If you would like to receive Grand Rounds via Teleconference, please contact the RIC Help Desk at helpdesk@ric.org.Please note that this Grand Rounds will take place at the Rehabilitation Institute of Chicago in the Magnuson Auditorium on the 16th Floor - 345 E. Superior Street, Chicago, Illinois from 12-1pm. Attestation Statement:
**Northwestern University’s Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
**Northwestern University’s Feinberg School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Michael J. Oldani, PhD, MS
Assistant Professor of Medical Anthropology,University of Wisconsin-Whitewater
Learning objectives:
1. Understand the pharmaceutical gift-cycle
2. Understand tactics used by pharmaceutical industry for achieving preferred drug status for formularies/protocols
3. Understand cultural practices of medical consumers Chris Chroniak, PhD
Licensed Clinical Psychologist, Director of the Insight Center
Learning objectives:
1. Participants will have an increased understanding of mindfulness and mindfulness meditation and how it is taught and practiced through the Mindfulness-based Stress Reduction Program (MBSR).
2. Participants will have an increased understanding of how mindfulness meditation mitigates the effects of stress and stress-related illnesses, and assists in the management of chronic pain.
3. Participants will review the research dealing with the efficacy of MBSR.
Steve Austin
Rehabilitation Engineer, Rehabilitation Institute of Chicago
Jessica Pedersen, MBA, OTR/L, ATP
Administrative Director of Assistive Technology Program, Rehabilitation Institute of Chicago
Learning objectives:
1. Define Rehabilitation Engineering
2. Identify the process for referring a patient to rehabilitation engineering
3. Identify the purpose and outcome of at least three pieces of equipment that were fabricated by the rehabilitation engineering department.
"Alberto de Hoyos, MD
Assistant Professor of Surgery, Director of Robotic and Minimally Invasive Thoracic Surgery, Northwestern University Feinberg School of Medicine
Learning objectives:
1. Understand the etiology and pathophysiology of tracheal strictures
2. Understand treatment modalities including stenting and dilatation
3. Understand indications for surgery Michelle Gittler, MD
Associate Professor, Section Orthopedic Surgery and Rehabilitation, University of Chicago
Medical Director Spinal Cord Injury Program, Schwab Rehabilitation Hospital
Learning objectives:
1. Participants will define 2 measures of energy expenditure
2. Participants will state the differences in BMR between sexes
3. Participants will differentiate speed of NHL in adults and children
4. Participants will identify levels of energy expenditure in the NYH classification system, and use this to determine appropriateness for acute rehab goals Linda Van Horn, Ph.D., R.D.
Professor of Preventive Medicine, Northwestern University Feinberg School of Medicine
Learning objectives:
1. Update evidence based data related to diet and risk for cardiovascular disease and stroke
2. List key dietary factors that appear to reduce recognized risk factors
3. Offer insights on dietary behavior and emerging lifestyle factors that appear to influence dietary adherence
Heakyung Kim, M.D.
Medical Director, Pediatric Rehabilitation Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania
Learning objectives:
1. Review special considerations in pediatric spasticity management
2. Understand decision-making considerations in spasticity management of children with diffuse (multi-level) spasticity.
3. Understand the rationale for the use of single event multi-level chemoneurolysis (SEMLC)
4. Design SEMLC with Botox and Phenol for the patients with diffuse spasticity
5. Develop a rationale for dosing Botox and Phenol for SEMLC
6. Delineate the injection techniques
Felise S. Zollman, MD
Medical Director, Brain Injury Program, Rehabilitation Institute of Chicago, Assistant Professor, Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine
Learning objectives:
1. Understand the issues underlying the designation of traumatic brain injury as the "signature injury" of the Iraq and Afghanistan wars.
2. Identify the components of the Joint Theater Trauma System.
3. Describe the interface amongst the DoD, VA, and civilian sectors in providing care to injured military service members. Joshua Rittenberg, MD
Medical Director, Interventional Spine, Rehabilitation Institute of Chicago, Assistant Professor, Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine
Learning objectives:
1. Understand the prevalence of disc mediated low back pain and current techniques for diagnosis
2. Describe traditional interventional and non-interventional treatement approaches for discogenic pain
3. Describe emerging interventional and biological therapies to treat low back pain Stephan Schuele, MD, MPH
Attending Physician, Department of Neurology and the Neurological Testing Center, Director of the Comprehensive Epilepsy Program, Northwestern University Feinberg School of Medicine.
Learning objectives:
1. Learn about the medical problems affecting instrumental musicians
2. Understand the underlying pathophysiology
3. Develop treatment strategies for these disorders
Elliot Roth, MD and Northwestern University Engineering Students
Learning objectives:
1. Learn about innovative designs for new assistive devices for people with disabilities.
2. Learn about sources of support and training for students interested in rehab engineering.
Steven L. Small, MD, PhD
Professor, Neurology and Psychology,The University of Chicago
Learning objectives:
1. Learn about the anatomy of premotor cortex
2. Learn about the role of action observation in language comprehension
3. Learn about the use of observation and imitation in therapy
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Cindy Zadikoff, MDAssistant Professor of Neurology, Parkinson's Disease and Movement Disorders Center, Northwestern University Feinberg School of Medicine Learning objectives:
1. Provide an overview of dystonia
2. Describe medical management in the treatment of dystonia
3. Describe surgical management options for the treatment of dystonia :
Debjani Mukherjee, PhD
Assistant Professor of Physical Medicine and Rehabilitation, Medical Humanities & Bioethics, Northwestern University Feinberg School of Medicine, Associate Director, Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago Learning objectives:
1. Consider social and ethical dimensions of adjustment
2. Examine satisfaction with life after traumatic brain injury
3. Discuss dilemmas in conducting international research Kristi Kirschner, MDAssistant Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Attending Physician, Rehabilitation Institute of Chicago. Learning objectives:
1. To discuss the levels of uncertainty inherent in medical prognostication about life with disability (using SCI and TBI as the exemplars)
2. To review the literature on quality of life/ the lived experience of life with disability (again, using SCI and TBI as the exemplars)
3. To provide some suggestions for how to assist patients and families in making treatment decisions, particularly ones involving life-sustaining treatments
Norman Harden, MD
Associate Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Director, Center for Pain Studies, Addison Chair, Rehabilitation Institute of Chicago
Learning objectives:
1. Review the best data available about the epidemiology of Pain in Rehabilitation Diagnoses
2. To discuss the current thinking about the identification, diagnosis and characterization of these diagnoses.
3. Learn the current thinking about the pathophysiology of the ‘top three’ pain diagnosis in Rehab (Post-amputation pain, SCI pain, and Post Stroke pain).
David Green, MD, PhD
Professor, Emeritus, Division of Hematology/Oncology, Northwestern University Feinberg School of Medicine
Learning objectives:
1. Identify the properties of low molecular weight heparins that recommend them for the prevention of venous thrombosis in inpatient rehabilitation.
2. Make the appropriate dose adjustments when low molecular weight heparins are given to patients with obesity, renal failure, and pregnancy.
3. Recognize and manage the adverse effects of low molecular weight heparins. :
Colleen Fitzgerald, MD
Assistant Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Attend Physician, Rehabilitation Institute of Chicago Learning Objectives:
1. Review pelvic floor anatomy and function
2. Describe the relationship of the pelvic floor musculature to other key core muscles
3. Describe the correlation of urinary incontinence in women and low back pain
4. Provide a rehabilitation prescription for the treatment of both urinary incontinence and low back pain
Michael Boninger, MD
Professor and Vice President for Research Dept of Physical Medicine and Rehabilitation, University of Pittsburg Medical Center, Project Director, University of Pittsburgh Model Center on Spinal Cord Injury
Learning Objectives:
1. Be able to discuss the ergonomics of upper limb repetitive strain injuries (RSI) specifically related to the rotator cuff and carpal tunnel.
2. Understand who manual wheelchair propulsion causes RSI and means of prevention
3. Understand the benefits and limitations of musculoskeletal ultrasound as a research tool
Richard Harvey, MD
Associate Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Attending Physician, Rehabilitation Institute of Chicago
Learning objectives:
1. Explain how cortical stimulation may facilitate neuroplasticity during upper limb motor retraining after stroke
2. Describe the differences between transcranial magnetic stimulation and transcranial direct current stimulation
3. List possible advantages of an implanted cortical stimulator over non-invasive methods.
James P. Kelly, MA, MD, FAANDepartment of Neurosurgery, University of Colorado Health Sciences Center Learning objectives:
1. List 5 symptoms of acute concussion
2. Explain the difference between amnesia and loss of consciousness
3. Describe the typical components of blast concussion
4. Name the neuroimaging technique most sensitive to anatomical changes in TBI Sidhartha Tan, MDProfessor, Department of Pediatrics, Northwestern University Feinberg School of Medicine, and Evanston Northwestern Healthcare Learning objectives:
1. Have a better idea of the advantages and limitations of animal models of movement disorders
2. Develop an understanding of the importance of timing of injury that leads to cerebral palsy
3. Gain an understanding new developments in treating the initial brain injury leading to cerebral palsy
Mark Han, COCertified Orthotsist, Rehabilitation Institute of Chicago Learning objectives:
1. Indications of use
2. Contraindications
3. Coding & Reimbursement
Assaf Y. Dvorkin, PhD
Postdoctoral Fellow, Rehabilitation Institute of Chicago
Learning objectives:
1. To understand the complexity of the hemispatial neglect syndrome
2. To learn about perceptual and motor deficits associated with hemispatial neglect
3. To learn about current approaches and new directions for diagnosis and assessment of hemispatial neglect
David Chen, MDAssociate Professor, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of MedicineMedical Director, Spinal Cord Injury Acute Care and Rehabilitation, Northwestern Memorial Hospital and Rehabilitation Institute of Chicago
Learning objectives:
1. Understand the history and current status of the NIDRR SCI Model Systems Program
2. Understand what comprises the Midwest Regional SCI Care System and its clinical and research activities
3. Understand the objectives and plan for one of the multicenter collaborative projects - SCIRehab
Mark Huang, MDAssociate Professor, Department of Physical Medicine and Rehabilitation, Northwestern Universit Feinberg School of Medicine, Attending Physician, Rehabilitation Institute of Chicago
Learning Objectives:
1. Define purpura fulminans and review the disease course
2. Discuss the acute management of purpura fuminans
3. Anticipate the rehabilitation and prosthetic needs of these patients "Sterilization Requests: How should we respond? Part II: Cognitive Disabilities”
Moderator:
Kristi Kirschner, MD- Associate Professor, Department of Physical Medicine and Rehabilittation, Medical Humanities and Bioethics, Northweestern University Feinberg School of Medicine, Medical Director, Women with Disabilities Center, Director, Donnelley Family Disability Ethics Program, Rehabilitation Institute of Chicago
Presenters: Katie Watson, JD -Lecturer, Medical Humanities & Bioethics Program Feinberg School of Medicine, Northwestern University
Cassing Hammond MD-Northwestern Memorial Faculty Foundation, OB/GYN - Medical Director, RIC Women’s Clinic Services Learning Objectives:
1. Understand national history and trends in the law of sterilization, including Illinois law.
2. Review risks and benefits of surgical sterilization, including the position statement of American College of Obstetrics and Gynecology on sterilization pertaining to people with cognitive disabilities.
3. Understand the unique concerns that arise when sterilization requests occur in the context of cognitive disabilities, and potential ways health care providers can respond (e.g., parenting). John Flaherty, MD
Professor of Medicine, Associate Chief and Director of Clinical Services, Division of Infectious Diseases Northwestern University Feinberg School of Medicine Learning Objectives:
1. Understand the pathogenesis of lower respiratory tract infection.
2. Distinguish the microorganisms causing community-acquired pneumonia, healthcare-associated pneumonia and early- and late-onset ventilator-associated pneumonia.
3. Recognize the role of diagnostic testing in patients with suspected pneumonia including appropriate timing of cultures of respiratory specimens and the role of invasive sampling techniques and quantitative cultures.
4. Recognize appropriate empiric treatment regimens for CAP, HAP, and early- and late-onset VAP and the role of de-escalation.
5. Review the treatment options for multi-drug resistant Pseudomonas aeruginosa and Acinetobacter baumanii. Professor of Surgery, Chief, Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Learning Objectives:
1. To understand endovascular treatment of abdominal aortic aneurysm.
2. To understand endovascular treatment of lower extremity arterial disease.
3. To understand the role of stem cells in the treatment of lower extremity disease.
4. To understand trends in lower extremity amputation.
Susan Pearlson, MDAssistant Professor, Department of Psychiatry, Feinberg School of Medicine, Northwestern University. Northwestern Memorial Hospital
Learning Objectives:
1. Describe the most common psychiatric sequelae observed in patients with brain or spinal cord injuries.
2. Discuss the signs and symptoms of psychiatric problems requiring attention and/or consultation.
3. Implement enhanced interview strategies for differentiating between depression, dementia, anxiety and grief.
Director, Clinical Education and Technical Services, Ossur Americas - Prosthetics.
Aliso Viejo, California
Learning Objectives:
1. To provide general introductory information for each of our bionic platform: the PROPRIO FOOT, RHEO KNEE and POWER KNEE
2. To define, and demonstrate the functional benefits of microprocessor control for each device.
3. To define patient selection criteria for each device.
John G. Searle Professor of Research in Rehabilitation, Northwestern University Feinberg School of Medicine,
Research Director of the Searle Rehabilition Research Center, Rehabilitation Institute of Chicago
Learning Objectives:
1. To learn the prevalence of disabling illness in East Africa
2. To understand the rehabilitation management barriers in Tanzania
3. To learn about the role of infectious disease in promoting death and disability
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