UH Neurological Institute Concussion Training for the UH Physician - 2016

Release Date: 5/10/2016
Expiration Date: 5/9/2019

PROGRAM AGENDA

Introduction & Current Topics in Concussion Management
Christopher Bailey, PhD

More Than a Concussion: Indications of Severe Head Injury
S. Alan Hoffer, MD

Concussion Management Update
Christopher Lyn Tangen, DO & Susannah Briskin, MD

Neuropsychology Update
Christopher Bailey, PhD

The Role of Physical Therapy in Acute and Chronic Concussion Management
Michele Hippler-Brant, PT, DPT, ITPT, CCCE & Bethany Brennan, PT, DPT

Faculty 

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 has done contracted research with Vista LifeScience, Inc., and the CME Program has determined there is no conflict of interest. 

Bethany Brennan, PT, DPT
Senior Therapist
Exertional Therapy Concussion Coordinator
Rehabilitation and Sports Medicine
UH Cleveland Medical Center
Ms. Brennan reported no relevant financial relationship with a commercial interest relevant to this activity.

Susannah Briskin, MD
Division of Pediatric Sports Medicine
UH Cleveland 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.

Michele Hippler-Brant, PT, DPT, CCCE
Supervisor, Outpatient Rehabilitation
UH St. John Medical Center
Vestibular Therapy Coordinator
UH Sports Medicine Concussion Center
Ms. Hippler-Brant 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 Lyn Tangen, DO
Lead Concussion Care Specialist
Sports Medicine Concussion Program
UH Neurological Institute
Associate Medical Team Physician for 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.

Target Audience

This 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.

Learning Objectives

After participating in this activity participants will be able to:

  • 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
  • Discuss ImPACT testing and interpretation
  • Describe the role of physical therapy in acute and chronic concussion management
  • Identify the components of a physical therapy concussion evaluation
  • Demonstrate a basic understanding of the exertion and vestibular components of return to play
  • Recognize the importance of baseline testing
  • Identify 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
  • Recognize the urgent nature of care for patients with severe cranial injuries
  • Demonstrate an understanding of the current structure of the UH Concussion Center and be able to facilitate a patient through the multiple resources in our system, such as physical therapy and neuropsychology
  • Recognize a standard concussion office visit history and evaluation
  • Identify current trends of referrals that are being seen by the UH PCP concussion specialists
  • Discuss new concepts in concussion management

Media
Recorded slides and audio presentation. Resource materials may include downloads of videos, print materials, slides or web pages.

Planning Committee

Anthony Furlan, MD
Chair, Department of Neurology
UH Cleveland 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 Cleveland 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 Cleveland Medical Center
Assistant Professor of Neurology
Case Western Reserve University School of Medicine
Dr. Walter is a consultant for Haymarket Media Inc. and Medtronic, and is a paid speaker for Medtronic, Teva, UCB and US World Meds, and the CME Program has determined there is no conflict of interest

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 2.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

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 educational 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 2.25 AMA PRA Category 1 CreditsTMyou must:

  1. Review and reflect on the full content of the recorded session.
  2. Successfully complete the post-test. A score of 75% is required for passage.
  3. Complete the evaluation.

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

Estimated Time to Complete this Educational Activity

Including review of any resource material and completion of the post-test, this activity is expected to take two and one-quarter hours to complete.

Fee

There is no fee for this program.

To contact the CME Provider: Email CWRU CME at medcme@case.edu 

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.  Since medicine is an ever-changing science, neither the authors nor Case Western Reserve 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. 

Readers 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. Case Western Reserve University School of Medicine will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising therefrom.

Resources

UH Concussion website: http://www.uhhospitals.org/case/services/orthopaedics/our-divisions/sports-medicine/concussion-management-program

CDC Heads Up Online Program: http://www.cdc.gov/headsup/youthsports 

Ohio’s Return to Play Law: http://www.healthy.ohio.gov/vipp/concussion 

AAN Concussion Toolkit https://www.aan.com/practice/sports-concussion-toolkit/

imPACT Concussion Management and Testing: https://www.impacttest.com/ 

Concussion Consensus Statement: http://bjsm.bmj.com/content/47/5/250.full

McCrory et al. (2013). Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med, 47, 250–258.

Echemendia RJ, Iverson GL, McCrea M, et al. (2011). Role of neuropsychologists in the evaluation and management of sport-related concussion: an inter-organization position statement. Clin Neuropsychol, 25,1289-1294.

Belanger HG, Curtiss G, Demery JA, Lebowitz BK, Vanderploeg RD. (2005). Factors moderating neuropsychological outcomes following mild traumatic brain injury: a meta-analysis. J Int Neuropsychol Soc, 11:215–227.

Belanger HG, Vanderploeg RD. (2005). The neuropsychological impact of sports-related concussion: a meta-analysis. J Int Neuropsychol Soc, 11(4):345–357. 

Vanderploeg RD, Curtiss G, Belanger HG. (2005). Long-term neuropsychological outcomes following mild traumatic brain injury. J Int Neuropsychol Soc, 11(3):228–236.

Presenters

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.
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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.
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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.
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Susannah Briskin, MD

Susannah Briskin, MD Division of Pediatric Sports Medicine
UH Cleveland Medical Center
Associate Professor of Pediatrics
CWRU School of Medicine
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Michele Hippler-Brant, PT, DPT, ITPT, CCCE

Michele Hippler-Brant, PT, DPT, ITPT, CCCE Supervisor, Outpatient Rehabilitation
UH St. John Medical Center
Ms. Hippler-Brant reported no relevant financial relationship with a commercial interest relevant to this activity.
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Bethany Brennan, PT, DPT

Bethany Brennan, PT, DPT Senior Therapist
UH Cleveland Medical Center
Ms. Brennan reported no relevant financial relationship with a commercial interest relevant to this activity.
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