2019 AAN Fall Conference Program

OCTOBER 18–20 THE COSMOPOLITAN OF LAS VEGAS Early Registration Deadline: August 15 Advance Registration/Hotel Deadline: September 12 AAN.com/view/19Fall #AANFC

“The AAN Fall Conference continues to offer the best opportunity to receive timely updates on the hottest topics in the world of neurology, hear about real-world issues in practice management, and experience innovative science all in one weekend in Las Vegas.

You’ll have plenty of options to create your personalized experience, including the popular neurology updates, practice management programming that is even more tailored to business administrators, plenary sessions, Neuroscience in the Clinic Sessions, and a skills workshop. This year, we’re also offering a pre-conference on Thursday, October 17, geared toward advanced practice providers. We hope you’ll encourage your colleagues to take advantage of this addition to the 2019 Fall Conference program.

Please explore the following pages for the full programming lineup and remember to register early to maximize your savings.”

– Jonathan Graff-Radford, MD Director, Fall Conference Work Group and Chair, Regional Conference Subcommittee

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2019 American Academy of Neurology Fall Conference

Meeting-at-a-glance

THURSDAY, OCTOBER 17 ADVANCED PRACTICE PROVIDER PRE-CONFERENCE (ADDITIONAL FEE REQUIRED) 8:00 a.m.–8:15 a.m.

• Welcome and Program Overview

8:15 a.m.–9:15 a.m.

• Localizing the Lesion: Clinical Correlations of Neuroanatomy Part 1: Neuroanatomy Basics and Localizing the Lesion

9:15 a.m.–9:25 a.m.

• Break

9:25 a.m.–10:25 a.m.

• Localizing the Lesion: Clinical Correlations of Neuroanatomy Part 2: Applied Neuroanatomy: Clinical Correlations

10:25 a.m.–10:45 a.m.

• Break

10:45 a.m.–12:30 p.m.

• Neurodiagnostic Studies: The Use and Interpretation of Neuroimaging and Neurophysiology Techniques in Clinical Practice

12:30 p.m.–1:30 p.m.

• Networking Lunch

1:30 p.m.–2:40 p.m.

• Common Topics in Clinical Neurology: Headache

2:40 p.m.–2:50 p.m.

• Break

2:50 p.m.–4:00 p.m.

• Common Topics in Clinical Neurology: Spine Disorders and Radiculopathy

4:00 p.m.–4:10 p.m.

• Break

4:10 p.m.–5:20 p.m.

• Common Topics in Clinical Neurology: Multiple Sclerosis

5:20 p.m.–5:30 p.m.

• Wrap Up

5:30 p.m.–6:00 p.m.

• Networking Event

FRIDAY, OCTOBER 18 8:00 a.m.–9:30 a.m.

• Neurology Update 1: Headache and Neuro-ophthalmology • Neuroimaging for the General Neurologist • Practice Management 1: 2019 Coding Updates: E/M, Prolonged Care Codes, and Telehealth

9:30 a.m.–10:00 a.m.

• Break

10:00 a.m.–11:30 a.m.

• Neurology Update 2: Neuro-oncology and Neurogenetics • Neuroscience in the Clinic: Traumatic Brain Injury • Practice Management 2: Improving Patient Access and Engagement Is Good for Business

11:30 a.m.–1:00 p.m.

• Lunch in Exhibit Hall

1:00 p.m.–2:30 p.m.

• Neurology Update 3: Dementia and Movement Disorders • Update on Medical Management of Stroke • Practice Management 3: Managing Cost of Care: Why It Matters and What You Should Do

2:30 p.m.–3:00 p.m.

• Break in Exhibit Hall

3:00 p.m.–4:30 p.m.

• Neurology Update 4: Multiple Sclerosis and Autoimmune Neurology • Controversies in Neurology Plenary Session • Practice Management 4: Transitioning Your Practice into a Value-based Model

4:00 p.m.–6:00 p.m.

• Exhibit Hall Opening Reception

Fast, Easy Registration Online · AAN.com/view/19Fall

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Meeting-at-a-glance

SATURDAY, OCTOBER 19 8:00 a.m.–9:30 a.m.

• Neurology Update 5: Autonomic Disorders and Epilepsy • Contemporary Concerns About Brain Death Determination • Practice Management 5: Running an Efficient Organization

9:30 a.m.–10:00 a.m.

• Break in Exhibit Hall

10:00 a.m.–11:30 a.m.

• Neurology Update 6: Neuromuscular Disease 1 and 2 • Neuroscience in the Clinic: Headache • Practice Management 6: Building a Team Approach in Small- and Medium-sized Practices

11:30 a.m.–1:00 p.m.

• Lunch in Exhibit Hall

1:00 p.m.–2:30 p.m.

• Continuum® Test Your Knowledge: A Multiple-choice Question Review 1 • Contemporary Clinical Issues Plenary Session • Practice Management 7: Private Practice Sustainability Through an Expanded Services Model

1:00 p.m.–4:30 p.m.

• Skills Workshop: Neuromuscular Ultrasound (additional fee required)

2:30 p.m.–3:00 p.m.

• Break

3:00 p.m.–4:30 p.m.

• Continuum® Test Your Knowledge: A Multiple-choice Question Review 2 • Neuro-rheumatology: Neurological Manifestations of Systemic Inflammatory and Autoimmune Disease • Practice Management 8: Managing People, Managing Yourself

5:00 p.m. – 6:00 p.m.

• ABPN Continuing Certification Information Session

SUNDAY, OCTOBER 20 7:30 a.m.–9:00 a.m.

• Neurology Update 7: Sleep and Neuro-infectious Disease • Multiple Sclerosis in the Trenches: Controversy and Consensus in Clinical Decisionmaking

9:00 a.m.–9:15 a.m.

• Break

9:15 a.m.–10:45 a.m.

• Neurology Update 8: Stroke and Critical Care • Clinical EEG

It’s so encouraging that the AAN is taking the lead in the educational needs of advanced practice providers in response to comments and suggestions from APP members. The content in the Pre-conference for APPs will be of added value to the main conference sessions for those who are new graduates, transitioning to neurology practice, or those who want updates.

–Bryan Walker, MHS, PA-C, Duke University Medical Center, Advanced Practice Provider

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2019 American Academy of Neurology Fall Conference

Advanced Practice Provider Pre-conference (additional fee required)

Thursday, October 17 Program Directors: Robert D. Brown, Jr., MD, FAAN – Rochester, MN Calli Leighann Cook, DNP, FNP-C – Atlanta, GA

CME

7.5

Description: Advanced practice providers play a key role in the provision of clinical care for neurology patients in the outpatient and inpatient setting. This course will be divided into two half-day sessions. In the Neurology Fundamentals session, faculty will apply neuroanatomy to the clinical setting, with a summary of strategies to localize neurological symptoms to specific area(s) of the central or peripheral nervous system, with application to clinical cases. In the second part, faculty will summarize the indications for and interpretation of commonly used neurodiagnostic studies, including neuroimaging, electromyography (EMG), and electroencephalography (EEG).

Clinical correlations will be emphasized. In the Clinical Neurology session, faculty will address common topics seen in clinical practice, including headache disorders, spine disorders and radiculopathy, and multiple sclerosis. Course participants also will have the opportunity to network with APPs across the spectrum of subspecialty interests.

Upon Completion: Participants should be able to localize neurological symptoms and signs using applied neuroanatomy, with direct application to the optimal evaluation of patients. They should be aware of the indications, strengths, and weaknesses of various neurological imaging modalities, and understand key issues in the review of the imaging studies. They should be able to describe the use and interpretation of neurophysiology techniques including EMG and EEG. In the common topics in clinical neurology session, participants should learn the optimal evaluation and management of patients with common headache disorders, spine disorders and radiculopathy, and multiple sclerosis, all commonly seen in clinical practice.

8:00 a.m.–8:15 a.m. Welcome and Conference Overview

Welcome – AAN President – James C. Stevens, MD, FAAN - Fort Wayne, IN Conference Overview – co-directors: Robert D. Brown, Jr., MD, FAAN - Rochester, MN Calli Leighann Cook, DNP, FNP-C - Atlanta, GA

8:15 a.m.–9:15 a.m. Localizing the Lesion: Clinical Correlations of Neuroanatomy Part 1: Neuroanatomy Basics and Localizing the Lesion Jaffar Khan, MD, FAAN – Atlanta, GA

9:25 a.m.–10:25 a.m. Localizing the Lesion: Clinical Correlations of Neuroanatomy Part 2: Applied Neuroanatomy: Clinical Correlations Jaffar Khan, MD, FAAN – Atlanta, GA

10:45 a.m.–11:15 a.m. Neurodiagnostic Studies: The Use and Interpretation of Neurophysiology Techniques in Clinical Practice: Neuroimaging Joseph C. Masdeu, MD, PhD, FAAN – Houston, TX

11:20 a.m.–11:50 a.m. Neurodiagnostic Studies: The Use and Interpretation of Neurophysiology Techniques in Clinical Practice: Neurophysiology (EMG) Miriam L. Freimer, MD, FAAN – Columbus, OH

11:55 a.m.–12:30 p.m. Neurodiagnostic Studies: The Use and Interpretation of Neurophysiology Techniques in Clinical Practice: Neurophysiology (EEG) Elaine C. Wirrell, MD, FAAN – Rochester, MN

1:30 p.m.–2:40 p.m. Common Topics in Clinical Neurology: Headache Calli Leighann Cook, DNP, FNP-C – Atlanta, GA Rashmi B. Halker, MD–Scottsdale, AZ

2:50 p.m.–4:00 p.m. Common Topics in Clinical Neurology: Spine Disorders and Radiculopathy J. D. Bartleson, MD, FAAN – The Villages, FL

4:10 p.m.–5:20 p.m. Common Topics in Clinical Neurology: Multiple Sclerosis Bryan D. Walker, PA – Durham, NC Michelle Fabian, MD – New York, NY

5:20 p.m.–5:30 p.m. Wrap Up

Robert D. Brown, Jr., MD, FAAN – Rochester, MN Calli Leighann Cook, DNP, FNP-C – Atlanta, GA

5:30 p.m.–6:00 p.m. Networking Event Fast, Easy Registration Online · AAN.com/view/19Fall

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Friday, October 18 8:00 a.m.–9:30 a.m.

Neurology Update 1: Headache and Neuro-ophthalmology Program Directors: Nancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: Neurology is now one of the fastest changing fields in all of medicine and has differentiated into numerous well-defined complex subspecialties. These factors make it an enormous challenge to stay current. Each update will cover two topics (in many cases, somewhat related). Each of the topics will be presented by a preeminent expert in the field who has also demonstrated superior skills at presenting material of this type to large audiences. An attempt will be made to provide an update against the backdrop of an overview. Emphasis will be on practical and evidence-based clinical information.

Upon Completion: Participants should be familiar with recognizing the various types of headache disorders, develop an approach to management of headaches, and in particular be aware of the role of CGRP antagonists and neuromodulation. Participants should also recognize various classic neuro-ophthalmologic disorders.

8:00 a.m.–8:45 a.m. Headache

Stephanie J. Nahas, MD, FAAN – Philadelphia, PA

8:45 a.m.–9:30 a.m. Neuro-ophthalmology

Valerie Biousse, MD – Atlanta, GA

Neuroimaging for the General Neurologist Program Director: Joshua P. Klein, MD, PhD, FAAN – Boston, MA

CME

1.5

Description: The overall objective of this course is to improve clinician familiarity and confidence in interpreting neuroimaging studies of the brain. The focus will be on CT and MRI imaging modalities including the strengths and limitations of each modality as well as the use of contrast imaging. A strategy for image interpretation will be provided, with discussion about what information is provided by each modality and sequence. Normal anatomy as well as key abnormalities representing a variety of neurologic disorders will be presented.

Upon Completion: The clinician should be more comfortable in approaching and interpreting CT and MRI imaging studies of the brain, in the context of caring for their patients.

8:00 a.m.–9:30 a.m. Neuroimaging for the General Neurologist

Joshua P. Klein, MD, PhD, FANA, FAAN – Boston, MA

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2019 American Academy of Neurology Fall Conference

Friday, October 18 Practice Management 1: 2019 Coding Updates: E/M, Prolonged Care Codes, and Telehealth

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: This program will provide in-depth discussion of managing E/M coding changes, chronic care and transitional care management codes, and provide methods for maximizing practice efficiency and reimbursement for treating patients with complicated, multi-symptom illnesses such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, dystonia, ALS and other neuromuscular diseases, MS, epilepsy, and stroke. Additionally, as regulations make it easier for neurologists to use telehealth to treat conditions like stroke and headache, this course will discuss the current landscape in coding and reimbursements.

Upon Completion: Participants should have knowledge of chronic care and transitional care management codes, know when and how to code for time and the impact of E/M changes, understand how incorporating telehealth into their practice could be advantageous with proper reimbursement, and know where to locate references for continued use in their practices.

8:00 a.m.–8:05 a.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

8:05 a.m.–8:40 a.m. 2019 Coding Updates: Part 1

Jeffrey Waugh, MD, PhD – Dallas, TX

8:40 a.m.–9:15 a.m. 2019 Coding Updates: Part 2

Raissa Villanueva, MD, FAAN – Rochester, NY

8:45 a.m.–9:30 a.m. Question and Answers Faculty

The AAN’s 2019 Fall Conference has been specifically curated to deliver essential content for neurology practices to optimize and grow their centers for success. The Practice Management courses will be co-presented by neurologists and neurology business administrators to provide both perspectives on running a successful neurology practice in today’s challenging environment.

–David A. Evans, MBA, Texas Neurology Business Administrator

Fast, Easy Registration Online · AAN.com/view/19Fall

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Friday, October 18 10:00 a.m.–11:30 a.m.

Neurology Update 2: Neuro-oncology and Neurogenetics Program Directors: Nancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with managing patients with brain tumors, recognize neurologic complications of cancer treatment, and recognize the role of genetics in making a definitive diagnosis for various neurologic disorders.

10:00 a.m.–10:45 a.m. Neuro-oncology

Amy A. Pruitt, MD, FAAN – Philadelphia, PA

10:45 a.m.–11:30 a.m. Neurogenetics Faculty

Practice Management 2: Improving Patient Access and Engagement Is Good for Business

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: While neurologists are generally well aware of how patient engagement can improve patient care, did you know that you can leverage engagement techniques to increase your revenues? Learn how patient engagement satisfies MIPS quality improvement activities, how it impacts regulatory reimbursement requirements, and understand the driving forces to design a culture of patient engagement in your practice.

Upon Completion: Participants should understand clinical patient engagement techniques to maximize successful patient portal usage and shared decision making, know how to get paid for the improvement activities you already do at your practice, and build a culture among your providers and staff such that these practices actually happen.

10:00 a.m.–10:05 a.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

10:05 a.m.–10:40 a.m. Leveraging Technology and Communication Techniques to Improve Patient Engagement Radhika Sampat, DO – Canton, GA

10:40 a.m.–11:15 a.m. Using Patient Engagement as a Business Tool J. Todd Barnes, MBA – Oklahoma City, OK

11:15 a.m.–11:30 a.m. Question and Answers Faculty

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2019 American Academy of Neurology Fall Conference

Friday, October 18 Neuroscience in the Clinic: Traumatic Brain Injury Program Director: Renee M. Pazdan, MD, FAAN – Aurora, CO

CME

1.5

Description: Research on traumatic brain injury has dramatically increased over the past decade, yet clinical conundrums remain on best approaches to patient care. Clinicians often rely on consensus statements and expert opinion based upon knowledge of the scientific literature and patient care experience. Case presentations of common and more complex patients will demonstrate the neurologist’s critical role in the multidisciplinary care of patients, with a focus on mild traumatic brain injury/concussion.

Upon Completion: Participants should be able to review current literature and consensus statements on concussion/mild traumatic brain injury; recognize the neurologist’s role in various phases of injury (acute, subacute, chronic); learn how various specialties can contribute to care of the TBI patient, and how to form a multidisciplinary team approach; and discuss complex cases to hone in on clinical approach to individualized patient care.

10:00 a.m.–10:05 a.m. Introduction

Renee M. Pazdan, MD, FAAN – Aurora, CO

10:05 a.m.–10:30 a.m. Domestic Violence and TBI Faculty

10:30 a.m.–10:55 a.m. Military and Veteran TBI Faculty

10:55 a.m.–11:20 a.m. Mild TBI/Concussion Faculty

11:20 a.m.–11:30 a.m. Question and Answers Faculty

Fast, Easy Registration Online · AAN.com/view/19Fall

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Friday, October 18 1:00 p.m.–2:30 p.m.

Neurology Update 3: Dementia and Movement Disorders Program Directors: Nancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with the diagnosis and management of patients with various forms of dementia and be aware of the management options for various movement disorders with a focus on recent advances.

1:00 p.m.–1:45 p.m.

Dementia

Jonathan Graff-Radford, MD – Rochester, MN

1:45 p.m.–2:30 p.m. Movement Disorders

Vicki Shanker, MD – New York, NY CME

Update on Medical Management of Stroke

1.5

Program Director: Amy Guzik, MD – Winston Salem, NC Description: For patients presenting with signs and symptoms of acute stroke, the window for diagnosis and intervention is narrow and the treatment options are increasingly complex. This program is designed to address the challenges in management of acute stroke and provide attendees with the essential set of skills for rapid clinical decision-making that is based on the latest advances in cerebrovascular disease. Critical milestones in the management timeline of acute stroke and resources necessary to deliver best practices in stroke care will be outlined.

Upon Completion: Participants should be familiar with the latest advances in medical management of acute stroke, including the best practices in selecting patients for thrombolytic and antithrombotic agent use; management of fluctuating neurological exam and stroke complications; referral for early endovascular and surgical interventions; and resource utilization (such as TeleStroke and advanced neuroimaging) to guide diagnosis and management options that are known to improve stroke outcomes.

1:00 p.m.–1:05 p.m. Introduction

Amy Guzik, MD – Winston Salem, NC

1:05 p.m.–1:40 p.m.

Title TBD

1:40 p.m.–2:15 p.m.

Title TBD

Amy Guzik, MD – Winston Salem, NC Sherita Chapman, MD – Charlottesville, VA

2:15 p.m.–2:30 p.m. Questions and Answers Faculty

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2019 American Academy of Neurology Fall Conference

Friday, October 18 Practice Management 3: Cost: Managing Cost of Care: Why It Matters and What You Should Do

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: Payers, including Medicare, are actively developing incentives for physicians to lower their cost of care. For most neurologists who participate in the MIPS program, cost measures will have increasing financial implications in the coming years. This course will help you understand your cost performance and improve your score while continuing to deliver the highest possible quality of care.

Upon Completion: Participants should know which components make up the cost category, understand how to improve their score in the cost category, and identify strategies to improve their cost score in future years for maximum MIPS points.

1:00 p.m.–1:05 p.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

1:05 p.m.–1:40 p.m.

Framing the Healthcare Cost Crisis

1:40 p.m.–2:15 p.m.

Managing Cost of Care in Your Practice

Lyell K. Jones, MD, FAAN – Rochester, MN Joseph V. Fritz, PhD – Amherst, NY

2:15 p.m.–2:30 p.m. Questions and Answers Faculty

Attending the AAN Fall Conference as a trainee was a great experience, as I was able to gain exposure in fields not taught in my residency program, like teleneurology and sports neurology.

I also was able to take part in fun and interactive difficult case sessions that I will never forget. Being a resident at the meeting was a fun way to review neurology and learn new things at the same time.

–Nikesh Bajaj, DO, UIC Neurology & Rehabilitation MC 796, 2018 Regional Conference Trainee Scholarship recipient

Fast, Easy Registration Online · AAN.com/view/19Fall

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Friday, October 18 3:00 p.m.–4:30 p.m.

Neurology Update 4: Multiple Sclerosis and Autoimmune Neurology

CME

1.5

Program Directors: N ancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN Description: See page 6 for description.

Upon Completion: Participants should be familiar with recent advances in the diagnosis of MS and make rational choices from the increasing therapeutic options now available, and be aware of the broad spectrum of autoimmune neurology—in particular, be able to recognize some recently described disorders.

3:00 p.m.–3:45 p.m. Multiple Sclerosis

Aaron E. Miller, MD, FAAN – New York, NY

3:45 p.m.–4:30 p.m. Autoimmune Neurology

Eoin P. Flanagan, MBBCh – Rochester, MN

Controversies in Neurology Plenary Session Program Director: Paul M. George, MD, PhD, MSE – Stanford, CA

CME

1.5

Description: This session features experts discussing the most current and controversial issues in neuroscience via a debate format in which two speakers argue one side of a single topic, followed by a rebuttal.

3:00 p.m.–3:45 p.m. Should We Initiate New Amyloid Lowering Therapies for Alzheimer’s Disease?

Stephen P. Salloway, MD, MS – Providence, RI David S. Knopman, MD, FAAN – Rochester, MN

3:45 p.m.–4:30 p.m. Should Ambulances Bypass Primary Stroke Centers for Comprehensive Stroke Centers?

Johanna Therese Fifi, MD – New York, NY Kori Sauser Zachrison, MD, MSc, FACEP – Boston, MA

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2019 American Academy of Neurology Fall Conference

Friday, October 18 Practice Management 4: Transitioning Your Practice into a Value-based Model

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: This course will set the stage to help practices of all sizes—from solo to large—understand the mechanics of an Alternative Payment Model (APM) relevant to their own economic and care delivery considerations, how they are developed, and what the AAN is doing for members who participate in APMs. Upon Completion: Participants should have an understanding of an APM; know the essential components that are needed to implement and successfully deliver care in an APM; and review the risks/rewards of this payment approach for their organization.

3:00 p.m.–3:40 p.m. Infrastructure and Care Delivery Essentials for APM Success David A. Evans, MBA – Dallas, TX

3:40 p.m.–4:20 p.m. Being a Provider in the Era of Alternative Payment Models Robert M. Kropp, MD, FAAN – Saint Petersburg, FL

4:20 p.m.–4:30 p.m. Questions and Answers Faculty

Fast, Easy Registration Online · AAN.com/view/19Fall

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Saturday, October 19 8:00 a.m.–9:30 a.m.

Neurology Update 5: Autonomic Disorders and Epilepsy Program Directors: N ancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with the diagnosis and management of disorders of the autonomic nervous system and be aware of the management of epilepsy, with a focus on the revised classification and newer anti-epileptics.

8:00 a.m.–8:45 a.m. Autonomic Disorders

Roy L. Freeman, MD – Boston, MA

8:45 a.m.–9:30 a.m. Epilepsy

Jacqueline French, MD, FAAN – New York, NY

Contemporary Concerns About Brain Death Determination Program Director: Ariane Lewis, MD – New York, NY

CME

1.5

Description: Despite the fact that brain death has achieved widespread medical and legal acceptance for nearly 50 years, medical, social, and legal controversies associated with determination of death by neurologic criteria persist.

This course will review guidelines for declaration of brain death and examine contemporary challenges to brain death determination. We will also address the AAN Brain Death Working Group’s actions and recommendations to approach, avoid, and abrogate these controversies.

Upon Completion: Participants should be knowledgeable about the AAN’s guidelines for declaration of brain death; contemporary clinical, ethical, and legal challenges to brain death determination; and the AAN Brain Death Working Group’s actions and recommendations to approach, avoid, and abrogate these controversies.

8:00 a.m.–8:35 a.m. Medical and Legal Criteria for Brain Death Around the World Ariane Lewis, MD – New York, NY

8:35 a.m.–9:00 a.m. Brain Death and Society: Familial Objections to Use of Neurologic Criteria to Declare Death Matthew Kirschen, MD, PhD – Philadelphia, PA

9:00 a.m.–9:20 a.m. The Brain Death Working Group

James A. Russell, DO, FAAN – Manchester, MA

9:20 a.m.–9:30 a.m. Questions and Answers Faculty

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2019 American Academy of Neurology Fall Conference

Saturday, October 19 Practice Management 5: Running an Efficient Organization Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

CME

1.5

Description: Developed for those running a practice, this course will teach you how to maximize your efficiency through proper operations management, budgeting, and succeeding at benchmarking.

Upon Completion: Participants should be able to identify tools for ongoing education and management support in their practice, improve communication among staff for increased efficiency and higher patient satisfaction, and identify innovative ways to increase reimbursement.

8:00 a.m.–8:05 a.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

8:05 a.m.–8:40 a.m. Running an Efficient Organization Part 2 Catherine Annulli – Middlebury, CT

8:40 a.m.–9:15 a.m. Best Practices of Efficient Medical Organizations Joseph V. Fritz, PhD – Amherst, NY

9:15 a.m.–9:30 a.m. Questions and Answers Faculty

The Fall Conference Neurology Update programming is designed to keep the practicing neurologist abreast of what’s new in the world of neurology on a comprehensive variety of topics, ranging from the most basic and common neurologic disorders such as stroke, headache, movement disorders, the dementias, and multiple sclerosis to the more specialized areas such as neuro-ophthalmology and neuro-oncology. Hearing some of the best speakers in neurology review the basics and highlight new advances in their fields is an opportunity not to be missed!

–Nancy J. Newman MD, FAAN, Emory University School of Medicine, Co-director of Neurology Update Track

Fast, Easy Registration Online · AAN.com/view/19Fall

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Saturday, October 19 10:00 a.m.–11:30 a.m.

Neurology Update 6: Neuromuscular Disease 1 and 2 Program Directors: Nancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with the diagnosis and management of disorders of the anterior horn cell, nerve roots, plexus, peripheral nerve, neuromuscular junction, and muscle.

10:00 a.m.–10:45 a.m. Neuromuscular Disease 1: Anterior Horn Cell, Plexus, and Peripheral Nerve Jonathan D. Glass, MD – Atlanta, GA

10:45 a.m.–11:30 a.m. Neuromuscular Disease 2: Neuromuscular Junction and Muscle Lyell K. Jones, MD, FAAN – Rochester, MN

Neuroscience in the Clinic: Headache Program Director: Dawn C. Buse, PhD – San Diego, CA

CME

1.5

Description: This session will feature a mix of scientists and clinicians actively engaged in lively case discussion to integrate scientific research with clinical application. Scientists will introduce and provide background on a case and clinicians will apply the case to a patient. Visit the Fall Conference website for updated information on this program.

10:00 a.m.–10:05 a.m. Introduction

Dawn C. Buse, PhD – San Diego, CA

10:05 a.m.–10:30 a.m. Title TBD Faculty

10:30 a.m.–10:55 a.m. Title TBD Faculty

10:55 a.m.–11:20 a.m. Title TBD Faculty

11:20 a.m.–11:30 a.m. Question and Answers Faculty

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2019 American Academy of Neurology Fall Conference

Saturday, October 19 Practice Management 6: Building a Team Approach in Small- and Medium-sized Practices

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: As neurologists become more needed than ever, practices are considering hiring advanced practice providers like physician assistants and nurse practitioners. This course will introduce best practices to use APPs effectively. It will also provide guidance and methodology for private practices to further improve care delivery and profitability through expanding the care team with additional services.

Upon Completion: Participants should be able to evaluate if and when to add members of the care team to their practice, market non-physician members of the team to patients, understand how to build trust and rapport among your care team, and support and train members of your care team to keep them satisfied and efficient.

10:00 a.m.–10:05 a.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

10:05 a.m.–10:40 a.m. Investing in Your Patients and Practice with APPs Seth A. Lefberg – Somerset, NJ

10:40 a.m.–11:15 a.m. How APPs Can Support Growth Strategies and Enhance Patient-centered Care Pnina Mintz, PhD – Vorhees, NJ

10:45 a.m.–11:30 a.m. Questions and Answers Faculty

Fast, Easy Registration Online · AAN.com/view/19Fall

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Saturday, October 19 1:00 p.m.–2:30 p.m.

Continuum® Test Your Knowledge: A Multiple-choice Question Review 1

CME

1.5

Program Director: Aaron E. Miller, MD, FAAN – New York, NY Description: This course uses case-based multiple-choice questions and brief faculty expert discussions that are provoked by those questions to help neurologists stay current in clinical practice. Using the audience response system, faculty will engage participants in clinical problem solving and use multiple-choice questions from recent issues of Continuum: Lifelong Learning in Neurology® as a springboard for discussion of timely and important topics in epilepsy and multiple sclerosis. This program complements Continuum Test Your Knowledge: A Multiple-choice Question Review 2, but covers independent topics.

Upon Completion: Participants should be able to update and refresh their knowledge of epilepsy and multiple sclerosis through presentation of common and not-so-common clinical problems, as well as learn to work through difficult clinical presentations both logically and successfully.

1:00 p.m.–1:45 p.m. Epilepsy

Jacqueline French, MD, FAAN – New York, NY

1:45 p.m.–2:30 p.m. Multiple Sclerosis

Aaron E. Miller, MD, FAAN – New York, NY

Contemporary Clinical Issues Plenary Session

CME

1.5

Program Director: Paul M. George, MD, PhD, MSE – Stanford, CA Description: This session highlights issues most critical to practicing neurologists, including new therapeutic developments, clinical applications of basic and translational research, and innovative technical developments.

1:00 p.m.–1:30 p.m. AFM: Beyond Acute and Flaccid

Teri Schreiner, MD, MPH – Aurora, CO

1:30 p.m.–2:00 p.m. Amyloid PET Leads to Frequent Changes in Management of Cognitively Impaired Patients: The Imaging Dementia–Evidence for Amyloid Scanning (IDEAS) Study Rachel Whitmer, PhD – Oakland, CA

2:00 p.m.–2:30 p.m. Advances in the Acute Treatment of Migraine Jessica Ailani, MD – McLean, VA

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2019 American Academy of Neurology Fall Conference

Saturday, October 19 Practice Management 7: Private Practice Sustainability Through an Expanded Services Model

CME

1.5

Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA Description: This course will guide your practice in exploring revenue diversification strategies through an expanded services model, e.g., infusion, diagnostic imaging, clinical research, sleep, EEG. As practice expenses continue to rise and income from personally performed services remain stagnant, downstream revenue can be a critical component to the financial success of a neurology practice. Presenters will help you in determining which ancillary service may be the best fit for your practice, pros and cons of various services, and considerations of each to include financial modeling and performing a risk assessment.

Upon Completion: Participants should be able to understand the impact of revenue diversification as a successful strategy in financial planning for their practice; obtain the tools needed to determine which ancillary services are the best fit, based on the practice’s size and patient population; and understand the impact of an expanded services model in value-based care payment models.

1:00 p.m.–1:40 p.m.

Revenue Diversification Strategies: How Can Ancillary Services Boost Revenues and Improve Patient Care? Part 1 David A. Evans, MBA – Dallas, TX

1:40 p.m.–2:20 p.m. Revenue Diversification Strategies: How Can Ancillary Services Boost Revenues and Improve Patient Care? Part 2 Leeann Garms – Raleigh, NC

2:20 p.m.–2:30 p.m. Questions and Answers Faculty

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Saturday, October 19 1:00 p.m.–4:30 p.m.

Skills Workshop: Neuromuscular Ultrasound (additional fee required) Program Director: Rocio Carolina Garcia Santibanez, MD – Atlanta, GA

CME

3.25

Description: This skills workshop will introduce participants to the field of neuromuscular ultrasound (NMUS) and cover the basic principles of ultrasonography and current applications. NMUS techniques will be presented through both video and live demonstration sessions. Participants will also have the opportunity to gain limited hands-on experience with ultrasound systems under the guidance of a faculty member. Specific information will be presented on the role of NMUS in the diagnosis and management of entrapment neuropathies, and its use in guided procedures and in the diagnosis of muscular disorders.

Upon Completion: Participants should be able to understand the basic principles of neuromuscular ultrasonography, including its advantages and limitations, and the role of ultrasound in the diagnosis of entrapment neuropathies; become familiar with the techniques required to use ultrasound in the guidance of neuromuscular procedures, and the methods required to use muscle ultrasound; and learn to integrate electrodiagnostic and sonographic information through case presentations.

1:00 p.m.–1:30 p.m. Introduction and Orientation in Neuromuscular Ultrasound Rocio Carolina Garcia Santibanez, MD – Atlanta, GA

1:30 p.m.–4:00 p.m. Breakout 1: Upper Extremity Ultrasound

Rocio Carolina Garcia Santibanez, MD – Atlanta, GA

1:30 p.m.–4:00 p.m. Breakout 2: Lower Extremity Ultrasound Faculty

1:30 p.m.–4:00 p.m. Breakout 3: Brachial Plexus and Muscle Jeffrey A. Strakowski, MD – Columbus, OH

4:00 p.m.–4:30 p.m. Questions and Answers/Wrap Up Faculty

3:00 p.m.–4:30 p.m.

Continuum® Test Your Knowledge: A Multiple-choice Question Review 2

CME

1.5

Program Director: Aaron E. Miller, MD, FAAN – New York, NY Description: This course uses case-based multiple-choice questions and brief faculty expert discussions that are provoked by those questions to help neurologists stay current in clinical practice. Using the audience response system, faculty will engage participants in clinical problem solving and use multiple-choice questions from recent issues of Continuum: Lifelong Learning in Neurology® as a springboard for discussion of timely and important topics in dementia and headache. This program complements Continuum Test Your Knowledge: A Multiple-choice Question Review 1, but covers independent topics.

Upon Completion: Participants should be able to update and refresh their knowledge of dementia and headache through presentation of common and not-so-common clinical problems, as well as learn to work through difficult clinical presentations both logically and successfully.

3:00 p.m.–3:45 p.m. Dementia

Jonathan Graff-Radford, MD – Rochester, MN

3:45 p.m.–4:30 p.m. Headache

Stephanie J. Nahas, MD, FAAN – Philadelphia, PA

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2019 American Academy of Neurology Fall Conference

Saturday, October 19 Neuro-rheumatology: Neurological Manifestations of Systemic Inflammatory and Autoimmune Disease

CME

1.5

Program Director: Shamik Bhattacharyya, MD – Boston, MA Description: An interdisciplinary faculty of neurologists and rheumatologists will provide an update on neurorheumatology—the neurologic manifestations of systemic inflammatory and autoimmune syndromes.

Upon Completion: Participants should become familiar with the differential diagnosis of neurological manifestations of rheumatological, systemic inflammatory, and other autoimmune diseases.

3:00 p.m.–3:30 p.m. Neuropsychiatric Lupus

Shamik Bhattacharyya, MD – Boston, MA

3:30 p.m.–4:00 p.m. Neurosarcoidosis

Kristin Galetta, MD – Boston, MA

4:00 p.m.–4:30 p.m. Vasculitis of the Nervous System

Michael Bradshaw, MD – Billings, MT

Practice Management 8: Managing People, Managing Yourself Program Director: Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

CME

1.5

Description: This course will help business administrators and other physician leaders learn advanced strategies to improve their management skillsets in HR, how to influence behavior to improve and/or change processes within a practice, and improve satisfaction among staff and providers to mitigate burnout for all stakeholders, including themselves.

Upon Completion: Participants should be able to improve the process of hiring and staff development, evaluate their workplace culture and identify areas of improvement, use new skills to positively impact staff and practice functions, and understand where and how to obtain additional support.

3:00 p.m.–3:05 p.m. Introduction

Brad C. Klein, MD, MBA, FAAN – Willow Grove, PA

3:05 p.m.–3:40 p.m. Managing People, Managing Yourself Part 1 Catherine Annulli – Middlebury, CT

3:40 p.m.–4:15 p.m. Managing People, Managing Yourself Part 2 Rikki Maher – Lexington, KY

4:15 p.m.–4:30 p.m. Questions and Answers Faculty

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Saturday, October 19 5:00 p.m.–6:00 p.m.

CME

ABPN Continuing Certification Information Session

0

Description: Continuing certification for diplomates of the American Board of Psychiatry and Neurology (ABPN) is sometimes overwhelming, frustrating, and misunderstood. This presentation will offer guidance on how to navigate continuing certification in a way that satisfies requirements and is professionally rewarding.

Upon Completion: Participants should be able to successfully maintain ABPN certification.

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2019 American Academy of Neurology Fall Conference

Sunday, October 20 7:30 a.m.–9:00 a.m.

Neurology Update 7: Sleep and Neuro-infectious Disease Program Directors: N ancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with the diagnosis and management of various sleep disorders, as well as recognize the approach to various categories of neuro-infectious diseases.

7:30 a.m.–8:15 a.m. Sleep

Logan D. Schneider, MD – Palo Alto, CA

8:15 a.m.–9:00 a.m. Neuro-infectious Disease

Allen J. Aksamit, Jr., MD, FAAN – Rochester, MN

Multiple Sclerosis in the Trenches: Controversy and Consensus in Clinical Decision Making

CME

1.5

Program Director: Aaron E. Miller, MD, FAAN – New York, NY Description: Clinical decision-making in MS has become increasingly complex with more than a dozen diseasemodifying agents FDA approved, and still others used off-label. Recent changes in diagnostic criteria and phenotype classification increase the challenges. Assimilating and using this new information may be particularly difficult for neurologists who do not have the extensive experience of MS subspecialists. This course will address those challenges by using a novel, interactive format to engage the audience in answering the practical questions that arise in daily clinical practice. The format will consist of a series of brief case vignettes focused on specific and controversial issues involving clinical decision nodes. For each vignette, two MS experts will offer their opinions about the course of action and the moderator will add or elicit further commentary. The audience may express their own views, before and after the experts, using the audience response system.

Upon Completion: Participants should better understand and select DMTs in various circumstances; better understand the use of the McDonald Criteria and their limitations, as well as the new phenotypic descriptions used for MS; and better understand a variety of social and other medical situations that impact the management of people with MS. 7:30 a.m.–7:35 a.m. Introduction

Aaron E. Miller, MD, FAAN – New York, NY

7:30 a.m.–9:00 a.m. Discussion and Brief Case Vignettes

Aaron E. Miller, MD, FAAN – New York, NY Michelle Fabian, MD – New York, NY

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Sunday, October 20 9:15 a.m.–10:45 a.m.

Neurology Update 8: Stroke and Critical Care Program Directors: Nancy J. Newman, MD, FAAN – Atlanta, GA Neeraj Kumar, MD – Rochester, MN

CME

1.5

Description: See page 6 for description.

Upon Completion: Participants should be familiar with the diagnosis and management of cerebrovascular disease and other neurologic emergencies with a focus on recent developments.

9:15 a.m.–10:00 a.m. Stroke

Amie W. Hsia, MD – Washington, DC

10:00 a.m.–10:45 a.m. Critical Care

Thomas P. Bleck, MD, FAAN – Chicago, IL

Clinical EEG

CME

Program Director: Katherine H. Noe, MD, PhD, FAAN – Phoenix, AZ

1.5

Program Description: EEG interpretation can be challenging, and errors appear to be common, potentially leading to misdiagnosis of epilepsy and inappropriate treatment. This course will help practitioners gain skill and confidence in both interpretation of and clinical use of EEG in adults and children. Presentations will address common sources of over and under interpretation of the interictal and ictal EEG including benign variants, artifacts, and equivocal patterns, as well as challenging clinical scenarios encountered in both the outpatient and inpatient environment.

Appropriate use and abuse of routine EEG and prolonged EEG studies including ambulatory EEG, prolonged videoEEG, and critical care EEG monitoring will also be reviewed.

Upon Completion: Participants should recognize frequently encountered benign variants and artifacts that can be mistaken for epileptiform activity in adult and pediatric EEG, and know when and how to optimally use routine and specialized EEG studies.

9:15 a.m.–10:00 a.m. Adult EEG: Pearls and Pitfalls

Katherine H. Noe, MD, PhD, FAAN – Phoenix, AZ

10:00 a.m.–10:45 p.m. Pediatric EEG: Pearls and Pitfalls

Lily Wong-Kisiel, MD – Rochester, MN

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2019 American Academy of Neurology Fall Conference

Credits and Disclosures ACCME Accreditation The American Academy of Neurology Institute (AANI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AANI holds Accreditation with Commendation, the ACCME highest level of recognition for a CME provider.

AMA Credit Designation The AANI designates its live conferences for AMA PRA Category 1 Credit(s)™. See individual program descriptions for the maximum number of credits per program. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificates for Non-physicians Non-physicians participating in this program will receive an acknowledgement of participation indicating attendance at an activity designated for AMA PRA Category 1 Credit(s)™.

ABPN Statement The American Board of Psychiatry and Neurology has reviewed this program and has approved this product as a part of a comprehensive lifelong learning program which is mandated by the ABMS as a necessary component of continuing certification.

Education Disclaimer The primary purpose of this program is to meet the educational needs of its members and address practice gaps by providing practice oriented and scientifically based educational activities that will maintain and advance competence and performance in the field of neurology.

A diversity of opinions exists in the medical field and the views of the conference faculty do not represent those of the AAN/AANI or constitute endorsement by the AAN/AANI. The AAN/AANI disclaims any and all liability for the claims that may result from the use or nonuse of information, publications, therapies, and/or services discussed at its conferences.

Faculty’s Disclosure of Commercial Relationships Consistent with the AAN/AANI and ACCME policies, faculty must disclose any significant financial or other relationship with the manufacturer(s) discussed in their presentation. This policy is intended to make participants aware of all speakers’ financial or other relationship(s), so that attendees may form their own judgments about material discussed during the educational activity. Full disclosure of faculty’s commercial relationships will appear in the individual program materials and online. All faculty must sign an AANI letter of agreement stating explicitly that they understand and will adhere to ACCME and AANI Disclosure Statement guidelines that require full disclosure of commercial relationships, unlabeled use of products, and identification of data sources.

Unlabeled Use Disclosure The AANI requires all faculty members to disclose if a product is not labeled for the use being discussed or that the product is still investigational. Such disclosures will appear in the individual program materials.

Fast, Easy Registration Online · AAN.com/view/19Fall

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Book Your Hotel

The AAN has negotiated special discounted rates at The Cosmopolitan of Las Vegas for attendees of the 2019 Fall Conference and APP Pre-conference.

The Cosmopolitan of Las Vegas 3708 S. Las Vegas Blvd.

Las Vegas, NV 89109

BOOK YOUR HOTEL ONLINE

AAN.com/view/19FChotel

PHONE

(855) 435-0005

Rate: $249/night, plus tax Take advantage of the best rates by booking by September 12, 2019.* • Resort fee of $25/night (regularly $35) includes: high-speed internet, access to the 24-hour fitness center and tennis courts (based on availability), and unlimited phone calls within the US. • When booking, reference the group code SAMMN9. *After September 12, rates are subject to availability.

Conference Policies • Program/Conference Cancellation: Programs are subject to cancellation if enrollment is insufficient. The AAN is not responsible for airfare, hotel, or other costs incurred by participants in the event of cancellation.

• Cancelling Your Registration: An administrative fee of $100 USD will be applied for all cancellations made on or prior to August 15, 2019. Cancellations received after August 15 through September 12, 2019, will be charged $200 USD. Cancellations received after September 12, 2019, will not receive a refund. Refunds will be granted in US dollars and may not reflect the initial amount paid due to currency exchange rate fluctuations.

• Special Accommodations: The Cosmopolitan of Las Vegas and the AAN strive to accommodate all visitors. If you require special accommodation to attend the Pre-conference for APPs and/or the Fall Conference, submit your request while registering or contact Brooke Halvorson at bhalvorson@aan.com.

• Hotel Policies: Visit AAN.com/view/19FChotel to view hotel policies.

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2019 American Academy of Neurology Fall Conference

Register Early and Save

REGISTER NOW ONLINE

AAN.com/view/19Fall

PHONE

(800) 676-4226 (US/Canada) or (415) 979-2283 (International) • Early Registration Deadline: August 15 • Advance Registration: August 16–September 12 • On-site Rates: September 13 and after

FALL CONFERENCE REGISTRATION RATES Member Category

Early

Advance

On-site

Student Member and Nonmember Students

$199

$299

$399

Intern or Junior Member

$399

$499

$599

Non-physician Member*

$499

$599

$699

Physician Member **

$899

$999

$1,099

Nonmember

$1,499

$1,599

$1,699

Add-on Program Fees Member Category

Skills Workshop: Neuromuscular Ultrasound

APP Preconference

Early

Advance

On-site

Student Member and Nonmember Students

$99

$199

$299

$99

Intern or Junior Member

$199

$299

$399

$99

Non-physician Member*

$279

$379

$479

$99

Physician Member**

$329

$429

$529

$199

Nonmember

$539

$639

$839

$299

* Non-physician member includes Business Administrator, Researcher, and Advanced Practice Provider member types. ** Physician member includes Neurologist, Physician Affiliate, Senior, and Honorary member types.

Find standalone rates for the APP Pre-conference at AAN.com/view/19Fall.

Fast, Easy Registration Online · AAN.com/view/19Fall

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REGISTER TODAY! AAN.com/view/19Fall

Register by August 15 and save $200.

THE COSMOPOLITAN OF LAS VEGAS

OCTOBER 18–20

201 Chicago Avenue Minneapolis, MN 55415