• Certified Advanced Primary Stroke Center
• Clinical staff with advanced skills including neurological nursing
• Neurodiagnostics Department • CARF Accredited Acute Rehabilitation Center
• Dedicated resources to enhance outcomes
The Hycy & Howard Hill Neuroscience Institute has earned its ratings as the health care provider Californians trust to deliver care – that’s HEADS ABOVE THE REST.
Registration & Program Information
After-care of the DBS patient, rehabilitation of the movement disorders patient with and without DBS •
SATURDAY, SEPTEMBER 24, 2011
DBS programming •
Providence 2011 Update for Neurosurgeons, General Neurologists, and Primary Care Providers
Stereotactic frame and microelectrode recording •
The Hycy and Howard Hill Neuroscience Institute presents
Hands-on DBS targeting •
Non-Profit Org. U.S. Postage PAID North Hollywood, CA Permit No. 867
Deep brain stimulation (DBS) implementation protocols
• Leading edge procedures and technologies
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• Advanced Neuroimaging capabilities
Patient selection and referral guidelines
• Movement Disorders Center offering Deep Brain Stimulation Surgery
• Balance and Vestibular Rehab
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• Neurovascular Center offering Neurointerventional Radiology
U P D AT E S O N M O V E M E N T D I S O R D E R T O P I C S
The Hycy & Howard Hill Neuroscience Institute offers:
This conference is designed for the wide spectrum of generalists and specialists who diagnose and manage movement disorders. It will explore new advances in the diagnosis and treatment of Parkinson’s disease and Essential Tremor. Attendees will have the opportunity to participate in lectures, panel discussions, case reviews and hands-on sessions. Featuring a renowned faculty, it offers the opportunity to review state-of-the-art concepts and techniques.
Top 5 percent in the nation for treatment of stroke rating Gold Seal of Approval™ from the Joint Commission for Advanced Primary Stroke Centers Gold Plus Performance Achievement Award from the American Stroke Association Approved Stroke Center (ASC) designation from the Los Angeles County Department of Health Services President’s Award of Excellence from Providence Health & Services for the treatment of stroke
The Hycy and Howard Hill Neuroscience Institute at Providence Saint Joseph Medical Center 501 S. Buena Vista Street Burbank, CA 91505
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Providence 2011 Update for Neurosurgeons, General Neurologists, and Primary Care Providers
The brain is the body’s most complex organ. From tumors and movement disorders to spine surgery or stroke, it’s all about the outcomes. The Hill Neuroscience Institute successfully treats neurological disorders every day. With experienced staff and leading-edge technology, we offer full-service, comprehensive treatment. In addition, our Institute has received the following quality designations:
The Hycy and Howard Hill Neuroscience Institute presents
The Hycy and Howard Hill Neuroscience Institute at Providence Saint Joseph Medical Center, the Valley’s only comprehensive Neuroscience Institute, is committed to advances in the neurosciences, as we grow to meet the needs of our community and the specialized demands of advanced neurological care.
The Movement Disorders Conference is the San Fernando Valley’s premier interdisciplinary conference. REGISTER TODAY! Get the latest updates on topics including: patient selection and referral guidelines, deep brain stimulation (DBS) implementation protocols, hands-on DBS targeting, stereotactic frame and microelectrode recording, DBS programming, after-care of the DBS patient, rehabilitation of the movement disorders patient with and without DBS.
ABOUT THE HYCY AND HOWARD HILL NEUROSCIENCE INSTITUTE
2011 PROVIDENCE FACULTY
Ronald F. Young, MD, FACS Medical Director, Movement Disorders Center Hycy and Howard Hill Neuroscience Institute
Michael Marvi, MD, MS Movement Disorders Specialist Hycy and Howard Hill Neuroscience Institute
Michael Lupo, MD Medical Director, Acute Rehabilitation Center Providence Saint Joseph Medical Center & Providence Holy Cross Medical Center
AGENDA & SPEAKERS
CARE OF THE MOVEMENT DISORDERS PATIENT: A TEAM APPROACH Course Overview Tremor is the most common of all movement disorders, falling into three main categories: resting, action and postural tremor. The most common cause of resting tremor is Parkinson’s disease (PD). Essential Tremor (ET), or non-physiologic tremor, has an estimated worldwide prevelence of up to 5 percent of the population. Although it often affects young individuals, the incidence of ET increases with age. ET may be associated with an increased risk for developing PD. The incidence of PD increases rapidly in those over 60 years, with a mean age at diagnosis of 70.5 years. While the frequency of the disease is considerably higher in the over-60 age group, there is an alarming increase of patients of younger age. Considering the increased life expectancy in this country and, in Los Angeles County, in particular, an increasing number of people will be victims of PD. Medications can be effective in managing movement disorders, including essential tremors, dystonia and PD. If medications do not work well enough, deep brain stimulation (DBS), may be an option. DBS is currently the most frequently performed surgical procedure for the treatment of tremor, dystonia and advanced PD. DBS is non-destructive, can be performed bilaterally with low neurologic morbidity, and can be modified over time to deal with changing or progressing patient symptoms. The purpose of this seminar is to raise awareness among general neurologists and primary care physicians of diagnostic tools for movement disorders and PD as well as evidence-based recommendations for optimal medical therapy, surgical options and rehabilitation. By promoting timely diagnosis and earlier and appropriate treatment, we hope to improve community outcomes in movement disorders and PD. Performance Gap/Activity Statement The diagnostic approach to patients with tremor and other movement disorders involves a careful history, physical examination, and selected laboratory studies. Specific signs or symptoms contribute to the diagnosis. Likewise, an accurate diagnosis of PD rests on the clinician’s ability to recognize its characteristic signs and associated symptoms, especially in the early stages. Specific therapeutic goals for PD include earlier referral of PD patients for deep brain stimulation DBS before they have reached Stage 3 (postural instability), but after their medications have been maximized for tremor/rigidity, motor fluctuations, and dyskinesias. The multidisciplinary involvement of rehabilitation specialists, including physiatrists and physical therapists, plays a vital role in therapeutic goals for PD patients, and earlier referral is crucial. Course Description/Format This will be a live, four-hour interactive event, including didactic instruction and hands-on skill sessions.
Targeted Learners Neurosurgeons, neurologists, internists, general/family practitioners, rehab therapists, nurses. Learning Objectives At the end of the course/presentation, attendees will be able to: • Recognize the signs and symptoms of PD and other movement disorders, conduct an appropriate work-up, and make the differential diagnosis. • Treat PD and other movement disorders throughout the disease continuum according to evidence- based recommendations for medical therapy and rehabilitation. • Explore myths and misconceptions about DBS. • Identify patients who can benefit from DBS and refer at earlier stages. • Interrogate or program a DBS device. • Identify cultural diversity or disparity issues that impact the etiology and epidemiology of PD and other movement disorders or impede earlier treatment of PD and other movement disorders. Accreditation Providence Saint Joseph Medical Center is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. Providence Saint Joseph Medical Center takes responsibility for the content, quality and scientific integrity of this CME activity. Providence Saint Joseph Medical Center designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education. Neurologists may apply credits earned in this activity toward the 30 specialty credits needed per year over the 10-year Maintenance of Certification cycle. PT Credit Pending approval for CEU’s for physical therapists through the California Physical Therapy Association (CPTA). Contact For information regarding the conference, contact Jacqui Steltz-Lenarsky at (818) 847-3882 or by e-mail at Jacqueline.Steltz-Lenarsky@providence.org. Support We gratefully acknowledge the education grant from Medtronic in support of this activity.
REGISTRATION Register online at www.providenceevents.org or via phone by calling the PSJMC Continuing Medical Education Department at (818) 847-3882. Registrations are due by September 16, 2011. Seating is limited. Validated parking is available in the Visitor Parking Lot off of Alameda Ave. and Buena Vista St. There is no fee to attend this conference. CONFERENCE LOCATION Providence Saint Joseph Medical Center Bob & Dolores Hope Conference Center 501 S. Buena Vista Street Burbank, CA 91505
SATURDAY, SEPTEMBER 24 7:30 a.m. - 8:00 a.m.
Registration/ Full Breakfast
8:00 a.m. - 8:05 a.m.
Welcome and Introductions Margarita Oveian, MD Chair, Neurology Section, PSJMC
8:05 a.m. - 8:35 a.m.
Movement Disorders Primer 2011: Patient Selection/When to Refer Michael Marvi, MD, MS
8:35 a.m. - 9:05 a.m.
Surgery for Movement Disorders: DBS Implantation Protocol Ronald Young, MD, FACS
9:05 a.m. - 9:15 a.m.
Break
9:15 a.m. - 10:15 a.m.
Skills Workshops
Session 1 (30 min)
Hands-on DBS Targeting, Stereotactic Frame and Microelectrode Recording Moderator: Ronald Young, MD, FACS
Session 2 (30 min)
DBS Programming Moderator: Michael Marvi, MD, MS
10:15 a.m. - 10:30 a.m.
Break
10:30 a.m. - 11:00 a.m.
After-care of the DBS Patient: Your Role as Providers Michael Marvi, MD, MS
11:00 a.m. - 11:30 a.m.
Rehabilitation of the Movement Disorders Patient With and Without DBS Michael Lupo, MD
11:30 a.m. - 11:40 a.m.
Break
11:40 a.m. - 12:00 p.m.
Ask the Experts Panel Drs. Marvi, Young and Lupo
12:00 p.m. - 12:05 p.m.
Wrap-up & Evaluations