THE CLEVELAND CLINIC - Educational Measures



The Cleveland Clinic

Center for Continuing Education

Participant Course Evaluation FORM

Course: 2011 Neurology Update – A Comprehensive Review for the Clinician

Date: August 5-7, 2011

Evaluations: 139

|Course EValuation |AVG |Excellent |Very Good |Good |Fair |Poor |

| | |(5) |(4) |(3) |(2) |(1) |

|Facility conducive to learning |4.7 |98 |27 |3 |0 |0 |

|Content of syllabus / handout material |4.5 |79 |40 |7 |3 |0 |

|Appropriate time for questions |4.3 |66 |43 |12 |7 |1 |

|Length of course for content |4.6 |83 |38 |7 |0 |0 |

|Overall course management |4.7 |91 |32 |3 |0 |0 |

| Course EValuation |MET |NOT MET |

|Objective 1: Discuss newest advances in diagnosis and treatment of common neurology disease including acute stroke, Alzheimer’s| |0 |

|disease, multiple sclerosis, epilepsy, and Parkinson’s disease |128 | |

|Objective 2: Identify variants of dementia which are separable from Alzheimer’s disease and which have unique pathological and | |0 |

|clinical expressions |128 | |

|Objective 3: Recognize clinical phenomenology of various movement disorders, sleep disorders, and other common neurological | |0 |

|conditions |127 | |

|Objective 4: Manage seizures in the general and special populations |122 |4 |

|Objective 5: Have an organized approach to the patient with dizziness or syncope |122 |1 |

My Personal Objectives were:

91 - Met

1 - Not Met

How much of this content was new to you?

6 - Almost All

10 - About 75%

48 - About 50%

64 - About 25%

4 - Almost None

As a result of what you have learned in this course, will you change your practice behaviors?

40 - Very likely

67 - Likely

26 - Somewhat Likely

3 - Not at all

If so, please list specific clinical practice behavior’s that you propose to change:

MS DMT management; possibly move hands-on management of vertigo; better understanding of sleep management Dx

My evaluation of sleep disorders and Alzheimer’s

Especially in MS/Parkinson’s

Dizziness lecture very helpful – especially section on BPPV and acute vestibular syndrome

More aggressive TPA approach; add Pradaxa: Totally revise my dementia assessment; improve Dr. White’s handout – talk was great!

Choice of AED’s; use of TPA in 3-4 hour time window and work up of TIA; work up of peripheral vertigo

Stroke management; dementia diagnosis; seizure pharmacotherapy; diagnosis of dizziness and syncope

Adhere to the most updated guidelines

New HA strategies and Parkinson’s

Push harder for exercise in PD patients; more likely to use Tysalor; more likely to get PSG’s and MSLT’s on certain patients

Stroke care with changes in 3-4 hour for TPA

Sleep problems

Better diagnosis and management

DatScan is new to me

Incorporate new practice schemes

Management of PD

No more B-blockers for syncope

Snycope Tx issue

Consideration of symmetry 1st line for PD instead of Azelect 1st line

Consider leading with Amanta; using Naratriptan instead of Frova for MRM

Headache management; syncope evaluation; sleep management

Use ABCD2 more; hospitalize more TIA patients for faster workup

Apply knowledge to change treatment of patients

Epilepsy med management

Using DatScan; change in Parkinson’s treatment\no more 3 blockers for syncope; will evaluate ASON differently

Management for migraines; reduce red yeast extract use

New material on MS, syncope and dementia

Syncope treatment; statin myopathy recognition

Better approach to vertigo (fewer referrals)

More vigilant regarding sleep disorders

More optimistic when discussing Dx with Parkinson’s patients

Clinical management and decisions

Management of dizzy patient

More review of patient’s MRI pictures; use of TAP in 3 hours; earlier use of Azilect; recommendations regarding exercises

DatScan; more exercise for my PD patients

Be more aware of sleep disorders and evaluate for these

Excellent course- very, very well organized and presented

Sleep disorders; seizure meds; HA approach

Consider use of DatScan use in dementia/movement disorder

Encourage exercise and meditation in multiple groups

Approach to PD and AD

Discuss/consider new anticoagulant

Rx in dementia, MS and PD

I am a hospice physician; information regarding Tx helps me determine which meds are important to continue for Sx management

Assessments largely – I am a nurse

Demonstrate Epley’s more efficiently and accurately to my BPV patients; be more vigilant on referring criteria for ophthalmic emergencies

Check CRP and platelets rather than ESR in CGA

Different treatment plans to improve outcomes

I do pediatric neurology

Less fearful of dizzy patient; more confident Rx-ing acute stroke and sleep disorders

Knowledge of Parkinson’s medications; migraine issues

Further evaluation of neuro-rad procedures

As a family practitioner some of the content was overly extensive for me but very helpful in exposing me to potential clinical situation

Tapering Lamictal during pregnancy

It helped me to finally figure out 2 of my very complicated patients

If so, please list specific clinical practice behavior’s that you propose to change (cont’d):

Will choose appropriate seizure medications for pregnant women

New things to integrate into my practice

Acute stroke management

Better understanding of CVA; management of Parkinson’s disease

Better understanding of epilepsy conditions

Would you recommend this course to your colleagues?

121 - Yes

3 - No

What was the most effective aspect(s) of this activity and why?

Rapid and interactive

Dementia presentation

Well made slides with appropriate amount of breaks

Stroke lectures

Renals and how I treat

Latest input on topics discussed

Time management; staying on topic

Broad overview of many topics

When speakers were more interactive with more questions

Excellent speakers; current content; good audio-visual

Subjects common in practice

I was interested in practical management and diagnoses of diseases which were covered

Correlation of information provided with practical experience approach to patient care; providing questions and answers with references facilitates learning

Time frame and organization

Speakers; great overview and practical organization

Stroke, epilepsy and dementia were especially clinically relevant; liked having ENT approach to vestibulopathy

Syncope

Syncope; stroke management; neuroradiology pearls; can’t miss movement disorders; the Dizzy Patient – reason and practical information; Headache – what do I do now?

Stroke and epilepsy

Questions and discussion of answers with each lecture

The SAE questions; I was able to find out what I know and didn’t know; and got explanations for the answers

ARS system; good feedback on where one stands with colleagues

ARS system

Very lucid and understandable

Real clinical questions/dilemmas addressed

The clinical aspects

Practical, important aspects of neurology with differential diagnosis and treatment options

Questions

Question and answer parts

New and updated treatment options in the management of MS

Having good reviews of recent information in some of the topics (statins, Parkinson’s, dementia, for example)

Up-to-date nature

Hearing the master clinicians’ conceptual framework

Excellent location; all faculty were prepared

Clinical

Organization and presentation and availability of speakers; enjoyed atmosphere also

Stroke lecture with up-to-date literature and MS lecture again with up-to-date literature

New material

The questions with the key pads were wonderful; good for preparing for MOC and SAE

Good speakers

Videos; scans; all was informative

Question/answer

Questions

Videos were great

Loved the videos

Concise and informative lectures

What was the most effective aspect(s) of this activity and why (cont’d)?

Clinically based with just the right amount of genetics/mechanism of pathology

Overview and approach of experts in management of various neurological problems

Good variety of topics; keep the printed syllabus – it helps a lot!

All information extremely practical

Very informative for me – I am not a neurologist

Practical nature of the lectures and the easy approachability of the CCF faculty

Enjoyed the interactiveness of electronic polling; relatively rapid/efficient presentations of topics and roughly comprehensive coverage

Quality of presenters’ presentations

The update introduced the evidence-based guideline to improve patient management

Focus on practical management of patients; cases

Learning about new diagnostic approaches and new therapies

Lectures and questions

Course content

Dizzy; syncope; MS

The questions

ARS system

Update my knowledge and my practice in general adult neurology

Intensive information and local for me

Stroke and MS; update on new developments

Very relevant to my practice; common problems and practical help; great idea with lunch cases

Great speakers

Speakers were all engaging and provided practical information supported by valid, pertinent data

Neuroradiology very informative and able to take information to clinical setting

Enjoyed lunch cases; ARS questions were educational; audience questions were useful

Treatment of dizzy patient

Broad nature of topics

What was the least effective aspect(s) of this activity?

Slides often did not follow syllabus

Sleep talks redundant

Doing questions first and follow up

Some of the lecture presentations did not mimic the given outline; please try to update in the handouts after the presentation so audience gets them

Question/answer sessions were not very helpful – maybe questions submitted to the panel?

Basic neuro surgery and neuro pediatric not mentioned

Short chance for questions

The data on meds will not be used

Seizure section was not up to par

Talks that were too detailed to benefit GP’s

Review of basics: TIA, CVA, HA, MS

Not enough question/answer/discussion time

Would prefer recent (last 2 years) new drug/guideline/controversy/other treatment; concepts/treatment to be the focus of each presentation, not come up in (often rushed) questions at the end; many slide printouts are illegible and incomplete

Not enough time for questions

With epilepsy talks – extensive talk of various registries could have been summarized in 1-2 slides

Epilepsy in women

Lunch cases; spot diagnoses not as helpful

Always distracting when all slides are not in the handout

Assuming all attendees are neurologists; more informative to describe conditions like NMO, ADEM, etc – some of us have never heard of these conditions

MS (would have liked more practical material)

First talk was too early

The limitations of time and subject matter

Questions often too short

Would have liked to have more literature on epilepsy

Sleep/epilepsy courses

Tiny slides – if a slide is tiny and hard to see even in the handout – should it even be included?

Cold room

What was the least effective aspect(s) of this activity (cont’d)?

Post course questioning

Sometimes too theoretical

Lectures that mostly discussed research studies

Maybe study details/research details; just need summarization and expert opinion

Dizziness maneuver

Surprised that there was no electronic version available

Blindness

Sleep was a show and tell of rare disorders

Too warm Saturday

Some irrelevant talks

Healthier breakfast options like oatmeal would be nice

Sometimes need to expand to new and challenging topics

Missing slides in handouts

Syllabus – slides printed out are too small to be useful; jump drive with presentations would be much more helpful; meditation/complementary lecture

What could have made this course better?

More time

Make sure all handouts match the slides the speakers are using (actual slides themselves as well as the order in which the slides are presented)

More case studies

Putting more clinical cases

Some lectures were the same as last year

Discussing treatment options for refractory headache patients

Better presenter for Epilepsy in women

More time for questions

Using technology – deliver via jump drive to attendees; allow attendees to print syllabus on own; for presentations with additional slides, you should provide additional handouts

Lunch cases are great – do more; define abbreviations when used

More time on headache and dizzy patient; primary care topics

Topics: Myasthenia Gravis; peripheral neuropathy; aneurysms and vascular malformation; rehab; spinal cord disease

Improve the visual aides in the handout and those projected

Neurology pearls each day; handouts for lunch cases please

A list of attendees/speakers with contact information would be nice; how many NP’s, PA’s were here? Neurology and MLC providers and how to use us is currently undeveloped and it would be nice to find out what others do

More discussion of current treatments (pharmacology) for the various neurological conditions

USB handout

Start at 9:00 a.m. Saturday and Sunday

Clarification of abbreviations for the non-neurologist; took a while to figure out abbreviations I don’t commonly use

More information about neuromuscular diseases

Great course: more focus on format of MOC

More time with movement disorder staff

Videos of presentation for purchase

More on MS; how to approach chronic pain from neuopathy/radioculpathy (we all dislike, but are asked to treat); appropriate use of opioids

More complementary/alternative neurology as adjunctive therapies

Add polymeuropahty

A bit more question/answer time

Focused review of new data; we’re neurologists, we know the older stuff; we need to know the new data

Making it clear that this was meant for neurologist

More CME into these 2 days to make it more cost effective in this economy

More material geared towards non-neurologist

More topics

A little more breadth in scope of presentations; maybe a zebra sections chronic malformation and other congenital anomaly seen in adulthood

Consider topics on peripheral nervous system

More review oriented and less detail; nuts and bolts rather than research/basic science

Discussion regarding common neuromuscular conditions

More discussion of stroke/TIA prevention

What could have made this course better (cont’d)?

Heat control

Some topics – peripheral neuropathy, myopathy, etc.

Not to repeat content from one year to the next in some of the topics

Include more topics, if possible

Handout font too small even for 20/20 vision (in some)

More biology

Handouts should be able to stand alone

Some lectures did not present case which would have been helpful

More time for question/answer

Shorter talks; try to avoid having a presenter give two consecutive talks

Compared with other CME courses you have attended, how would you rank this course in terms of innovation, content, and topics?

17 - One-of-a-kind

98 - Up-to-date

4 - Little innovation

5 - Routine

0 - Superficial

Please rate the degree to which this course met the ACCME requirement that CME activities must be free of commercial bias for or against a specific product?

95 - Excellent

30 - Good

0 - Fair

0 - Poor

Overall was this activity satisfactorily free from commercial bias?

99 - Yes

2 - No

If No, please explain:

Overall yes, except for MS presentation on Rx – Hearing Silenya and Tysabri focus in treatment naïve patients doesn’t reflect current use

Use of trade names instead of generic names would not have violated the “no commercial bias” rule

Please comment on each presentation/presenter:

|FRIDAY, AUGUST 5,|AVG |Excellent |Very Good |

|2011 | |(5) |(4) |

|Ozintra |celmind@mail.cmc.edu |Neurology |Albany, NY |

|Yevgeniy |yevgeniy.isayev@ |Neurology |Allentown, PA |

|Jay |jay.varrato@ |Neurology |Allentown, PA |

|Robert |rdirenzo@ |Family Practice |Medford, NJ |

|Marvin |marvin@ |Neurology |Palm Beach, FL |

|Mark |markeinnamonmd@ |Internal Medicine |Washington DC |

|Albert |alphaneuroman@ |Neurology |Rockville, MD |

|Bhagwan |bhagwan@ |Neurology/Epilepsy |Orange, CA |

|Christian |cls2710@ |Neurology |Charlotte, NC |

|Susana |svermand5@ |Neurology |Syracuse, NY |

|Devina |devina_ahjua@ |Family Practice |San Jose, CA |

|Lynne |mlynnebsn@ |Neurology |Richmond, VA |

|Carla |carladenham@ |Psychiatry/hospice |Phoenix, AZ |

|Ralph |rjskind@ |Neurology |Port Orange, FL |

|Brenda |waby@undnj.edu |Epilepsy/neurology |New Brunswick, NJ |

|Sharyl |slstrasser@ |Neurology |FL |

|Farouk |farouklys@ |Neurology |Freeport, IL |

|Megan |megbmc@ |Internal Medicine |Yorktown, VA |

|Joshua |drjgm2009@ |Internal Medicine |Centerville, OH |

|NAME |E-MAIL |SPECIALTY |LOCATION |

|Volney |vshegu@bidmc.harvard.edu |Neurology |Boston, MA |

|Teresa |dr2@ |Neurology |TN |

|Penny |pennygarfinkel@ |Internal Medicine |Washington DC |

|Greg Zarely |gregzmd@ |Neurology |Portland, OR |

|David |depstein73@ |Neurology |ND |

|Carrie |cschilling1970@ |General Neurology |Zanesville, OH |

|Sue |emfrigon@ |Neurology/Rehab |AS |

|Tram |ntutram@ |Neurology |Montreal, Quebec |

|Loretta |1easton@howard.edu |Internal Medicine |Washington DC |

|Ranjana |rsharve@ |Internal Medicine |Camphill, PA |

|Susana |sschaye@emory.edu |Family Practice |Atlanta, GA |

|Larry |gip1313@ |Neurology |Hixson, TN |

|Sally |m_borucki@ |Neurology |Temple, TX |

|Amandeep |sanghaaman@ |Neurology |Fredericksburg, VA |

|Lei |leixuz@fda. |Neurology |Rockville, MD |

|Katrina |katrinalabate@ |Neurology |Glens Falls, NY |

|Brian |baverell1@ |Neurology |Wilmington, NC |

|Betty |shifflb@ |Neurology |Cleveland, OH |

|Neer |Neerzeevi@ |Neurology |New London, CT |

|Steve |skarher@carolina. |Epilepsy |Charlotte, NC |

|Brigit |bvenza@ |Neurology |Washington DC |

|Susana |boonedoc2003@ |Neurology |Raleigh, NC |

|Marian |mlamonte@ |Neurology |Baltimore, MD |

|Deborah |deborah.ewing-wilson@ |Neurology |Cleveland, OH |

|Torri |tmctann200@ |Internal Medicine |Charles Ford, PA |

|Glen |glen.nagasawn@wpafb.af.mil |Neurology |Dayton, OH |

|Mama |nfdayrit910@ |Neurology |NJ |

|Seyed |hoslatf@ |Neurology |  |

|Tana |tanacorbett@ |Neurology |Cumming, GA |

|Dale |dwpmd@ |Neurology |Fredericksburg, VA |

|Richard |rthomaben@ |Neurology |Washington DC |

|Robert |robert.kosmides@ |Neurology |OH |

|Robert |r_shapter@ |Family Practice |West Hartford, CT |

|Tracy |tangel7@ |Neurology |Cherry Hill, NJ |

|Adil |farahzeba652004@ |Neurology |Wilkes-Barre, PA |

|Sandra |sandsein@ |Neurology |Fredericksburg, VA |

|Will |wwatson@usuhs.mil |Neurology |Bethesda, MD |

|Gregory |gbyrd@ |Internal Medicine |Woodstock, VA |

|Dee |denise.harbin@ |Neurology |Williamsburg, VA |

|Joseph |njpedsneuro@ |Neurology |Conventstation, NJ |

|Joseph |drjaz720@ |Neurology |West Palm Beach, FL |

|Raoul |raoulbiri@ |Neurology |Princeton, NJ |

|Delores |salibayd@ |Neurology |Manchester, TN |

|Alex |rae-gra@ |Neurology |Cleveland, OH |

|Frederick |fred.foote@ |Neurology |Washington DC |

|Tom |thomas.johnson@med.ncy.mil |Neurology |Camp Lejuene, NC |

|Holly |lolskal@ |Neurology |Erie, PA |

|NAME |E-MAIL |SPECIALTY |LOCATION |

|Melvin |kongmel@ |Neurology |Washington DC |

|Marian |micmalek@ |Neurology |PA |

|Greenfield |cfishg@ |Neurology |Dallas, TX |

|Cheryl |bcmcd@anes.upmc.edu |Neurology |Pittsburg, PA |

|Nida |nidamarten@ |Neurology |  |

|Jon |jbrillma@ |Neurology |Pittsburg, PA |

|Marine |plompee@ |Neurology |NY |

|Joshua |joshua.johnson@ |Neurology |Lake Ogwego, OR |

|Philip |pjb526@ |Primary Care |State College, PA |

|Jennifer |bayleafff@ |Family Practice |State College, PA |

|Deepah |dtandon@caregroup.harvard.edu |Neurology |Boston, MA |

|Charles |cawauke13@ |Internal Medicine |West Ridge, PA |

|Theodore |tgeffen@ |Family Practice |GA |

|Yao-Yao |yyzhu58@ |Primary Care |Bethesda, MD |

|Mikaela |mihaelaalexander@ | Neurology |Centennial, CO |

|Robert |rvyae@ |Internal Medicine |Marion, SC |

|Sahma |sbrillman@ |Movement Disorders |Miami, FL |

|Charla |patches.7870@ | Neurology |Wilmington, Delaware |

|Radha |Podugu@ |Internal Medicine |Canton, OH |

|Samir |ssmm2@ | Neurology |Dearborn, MI |

|John |jferro7067@ | Neurology |Cougers, NY |

|William |klee319433@ | Neurology |Newark, Delaware |

|Mark |broadsmileman@ |  |Pawleys Island, SC |

|Mano |manund@ |Stroke and Neurology |Mississauga, Ont |

|Mitchell |mgrossneur@ | Neurology |Wilkes-Barre, PA |

|  |prevneuro@ |  |  |

|Larry |Ce50horton@ |Neurology |Tarpon Springs, Fl |

|Virginia |Virginia1s@ |Neurology |Jacksonville, NC |

|Sandy |finemansj@ |Neurology |Phoenix, AZ |

If you have any additional comments about the course that you wish to share, please explain here:

No vegetarian entrée during lunch

More treatment guideline oriented would have been more helpful

I’m particularly interested in epilepsy in women and would appreciate specific practice habits of CCF; I felt too much time was spent on AE Registry and not as much to guide actual practice; more discussion regarding pregnancy and migraines would also be helpful

Great course; very practical

Great job – would come back again in the future

Excellent presentation format; one of the best CME courses I’ve attended due to clinical and practical relevance

I am in a non-academic setting, so looked for the update part of the course to renew recent changes; while these were addressed it was often haphazard/incidental (as in questions at the end of a session) and would be better as focus of the presentations; overall, despite this, I was quite happy with the experience and would consider returning in several years; interestingly, there seemed to be a few non-neurologist there, but have assumed that while they are welcome, focus in on neurologist

Thank you

Choose a hotel that the room rates are not expensive

Please come back to DC in 2012; enjoyed the course; better breakfasts, i.e. more protein, not just breads

Would consider West Palm Beach for this course since you have a clinic there

Very pleased to be able to apply information directly to everyday practice; appreciated the mediation lecture – very important

Fantastic speakers! Cold, cold, cold room; great food

This course was very informative for family physicians; I am an academic FP and I found this very informative; our neurologists are the consultants and we are the primary physicians admitting

It would be helpful to have e-mail addresses for speakers to ask them questions later

If you have any additional comments about the course that you wish to share, please explain here (cont’d):

Great conference; well organized

Pretty much the only negative comments is that not everything was pertinent to my family medicine practice; different emphases/priorities; fewer insider acronyms would have been helpful; enjoyed the conference despite these things

Thanks; great course!

Great food; great venue; room was terribly cold the first day but this was corrected; talks are most effective when slides closely mirror the talk – this was true mostly

Thanks; good schedule FSS

You have made a better course than a similar one put on by the Mayo Clinic, on regular basis

It is very helpful when slides match syllabus; can reread later, etc.; this was a great conference and most helpful to NP – good review of some and learned new information I can use daily; thank you for all your effort putting it together – a wonderful conference

There was a lot of information on identification but needs more on treatment

You are aware of “except” questions in self evaluation questions – this is a no-no educationally; similarly, the so called K-questions (A=1, 2, 3, etc) are passé

Visual aids are too busy; some, when reproduced in the handouts are not readable and therefore useless for review at home

Dr. So and Dr. Shields supplied references at the end of their handouts – this is good; why didn’t everyone?

Electronic version (CD/DVD) of the course material would have been a real plus – many of the CME’s I attend are more electronic

One of the best courses I have attended

Great topics – thanks for an educational weekend

Would be good to have lectures on CD to review at home

Enjoyed mind/body approach

This conference was one of the best I have ever been to and I’ve been going to conferences for over 20 years

thank you;

Please be clearer on the course brochure if the course is meant for Primary Care or Neurologist; I felt that parts of the conference were too detailed for Primary Care

Great course, location and price; food was great; would like an organized outing in DC or around as a group or a show to add to the stay

Need ice tea/soda supply – I am not a coffee drinker – or anything hot for caffeine

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download