Intraoperative Neuromonitoring Course

Principles and Practice of Intraoperative Neuromonitoring is designed for advanced professionals who perform or support intraoperative neuromonitoring (IONM) procedures. The course will highlight practice specifications, multimodality protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Presentations will make reference to current literature, technical developments, methodologies and clinical efficacy.

The course—sponsored by Procirca and the University of Pittsburgh School of Medicine Center for Continuing Education in the Health Sciences—will highlight practice specifications, multimodality protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Presentations will make reference to current literature, technical developments, methodologies and clinical efficacy. The faculty includes University of Pittsburgh Medical Center physicians and neurophysiologists with extensive clinical and academic expertise in IONM. The course is designed to expose the participants to material that will allow them to acquire a comprehensive understanding of IONM and how it relates to a wide variety of relevant topics such as:

  • Advanced principles for neurophysiological monitoring, including instrumentation, neuromonitoring protocols, alarm criteria and clinical efficacy,
  • Minimally invasive spine surgery, including transpsoas approaches,
  • Pre-, peri- and post-operative evaluation of neurological complications including stroke, cognitive deficits, seizure and spinal cord injury,
  • Multimodality monitoring techniques for a broad array of procedures including spine and vascular,
  • Cranial nerve monitoring during skull base procedures,
  • Interpretation and communication with surgical team,
  • Development of a Policy & Procedure manual; documentation and communication with the technologist; development of quality assurance metrics; and staff training, and
  • Problem based learning with real-time data analysis and formulation of differential diagnoses.

The course will include interactive work stations on:

  • Instruction and the opportunity to practice placing cranial nerve EMG electrodes on a cadaver (including the extra-ocular muscles),
  • Case study review session where participants will work through differential diagnoses,
  • Cerebrovascular anatomy and the role of IONM in neurointerventional procedures, and
  • Explore technical problems in IONM and how to develop algorithms for troubleshooting.

Please contact Josh Sunderlin, course coordinator, for more information on enrollment at 412-647-1453.

Course Date and Location

November 6-8, 2020

UPMC Presbyterian
200 Lothrop Street
Pittsburgh, PA 15213
Biomedical Science Tower
Room S120

Target Audience

This course is intended for, but not limited to, neurologists, surgical neurophysiologists, PM&R physicians, neurological surgeons, anesthesiologists, orthopedic surgeons, board certified neurophysiologists, vascular surgeons, senior neurophysiology technologists, ENT surgeons and cardiac surgeons.

Course Directors

Katherine Anetakis, MD
Assistant Professor of Neurological Surgery, University of Pittsburgh
University of Pittsburgh Department of Neurological Surgery

Jeffrey R. Balzer, PhD
Associate Professor of Neurological Surgery, University of Pittsburgh
Director, Clinical Operations, UPMC Center for Clinical Neurophysiology
Director, UPMC Cerebral Blood Flow Laboratory

Parthasarathy Thirumala, MD
Associate Professor of Neurological Surgery and Neurology, University of Pittsburgh
Medical Director, UPMC Center for Clinical Neurophysiology

Keynote Speaker

Kathleen Seidel, MD, PhD
Department of Neurosurgery,Inselspital University Hospital, Bern Switzerland

Course Coordinator

R. Joshua Sunderlin, MS, CNIM
Education Specialist, Procirca Center for Clinical Neurophysiology
Phone: 412-647-1453
E-Mail: sunderlinj@procirca.com

Faculty

Jeffrey Balzer, PhD
University of Pittsburgh Department of Neurological Surgery

James Castellano, MD, PhD
University of Pittsburgh Department of Neurology

Rabih Chaer, MD
University of Pittsburgh Department of Vascular Surgery

Mindy Corridoni, BS, CNIM
Procirca Center for Clinical Neurophysiology

Donald Crammond, PhD
University of Pittsburgh Department of Neurological Surgery

Ryan Dzadony, M.Ed, CCP, LP
Procirca School of Perfusion

Stephen Esper, MD
University of Pittsburgh Department of Anesthesiology

Wendy Fellows-Mayle, PhD
University of Pittsburgh Department of Neurological Surgery

Bradley Gross, MD
University of Pittsburgh Department of Neurological Surgery

Adam Kanter, MD
University of Pittsburgh Department of Neurological Surgery

Carly Kleynen, CNIM
Procirca Center for Clinical Neurophysiology

Jaime López, MD
Stanford University School of Medicine, Department of Neurology

Joseph Maroon, MD
Hiendl Scholar in Neuroscience
University of Pittsburgh Department of Neurological Surgery

Rachel Mihal, CNIM
Procirca Center for Clinical Neurophysiology

Andrew Moyer, CNIM
Procirca Center for Clinical Neurophysiology

Ryan Quallich, CNIM
Procirca Center for Clinical Neurophysiology

Jeremy Shaw, MD
University of Pittsburgh Department of Orthopedic Surgery

R. Joshua Sunderlin, MS, CNIM
Procirca Center for Clinical Neurophysiology

Parthasarathy Thirumala, MD 
University of Pittsburgh Department of Neurological Surgery

Shyam Visweswaran, MD, PhD
University of Pittsburgh Department of Biomedical Informatics

Rich Vogel, PhD
President of American Society of Neurophysiological Monitoring

Georgios Zenonos, MD
University of Pittsburgh Department of Neurological Surgery

Pascal Zinn, MD
University of Pittsburgh Department of Neurological Surgery

Program

• Day 1, Friday, November 6

7:00 a.m. Continental Breakfast
7:30 a.m. Welcome Address (Balzer, Sunderlin)

Principles of Intraoperative Monitoring
7:45 a.m IONM: The History and Physiological Basis (Thirumala)
8:15 a.m. Principles of EEG Monitoring During Surgery (Anetakis)
8:45 a.m. Principles of SSEP Monitoring During Surgery (Crammond)
9:15 a.m. Break
9:30 a.m. Principles of TcMEP Monitoring During Surgery (Balzer)
10:00 a.m. Principles of BAER Monitoring During Surgery (Castellano)

Deep Brain Stimulator
10:30 a.m Microelectrode Recording for DBS (Crammond)

11:00 a.m. Lunch Break

IONM for Spinal Surgery
11:45 a.m. Spinal Cord Stimulator (Balzer)
12:15 p.m. Minimally Invasive Spine Procedures (Kanter)
12:45 p.m. Spinal Fusion Procedures (Shaw)
1:15 p.m. Lumbar Nerve Root Monitoring (Vogel)
1:45 p.m. Break

Supratentorial Mapping
2:00 p.m. IONM for Epilepsy Surgery (Castellano,)
2:30 p.m. Awake Craniotomy Procedures with Language Mapping (Zinn)

Keynote Speech
3:00 p.m. Cortical and Subcortical Motor Mapping in Neurooncological Surgery (Seidel)

Skull Base Procedures 
3:45 p.m. Skull Base Procedures (Zenonos) 
4:30 p.m. Break; Change of Venues

Evening Session Meet and Greet
5:30-7:30 p.m. Meet and Greet, Faculty & Vendors, Hilton Garden Inn
6:00 p.m. From Icarus to Aequanimitas - Overcoming Adversity and Acquiring Resilience (Maroon)
7:30 p.m. Adjournment

• Day 2, Saturday, November 6

7:00 a.m. Continental Breakfast
7:30 a.m. Day 2 Announcements (Balzer, Sunderlin)

IONM for Stroke Prevention 
7:45 a.m. IONM and Stroke Prevention/Management (Thirumala)
8:15 a.m. Neurointerventional Procedures (Gross)
8:45 a.m. Carotid Endarterectomy & TCAR (Chaer)
9:15 a.m. Break
9:30 a.m. Cardiopulmonary Bypass Aortic Arch Repair (Dzadony)
10:00 a.m. Preoperative Screening for Stroke: Who gets IONM? (Esper)
10:30 a.m. Advanced IONM for Open Cerebrovascular Procedures (Lopez)

11:15 a.m. Lunch in Exhibitor Area 

Workshops:
12:15 p.m. Bloodborne Pathogens Lecture and Exam (Sunderlin)
12:45-5:15 p.m. Workshops:
     Station 1: Placing Cranial Nerve EMG Electrodes on Cadavers (Fellows-Mayle, Qualich)
     Station 2: Interactive Case Study Review Session (Thirumala, Sunderlin)
     Station 3: Cerebrovascular Anatomy and Interactive Case Studies (Balzer, Brog)
     Station 4: Troubleshooting Technical Problems with IONM Equipment (Anetakis, Moyer)
5:15 p.m. Adjournment

• Day 3, Sunday, November 7

7:00 a.m. Continental Breakfast
7:30 a.m. Day 3 Announcements (Balzer)

Controversies in IONM
7:45 a.m. Defining Significance in IONM Alerts (Thirumala)

AI in Clinical Neurophysiology
8:15 a.m. Artificial Intelligence in IONM (Visweswaran)

Review Submitted Data
8:45 a.m. Attendees submit data in advance to be reviewed and discussed collaboratively (Sunderlin)

9:45 a.m. Break

Improving IONM Practice
10:00 a.m. Managing IOM practice (Quallich)
10:30 a.m. Teaching Troubleshooting (Sunderlin)
11:00 a.m. Quality Assurance (Anetakis, Corridoni)
11:30 a.m. Communication and Documentation, Medico-Legal Implications) (Balzer)
12:00 p.m. Conference Adjournment

Tuition

$700 for physicians and other attendees seeking CME credits.
$550 for all other healthcare professionals seeking CEU credits.

Registration and Online Payment

On-line registration can be completed by visiting the Procirca website. On-site registration will not be permitted.

CME Accreditation and Designation

In support of improving patient care, the University of Pittsburgh isjointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh designates this live activity for a maximum of 21.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

ASET – The Neurodiagnostic Society has granted 21 Continuing Education Units [ASET-CEUs] for this program. Such crediting, however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or involved in these presentations..

Faculty Disclosure

All individuals in a position to control the content of this education activity are required to disclose all relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients.

Special Needs

Participation by all individuals is encouraged. Advance notification of any special needs will help us provide better service. Please notify us of your needs at least two weeks in advance of the program by calling 412-647-1453.

Cancellation Policy

  • Registration fee is 100% refundable up until October 6, 2020.
  • Registration fee is 50% refundable up to 15 days prior to the start date of the course.
  • If you cancel within 15 days of the start of the course, NO REFUNDS will be granted.

Cancellation requests should be sent to:
Josh Sunderlin, Course Coordinator
Procirca Center for Clinical Neurophysiology
Phone: 412-647-1453
Email: sunderlinj@procirca.com

Hotel Accommodations

Hilton Garden Inn Pittsburgh University Place
3454 Forbes Avenue 
Pittsburgh PA 15213 
Phone: 412-683-2040
Distance from campus 0.3 miles; travel time on foot 5 minutes

A block of rooms is being held at the Hilton Garden Inn University Place at a rate of $144.00/Night.

Wyndham Pittsburgh University Center
100 Lytton Avenue
Pittsburgh (Oakland), PA 15213
Phone: 412-682-6200
Distance from campus 0.7 miles; travel time on foot 10 minutes

Wyndham nightly parking charge: $10.00.

The University of Pittsburgh is an affirmative action, equal opportunity institution.