The Cleveland Clinic

THE CLEVELAND CLINIC CENTER FOR CONTINUING EDUCATION PARTICIPANT COURSE EVALUATION FORM

Course: 2011 Neurology Update – A Comprehensive Review for the Clinician Date: August 5-7, 2011 Evaluations: 139

AVG Excellent Very Good Good Fair Poor COURSE EVALUATION (5) (4) (3) (2) (1)

Facility conducive to learning COURSE EVALUATION4.7 98 27 3 MET0 NOT MET0 Content of syllabus / handout material 4.5 79 40 7 3 0 Objective 1: Discuss newest advances in diagnosis and treatment of common neurology 0 Appropriate time for questions 4.3 66 43 12 7 1 disease including acute stroke, Alzheimer’s disease, multiple sclerosis, epilepsy, and 128 Parkinson’sLength ofdisease course for content 4.6 83 38 7 0 0 Overall course management 4.7 91 32 3 0 0 Objective 2: Identify variants of dementia which are separable from Alzheimer’s disease and 0 which have unique pathological and clinical expressions 128

Objective 3: Recognize clinical phenomenology of various movement disorders, sleep disorders, and other common neurological conditions 127 0

Objective 4: Manage seizures in the general and special populations 122 4 Objective 5: Have an organized approach to the patient with dizziness or syncope 122 1 My Personal Objectives were: 91 - Met 1 - Not Met

How much of this content was new to you? 6 - Almost All 10 - About 75% 48 - About 50% 64 - About 25% 4 - Almost None

As a result of what you have learned in this course, will you change your practice behaviors? 40 - Very likely 67 - Likely 26 - Somewhat Likely 3 - Not at all

If so, please list specific clinical practice behavior’s that you propose to change: MS DMT management; possibly move hands-on management of vertigo; better understanding of sleep management Dx My evaluation of sleep disorders and Alzheimer’s Especially in MS/Parkinson’s Dizziness lecture very helpful – especially section on BPPV and acute vestibular syndrome More aggressive TPA approach; add Pradaxa: Totally revise my dementia assessment; improve Dr. White’s handout – talk was great! Choice of AED’s; use of TPA in 3-4 hour time window and work up of TIA; work up of peripheral vertigo Stroke management; dementia diagnosis; seizure pharmacotherapy; diagnosis of dizziness and syncope Adhere to the most updated guidelines New HA strategies and Parkinson’s Push harder for exercise in PD patients; more likely to use Tysalor; more likely to get PSG’s and MSLT’s on certain patients Stroke care with changes in 3-4 hour for TPA Sleep problems Better diagnosis and management DatScan is new to me Incorporate new practice schemes Management of PD No more B-blockers for syncope Snycope Tx issue Consideration of symmetry 1st line for PD instead of Azelect 1st line Consider leading with Amanta; using Naratriptan instead of Frova for MRM Headache management; syncope evaluation; sleep management Use ABCD2 more; hospitalize more TIA patients for faster workup Apply knowledge to change treatment of patients Epilepsy med management Using DatScan; change in Parkinson’s treatment\no more 3 blockers for syncope; will evaluate ASON differently Management for migraines; reduce red yeast extract use New material on MS, syncope and dementia Syncope treatment; statin myopathy recognition Better approach to vertigo (fewer referrals) More vigilant regarding sleep disorders More optimistic when discussing Dx with Parkinson’s patients Clinical management and decisions Management of dizzy patient More review of patient’s MRI pictures; use of TAP in 3 hours; earlier use of Azilect; recommendations regarding exercises DatScan; more exercise for my PD patients Be more aware of sleep disorders and evaluate for these Excellent course- very, very well organized and presented Sleep disorders; seizure meds; HA approach Consider use of DatScan use in dementia/movement disorder Encourage exercise and meditation in multiple groups Approach to PD and AD Discuss/consider new anticoagulant Rx in dementia, MS and PD I am a hospice physician; information regarding Tx helps me determine which meds are important to continue for Sx management Assessments largely – I am a nurse Demonstrate Epley’s more efficiently and accurately to my BPV patients; be more vigilant on referring criteria for ophthalmic emergencies Check CRP and platelets rather than ESR in CGA Different treatment plans to improve outcomes I do pediatric neurology Less fearful of dizzy patient; more confident Rx-ing acute stroke and sleep disorders Knowledge of Parkinson’s medications; migraine issues Further evaluation of neuro-rad procedures As a family practitioner some of the content was overly extensive for me but very helpful in exposing me to potential clinical situation Tapering Lamictal during pregnancy It helped me to finally figure out 2 of my very complicated patients

If so, please list specific clinical practice behavior’s that you propose to change (cont’d): Will choose appropriate seizure medications for pregnant women New things to integrate into my practice Acute stroke management Better understanding of CVA; management of Parkinson’s disease Better understanding of epilepsy conditions

Would you recommend this course to your colleagues? 121 - Yes 3 - No What was the most effective aspect(s) of this activity and why? Rapid and interactive Dementia presentation Well made slides with appropriate amount of breaks Stroke lectures Renals and how I treat Latest input on topics discussed Time management; staying on topic Broad overview of many topics When speakers were more interactive with more questions Excellent speakers; current content; good audio-visual Subjects common in practice I was interested in practical management and diagnoses of diseases which were covered Correlation of information provided with practical experience approach to patient care; providing questions and answers with references facilitates learning Time frame and organization Speakers; great overview and practical organization Stroke, epilepsy and dementia were especially clinically relevant; liked having ENT approach to vestibulopathy Syncope Syncope; stroke management; neuroradiology pearls; can’t miss movement disorders; the Dizzy Patient – reason and practical information; Headache – what do I do now? Stroke and epilepsy Questions and discussion of answers with each lecture The SAE questions; I was able to find out what I know and didn’t know; and got explanations for the answers ARS system; good feedback on where one stands with colleagues ARS system Very lucid and understandable Real clinical questions/dilemmas addressed The clinical aspects Practical, important aspects of neurology with differential diagnosis and treatment options Questions Question and answer parts New and updated treatment options in the management of MS Having good reviews of recent information in some of the topics (statins, Parkinson’s, dementia, for example) Up-to-date nature Hearing the master clinicians’ conceptual framework Excellent location; all faculty were prepared Clinical Organization and presentation and availability of speakers; enjoyed atmosphere also Stroke lecture with up-to-date literature and MS lecture again with up-to-date literature New material The questions with the key pads were wonderful; good for preparing for MOC and SAE Good speakers Videos; scans; all was informative Question/answer Questions Videos were great Loved the videos Concise and informative lectures What was the most effective aspect(s) of this activity and why (cont’d)? Clinically based with just the right amount of genetics/mechanism of pathology Overview and approach of experts in management of various neurological problems Good variety of topics; keep the printed syllabus – it helps a lot! All information extremely practical Very informative for me – I am not a neurologist Practical nature of the lectures and the easy approachability of the CCF faculty Enjoyed the interactiveness of electronic polling; relatively rapid/efficient presentations of topics and roughly comprehensive coverage Quality of presenters’ presentations The update introduced the evidence-based guideline to improve patient management Focus on practical management of patients; cases Learning about new diagnostic approaches and new therapies Lectures and questions Course content Dizzy; syncope; MS The questions ARS system Update my knowledge and my practice in general adult neurology Intensive information and local for me Stroke and MS; update on new developments Very relevant to my practice; common problems and practical help; great idea with lunch cases Great speakers Speakers were all engaging and provided practical information supported by valid, pertinent data Neuroradiology very informative and able to take information to clinical setting Enjoyed lunch cases; ARS questions were educational; audience questions were useful Treatment of dizzy patient Broad nature of topics

What was the least effective aspect(s) of this activity? Slides often did not follow syllabus Sleep talks redundant Doing questions first and follow up Some of the lecture presentations did not mimic the given outline; please try to update in the handouts after the presentation so audience gets them Question/answer sessions were not very helpful – maybe questions submitted to the panel? Basic neuro surgery and neuro pediatric not mentioned Short chance for questions The data on meds will not be used Seizure section was not up to par Talks that were too detailed to benefit GP’s Review of basics: TIA, CVA, HA, MS Not enough question/answer/discussion time Would prefer recent (last 2 years) new drug/guideline/controversy/other treatment; concepts/treatment to be the focus of each presentation, not come up in (often rushed) questions at the end; many slide printouts are illegible and incomplete Not enough time for questions With epilepsy talks – extensive talk of various registries could have been summarized in 1-2 slides Epilepsy in women Lunch cases; spot diagnoses not as helpful Always distracting when all slides are not in the handout Assuming all attendees are neurologists; more informative to describe conditions like NMO, ADEM, etc – some of us have never heard of these conditions MS (would have liked more practical material) First talk was too early The limitations of time and subject matter Questions often too short Would have liked to have more literature on epilepsy Sleep/epilepsy courses Tiny slides – if a slide is tiny and hard to see even in the handout – should it even be included? Cold room What was the least effective aspect(s) of this activity (cont’d)? Post course questioning Sometimes too theoretical Lectures that mostly discussed research studies Maybe study details/research details; just need summarization and expert opinion Dizziness maneuver Surprised that there was no electronic version available Blindness Sleep was a show and tell of rare disorders Too warm Saturday Some irrelevant talks Healthier breakfast options like oatmeal would be nice Sometimes need to expand to new and challenging topics Missing slides in handouts Syllabus – slides printed out are too small to be useful; jump drive with presentations would be much more helpful; meditation/complementary lecture

What could have made this course better? More time Make sure all handouts match the slides the speakers are using (actual slides themselves as well as the order in which the slides are presented) More case studies Putting more clinical cases Some lectures were the same as last year Discussing treatment options for refractory headache patients Better presenter for Epilepsy in women More time for questions Using technology – deliver via jump drive to attendees; allow attendees to print syllabus on own; for presentations with additional slides, you should provide additional handouts Lunch cases are great – do more; define abbreviations when used More time on headache and dizzy patient; primary care topics Topics: Myasthenia Gravis; peripheral neuropathy; aneurysms and vascular malformation; rehab; spinal cord disease Improve the visual aides in the handout and those projected Neurology pearls each day; handouts for lunch cases please A list of attendees/speakers with contact information would be nice; how many NP’s, PA’s were here? Neurology and MLC providers and how to use us is currently undeveloped and it would be nice to find out what others do More discussion of current treatments (pharmacology) for the various neurological conditions USB handout Start at 9:00 a.m. Saturday and Sunday Clarification of abbreviations for the non-neurologist; took a while to figure out abbreviations I don’t commonly use More information about neuromuscular diseases Great course: more focus on format of MOC More time with movement disorder staff Videos of presentation for purchase More on MS; how to approach chronic pain from neuopathy/radioculpathy (we all dislike, but are asked to treat); appropriate use of opioids More complementary/alternative neurology as adjunctive therapies Add polymeuropahty A bit more question/answer time Focused review of new data; we’re neurologists, we know the older stuff; we need to know the new data Making it clear that this was meant for neurologist More CME into these 2 days to make it more cost effective in this economy More material geared towards non-neurologist More topics A little more breadth in scope of presentations; maybe a zebra sections chronic malformation and other congenital anomaly seen in adulthood Consider topics on peripheral nervous system More review oriented and less detail; nuts and bolts rather than research/basic science Discussion regarding common neuromuscular conditions More discussion of stroke/TIA prevention What could have made this course better (cont’d)? Heat control Some topics – peripheral neuropathy, myopathy, etc. Not to repeat content from one year to the next in some of the topics Include more topics, if possible Handout font too small even for 20/20 vision (in some) More biology Handouts should be able to stand alone Some lectures did not present case which would have been helpful More time for question/answer Shorter talks; try to avoid having a presenter give two consecutive talks Compared with other CME courses you have attended, how would you rank this course in terms of innovation, content, and topics? 17 - One-of-a-kind 98 - Up-to-date 4 - Little innovation 5 - Routine 0 - Superficial

Please rate the degree to which this course met the ACCME requirement that CME activities must be free of commercial bias for or against a specific product? 95 - Excellent 30 - Good 0 - Fair 0 - Poor

Overall was this activity satisfactorily free from commercial bias? 99 - Yes 2 - No

If No, please explain: Overall yes, except for MS presentation on Rx – Hearing Silenya and Tysabri focus in treatment naïve patients doesn’t reflect current use Use of trade names instead of generic names would not have violated the “no commercial bias” rule Please comment on each presentation/presenter:

FRIDAY, AUGUST 5, 2011 AVG Excellent Very Good Good Fair Poor (5) (4) (3) (2) (1) Jim Gebel, MD Acute Stroke Update Practical Value 4.7 100 21 4 2 0 Content 4.7 100 28 3 2 0 Delivery 4.7 98 34 2 2 0 Visual Aids 4.7 97 33 3 2 0 Free of Commercial Bias 4.8 106 15 3 0 0 Jim Gebel, MD TIA: New Definition, Management & Prevention Practical Value 4.8 104 18 5 1 0 Content 4.7 102 20 3 2 0 Delivery 4.8 101 23 2 1 0 Visual Aids 4.7 97 24 5 0 0 Free of Commercial Bias 4.8 109 15 2 0 0 Jeffrey Cummings, MD Alzheimer’s Disease: Present & Future Practical Value 4.7 98 29 0 0 1 Content 4.8 99 26 2 0 0 Delivery 4.8 100 26 0 1 0 Visual Aids 4.7 94 27 3 2 0 Free of Commercial Bias 4.8 99 24 3 0 0

FRIDAY, AUGUST 5, 2011 AVG Excellent Very Good Good Fair Poor (5) (4) (3) (2) (1) Jeffrey Cummings, MD Dementia: The Rest of the Story Practical Value 4.8 103 24 0 1 0 Content 4.7 92 39 0 1 0 Delivery 4.8 103 20 3 1 0 Visual Aids 4.7 95 26 4 1 0 Free of Commercial Bias 4.7 93 23 5 0 0 Jinny Tavee, MD Update on Statin Myopathy Practical Value 4.8 99 24 3 0 0 Content 4.8 99 24 3 0 0 Delivery 4.8 100 22 3 1 0 Visual Aids 4.7 94 28 3 0 0 Free of Commercial Bias 4.8 104 19 2 0 0 Alex Rae-Grant, MD MS, NMO, ADEM: Overview of Demyelination Practical Value 4.6 83 37 7 2 0 Content 4.5 79 40 8 2 0 Delivery 4.5 83 32 8 5 0 Visual Aids 4.5 81 36 8 2 1 Free of Commercial Bias 4.7 93 30 4 0 0 Richard Rudick, MD Treatment of MS: Present & Future Practical Value 4.6 92 28 6 2 1 Content 4.6 91 26 8 2 1 Delivery 4.6 90 30 5 2 1 Visual Aids 4.6 91 27 5 3 1 Free of Commercial Bias 4.7 92 26 6 2 0 Stephen E. Jones, MD, PhD Neuroradiology Pearls Practical Value 4.6 79 36 6 2 0 Content 4.6 76 43 3 0 0 Delivery 4.6 80 38 4 0 0 Visual Aids 4.6 77 41 4 0 0 Free of Commercial Bias 4.7 90 28 2 0 0 SATURDAY, AUGUST 6, 2011 Excellent Very Good Good Fair Poor (5) (4) (3) (2) (1) Carlos L. Rodriguez, MD Unusual Sleep Disorders Practical Value 4.7 95 25 4 1 0 Content 4.8 97 23 4 0 0 Delivery 4.8 99 22 3 0 0 Visual Aids 4.8 99 22 3 0 0 Free of Commercial Bias 4.8 102 19 3 0 0

SATURDAY, AUGUST 6, 2011 – AVG Excellent Very Good Good Fair Poor (5) (4) (3) (2) (1) Cont’d Nancy Foldvary-Schaefer, DO Advances in Sleep Medicine Practical Value 4.5 88 34 8 3 1 Content 4.5 88 29 10 4 1 Delivery 4.4 84 27 14 2 3 Visual Aids 4.5 87 25 13 2 2 Free of Commercial Bias 4.6 97 24 8 1 1 Judith White, MD, PhD The Dizzy Patient Practical Value 4.8 117 25 1 1 0 Content 4.7 119 22 5 2 0 Delivery 4.8 116 19 5 1 0 Visual Aids 4.6 109 19 7 3 2 Free of Commercial Bias 4.8 123 16 2 1 0 Norman So, MD Management of Epilepsy Practical Value 4.4 91 28 12 5 3 Content 4.5 90 29 13 3 2 Delivery 4.5 87 25 14 5 1 Visual Aids 4.4 81 25 20 4 1 Free of Commercial Bias 4.6 103 18 11 3 1 Nancy Foldvary-Schaefer, DO Epilepsy in Women Practical Value 4.3 84 26 21 5 2 Content 4.3 81 25 20 9 2 Delivery 4.3 79 29 22 6 1 Visual Aids 4.3 76 29 22 8 1 Free of Commercial Bias 4.6 104 15 15 3 1 Hubert H. Fernandez, MD Can’t Miss Movement Disorders Practical Value 4.7 106 24 4 1 1 Content 4.7 103 25 5 0 1 Delivery 4.8 108 24 3 0 1 Visual Aids 4.8 112 18 3 0 1 Free of Commercial Bias 4.8 114 19 0 0 1 Patrick Sweeney, MD Treating the Newly Diagnosed Parkinson Disease Patient Practical Value 4.7 105 27 6 3 0 Content 4.6 101 27 8 3 0 Delivery 4.7 107 25 6 2 0 Visual Aids 4.7 105 25 7 2 0 Free of Commercial Bias 4.8 110 19 4 2 0 Alex Rae-Grant, MD Office Neurology 101: Top 10 Spot CNS Diagnoses Practical Value 4.8 97 20 4 0 0 Content 4.8 94 23 2 0 0 Delivery 4.8 100 17 2 0 0 Visual Aids 4.7 94 23 5 0 0 Free of Commercial Bias 4.8 103 15 2 0 0

SUNDAY, AUGUST 7, 2011 AVG Excellent Very Good Good Fair Poor (5) (4) (3) (2) (1) Gregory Kosmorsky, DO Neuro-ophthalmologic Emergencies Practical Value 4.5 83 28 16 3 0 Content 4.5 84 29 13 3 0 Delivery 4.6 87 29 10 2 0 Visual Aids 4.5 88 24 13 3 1 Free of Commercial Bias 4.7 100 31 6 0 0 Robert W. Shields, Jr., MD Diagnosis and Management of Syncope Practical Value 4.8 109 21 4 1 0 Content 4.8 108 20 6 0 0 Delivery 4.7 102 26 5 1 0 Visual Aids 4.7 102 25 7 0 0 Free of Commercial Bias 4.8 113 18 3 0 0 Jennifer S. Kriegler, MD Menstrual Migraine Practical Value 4.7 85 29 6 0 0 Content 4.6 81 28 10 0 0 Delivery 4.6 80 26 12 0 0 Visual Aids 4.6 82 24 13 0 0 Free of Commercial Bias 4.7 95 16 8 0 0 Jennifer S. Kriegler, MD Difficult Decisions in Headache Management Practical Value 4.7 84 25 6 0 0 Content 4.6 79 27 7 0 0 Delivery 4.6 80 24 9 0 0 Visual Aids 4.6 78 26 9 0 0 Free of Commercial Bias 4.8 91 17 5 0 0 Jinny Tavee, MD Mind-body Therapies and the Brain Practical Value 4.5 64 25 5 2 2 Content 4.6 67 21 6 0 1 Delivery 4.7 79 17 5 0 0 Visual Aids 4.6 66 23 6 0 0 Free of Commercial Bias 4.8 79 13 3 0 0 Additional comments on faculty members Welcomes questions; excellent speakers; knowledgeable Dr. Kosmorsky is well spoken but his presentation is too specific Definitely the A team; everyone was great Would like more up-to-date information on epilepsy, especially new drugs in the pipeline as Dr. Rudick did for MS which was excellent Dr. Kosmorsky needs to organize slides better Dr. Shields needs to make sure all abbreviations are explained Dr. Tavee was excellent; delightful speaker; would be more helpful to focus on homeopathic/supplements that so many patients come in on Everyone was great; would prefer the speaker give their presentations slowly Jeff Cummings was excellent Consistently excellent presentations; Dr. Sweeny’s talk was particularly well crafted, entertaining and very practical Speakers assumed everyone was a neurologist; references for each lecture would have been useful The faculty was great – practical and helpful All great Excellent selection of faculty I will try not to repeat the talks from one year to the next (this year, sleep, dizziness were similar), that will increase the number of people continuing to attend the course from year to year I truly appreciate all the time and tremendous efforts and altruism for teaching by all faculties Very pleased with the faculty presentations All speakers were excellent Speakers knew their topics inside and out Some abbreviations/acronyms are regional – please avoid Several of the handouts did not match the lecture All speakers were excellent Every speaker had his/her unique, excellent manner of presentations and depth All did an excellent job Very good speakers – thanks Dr. Folvary-Schaefer could convey the same amount of information in ten minutes; poor use of time and dwelling on details not suitable to this review course; she was noticeably less capable than other speakers Dr. Gebel does not need to go into the differential diagnosis of CVA/TIA; more important is a review of recent literature and new stroke practices; also, way too much review of CVA risk after TIA; we get it! Great speakers; length of talks limited to 45 minutes was perfect to keep attention; enjoyed the questions as it provided active participation; and liked the instant feedback of answers Use full names, not abbreviations Breakfast each morning could have a meet and greet with faculty to answer additional questions; faculty were interspersed when not lecturing; this would be done by having them available at a specific place at breakfast All were excellent Have up-to-date PowerPoint slides available on site or on web In top 10 Spot CNS – his slides would have been helpful in our book Kosmorsky is weak Well chosen; fantastic speakers Dr. Foldvary speaks too fast and changes tone (too loud); Dr. Fernandez should have two lectures to cover TICS, myoclonus and hemifacila spasm; lecture on women’s epilepsy should be more practical – how to manage epilepsy in pregnant women Please put references on the summary slides ( e.g. for treatment guide) if possible, especially in epilepsy AED drugs of choice All did very well Dr. Tavee invaluable; loved her suits Great job Excellent faculty; timely run; presenting salient points Would like to see discussion about generic switches in epilepsy, weaning patients off AED’s when seizure free Jinny very personable; Dr. Kriegler a bit off on neuro radiology in her cases Drs. So and Tavee were great Very good I was bothered by Dr. Gebel’s hairsplitting approach to indications for TIA, especially linking it to lawsuits, that may be the way the world is, but academic neurology should not condone it. Judith White too much of a disconnect between slides and syllabus was confusing; this material is too important and needs to have better syllabus/slide coordination Suggestions for future: Outlines and work-up in difficult cases including lab work could be helpful One time period could be used to ask participants to write several sentences about a difficult or interesting patient situation to be address by a panel of 3-4 doctors; each case to take only 3-5 minutes total – collect on day one and present on day 2 so cases could be reviewed by doctors Neuropathy NPH, other neuromuscular topics Neuro oncology; pain in office practice More on spine (neck and back) issues; maybe a neuro muscular talk Back ache; neurological basis of sexual dysfunction and management Not sure I got a lot out of menstrual migraine lecture (relevance?) Common neuromuscular disorder – treatment Syncope/dizziness were good topics Genetic update HA in pregnancy; chronic pain; drug seeking patients Use of botolinum toxins in neurologic disorders Neuro muscular imaging with MRI/US Neuropathy Cover diplopia; difficult challenging cases – how to approach them; more movement disorders Small fiber neuropathy – Dx and evaluation New genetic disorders; infectious disorders Treatment of migraines and chronic daily HA – drugs, etc. Hospital consultations, critical, AMS Common neuro mistakes; updates on the top 5 diagnosis in neurology Would be helpful to have information to guide referrals for DBS and VNS; those topics were not discussed much OSA as a separate topics due to its wide prevalence and increasing general awareness EMG/NCS 101 There should be more neuro muscular disease topics; the reason I don’t go to the USSF review course is because they won’t cover NM disease; with CCF’s strength in NM we should hear more of these topics at this conference Hospital based neurology topics; emergency neurology topics, e.g. ICH; psychogenic conditions presenting with neurologic symptoms – distinguishing the two Motor neural disease Neuro muscular disease Traumatic brain injury Low resource base neurology – 3rd world, disaster Peripheral neuropathy; pare neoplastic syndromes; autonomic neuropathy Neuro muscular; electrodiagnostic topics; neuro radiology topics; neurological treatment/Dx of chronic pain syndromes (neck, back, RSD, etc.) Mind/body therapy lecture not clinically relevant More time spent on management of CVA Separate lecture on neuro emergencies; spine neurology; psychiatric cases in neurology and one versa Migraine in the pregnant patient Vitamin D role in MS; expanded discussion of women’s health issues; I give meds like topiramate or lamotaque to patients for migraine or mood disorders and would like to have hear more. Non-muscular diseases; headache in pregnancy Would have liked some neuro muscular topics for clinical practice More on Alzheimer’s future treatment; MS – oral and IV therapies; newer AED’s; more on sleep disorders – OSA; hypersomnia; insomnia Common spine disorders – when to refer to neurosurgery, etc.; neoplasm update; pain management; would be nice to have slides on microdrine Myopathy/neuropathy – more rehab – TBI Peripheral nervous system Neuromuscular topics such as myasthenia, neuropathy, ALS Driving issues in syncope, SZ, dementia Neurology of pain, back and neck pain, neuropathy Evaluation of spine disorders (cervical, lumbar); indications for surgery, medical treatments; neuropathies, myopathies Polyneuropathies, myopathies; lumbar stenosis CIDP Spine issues; back pain; aneurysm Chronic pain syndromes; chronic pain program; chronic headache program Neuro-oncology Suggestions for future (cont’d): Medication overuse headaches; neuromuscular - evaluation, Dx, Rx; spinal chord disorders evaluation, Dx, Rx; peripheral neuropathies Polyneuropathy evaluation and management Update on DN w/o and evaluation Treatment for chronic pain syndrome, especially in the elderly; ADD in adults – current Tx; presentation and discussion of our difficult cases to faculty Low and high pressure headaches Headache management in pregnancy

Please comment on the meeting facilities at The Ritz-Carlton: Thought it was very nice; convenient venue The lobby was crowded; chairs with no tables or desks; closing doors were distracting Very nice Super facility Wonderful venue Excellent facility Very good, but too cold in the auditorium Excellent; lunch food was nice Nice accommodations; good food, nice variety at lunch; comfortable chairs Good, except lunch had no vegan entrée Excellent venue; great food; room was a bit too cold Excellent facility A wonderful venue Very arctic and freezing – please do not torture us Very good, but found it difficult to find and get to Excellent; lecture hall was too cold; acceptable second day and third day Excellent; recommend you continue here Very nice Good, but Marriott better for family Excellent facility, cold in meeting room Ritz Carlton always good Not thrilled with the facility; would this be a less expensive conference if it was held at a less fancy hotel? Excellent venue; great atmosphere Adequate if a bit cold and for the crowd size it was cramped Very good choice Very nice; meeting room too cold but did improve days 2-3; food very good Superb facility and location Nice, would have liked internet access in the conference room Very nice, but a little on the cold side; staff helpful and pleasant; beautiful meeting place with nice amenities; enjoyed music during breaks – nice touch Excellent; great arrangement Great location and beautiful city to visit Ritz was very pleasant, except for temperature; hallways and meeting room and common areas were too cold; also the fire alarm and building evacuation were startling; have an easier drop off forms process – drop in box and leave on table More high protein on menus – eggs/bacon/sausage; fewer high calorie sugar items; not everyone needs low fat, some of us are diabetic/prediabetic; have some nuts; temperature better 2nd and 3rd day – first day too cold Room temperature too cold days one and two; seats too close together in meeting room and at lunch; seats uncomfortable; food excellent Too cold Food – there was a shortage of lettuce and food portions Very cold; good food; good amenities Too cold first day; not conducive to learning; not enough tables for everyone Very nice; ballroom too cold Very comfortable Great location and food; but temperature too cold Too cold; otherwise fine; food was good Excellent; more pop (caffeine other than coffee) Excellent, best I have been to Foods labeled better with allergens, i.e. dairy Very good, except too cold; needs temperature adjustment Please comment on the meeting facilities at The Ritz-Carlton (cont’d): Room was very cold; some adjustment on Saturday but afternoon was cold again; food excellent and service good Good location Great; don’t change anything Temperature just right on Friday; too warm on Saturday Good location Excellent; meeting room a little cramped but really not an issue Lovely; a very good choice Excellent location; price; facilities; another reason to keep coming every year I was disappointed that my teenage children were not allowed to use pool or exercise room; I’ll never come back to the Ritz-Carlton Froze the first a.m.; great food; need to have wi-fi available Enjoyed my time here; consider Fairmount as well Great place; better climate control needed Great; room a little crowded Very nice place, but too cold; when staying at Ritz there are no 24 hour coffee or tea places available Excellent food and venue and as ever pricey 10 said it was Great 3 said it was Good 8 said it was Very good 21 said it was Excellent

Please indicate below where you stayed as an overnight guest while attending this course: 70 - Meeting Hotel 6 - Family/Friend 26 - Local resident (Didn’t stay as an overnight guest) 25 - Other Hotel: 1 - Residence Inn 6 - Marriott 1 - Holiday Inn (Roselyn Key Bridge) 1 - Hilton Washington 1 - Park Hyatt 3 - Renaissance 2 - Embassy Suites 1 - One Washington Circle 1 - St. Gregory 8 – Did not list

If at a hotel other than the meeting hotel, why? Too expensive Family member an employee at Marriott Prior connections/points/money Price and location Late decision of management Could not get the rates Hyatt frequent stay member/points Better price Parking, traffic Too expensive Less expensive Too earn points at the Hilton Cheaper Less expensive; full breakfast Price I am a Starwood member Cheaper Cost – not enough in education fund to afford both conference and cost of room Pool and less expensive More reasonably priced Brought family (more kid friendly at Marriott) Missed the deadline to receive conference discount How did you first hear about this course? 12 - CCF Website 73 - Brochure 9 - Email 10 - Postcard 20 - Colleague 8 - Other: 1 - Magazine 2 - Previous attendance 1 - AAN Journal 2 - AAFP website 1 - Work at CCF 1 - Search for DC CME in August

What was the most important factor that influenced your decision to attend this course? 31 - Speakers 60 - Location 63 - Topics 37 - CME Credit 4 - Cost 11 - Other: I enjoy reading the CCF Journal SAE Needed an update Board requirements CCF reputation Clinical Review Course Thought it was for GP’s Family close by Family reunion Cleveland sponsor The MOC requirement

Would you like to receive an email notice about new CME courses? 98 - Yes 18 - No

NAME E-MAIL SPECIALTY LOCATION Ozintra [email protected] Neurology Albany, NY Yevgeniy [email protected] Neurology Allentown, PA Jay [email protected] Neurology Allentown, PA Robert [email protected] Family Practice Medford, NJ Marvin [email protected] Neurology Palm Beach, FL Mark [email protected] Internal Medicine Washington DC Albert [email protected] Neurology Rockville, MD Bhagwan [email protected] Neurology/Epilepsy Orange, CA Christian [email protected] Neurology Charlotte, NC Susana [email protected] Neurology Syracuse, NY Devina [email protected] Family Practice San Jose, CA Lynne [email protected] Neurology Richmond, VA Carla [email protected] Psychiatry/hospice Phoenix, AZ Ralph [email protected] Neurology Port Orange, FL Brenda [email protected] Epilepsy/neurology New Brunswick, NJ Sharyl [email protected] Neurology FL Farouk [email protected] Neurology Freeport, IL Megan [email protected] Internal Medicine Yorktown, VA Joshua [email protected] Internal Medicine Centerville, OH NAME E-MAIL SPECIALTY LOCATION Volney [email protected] Neurology Boston, MA Teresa [email protected] Neurology TN Penny [email protected] Internal Medicine Washington DC Greg Zarely [email protected] Neurology Portland, OR David [email protected] Neurology ND Carrie [email protected] General Neurology Zanesville, OH Sue [email protected] Neurology/Rehab AS Tram [email protected] Neurology Montreal, Quebec Loretta [email protected] Internal Medicine Washington DC Ranjana [email protected] Internal Medicine Camphill, PA Susana [email protected] Family Practice Atlanta, GA Larry [email protected] Neurology Hixson, TN Sally [email protected] Neurology Temple, TX Amandeep [email protected] Neurology Fredericksburg, VA Lei [email protected] Neurology Rockville, MD Katrina [email protected] Neurology Glens Falls, NY Brian [email protected] Neurology Wilmington, NC Betty [email protected] Neurology Cleveland, OH Neer [email protected] Neurology New London, CT Steve [email protected] Epilepsy Charlotte, NC Brigit [email protected] Neurology Washington DC Susana [email protected] Neurology Raleigh, NC Marian [email protected] Neurology Baltimore, MD Deborah [email protected] Neurology Cleveland, OH Torri [email protected] Internal Medicine Charles Ford, PA Glen [email protected] Neurology Dayton, OH Mama [email protected] Neurology NJ Seyed [email protected] Neurology Tana [email protected] Neurology Cumming, GA Dale [email protected] Neurology Fredericksburg, VA Richard [email protected] Neurology Washington DC Robert [email protected] Neurology OH Robert [email protected] Family Practice West Hartford, CT Tracy [email protected] Neurology Cherry Hill, NJ Adil [email protected] Neurology Wilkes-Barre, PA Sandra [email protected] Neurology Fredericksburg, VA Will [email protected] Neurology Bethesda, MD Gregory [email protected] Internal Medicine Woodstock, VA Dee [email protected] Neurology Williamsburg, VA Joseph [email protected] Neurology Conventstation, NJ West Palm Beach, Joseph [email protected] Neurology FL Raoul [email protected] Neurology Princeton, NJ Delores [email protected] Neurology Manchester, TN Alex [email protected] Neurology Cleveland, OH Frederick [email protected] Neurology Washington DC Tom [email protected] Neurology Camp Lejuene, NC Holly [email protected] Neurology Erie, PA NAME E-MAIL SPECIALTY LOCATION Melvin [email protected] Neurology Washington DC Marian [email protected] Neurology PA Greenfield [email protected] Neurology Dallas, TX Cheryl [email protected] Neurology Pittsburg, PA Nida [email protected] Neurology Jon [email protected] Neurology Pittsburg, PA Marine [email protected] Neurology NY Joshua [email protected] Neurology Lake Ogwego, OR Philip [email protected] Primary Care State College, PA Jennifer [email protected] Family Practice State College, PA Deepah [email protected] Neurology Boston, MA Charles [email protected] Internal Medicine West Ridge, PA Theodore [email protected] Family Practice GA Yao-Yao [email protected] Primary Care Bethesda, MD Mikaela [email protected] Neurology Centennial, CO Robert [email protected] Internal Medicine Marion, SC Sahma [email protected] Movement Disorders Miami, FL Charla [email protected] Neurology Wilmington, Delaware Radha [email protected] Internal Medicine Canton, OH Samir [email protected] Neurology Dearborn, MI John [email protected] Neurology Cougers, NY William [email protected] Neurology Newark, Delaware Mark [email protected] Pawleys Island, SC Mano [email protected] Stroke and Neurology Mississauga, Ont Mitchell [email protected] Neurology Wilkes-Barre, PA [email protected] Larry [email protected] Neurology Tarpon Springs, Fl Virginia [email protected] Neurology Jacksonville, NC Sandy [email protected] Neurology Phoenix, AZ

If you have any additional comments about the course that you wish to share, please explain here: No vegetarian entrée during lunch More treatment guideline oriented would have been more helpful I’m particularly interested in epilepsy in women and would appreciate specific practice habits of CCF; I felt too much time was spent on AE Registry and not as much to guide actual practice; more discussion regarding pregnancy and migraines would also be helpful Great course; very practical Great job – would come back again in the future Excellent presentation format; one of the best CME courses I’ve attended due to clinical and practical relevance I am in a non-academic setting, so looked for the update part of the course to renew recent changes; while these were addressed it was often haphazard/incidental (as in questions at the end of a session) and would be better as focus of the presentations; overall, despite this, I was quite happy with the experience and would consider returning in several years; interestingly, there seemed to be a few non-neurologist there, but have assumed that while they are welcome, focus in on neurologist Thank you Choose a hotel that the room rates are not expensive Please come back to DC in 2012; enjoyed the course; better breakfasts, i.e. more protein, not just breads Would consider West Palm Beach for this course since you have a clinic there Very pleased to be able to apply information directly to everyday practice; appreciated the mediation lecture – very important Fantastic speakers! Cold, cold, cold room; great food This course was very informative for family physicians; I am an academic FP and I found this very informative; our neurologists are the consultants and we are the primary physicians admitting It would be helpful to have e-mail addresses for speakers to ask them questions later If you have any additional comments about the course that you wish to share, please explain here (cont’d): Great conference; well organized Pretty much the only negative comments is that not everything was pertinent to my family medicine practice; different emphases/priorities; fewer insider acronyms would have been helpful; enjoyed the conference despite these things Thanks; great course! Great food; great venue; room was terribly cold the first day but this was corrected; talks are most effective when slides closely mirror the talk – this was true mostly Thanks; good schedule FSS You have made a better course than a similar one put on by the Mayo Clinic, on regular basis It is very helpful when slides match syllabus; can reread later, etc.; this was a great conference and most helpful to NP – good review of some and learned new information I can use daily; thank you for all your effort putting it together – a wonderful conference There was a lot of information on identification but needs more on treatment You are aware of “except” questions in self evaluation questions – this is a no-no educationally; similarly, the so called K- questions (A=1, 2, 3, etc) are passé Visual aids are too busy; some, when reproduced in the handouts are not readable and therefore useless for review at home Dr. So and Dr. Shields supplied references at the end of their handouts – this is good; why didn’t everyone? Electronic version (CD/DVD) of the course material would have been a real plus – many of the CME’s I attend are more electronic One of the best courses I have attended Great topics – thanks for an educational weekend Would be good to have lectures on CD to review at home Enjoyed mind/body approach This conference was one of the best I have ever been to and I’ve been going to conferences for over 20 years thank you; Please be clearer on the course brochure if the course is meant for Primary Care or Neurologist; I felt that parts of the conference were too detailed for Primary Care Great course, location and price; food was great; would like an organized outing in DC or around as a group or a show to add to the stay Need ice tea/soda supply – I am not a coffee drinker – or anything hot for caffeine