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UPCOMING GRAND ROUNDS

The Grand Rounds for Wednesday, March 12, 2008 will be:
"Medical Problems in Instrumental Musicians"
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

If you would like to receive this Grand Rounds via Teleconference, please contact the RIC Help Desk at  helpdesk@ric.org by Tuesday, March 11, 2008.

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.


Past Grand Round Presentations

The Grand Rounds- Wednesday, March 5, 2008: 
"Novel Products for People with Disabilities Designed by Engineering Students at RIC "
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.

The Grand Rounds- Wednesday, February 6, 2008:
 
"Action Observation and Imitation in Neurological Rebilitation"
Steven L. Small, M.D., Ph.D.
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

The Grand Rounds-Wednesday,
January 30, 2008:    
"Dystonia: An Overview and the Role of Deep Brain Stimulation"
Cindy Zadikoff, MD
Assistant 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

The Grand Rounds - Wednesday, January 23, 2008 :    
"Social and Ethical Dimensions of Long-term Adjustment to Traumatic Brain Injury in Kolkata, India"
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

The Grand Rounds - Wednesday, November 14, 2007:
"No Crystal Ball: Navigating Questions About Life With Disability"
Kristi Kirschner, MD
Assistant 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

The Grand Rounds for Wednesday- November 7, 2007:
"Pain in Rehabilitation Diagnoses" 
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 t
he 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).

The Grand Rounds for Wednesday, October 31, 2007:
"Anticoagulant Management in Rehabilitation" 
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.

The Grand Rounds - October 24, 2007:
“Undiagnosed Pelvic Floor Dysfunction in Low Back Pain”
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

The Grand Rounds- Wednesday, October 17, 2007:
8th Annual Ben L. Boynton Lecture:
“Repetitive Strain of Shoulder and Wrist: What Can We Learn from Wheelchair Users?” 
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

The Grand Rounds-Wednesday, October 3, 2007:
“Update on Cortical Stimulation for Treatment of Upper Limb Impairment After Stroke”
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.

The Grand Rounds-Wednesday, September 12, 2007:
“Concussion on the Gridiron and the Battlefield”
James P. Kelly, MA, MD, FAAN
Department 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

The Grand Rounds- Wednesday, September 5, 2007:
"Cerebral Palsy: Animal Model and Preventive Cure"
Sidhartha Tan, M.D.
Professor, 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

The Grand Rounds-Wednesday, August 29, 2007:
"Myo-Orthotics Technology (Electrical Stimulation Orthoses)
Mark Han, CO
Certified Orthotsist, Rehabilitation Institute of Chicago

Learning objectives:
1. Indications of use
2. Contraindications
3. Coding & Reimbursement

The Grand Rounds- Wednesday, August 22, 2007:
"Mirror Mirror on the Wall, Do I 'See' My Left at All? Hemispatial Neglect Following Stroke."
Assaf Y. Dvorkin, Ph.D
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

The Grand Rounds-Wednesday, August 8, 2007:
 “The Midwest Regional Spinal Cord Injury Care System -  Challenging Disparities in Access to Innovations to SCI Care”
David Chen, M.D.
Associate 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

The Grand Rounds -Wednesday, August 1,  2007:
“The Acute Management and Rehabilitation of Purpura Fulminans.”
Mark Huang, MD
Associate 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

The Grand Rounds- Wednesday, July 11, 2007:
"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).

The Grand Rounds-Wednesday, June 6, 2007:
"A Pneumonia Update"
by 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.

The Grand Rounds - Wednesday, May 23, 2007:
"What's New in Vascular Surgery?"
by William Pearce, MD
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.


The Grand Rounds - Wednesday, May 9, 2007:
“Essential Psychiatric Issues in Brain and Spinal Cord Injury"
by Susan Pearlson, MD
Assistant 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.

The Grand Rounds -Wednesday, May 2, 2007:
"PROPRIO FOOT, RHEO KNEE and POWER KNEE:
Bionic Technology by Ossur Americas"

by Duane Romo, CPO
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.


The Grand Rounds - Wednesday, April 25, 2007:
"Out of Africa II."
by Zev Rymer, M.D., Ph.D
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