.

Sign your team up today at AAN.com/view/CareTeam

Conferences & Community

New Health Care Equity Symposium to Address Disparities, Feature Renowned Speakers In today’s world, the reality is that access to quality health care varies greatly depending on race, gender, socioeconomic status, and sexual identity. A new AAN Health Care Equity Symposium on Monday, April 27, from 1:00 p.m. to 5:30 p.m. during the 2020 Annual Meeting will provide an opportunity for participants to recognize disparities in care and learn how to modify their practices to eliminate the gap and help move neurology toward health equity. The program will feature an interactive panel discussion on disparity mitigation success stories, a health care disparity poster blitz, a networking reception, a keynote speaker, and two renowned topic-expert speakers: Olajide Williams, MD, on stroke, and Jennifer Manly, PhD, on dementia. Williams is the chief of staff in the Department of Neurology and associate professor at Columbia University. He is also co-director of Columbia University’s Wellness Center. His research is focused on community-based behavioral interventions with an emphasis on therapeutic lifestyle programs, stroke preparedness, and health disparities. He is an NIH-funded researcher with several R01-level awards, including co-

AANnews • February 2020

directing one of four national NIH-funded Stroke Prevention Intervention Research Program (SPIRP) centers focused on stroke disparities. Williams has authored numerous peer reviewed articles including the trade book Stroke Diaries and textbook Handbook of Neurological Therapeutics, both published by

Williams

Manly

Oxford University Press. As founder of Hip Hop Public Health, Williams targets economically disadvantaged urban environments through music, multimedia, and entertainment based programming in collaboration with music industry experts and artists. He has received numerous local, regional, national, and international honors for his public health work, his scholarly activities, teaching, and his patient care, and been named on Fast Company Magazine’s 100 Most Creative People list, Root 100’s most influential Blacks in America list, and New York Magazine's Best Doctors list. He has served on

the American Heart Association’s Founders Affiliate Board of Directors, and currently serves on the Board of the Partnership for a Healthier America, a bipartisan organization whose honorary chair is former First Lady Michelle Obama. Jennifer Manly, PhD, is a professor of neuropsychology in the Department of Neurology at the Taub Institute for Research in Alzheimer’s Disease and the Aging Brain at Columbia University. Her research focuses on mechanisms of disparities in cognitive aging and Alzheimer’s disease. She received Early Career awards from the Society for Clinical Neuropsychology and from the National Academy of Neuropsychology, received the Tony Wong Diversity Award for Outstanding Mentorship and the International Neuropsychological Society’s Paul Satz Career Mentoring Award, and is an APA Fellow. She served on the HHS Advisory Council on Alzheimer's Research, Care and Services from 2011–2015 and was a member of the Alzheimer’s Association Medical & Scientific Research Board. Learn more at AAN.com/view/AM20. 

Special Memberships for Advanced Practice Providers Deliver Customized, Career-strengthening Resources Advanced practice providers (APPs) are invaluable to the success of the neurology care team, which is why the AAN offers specially priced 2020 memberships for APPs. Encourage your APPs to join one of the fastest growing segments of AAN membership to start connecting with a network of more than 1,400 neurology APPs from around the world and enjoying career-enhancing benefits designed to strengthen their knowledge and skills, practice and care teams, and patient care. $270 PLUS membership offers the best value with:

Access to Neurology ® journal, Neurology ® Clinical Practice*, and Neurology Today ® Opportunities to connect with a network of advanced practice providers, neurologists, and neuroscience professionals worldwide through SynapseSM Online Communities Big savings on AAN conference registration, Continuum®, and other AAN products and services

Deep discounts to the 2020 Advanced Practice Provider conference

$115 membership offers many of the same membership benefits, excluding online education courses, Neurology journal (print and online), and Neurology Today (print).

Online education courses through the AAN at no additional cost

Learn more and join today at AAN.com/view/CareTeam. 

Elkind Named AHA President Starting in July 2020, AAN member Mitchell S.V. Elkind, MD, MS, MPhil, FAAN, will serve a term as president of the American Heart Association. Elkind has served on several AAN committees, including the Registry Subcommittee, the Neurology ® Editor-in-Chief Search Elkind Committee, and the Education Research Subcommittee and as editor of the Neurology Resident & Fellow Section. He will be the second neurologist to serve as AHA president, after Ralph L. Sacco, MD, MS, FAAN. 

Read AAN Policy on Equity, Diversity, and Inclusion Last year, the AAN Board of Directors approved a Policy on Equity, Diversity, and Inclusion. The policy was developed by the Equity, Diversity, and Inclusion Joint Coordinating Council. Members are encouraged to review this policy available online at AAN.com/view/AANPolicies.

McClean

“The AAN is committed to building and sustaining an inclusive organization that respects and values the diversity of our membership and the communities we serve,” said Jeffrey C. McClean II, MD, FAAN, chair of the Equity, Diversity, and Inclusion Joint Coordinating Council. “This policy outlines guiding principles for the AAN as well as commitments to inclusive leadership expected of all AAN leaders, from volunteers to members of the Board.” 

Annual Meeting Early Registration Deadline Save when you register by March 5. Visit AAN.com/view/AM20 today!

April 25 – May 1 • Toronto, Canada

AANnews • February 2020 13

Tools & Resources

Axon Registry Adds New Quality Measures for 2020 AAN members should be aware of new quality measures available as qualified clinical data registry (QCDR) measures in Axon Registry ® for 2020. QCDR measures are not officially part of the Quality Payment Program but are implemented in registries designated as a QCDR. The Axon Registry added new quality measures that are now eligible for Merit-based Incentive Payment System (MIPS) reporting. These new measures are approved by CMS to tie Medicare payments to high-quality and cost-efficient care, drive improvement in care processes and health outcomes, increase the use of health care information, and reduce the cost of care.

Axon 48: Activity Counseling for Back Pain The purpose of this measure is to assess percentage of patients 18 to 65 years of age who were counseled to remain active and exercise or were referred to physical therapy.

QPP 238: Use of High-Risk Medications in the Elderly Percentage of patients 66 years and older who were ordered high-risk medications.

New measures also were added to help Axon users track data and drive improvement in practice but are not eligible for MIPS reporting.

QPP 277: Sleep Apnea: Severity Assessment at Initial Diagnosis Percentage of patients aged 18 years and older with a diagnosis of obstructive sleep apnea who had an apnea hypopnea index (AHI) or a respiratory disturbance index (RDI) measured at the time of initial diagnosis.

Axon 34: Botulinum Toxin Serotype A (BoNT-A) for Spasticity or Dystonia The purpose of this measure is to improve spasticity and dystonia by BoNT-A injection to allow better delivery of care and hygiene and improve tolerance to other treatments.

QPP 281: Dementia: Cognitive Assessment Percentage of patients, regardless of age with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period. There are also five quality measures that have been historically underutilized in the Axon Registry but that are now provisionally approved as MIPS QCDR measures in 2020. These measures are guaranteed for 2020, but their return is not guaranteed for future years. It is hoped additional users will report on these measures, demonstrating the value of collecting data for specialized patient populations in neurology. Axon 23: Exercise and Appropriate Physical Activity Counseling for Patients with MS The purpose of this measure is to counsel patients with multiple sclerosis on the benefits of exercise and physical activity. Axon 33: Querying for Co-morbid Conditions of Tic Disorders and Tourette Syndrome The purpose of this measure is to assess the percentage of patients who were queried for psychological and/or behavioral co-morbid conditions of tic disorder or Tourette syndrome and if present, treated or referred for treatment of co-morbid conditions. Axon 41: Quality of Life Assessment for Patients with Epilepsy The purpose of this measure is to assess the percentage of patients whose quality of life assessment results are maintained or improved during the measurement period.

Axon 44: Benign Positional Paroxysmal Vertigo (BPPV): Dix-Hallpike and Canalith Repositioning The purpose of this measure is to assess patients with BPPV who had a Dix-Hallpike maneuver performed and who had therapeutic canalith repositioning procedure performed.

AANnews • February 2020

Axon 37: Current MS Disability Scale Score The purpose of this measure is to ensure appropriate follow-up after disability scale scores are reviewed for patients with MS. Axon 39: Ocular Myasthenia Gravis: Improvement of Ocular Deviation or Absence of Diplopia or Functional Improvement The purpose of this measure is to improve ocular deviation or the absence of diplopia or functional improvement. Axon 43: Vestibular Rehabilitation for Unilateral Vestibular Hypofunction The purpose of this measure is to ensure patients with unilateral or bilateral vestibular hypofunction received vestibular rehabilitation. Axon 47: Avoidance of Dopamine-blocking Medications in Patients with PD: The purpose of this measure is to reduce the number of patients with Parkinson’s Disease prescribed dopamineblocking medications. The MIPS performance year starts on January 1 and ends on December 31 annually. Program participants utilizing a QCDR, such as the Axon Registry, must report the data collected during the 12-month calendar year by March 31 of the following year. For example, MIPS participants who collected data in 2019 via a QCDR must report their data by March 31, 2020, to be eligible for a payment increase and to avoid a payment reduction in 2020. To learn more about the Axon Registry and quality measures, go to AAN.com/view/Axon or contact registry@aan.com. For more information about registry enrollment, contact Arnel Rillo at arillo@aan.com. 

The Future of the QPP: MIPS Value Pathways Coming in 2021 The Quality Payment Program (QPP), which includes both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) tracks, saw small and expected incremental changes to program requirements in the 2020 reporting year, finalized in the 2020 Physician Fee Schedule. The minimal changes for 2020 are likely due to the Centers for Medicare & Medicaid Services (CMS) finalization of a major overhaul to the MIPS program—a new participation framework called MIPS Value Pathways (MVPs)—set to begin in 2021. The MVP framework is a response to stakeholders’ indication that after several years, MIPS requirements and options are still difficult for clinicians to navigate and are overly burdensome. The MVP framework aims to break down the siloed MIPS components—Quality, Cost, Improvement Activities and Promoting Interoperability—by aligning measures and activities related to a specific specialty or condition in a way that more

Attention Solo and Small Practices!

accurately represents clinical workflows and transitions clinicians into APMs faster. Though the MVP framework was finalized, details about it are still forthcoming and CMS has indicated its commitment to working closely with stakeholders, including specialty societies, to develop MVPs this year and beyond.

Solo and small practices reporting 2019 MIPS quality measures via Medicare Part B claims must submit data by the end of this month. Learn more at qpp.cms.gov

The AAN provided extensive comments in response to CMS’s request for information on the MVP proposal and has initiated conversation with CMS regarding collaborating on the development of meaningful MVPs for neurologists and neurology advanced practice providers (APPs) to participate. Learn more about the MVP framework at qpp.cms.gov/mips/ mips-value-pathways. For the latest QPP-related resources and information for neurologists and neurology APPs including MVPs, please visit AAN.com/view/qpp or email practice@aan.com. 

‘Wonder Woman’ Takes on Mother’s Alzheimer’s The February/March issue of Brain & Life® profiles Lynda Carter, the “Wonder Woman” actress and singer, who talks about her mother’s Alzheimer’s diagnosis, how she has become an advocate, and what she does to protect her own brain health. A sidebar examines the incidence of Alzheimer’s among Hispanics. Another feature explains how various members of a care team—MD, PA, NP, APN, MA, OT, PT, genetics counselor, pain manager, LSW—contribute to the health of a young man with Duchenne muscular dystrophy and a patient with early-onset Alzheimer’s.

The Healthy Living section explores topics including how people with traumatic brain injury who practice yoga report feeling calmer and more in control of their lives, whether magnesium is good for the brain, and insurance benefits patients might not be using. FEBR

ND ESS A

SING

N DA E R LY

MAR

020 CH 2

gton’s Huntin sease Di tanding Undersmptoms, Sy ssion, Progre nosis og and Pr re Teame Your Ca mbl se As How tong Medical a Stro t Network Suppor se Exerci ga How Yoose th Helps ith TBI W

I nevere th played oudon’t-y ber m e rem with gameom.” my m —A C TR

UA RY/

CA R TE

Brain & Life magazine is free for AAN members in the United States to distribute to patients, who also can subscribe for free. If you would like to adjust the number of copies you receive for your patients or update your clinic address, email BeGreen @ WasteFreeMail.com. All members have online access to the magazine articles and additional resources at BrainandLife.org. Please share the website with your patients! 

AANnews • February 2020 15

Tools & Resources

Be Sure You’re Signed up for Neurology Journal ‘My Alerts’ Emails Are you missing important news and information in the Neurology ® family of publications? If so, sign up to receive daily or weekly “My alerts” emails from the journals. Each journal—Neurology, Neurology ® Clinical Practice, Neurology ® Genetics, and Neurology ® Neuroimmunology & Neuroinflammation—has its own “My alerts” for tables of contents, collections, latest news and blog posts, citations, corrections, and more. Visit n.Neurology. org/alerts to get started! 

Neurology Today Highlights Best Advances of 2019 The January 21, 2020, issue of Neurology Today ® takes a look at the Best Advances of 2019, featuring an expansive breadth of coverage of important developments in multiple subspecialties of neurology—from behavioral neurology/ dementia, cerebrovascular disease, epilepsy, MS, neurooncology, genetics, movement and neuromuscular disorders, and headache to issues related to ethics, practice, health policy, and professional well-being. The Neurology Today editorial board members—all leaders in their subspecialties—highlight advances that are both incremental and major. These experts point to the important developments in the medical literature—what they found and why they’re important. Among them: Three new FDA approvals that could change the trajectory of treatment for MS The first randomized placebo-controlled trial of an older agent could impact Dravet syndrome and other orphan epilepsy syndromes

AANnews • February 2020

Diagnostic advances that will help predict neurologic recovery after cardiac arrest Mindfulness-backed therapies that are effective for migraine Proof-of-principle findings for therapeutic targets in Huntington’s disease An agent associated with fewer deaths related to traumatic brain injury-related brain bleeds Promising gene therapy approaches for Duchenne muscular dystrophy The new Fc receptor inhibitors for myasthenia gravis and other autoimmune diseases mediated by autoantibodies New agents in the pipeline for CNS gliomas The ways in which advocacy is changing the practice landscape for neurology 

Policy & Guidelines

Apply for Advocacy Leadership Program by March 9 The deadline for applications for the 18th annual Palatucci Advocacy Leadership Forum (PALF) is rapidly approaching. If you have an advocacy project that will improve the lives of neurology patients or strengthen the practice of neurology in your workplace, community, or state, apply by March 9. This popular advocacy leadership training program will take place July 23–26, 2020, at the Hyatt Tamaya Resort in Albuquerque, NM. Learn more and apply at AAN.com/view/PALF. 

Dates & Deadlines

FEBRUARY 2020 SUN

MON

TUE

WED

THU

MARCH 2020 FRI

SAT

SUN

MON

TUE

WED

THU

FRI

SAT

SUN

MON

APRIL 2020

TUE

WED

THU

FRI

SAT

FEBRUARY 11

Webinar: Position Your Practice for Growth: Best Operational Practices in Your Neurology Business AAN.com/view/pmw20

FEBRUARY 11–16 RITE® Exam AAN.com/view/RITE

MARCH 5

APRIL 1

MARCH 9

APRIL 2

Early Registration Deadline: 2020 Annual Meeting AAN.com/view/AM20

Application Deadline: UCNS Headache Medicine Certification Examination UCNS.org

Application Deadline: Palatucci Advocacy Leadership Forum AAN.com/view/PALF

Advance Registration Deadline: 2020 Annual Meeting AAN.com/view/AM20

APRIL 14

FEBRUARY 21

Webinar: Patient Engagement that Works for Your Practice AAN.com/pmw20

Deadline: Brainstorm Video Submission AAN.com/view/brainstorm

FEBRUARY 24–25

APRIL 25–MAY 1

Neurology on the Hill Washington, DC AAN.com/view/NOH

AAN Annual Meeting Toronto, Canada AAN.com/view/AM20

AANnews • February 2020 17

Education & Research

Brush up on Autonomic Disorders with Continuum Many topics in the new Continuum: Lifelong Learning in Neurology® issue on autonomic disorders may surprise some neurologists, according to Guest Editor Eduardo E. Benarroch, MD, FAAN. “That autonomic manifestations are common in many neurological disorders; that most patients can be evaluated with an appropriate history, examination, and search for treatable causes of autonomic dysfunction without the need of specialized testing; that many commonly used drugs produce autonomic side effects; and that many patients can be managed with non-pharmacological approaches before considering drug therapy—these may all be surprising to some readers,” Benarroch said. Benarroch

The issue presents new information on the pathophysiological bases of autonomic disorders, clinical clues to their recognition, appropriate evaluation, and principles of non-pharmacological and pharmacological management, Benarroch said.

Topics in this issue include physiology and pathophysiology of the autonomic nervous system; autonomic history, examination, and laboratory evaluation; autoimmune autonomic disorders; autonomic peripheral neuropathy; synucleinopathies; postural tachycardia syndrome and neurally mediated syncope; sweating disorders; autonomic hyperactivity; management of orthostatic hypotension; lower urinary tract and bowel dysfunction in neurologic disease; and skin biopsy in evaluation of autonomic disorders. The issue also includes a postreading self-assessment and test with the opportunity to earn up to 20 AMA PRA Category 1 Credits™ toward SA-CME. AAN members pay only $399 per year for a subscription to Continuum® and Continuum® Audio. Subscribe now by contacting Wolters Kluwer at (800) 361-0633 or (301) 223-2300 (international) or visit Shop.LWW.com/continuum. AAN Junior members who are transitioning to neurologist memberships can receive a 50-percent discount on the already low member rate for the Continuum and Continuum Audio subscription. 

Training Programs Achieve UCNS Accreditation Five training programs have achieved accreditation status from the United Council for Neurologic Subspecialties (UCNS). Programs attaining UCNS accreditation status offer the core curriculum established by the subspecialty and meet required quality standards established by the UCNS. The programs and directors are:

Behavioral Neurology & Neuropsychiatry Geisinger Health System

Glen R. Finney, MD, FAAN

University of Nebraska Medical Center

Daniel L. Murman, MD, MS, FAAN

Headache Medicine Barrow Neurological Institute at St. Joseph Hospital and Medical Center

Courtney Schusse, MD

Phoenix Children’s Hospital Reena Gogia Rastogi, MD

Neuro-oncology Mount Sinai School of Medicine Adilia Hormigo, MD, PhD 

AANnews • February 2020

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.

Epileptologist and Movement Disorders Neurologists for Norton Neuroscience Institute Norton Neurology Services, a part of Norton Neuroscience Institute, is seeking a fellowship-trained physician to provide movement disorder services. Norton Neuroscience Institute is composed of 65 neuroscience providers, including 19 neurologists, 14 neurosurgeons, two neuropsychologists and more than 30 advanced practice providers. The ideal candidate will join three fellowship-trained epileptologists and three advanced practice providers. Our program features a six-bed, state-of the-art Level IV Epilepsy Monitoring Unit located at Norton Brownsboro Hospital. Opportunity to provide inpatient and outpatient epilepsy and general neurology services. Opportunity to participate in the annual Norton Neuroscience Institute Symposium, as well as other continuing medical education events. Weekly neuroscience clinical conference with neurosurgery and neurology providers. Research opportunities and support available through the Norton Healthcare Research Office. Established in early 2009, Norton Neuroscience Institute is the region’s leading provider of neurological care. The comprehensive program offers advanced treatment for complex neurological disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; movement disorders, including Parkinson’s disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. In 2016, Norton Neuroscience Institute was the first in the region to use ROSA, a robotic surgical assistant, to provide advanced treatment for patients with epilepsy and brain tumors. Norton Neuroscience Institute also is one of the first in the region to use systems such as NeuroPace and NeuroBlate for performing minimally invasive surgical procedures. Patients and their families have access to patient navigators and support services through the Norton Neuroscience Institute Resource Center, the Center for Independent Living and rehabilitation services. The resource center offers health information and assistance with getting connected to clinical trials, educational programs, support services, community resources and more to help patients live better. More information is available at NortonNeuroscienceInstitute.com. Norton Neurology Services, a part of Norton Neuroscience Institute, is seeking a fellowship-trained physician to provide movement disorder services. Norton Neuroscience Institute is composed of 65 neuroscience providers, including 19 neurologists, 14 neurosurgeons, two neuropsychologists and more than 30 advanced practice providers. The ideal candidate will join two fellowship-trained movement disorder neurologists. The practice enjoys referral patterns from other neurologists in the practice as well as other physicians and providers within Norton Medical Group. Ability to practice majority movement disorder neurology. No mandatory system stroke call. Opportunity to provide general inpatient neurology services. Opportunity to participate in the annual

PODCAST

Norton Neuroscience Institute Symposium, as well as other continuing medical education events. Weekly neuroscience clinical conference with neurosurgery and neurology providers. Research opportunities and support available through the Norton Healthcare Research Office. Because of an increasing elderly population in Greater Louisville, Parkinson’s disease is a significant health concern. As the region’s leader in providing care for neurological conditions, Norton Neuroscience Institute is dedicated to offering the most advanced treatments for people with Parkinson’s disease. Cressman Neurological Rehabilitation, a service of Norton Neuroscience Institute, provides rehabilitation for patients managing neurological conditions. Patients have access to some of the most advanced technology and specialized services in one location to help with gait, balance, strength, flexibility, speech, fine motor skills, swallowing, driving, cognition, vision and more. Specialized features include the ZeroG Gait and Balance System, the Biodex Gait Training System, deep brain stimulation, Parkinson Wellness Recovery-certified therapists, videostroboscopy, and one-on one personalized training and follow-up programs. Established in early 2009, Norton Neuroscience Institute is the region’s leading provider of neurological care. The comprehensive program offers advanced treatment for complex neurological disorders, including ALS; aneurysms; brain tumors; epilepsy; headache and concussion; movement disorders, including Parkinson’s disease; multiple sclerosis; pediatric neurosurgery; spinal injuries and disorders; stroke; and more. In 2016, Norton Neuroscience Institute was the first in the region to use ROSA, a robotic surgical assistant, to provide advanced treatment for patients with epilepsy and brain tumors. Norton Neuroscience Institute also is one of the first in the region to use systems such as NeuroPace and NeuroBlate for performing minimally invasive surgical procedures. Patients and their families have access to patient navigators and support services through the Norton Neuroscience Institute Resource Center, the Center for Independent Living and rehabilitation services. The resource center offers health information and assistance with getting connected to clinical trials, educational programs, support services, community resources and more to help patients live better. More information is available at NortonNeuroscienceInstitute.com.

department specializes in the following conditions Autism, Cerebral palsy, Dementia, Epilepsy, Multiple sclerosis (MS), Neuropathy, Stroke, Seizures, Migraine, Nerve and muscle disorders and Tremors. Wild and wonderful . . . almost heaven. The cultural, recreational, and business capital of the Appalachian Mountains. Excellent Public and Private Schools. NCAA Division I Intercollegiate Sports Teams. Driving distance for skiing, water sports, hiking, etc. Bike friendly community with a network of trails. Art walks, downtown street festivals and brown bag concert series. Come play - multiple family friendly venues and activities. Contact Timothy Stanley, Direct: 404-591-4224; 800-492-7771. Email tstanleyweb@phg.com. Fax: 404-591-4237 Cell / Text: 770-265-2001. Mention Code 180802 – CHN

Neurologist – Outpatient Central Vermont Medical Center (CVMC), a partner in The University of Vermont Health Network is recruiting for a Neurologist to join our practice. Located in the heart of the Green Mountain state, CVMC has a reputation for clinical excellence with a staff deeply rooted in our community. We have attracted and retained a very talented staff due to our focus on lifestyle and professional growth. Our Neurology practice provides general neurology services including, epilepsy/seizure disorders, stroke, chronic headaches/ migraines, multiple sclerosis, Parkinson’s and Alzheimer disease, as well as movement and neuromuscular disorders. This position is primarily an outpatient position with very reasonable inpatient call responsibilities. We are looking for a physician who wants to work in an area where you can have a long, sustainable career and enjoy the special lifestyle that comes with living in Vermont. The financial package includes a market based, competitive salary plus quality and productivity bonuses. Full benefit package includes moving expenses and assistance with student loans. Email sarah.child@cvmc.org

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 April 2020 print edition of AANnews A must be submitted by March 1, 2020. The same deadline applies to changes/cancellations.

West Virginia Pediatric Neurology Opening Join one of the best health care providers and teaching hospital in the state. Employed Position. Competitive salary with full benefit package. $50K sign-on bonus. More than 30 specialties are represented. Procedures performed: Advanced MS infusion therapies, Electromyography (EMG), Electroencephalogram (EEG), Evoked potentials studies, Lumbar puncture, Nerve conduction studies, Therapeutic injections for migraine and Epilepsy Monitoring Unit for long-term monitoring. Neurology

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 ® Podcast:

20 Minutes Pack a Punch! Subscribe and download the latest podcast at Neurology.org/podcast

AANnews • February 2020 19

In Multiple

Sclerosis —

GREY MATTERS, TOO