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Intraoperative Neuromonitoring Course

Principles and Practice of Intraoperative Neuromonitoring is designed for advanced professionals who perform or support intraoperative neuromonitoring (IONM) procedures. It will highlight practice specifications, multimodality protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Presentations will make reference to current literature, technical developments, methodologies and clinical efficacy.

The faculty includes University of Pittsburgh Medical Center physicians and neurophysiologists with extensive clinical and academic expertise in IONM. The course is designed to expose the participants to material that will allow them to acquire a comprehensive understanding of IONM and how it relates to a wide variety of relevant topics such as:

  • Advanced principles for neurophysiological monitoring, including instrumentation, neuromonitoring protocols, alarm criteria and clinical efficacy,
  • Minimally invasive spine surgery, including transpsoas approaches,
  • Pre-, peri- and post-operative evaluation of neurological complications including stroke, cognitive deficits, seizure and spinal cord injury,
  • Multimodality monitoring techniques for a broad array of procedures including spine and vascular,
  • Microelectrode recording during Deep Brain Stimulation (DBS),
  • Cranial nerve monitoring during skull base procedures,
  • Interpretation and communication with surgical team,
  • Development of a Policy & Procedure manual; documentation and communication with the technologist; development of quality assurance metrics; and staff training, and
  • Problem based learning with real-time data analysis and formulation of differential diagnoses.

Please contact Josh Sunderlin, course coordinator, for more information on enrollment at 412-647-1453.

Hands-On Workshops

What sets this course apart is the inclusion of a four-hour hands-on workshop for all attendees. Participants will receive instruction and guidance while placing electrodes for cranial nerve EMG monitoring on cadavers (including the extra-ocular muscles). Participants will also learn to place upper and lower extremity EMG electrodes accurately on anatomical models, build multi-modality tests with IONM equipment, and engage in a unique case study review section. There will also be ample opportunity for interaction between the faculty and the audience.

Due to the time constraints associated with such a workshop, space will be very limited. Be sure to reserve your spot early!

Download the Course Brochure.

Course Date

November 2-4, 2018.

Target Audience

Principles and Practice of Intraoperative Neuromonitoring is designed for advanced professionals who perform or support intraoperative neuromonitoring (IONM) procedures. This includes but is not limited to neurologists, surgical neurophysiologists, PM&R physicians, neurological surgeons, anesthesiologists, orthopedic surgeons, board certified neurophysiologists, vascular surgeons, senior neurophysiology technologists, and ENT Surgeons.

Course Directors

Jeffrey R. Balzer, PhD, FASNM, DABNM
Associate Professor of Neurological Surgery, Neuroscience and Acute and Tertiary Care Nursing, University of Pittsburgh
Director, Clinical Operations, UPMC Center for Clinical Neurophysiology
Director, UPMC Cerebral Blood Flow Laboratory

Parthasarathy Thirumala, MD, FACNS, FAAN
Associate Professor of Neurological Surgery and Neurology, University of Pittsburgh
Medical Director, UPMC Center for Clinical Neurophysiology

Course Coordinator

R. Joshua Sunderlin, MS, CNIM
Education Specialist, Procirca Center for Clinical Neurophysiology

Faculty

Katherine Anetakis, MD
University of Pittsburgh Department of Neurological Surgery

Paula Araya, MD
Instituto De Neurocirugía Dr. Alfonso Asenjo

Jeffrey Balzer, PhD
University of Pittsburgh Department of Neurological Surgery

Mindy Corridoni, BS, CNIM
Procirca Center for Clinical Neurophysiology

Donald Crammond, PhD
University of Pittsburgh Department of Neurological Surgery

Ronald Emerson, MD
Hospital for Special Surgery, Department of Neurology

Sébastien Fournier, PhD
University of California San Francisco Department of Neuromonitoring

Brian Gierl, MD
University of Pittsburgh Department of Anesthesiology

Paul Gardner, MD
University of Pittsburgh Department of Neurological Surgery

Peter Gerszten, MD
University of Pittsburgh Department of Neurological Surgery

Thomas Gleason, MD
University of Pittsburgh Department of Cardiothoracic Surgery

Bradley Gross, MD
University of Pittsburgh Department of Neurological Surgery

Adam Kanter, MD
University of Pittsburgh Department of Neurological Surgery

Brian Jankowitz, MD
University of Pittsburgh Department of Neurological Surgery

Rachel Mihal, BS, CNIM,
Procirca Center for Clinical Neurophysiology

Andrew Moyer, BS, CNIM
Procirca Center for Clinical Neurophysiology

Ryan Quallich, BS, CNIM
Procirca Center for Clinical Neurophysiology

R. Joshua Sunderlin, MS, CNIM
Procirca Center for Clinical Neurophysiology

Parthasarathy Thirumala, MD
University of Pittsburgh Department of Neurological Surgery

Program

Day 1

7:00 a.m. Continental Breakfast
7:30 a.m. Welcome Address

Principles of Intraoperative Monitoring
7:45 a.m Perioperative Neurology and Physiological Basis of Monitoring (Thirumala)
8:15 a.m. Principles of EEG Monitoring During Surgery (Anetakis)
9:00 a.m. Principles of SSEP During Surgery (Crammond)
9:45 a.m. Principles of TcMEP During Surgery (Balzer)
10:30 a.m. Principles of BAEP During Surgery (Thirumala)
11:00 a.m. Lunch Break

IONM for Spinal Surgery
11:45 a.m. Anthropology of Spine Surgery (Gerszten)
12:15 p.m. Scoliosis and Spinal Deformity (Anetakis)
1:00 p.m. Minimally Invasive Spine Surgery Part 1 (Kanter)
1:30 p.m. Minimally Invasive Spine Surgery Part 2 (Balzer)
2:15 p.m. Break

Procedure Specific Neuromonitoring 
2:30 p.m. Neuro-interventional Procedures Part 1 of 2 (Gross)
3:00 p.m. Neuro-interventional Procedures Part 2 of 2 (Balzer)
3:30 p.m. Case Studyy Presentation (Fournier)
4:00 p.m. EEA for Skull Base Tumor (Gardner)
4:30 p.m. Adjournment
5:30 p.m. Meet and Greet, Faculty & Vendors, Hilton Garden Inn, Forbes Ballroom, (Light hors d’oeuvres and open bar)

Day 2:

7:00 a.m. Continental Breakfast
7:30 a.m. Morning Announcements

IONM in South America 
7:45 a.m. Case study presentation (Araya) 

IONM and Stroke Prevention
8:15 a.m. IONM to Prevent Stroke (Thirumala)
8:30 a.m. Carotid Endarterectomy Part 1 (Jankowitz)
9:00 a.m. Carotid Endarterectomy Part 2 (Thirumala)
9:30 Break
9:45 a.m. Aortic Aneurysm Part 1 (Gleason)
10:15 a.m. Aortic Aneurysm Part 2 (Balzer)

Keynote Speech 
10:45 a.m. SSEP (Emerson) 
11:30 a.m. Lunch in the Vendor Area 

Workshop: Instruction and Hands-On Learning
1:00 p.m. Station 1: Placing EMG Electrodes for Cranial Nerve EMG (Cadaver Lab) (Qualich, Balzer)
1:00 p.m. Station 2: Upper and Lower Extremity EMG Placement (1105b) (Mihai, Crammond)
1:00 p.m. Station 3: Building IONM Tests with Equipment (1105c) (Moyer, Anetakis)
1:00 p.m. Station 4: Case Study Review Section (S921) (Sunderlin, Thirumala)
5:10 p.m. Adjournment

Day 3:

7:00 a.m. Continental Breakfast
7:30 a.m. Day 3 Announcements (Balzer)

IONM for Functional Neurosurgery
7:45 a.m. Deep Brain Stimulator Placement (Crammond)
8:30 a.m. Awake Craniotomy (Balzer)

Improving IONM Practice
9:15 a.m. Policy, Procedure, and Training  (Qualich, Balzer)
9:45 a.m. Troubleshooting  (Sunderlin, Thirumala)
10:15 a.m. Break
10:30 a.m. Controversies in IONM: Determining Alarm Criteria (Thirumala)
11:00 a.m. Quality Assurance (Corridoni, Anetakis)
11:30 a.m. Communication and Documentation: Medico-Legal Implications (Balzer)
12:00 p.m. Conference Adjourment

Tuition

$700 for physicians and other attendees seeking CME credits; $550 for all other healthcare professionals seeking CEU credits.

Registration and Online Payment

On-line registration can be completed by visiting the Procirca website. On-site registration will not be permitted

CME Accreditation and Designation

The University of Pittsburgh School of Medicine designates this live activity for a maximum of 19.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals are awarded 1.9 continuing education units (CEU’s) which are equal to 19 contact hours.

ASET, The Neurodiagnostic Society, has granted 19.0 Continuing Education Units [ASET-CEUs] for this program. Such crediting, however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or involved in these presentations.

Faculty Disclosure

All individuals in a position to control the content of this education activity are required to disclose all relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.

Special Needs

Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling 412-647-1453.

Cancellation Policy

  • Registration fee is 100% refundable up until September 3, 2018
  • A 50% refund of the registration fee will be offered between September 5 and October 3, 2018
  • After October 3, 2018 – NO REFUNDS GRANTED

Cancellation requests should be sent to:

Josh Sunderlin, Course Coordinator
Procirca Center for Clinical Neurophysiology
Phone: 412-647-1453
E-Mail: sunderlinj@procirca.com

Course Location

UPMC Presbyterian Hospital
200 Lothrop Street
Pittsburgh, PA 15213
Biomedical Science Tower
Room S120

Hotels

Hilton Garden Inn Pittsburgh University Place
3454 Forbes Avenue 
Pittsburgh, PA 15213 
Phone: 412-683-2040 
Distance from campus is 0.3 miles; travel time on foot is five minutes.

A block of rooms is being held at the Hilton Garden Inn at a rate of $141.00/night.

Wyndham Pittsburgh University Center
100 Lytton Avenue
Pittsburgh, PA 15213
Phone: 412-682-6200
Distance from campus is 0.7 miles; travel time on foot is 10 minutes.

Wyndham nightly parking charge: $10.00

The University of Pittsburgh is an affirmative action, equal opportunity institution.