Title:2023 Neurology: Common Challenges in Primary Care – Day 1 (Non-Physician)

Faculty: Laurence J. Kinsella, M.D., F.A.A.N. and David E. Riley, M.D. 

Release Date: 7/1/2023 Expiration Date: 7/1/2026

Day 1    

The Neurological Examination

Upon completion of this session, the participant should be able to: ^COMP,EBM

1. Organize the disparate parts of the neurologic examination into a personally relevant, manageable and reproducible diagnostic tool.
2. Perform a concise screening neurologic exam for asymptomatic patients.
3. Perform a problem-tailored neurologic exam for patients with neurologic complaints such as altered mental status and gait disturbances using evidence-based medicine.
4. Obtain maximum yield from the examination of a patient with an altered mental status.

Seizures and Epilepsy – Diagnosis

Upon completion of this session, the participant should be able to: ^COMP,EBM

1. Differentiate among the major types of seizures.
2. Apply epidemiologic aspects to the diagnosis of epilepsy.
3. Employ AAN and AES practice guidelines regarding sudden unexpected death in epilepsy. (SUDEP)
4. Distinguish seizures from syncope.
5. Formulate a plan for diagnostic investigation.

Seizures and Epilepsy – Management

Upon completion of this session, the participant should be able to: ^{COMP, EBM}

1. Determine when treatment with anticonvulsant medication is warranted using evidence-based medicine.
2. Choose among the many available anticonvulsant medications.
3. Manage problems confronted by women with epilepsy.
4. Counsel patients regarding their driving privileges.

Stroke, Part – An Evidence-Based Review of Risk Factors, Prevention and Intervention

Upon completion of this session, the participant should be able to: ^{EBM, GL, COMP}

1. Identify risk factors and apply prevention strategies.
2. Apply the CHA₂DS₂-VASc Score to assess risk of stroke with Atrial Fibrillation and guide treatment plan.
3. Plan when to refer patients for carotid endarterectomy.
4. Determine use of aspirin, clopidogrel, dipyridamole, warfarin and novel anticoagulants, carotid endarterectomy and stenting.

Clinician Burnout; Prevention and Recovery (Kinsella)

Upon completion of this session, the participant should be able to: ^COMP

1. Review current literature re: physician burnout.
2. Incorporate strategies to reduce clerical burdens of EMR.
3. Adopt strategies for improved patient satisfaction.
4. Apply techniques for managing complex and time intensive patient interactions.