13Th Annual Brain Injury Rehabilitation Conference March 2-3 2018 Marriott Del Mar · San Diego, California

13th Annual Brain Injury Rehabilitation Conference March 2-3 2018 Marriott Del Mar · San Diego, California

Visit www.scripps.org/BrainInjuryCME for conference updates!

Course Introduction

Course Overview The 13th Annual Brain Injury Rehabilitation Conference is designed to provide a clear description of the need for multidisciplinary strategies in the management of patients with brain injuries. A renowned faculty of interdisciplinary specialists will present the latest in research and outcomes from a variety of medical perspectives. Topics include interventions and management for medical and physical rehabilitation as well as cognitive, emotional, and social problems common to brain injury patients. A strong emphasis on the need for increased quality, efficiency, and value will be a consistent theme throughout the course as we continue our quest for excellence in brain injury treatment and rehabilitation.

Target Audience  Physicians  Occupational Therapists  Nurses  Speech-Language Pathologists  Physician Assistants  Social Workers and Case Manager  Physical Therapists  Others involved in the care of patients with brain injuries

Educational Objectives After attending this activity, participants should be able to: Describe the epidemiology of brain injury and its resultant impairments, disability, and psychosocial impact. 1. Describe the epidemiology of brain injury and its resultant impairments, disability, and psychosocial impact. 2. Integrate new developments in science and medicine into practice for brain injury rehabilitation. 3. Utilize multidisciplinary strategies for the management of psychological and behavioral problems common to brain injury including behavior management. 4. Identify neurophysiological mechanisms involved in brain plasticity and their potential application to improving practice and service provision across rehabilitation disciplines. 5. Discuss the life long, post-acute rehabilitation needs of individuals with traumatic brain injuries and the importance of developing long term care plans. 6. Review the latest rehabilitative and assistive technology tools for individuals with traumatic brain injuries. 7. Examine the latest advances in neuroimaging for brain injury rehabilitation. 8. Identify current robotic technologies in the role of brain injury rehabilitation. 9. Evaluate cutting-edge neurosurgical interventions for brain injury rehabilitation. 10. Discuss the unique needs and approaches for pediatric brain injury rehabilitation. 11. Improve quality of life for brain injury survivors and their caregivers by connecting them with community resources.

Agenda, Objectives, and Bios Friday, March 2, 2018

7:00 a.m. Registration, View Posters & Exhibits

7:45 a.m. Welcome & Introductions

8 a.m. Trauma Critical Care for Brain Injury/ Getting Ready for Rehab (Objectives 1, 9) Michael Sise, MD - Scripps Health  Describe the best course of action when faced with critical care needs for a brain injury patient  Asses rehabilitation readiness in patients with brain injury  Identify strategies to prepare patients for rehab after brain injury

Faculty Bio: Dr. Michael J. Sise is the Trauma Medical Director at Scripps Mercy Hospital in San Diego, California. He attended the College of Holy Cross, the University of Rochester School of Medicine, and obtained his surgical training at Naval Medical Center, San Diego. Dr. Sise is board certified in surgery, vascular surgery, and surgical critical care. He served as the Chief of Vascular Surgery at Naval Medical Center, San Diego from 1985 to l992. He was Chief Surgeon aboard the U.S.S. Guam and U.S.S. Iwo Jima with the amphibious assault forces in the Persian Gulf during operations Desert Shield and Desert Storm in 1990 and 1991. Dr. Sise is a board member of the American Trauma Society, a member of the Central Committee of the American College of Surgeons Committee on Trauma, and a member of the Board of Managers of the American Association for the Surgery of Trauma. He is a Clinical Professor of Surgery at the UCSD School of Medicine, Assistant Clinical Professor of Surgery at the Uniformed Services University of the Health Sciences in Bethesda, and a senior faculty member and Associate Program Director of the General Surgery Residency Program of Naval Medical Center San Diego. Dr. Sise continues to train military surgeons for combat casualty care as a faculty member of the Emergency War Surgery Course at Naval Medical Center San Diego. In the October, 2007, he served as the Senior Visiting Surgeon at Landstuhl Regional Medical Center in Germany teaching and assisting military surgeons in the care of wounded warriors evacuated from Iraq and Afghanistan. He is also a faculty member of the American College of Surgeons Disaster Management and Emergency Preparedness Course which focuses

on homeland preparedness for man-made and natural disasters. Dr. Sise became a vocal advocate for violence and injury prevention in the spring of 1993 and has been extensively quoted and featured in local broadcast and print media. His current efforts are focused on community based violence and injury prevention, substance abuse, border health issues, and disaster preparedness. In 1997, Dr. Sise was a presenter at the National Methamphetamine Strategy Conference convened by the Office of National Drug Control Policy. He also worked with the United States Department of Justice Office of Legal Education to train prosecutors nationwide in the medical effects of methamphetamine use. Dr. Sise has been recognized for his efforts in violence prevention with a 1994 County Board of Supervisors Meritorious Service Award, the 1995 San Diego Crime Commission “Blue Knight” Award, and a 1995 Congressional Community Service Award. In 1998, he was recognized by Catholic Healthcare West with a Philosophy in Action Award for his efforts to prevent injury and violence. In 2001, Dr. Sise and his wife and colleague, Beth Sise, received both the Ninth District PTA Honorary Service Award and the Richard Virgilio, MD Award for Excellence in Trauma Care & Prevention. Beth and Michael Sise also received the Peacemaker Award from the National Conflict.

8:45 a.m. Cancer Rehab-Brain Tumor/Brain Metastasis (Objectives 1, 5) Mary Vargo, MD – Metro Health  Identify rehabilitation needs and employ treatment approaches which are specific to brain tumor patients, compared to brain trauma or stroke counterparts  Describe the heterogeneity within brain tumor diagnoses and how this affects rehabilitation  Develop expectations for inpatient brain tumor rehabilitation outcomes, as well as dimensions of outpatient rehabilitation, and long term functional outcomes in this population

Faculty Bio: Dr. Vargo is Associate Professor of Physical Medicine and Rehabilitation (PM&R) at MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH. Her clinical practice focuses on brain injury medicine (including brain tumor), as well as other aspects of cancer rehabilitation medicine. Dr. Vargo is board certified in Physical Medicine and Rehabilitation, Electrodiagnostic Medicine, and Brain Injury Medicine. She has authored and coauthored numerous paper, chapters, and reviews, related to cancer and brain injury rehabilitation, and is deeply involved in resident and fellow education on these topics.

9:15 a.m. Psychological & Psychiatric Factors in the Treatment of TBI (Objectives 1, 3) Rachit Patel, MD & Sheldon Z. Kramer, PhD – Scripps Health  Assess and identify mental health issues in TBI  Identify differential diagnosis: Neurological vs Psychiatric in patients with TBI  Describe strategic medical and psychological interventions for TBI for inpatients and outpatients

Faculty Bios: Dr. Rachit Patel is a board-certified member of the American Board of Psychiatry and Neurology. Dr. Patel completed his training in psychiatry at Stony Brook University Hospital where he served as chief resident and received the William Turner Award for outstanding performance in psychiatry residency. He is currently serving as the director of psychiatry at The Neurology Center of Southern California as well as medical director for psychiatry at Scripps Memorial Hospital in Encinitas. He has published and presented papers on a variety of topics including chronic mental illness and neuropsychiatric diseases.

Dr. Sheldon Kramer is a traditionally trained Clinical and Neuro-Psychologist who has a wide range of Psychiatric and Psychological Skills Including Alternative Technologies In Mind- Body Healing Strategies utilized in broad, diverse settings with children, adolescence, adult, and geriatric clinical populations. Additional Professional Skills also include Family Custody Evaluations, Forensic Psychology, Disability and Career/ Vocational Assessments. Author of two books, and many published chapters/ articles on Mind -Body Healing and Integration of Relational and Family Systems Medicine. Professional Life and Business Coach for wide range of Businesses Owners.

10:15 a.m. Break, View Posters & Exhibits

10:45 a.m. Stem Cell in Brain Injury: What has Promise and What Doesn’t Work (Objective 2) Lawrence Goldstein, MD – UC San Diego Health  Describe how stem cells are being used to study neurodegenerative disease  Describe stem cell approaches to TBI  Identify different types of stem cells

Faculty Bio: Dr. Lawrence S.B. Goldstein is Professor of Cellular and Molecular Medicine at the University of California, San Diego School of Medicine. He is also an Investigator with the Howard Hughes Medical Institute. He receives grant funding from the NIH, the Johns Hopkins ALS Center, the Hereditary Disease Foundation, and the Ellison Medical Foundation and has over 100 publications. Dr. Goldstein received his B.A. degree in biology and genetics from UCSD in 1976 and his Ph.D. degree in genetics from the University of Washington, Seattle in 1980. He did postdoctoral research at the University of Colorado at Boulder from 1980-1983 and the Massachusetts Institute of Technology in 1983/1984. He was Assistant, Associate and Full Professor at Harvard University in the Department of Cellular and Developmental Biology from 1984-1993 and moved to UCSD and HHMI in 1993. His awards include a Senior Scholar Award from the Ellison Medical Foundation, an American

Cancer Society Faculty Research Award, and the Loeb Chair in Natural Sciences when he was at Harvard University. His research is focused on understanding the molecular mechanisms of intracellular movement in neurons and the role of transport dysfunction in neurodegenerative diseases. His lab provided the first molecular descriptions of kinesin structure and organization, and has recently discovered important links between transport processes and diseases such as Alzheimers Disease and Huntingtons Disease. Dr. Goldstein has also had an active role in National Science policy. He has served on many public science advisory committees, has written about, spoken about, and been interviewed on numerous occasions on science issues by print and broadcast media, and has testified on a number of occasions in the U.S. House of Representatives and the Senate about NIH funding and stem cell research. As a cofounder and consultant of the biotechnology company Cytokinetics he has also had an active role in private industry.

11:45 a.m. Orthopedic Surgical Options for Restoration of Function (Objective 2) Harish Hosalkar, OD – Scripps Health  Differentiate neuropsychological testing from other clinical test method useful in traumatic brain injury (TBI)  Describe the advantage of using demographically corrected norms  Translate neuropsychological findings to treatment recommendations and everyday functioning

Faculty Bio: Dr. Harish Hosalkar brings 24 years of expertise to his practice and an unsurpassed level of compassion to his patients. He is recognized as one of San Diego’s most well-known and successful orthopedic surgeons. Voted as one of ‘San Diego’s Top- Doctors’ by his peers, Dr. Hosalkar specializes in traumatology, fracture care, joint preservation and reconstruction, limb lengthening, deformity correction, children’s orthopedics, and neuromuscular conditions including traumatic brain injury, stroke, paraplegia, hemiplegia, and spastic disorder.

12:30 p.m. Lunch

1:30 p.m. Workshops (choose one, all provided via mobile app and conference website) (Objectives 1, 3)

Workshop A: Dual Diagnosis of TBI and SCI (Objective 3) Jahid Jaffer, MD – Scripps Health  Identify unique challenges for patients diagnosed with both traumatic brain injury and spinal cord injury  Describe the challenges faced by rehab specialist for patients with TBI and SCI  Determine strategies to support patients faced with a dual diagnosis of TBI and SCI

Faculty Bio: Dr. Jihad Jaffer is a Physical Medicine and Rehabilitation Specialist in Carlsbad, California. He graduated with honors in 2002 from Universidad Autonoma De Guadalajara. He completed his residency at Mount Sinai Hospital in New York in Internal Medicine in 2006 followed by his fellowship at MetroHealth Medical Center in Cleveland, Ohio in 2009. In 2010 he received his American Board of Physical Medicine and Rehabilitation certification. Having more than 16 years of diverse experiences, especially in physical medicine and rehabilitation, Dr. Jaffer affiliates with many hospitals including Community Hospital of The Monterey Peninsula, Scripps Memorial Hospital - Encinitas, and cooperates with other doctors and specialists in many medical groups including North County Neurology Associates, Montage Medical Group.

Workshop B: How to Interpret Neuro-Psychological Tests (Objective 1) Lori Haase-Alasantro, PhD & Jay Rosen, PhD – NeuroCenter  Differentiate neuropsychological testing from other clinical test method useful in traumatic brain injury (TBI)  Describe the advantage of using demographically corrected norms  Translate neuropsychological findings to treatment recommendations and everyday functioning

Faculty Bios: Dr. Lori Haase-Alasantro, PhD is a Licensed Clinical Neuropsychologist (PSY25817) and an Assistant Clinical Professor in the Department of Psychiatry at the University of California, San Diego (UCSD), School of Medicine. She received her PhD in clinical psychology with a specialization in neuropsychology from the SDSU/UCSD Joint Doctoral Program. In addition to her clinical expertise, Dr. Alasantro is also a neuroscientist. She has published 18 peer-reviewed publications and two book chapters. Dr. Alasantro joined the Neurology Center of Southern California in January 2016. She provides comprehensive neuropsychological assessment for adults with dementia, movement disorders, traumatic brain injury, and stroke, as well as other medical and psychiatric conditions. In addition, she provides pre-surgical evaluations for epilepsy, deep brain stimulators interventions, and spinal cord stimulator implantation for pain management. She is passionate about providing best practices for cognitive and psychological disorders to help improve day-to-day functioning and quality of life.

Rehabilitation Institute of Chicago, University of California San Diego Medical School, and Veteran Administration San Diego Healthcare System (VASDHS). Following licensure, Dr. Rosen was employed as a staff psychologist with the VASDHS providing assessment and treatment services for Veterans of all eras living with a variety of neurological, physical, and psychiatric disorders. Dr. Rosen joined The Neurology Center of Southern California and the Scripps Encinitas Inpatient Rehabilitation team in March of 2015. Dr. Rosen has broad clinical interests in neuropsychology and rehabilitation psychology. He conducts evaluations for neurodegenerative conditions, cerebrovascular disorders, traumatic brain injuries, stroke, brain tumors, normal pressure hydrocephalus (NPH), Parkinson’s disease, and Multiple Sclerosis. Additionally, Dr. Rosen provides pre-surgical evaluations for epilepsy, deep brain stimulators interventions, and spinal cord stimulator implantation for pain management.

2:30 p.m. Break, View Posters & Exhibits

3 p.m. Workshops (Repeat)

Workshop A: Dual Diagnosis of TBI and SCI (Objective 3) Jahid Jaffer, MD – Scripps Health  Identify unique challenges for patients diagnosed with both traumatic brain injury and spinal cord injury  Describe the challenges faced by rehab specialist working with patients with TBI and SCI  Apply dual diagnosis recommendations to create an effective rehabilitation plan for TBI and SCI patients.

Jay Rosen, Ph.D., is a staff neuropsychologist with The Neurology Center of Southern California and an assistant clinical professor with the University of California, San Diego (UCSD) Department of Psychiatry. Dr. Rosen graduated with a B.A. from Indiana University in 2000 and completed a Ph.D. at DePaul University in 2010. Dr. Rosen completed clinical training in neuropsychological assessment and rehabilitation psychology with several institutions including the University of Illinois - Chicago's Center for Cognitive Medicine, The Rehabilitation Institute of Chicago, University of California San Diego Medical School, and Veteran Administration San Diego Healthcare System (VASDHS). Following licensure, Dr. Rosen was employed as a staff psychologist with the VASDHS providing assessment and treatment services for Veterans of all eras living with a variety of neurological, physical, and psychiatric disorders. Dr. Rosen joined The Neurology Center of Southern California and the Scripps Encinitas Inpatient Rehabilitation team in March of 2015. Dr. Rosen has broad clinical interests in neuropsychology and rehabilitation psychology. He conducts evaluations for neurodegenerative conditions, cerebrovascular disorders, traumatic brain injuries, stroke, brain tumors, normal pressure hydrocephalus (NPH), Parkinson’s disease, and Multiple Sclerosis. Additionally, Dr. Rosen provides pre-surgical evaluations for epilepsy, deep brain stimulators interventions, and spinal cord stimulator implantation for pain management.

4 p.m. Busses to Rehab Center for Tour & Demo

4:30 p.m. Scripps Encinitas Day Treatment Rehab Center Tour with equipment demonstrations (Objective 2, 3, 6, 8) Ali Azin, & Megan Robbins, OTR/L & Suzanne Carr, DPT & Rebecca Askew, PT, MPT, NCS & LeeAnn Robotta, PT, DPT & Margaret Fuller, MS, OT/L, & Irina A. Keefer, PT, DPT, NCS & Patrice Snyder, OT, & Lyndsay P. Viripaeff, OTR/L, OTD, NDT/C – Scripps Health  Describe the benefits of using robotics for upper extremity rehabilitation in brain injury patients  Identify benefits of using simulative technology rehabilitation  Describe a variety of types of equipment and technology used in a rehabilitation center and the scenarios in which each piece would be most appropriate

Faculty Bios: Rebecca Askew, PT, MPT, NCS graduated from Samuel Merritt College in 1998 with a Masters in Physical Therapy. She has worked in a variety of treatment settings including orthopedic and sports medicine, geriatric, acute care, vestibular therapy and outpatient neurology. Rebecca has attained her certification as a Neurological Clinical Specialist, Certified Vestibular Therapist and Certified EKSO Robotic Therapist and is working full time as a member of in the Day Treatment Brain Injury Program at Scripps Memorial Hospital Encinitas. Her areas of clinical interest include brain injury acquired and traumatic, spinal cord injury and the use of alternative therapeutic approaches for recovery after brain injury including community based sport participation and yoga. She loves to surf or run every morning before work and bake yummy vegan items for the staff and patients to enjoy.

Lyndsay Viripaeff, OTR/L, OTD, NDT/C is an occupational therapist (OT) specializing in the treatment of individuals with neurologic diagnoses. She received her B.S., M.A., and O.T.D. at the University of Southern California (2007, 2008, 2009 respectively). After graduation, Lyndsay began her professional career at California Hospital in downtown Los Angeles where she quickly ascended to the role of lead trauma OT. In 2010, Lyndsay left California Hospital to accept a position at her alma mater working as clinical faculty. In 2015, she moved back to her hometown (Carlsbad, CA) and began working at Scripps Hospital in Encinitas where she has further developed her expertise and passion in neuro-rehabilitation.

Ira Keefer, PT, DPT, NCS has worked in neurologic physical therapy for 6 years, she received her Doctor of Physical Therapy from the University of California San Francisco/San Francisco State University in 2011. In 2013, she completed a Neurologic Physical Therapy Residency through Rancho Los Amigos National Rehabilitation Center and the University of Southern California. During this residency, she taught within the Doctor of Physical Therapy program at USC and did research on Parkinson’s Disease. In 2014, she became a Board Certified Neurologic Clinical Specialist through the American Board of Physical Therapy Specialties. In addition, she successfully completed the Competency-Based Vestibular Course through Emory University in 2014, and has since been very involved in treating patient with vestibular conditions. Ira has been working in the outpatient neurologic setting for 3 years at Scripps Memorial Hospital Encinitas. She has a special interest in the stroke and traumatic brain injury population, with an emphasis on community re-integration. Outside of treating patients, Ira enjoys volunteering at adaptive sport events and exploring San Diego with her husband and dog.

Margaret Fuller, MS, OT/L has forty-four years of experience as an occupational therapist including: six years clinical experience with Brain Injury Day treatment, 20 years clinical experience with neuro rehab, 6 years teaching/education experience in healthcare and university settings; fifteen years of director-level experience in multi-facility healthcare system for Rehabilitation Services including project management, process redesign, continuous quality improvement, budget planning, licensing, facility planning for growth, and human resource management and development. Demonstrated successful career pattern of progressively increasing responsibilities in patient care, project management, leadership, operations, administration, and education. Lifelong commitment to values of integrity, respect, innovation, compassionate care, and service.

Ali Azin, OT graduated from California State University Dominguez Hills in 2012. He is the coordinator of the driving rehabilitation program for Scripps Memorial Hospital Encinitas. He is an occupational therapist and a Certified Driver Rehabilitation Specialist evaluating individuals for fitness to drive and recommending adaptive equipment such as hand controls to resume driving. His specialty areas include traumatic brain injuries, progressive neurological disorders, and geriatrics. He is also currently contributing faculty at the University of St. Augustine for Health Sciences.

Ms. Suzanne Carr, DPT graduated with her DPT from the University of St. Augustine for Health Sciences. She has worked as a physical therapist in the Scripps Brain Injury Day Treatment Program at Scripps Encinitas for the last 7 years. She has also attained her certification as a neurological clinical specialist and has completed her competency based training for vestibular rehabilitation and is a certified EKSO robotics user. Her areas of clinical interest include all levels of brain injury/concussion and vestibular rehabilitation.

Ms. Megan Robbins, OTR/L is an Occupational Therapist with 18 years of experience. Ms. Robbins received her bachelor's degree in South Africa, and has been fortunate to work as an OT in multiple countries, in many different settings. Ms. Robbins transitioned to the Brain Injury Day Treatment Program at Scripps Memorial Hospital Encinitas in 2007. Her areas of clinical interest are brain injury, driving rehabilitation, and vision assessment and retraining.

Ms. Patrice Synder, OT has 5 years Occupational Therapist experience. After completing her Bachelors in 2009 at the University of California Davis she went for her Masters at the University of St. Augustine for Health Care Science.

LeeAnn Robotta, PT, DPT graduated from Mount Saint Mary’s University with her Bachelor of Science in Physical Therapy and went on to receive her Doctorate of Physical Therapy at the Western University. Lee Anne has worked in outpatient neurological rehabilitation treating patients with various injuries and diseases. Her specialty includes vestibular rehabilitation and brain injury. She is also a Lab Instructor at the University of Saint Augustine in a Neuromuscular III class. She enjoys helping in the community by volunteering at a clinic providing physical therapy to the indigent. Outside of work she enjoys surfing and goes every morning before work!

6 p.m. Busses back to Hotel

6 pm. Adjournment

Saturday, March 3, 2018

7:00 a.m. Registration, View Posters & Exhibits

7:45 a.m. Welcome & Introductions

8:00 a.m. Psychiatric Outcome and Treatment of Pediatric TBI (Objectives 1, 3, 10) Jeffrey Max, MD  Recognize potential preinjury and post injury psychiatric disorders in pediatric TB  Describe the range of potential treatments for psychiatric disorders after pediatric TBI  Identify risk factors for the development of post injury psychiatric disorders in pediatric TBI.

Faculty Bio: "Dr. Max was born and raised in Johannesburg, South Africa. He graduated from the University of the Witwatersrand Medical School in Johannesburg. He trained in General Psychiatry and also Child and Adolescent Psychiatry at Brown University. He began his research career at the University of Iowa where he established himself as a nationally recognized investigator in the area of psychiatric outcome of traumatic brain injury in children and adolescents. Currently he works at the University of California, San Diego where he is recognized internationally for his research in pediatric traumatic brain injury and also pediatric stroke. Dr. Max conducts studies of pediatric traumatic brain injury and pediatric stroke. The thrust of the research is to identify brain imaging characteristics including magneto-encephalography changes, microstructural white matter integrity and lesion location as well as psychosocial (e.g., family function, family psychiatric history, child’s pre-injury function) predictors of varied psychiatric disorders that develop after brain injury. Through the identification of outcome predictors a rational strategy for early identification and treatment of complications can be developed. Dr. Max leads a 5-year National Institutes of Health study on pediatric traumatic brain injury focusing on psychiatric/behavioral outcome and MEG and MRI changes. He also investigates the neuropsychological profile of post-brain injury psychiatric disorders as an additional tool to understand the mechanism of these disorders. Dr. Max is a Board Certified General Psychiatrist as well as a Board Certified Child and Adolescent Psychiatrist. He treats children and adolescents and adults often within the same family. His general psychiatric practice consists of people with behavioral disorders (such as ADHD), pervasive developmental disorder, depressive disorders, bipolar disorder, substance abuse, and anxiety syndromes. He conducts medication management, individual psychotherapy, couple’s therapy, and family therapy.

9:00 a.m. Mapping the Brain from the Inside Out (Objectives 1, 2, 4, 7) Ralph J. Greenspan, PhD & Dani S. Grady – UC San Diego Health  Identify the challenges and goals of stroke rehab  Describe the goals of the federal BRAIN Initiative  Describe the role and mechanics of patient advocacy

Faculty Bios: Dr. Ralph J. Greenspan is Professor of Biological Sciences , Director of the UCSD Center for Brain Activity Mapping, Associate Director of the Kavli Institute for Brain and Mind at UCSD, and co-Director of Cal-BRAIN . He has done research on the consequences of genetic mutations in the nervous system of the fruit fly Drosophila, the identification of genes causing naturally occurring variation in its behavior, and the genetic analysis of fruit fly sleep and attention. He has authored : Fly Pushing: The Theory and Practice of Drosophila Genetics, An Introduction to Nervous Systems , and How Genes Influence Behaviour (with Jonathan Flint and Ken Kendler). Since suffering an air embolism stroke during heart surgery in Jan. 2016, Dr. Greenspan and his wife Dani Grady, an experienced patient advocate, have lectured to patients and caregivers at conferences of the Pacific Stroke Association and the San Diego Brain Injury Foundation, on whose board Dr. Greenspan serves.

Dani S. Grady is the Director of Community Relations and Outreach at the UCSD’s Center for Brain Activity Mapping. She has a longstanding passion for excellence in healthcare and have dedicated most of her adult life

to furthering this goal. She is especially interested in how optimizing communication between patients and caregivers can lead to better outcomes and healing.

10:00 a.m. Break, View Posters & Exhibits

10:30 a.m. Thomas J. Chippendale, MD Memorial Lecture (Objective 4) Joan Halifax, PhD – Upaya Zen Center  Identify the components that comprise compassion, the interactive processes that prime compassion and practices that optimize and sustain compassion  Integrate practices in order to increase compassionate connection with patients and increase resilience in the face of catastrophic illness  Examine their personal experiences with avoidance, numbness, and moral outrage and integrate practices for the purpose of addressing and decreasing these internal responses that compromise compassion.

Faculty Bio: Dr. Joan Halifax Roshi, is a Buddhist teacher, Zen priest, anthropologist, and pioneer in the field of end-of life care. She is Founder, Abbot, and Head Teacher of Upaya Institute and Zen Center in Santa Fe, New Mexico. She received her Ph.D. in medical anthropology in 1973 and has lectured on the subject of death and dying at many academic institutions and medical centers around the world. She received a National Science Foundation Fellowship in Visual Anthropology, was an Honorary Research Fellow in Medical Ethnobotany at Harvard University, and was a Distinguished Visiting Scholar at the Library of Congress. From 1972-1975, she worked with psychiatrist Stanislav Grof at the Maryland Psychiatric Research Center with dying cancer patients. She has continued to work with dying people and their families, and to teach health care professionals and family caregivers the psycho-social, ethical and spiritual aspects of care of the dying. She is Director of the Project on Being with Dying, and Founder of the Upaya Prison Project that develops programs on meditation for prisoners. She is also founder of the Nomads Clinic in Nepal. She studied for a decade with Zen Teacher Seung Sahn and was a teacher in the Kwan Um Zen School. She received the Lamp Transmission from Thich Nhat Hanh, and was given Inka by Roshi Bernie Glassman. A Founding Teacher of the Zen Peacemaker Order and founder of Prajna Mountain Buddhist Order, her work and practice for more than four decades has focused on engaged Buddhism.

12:30 p.m. Lunch

1:45 p.m. Workshops (choose one, all provided via mobile app and conference website) (Objectives 1, 2, 6) Workshop C: Vision Workshop – Carl Hillier, MD – San Diego Center for Vision  Identify types of lenses and clinical treatments options for treating homonymous hemianopia  State yoked prism options for treating visually induced balance disorders  Describe the use of Fresnel Prism and Selective Occlusion to treat sudden onset diplopia

Faculty Bio: Dr. Hillier graduated from the University of California San Diego in 1977 with a Bachelor of Arts degree in Psychology. He received a Bachelor of Science degree at Pacific University in 1980 and then graduated as a Doctor of Optometry in 1982. He received his Fellowship to COVD in 1986. Prior to graduation, he helped establish mobile clinics in rural Honduras, and upon his graduation, he was given direct appointment as a lieutenant in the United States Navy Medical Service Corps. He was stationed at Balboa Naval Hospital, San Diego, where he directed the Vision Therapy Clinic. He is an adjunct clinical professor at the Southern California College of Optometry, Illinois College of Optometry, Western University School of Health Sciences: College of Optometry, and the International College of Optometry in Madrid Spain. In 1992 Dr. Hillier helped develop the Vision Rehabilitation Clinic at the San Diego Rehabilitation Institute at Alvarado Hospital. He has been honored by the American Optometric Association as Sports Optometrist of the Year, and by the College of Optometrists in Vision Development by receiving the Getman Award, its highest award for clinical excellence.

Workshop D: Patient Survival Panel (Objectives 3, 5, 11) Andrea Schwarb, LCSW & Yolanda Ortega, LCSW – Scripps Health  Describe experience of survivors’ transition from inpatient to community setting  Identify the long term needs of brain injury survivors and their caregivers  Identify tools and strategies to address these needs

Faculty Bios: Ms. Andrea Schwarb, LCSW has worked with acquired brain injury survivors for over 10 years. Her clinical experience in neuro-rehabilitation ranges trauma service, acute rehabilitation, Day Treatment, outpatient rehabilitation, and home health services. Her current role is with the Brain Injury Day Treatment program at Scripps Health. Ms. Schwarb is a regular contributor to the San Diego Brain Injury Foundation Speaker Series.

Ms. Yolanda Ortega, LCSW is the rehabilitation counselor for Scripps Memorial Hospital Encinitas, inpatient rehabilitation for the last 9 years, 11months. She holds a BSW from the University of Puerto Rico and a MSW from the University of Hawaii at Manoa. She is a member of the National Association of Social Workers. She is married to Sargent Major Ortega and brings 26 years of military culture experience and extensive travel and residency abroad to her work. She has volunteered for numerous military programs and is bilingual English/Spanish.

2:45 p.m. Break, View Posters & Exhibits

3:15 p.m. Workshops (Repeat)

Workshop C: Vision Workshop – Carl Hillier, MD – San Diego Center for Vision  Identify types of lenses and clinical treatments options for treating homonymous hemianopia  State yoked prism options for treating visually induced balance disorders  Describe the use of Fresnel Prism and Selective Occlusion to treat sudden onset diplopia

Workshop D: Patient Survival Panel – Andrea Schwarb, LCSW & Yolanda Ortega, LCSW – Scripps Health  Describe experience of survivors’ transition from inpatient to community setting  Identify the long term needs of brain injury survivors and their caregivers  Identify tools and strategies to address these needs

4:15 p.m. Transition from Workshops to General Session

4:30 p.m. The Future of Rehabilitation Services (Objectives 1, 2, 3, 5) Bruce Gans, MD – Kessler Institute for Rehabilitation  Describe how technology advances will influence the future of medical rehabilitation  Discuss the impact of the economics of health care service delivery on the future of medical rehabilitation  Summarize how the legislative and regulatory systems will influence the future of medical rehabilitation

Faculty Bio: Dr. Gans is Executive Vice President and Chief Medical Officer for the Kessler Institute for Rehabilitation, based in West Orange, New Jersey. He is also the National Medical Director for Rehabilitation for Select Medical, the parent company for Kessler. He is responsible for physician practices, academic affairs, and clinical quality for all in-and out-patient rehabilitation programs and services of this nation-wide provider of medical rehabilitation care. In addition, Dr. Gans holds an appointment as Professor of Physical Medicine and Rehabilitation at Rutgers New Jersey Medical School. He is a director on the board of Five Star Quality Care, Inc. (NYSE:FVE), a national operator of independent living, assisted living, and skilled nursing facilities and is the founding chair of their Quality of Care Committee, which has been in existence since around 2003. He is Immediate Past Chairman of the governing board of the American Medical Rehabilitation Providers Association, and is a Past President of the American Academy of Physical Medicine and Rehabilitation and the Association of Academic Physiatrist.

5:30 p.m. Final Adjournment

Topics, times and speakers are subject to change.