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Description
Objectives
Target Audience
Co-Directors
Faculty
Agenda
Faculty Disclosure
Parking
Accreditation
Additional Information
Online Registration

US Department of Health and Human Services Office on Disability
in partnership with the Cleveland Clinic presents

Brain Pacemakers:
A Promising Approach and a New Era of Hope
for Neurological Disorders


May 6, 2008
Health and Human Services Hubert H. Humphrey Building
Washington, D.C.

Thank you for your interest in the "Brain Pacemakers: A New Era of Hope for Neurological and Psychiatric Disorders" symposium taking place on Tuesday, May 6, 2008.

Online registration for this program is now closed. Please call Monet Smith at 216-444-9380 or 800-223-2273, ext 49380, for information about registering onsite if space is still available.

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OVERVIEW
Deep brain stimulation (DBS) or brain pacemaker technology is an area of rapid growth in medicine with enormous potential for treating various chronic and disabling neurological disorders.

There have been over 40,000 DBS implants worldwide. Currently, the FDA approves DBS in the US for the treatment of movement disorders such as Parkinson disease, essential tremor, and dystonia. In the past decade, the scientific literature has demonstrated the long-term safety and benefit of DBS in the treatment of patients with movement disorders.

In addition, the use of DBS for treating other neurological and neuropsychiatric disorders is currently being explored through various investigational clinical trials. Promising data are emerging regarding the benefit of DBS in the treatment of patients with obsessive compulsive disorder, depression, epilepsy, and traumatic brain injury. 

The positive impact of DBS in Americans with neurological disorders and disability cannot be understated.  For many patients, DBS therapy is life altering and various studies clearly indicate profound improvements in quality of life for patients who have exhausted most, if not all, other treatment options. This innovative approach also brings forth ethical challenges that need to be considered.  In this symposium, we will review the current indications for DBS and its multifaceted impact on patient’s lives, and will explore emerging applications for clinical practice and the future direction of the field.

The program will include prominent guests and leading faculty representing clinicians, neuroscientists, patients, patient advocacy groups, and representatives from various government agencies.

We are honored to have as distinguished speakers:

Lectures and discussion will focus on the impact of this technology on patients’ quality of life, level of functioning, and return to work.  Emphasis will also be placed on access to care, medical innovation, healthcare economics and ethics. The format will consist of didactic lectures and video presentations followed by panel discussions and audience questions and answers.

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COURSE OBJECTIVES

After completing participation in this activity, the participant will be able to:

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TARGET AUDIENCE

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CO-DIRECTORs

Margaret Giannini, MD, FAAP Office on Disability
US Department of Health and Human Services
Washington, DC
Ali R. Rezai, MD Cleveland Clinic Center for Neurological Restoration
Cleveland, OH

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FACULTY

Kristen Bowsher
(invited)
FDA, Division of Restorative Devices
Rockville, MD
David Charles, MD Vanderbilt University
Nashville, TN
John Corrigan, PhD Ohio State University
Columbus, OH
Ann Costello
(invited)
FDA, Division of Restorative Devices
Rockville, MD
Joseph Fins, MD Weill Cornell Medical Center
New York, NY
Joseph Giacino, PhD JFK Johnson Rehabilitation Institute
Edison, NJ
Wayne Goodman, MD National Institutes of Mental Health
Rockville, MD
Steven Grant National Institute on Drug Abuse
Bethesda, MD
Ben Greenberg, MD Brown University
Providence, RI
Michael Kinsley Seattle, WA
Col. Robert Labutta, MD Army Office of the Surgeon General
Falls Church, VA
Fred Lenz, MD Johns Hopkins University
Baltimore, MD
Peter LeWitt, MD Wayne State University/Clinical Neuroscience Center
Southfield, MI
Col. Geoffrey Ling, MD, PhD DARPA/DSO
Arlington, VA
Donald Malone, MD Cleveland Clinic
Cleveland, OH
Helen Mayberg, MD Emory University
Atlanta, GA
James McNulty National Alliance for the Mentally Ill
Maria Mouratidis, PsyD National Naval Medical Center
Bethesda, MD
Joseph Pancrazio NINDS/NIH Neuroscience Center 2205
Rockville, MD
Steve Phurrough,
MD, MPA
Centers for Medicare and
Medicaid Services
Baltimore, MD
Nicholas Schiff, MD Weill Medical College of Cornell University
New York, NY
Ashwini Sharan, MD Thomas Jefferson university
Philadelphia, PA
Andrew C. von Eschenbach, MD US Food & Drug Administration
Rockville, MD

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PROPOSED AGENDA

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TUESDAY, May 6
 
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8:15 am Welcome
Margaret Giannini, MD
Director, Office on Disability and Program Co-Chair

 
8:25 am Opening Remarks
Distinguished Guest
 
8:35 am KEYNOTE ADDRESS
Medical Device Innovation: Improving the Healthcare and Quality of Life for Americans
Andrew C. von Eschenbach, MD
Commissioner, US Food & Drug Administration

 
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DBS: Progress and Promise
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8:55 am Deep Brain Stimulation: A Scientific Primer
Fred Lenz, MD
Johns Hopkins University

 
9:05 am Current State of DBS
Ali R. Rezai, MD
Cleveland Clinic and Program Co-Chair

 
9:25 am DBS: Ethical Considerations
Joseph J. Fins, MD
Weill Cornell Medical College

 
9:45 am Break
 
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Movement Disorders
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10:00 am A Conversation with Michael Kinsley
 
10:15 am DBS for Parkinson’s Disease: Outcomes and
Quality of Life Changes                           
David Charles, MD
Vanderbilt University

 
10:30 am DBS for Essential Tremor and Dystonia: Outcomes and Quality of Life Changes
Peter LeWitt, MD
Wayne State University

 
10:45 am Panel Discussion
  Moderator: Joseph Pancrazio, PhD, NINDS/NIH
 
Panelists:
•   DBS Patient
•   David Charles, MD, Vanderbilt University
•   Peter LeWitt, MD, Wayne State University
•   Steve Phurrough, MD, MPA, Director, Coverage
    and Analysis Group, Centers for Medicare
    and Medicaid
 
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Epilepsy
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11:15 am Epilepsy and Impact on Disability
Martha Morrell MD
Stanford University

 
11:25 am DBS for Epilepsy
Ashwini Sharan, MD
Thomas Jefferson University

 
11:35 am Discussion - DBS Patient
 
11:45 am Lunch Break
 
12:45 pm SPECIAL PRESENTATION
Rear Admiral Steven K. Galson, MD, MPH
Acting US Surgeon General

 
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Psychiatric Disorders
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1:00 pm Emerging Neuroscience of Psychiatric Disorders
Wayne Goodman, MD
NIMH
 
1:15 pm DBS for Obsessive Compulsive Disorder
and Depression
Benjamin Greenberg, MD
Brown University

 
1:30 pm DBS: Targeting Depression
Helen Mayberg, MD
Emory University
 
1:45 pm DBS for Psychiatric Disorders: Outcomes And
Quality of Life
Donald Malone, MD
Cleveland Clinic

 
1:55 pm Panel Discussion
  Moderator: Benjamin Greenberg MD, Brown University
 
Panelists:
•   OCD DBS Patient
•   Depression DBS Patient
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Steven Grant, PhD, NIDA
•   Ann Costello, FDA, Division of Restorative Devices
•   James Mc Nulty, National Alliance for
    the Mentally Ill

 
2:30 pm Break
 
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Traumatic Brain Injury (TBI)
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2:50 pm TBI and Long Term Disability – The TBI Model Systems of Care
John Corrigan, PhD
Ohio State University

 
3:00 pm TBI & PTSD in the Military
•   Col. Robert Labutta, MD
    Office of the Surgeon General
•   Maria Mouratidis, PsyD
    National Naval Medical Center

 
3:20 pm DBS for TBI: Restoring Functional Capacity
•   Nicholas Schiff, MD
    Weill Cornell Medical College
•   Joseph Giacino, PhD
    JFK Johnson Rehabilitation Institute
 
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Future Directions: From Research to Therapy
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3:40 pm Future Directions
Ali R. Rezai, MD, Cleveland Clinic
 
  Moderator: Joseph J. Fins, MD, Weill Cornell Medical College
 
Panelists:
•   Kristin Bowsher, FDA, Division of
    Restorative Devices 
•   Wayne Goodman, MD, NIH/NIMH
•   Benjamin Greenbery, MD, Brown University
•   Joseph Pancrazio, PhD, NIH/NINDS
•   Michael Kinsley, Journalist
•   Ali Rezai, MD, Cleveland Clinic
•   Steve Phurrough, MD, MPA, Centers for Medicare     and Medicaid
 
4:20 pm Closing Comments
Margaret Giannini, MD and Ali R. Rezai, MD
 
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FACULTY DISCLOSURE
The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.

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LOCATION
Health and Human Services Hubert H. Humphrey Building
200 Independence Avenue S.W.
Washington, D.C., 20201

Driving Directions

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PARKING
There are several public parking lots in the area with varying rates as well as metered parking up to 2 hours.
 
Locations of parking lots/garages open to the public:
  •  3rd & E Streets SW
  •  4th & C Streets SW
  •  6th & C Streets SW

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ACCREDITATION
The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of 6.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity may be submitted for American Osteopathic Association Continuing Medical Education credit in Category 2.

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ADDITIONAL INFORMATION
For further information, please contact:

Martha Tobin
Telephone: 216-445-3449 or 800-223-2273 ext 53449
E-mail: tobinm@ccf.org

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ONLINE REGISTRATION
This course uses our online registration system which instantly approves credit card transactions and issues you a receipt immediately.

Instructions for first time users:

For questions about registering online, call 216-448-0777.

Category Fee
All Registrants complimentary