2017 Clinical Conference Evaluation & Post Test - Enduring Materials Format: Movement Disorders

SEPT 19, 2017- EVALUATION & POST TEST - MOVEMENT DISORDERS PRESENTED BY; MAXWELL MERKOW, MD, NEUROSURGEON
ESTIMATED TIME TO COMPLETE THE ACTIVITY IS 45 MINUTES. ACTIVITY AND CONTENT EXPIRES: 09-19-2020
STATEMENT OF DISCLOSURE: THE PLANNERS AND FACULTY FOR THIS ACTIVITY HAVE NO RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS. NO OTHERS INDIVIDUALS INVOLVED IN THE PLANNING OR PRESENTATION OF THIS ACTIVITY HAVE ANY RELEVANT FINANCIAL RELATIONSHIPS WITH COMMERCIAL INTERESTS TO DISCLOSE.
ACCREDITATION STATEMENT: JOHN MUIR HEALTH IS ACCREDITED BY THE INSTITUTE FOR MEDICAL QUALITY/CALIFORNIA MEDICAL ASSOCIATION (IMQ/CMA) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS.
CREDIT DESIGNATION STATEMENT: JOHN MUIR HEALTH DESIGNATES THIS ENDURING MATERIAL FOR A MAXIMUM OF ONE (.75) AMA PRA CATEGORY 1 CREDITS™. PHYSICIANS SHOULD CLAIM ONLY THE CREDIT COMMENSURATE WITH THE EXTENT OF THEIR PARTICIPATION IN THE ACTIVITY.
MINIMUM LEVEL OF ACHIEVEMENT: MUST SCORE 75% CORRECT ON POSTTEST AND COMPLETE THE STATEMENT OF HOW YOU WILL IMPROVE YOUR PRACTICE AFTER PARTICIPATION IS MANDATORY.
JMH INTERNET POLICY: HTTPS://WWW.JOHNMUIRHEALTH.COM/WEBSITE-PRIVACY-POLICY1.HTML

1. Physician Info

Physician First Name

Physician Last Name

2. Date of Completion? This question requires a valid date format of MM/DD/YYYY.

calendar

3. As a result of attending this CME activity, which of these do you plan to implement and/or change in your practice? *This question is required.

Space Cell	Definitely	Maybe	No Change
Differentiate between older and newer options for the management of Opioid Precribing
Formulate and communicate treatment plans for the management of medically and socially complex patients
Apply best practice strategies to overcome co-morbidities in medically and socially complex patients
Utilize EBM Guidelines for a multitude of conditions that are encountered in primary care
Apply tips and tricks for navigating Epic. (objective used as appropriate)
Utilize Patient Centered Care skill to help patients become better informed and more involved in their health care decisions.

4. Please list additional improvements or changes you plan to make as a result of attending this activity *This question is required.

5. Please list any barriers that you must overcome to implement your planned improvements or changes: 

6. Please REFLECT and relate a circumstance when information you received from a previous Clinical Conference has helped you in your practice

7. What topics would you like covered at future sessions?

8. Was their evidence of commercial bias in this session? 

If yes, please explain

9. A brain MRI is a necessary part of a deep brain stimulation workup for essential tremor?

CLINICAL VIGNETTE FOR QUESTIONS 2-4

David K. is a 68 year-old man who was diagnosed with Parkinson’s disease 5 years ago. He had initially been well controlled on carbidopa/ levodopa, but now for about four months (despite increasing dose and frequency) his tremor and rigidity fluctuate widely and bother him every day. Shortly after he takes each dose of carbidopa/levodopa he suffers from involuntary right arm and leg writhing movements.

10. Which term most likely describes the patients writhing movements?

11. The patient is NOT a good deep brain stimulation candidate because carbidopa/levodopa worked well in the past

12. With regard to the timing of deep brain stimulation therapy for this patient: