PRINCIPLES AND PRACTICE OF INTRAOPERATIVE NEUROMONITORING NOVEMBER 12 - 14, 2021 Course Objectives Course Directors Partha Thirumala, MD, Principles and Practice of Intraoperative Neuromonitoring is Katherine Anetakis, MD University of Pittsburgh Department of FACNS, FAAN designed for advanced professionals who perform or support Neurological Surgery Professor of Neurology, Associate intraoperative neuromonitoring (IONM) procedures. This includes Professor of Neurological Surgery Jeffrey R. Balzer, PhD, but is not limited to: Medical Director, Center for Clinical FASNM, DABNM Neurophysiology University of Pittsburgh • Neurologists • Board Certified Associate Professor of Neurological Medical Center Surgical Neurophysiologists Neurophysiologists Surgery, Neuroscience and Acute and • Tertiary Care Nursing Donald J. Crammond, PhD PM&R Physicians • Vascular Surgeons Associate Professor of Neurological • Director, Clinical Operations, Center Surgery, University of Pittsburgh Senior Neurophysiology for Clinical Neurophysiology • Neurological Surgeons • Associate Director, Movement Technologists Director, Cerebral Blood Flow Laboratory Disorder Surgery • Anesthesiologists University of Pittsburgh Medical Center • ENT Surgeons • Orthopedic Surgeons • Cardiac Surgeons Course Coordinator R. Joshua Sunderlin, MS, CNIM The course will highlight practice specifications, multimodality Director of Neurodiagnostic Education – Procirca Center for Clinical Neurophysiology protocols, recent advances in the field, pre-/post-operative neurological evaluation and management, and telemedicine. Faculty Presentations will make reference to current literature, technical Gregory Adams, CNIM Vincent Miele, MD developments, methodologies and clinical efficacy. The faculty Procirca Center for Clinical University of Pittsburgh Department of includes University of Pittsburgh Medical Center physicians and Neurophysiology Neurological Surgery neurophysiologists with extensive clinical and academic expertise Katherine Anetakis, MD Andrew Moyer, CNIM in IONM. The course exposes participants to material that will University of Pittsburgh Department of Procirca Center for Clinical allow them to acquire a comprehensive understanding of IONM Neurological Surgery Neurophysiology and how it relates to: Jeffrey Balzer, PhD Varun Shandal, MD Advanced principles Cranial nerve monitoring University of Pittsburgh Department of University of Pittsburgh Department of • • Neurological Surgery Neurological Surgery for neurophysiological during skull base procedures monitoring, including James Castellano, MD, PhD Jeremy Shaw, MD • Interpretation and University of Pittsburgh Department of University of Pittsburgh Department of instrumentation, communication with Neurological Surgery Orthopedic Surgery neuromonitoring protocols, surgical team alarm criteria and clinical Mindy Corridoni, CNIM Ibrahim Sultan, MD efficacy • Development of a Policy Procirca Center for Clinical University of Pittsburgh Department of & Procedure manual; Neurophysiology Cardiovascular Surgery • Minimally invasive spine documentation and Donald Crammond, PhD R. Joshua Sunderlin, MS, CNIM surgery, including transpsoas communication with the University of Pittsburgh Department of Procirca Center for Clinical approaches technologist; development of Neurological Surgery Neurophysiology • Pre-, peri- and post-operative quality assurance metrics; and Wendy Fellowes-Mayle, PhD Partha Thirumala, MD evaluation of neurological staff training University of Pittsburgh Department of University of Pittsburgh Department of Neurological Surgery Neurological Surgery complications including • Problem based learning stroke, cognitive deficits, Jorge Gonzalez-Martinez, MD, Ulkatan Sedat, MD with real-time data PhD Mount Sinai West Hospital seizure and spinal cord injury analysis and formulation University of Pittsburgh Department of Silvia Mazzali Verst, MD, PhD Multimodality monitoring of differential diagnoses Neurological Surgery • Brain Spine Neurofisiologia, Brazil techniques for a broad array Anthony Gossett, CNIM Shyam Visweswaran, MD, PhD of procedures including Procirca Center for Clinical University of Pittsburgh spine and vascular Neurophysiology Carly Kleynen, CNIM Xuhui Wang, MD Xinhua Hospital Department of Procirca Center for Clinical Neurosurgery, Peoples Republic of China Interactive Workshop Stations Neurophysiology Anthony Kyte Marshal Wilkinson, PhD • Instruction and the opportunity to practice placing cranial nerve University of Manitoba Department of President of Australasia Association for EMG electrodes on a cadaver (including the extra-ocular muscles) Neurosurgery; President of the CANM Intraoperative Neuromonitoring (AAIN) • Case study review session where participants will work through Michael Lang, MD Pascal Zinn, Md, PhD differential diagnoses University of Pittsburgh Department of University of Pittsburgh Department of Neurological Surgery • Cerebrovascular anatomy and the role of IONM in Neurological Surgery Neurointerventional procedures Bradford Mahon, PhD Nathan Zwagerman, MD Medical College of Wisconsin Carnegie Mellon University Department • Explore technical problems in IONM and how to develop Department of Neurosurgery algorithms for troubleshooting of Psychology

Keynote Speaker Bryan Wilent, PhD SpecialtyCare, President of ASNM DAY 1 FRIDAY NOV 12 IONM for Stroke Prevention: 9:30–10AM IONM for Stroke Prevention Partha Thirumala, MD 7–7:30AM Continental breakfast IONM for Cardiovascular Welcome address 10–10:30AM Ibrahim Sultan, MD 7:30–7:45AM Procedures (Jeff Balzer PhD/ Josh Sunderlin MS, CNIM) Neurointerventional 10:30–11AM Michael Lang, MD Principles of Intraoperative Neuromonitoring: Procedures IONM: The History and 7:45–8:15AM Partha Thirumala, MD 11AM–Noon Lunch in Exhibitor Area Physiological Basis Principles of EEG Monitoring Workshops: 8:15–8:45AM Katherine Anetakis, MD During Surgery Noon– Bloodborne Pathogens Josh Sunderlin, MS Principles of SSEP Monitoring 12:30PM Lecture and Exam 8:45–9:15AM Donald Crammond, PhD During Surgery 12:30–5PM Workshops: 9:15–9:30AM BREAK (15 min) Station 1: Wendy Fellows-Mayle Placing Cranial Nerve EMG Electrodes PhD / Gregory Adams, Principles of TcMEP Monitoring 9:30–10AM Jeffrey Balzer, PhD on Cadavers CNIM During Surgery Partha Thirumala, MD / Principles of BAER Monitoring James Castellano, MD, Station 2: 10–10:30AM Josh Sunderlin, MS, During Surgery PhD Interactive Case Study Review Session CNIM Principles of EMG Monitoring 10:30–11AM Varun Shandal, MD Station 3: During Surgery Jeffrey Balzer, PhD / Cerebrovascular Anatomy and Interactive Carly Brog, CNIM 11AM-Noon LUNCH BREAK Case Studies Station 4: IONM For Spinal Surgery: Katherine Anetakis, MD Troubleshooting Technical Problems with / Andrew Moyer, CNIM Noon–12:30PM Pediatric Spinal Procedures Taylor Abel, MD IONM Equipment

12:30–1PM MIS Procedures Vincent Miele, MD 5PM Adjournment (Day 2) 1–1:30PM Spinal Fusion Procedures Jeremy Shaw, MD DAY 3 SUNDAY NOV 14 1:30–1:45PM BREAK (15 min) 7–7:30AM Continental Breakfast Supratentorial Mapping: Jeffrey Balzer, PhD/ Craniotomy Procedures 7:30–7:45AM Day 3 Announcements Josh Sunderlin, MS, 1:45–2:15PM Pascal Zinn, MD, PhD with Mapping CNIM Techniques for Direct Cortical Functional Neurosurgery: 2:15–2:45PM Silvia Verst, MD, PhD and Subcortical Mapping Jorge Gonzales- 7:45–8:15AM Functional Neurosurgery Functional Speech Assessment Martinez, MD, PhD 2:45–3:15PM Bradford Mahon, PhD in Awake Craniotomy Artificial Intelligence: Shyam Visweswaran, Skull base Procedures: 8:15–8:45AM Artificial Intelligence in IONM Monitoring of Skull Base MD, PhD 3:15–3:45PM Ulkatan Sedat, MD Procedures Review Submitted Data: 3:45–4:30PM Skull base procedures Nate Zwagerman, MD Attendees submit data in advance to be reviewed and 8:45–9:45AM discussed collaboratively–Katherine Anetakis, MD; Jeffrey Break for Change of Venue 4:30PM Balzer, PhD; Donald Crammond, PhD; Partha Thirumala, MD Reconvene at Hilton Garden Inn at 5:30PM 9:45–10AM BREAK (15min) Meet and Greet with Faculty & Exhibitors, 5:30–7:30PM Hilton Garden Inn Improving IONM Practice: KEYNOTE SPEECH: TcMEP for 6–7PM Bryan Wilent, PhD 10–10:30AM Training Process Improvement Anthony Gossett, CNIM Lumbar Nerve Root IONM Josh Sunderlin, MS, 10:30–11AM Teaching Troubleshooting 7:30PM Adjournment (Day 1) CNIM Katherine Anetakis, MD, 11–11:30AM Quality Assurance DAY 2 SATURDAY NOV 13 & Mindy Corridoni, CNIM 7–7:30AM Continental Breakfast Communication and Jeffrey Balzer PhD/ Josh 7:30–7:45AM Day 2 Announcements 11:30AM–Noon Documentation (Medico-legal Jeffrey Balzer, PhD Sunderlin MS, CNIM Implications) International IONM: Noon Conference Adjournment 7:45–8:15AM IONM in Australia Anthony Kyte 8:15–8:45AM IONM in China Xuhai Wang, MD 8:45–9:15AM IONM in Canada Marshall Wilkinson, PhD 9:15–9:30AM BREAK (15min) Exhibitor Area Sponsored by Procirca and University Cancellation Policy • Registration fee is 100% refundable up until October 6, 2021. of Pittsburgh School of Medicine • Registration fee is 50% refundable up to 15 days prior to Center for Continuing Education in the start date of the course. • If you cancel within 15 days of the start of the course, the Health Sciences NO REFUNDS will be granted. Cancellation requests should be sent to: Tuition Josh Sunderlin, Course Coordinator $600 for physicians and other attendees seeking CME credits Procirca Center for Clinical Neurophysiology $400 for all other healthcare professionals seeking CEU credits Phone: 412-647-3450 Email: [email protected] Registration and Payment Please register and pay directly from our website: Course location and hotel accommodations https://procirca.com/neuromonitoring/neuromonitoring- Location: workshop/ UPMC Presbyterian Hospital Biomedical Science Tower On-site registration will not be permitted. Room S120 Pittsburgh, PA 15213 CME Accreditation and Designation In support of improving patient care, the University of Pittsburgh is Hotels within walking distance of campus: jointly accredited by the Accreditation Council for Continuing Medical Hilton Garden Inn Pittsburgh University Place Education (ACCME), the Accreditation Council for Pharmacy 3454 Forbes Avenue Education (ACPE), and the American Nurses Credentialing Center Pittsburgh, PA 15213 (ANCC), to provide continuing education for the healthcare team. Phone: (412) 683-2040 Distance from campus is 0.3 miles; Physician (CME) travel time on foot is five minutes. The University of Pittsburgh designates this live activity for a A block of rooms is being held at the Hilton Garden Inn maximum of 21 AMA PRA Category 1 Credits™. Physicians University Place at a rate of $144.00/night. should claim only the credit commensurate with the extent of their participation in the activity. https://hiltongardeninn.hilton.com/en/gi/groups/personalized/P/ PITUCGI-PPIN-20211111/index.jhtml?WT.mc_id=POG Other Healthcare Professionals: Wyndham Pittsburgh University Center Other health care professionals will receive a certificate of attendance 100 Lytton Avenue confirming the number of contact hours commensurate with the Pittsburgh (Oakland), PA 15213 extent of participation in this activity. Phone: (412) 682-6200 ASET – The Neurodiagnostic Society has granted 21.5 Continuing Distance from campus is 0.7 miles; Education Units [ASET-CEUs] for this program. Such crediting, travel time on foot is 10 minutes. however, should not be construed by program participants as an endorsement of any type of instruments or supplies mentioned or Wyndham nightly parking charge: $10.00 involved in these presentations.

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 412-647-3450.

Please note: the 2021 course offers both an in-person and virtual option for participation. Procirca Center for Clinical Neurophysiology Phone: 412-647-3450 procirca.com

Katherine Anetakis, MD Jeffrey Balzer, PhD

Donald J. Crammond, PhD R. Joshua Sunderlin MS, CNIM

Partha Thirumala, MD

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