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
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