1 17 18 19 20 21 6 9 10 11 12 13 14 2 2 9 16 23 30 3 10 17 24 31 3 4 5 6 7 7 2 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 9 10 11 8 2 1 3 29 30 22 23 24 25 26 1 1 2 3 4 3 20 21 22 23 24 5 6 7 8 1 9 10 2 3 N Seizure and 1 14 15 16 1 19 20 21 22 23 Epilepsy Update 7 9 10 2 2 5 3 6 8 1 2 28 29 30 for Neurologists and Neurosurgeons 29 30 31 5 7 1 10 11 12 OCTOBER 2011 6 9 8 2 1 2 9 10 11 12 13 2 3 4 5 6 20 21 22 23 24 1 12 13 14 15 16 17 1 6 7 9 10 8 2 1 3 A Not printed or mailed at State expense NONPROFIT ORG. U.S. POSTAGE PAID DALLAS, TEXAS PERMIT NO.2993 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium Dallas, Texas Office of Continuing Medical Education 5323 Harry Hines Blvd. Dallas, Texas 75390-9059 Saturday October 15, 2011 for Neurologists and Neurosurgeons Time Sensitive Material 1 27 28 29 30 for Neurologists and Neurosurgeons Seizure and Epilepsy Update 4 5 4 Seizure and Epilepsy Update E d u c a t i o n a l P ro g r a m s f o r 2011 Saturday, October 15, 2011 T. Boone Pickens Biomedical Building Auditorium UT Southwestern Medical Center Dallas, Texas Course Directors Paul Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas Guest Faculty Jerome Engel, Jr., MD, PhD Jonathan Sinay Distinguished Professor of Neurology, Neurobiology, and Psychiatry and Behavioral Sciences Director of the UCLA Seizure Disorder Center David Geffen School of Medicine at UCLA Los Angeles, CA Angel W. Hernandez-Mulero, MD Vice-Chief of Service, Neurology Director, Comprehensive Epilepsy Program Director, Epilepsy Monitoring Unit Division of Neurosciences Cook Children's Medical Center Fort Worth, Texas ChangBin Jiang, MD, PhD President, First Affiliated Hospital Professor of Neurology First Affiliated Hospital of Dalian Medical University, P.R. China XiaoFengTian, MD, PhD President, Second Affiliated Hospital Professor of Surgery Second Affiliated Hospital of Dalian Medical University, P.R. China Jian Yin, MD, PhD Vice-President, Second Affiliated Hospital Director, Epilepsy Center of Liaoning Province Professor of Neurosurgery Second Affiliated Hospital of Dalian Medical University, P.R. China UT Southwestern Faculty Mark Agostini, MD, BA Associate Professor of Neurology Rana R. Said, MD Assistant Professor of Pediatric, Division of Neurology Sponsored by UT Southwestern Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education Agenda 7:30 am Course Directors Conflict of Interest Welcome and Introduction Pathological High Frequency Address Oscillations in Epilepsy City - Jerome Engel, Jr., MD, PhD Last Four Digits of SS# Ketogenic Diet Business Phone It is UT Southwestern’s policy that participants in CME activities should be made aware of any affiliation or financial interest that may affect the speaker’s presentation(s). Each speaker has completed and signed a conflict of interest statement. The faculty members’ relationships will be disclosed in the course syllabus. 8:05 am Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas Refund Policy 9:00 am Who Should Attend This conference is designed for neurologists, neurosurgeons and other physicians and health care providers interested in seizure and epilepsy, including diagnosis and therapy. Purpose and Content The purpose of this conference is to provide up-to-date information on seizures and epilepsy and to provide a forum for the discussion of diagnosis and treatment of these disorders. - Rana Said, MD No refunds will be made. Because this course is meant to educate physicians with what is currently in use and what may be available in the future, there may be “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is discussed. Location UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 Saturday, October 15, 2011 Registration and Breakfast 8:00 am Paul Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas Discussion of Off-Label Use Seizure and Epilepsy Update for Neurologists and Neurosurgeons Saturday, October 15, 2011 10:10 am Posttraumatic Epilepsy and Seizures - Paul Van Ness, MD 11:05 am Epilepsy in China - TBA 12:10 pm Lunch 1:10 pm Pediatric Epilepsy Syndromes - Angel W. Hernandez-Mulero, MD 2:05 pm Name State Degree E-mail Address (Email address required to receive CME certificate) Check here to receive our free monthly email calendar of upcoming educational programs. Please indicate preferred method to receive confirmation: Email Fax Mail Indicate Credit Desired: Registration Fee: MASTERCARD Educational Objectives Epilepsy Patient Card # Upon completion of this activity, participants should be able to link the educational objectives to Core Competencies and: - Mark Agostini, MD Expiration Date Understand the issues related to the weaning of anti-epileptic medications Recognize the difference between temporal and extra temporal epilepsy Be informed regarding technological advances in the treatment of epilepsy Understand the relationships between dysplasia and epilepsy Accreditation The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nursing contact hours have been applied for through the Texas Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Adjourn Suggested Accommodations Renaissance Dallas Hotel 2222 Stemmons Freeway Dallas, TX 75207 Phone: 214-631-2222 Ask for the UT Southwestern rate The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. Program Accessibility We accommodate people with disabilities. Please call 214-648-3138 for more information, or mark the space indicated on the registration For a list of activities offered in the Dallas area, go to www.visitdallas.com/visitors/events/ Additional Information For more information, please contact the Office of Continuing Medical Education at 214-648-3138 or cmeregistrations@utsouthwestern.edu AMA General VISA form. To ensure accommodation, please register as soon as possible. UT Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status or disability. UT Southwestern is an equal opportunity institution. CNE Security Code Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State AMEX Cancellation Policy Credit Designation The University of Texas Southwestern Medical Center designates this educational activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Closing Remarks, Evaluation and _____ $50 Physicians _____ $25 Nurses/Other Healthcare Professionals Ethical Dilemmas in the Care of the 3:00 pm UT Southwestern Alumni Specialty Method of Payment: Parking is available in the parking garage entered from 6001 Forest Park, located adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Signs will be posted to assist you. Zip Code Fax Difficult Case Conference Parking #RP1110B Card # Zip Code Security Code Expiration Date Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State Zip Code CHECK If paying by check make checks payable to: Continuing Medical Education / UT Southwestern Fax completed registration form to: 214-648-4804. Mail completed registration form to: Continuing Medical Education / UT Southwestern 5323 Harry Hines Blvd., / Dallas, Texas 75390-9059 Dietary Restrictions (Please specify) Refund Policy No refunds will be made thereafter. ADA Statement ! Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you. Agenda 7:30 am Course Directors Conflict of Interest Welcome and Introduction Pathological High Frequency Address Oscillations in Epilepsy City - Jerome Engel, Jr., MD, PhD Last Four Digits of SS# Ketogenic Diet Business Phone It is UT Southwestern’s policy that participants in CME activities should be made aware of any affiliation or financial interest that may affect the speaker’s presentation(s). Each speaker has completed and signed a conflict of interest statement. The faculty members’ relationships will be disclosed in the course syllabus. 8:05 am Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas Refund Policy 9:00 am Who Should Attend This conference is designed for neurologists, neurosurgeons and other physicians and health care providers interested in seizure and epilepsy, including diagnosis and therapy. Purpose and Content The purpose of this conference is to provide up-to-date information on seizures and epilepsy and to provide a forum for the discussion of diagnosis and treatment of these disorders. - Rana Said, MD No refunds will be made. Because this course is meant to educate physicians with what is currently in use and what may be available in the future, there may be “off-label” use discussed in the presentations. Speakers have been requested to inform the audience when off-label use is discussed. Location UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 Saturday, October 15, 2011 Registration and Breakfast 8:00 am Paul Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas Discussion of Off-Label Use Seizure and Epilepsy Update for Neurologists and Neurosurgeons Saturday, October 15, 2011 10:10 am Posttraumatic Epilepsy and Seizures - Paul Van Ness, MD 11:05 am Epilepsy in China - TBA 12:10 pm Lunch 1:10 pm Pediatric Epilepsy Syndromes - Angel W. Hernandez-Mulero, MD 2:05 pm Name State Degree E-mail Address (Email address required to receive CME certificate) Check here to receive our free monthly email calendar of upcoming educational programs. Please indicate preferred method to receive confirmation: Email Fax Mail Indicate Credit Desired: Registration Fee: MASTERCARD Educational Objectives Epilepsy Patient Card # Upon completion of this activity, participants should be able to link the educational objectives to Core Competencies and: - Mark Agostini, MD Expiration Date Understand the issues related to the weaning of anti-epileptic medications Recognize the difference between temporal and extra temporal epilepsy Be informed regarding technological advances in the treatment of epilepsy Understand the relationships between dysplasia and epilepsy Accreditation The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Nursing contact hours have been applied for through the Texas Nurses Association, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Adjourn Suggested Accommodations Renaissance Dallas Hotel 2222 Stemmons Freeway Dallas, TX 75207 Phone: 214-631-2222 Ask for the UT Southwestern rate The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances make this necessary. Program Accessibility We accommodate people with disabilities. Please call 214-648-3138 for more information, or mark the space indicated on the registration For a list of activities offered in the Dallas area, go to www.visitdallas.com/visitors/events/ Additional Information For more information, please contact the Office of Continuing Medical Education at 214-648-3138 or cmeregistrations@utsouthwestern.edu AMA General VISA form. To ensure accommodation, please register as soon as possible. UT Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status or disability. UT Southwestern is an equal opportunity institution. CNE Security Code Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State AMEX Cancellation Policy Credit Designation The University of Texas Southwestern Medical Center designates this educational activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Closing Remarks, Evaluation and _____ $50 Physicians _____ $25 Nurses/Other Healthcare Professionals Ethical Dilemmas in the Care of the 3:00 pm UT Southwestern Alumni Specialty Method of Payment: Parking is available in the parking garage entered from 6001 Forest Park, located adjacent to the T. Boone Pickens Biomedical Building. The garage entrance is to the right of the front building entrance. The garage elevators will take you to the third floor. Signs will be posted to assist you. Zip Code Fax Difficult Case Conference Parking #RP1110B Card # Zip Code Security Code Expiration Date Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State Zip Code CHECK If paying by check make checks payable to: Continuing Medical Education / UT Southwestern Fax completed registration form to: 214-648-4804. Mail completed registration form to: Continuing Medical Education / UT Southwestern 5323 Harry Hines Blvd., / Dallas, Texas 75390-9059 Dietary Restrictions (Please specify) Refund Policy No refunds will be made thereafter. ADA Statement ! Please check this box if you require assistance because of a disability to make this program accessible to you. Someone from our office will be in touch with you. 1 17 18 19 20 21 6 9 10 11 12 13 14 2 2 9 16 23 30 3 10 17 24 31 3 4 5 6 7 7 2 1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 9 10 11 8 2 1 3 29 30 22 23 24 25 26 1 1 2 3 4 3 20 21 22 23 24 5 6 7 8 1 9 10 2 3 N Seizure and 1 14 15 16 1 19 20 21 22 23 Epilepsy Update 7 9 10 2 2 5 3 6 8 1 2 28 29 30 for Neurologists and Neurosurgeons 29 30 31 5 7 1 10 11 12 OCTOBER 2011 6 9 8 2 1 2 9 10 11 12 13 2 3 4 5 6 20 21 22 23 24 1 12 13 14 15 16 17 1 6 7 9 10 8 2 1 3 A Not printed or mailed at State expense NONPROFIT ORG. U.S. POSTAGE PAID DALLAS, TEXAS PERMIT NO.2993 UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium Dallas, Texas Office of Continuing Medical Education 5323 Harry Hines Blvd. Dallas, Texas 75390-9059 Saturday October 15, 2011 for Neurologists and Neurosurgeons Time Sensitive Material 1 27 28 29 30 for Neurologists and Neurosurgeons Seizure and Epilepsy Update 4 5 4 Seizure and Epilepsy Update E d u c a t i o n a l P ro g r a m s f o r 2011 Saturday, October 15, 2011 T. Boone Pickens Biomedical Building Auditorium UT Southwestern Medical Center Dallas, Texas Course Directors Paul Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas Guest Faculty Jerome Engel, Jr., MD, PhD Jonathan Sinay Distinguished Professor of Neurology, Neurobiology, and Psychiatry and Behavioral Sciences Director of the UCLA Seizure Disorder Center David Geffen School of Medicine at UCLA Los Angeles, CA Angel W. Hernandez-Mulero, MD Vice-Chief of Service, Neurology Director, Comprehensive Epilepsy Program Director, Epilepsy Monitoring Unit Division of Neurosciences Cook Children's Medical Center Fort Worth, Texas ChangBin Jiang, MD, PhD President, First Affiliated Hospital Professor of Neurology First Affiliated Hospital of Dalian Medical University, P.R. China XiaoFengTian, MD, PhD President, Second Affiliated Hospital Professor of Surgery Second Affiliated Hospital of Dalian Medical University, P.R. China Jian Yin, MD, PhD Vice-President, Second Affiliated Hospital Director, Epilepsy Center of Liaoning Province Professor of Neurosurgery Second Affiliated Hospital of Dalian Medical University, P.R. China UT Southwestern Faculty Mark Agostini, MD, BA Associate Professor of Neurology Rana R. Said, MD Assistant Professor of Pediatric, Division of Neurology Sponsored by UT Southwestern Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education