URMC / Institute for Innovative Education / Center for Experiential Learning (CEL) / Continuing Medical Education (CME) / Types of Activities / CEL Online - STAR 4th Regional Stroke Management Symposium Enduring Material

CEL Online - STAR 4th Regional Stroke Management Symposium

Date of Release

March 26,2015

Period of Validity

March 26, 2015 – March 26, 2018

Educational Need

The gaps in knowledge in acute stroke management continue to exist particularly with regard to leveling care appropriately. Improved access to higher levels of care through better triage, consult and transfer services needs to be established. In turn this will help to reduce health care cost and improve patient outcomes. The sources that prove the identified practice gap include unwarranted variation in care provided and lack of coordination of care for stroke and cerebrovascular disease, and general lack of knowledge about newer treatments for stroke. This increases health care costs and reduces positive patient outcomes. This activity aims to change provider's knowledge to bridge this gap and ultimately affect patient outcomes. The target audience is primary care physicians, advanced practice providers. neurologists, ED physicians, hospitalists and other health care providers that treat stroke patients.

At the conclusion of this activity, participants should be able to:

Review new advances in the management of cardioembolic stroke, complex brain aneurysms, and primary intracranial hemorrhage.
Identify areas of controversy in stroke, including the role of academic versus community hospitals and hemicraniectomy for stroke.
Describe the emerging role of telemedicine in management of cerebrovascular disease.
Review critical care and recovery after stroke, from intensive care to subsequent rehabilitation.
Identify the role of non-neurological specialists in management of acute and office-based stroke/TIA.

Bibliographic Sources to Allow for Further Study:

Alberts, M.J. (2011)Revised and Updated Recommendations for the Establishment of Primary Stroke Centers. Stroke : Journal of the American Heart Association, 42(9), 22651-2665

Patterns, Predictors, Variations and Temporal Trends in EMS Hospital Pre-notification for Acute Ischemic Stroke, Journal of Am Heart Association 2012

Jauch EC et al. Guidelines for the early management of patients with acute ischemic stroke. Stroke. 2013;44:870-947

A randomized trial of intraarterial treatment for acute ischemic stroke. N Engl J Med. 2015 Jan 1;372(1):11-20

Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection. N Engl J Med. 2015 Feb 11. [Epub ahead of print]

Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke. N Engl J Med. 2015 Feb 11. [Epub ahead of print]

Eric E. Smith, MD, MPH; Gregg C. Fonarow, MD; Mathew J. Reeves, PhD; Margueritte Cox, MS; DaiWai M. Olson, PhD, RN; Adrian F. Hernandez, MD; Lee H. Schwamm, MD Outcomes in Mild or Rapidly Improving Stroke Not Treated With Intravenous Recombinant Tissue-Type Plasminogen Activator: Findings From Get With The Guidelines Stroke. 2011;42:3110-3115.

The Re-examining Acute Eligibility for Thrombolysis (TREAT) Task Force: Steven R. Levine, MD (Co-Chair); Pooja Khatri, MD, MSc (Co-Chair); Joseph P. Broderick, MD; James C. Grotta, MD; Scott E. Kasner, MD, MSCE; Doojin Kim, MD; Brett C. Meyer, MD;

Peter Panagos, MD; Jose Romano, MD; Phillip Scott, MD; NINDS rt-PA Stroke Trial Investigators. Review, Historical Context, and Clarifications of the NINDS rt-PA Stroke Trials Exclusion Criteria Part 1: Rapidly Improving Stroke Symptoms. Stroke. 2013;44:2500-2505

Gladstone DJ et al. Atrial fibrillation in patients with cryptogenic stroke. N Engl J Med 2014;370:24 67-77.

Sanna T et al. Cryptogenic stroke and underlying atrial fibrillation. N Engl J Med 2014;370:2478-86 .

Mohr JP, Parides MK, Stapf C, Moquete E, Moy CS, Overbey JR, et al. Medical Management with or without interventional therapy for unruptureed brain arteriovenous malformations (ARUBA): a multicenter, non-blinded, randomized trial. Lancet. 2014; 383(9917): 614-621.

Amin-Hanjani S. ARUBA Results are not Applicable to All patients with arteriovenous malformation. Lancet. 2014; 45: 1539-1540

Mould, WA, Carhuapoma JR, Muschelli J, Lane K, Morgan TC, McBee NA, et al. Minimally invasive surgery for recombinant tissue-type plasminogen activator for intracerebral hemorrhage evacuation decrease perihematomal edema. Stroke. 2013; 44(3): 627-34

Fiorella D, Gutman D, Woo H, Arthur A, Aranguren R, Davis R. Minimally invasive evacuation of parenchymal and ventricular hemorrhage using the Apollo system with simultaneous neuronavigation, neuroendoscopy, and active monitoring with cone beam CT. J NeuroIntervent Surg. 2014. doi: 10.1136/neurintsurg-2014-011358

Accreditation

The University of Rochester School of Medicine & Dentistry is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

Certification

The University of Rochester School of Medicine and Dentistry designates this enduring material for a maximum of 5.00 AMA PRA Category Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Planning Committee and Author/Speaker Declarations

The ACCME Standards of Commercial Support require that presentations be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. All of the planning committee members (listed here) have declared that they have no financial interests or relationships to disclose:

Anna Colello, Esq

Jennifer R. Dennis, MPH

Mary Dombovy, MD

Adam G. Kelly, MD

Babak Jahromi, MD, PhD

Robert Replogle, MD

Bogachan Sahin, MD., PhD

Kevin Sheth, MD, FAHA, FCCM, FNCS

G. Edward Vates, MD, PhD, FACS

The following authors/speakers have disclosed financial interests/arrangements or affiliations with organizations that could be perceived as real or apparent conflict of interest in the context of the subject of their presentation(s). Only the current arrangements/interests are included:

Curtis Benesch, M.D., M.P.H. – Grant Research Support – St Judes Medical Greater Rochester Health Foundation

Contact Information

For questions regarding certification or credit reports:
University of Rochester Medical Center
Center for Experiential Learning
Phone: (585) 275-7666
E-Mail: cmeoffice@urmc.rochester.edu

Registration Fees:

Physician

$50.00

Non-Physician

$40.00

Criteria for Successful Completion of this Activity Include:

Register for the course
Review both the AM and PM webcasts
Completion of the self-assessment / program evaluation*

*The self-assessment / program evaluation must be completed in one sitting.

Certificates

Will be available for download immediately following completion of the program evaluation.
Participants must download and save or print certificates before exiting the course.
Please remember to send a copy of your certificate to your credentialing office and to keep a copy for your records.

Click Here to Register for this Course

AM Session - Webcast

PM Session - Webcast

Self-Assessment/Program Evaluation