Outpatient Concussion Management for the Primary Care Specialist - 2015

Concussion Training
Outpatient Concussion Management for the Specialist
Release Date: 10/1/15
Expiration Date: 9/30/18

Faculty Information

Christopher M. Bailey, PhD
Director, Sports Medicine Concussion Center
Director, Concussion Program
UH Neurological Institute
Assistant Professor of Neurology
Case Western Reserve University School of Medicine
Dr. Bailey reported no relevant financial relationship with a commercial interest relevant to this activity.

Susannah M. Briskin, MD
Co-Director, Sports Medicine Concussion Center
UH Case Medical Center
Associate Professor of Pediatrics
Case Western Reserve University School of Medicine
Dr. Briskin reported no relevant financial relationship with a commercial interest relevant to this activity.

S. Alan Hoffer, MD 
Director, Traumatic Brain Injury Center
UH Neurological Institute
Assistant Professor of Neurological Surgery
Case Western Reserve University School of Medicine
Dr. Hoffer reported no relevant financial relationship with a commercial interest relevant to this activity.

Christopher L. Tangen, DO
Lead Concussion Care Specialist
Sports Medicine Concussion Program, The Cleveland Browns
Sports Medicine Practitioner
UH Regional Medical Centers
Dr. Tangen reported no relevant financial relationship with a commercial interest relevant to this activity.

Media: Recorded slides and audio presentation.  Supplementary educational materials may include download of print materials or web pages.

To contact the CME Provider: E-mail Case Western Reserve University School of Medicine CME at medcme@case.edu.

Target Audience 
This continuing medical education (CME) program is intended for a community hospital audience including physicians, athletic trainers, and other members of the health care team that provide care to patients who have sustained concussions. Most presentations will target primary care physicians in clinical practice, though athletic trainers, other healthcare providers that work with patients that have sustained a concussion, office managers and administrators may also benefit from awareness and discussion of clinical initiatives and quality management issues.

Global Practice Gap /Goal Statement
Program content will focus on new information supported by the most recent scientific evidence that affects clinicians and their care of patients. Educational needs will be identified from diverse sources, including data from University Hospitals physician panels.

Learning Objectives for this Session
After participating in the activity, participants will be able to:

  • Discuss UH concussion management services, including past efforts, current initiatives, and attempts to better integrate and standardize services across the system
  • Describe the role of the primary care concussion specialist in the UH concussion management program
  • Identify important themes in concussion management services for all providers
  • Understand the causes and effects of elevated intracranial pressure
  • Identify signs and symptoms at the time of injury that may indicate a severe traumatic brain injury
  • Understand the urgent nature of care for patients with severe cranial injuries
  • Describe neuropsychological/neurocognitive testing and its relevance to concussion management
  • Describe evidence-based approaches for the use of neuropsychological data in concussion management and return-to-play decisions
  • Demonstrate general understanding of ImPACT specifically, including the neurocognitive composites generated, methods for interpretation, and factors relevant for obtaining valid ImPACT data
  • Describe the current concussion referral environment in the UH system
  • Discuss recommendations for concussion management in the primary care setting
  • Identify best practices for evaluating concussed patients in the primary care setting and when to refer

Accreditation Statement

Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Case Western Reserve University School of Medicine designates this enduring material for a maximum of 3.25 AMA PRA Category 1 Creditsâ„¢.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Planning Committee
Anthony Furlan, MD
Chair, Department of Neurology 
UH Case Medical Center
Professor of Neurology
Case Western Reserve University School of Medicine
Dr. Furlan reported no relevant financial relationship with a commercial interest relevant to this activity.

Alan Lerner, MD
Director, Brain Health and Memory Center, Department of Neurology
UH Case Medical Center
Professor of Neurology
Case Western Reserve University School of Medicine
Dr. Lerner reported no relevant financial relationship with a commercial interest relevant to this activity.

Benjamin Walter, MD 
Medical Director, Deep Brain Stimulation Program
Director, Movement Disorder Center
Department of Neurology
UH Case Medical Center
Assistant Professor of Neurology
Case Western Reserve University School of Medicine
Dr. Walter has received honoraria from Teva, UCB, and USWM and the CME Program has determined there is no conflict of interest.

Disclosure Statement
The policy of Case Western Reserve University School of Medicine CME Program (CWRU CME) requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the education activity) disclose to the activity participants all relevant financial relationships with commercial interests.  Where disclosures have been made, conflicts of interest, real or apparent, must be resolved.  Disclosure will be made to activity participants prior to the commencement of the activity.  CWRU CME also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of "off-label" or investigational use of pharmaceutical products or medical devices.

Instructions
To receive a statement of credit for up to 3.25 AMA PRA Category 1 Creditsâ„¢ you must:

  1. Review the full content of the recorded session.
  2. Review any supplementary materials referenced.
  3. Reflect on the content.
  4. Successfully complete the post-test. A score of 80% is required.
  5. Complete the evaluation.

Your credits will be recorded by the CWRU School of Medicine CME Program and made a part of your cumulative transcript.

Estimated Time to Complete this Educational Activity
Including review of the supplementary material and completion of the post-test, this activity is expected to take 3.25 hours to complete.

Fee
There is no fee for this program.

Medical Disclaimer
Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required.  The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication.
Although every effort is made to ensure that this material is accurate and up-to-date, it is provided for the convenience of the user and should not be considered definitive.  Neither the authors nor the Case School of Medicine nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information.
Learners are encouraged to confirm the information contained herein with other sources.  This information should not be construed as personal medical advice and is not intended to replace medical advice offered by physicians.  The Case School of Medicine will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising here from.

Presenters

Susannah Briskin, MD

Susannah Briskin, MD Division of Pediatric Sports Medicine
UH Cleveland Medical Center
Associate Professor of Pediatrics
CWRU School of Medicine
View Full Profile

Christopher Bailey, PhD

Christopher Bailey, PhD Director, Sports Medicine Concussion Center & Concussion Program
UH Neurological Institute
Dr. Bailey has done contracted research with Vista LifeScience, Inc., and the CME Program has determined there is no conflict of interest.
View Full Profile

S. Alan Hoffer, MD

S. Alan Hoffer, MD Director, Traumatic Brain Injury Center
UH Neurological Institute
Dr. Hoffer reported no relevant financial relationship with a commercial interest relevant to this activity.
View Full Profile

Christopher Lyn Tangen, DO

Christopher Lyn Tangen, DO Lead Concussion Care Specialist
UH Neurological Institute
Dr. Tangen reported no relevant financial relationship with a commercial interest relevant to this activity.
View Full Profile