Neurology: Common Challenges in Primary Care

Day 1

The Neurological Examination

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Organize the disparate parts of the neurologic examination into a personally relevant, manageable and reproducible diagnostic tool.
2. Perform a concise screening neurologic exam for asymptomatic patients.
3. Perform a problem-tailored neurologic exam for patients with neurologic complaints such as altered mental status and gait disturbances using evidence-based medicine
4. Obtain maximum yield from the examination of a patient with an altered mental status.

Seizures and Epilepsy – Diagnosis

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Differentiate among the major types of seizures.
2. Apply epidemiologic aspects to the diagnosis of epilepsy.
3. Employ AAN and AES practice guidelines regarding sudden unexpected death in epilepsy. (SUDEP)
4. Distinguish seizures from syncope.
5. Formulate a plan for diagnostic investigation.

Seizures and Epilepsy – Management 

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Determine when treatment with anticonvulsant medication is warranted using evidence-based medicine.
2. Choose among the many available anticonvulsant medications.
3. Manage problems confronted by women with epilepsy.
4. Counsel patients regarding their driving privileges

Stroke – An Evidence-Based Review of Risk Factors and Prevention

Upon completion of this session, the participant should be able to: ^{EBM, GL, COMP}

1. OBJECTIVE COMING SOON.

Clinician Burnout; Prevention and Recovery

Upon completion of this session, the participant should be able to: ^COMP

1. Review current literature re: physician burnout
2. Incorporate strategies to reduce clerical burdens of EMR.
3. Adopt strategies for improved patient satisfaction.
4. Apply techniques for managing complex and time intensive patient interactions.

Day 2

The Medically Complex Patient: Syncope, POTS, EDS, MCAS

1. OBJECTIVE COMING SOON.

Delirium Disorder and the Confused Patient

1. OBJECTIVE COMING SOON.

Migraine and Chronic Daily Headache

Upon completion of this session, the participant should be able to: ^{COMP, GL}

1. Differentiate between the five sub-types of chronic daily headaches.
2. Appraise the pathophysiology of headache and migraine.
3. Develop a plan for appropriate medication for intractable headache.
4. Assess the prevalence of medication overuse headaches in daily practice and employ the non-pharmacologic guideline for migraines.

Sleep Disorders – Insomnia and Obstructive Sleep Apnea

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Appraise the normal structure and function of stages of sleep
2. Formulate a diagnostic and therapeutic approach to insomnia using best practice recommendations from the American Academy of Sleep Medicine and American Geriatric Society.
3. Detect clinical features and initiate management of sleep apnea.
4. Evaluate patients for comorbidities of obstructive sleep apnea.

Sleep Disorders – Restless Legs Syndrome, Narcolepsy and Others

Upon completion of this session, the participant should be able to: ^COMP

1. Diagnose restless legs syndrome in under a
   minute.
2. Manage restless legs syndrome using practice guidelines.
3. Diagnose and treat narcolepsy.
4. Determine the prognosis of, and treat, REM-sleep behavior disorder.

Day 3

Dementia 

Upon completion of this session, the participant should be able to: ^COMP

1. Evaluate patients with mild cognitive impairment or dementia.
2. Diagnose the major syndromes associated with common causes of dementia.
3. Distinguish the conditions that frequently mimic dementia.
4. Manage major complications of dementia.

Multiple Sclerosis
 

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Recognize the typical clinical features of multiple sclerosis.
2. Initiate an appropriate series of diagnostic investigations.
3. Formulate an approach to abortive and prophylactic therapy of multiple sclerosis using evidence-based medicine.
4. Anticipate common medical complications of multiple sclerosis.

Peripheral Neuropathy and Neuropathic Pain Management

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Define the spectrum of neuropathic signs, symptoms, and causes.
2. Develop an approach to bedside examination.
3. Discuss the mechanism of neuropathic pain.
4. Apply effective therapies using evidence-based medicine.

An Approach to the Dizzy Patient

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Detect common presentations of dizziness.
2. Assess the pathophysiology of vertigo and nystagmus.
3. Apply bedside techniques to distinguish dizziness subtypes and identify dangerous causes.
4. Utilize potentially curative treatment for benign positional vertigo.

Libby Zion’s Lesson: Serotonin Syndrome and P450 Drug Interactions

Upon completion of this session, the participant should be able to: ^COMP

1. Define the clinical features of common drug interactions.
2. List the features of serotonin syndrome and distinguish from other Neurologic drug toxicities.
3. Recognize potential drug interactions and determine how to predict them.
4. Apply a simple clinical algorithm for anticipating and avoiding drug interactions.

Day 4

Cobalamin (B-12) Deficiency and Other Neurologic Disorders of Gastrointestinal Function

Upon completion of this session, the participant should be able to: ^COMP

1. Define recent advances in B-12 deficiency, Post-Gastroplasty Neuropathy, and Copper deficiency.
2. Examine the changing clinical presentation of this illness.
3. Apply newer laboratory techniques to the diagnosis.
4. Apply an algorithm for the diagnosis and treatment of B-12 deficiency.

Concussion and Sports: A Guide for Primary Care

Upon completion of this session, using Cochrane EBM sources and guidelines from the 3rd International Symposium on Concussion in Sports, the participant should be able to: ^{EBM, GL, COMP}

1. Describe the pathophysiology and, using evidence-based medicine, review the emergency treatment of concussion.
2. Apply an evidence-based medicine approach to decisions regarding imaging after minor head trauma.
3. Demonstrate use of currently recommended management approaches for assessment, follow up, and return to play.

Parkinson’s Disease and Essential Tremor

Upon completion of this session, the participant should be able to: ^{COMP, GL}

1. Assess the clinical features of the syndrome of parkinsonism.
2. Evaluate other important typical features of Parkinson’s disease.
3. Select treatment options for management of Parkinson’s disease.
4. Distinguish among common types of tremors and devise a therapeutic plan for a patient with essential tremor using American Academy of Neurology evidence-based guidelines.

Psychogenic Neurologic Disorders

Upon completion of this session, the participant should be able to: ^COMP

1. Evaluate common neurologic manifestations of psychogenic disorders.
2. Direct the laboratory investigation of a patient with suspected psychogenic nonepileptic seizures.
3. Conduct an interview of a patient with a suspected psychogenic disorder.
4. Formulate a plan for management of a psychogenic illness.

Spasticity, Ataxia, and Gait Disorders 

Upon completion of this session, the participant should be able to: ^COMP

1. Detect the major clinical features of spasticity.
2. Institute a diagnostic investigation of cervical spondylosis.
3. Assess ataxia and the other major clinical features of cerebellar dysfunction.
4. Evaluate different types of gait disorders.