Continuum: Lifelong Learning in Neurology—Selected Topics in Outpatient Neurology, Volume 23, Issue 2, April 2017
Selected Topics in Outpatient Neurology 2017;23(2)
Continuum: Lifelong Learning in Neurology® is designed to help practicing neurologists stay abreast of advances in the field while simultaneously developing lifelong self-directed learning skills.
Upon completion of this Continuum: Lifelong Learning in Neurology Selected Topics in Outpatient Neurology issue, participants will be able to:
• Recognize the relevant clinical features leading to the accurate diagnosis and management of neurally mediated syncope
• Diagnose and manage patients presenting with dizziness or vertigo
• Diagnose and manage trigeminal neuralgia
• Recognize the pertinent clinical anatomy and function of the smell and taste system, and discuss the common disorders, prognosis, and treatment methods for smell and taste disorders
• Discuss the differential diagnosis of a peripheral facial palsy, diagnose and treat Bell’s palsy according to evidence-based guidelines, and list the red flags suggesting that a peripheral facial palsy is not caused by Bell’s palsy
• Follow an evidence-based approach to the evaluation and treatment of low back pain in the outpatient setting
• Discuss peripheral nerve anatomy relevant to common sites of nerve entrapment and compression as well as the clinical presentations of the most common entrapment mononeuropathies, associated findings on electrodiagnostic testing and neuromuscular ultrasound, and treatment options
• Manage patients with neuropathic pain
• Discuss the approach and management of bladder and sexual symptoms reported by neurologic patients
• Discuss the nuances of various privacy and security laws related to health care and the recent enforcement actions that have been brought by US government agencies
• Identify symptoms of burnout, recognize its impact on physicians and patients, and develop strategies to reduce burnout
This Continuum: Lifelong Learning in Neurology Selected Topics in Outpatient Neurology issue covers the following core competencies:
• Patient Care
• Medical Knowledge
• Practice-Based Learning and Improvement
• Interpersonal and Communication Skills
• Systems-Based Practice
Charles A. Zollinger, MD, FAAN, Guest Editor
Medical Director of Neurosciences and Stroke, Aultman Hospital, Canton, Ohio; Managing Partner of Information Technology, General Neurologist, NeuroCare Center, Inc, Canton, Ohio; Clinical Assistant Professor, Northeast Ohio Medical University, Rootstown, Ohio
aDr Zollinger serves as the associate editor of Continuum and has received personal compensation for serving as medical director for Aultman Hospital and as an owner and stockholder of NeuroCare Center, Inc.
bDr Zollinger reports no disclosure.
William P. Cheshire Jr, MD, FAAN
Professor of Neurology, Mayo Clinic, Jacksonville, Florida
aDr Cheshire serves as president of the American Autonomic Society and has served on the editorial boards of Autonomic Neuroscience: Basic and Clinical, Clinical Autonomic Research, and Parkinsonism & Related Disorders and has received personal compensation as a consultant for Biogen and Turner White Communications, Inc. Dr Cheshire has received research support from the Mayo Clinic.
bDr Cheshire discusses the unlabeled/investigational use of beta-blockers, fludrocortisone, and midodrine for the treatment of syncope.
Giorgio Cruccu, MD
Professor of Neurology, Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy
aDr Cruccu has received personal compensation for serving on the advisory board of and as a consultant for Angelini and Biogen, Inc and has received personal compensation for serving on the advisory board of and as a speaker for Sigma Tau Pharmaceuticals, Inc. Dr Cruccu has received research/grant support from Sapienza University of Rome and Sigma Tau Pharmaceuticals, Inc.
bDr Cruccu discusses the unlabeled/investigational use of BIIB074 for the treatment of elderly patients with trigeminal neuralgia.
Anindita Deb, MD
Assistant Professor, Department of Neurology, University of Massachusetts Medical School, Worcester, Massachusetts
aDr Deb has received research/grant support as principle investigator of a study for the University of Massachusetts Office of Global Health and has given expert medical testimony as a neurology consultant.
bDr Deb reports no disclosure.
Ronald DeVere, MD, FAAN
Director, Taste and Smell Disorders Clinic; Director, Alzheimer’s Disease and Memory Disorders Center, Austin, Texas
aDr DeVere has given expert medical testimony related to social security disability hearings and receives compensation from the federal government.
bDr DeVere reports no disclosure.
Terry D. Fife, MD, FAAN
Director of Vestibular Neurology and Balance Disorders; Vice Chairman of Neurology, Barrow Neurological Institute, St. Joseph’s Hospital & Medical Center; Professor of Neurology, University of Arizona College of Medicine, Phoenix, Arizona
aDr Fife reports no disclosure.
bDr Fife discusses the unlabeled/investigational use of acetazolamide, venlafaxine, and zonisamide for the treatment of vestibular migraine.
Lisa D. Hobson-Webb, MD
Associate Professor of Neurology, Department of Neurology, Neuromuscular Division, Duke University School of Medicine, Durham, North Carolina
aDr Hobson-Webb has served on the editorial board of Clinical Neurophysiology and as an associate editor for Muscle & Nerve. Dr Hobson-Webb receives research/grant support from CSL Behring, the National Institute on Aging/Duke University Claude D. Pepper Older Americans Independence Center, and Sanofi Genzyme.
bDr Hobson-Webb reports no disclosure.
Vern C. Juel, MD, FAAN
Associate Professor of Neurology, Duke University School of Medicine, Durham, North Carolina
aDr Juel receives research/grant support as site investigator for studies for Alexion Pharmaceuticals, Inc and the National Institute of Allergy and Infectious Diseases, Division of Microbiology and Infectious Diseases.
bDr Juel reports no disclosure.
Joseph S. Kass, MD, JD, FAAN
Associate Professor of Neurology, Psychiatry, and Medical Ethics; Vice Chair for Education, Department of Neurology; Associate Dean of Student Affairs, Baylor College of Medicine, Houston, Texas
aDr Kass serves as associate editor of ethical and medicolegal issues for Continuum and as an associate editor for Continuum Audio. Dr Kass has received personal compensation for CME and grand rounds lectures for MCE Conferences, Medical Education Speakers Network, and PrimeMed Medical Group and has received personal compensation for expert testimony in legal cases involving liability, malpractice, and personal injury.
bDr Kass reports no disclosure.
Kerry H. Levin, MD, FAAN
Chairman, Department of Neurology; Director, Neuromuscular Center, Cleveland Clinic, Cleveland Ohio; Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio
aDr Levin receives personal compensation for serving as director of the American Board of Psychiatry and Neurology, serves on the editorial boards of Continuum and Muscle & Nerve, and receives publishing royalties from Elsevier and UpToDate, Inc.
bDr Levin reports no disclosure.
Jalesh N. Panicker, MD, DM, FRCP
Consultant in Neurology and Clinical Lead in Uro-Neurology, National Hospital for Neurology and Neurosurgery, University College London Hospital; Honorary Senior Lecturer, University College London Institute of Neurology, Queen Square, London, United Kingdom
aDr Panicker has received personal compensation for serving as a speaker for Astellas Pharma and for serving as an advisor for Wellspect Healthcare. Dr Panicker has received research/grant support as an investigator for Firstkind Limited, Multiple Sclerosis Society of the UK, and Parkinson’s UK, and has received publishing royalties from Cambridge University Press.
bDr Panicker reports no disclosure.
Stephen G. Reich, MD, FAAN
Frederick Henry Prince Distinguished Professor of Neurology, The University of Maryland School of Medicine, Baltimore, Maryland
aDr Reich serves as associate editor of the Journal of Clinical Movement Disorders and on the editorial board of Parkinsonism & Related Disorders. Dr Reich has received publishing royalties from Informa, has received research support as an investigator for studies from the National Institute of Neurological Disorders and Stroke, and has given expert medical testimony in legal cases related to malpractice.
bDr Reich discusses the use of acyclovir and valacyclovir for the treatment of Bell’s palsy.
Rachel V. Rose, JD, MBA
Attorney, Rachel V. Rose Attorney at Law PLLC; Affiliated Faculty, Baylor College of Medicine, Houston, Texas
aMs Rose serves on the editorial board of BC Advantage and receives book royalties from the American Bar Association.
bMs Rose reports no disclosure.
Jinny O. Tavee, MD
Neuromuscular Fellowship Program Director; Associate Professor, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio
aDr Tavee has received personal compensation for lectures from Mallinckrodt Pharmaceuticals and has received grant/research support for work in clinical trials from Araim Pharmaceuticals, Inc and Mallinckrodt Pharmaceuticals.
bDr Tavee reports no disclosure.
Allison L. Weathers, MD, FAAN
Associate Chief Medical Information Officer, Cleveland Clinic; Assistant Professor, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio
aDr Weathers serves on the editorial board of Continuum and as chair of the adult neurosciences specialty steering board for Epic.
bDr Weathers reports no disclosure.
Lindsay A. Zilliox, MD, MS
Assistant Professor, University of Maryland School of Medicine; Neurologist, Baltimore VA Medical Center, Baltimore, Maryland
aDr Zilliox has received salary support from the US Department of Veterans Affairs Career Development Grant.
bDr Zilliox discusses the unlabeled/investigational use of duloxetine, gabapentin, lamotrigine, pregabalin, tricyclic antidepressants, valproic acid, and venlafaxine for the management of patients with neuropathic pain.
D. Joanne Lynn, MD, FAAN
Associate Dean for Student Life and Clinical Professor of Neurology, The Ohio State University College of Medicine, Columbus, Ohio
aDr Lynn receives book royalties from Lippincott Williams & Wilkins and holds stock in Abbott Laboratories; Bristol-Myers Squibb Company; Corning Incorporated; Express Scripts Holding Company; General Electric; Hospira, Inc; and Varian Medical Systems, Inc.
bDr Lynn reports no disclosure.
Joseph E. Safdieh, MD, FAAN
Louis and Rachel Rudin Education Scholar and Associate Professor of Neurology; Vice Chairman for Education, Department of Neurology, Weill Cornell Medical College, New York, New York
aDr Safdieh has received personal compensation for providing expert medical review in legal proceedings and has received publishing royalties from Elsevier.
bDr Safdieh reports no disclosure.
Methods of Participation and Instructions for Use
Continuum: Lifelong Learning in Neurology® is designed to help practicing neurologists stay abreast of advances in the field while simultaneously developing lifelong self-directed learning skills. In Continuum, the process of absorbing, integrating, and applying the material presented is as important as, if not more important than, the material itself.
The goals of Continuum include disseminating up-to-date information to the practicing neurologist in a lively, interactive format; fostering self-assessment and lifelong study skills; encouraging critical thinking; and, in the final analysis, strengthening and improving patient are.
Each Continuum issue is prepared by distinguished faculty who are acknowledged leaders in their respective fields. Six issues are published annually and are composed of review articles, case-based discussions on ethical and practice issues related to the issue topic, coding information, and comprehensive CME and self-assessment offerings, including a self-assessment pretest, multiple-choice questions with preferred responses, and a patient management problem. For detailed instructions regarding Continuum CME and self-assessment activities, visit aan.com/continuum/cme.
The review articles emphasize clinical issues emerging in the field in recent years. Case reports and vignettes are used liberally, as are tables and illustrations. Video material relating to the issue topic accompanies issues when applicable.
The text can be reviewed and digested most effectively by establishing a regular schedule of study in the office or at home, either alone or in an interactive group. If subscribers use such regular and perhaps new study habits, Continuum’s goal of establishing lifelong learning patterns can be met.