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U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST FRIDAY, SEPTEMBER 14, 2018 LAUREL MANOR, LIVONIA, MI

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

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Page 1: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

COURSE HIGHLIGHTSDesigned for the busy clinician, this exciting full-day course will cover the most common movement disorders seen in clinical practice, including tremor, dystonia, tics, chorea and parkinsonism, as well as gait disorders. Participants will benefit from the expertise of our highly regarded movement disorders faculty, who will provide attendees with high-yield, practical information for recognition, diagnosis, assessment and management of these movement disorders. The afternoon session is dedicated to “bedside teaching” sessions with actual patients. During these sessions, faculty will demonstrate movement disorders examination techniques and share clinical pearls so that participants can be more confident in diagnosing various movement disorders. Primary care physicians, geriatricians, psychiatrists, physiatrists, physicians in training, nurses, physician assistants, and rehabilitation specialists who are interested in learning more about clinical aspects of movement disorders will find this course highly beneficial.

LEARNING OBJECTIVES:Upon completion of this course, participants should be able to describe how to evaluate, examine and treat patients who present with:• Tremor• Dystonia• Parkinsonism• Gait disorders• Chorea• Tics

WHO SHOULD ATTEND:The intended audience for this course includes primary care physicians, geriatricians, psychiatrists, physiatrists, physicians in training, nurses, physician assistants, and rehabilitation specialists who are interested in learning more about clinical aspects of movement disorders.

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GUEST FACULTYKathleen Poston, MDStanford University Medical Center Associate Professor of Neurology & Neurological Sciences and (by courtesy) Neurosurgery

UNIVERSITY OF MICHIGAN FACULTYKelvin L. Chou, MDProfessor, Neurology and Neurosurgery

Praveen Dayalu, MDAssociate Professor, Neurology

Kara J. Wyant, MDAssistant Professor, Neurology

Vikas Kotagal, MDAssistant Professor, Neurology

Christopher Chauncey Spears, MDAssistant Professor, Neurology

PLANNING COMMITTEEKelvin L. Chou, MDCourse Co-Director

Kara J. Wyant, MDCourse Co-Director

Laura Zeitlin, LMSW Educational Activities Coordinator, Udall Center of Excellence for Parkinson’s Disease Research Administrative/Logistical Support

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PROGRAM SCHEDULEFRIDAY, SEPTEMBER 14, 2018 65 CREDIT HOURS 7:30am Registration and Continental Breakfast

AM SESSION - Didactic lectures

8:00 The Patient Who Shakes Chou

8:45 The Dystonic Patient Dayalu

9:15 The Parkinsonian Patient Poston

10:00 BREAK

10:15 The Patient with a Walking Problem Kotagal

11:00 The Fidgety Patient Wyant

11:30 The Patient with Tics Spears

12:00pm LUNCH

PM SESSION - Participants will be split into 3 groups and spend 20-25 minutes with each live patient

1:00 Patient 1 1:25 Patient 2 1:50 Patient 32:15 BREAK

2:30 Patient 4 2:55 Patient 5 3:20 Patient 63:45 Q&A

4:00 Adjourn

Page 2: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

COURSE HIGHLIGHTSDesigned for the busy clinician, this exciting full-day course will cover the most common movement disorders seen in clinical practice, including tremor, dystonia, tics, chorea and parkinsonism, as well as gait disorders. Participants will benefit from the expertise of our highly regarded movement disorders faculty, who will provide attendees with high-yield, practical information for recognition, diagnosis, assessment and management of these movement disorders. The afternoon session is dedicated to “bedside teaching” sessions with actual patients. During these sessions, faculty will demonstrate movement disorders examination techniques and share clinical pearls so that participants can be more confident in diagnosing various movement disorders. Primary care physicians, geriatricians, psychiatrists, physiatrists, physicians in training, nurses, physician assistants, and rehabilitation specialists who are interested in learning more about clinical aspects of movement disorders will find this course highly beneficial.

LEARNING OBJECTIVES:Upon completion of this course, participants should be able to describe how to evaluate, examine and treat patients who present with:• Tremor• Dystonia• Parkinsonism• Gait disorders• Chorea• Tics

WHO SHOULD ATTEND:The intended audience for this course includes primary care physicians, geriatricians, psychiatrists, physiatrists, physicians in training, nurses, physician assistants, and rehabilitation specialists who are interested in learning more about clinical aspects of movement disorders.

U-M

MO

VEM

ENT D

ISORD

ERS

FOR

THE N

ON-

NEUR

OLO

GIS

T

FRID

AY, S

EPTE

MBE

R 14

, 201

8 LA

URE

L M

AN

OR,

LIV

ON

IA, M

I

NO

N-P

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NIZ

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S. P

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AG

EP

A I

DA

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OR,

MIC

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RMIT

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. 144

GUEST FACULTYKathleen Poston, MDStanford University Medical Center Associate Professor of Neurology & Neurological Sciences and (by courtesy) Neurosurgery

UNIVERSITY OF MICHIGAN FACULTYKelvin L. Chou, MDProfessor, Neurology and Neurosurgery

Praveen Dayalu, MDAssociate Professor, Neurology

Kara J. Wyant, MDAssistant Professor, Neurology

Vikas Kotagal, MDAssistant Professor, Neurology

Christopher Chauncey Spears, MDAssistant Professor, Neurology

PLANNING COMMITTEEKelvin L. Chou, MDCourse Co-Director

Kara J. Wyant, MDCourse Co-Director

Laura Zeitlin, LMSW Educational Activities Coordinator, Udall Center of Excellence for Parkinson’s Disease Research Administrative/Logistical Support

Univ

ersit

y of

Mic

higa

nD

epar

tmen

t of I

nter

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edic

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Con

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edic

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Dom

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Par

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Llo

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750

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T

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8 LA

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PROGRAM SCHEDULEFRIDAY, SEPTEMBER 14, 2018 65 CREDIT HOURS 7:30am Registration and Continental Breakfast

AM SESSION - Didactic lectures

8:00 The Patient Who Shakes Chou

8:45 The Dystonic Patient Dayalu

9:15 The Parkinsonian Patient Poston

10:00 BREAK

10:15 The Patient with a Walking Problem Kotagal

11:00 The Fidgety Patient Wyant

11:30 The Patient with Tics Spears

12:00pm LUNCH

PM SESSION - Participants will be split into 3 groups and spend 20-25 minutes with each live patient

1:00 Patient 1 1:25 Patient 2 1:50 Patient 32:15 BREAK

2:30 Patient 4 2:55 Patient 5 3:20 Patient 63:45 Q&A

4:00 Adjourn

Page 3: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

HOW DID YOU HEAR ABOUT THIS PROGRAM? MAILED BROCHURE EMAILED BROCHURE

UOFM WEBSITE OTHER_________________________

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST

FRIDAY, SEPTEMBER 14, 2018

R E G I S T R A T I O N F O R M

U-M Cardiovascular Center

By Fax or Mail: Department of Internal Medicine CMEUniversity of Michigan 24 Frank Lloyd Wright Dr. Lobby J, Suite 1200 Ann Arbor, MI 48106-5750By Fax: (734) 998-0085

REGISTRATION OPTIONS Online: www.med.umich.edu/intmed/cme By Phone: (734) 232-3469 On-site registration will also be available; check or credit card only on-site.

Registration Deadline to guarantee materials: August 30, 2018

REGISTRANT NAME (first, middle initial, last) DEGREE - select all that apply

� MD � DO � PhD � PA

� NP � RN � Other:

SPECIALTY:

PREFERRED MAILING ADDRESS......................................select one � HOME � BUSINESSADDRESS

CITY STATE ZIP OR POSTAL CODE COUNTRY

CONTACT PHONE NUMBER(S):

� CELL / HOME � WORKEMAIL ADDRESS REQUIRED SPECIAL ACCOMMODATIONS

CONTACT INFORMATION

DATEFRIDAY, SEPTEMBER 14, 2018Registration and Continental Breakfast: 7:30amCourse Adjourns: 4:00 pm

LOCATIONLaurel Manor39000 Schoolcraft Rd, Livonia, MI 48150Phone: (734) 462-0770http://laurelmanor.com/Course Fee: $150

REGISTRATION You are urged to register as soon as you are certain of attending as we cannot guarantee education materials for applicants who are not preregistered and prepaid by August 30, 2018. Registration fees include continental breakfast, lunch, and educational materials for each participant. Checks should be made payable to the University of Michigan. Payments made via American Express, Visa or MasterCard are also accepted.

RECORDING THE PROGRAMRecording the program with battery-operated devices not requiring podium microphones is permitted for the registrant’s personal use.

PROGRAM FUNDING This program is supported under the Education and Outreach Core of the University of Michigan Udall Center of Excellence for Parkinson’s Disease Research. The Education and Outreach Core pursues a comprehensive program to educate caregivers about the etiology, clinical features and state-of-the-art management of Parkinson disease and falls, including the clinical education of Udall Center Fellows and an aggressive outreach program to inform and educate traditionally underserved communities about Parkinson Disease and related movement disorders. http://www.udallpd.umich.edu/

FOR PATIENT CARE OR REFERRALS:University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center4260 Plymouth Rd. Level 1734-764-6831http://www.uofmhealth.org/medical-services/brain-neurological-conditions/movement-disorders

ACCREDITATION AND CREDIT DESIGNATION:The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Osteopathic Association has approved this live activity for 6.5 credit hours.

This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is acceptable for up to 6.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DRIVING DIRECTIONS From Detroit I-96 West to Newburgh Rd. Exit (173A). Follow Schoolcraft service drive for approximately 3/4 mile. Laurel Manor is on the right hand side.

From Ann Arbor M-14 East (turns into I-96 East) to Newburgh / Levan Road Exit (173).Immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Metro Airport I-94 West to I-275 North to I-96 East (Detroit) to Newburgh / Levan Road Exit (173). Immediately after exiting the freeway, there is an Overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd. service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Grand Rapids I-696 West to I-275 South to I-96 East (Detroit) I-96 East to 275 South to 1-96 East to Newburgh / Levan Road Exit (173) immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over freeway, turn left onto the Schoolcraft service drive heading West. Follow for approx. 1/2 mile. Laurel Manor is on the right hand side.

Kelvin L . Chou, MD Kelvin L. Chou, MD, is a Professor of Neurology and Neurosurgery in the Department of Neurology. He is the Education and Outreach Core Director for the U-M Udall Center of Excellence for Parkinson’s Disease Research and the Co-Director of the Surgical Therapies Improving Movement (STIM) Program.

Board-certified in Neurology and fellowship-trained in movement disorders, Dr. Chou maintains an active

movement disorders practice. His research is focused on improving the ability to treat movement disorders patients through deep brain stimulation (DBS) by better understanding the relationships between patient baseline characteristics, DBS targeting, and the clinical effects of stimulation.

Kara J . Wyant, MD Kara J. Wyant, MD, is an Assistant Professor in the Department of Neurology. She is board certified in Neurology and fellowship trained in movement disorders. She is currently serving as a neurohospitalist at the University of Michigan and provides teleneurology consults for MidMichigan Health System.

Dr. Wyant is actively participating in industry and clinician-led clinical trials for patients with Parkinson

disease piloting in-home tele-health visits to improve access to care for patients in rural Michigan. She is also working with MidMichigan Health System to establish remote DBS and movement disorders clinic.

C O U R S E D I R E C T O R S

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST FRIDAY, SEPTEMBER 14, 2018

RATE & PAYMENT INFORMATION

REGISTRATION OPTIONS GENERAL RATEFull Course � $150

There are no partial day registrations for this course. Refunds can be processed up to a week in advance but a $50 service fee will be charged. Please enclose a check (U.S. currency) payable to the University of Michigan or pay by credit card (see below).

All registrations are considered confirmed once payment is received. All registrations taken by phone, fax or online will receive an email confirmation. Please call (734) 232-3469 with any questions or concerns.

CREDIT CARD: �AmEx �MasterCard �Visa

CARD # EXP. DATE SECURITY CODE #

NAME ON CARD (Please print)

SIGNATURE (Not valid without signature) DATE

Receipts and confirmations are sent via email. Please print clearly.)

FOR PATIENT CARE OR REFERRALS:

University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center

4260 Plymouth Rd. Level 1734-764-6831

http://www.uofmhealth.org/movement

Page 4: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

HOW DID YOU HEAR ABOUT THIS PROGRAM? MAILED BROCHURE EMAILED BROCHURE

UOFM WEBSITE OTHER_________________________

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST

FRIDAY, SEPTEMBER 14, 2018

R E G I S T R A T I O N F O R M

U-M Cardiovascular Center

By Fax or Mail: Department of Internal Medicine CMEUniversity of Michigan 24 Frank Lloyd Wright Dr. Lobby J, Suite 1200 Ann Arbor, MI 48106-5750By Fax: (734) 998-0085

REGISTRATION OPTIONS Online: www.med.umich.edu/intmed/cme By Phone: (734) 232-3469 On-site registration will also be available; check or credit card only on-site.

Registration Deadline to guarantee materials: August 30, 2018

REGISTRANT NAME (first, middle initial, last) DEGREE - select all that apply

� MD � DO � PhD � PA

� NP � RN � Other:

SPECIALTY:

PREFERRED MAILING ADDRESS......................................select one � HOME � BUSINESSADDRESS

CITY STATE ZIP OR POSTAL CODE COUNTRY

CONTACT PHONE NUMBER(S):

� CELL / HOME � WORKEMAIL ADDRESS REQUIRED SPECIAL ACCOMMODATIONS

CONTACT INFORMATION

DATEFRIDAY, SEPTEMBER 14, 2018Registration and Continental Breakfast: 7:30amCourse Adjourns: 4:00 pm

LOCATIONLaurel Manor39000 Schoolcraft Rd, Livonia, MI 48150Phone: (734) 462-0770http://laurelmanor.com/Course Fee: $150

REGISTRATION You are urged to register as soon as you are certain of attending as we cannot guarantee education materials for applicants who are not preregistered and prepaid by August 30, 2018. Registration fees include continental breakfast, lunch, and educational materials for each participant. Checks should be made payable to the University of Michigan. Payments made via American Express, Visa or MasterCard are also accepted.

RECORDING THE PROGRAMRecording the program with battery-operated devices not requiring podium microphones is permitted for the registrant’s personal use.

PROGRAM FUNDING This program is supported under the Education and Outreach Core of the University of Michigan Udall Center of Excellence for Parkinson’s Disease Research. The Education and Outreach Core pursues a comprehensive program to educate caregivers about the etiology, clinical features and state-of-the-art management of Parkinson disease and falls, including the clinical education of Udall Center Fellows and an aggressive outreach program to inform and educate traditionally underserved communities about Parkinson Disease and related movement disorders. http://www.udallpd.umich.edu/

FOR PATIENT CARE OR REFERRALS:University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center4260 Plymouth Rd. Level 1734-764-6831http://www.uofmhealth.org/medical-services/brain-neurological-conditions/movement-disorders

ACCREDITATION AND CREDIT DESIGNATION:The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Osteopathic Association has approved this live activity for 6.5 credit hours.

This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is acceptable for up to 6.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DRIVING DIRECTIONS From Detroit I-96 West to Newburgh Rd. Exit (173A). Follow Schoolcraft service drive for approximately 3/4 mile. Laurel Manor is on the right hand side.

From Ann Arbor M-14 East (turns into I-96 East) to Newburgh / Levan Road Exit (173).Immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Metro Airport I-94 West to I-275 North to I-96 East (Detroit) to Newburgh / Levan Road Exit (173). Immediately after exiting the freeway, there is an Overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd. service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Grand Rapids I-696 West to I-275 South to I-96 East (Detroit) I-96 East to 275 South to 1-96 East to Newburgh / Levan Road Exit (173) immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over freeway, turn left onto the Schoolcraft service drive heading West. Follow for approx. 1/2 mile. Laurel Manor is on the right hand side.

Kelvin L . Chou, MD Kelvin L. Chou, MD, is a Professor of Neurology and Neurosurgery in the Department of Neurology. He is the Education and Outreach Core Director for the U-M Udall Center of Excellence for Parkinson’s Disease Research and the Co-Director of the Surgical Therapies Improving Movement (STIM) Program.

Board-certified in Neurology and fellowship-trained in movement disorders, Dr. Chou maintains an active

movement disorders practice. His research is focused on improving the ability to treat movement disorders patients through deep brain stimulation (DBS) by better understanding the relationships between patient baseline characteristics, DBS targeting, and the clinical effects of stimulation.

Kara J . Wyant, MD Kara J. Wyant, MD, is an Assistant Professor in the Department of Neurology. She is board certified in Neurology and fellowship trained in movement disorders. She is currently serving as a neurohospitalist at the University of Michigan and provides teleneurology consults for MidMichigan Health System.

Dr. Wyant is actively participating in industry and clinician-led clinical trials for patients with Parkinson

disease piloting in-home tele-health visits to improve access to care for patients in rural Michigan. She is also working with MidMichigan Health System to establish remote DBS and movement disorders clinic.

C O U R S E D I R E C T O R S

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST FRIDAY, SEPTEMBER 14, 2018

RATE & PAYMENT INFORMATION

REGISTRATION OPTIONS GENERAL RATEFull Course � $150

There are no partial day registrations for this course. Refunds can be processed up to a week in advance but a $50 service fee will be charged. Please enclose a check (U.S. currency) payable to the University of Michigan or pay by credit card (see below).

All registrations are considered confirmed once payment is received. All registrations taken by phone, fax or online will receive an email confirmation. Please call (734) 232-3469 with any questions or concerns.

CREDIT CARD: �AmEx �MasterCard �Visa

CARD # EXP. DATE SECURITY CODE #

NAME ON CARD (Please print)

SIGNATURE (Not valid without signature) DATE

Receipts and confirmations are sent via email. Please print clearly.)

FOR PATIENT CARE OR REFERRALS:

University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center

4260 Plymouth Rd. Level 1734-764-6831

http://www.uofmhealth.org/movement

Page 5: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

HOW DID YOU HEAR ABOUT THIS PROGRAM? MAILED BROCHURE EMAILED BROCHURE

UOFM WEBSITE OTHER_________________________

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST

FRIDAY, SEPTEMBER 14, 2018

R E G I S T R A T I O N F O R M

U-M Cardiovascular Center

By Fax or Mail: Department of Internal Medicine CMEUniversity of Michigan 24 Frank Lloyd Wright Dr. Lobby J, Suite 1200 Ann Arbor, MI 48106-5750By Fax: (734) 998-0085

REGISTRATION OPTIONS Online: www.med.umich.edu/intmed/cme By Phone: (734) 232-3469 On-site registration will also be available; check or credit card only on-site.

Registration Deadline to guarantee materials: August 30, 2018

REGISTRANT NAME (first, middle initial, last) DEGREE - select all that apply

� MD � DO � PhD � PA

� NP � RN � Other:

SPECIALTY:

PREFERRED MAILING ADDRESS......................................select one � HOME � BUSINESSADDRESS

CITY STATE ZIP OR POSTAL CODE COUNTRY

CONTACT PHONE NUMBER(S):

� CELL / HOME � WORKEMAIL ADDRESS REQUIRED SPECIAL ACCOMMODATIONS

CONTACT INFORMATION

DATEFRIDAY, SEPTEMBER 14, 2018Registration and Continental Breakfast: 7:30amCourse Adjourns: 4:00 pm

LOCATIONLaurel Manor39000 Schoolcraft Rd, Livonia, MI 48150Phone: (734) 462-0770http://laurelmanor.com/Course Fee: $150

REGISTRATION You are urged to register as soon as you are certain of attending as we cannot guarantee education materials for applicants who are not preregistered and prepaid by August 30, 2018. Registration fees include continental breakfast, lunch, and educational materials for each participant. Checks should be made payable to the University of Michigan. Payments made via American Express, Visa or MasterCard are also accepted.

RECORDING THE PROGRAMRecording the program with battery-operated devices not requiring podium microphones is permitted for the registrant’s personal use.

PROGRAM FUNDING This program is supported under the Education and Outreach Core of the University of Michigan Udall Center of Excellence for Parkinson’s Disease Research. The Education and Outreach Core pursues a comprehensive program to educate caregivers about the etiology, clinical features and state-of-the-art management of Parkinson disease and falls, including the clinical education of Udall Center Fellows and an aggressive outreach program to inform and educate traditionally underserved communities about Parkinson Disease and related movement disorders. http://www.udallpd.umich.edu/

FOR PATIENT CARE OR REFERRALS:University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center4260 Plymouth Rd. Level 1734-764-6831http://www.uofmhealth.org/medical-services/brain-neurological-conditions/movement-disorders

ACCREDITATION AND CREDIT DESIGNATION:The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Osteopathic Association has approved this live activity for 6.5 credit hours.

This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is acceptable for up to 6.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DRIVING DIRECTIONS From Detroit I-96 West to Newburgh Rd. Exit (173A). Follow Schoolcraft service drive for approximately 3/4 mile. Laurel Manor is on the right hand side.

From Ann Arbor M-14 East (turns into I-96 East) to Newburgh / Levan Road Exit (173).Immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Metro Airport I-94 West to I-275 North to I-96 East (Detroit) to Newburgh / Levan Road Exit (173). Immediately after exiting the freeway, there is an Overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd. service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Grand Rapids I-696 West to I-275 South to I-96 East (Detroit) I-96 East to 275 South to 1-96 East to Newburgh / Levan Road Exit (173) immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over freeway, turn left onto the Schoolcraft service drive heading West. Follow for approx. 1/2 mile. Laurel Manor is on the right hand side.

Kelvin L . Chou, MD Kelvin L. Chou, MD, is a Professor of Neurology and Neurosurgery in the Department of Neurology. He is the Education and Outreach Core Director for the U-M Udall Center of Excellence for Parkinson’s Disease Research and the Co-Director of the Surgical Therapies Improving Movement (STIM) Program.

Board-certified in Neurology and fellowship-trained in movement disorders, Dr. Chou maintains an active

movement disorders practice. His research is focused on improving the ability to treat movement disorders patients through deep brain stimulation (DBS) by better understanding the relationships between patient baseline characteristics, DBS targeting, and the clinical effects of stimulation.

Kara J . Wyant, MD Kara J. Wyant, MD, is an Assistant Professor in the Department of Neurology. She is board certified in Neurology and fellowship trained in movement disorders. She is currently serving as a neurohospitalist at the University of Michigan and provides teleneurology consults for MidMichigan Health System.

Dr. Wyant is actively participating in industry and clinician-led clinical trials for patients with Parkinson

disease piloting in-home tele-health visits to improve access to care for patients in rural Michigan. She is also working with MidMichigan Health System to establish remote DBS and movement disorders clinic.

C O U R S E D I R E C T O R S

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST FRIDAY, SEPTEMBER 14, 2018

RATE & PAYMENT INFORMATION

REGISTRATION OPTIONS GENERAL RATEFull Course � $150

There are no partial day registrations for this course. Refunds can be processed up to a week in advance but a $50 service fee will be charged. Please enclose a check (U.S. currency) payable to the University of Michigan or pay by credit card (see below).

All registrations are considered confirmed once payment is received. All registrations taken by phone, fax or online will receive an email confirmation. Please call (734) 232-3469 with any questions or concerns.

CREDIT CARD: �AmEx �MasterCard �Visa

CARD # EXP. DATE SECURITY CODE #

NAME ON CARD (Please print)

SIGNATURE (Not valid without signature) DATE

Receipts and confirmations are sent via email. Please print clearly.)

FOR PATIENT CARE OR REFERRALS:

University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center

4260 Plymouth Rd. Level 1734-764-6831

http://www.uofmhealth.org/movement

Page 6: U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST · This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is

HOW DID YOU HEAR ABOUT THIS PROGRAM? MAILED BROCHURE EMAILED BROCHURE

UOFM WEBSITE OTHER_________________________

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST

FRIDAY, SEPTEMBER 14, 2018

R E G I S T R A T I O N F O R M

U-M Cardiovascular Center

By Fax or Mail: Department of Internal Medicine CMEUniversity of Michigan 24 Frank Lloyd Wright Dr. Lobby J, Suite 1200 Ann Arbor, MI 48106-5750By Fax: (734) 998-0085

REGISTRATION OPTIONS Online: www.med.umich.edu/intmed/cme By Phone: (734) 232-3469 On-site registration will also be available; check or credit card only on-site.

Registration Deadline to guarantee materials: August 30, 2018

REGISTRANT NAME (first, middle initial, last) DEGREE - select all that apply

� MD � DO � PhD � PA

� NP � RN � Other:

SPECIALTY:

PREFERRED MAILING ADDRESS......................................select one � HOME � BUSINESSADDRESS

CITY STATE ZIP OR POSTAL CODE COUNTRY

CONTACT PHONE NUMBER(S):

� CELL / HOME � WORKEMAIL ADDRESS REQUIRED SPECIAL ACCOMMODATIONS

CONTACT INFORMATION

DATEFRIDAY, SEPTEMBER 14, 2018Registration and Continental Breakfast: 7:30amCourse Adjourns: 4:00 pm

LOCATIONLaurel Manor39000 Schoolcraft Rd, Livonia, MI 48150Phone: (734) 462-0770http://laurelmanor.com/Course Fee: $150

REGISTRATION You are urged to register as soon as you are certain of attending as we cannot guarantee education materials for applicants who are not preregistered and prepaid by August 30, 2018. Registration fees include continental breakfast, lunch, and educational materials for each participant. Checks should be made payable to the University of Michigan. Payments made via American Express, Visa or MasterCard are also accepted.

RECORDING THE PROGRAMRecording the program with battery-operated devices not requiring podium microphones is permitted for the registrant’s personal use.

PROGRAM FUNDING This program is supported under the Education and Outreach Core of the University of Michigan Udall Center of Excellence for Parkinson’s Disease Research. The Education and Outreach Core pursues a comprehensive program to educate caregivers about the etiology, clinical features and state-of-the-art management of Parkinson disease and falls, including the clinical education of Udall Center Fellows and an aggressive outreach program to inform and educate traditionally underserved communities about Parkinson Disease and related movement disorders. http://www.udallpd.umich.edu/

FOR PATIENT CARE OR REFERRALS:University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center4260 Plymouth Rd. Level 1734-764-6831http://www.uofmhealth.org/medical-services/brain-neurological-conditions/movement-disorders

ACCREDITATION AND CREDIT DESIGNATION:The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Michigan Medical School designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Osteopathic Association has approved this live activity for 6.5 credit hours.

This Live activity, U-M Movement Disorders for the Non-Neurologist, with a beginning date of 09/14/2018, has been reviewed and is acceptable for up to 6.50 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DRIVING DIRECTIONS From Detroit I-96 West to Newburgh Rd. Exit (173A). Follow Schoolcraft service drive for approximately 3/4 mile. Laurel Manor is on the right hand side.

From Ann Arbor M-14 East (turns into I-96 East) to Newburgh / Levan Road Exit (173).Immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Metro Airport I-94 West to I-275 North to I-96 East (Detroit) to Newburgh / Levan Road Exit (173). Immediately after exiting the freeway, there is an Overpass / 96 West, make a left hand turn to cross over the freeway, turn left onto the Schoolcraft Rd. service drive heading West (stay in the right hand lane, not to enter back onto the freeway) Follow for approximately ½ mile. Laurel Manor is on the right hand side.

From Grand Rapids I-696 West to I-275 South to I-96 East (Detroit) I-96 East to 275 South to 1-96 East to Newburgh / Levan Road Exit (173) immediately after exiting the freeway, there is an overpass / 96 West, make a left hand turn to cross over freeway, turn left onto the Schoolcraft service drive heading West. Follow for approx. 1/2 mile. Laurel Manor is on the right hand side.

Kelvin L . Chou, MD Kelvin L. Chou, MD, is a Professor of Neurology and Neurosurgery in the Department of Neurology. He is the Education and Outreach Core Director for the U-M Udall Center of Excellence for Parkinson’s Disease Research and the Co-Director of the Surgical Therapies Improving Movement (STIM) Program.

Board-certified in Neurology and fellowship-trained in movement disorders, Dr. Chou maintains an active

movement disorders practice. His research is focused on improving the ability to treat movement disorders patients through deep brain stimulation (DBS) by better understanding the relationships between patient baseline characteristics, DBS targeting, and the clinical effects of stimulation.

Kara J . Wyant, MD Kara J. Wyant, MD, is an Assistant Professor in the Department of Neurology. She is board certified in Neurology and fellowship trained in movement disorders. She is currently serving as a neurohospitalist at the University of Michigan and provides teleneurology consults for MidMichigan Health System.

Dr. Wyant is actively participating in industry and clinician-led clinical trials for patients with Parkinson

disease piloting in-home tele-health visits to improve access to care for patients in rural Michigan. She is also working with MidMichigan Health System to establish remote DBS and movement disorders clinic.

C O U R S E D I R E C T O R S

U-M MOVEMENT DISORDERS FOR THE NON-NEUROLOGIST FRIDAY, SEPTEMBER 14, 2018

RATE & PAYMENT INFORMATION

REGISTRATION OPTIONS GENERAL RATEFull Course � $150

There are no partial day registrations for this course. Refunds can be processed up to a week in advance but a $50 service fee will be charged. Please enclose a check (U.S. currency) payable to the University of Michigan or pay by credit card (see below).

All registrations are considered confirmed once payment is received. All registrations taken by phone, fax or online will receive an email confirmation. Please call (734) 232-3469 with any questions or concerns.

CREDIT CARD: �AmEx �MasterCard �Visa

CARD # EXP. DATE SECURITY CODE #

NAME ON CARD (Please print)

SIGNATURE (Not valid without signature) DATE

Receipts and confirmations are sent via email. Please print clearly.)

FOR PATIENT CARE OR REFERRALS:

University of Michigan Health System Department of NeurologyEast Ann Arbor Health and Geriatrics Center

4260 Plymouth Rd. Level 1734-764-6831

http://www.uofmhealth.org/movement