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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. The course 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
  • 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
  • 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.

Course Date

TBA.

Interactive Workshop Stations

The Principles and Practice of Intraoperative Neuromonitoring course includes a number of interactive workshops that feature:

  • Instruction and the opportunity to practice placing cranial nerve EMG electrodes on a cadaver (including the extra-ocular muscles) 
  • Case study review session where participants will work through differential diagnoses 
  • Cerebrovascular anatomy and the role of IONM in Neurointerventional procedures 
  • Explore technical problems in IONM 

Target Audience

This includes but is not limited to neurologists, surgical neurophysiologists, PM&R physicians, neurological surgeons, anesthesiologists, orthopedic urgeons, board certified neurophysiologists, vascular surgeons, senior neurophysiology technologists, ENT surgeons and cardiac 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

Jeffrey Balzer, PhD
University of Pittsburgh Department of Neurological Surgery

Patrick Bosch, MD
University of Pittsburgh Department of Orthopaedic Surgery

Carly Brog, CNIM
Procirca Center for Clinical Neurophysiology

James Castellano, MD, PhD
University of Pittsburgh Department of Neurology

Mindy Corridoni, BS, CNIM
Procirca Center for Clinical Neurophysiology

Uma Duvvuri, MD, PhD
University of Pittsburgh Department of Neurology

Wendy Fellows-Mayle, PhD
University of Pittsburgh Department of Neurological Surgery

Robert Friedlander, MD
University of Pittsburgh Department of Neurological Surgery, Chair

Ashutosh Jadhav, MD, PhD
University of Pittsburgh Department of Neurology

Rachel Mihal, CNIM
Procirca Center for Clinical Neurophysiology

Andrew Moyer, CNIM
Procirca Center for Clinical Neurophysiology

David O. Okonkwo, MD, PhD
University of Pittsburgh Department of Neurological Surgery

Ryan Quallich, CNIM
Procirca Center for Clinical Neurophysiology

Nishanth Sampath, MD
SIMS Hospital - Vadapalani, Chennai, India

Raymond Sekula, MD
University of Pittsburgh Department of Neurological Surgery

Jeremy Shaw, MD
University of Pittsburgh Department of Orthopedic Surgery

Jay Shils, PhD
Department of Anesthesiology, Rush Medical College

Mirela Simon, MD
Department of Neurology, Harvard Medical School

Ibrahim Sultan, MD
University of Pittsburgh Department of Cardiovascular Surgery

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

Parthasarathy Thirumala, MD 
University of Pittsburgh Department of Neurological Surgery

Elizabeth Tyler-Kabara, MD, PhD
University of Pittsburgh Department of Neurological Surgery

Shyam Visweswaran, MD, PhD
University of Pittsburgh Department of Biomedical Informatics

Program

Day 1

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

Principles of Intraoperative Monitoring
7:45 a.m IONM: The History and Physiological Basis (Thirumala)
8:15 a.m. Principles of EEG Monitoring During Surgery (Anetakis)
9:00 a.m. Principles of SSEP During Surgery (Castellano)
9:45 a.m. Principles of TcMEP During Surgery (Balzer)
10:30 a.m. Principles of BAER During Surgery (Thirumala)
11:00 a.m. Lunch Break

IONM for Spinal Surgery
11:45 a.m. Pediatric Scoliosis Procedures (Bosch)
12:15 p.m. Minimally Invasive Spine Procedures (Balzer)
1:00 p.m. Complex Adult spinal deformity (Okonkwo)
1:30 p.m. Cervical and Thoracic Spine Trauma (Shaw)
2:00 p.m. Break

IONM and Stroke
2:15 p.m. IONM for Stroke Prevention (Thirumala)
2:45 p.m. Carotid Endarterectomy (Friedlander)
3:15 p.m. Therapeutic Options for Perioperative Stroke (Jadhov)

Microvascukar Decompression 
3:45 p.m. MVD Procedures (Sekula) 
4:30 p.m. Adjournment
5:30 p.m. Meet and Greet, Faculty & Vendors, Hilton Garden Inn

Day 2:

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

Outside the Box 
7:45 a.m. Artificial Intelligence in Medicine (Visweswaran) 

Procedure Specific IONM: 
8:15 a.m. Pediatric Neurosurgical Procedures (Tyler-Kabara)
8:45 a.m. RLN/SLN Monitoring in Thyroidectomy (Duvvuri)
9:15 a.m. Break, Exhibitor area
9:30 a.m. Neurophysiologic Techniques (Shils)
10:00 a.m. IOM for Cardiovascular Procedures (Sultan)

Keynote Speech 
10:45 a.m. “Multimodality Neurophysiologic Mapping Technique” (Simon)
11:30 a.m. Lunch in the Exhibitor Area 

Workshops:
12:30 p.m. Bloodborne Pathogens Lecture and Exam (Sunderlin)
1:00 p.m. Workshops
5:10 p.m. Adjournment

Day 3:

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

IONM in India:
7:45 a.m. IONM in India (Sampath)

Improving IONM Practice
8:30 a.m. Managing IOM practice (Quallich, Thirumala)
9:15 a.m. Formal Education in IONM (Mergos)
9:45 a.m. Break
10:00 a.m. Troubleshooting in IONM (Sunderlin)
10:30 a.m. Quality Assurance (Corridoni/Anetakis)
11:15 a.m. Communication and Documentation, Medico-Legal Implications) (Balzer)
12:00 p.m. Conference Adjournment

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 is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this live activity for a maximum of 20.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals are awarded 2.0 continuing education units (CEUs) which are equal to 20 contact hours.

ASET - The Neurodiagnostic Society has granted 19.5 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 August 3, 2019
  • Registration fee is 50% refundable up to 15 days prior to the start date of the course.
  • If you cancel within 15 days of the start of the course, NO REFUNDS will be granted.

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

Course Location

UPMC Presbyterian
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 $144.00/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

Other area hotels and travel information.

[See also Pittsburgh area links.]

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