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Practical Approach to Electromyography and Neuromuscular Disorders September 28 - 30, 2012 Boston Marriott Copley Place Boston, MA Practical Approach to Electromyography and Neuromuscular Disorders September 28 - 30, 2012 Boston Marriott Copley Place Boston, MA Boston University School of Medicine Continuing Medical Education Follow us on Facebook! www.facebook.com/BUCME Follow us on Twitter! www.twitter.com/#!/BU_CME Boston University School of Medicine Continuing Medical Education Medical Campus 72 East Concord Street, A402 Boston, Massachusetts 02118-2526 Non - Profit U.S. Postage PAID Boston, MA Permit No. 1839 Faculty Thomas H. Brannagan III, MD Professor of Clinical Neurology Director, Peripheral Neuropathy Center Neurological Institute Columbia University, College of Physicians and Surgeons Samuel Frank, MD Associate Professor of Neurology Boston University Staff Neurologist, Boston Medical Center Daniel L. Menkes, MD Professor of Neurology University of Connecticut Director of Clinical Neurophysiology University of Connecticut Health Center Sanjeev Nandedkar, PhD Senior Consultant, CareFusion Johnny Salameh, MD Assistant Professor of Neurology University of Massachusetts Director of Neuromuscular Division and EMG Laboratory UMass Memorial Medical Center-University Campus Howard W. Sander, MD Professor of Neurology Director of Neuromuscular Medicine Program Director, Neurology Residency NYU School of Medicine Peter Siao, MD - Course Director Director, Neuromuscular Unit and Electromyography Laboratory Associate Professor of Neurology Boston University School of Medicine Janice Wiesman, MD Assistant Professor of Neurology Boston University School of Medicine Staff Neurologist, Boston Medical Center Disclosure Policy Boston University School of Medicine asks all individuals involved in the development and presentation of Continuing Medical Education (CME) activities to disclose all relationships with commercial interests. This information is disclosed to CME activity participants. Boston University School of Medicine has procedures to resolve any apparent conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed. Accreditation Boston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Boston University School of Medicine designates this live activity for a maximum of 23.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Educational Grants This activity is supported by unrestricted educational grants from*: · Allergan · Baxter Healthcare Corp. · Coram Specialty Infusion Services · Ipsen Biopharmaceuticals · Terumo BCT Exhibits This activity is supported by exhibits from*: · Athena Diagnostics · Cadwell Laboratories, Inc. · Coram Specialty Infusion Services · Terumo BCT * At the time of publication. Overview This two-and-a-half day course will focus on the practical approach to electromyography in the diagnosis and management of neuromuscular disorders. Lectures will cover the clinical and neurophysiologic assessments of compression neuropathies, radiculopathies, plexopathies, various types of generalized neuropathies, neuromuscular junction disorders, myopathies, as well as the fundamentals of nerve conduction studies and needle electromyography. There will be live demonstrations to illustrate nerve conduction techniques and muscle identification for needle electromyography. Emphasis will be placed on the latest treatment options for patients with various types of peripheral neuropathies. Lecturers include five directors of Electromyography Laboratory/ Clinical Neurophysiology/ Neuromuscular Medicine/ Peripheral Neuropathy Center from prestigious medical centers (Boston University, Columbia University, University of Connecticut, University of Massachusetts, and New York University). A special two-hour session on the clinical uses of botulinum toxin in the treatment of spasticity, cervical dystonia, and other movement disorders will be presented. Participants will receive an update on the assessment and treatment of patients with neuromuscular disorders so that they may enhance their clinical practices. This course will help physicians understand the technical aspects of EMG, as well as the clinical uses and limitations of the procedure. The presentation of each topic will be both simple and practical. It will appeal to clinicians who order and read EMG reports and to those interested in performing EMG. Target Audience Neurologists, physiatrists, neurosurgeons, orthopedic surgeons, internists, peripheral nerve surgeons, nurse practitioners, physician assistants, and electromyography technologists who are interested in the field of electromyography and neuromuscular disorders. Educational Objectives At the conclusion of this activity, the participant will be able to: 1. State the basic tenets of clinical and neurophysiologic diagnosis. 2. List the clinical and neurophysiologic aspects of common neuromuscular disorders. 3. Describe the technical aspects as well as potential pitfalls of nerve conduction studies and needle electromyography. 4. Review the current diagnostic and therapeutic approaches in polyneuropathy, including the use of intravenous immunoglobulins and plasma exchange. 5. Discuss the clinical uses of botulinum toxin. 6. Apply the knowledge reviewed above to the discussion of selected clinical cases. Core Competencies This activity has been developed with consideration given to the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of: Patient Care Medical Knowledge Course Director Peter Siao, MD Director, Neuromuscular Unit and Electromyography Laboratory Associate Professor of Neurology Boston University School of Medicine

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Page 1: Practical Approach to Electromyography and Neuromuscular Disorders 2012

Practical Approach toElectromyography and NeuromuscularDisorders

September 28 - 30, 2012Boston Marriott Copley PlaceBoston, MA

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Boston University School of MedicineContinuing Medical Education

Follow us on Facebook!www.facebook.com/BUCME

Follow us on Twitter!www.twitter.com/#!/BU_CME

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FacultyThomas H. Brannagan III, MDProfessor of Clinical NeurologyDirector, Peripheral Neuropathy CenterNeurological InstituteColumbia University, College of Physicians and Surgeons

Samuel Frank, MDAssociate Professor of NeurologyBoston UniversityStaff Neurologist, Boston Medical Center

Daniel L. Menkes, MDProfessor of NeurologyUniversity of ConnecticutDirector of Clinical NeurophysiologyUniversity of Connecticut Health Center

Sanjeev Nandedkar, PhDSenior Consultant, CareFusion

Johnny Salameh, MDAssistant Professor of NeurologyUniversity of Massachusetts Director of Neuromuscular Division and EMG LaboratoryUMass Memorial Medical Center-University Campus

Howard W. Sander, MDProfessor of Neurology Director of Neuromuscular MedicineProgram Director, Neurology ResidencyNYU School of Medicine

Peter Siao, MD - Course DirectorDirector, Neuromuscular Unit andElectromyography LaboratoryAssociate Professor of NeurologyBoston University School of Medicine

Janice Wiesman, MDAssistant Professor of NeurologyBoston University School of MedicineStaff Neurologist, Boston Medical Center

Disclosure PolicyBoston University School of Medicine asks all individuals involved in the development and presentation of Continuing Medical Education (CME) activities to disclose all relationships with commercial interests. This information is disclosed to CME activity participants. Boston University School of Medicine has procedures to resolve any apparent conflicts of interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is being discussed.

AccreditationBoston University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Boston University School of Medicine designates this live activity for a maximum of 23.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Educational Grants This activity is supported by unrestricted educational grants from*:

· Allergan · Baxter Healthcare Corp. · Coram Specialty Infusion Services · Ipsen Biopharmaceuticals · Terumo BCT

Exhibits This activity is supported by exhibits from*:

· Athena Diagnostics · Cadwell Laboratories, Inc. · Coram Specialty Infusion Services · Terumo BCT

* At the time of publication.

OverviewThis two-and-a-half day course will focus on the practical approach to electromyography in the diagnosis and management of neuromuscular disorders. Lectures will cover the clinical and neurophysiologic assessments of compression neuropathies, radiculopathies, plexopathies, various types of generalized neuropathies, neuromuscular junction disorders, myopathies, as well as the fundamentals of nerve conduction studies and needle electromyography. There will be live demonstrations to illustrate nerve conduction techniques and muscle identification for needle electromyography. Emphasis will be placed on the latest treatment options for patients with various types of peripheral neuropathies.

Lecturers include five directors of Electromyography Laboratory/ Clinical Neurophysiology/ Neuromuscular Medicine/ Peripheral Neuropathy Center from prestigious medical centers (Boston University, Columbia University, University of Connecticut, University of Massachusetts, and New York University).

A special two-hour session on the clinical uses of botulinum toxin in the treatment of spasticity, cervical dystonia, and other movement disorders will be presented. Participants will receive an update on the assessment and treatment of patients with neuromuscular disorders so that they may enhance their clinical practices.

This course will help physicians understand the technical aspects of EMG, as well as the clinical uses and limitations of the procedure. The presentation of each topic will be both simple and practical. It will appeal to clinicians who order and read EMG reports and to those interested in performing EMG.

Target AudienceNeurologists, physiatrists, neurosurgeons, orthopedic surgeons, internists, peripheral nerve surgeons, nurse practitioners, physician assistants, and electromyography technologists who are interested in the field of electromyography and neuromuscular disorders.

Educational ObjectivesAt the conclusion of this activity, the participant will be able to:

1. State the basic tenets of clinical and neurophysiologic diagnosis.2. List the clinical and neurophysiologic aspects of common neuromuscular disorders.3. Describe the technical aspects as well as potential pitfalls of nerve conduction studies and needle

electromyography. 4. Review the current diagnostic and therapeutic approaches in polyneuropathy, including the use of

intravenous immunoglobulins and plasma exchange.5. Discuss the clinical uses of botulinum toxin. 6. Apply the knowledge reviewed above to the discussion of selected clinical cases.

Core CompetenciesThis activity has been developed with consideration given to the American Board of Medical Specialties Six Core Competencies. This activity will increase your competency in the areas of:

• Patient Care• Medical Knowledge

Course DirectorPeter Siao, MDDirector, Neuromuscular Unit and Electromyography LaboratoryAssociate Professor of NeurologyBoston University School of Medicine

Page 2: Practical Approach to Electromyography and Neuromuscular Disorders 2012

h

Saturday, September 29, 2012

7:30-8:00am Registration & Continental Breakfast

8:00-9:00am Approach to Myopathy Peter Siao, MD

9:00-10:15am Repetitive Nerve Stimulation/ Single Fiber EMG Peter Siao, MD

10:15-10:30am Coffee Break

10:30-11:30am Approach to Polyneuropathy Peter Siao, MD

11:30-12:30pm Guillain-Barre Syndrome Daniel L. Menkes, MD

12:30-1:45pm Lunch Break (on your own)

1:45-2:45pm Chronic Inflammatory Demyelinating Polyradiculoneuropathy Howard W. Sander, MD

2:45-3:45pm CIDP Variants Thomas H. Brannagan III, MD

3:45-4:00pm Coffee Break

4:00-4:30pm CPT Coding for EMG Daniel L. Menkes, MD

4:30-7:00pm Live demonstration: nerve conduction studies Peter Siao, MD, Thomas H. Brannagan III, MD, Daniel L. Menkes, MD, Johnny Salameh, MD, Howard W. Sander, MD, Janice Wiesman, MD

Sunday, September 30, 2012

7:30-8:00am Registration & Continental Breakfast

8:00-9:00am Clinical Uses of Botulinum Toxin Samuel Frank, MD

9:00-10:00am Botulinum Toxin Injection in the Treatment of Spasticity, Cervical Dystonia, and Other Movement Disorders Samuel Frank, MD

10:00-10:15am Coffee break

10:15-12:15am EMG Case Discussions Peter Siao, MD, Thomas H. Brannagan III, MD, Daniel L. Menkes, MD, Howard W. Sander, MD, Johnny Salameh, MD, Janice Wiesman, MD

12:15pm Adjourn

* With a letter of verification from the department chair

Boston University School of Medicine Alumni receive a 20% tuition discount.

Tuition includes continental breakfasts, coffee breaks, a course syllabus and a copy of the textbook, Practical Approach to Electromyography by Peter Siao, Didier Cros, Steve Vucic.

Boston University School of Medicine Continuing Medical Education72 East Concord Street, A402, Boston, Massachusetts 02118-2526Phone: (617) 638-4605 · Toll-free: (800) 688-2475 · Fax: (617) 638-4905E-mail: [email protected] · Website: www.bu.edu/cme

Substitution/Cancellation PolicySubstitution may be made at any time without an additional charge. Refunds will be issued for all cancellationsreceived at least two weeks prior to the start of the conference. Should cancellation occur less than two weeks prior to the start of the conference, a credit towards another Boston University School of Medicine conference will be issued, not a refund. A $50.00 administrative fee will be charged for all refunds and credits. “No shows” are subject to the full course fee. Cancellations/substitutions must be made in writing. Refunds and credits will not be issued once the conference has started. This course is subject to change and/or cancellation.

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Practical Approach to Electromyography andNeuromuscular DisordersSeptember 28 - 30, 2012 · Boston Marriott Copley Place, Boston, MA

We accept Discover, Visa, Amex and MasterCard or checks. Please make checks payable to Boston University School of Medicine.

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Degree Type

MD/DO

Alied Healthcare Professionals/Technicians

Fellows/Residents*

Regular Conference

$750

$495

$395

AgendaFriday, September 28, 2012

7:30-8:00am Registration & Continental Breakfast

8:00-8:20am Introduction: Electromyography for clinicians Peter Siao, MD

8:20-9:30am Motor Nerve Conduction Studies Peter Siao, MD

9:30-10:15am Sensory Nerve Conduction Studies Janice Wiesman, MD

10:15-10:30am Coffee Break

10:30-11:30am Needle electromyography: spontaneous activities Peter Siao, MD

11:30-12:30pm Needle electromyography: evaluation of motor unit action potentials (normal and abnormal) Sanjeev Nandedkar, PhD

12:30-1:45pm Lunch Break (on your own)

1:45-2:45pm Needle electromyography: muscle identification Janice Wiesman, MD

2:45-3:45pm Approach to Carpal Tunnel Syndrome Peter Siao, MD

3:45-4:00pm Coffee Break

4:00-5:00pm Approach to Ulnar, Radial, Peroneal Neuropathy, and Tarsal Tunnel Syndrome Johnny Salameh, MD

5:00-6:00pm Cervical Radiculopathy, Brachial Plexopathy, Neuralgic Amyotrophy, Neurogenic Thoracic Outlet Syndrome Peter Siao, MD

6:00-7:00pm Lumbosacral Radiculopathy and Plexopathy Johnny Salameh, MD

Hotel and ReservationsBoston Marriott Copley Place – 110 Huntington Avenue, Boston, MA 02116Phone: (617)236-5800 or (800) 228-9290

Website:www.marriott.com/hotels/travel/bosco-boston-marriott-copley-place/

A block of rooms has been reserved at the special rate of $229/night, single or double, plus tax. The room block will be held until September 6, 2012 or until it is full. You may make reservations by calling the hotel directly. Mention you are with the BU School of Medicine conference. After September 6. 2012, reservations will be accepted on a space and rate available basis.

Special Services & Dietary NeedsTo request reasonable accommodations for disabilities, please notify the CME office, in writing, at least two weeks prior to the start of the conference. The CME office will work to accommodate dietary requests (including, but not limited to: vegetarian, kosher, low cholesterol, and low-sodium meals) received, in writing, at least two weeks prior to the start of the conference.

Registration