17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 E d u c a t i o n a l P ro g r a m s f o r 2010 10 11 12 13 14 15 16 3 Seizure and Epilepsy Update for Neurologists and Neurosurgeons 4 5 6 7 8 1 9 2 OCTOBER 2010 for Neurologists and Neurosurgeons Seizure and Epilepsy Update Time Sensitive Material Not printed or mailed at State expense NONPROFIT ORG. U.S. POSTAGE PAID DALLAS, TEXAS PERMIT NO.2993 for Neurologists and Neurosurgeons Saturday October 2, 2010 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 Seizure and Epilepsy Update Saturday, October 2, 2010 T. Boone Pickens Biomedical Building Auditorium UT Southwestern Medical Center Dallas, Texas Course Directors Paul C. 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 Dennis D. Spencer, MD Harvey and Kate Cushing Professor of Neurosurgery Chairman, Department of Neurosurgery Director, Epilepsy Surgery Program Director, Pituitary Tumor Program Yale School of Medicine New Haven, Conneticut Sponsored by UT Southwestern Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education REGISTRATION FORM Seizure and Epilepsy Update for Neurologists and Neurosurgeons Agenda Seizure and Epilepsy Update for Neurologists and Neurosurgeons Saturday, October 2, 2010 8:00 am Registration and Continental Breakfast Saturday, October 2, 2010 #RP1010B 8:30 am Technological Advances in Epilepsy Course Directors Refund Policy Paul C. Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas No refunds will be made. Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas 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. Educational Objectives Upon completion of this activity, participants should be able to link the educational objectives to Core Competencies and: n Understand the issues related to the weaning of anti-epileptic medications n Recognize the difference between temporal and extra temporal epilepsy n Be informed regarding technological advances in the treatment of epilepsy n 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. Credit Designation The University of Texas Southwestern Medical Center designates this educational activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Conflict of Interest 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. 9:30 am Epilepsy and Cortical Dysplasia 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 Parking 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. Suggested Accommodations Renaissance Dallas Hotel 2222 Stemmons Freeway Dallas, TX 75207 Phone: 214-631-2222 Ask for the UT Southwestern rate Suggested Activities in the Metroplex Area Texas State Fair Texas/OU Football Weekend Dallas Museum of Art Texas Rangers vs. Los Angeles Dodgers Dallas Sixth Floor Museum at Dealy Plaza (JF Kennedy Assassination) 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 Name Address - Susan Arnold, MD City 10:30 am Break Last Four Digits of SS# 10:45 am Temporal Lobe vs. Extra Temporal Epilepsy: Business Phone Does It Matter? Degree - Pradeep Modur, MD E-mail Address Discussion of Off-Label Use 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. - Dennis Spencer, MD 11:45 am State c Zip Code UT Southwestern Alumnus Fax Specialty Lunch Wilder Penfield and the Origin of Epilepsy Surgery at the Montreal Neurological Institute - Charles Branch, Sr., MD 1:00 pm Adios to Antiepileptic Drugs: When and How to Wean Off (Email address required to receive CME certificate) o Check here to receive our free monthly email calendar of upcoming educational programs. Please indicate preferred method to receive confirmation: o Email o Fax o Mail Indicate Credit Desired: Registration Fee: 3:00 pm Adjourn c General Method of Payment: c MASTERCARD - Paul C. Van Ness, MD; Mark Agostini, MD; Ramon Diaz-Arrastia, MD, PhD AMA _____ $50 Physicians _____ $25 Nurses/Other Healthcare Professionals - Puneet Gupta, MD 2:00 pm Difficult Case Conference c Card # c VISA Security Code cccccccccccccccc ccc Expiration Date Signature of cardholder Print name of cardholder Billing Address of Cardholder: City Cancellation Policy 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. State c AMEX Card # We accommodate people with disabilities. Please call 214-648-3138 for more information, or mark the space indicated on the registration 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. Security Code ccccccccccccccc cccc Expiration Date Program Accessibility Zip Code Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State Zip Code c 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 o Dietary Restrictions (Please specify) Refund Policy No refunds will be made thereafter. ADA Statement o 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. REGISTRATION FORM Seizure and Epilepsy Update for Neurologists and Neurosurgeons Agenda Seizure and Epilepsy Update for Neurologists and Neurosurgeons Saturday, October 2, 2010 8:00 am Registration and Continental Breakfast Saturday, October 2, 2010 #RP1010B 8:30 am Technological Advances in Epilepsy Course Directors Refund Policy Paul C. Van Ness, MD Associate Professor, Department of Neurology UT Southwestern Medical Center Dallas, Texas No refunds will be made. Christopher Madden, MD Associate Professor, Department of Neurological Surgery UT Southwestern Medical Center Dallas, Texas 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. Educational Objectives Upon completion of this activity, participants should be able to link the educational objectives to Core Competencies and: n Understand the issues related to the weaning of anti-epileptic medications n Recognize the difference between temporal and extra temporal epilepsy n Be informed regarding technological advances in the treatment of epilepsy n 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. Credit Designation The University of Texas Southwestern Medical Center designates this educational activity for a maximum of 6.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Conflict of Interest 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. 9:30 am Epilepsy and Cortical Dysplasia 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 Parking 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. Suggested Accommodations Renaissance Dallas Hotel 2222 Stemmons Freeway Dallas, TX 75207 Phone: 214-631-2222 Ask for the UT Southwestern rate Suggested Activities in the Metroplex Area Texas State Fair Texas/OU Football Weekend Dallas Museum of Art Texas Rangers vs. Los Angeles Dodgers Dallas Sixth Floor Museum at Dealy Plaza (JF Kennedy Assassination) 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 Name Address - Susan Arnold, MD City 10:30 am Break Last Four Digits of SS# 10:45 am Temporal Lobe vs. Extra Temporal Epilepsy: Business Phone Does It Matter? Degree - Pradeep Modur, MD E-mail Address Discussion of Off-Label Use 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. - Dennis Spencer, MD 11:45 am State c Zip Code UT Southwestern Alumnus Fax Specialty Lunch Wilder Penfield and the Origin of Epilepsy Surgery at the Montreal Neurological Institute - Charles Branch, Sr., MD 1:00 pm Adios to Antiepileptic Drugs: When and How to Wean Off (Email address required to receive CME certificate) o Check here to receive our free monthly email calendar of upcoming educational programs. Please indicate preferred method to receive confirmation: o Email o Fax o Mail Indicate Credit Desired: Registration Fee: 3:00 pm Adjourn c General Method of Payment: c MASTERCARD - Paul C. Van Ness, MD; Mark Agostini, MD; Ramon Diaz-Arrastia, MD, PhD AMA _____ $50 Physicians _____ $25 Nurses/Other Healthcare Professionals - Puneet Gupta, MD 2:00 pm Difficult Case Conference c Card # c VISA Security Code cccccccccccccccc ccc Expiration Date Signature of cardholder Print name of cardholder Billing Address of Cardholder: City Cancellation Policy 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. State c AMEX Card # We accommodate people with disabilities. Please call 214-648-3138 for more information, or mark the space indicated on the registration 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. Security Code ccccccccccccccc cccc Expiration Date Program Accessibility Zip Code Signature of cardholder Print name of cardholder Billing Address of Cardholder: City State Zip Code c 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 o Dietary Restrictions (Please specify) Refund Policy No refunds will be made thereafter. ADA Statement o 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. 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 E d u c a t i o n a l P ro g r a m s f o r 2010 10 11 12 13 14 15 16 3 Seizure and Epilepsy Update for Neurologists and Neurosurgeons 4 5 6 7 8 1 9 2 OCTOBER 2010 for Neurologists and Neurosurgeons Seizure and Epilepsy Update Time Sensitive Material Not printed or mailed at State expense NONPROFIT ORG. U.S. POSTAGE PAID DALLAS, TEXAS PERMIT NO.2993 for Neurologists and Neurosurgeons Saturday October 2, 2010 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 Seizure and Epilepsy Update Saturday, October 2, 2010 T. Boone Pickens Biomedical Building Auditorium UT Southwestern Medical Center Dallas, Texas Course Directors Paul C. 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 Dennis D. Spencer, MD Harvey and Kate Cushing Professor of Neurosurgery Chairman, Department of Neurosurgery Director, Epilepsy Surgery Program Director, Pituitary Tumor Program Yale School of Medicine New Haven, Conneticut Sponsored by UT Southwestern Department of Physical Medicine & Rehabilitation and the Office of Continuing Medical Education