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Please post or circulate Continuing Medical Education Allegheny General Hospital 320 East North Avenue Pittsburgh, Pennsylvania 15212-4772 Non-Profit Organization U.S. Postage PAID Pittsburgh, PA Permit No. 2885 jointly sponsored by The International Society for ECT and Neurostimulation and Department of Psychiatry Allegheny General Hospital Pittsburgh, Pennsylvania INTERNATIONAL SOCIETY FOR ECT AND NEUROSTIMULATION Certificate Course on Electroconvulsive Therapy (ECT) Lectures, Hands-on Practicum and Exam Saturday, May 5, 2012 22nd Annual Meeting of the ISEN ECT and Other Brain Stimulation Therapies: Advances in Clinical Practice and Research Sunday, May 6, 2012 Certificate Course on Transcranial Magnetic Stimulation (TMS) Lectures, Hands-on Practicum and Exam Monday, May 7, 2012 The Union League of Philadelphia Philadelphia, Pennsylvania

Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

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Page 1: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

P l e a s e p o s t o r c i r c u l a t e

Continuing Medical EducationAllegheny General Hospital320 East North AvenuePittsburgh, Pennsylvania 15212-4772

Non-ProfitOrganizationU.S. Postage

PAIDPittsburgh, PA

Permit No. 2885

j o i n t l y s p o n s o r e d b yThe International Society for ECT andNeurostimulation andDepartment of PsychiatryAllegheny General HospitalPittsburgh, Pennsylvania

INTERNATIONAL SOCIETY FOR ECT AND NEUROSTIMULATION

Certificate Course onElectroconvulsive Therapy (ECT)Lectures, Hands-on Practicum and Exam

Saturday, May 5, 2012

22nd Annual Meeting of the ISENECT and Other Brain Stimulation Therapies:Advances in Clinical Practice and Research

Sunday, May 6, 2012

Certificate Course onTranscranial Magnetic Stimulation (TMS)Lectures, Hands-on Practicum and Exam

Monday, May 7, 2012

The Union League of PhiladelphiaPhiladelphia, Pennsylvania

Page 2: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

Location for the Meetings

The Union League of Philadelphia140 South Broad StreetPhiladelphia, Pennsylvania

Telephone (215) 587-5580www.unionleague.org

The Union League, founded in 1862, is located in the centerof Philadelphia’s commercial and cultural district. This classicFrench Renaissance-styled League House is listed in theNational Historic Register and has hosted U.S. presidents,heads of state, industrialists, entertainers and visiting dignitariesfrom around the world. Adorning the walls and hallways is theLeague’s distinguished art collection, artifacts imbued with theheritage and culture of its membership. The collection is a rich,historical chronicle of Philadelphia’s unique imprint upon theAmerican landscape from the nineteenth century to today.

Conference DressIn keeping with The Union League’s policies, registrants arerequested to dress in business casual attire, defined as a collaredshirt and pressed slacks for men and comparable attire forwomen. Jeans, T-shirts, sneakers, etc. are respectively prohibitedin all areas.

Parking and Driving DirectionsPlease visit the Web site, www.unionleague.org for parkingand detailed driving directions.

Additional Information

For additional information concerning the conference, pleasecontact the Continuing Medical Education office by e-mail [email protected], by telephone at (412) 359-4952 or byfax at (412) 359-8218.

In accordance with the Accreditation Council for Continuing Medical Education(ACCME) and the policy of Allegheny General Hospital, presenters must disclose allrelevant financial relationships, which in the context of their presentation(s) could beperceived as a real or apparent conflict of interest, (e.g., ownership of stock, honoraria orconsulting fees). Any identifiable conflicts will be resolved prior to the activity. Any suchrelationships will be disclosed to the learner prior to the presentation(s).

Page 3: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

ISEN Membership Information

The International Society for ECT and Neurostimulation (ISEN), formerly the Association for Convulsive Therapy (ACT), was establishedin 1976 and incorporated as a nonprofit, tax exempt corporation in 1993. ISEN is an international organization dedicated to promoting thesafe, ethical and effective use of Electroconvulsive Therapy (ECT) and other brain stimulation therapies for the treatment of neuropsychiatricillness through education and research. Activities through which this mission is accomplished include: co-sponsorship of The Journal of ECT(the official journal of the ISEN), sponsorship of courses on ECT at the annual meeting of the American Psychiatric Association (APA), theISEN Annual Meeting and Scientific Program (held on the first Sunday of the APA Annual Meeting), annual certification courses for ECTand TMS, co-sponsorship of other scientific meetings and ECT training courses throughout the year, and the convening of task forces re-garding ECT issues.

The 2012 Annual Meeting of ISEN will be held on Sunday, May 6, in Philadelphia, Pennsylvania. It will include a day-long scientific pro-gram, as well as a forum for the exchange of views, ideas and opinions of the membership. The program will feature presentations by leadersin the field and topics of timely interest. Attendance at the ISEN Annual Meeting and Scientific Program has been approved for AMA PRACategory 1 Credit™.

The annual dues include:■ a one-year subscription to The Journal of ECT■ full-text online version of The Journal of ECT■ full access to the ISEN Internet Web site, including Membership Directory, Discussions and ISEN e-news.

Annual dues are as follows:United States with The Journal of ECT .......................... $375Non-United States with The Journal of ECT ................. $425Membership without The Journal of ECT ...................... $180Members-in-training ................................................... $100

To join the ISEN:To join the International Society for ECT and Neurostimulation (ISEN) or to renew your membership for 2012, please go to our Web siteat www.isen-ect.org.

Page 4: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

ECT Certificate Course Faculty

C. Edward Coffey, MDVice President, Henry Ford Health SystemCEO, Henry Ford Behavioral Health ServicesKathleen and Earl Ward Chair of PsychiatryHenry Ford HospitalDirector, Brain Stimulation CenterProfessor of Psychiatry and NeurologyWayne State University, Henry Ford CampusDetroit, Michigan

Robert M. Greenberg, MDChief, Geriatric Psychiatry and ECT ServicesDirector, Geriatric ServicesLutheran Medical CenterBrooklyn, New YorkClinical Associate Professor of PsychiatryUMDNJStratford, New Jersey

Richard Jaffe, MD - Course DirectorMedical Director, Clinical Trials ProgramBelmont Center for Comprehensive TreatmentAlbert Einstein Healthcare NetworkPhiladelphia, Pennsylvania

Charles H. Kellner, MDProfessor, Department of PsychiatryChief, Division of Geriatric PsychiatryDirector, ECT ServiceMount Sinai School of MedicineNew York, New York

Donald A. Malone Jr., MDProfessor and ChairDepartment of Psychiatry and PsychologyCleveland Clinic Lerner College of MedicineDirector, Center for Behavioral HealthCleveland Clinic Health SystemCleveland, Ohio

W. Vaughn McCall, MD, MSProfessor and ChairDepartment of Psychiatry and Behavioral MedicineWake Forest University School of MedicineWinston-Salem, North Carolina

Georgios Petrides, MDAssociate Professor of PsychiatryHofstra Northshore-LIJ School of MedicineDirector ECT ResearchThe Zucker Hillside HospitalNorthshore-LIJ Health SystemNew York, New York

Joan Prudic, MDClinical Professor of PsychiatryMedical Director, Electroconvulsive Therapy ServiceNew York State Presbyterian Hospital, Columbia Campusand New York State Psychiatric InstituteNew York, New York

Richard D. Weiner, MD, PhDProfessorDepartment of Psychiatry and Behavioral SciencesDuke University Medical CenterChief, Mental Health Service LineDurham VA Medical CenterDurham, North Carolina

Course Overview/Intended Audience

Since its development in 1938, electroconvulsive therapy hasremained a crucial part of the psychiatrist’s armamentariumin the treatment of major mental illness. Continued researchhas resulted in numerous refinements in treatment technique.Recommendations in the last decade regarding optimal practicehave included important new ideas regarding patient selection,stimulus dose titration and outpatient maintenance strategies.The International Society for ECT and Neurostimulation (ISEN), inaccordance with its mission to promote the safe and effective useof ECT, commissioned a task force in 1997 to study the trainingand credentialing of clinicians in this treatment modality. As aresult of this task force, this full-day course on ECT, with exam,was developed. This course has been developed for psychiatristsand other physicians involved in the administration of ECT.

Objectives

At the conclusion of the course, participants should be able to:

■ identify the indications for electroconvulsive therapy andassessment of appropriate patients

■ evaluate patients for unilateral and bilateral treatment anddetermine appropriate stimulus settings for present ECTdevices

■ identify and manage common ECT complications■ develop effective continuation and maintenance treatment

strategies for patients with recurrent illness

AccreditationThis activity has been planned and implemented in accordance with the EssentialAreas and policies of the Accreditation Council for Continuing Medical Education(ACCME) through the joint sponsorship of Allegheny General Hospital and theInternational Society for ECT and Neurostimulation. Allegheny General Hospitalis accredited by the ACCME to provide continuing medical education forphysicians.

Allegheny General Hospital designates this live activity for a maximum of 7.0AMA PRA Category 1 Credits™. Physicians should claim only the credit com-mensurate with the extent of their participation in the activity.

NursesFor the purposes of recertification, The American Nurses Credentialing Centeraccepts AMA PRA Category 1 Credit™ issued by organizations accredited by theACCME.

Practicum sessions will give attendees sufficient time to complete the courseobjectives. However, as a sponsor of the course, Allegheny General Hospitaland the International Society for ECT and Neurostimulation do not certifythe competency of any individual.

Page 5: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

ECT Certificate Course Schedule

Saturday, May 5, 2012

7:00 a.m. Registration and Continental Breakfast

7:45 a.m. Welcome and Opening Remarks Richard Jaffe, MD

8:00 a.m. Patient Selection, Preparation and Management in ECT Richard Jaffe, MD

8:45 a.m. ECT Adverse Effects and Their Management Richard D. Weiner, MD, PhD

9:30 a.m. B R E A K

9:50 a.m. The Use of Anesthesia in ECT Georgios Petrides, MD

10:35 a.m. Decisions in the Course of ECT Robert M. Greenberg, MD

11:15 a.m. Question and Answer Session

11:45 a.m. L U N C H (Lunch will be provided) (Faculty Round Table Discussions)

1:00 p.m. Practicum Session OneConsists of 3 Skill Stations. Each Skill Station is allotted 45 minutes.

Station A- ECT Devices C. Edward Coffey, MDJoan Prudic, MD

Station B- Patient Preparation Charles H. Kellner, MD

Station C- Patient Monitoring W. Vaughn McCall, MD, MS

1:45 p.m. R O T A T E S K I L L S T A T I O N S

1:50 p.m. Practicum Session Two

2:35 p.m. B R E A K & R O T A T E S K I L L S T A T I O N S

2:45 p.m. Practicum Session Three

3:30 p.m. Question and Answer Session

3:45 p.m. Examination

4:45 p.m. A D J O U R N M E N T

Page 6: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

Certificate Course on Electroconvulsive Therapy (ECT)Registration Information and Form

For your convenience, this meeting has been arranged to coincide with the annual meeting of the American Psychiatric Association. It is rec-ommended that hotel reservations be made well in advance. The registration fees include course materials, continental breakfast, refreshmentbreaks, lunch and Continuing Education Credits. Seating for the ECT Certificate Course is limited. Registrations will be accepted in theorder received. A copy of current medical license must be included with registration. *Note: Lunches can only be guaranteed for those whoare preregistered.

Deadline: April 30, 2012(Registrations will be taken after the deadline date on a space-available basis.)

To Register: To register online, please visit our Web site at www.aghcme.org. To register by mail, complete the reg-istration form and return it with the registration fee and a copy of current medical license or fax to:Continuing Medical Education, Allegheny General Hospital320 East North Avenue, Pittsburgh, Pennsylvania 15212-4772Fax (412) 359-8218

The preferred method of payment is by VISA, MasterCard, American Express or Discover; however,checks will be accepted made payable to Allegheny General Hospital CME.

Name

Degree

Specialty

Hospital or Organization

Home or Business Address (including department)

City State Zip

Day Telephone ( )

FAX# ( )

E-mail Address

(print name and degree, if applicable, as you wish it to appear on badge)

(for accreditation purposes)

(where you prefer mail to be sent)

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

Saturday, May 5, 2012

Method of Payment:

Total Amount $

Credit Card: Visa American Express

MasterCard Discover

Card # Exp. Date

Name as it appears on card

Signature

If you require assistance with hearing, vision or mobility to makethis conference accessible to you, please check this box and contactthe CME office at (412) 359-4952 two weeks prior to the date ofthe conference.

Credit Card Check

By signing this form, I authorize Allegheny General Hospital to charge my credit cardfor the above amount. My signature also indicates that I will not dispute this chargein the future through my credit card company.

Please register me for the following:

❏ ECT Certificate CourseSaturday, May 5, 2012

❏ ISEN Members ................................. $845❏ Non-Members ................................... $1,245❏ Nurses ............................................... $645❏ Residents and Fellows* ...................... $545

All registrations must include a copy ofmedical license.*Requires letter from Program Director

Refund Policy

A refund of the registration fee, less a $85 processing fee,will be made when a written request or a telephone requestfollowed by a written confirmation is received prior to April 20,2012. After this date, refunds cannot be made. Fees will notbe refunded for failure to attend. The sponsors of the coursereserve the right to cancel or postpone any conference be-cause of unforeseen circumstances or insufficient enrollment.In the event of such cancellation, full tuition will be refunded.

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ISEN Annual Meeting Facultyand Planning Committee

Dirk M. Dhossche, MD, PhDProfessor of PsychiatryMedical Director Child Psychiatry UnitUniversity of Mississippi Medical CenterJackson, Mississippi

Max Fink, MDProfessor of Psychiatry and Neurology EmeritusStony Brook University Medical CenterStony Brook, New York

Wayne K. Goodman, MDChair, Department of PsychiatryProfessor of NeuroscienceEsther and Joseph Klingenstein Professor of PsychiatryMount Sinai School of MedicineNew York, New York

Paul E. Holtzheimer, MDAssociate Professor of PsychiatryDepartments of Psychiatry and SurgeryDartmouth Medical SchoolLebanon, New Hampshire

Charles H. Kellner, MDProfessor, Department of PsychiatryDirector, Division of Geriatric PsychiatryDirector, ECT ServiceMount Sinai School of MedicineNew York, New York

Carol A. Kivler, MS, CSPMental Health Advocate and Founder of Courageous RecoveryLawrence, New Jersey

Sarah Hollingsworth Lisanby, MDISTS Program RepresentativeProfessor and Chair, Department of Psychiatry and Behavioral SciencesDuke University School of MedicineDurham, North Carolina

Colleen Loo, MB.BS, FRANZCP, MDAssociate ProfessorAcademic Chair, Psychiatry, St. George HospitalClinical and Research Psychiatrist, Black Dog InstituteSydney, Australia

Ian Maudsley, RPNECT Coordinator, Hunter New England Mental HealthMember, Australian College of Mental Health NursesMember, NSW Health ECT Standards CommitteeSecretary International Society for ECT and Neurostimulation (ISEN)Nursing CommitteeNewcastle, NSW, Australia

Frank M. Moscarillo, MDExecutive DirectorInternational Society for ECT and NeurostimulationBethesda, Maryland

P. V. (Van) Nickell, MDAssociate Professor of PsychiatryTemple University College of MedicineSystem Chair, Department of PsychiatryWest Penn Allegheny Health SystemPittsburgh, Pennsylvania

Georgios Petrides, MD, Course DirectorAssociate Professor of PsychiatryHofstra Northshore-LIJ School of MedicineDirector ECT ResearchThe Zucker Hillside HospitalNorthshore-LIJ Health SystemNew York, New York

Mary T. Rosedale, PhD, PMHNP-BCAssistant ProfessorCollege of Nursing, New York UniversityJoint Appointment, Department of PsychiatryNew York University Langone Medical CenterNew York, New York

ISEN Annual Meeting Facultyand Planning Committee (cont.)

Matthew V. Rudorfer, MDAssociate Director for Treatment ResearchDivision of Services and Intervention ResearchNational Institute of Mental HealthBethesda, Maryland

Shirlene M. Sampson, MD, MScAssociate Professor of PsychiatryDirector of DBSDepartment of Psychiatry and PsychologyMayo ClinicRochester, Minnesota

Lee Elizabeth Wachtel, MDMedical Director, Neurobehavioral UnitKennedy Krieger InstituteAssistant Professor, Department of PsychiatryJohns Hopkins School of MedicineBaltimore, Maryland

Course Overview/Intended Audience

This year’s conference is intended for practitioners, mental healthprofessionals and researchers of ECT and related stimulationtechniques. The conference will focus on the use of ECT incatatonia, and will provide an update on the current practices,research and technical issues in ECT, DBS, rTMS and otherbrain stimulation modalities. A poster session will allow for themost recent research in ECT and other brain stimulationmodalities to be presented.

Objectives

At the conclusion of this scientific program, participants shouldbe able to:

■ be familiar with the FDA device risk classification■ evaluate the progress in the FDA ECT device reclassification

process■ recognize various forms of catatonia■ discuss symptoms of catatonia in adults and children■ be familiar with the role of ECT treating catatonia■ be familiar with families’ experiences with pediatric ECT■ assess new findings regarding the use of DBS for depression■ summarize the role of the ECT nurse in the practice of ECT

in the US and abroad■ discuss the contributions of patient advocates in dealing with

misconceptions about ECT■ apply the Humanitarian Device Exemption (HDE) guidelines

concerning the use of DBS for OCD and engage in a dialogueregarding potential issues in the use of DBS for OCD

■ differentiate emerging research in TMS■ access new findings regarding the antidepressant effects of TDCS

AccreditationThis activity has been planned and implemented in accordance with the EssentialAreas and policies of the Accreditation Council for Continuing Medical Education(ACCME) through the joint sponsorship of Allegheny General Hospital and theInternational Society for ECT and Neurostimulation. Allegheny General Hospitalis accredited by the ACCME to provide continuing medical education forphysicians.

Allegheny General Hospital designates this live activity for a maximum of 7.0AMA PRA Category 1 Credits™. Physicians should claim only the credit com-mensurate with the extent of their participation in the activity.

This program is co-sponsored by Allegheny General Hospital and the Interna-tional Society for ECT and Neurostimulation. Allegheny General Hospital isapproved by the American Psychological Association to offer continuing educa-tion for psychologists. Allegheny General Hospital maintains responsibility for thisprogram and its contents. Each hour of attendance counts for one CE credit hour.

NursesFor the purposes of recertification, The American Nurses Credentialing Centeraccepts AMA PRA Category 1 Credit™ issued by organizations accredited by theACCME.

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ISEN Annual Meeting Schedule

Sunday, May 6, 2012

7:30 a.m. Registration and Continental Breakfast (Visit Exhibits)

8:30 a.m. Welcome and Opening Comments Charles H. Kellner, MD

8:45 a.m. The Status of ECT: Update from the FDA Front Charles H. Kellner, MD

9:00 a.m. Morning Symposium-Catatonia and ECT Georgios Petrides, MD - Co-ChairCatatonia is a discrete syndrome that is readily diagnosed in multiple P. V. Nickell, MD - Co-Chairpatient populations, both pediatric and adult, and including individualswith autism and other intellectual disability. Catatonia is exquisitelyresponsive to ECT. Etiologies, comorbidities and treatment of catatoniawill be reviewed, with focus on challenges in timely and efficacious ECTusage in youth with disability. Three parents will share their experiencewith their children's ECT.

• Historical Perspectives and New Understandings: Dirk M. Dhossche, MD, PhDThe Signs and the Multiple Faces of Catatonia Max Fink, MD

• Catatonia and ECT in Children with Autism: Lee Elizabeth Wachtel, MDThe Family Experience

10:00 a.m. B R E A K

10:10 a.m. Morning Symposium-Catatonia and ECT (continued)

11:00 a.m. Honored Speaker Award Presentation Matthew V. Rudorfer, MD

Noon L U N C H (Boxed lunches will be provided)

12:30 p.m. ISEN Business Meeting (General Session)

1:00 p.m. Concurrent Workshops on ECT, DBS and TMS (Choose one)Workshops will be repeated; participants will have the opportunityof attending two of the three workshops.

A. ECT Workshop• ISEN’s Nurse-Patient Partnership: Translating Patient-Centered Mary T. Rosedale, PhD, PMHNP-BC -

Care to ECT Practice Around the World ModeratorCarol A. Kivler, MS, CSPIan Maudsley, RPN

B. DBS Workshop• The Role of DBS in Current Psychiatric Practice Wayne K. Goodman, MD

Paul E. Holtzheimer, MD

C. TMS Workshop• Hot Topics in TMS and TCDS Shirlene M. Sampson, MD, MSc - Moderator

Sarah Hollingsworth Lisanby, MDColleen Loo, MB.BS, FRANZCP, MD

2:30 p.m. B R E A K (Rotate workshops)

2:45 p.m. Repeat Concurrent Workshops on ECT, DBS and TMS (Choose one)

A. ECT Workshop

B. DBS Workshop

C. TMS Workshop

4:15 p.m. Journal of ECT - Best Paper Presentation

Best Trainee Award Presentation

4:45 p.m. Poster Session/Reception

6:00 p.m. A D J O U R N M E N T

Page 9: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

22nd Annual Meeting of the ISENRegistration Information and Form

For your convenience, this meeting has been arranged to coincide with the annual meeting of the American Psychiatric Association. It is rec-ommended that hotel reservations be made well in advance. The registration fees include course materials, continental breakfast, refreshmentbreaks, lunch and Continuing Education Credits. *Note: Participants who register on-site will be charged an additional fee of $50.Lunches can only be guaranteed for those who are preregistered.

Deadline: April 30, 2012(Registrations will be taken after the deadline date on a space-available basis.)

To Register: To register online, please visit our Web site at www.aghcme.org. To register by mail, complete the reg-istration form and return it with the registration fee or fax to:Continuing Medical Education, Allegheny General Hospital320 East North Avenue, Pittsburgh, Pennsylvania 15212-4772Fax (412) 359-8218

The preferred method of payment is by VISA, MasterCard, American Express or Discover; however,checks will be accepted made payable to Allegheny General Hospital CME.

Name

Degree

Specialty

Hospital or Organization

Home or Business Address (including department)

City State Zip

Day Telephone ( )

FAX# ( )

E-mail Address

(print name and degree, if applicable, as you wish it to appear on badge)

(for accreditation purposes)

(where you prefer mail to be sent)

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

Sunday, May 6, 2012

Method of Payment:

Total Amount $

Credit Card: Visa American Express

MasterCard Discover

Card # Exp. Date

Name as it appears on card

Signature

If you require assistance with hearing, vision or mobility to makethis conference accessible to you, please check this box and contactthe CME office at (412) 359-4952 two weeks prior to the date ofthe conference.

Credit Card Check

By signing this form, I authorize Allegheny General Hospital to charge my credit cardfor the above amount. My signature also indicates that I will not dispute this chargein the future through my credit card company.

Please register me for the following

❏ ISEN Annual MeetingSunday, May 6, 2012

Preregistered Registered On-site

❏ ISEN Members ................................. $270 $320❏ ISTS Members .................................. $270 $320❏ ISEN Non-Members ......................... $570 $625❏ Residents and Fellows* ...................... $195 $240❏ Poster Presenters** ........................... N/C

*Requires letter from Program Director.** One presenter per poster at no charge.

Refund Policy

A refund of the registration fee, less a $65 processing fee,will be made when a written request or a telephone requestfollowed by a written confirmation is received prior to April 20,2012. After this date, refunds cannot be made. Fees will notbe refunded for failure to attend. The sponsors of the coursereserve the right to cancel or postpone any conference be-cause of unforeseen circumstances or insufficient enrollment.In the event of such cancellation, full tuition will be refunded.

Page 10: Certificate Course on Electroconvulsive Therapy (ECT) …mectacorp.com/pdf/ISEN Meeting 2012 Brochure.pdf · Certificate Course on Electroconvulsive Therapy (ECT) Registration Information

TMS Course Facultyand Organizing Committee

Berry S. Anderson, PhD, RNAssistant ProfessorCollege of NursingMedical University of South CarolinaCharleston, South Carolina

David H. Avery, MDProfessor of Psychiatry and Behavioral SciencesUniversity of Washington School of MedicineDirector of Inpatient Psychiatry, Harborview Medical CenterSeattle, Washington

Paul E. Holtzheimer, MDAssociate Professor of PsychiatryDepartments of Psychiatry and SurgeryDartmouth Medical SchoolLebanon, New Hampshire

Mustafa M. Husain, MDProfessor of Psychiatry, Neurology and Internal MedicineLydia Bryant Test Distinguished Professorship in Psychiatric ResearchChief, Geriatric Psychiatry DivisionDirector, Neurostimulation Research LabUT Southwestern Medical CenterDallas, Texas

Philip G. Janicak, MDProfessor and Medical DirectorPsychiatric Clinical Research Center, Rush University Medical CenterChicago, Illinois

Sarah Hollingsworth Lisanby, MD -Course Co-DirectorISTS Program RepresentativeProfessor and Chair, Department of Psychiatry and Behavioral SciencesDuke University School of MedicineDurham, North Carolina

Daniel F. Maixner, MDClinical Assistant Professor, Department of PsychiatryDirector, Electroconvulsive Therapy ProgramUniversity of Michigan Health SystemAnn Arbor, Michigan

Shawn M. McClintock, PhDAssistant Professor of Psychiatry, UT Southwestern Medical CenterDallas, TexasAdjunct Assistant Professor of Psychiatry, Columbia UniversityNew York, New York

William M. McDonald, MDJ.B. Fuqua Professor of PsychiatryDepartment of Psychiatry and Behavioral SciencesEmory UniversityAtlanta, Georgia

Frank M. Moscarillo, MDExecutive Director, International Society for ECT and NeurostimulationChevy Chase, Maryland

Ziad Nahas, MD, MSCRProfessor and Chair, Department of PsychiatryAmerican University of Beirut

John P. O’Reardon, MDProfessor and Chair of PsychiatryUniversity of Medicine and Dentistry (UMDNJ) SOMNewark, New Jersey

TMS Course Facultyand Organizing Committee (cont.)

Mary T Rosedale, PhD, PMHNP-BCAssistant ProfessorCollege of Nursing, New York UniversityJoint Appointment, Department of PsychiatryNew York University Langone Medical CenterNew York, New York

Peter B. Rosenquist, MDProfessor of PsychiatryMedical Director, ECT and Vagus Nerve StimulationDepartment of Psychiatry and Behavioral MedicineWake Forest University Health Sciences CenterWinston-Salem, North Carolina

Shirlene Sampson, MD, MSc - Course Co-DirectorAssociate Professor of PsychiatryDirector of DBSDepartment of Psychiatry and Psychology, Mayo ClinicRochester, Minnesota

Course Overview/Intended Audience

In October 2008, the FDA approved the use of TranscranialMagnetic Stimulation (TMS) for a specific population ofpatients with depression. This course has been developed toprovide accurate and practical information to practitioners whohave an interest in setting up a clinical TMS service. Didacticsessions will cover how TMS works, safety issues, efficacy datafor depression, and regulations, policies and financial consider-ations concerning TMS. Patient selection, treatment planning,and managing patients during and after TMS will be thor-oughly reviewed. Practicum sessions will provide demonstra-tions in device set-up, mapping of the motor cortex and motorthreshold (MT) determination. A certificate will be providedfor participants who attend this full day course and pass theexam.

This course has been developed for psychiatrists and nursesinterested in the administration of TMS for depression.

Objectives

At the conclusion of the course, participants should be able to:

■ list the indications for TMS use in patients with depression■ identify the risks and side effects of TMS■ identify and manage common TMS complications■ describe regulatory issues and policies concerning TMS■ describe how to manage patients during TMS treatment

and through a treatment series■ define the role of nurses in TMS■ define the requirements for setting up a clinical TMS service

AccreditationThis activity has been planned and implemented in accordance with the EssentialAreas and policies of the Accreditation Council for Continuing Medical Education(ACCME) through the joint sponsorship of Allegheny General Hospital and theInternational Society for ECT and Neurostimulation. Allegheny General Hospitalis accredited by the ACCME to provide con-tinuing medical education forphysicians.

Allegheny General Hospital designates this live activity for a maximum of 7.0AMA PRA Category 1 Credits™. Physicians should claim only the credit com-mensurate with the extent of their participation in the activity.

Practicum sessions will give attendees sufficient time to complete the courseobjectives. However, as a sponsor of the course, Allegheny General Hospitaland the International Society for ECT and Neurostimulation do not certifythe competency of any individual.

NursesFor the purposes of recertification, The American Nurses Credentialing Centeraccepts AMA PRA Category 1 Credit™ issued by organizations accredited by theACCME.

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TMS Certificate Course Schedule

Monday, May 7, 2012

7:00 a.m. Registration and Continental Breakfast

7:45 a.m. Welcome and Course Overview

8:00 a.m. How TMS Works — Mechanisms of Action of TMSShirlene M. Sampson, MD, MSc

8:30 a.m. Safety of TMS: Potential Side Effects and Their ManagementMustafa M. Husain, MD

9:00 a.m. Regulations and Policies Concerning TMSSarah Hollingsworth Lisanby, MD

9:30 a.m. B R E A K

9:45 a.m. TMS Efficacy in Major Depressive DisorderJohn P. O’Reardon, MD

10:15 a.m. Practical Topics in Clinical TMS ManagementShawn M. McClintock, PhD

10:45 a.m. Practicum Session One

11:45 a.m. B R E A K (Pick up provided boxed lunches)

Noon L U N C H L E C T U R E S• How to Set Up and Staff a TMS Service

Daniel Maxiner, MD

• The Role of Nurses in TMSMary F. Rosedale, PhD, FMHNP-BC

1:00 p.m. Practicum Session Two

3:00 p.m. B R E A K

3:15 p.m. Question and Answer Session Around TMS Equipment

3:45 p.m. Examination in Main Classroom

4:45 p.m. Course Evaluation

5:00 p.m. A D J O U R N M E N T

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Certificate Course on Transcranial Magnetic Stimulation (TMS)Registration Information and Form

For your convenience, this meeting has been arranged to coincide with the annual meeting of the American Psychiatric Association. It is rec-ommended that hotel reservations be made well in advance.The registration fees include course materials, continental breakfast, refreshmentbreaks, lunch and Continuing Education Credits. Seating for the TMS Certificate Course is limited. Registrations will be accepted in theorder received. A copy of current medical license must be included with registration.

Deadline: April 20, 2012(Registrations will be taken after the deadline date on a space-available basis.)

To Register: To register online, please visit our Web site at www.aghcme.org. To register by mail, complete the registration form and return it with the registration fee and a copy of current medical license/verificationletter or fax to:Continuing Medical Education, Allegheny General Hospital320 East North Avenue, Pittsburgh, Pennsylvania 15212-4772Fax (412) 359-8218

The preferred method of payment is by VISA, MasterCard, American Express or Discover; however,checks will be accepted made payable to Allegheny General Hospital CME.

Name

Degree

Specialty

Hospital or Organization

Home or Business Address (including department)

City State Zip

Day Telephone ( )

FAX# ( )

E-mail Address

(print name and degree, if applicable, as you wish it to appear on badge)

(for accreditation purposes)

(where you prefer mail to be sent)

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

Monday, May 7, 2012

Method of Payment:

Total Amount $

Credit Card: Visa American Express

MasterCard Discover

Card # Exp. Date

Name as it appears on card

Signature

If you require assistance with hearing, vision or mobility to makethis conference accessible to you, please check this box and contactthe CME office at (412) 359-4952 two weeks prior to the date ofthe conference.

Credit Card Check

By signing this form, I authorize Allegheny General Hospital to charge my credit cardfor the above amount. My signature also indicates that I will not dispute this chargein the future through my credit card company.

Please register me for the following:

❏ TMS Certificate CourseMonday, May 7, 2012

❏ ISEN Members ................................. $845❏ Non-Members ................................... $1,245❏ Nurses ............................................... $645❏ Residents and Fellows* ...................... $545

All registrations must include a copy ofmedical license.*Requires letter from Program Director

Refund Policy

A refund of the registration fee, less a $85 processing fee,will be made when a written request or a telephone requestfollowed by a written confirmation is received prior to April 20,2012. After this date, refunds cannot be made. Fees will notbe refunded for failure to attend. The sponsors of the coursereserve the right to cancel or postpone any conference be-cause of unforeseen circumstances or insufficient enrollment.In the event of such cancellation, full tuition will be refunded.