Every two months during the school year, we hold a conference call for providers for discussion and education on the latest findings regarding concussion management. Want to participate? Send us an email with your credentials and a description of your involvement with concussion management.

Ahead of the Game: Achieving Best Practices in Youth Concussions April 21 - April 22

A conference for physicians, neuropsychologists, school administrators, school nurses, athletic directors, physical therapists, occupational therapists, speech therapists, athletic trainers, coaches, and other medical providers.

Speaker Presentation PDFS
(Password protected for registered attendees)

Friday program evaluation


Friday Participant Assessment


Saturday Program Evaluation


Saturday Participant Assessment


Registration Open Now!

Register Here!


Event Information

April 21–22, 2017
Friday and Saturday

Tetherow Event Pavilion
61240 Skyline Ranch Road
Bend, OR 97702

Preferred Partner Lodging at Tetherow
Call 541-388-2582
Code: Center Foundation

Presented by:
High Desert Education Service District
St. Charles Behavioral Health
The Center Foundation
The Center Orthopedic & Neurosurgical Care & Research

Supported by:
Central Oregon Emergency Physicians
St. Charles Foundation

Deadline for registration is April 14th, 2017

  • FULL CONFERENCE (All Events Included) Physician Registration (CME) $400.00
  • SATURDAY ONLY Physician Registration (CME) $350.00
  • FULL CONFERENCE (All Events Included) Allied Health Care Provider Registration (BOC CEU) $300.00
  • SATURDAY ONLY Allied Heath Care Provider Registration (BOC CEU) $250.00
  • FRIDAY MORNING ONLY Allied Heath Care Provider Registration (4 BOC CEUs) $175.00
  • Friday Evening Reception Dinner only for spouses and guests $60 inclusive
  • Friday Morning Session only for Educators includes lunch $50

Huge Thanks to Our Sponsors


COHC-Logo 25 per








Friday Early Morning Session

Grand Rounds 7:00 -8:00 a.m.
St. Charles Bend conference rooms
Sponsored by St. Charles Continuing Medical Education

Update on Concussion Prevention and Concussion Management Speaker:
Dr. Kevin Guskiewicz


  • Review latest research on helmets and other devices for concussion prevention
  • Discuss concussion symptoms and immediate management
  • Update on concussion diagnosis
  • Review protocols for return to learn and return to play

Medical staff St. Charles Bend with teleconferencing to Prineville, Redmond, and Madras

Friday Morning Session

Return to Learn, Return to Play

8:30 a.m. - 1:30 p.m.
Tetherow Event Pavilion

Concussion Management and School Age Children

Course Objectives:

  • Review the latest research on post-concussion symptoms and impact on students, both for school participation and activity limitations.
  • Discuss evidenced based current return to learn and return to activity protocols.
  • Explore challenges to schools, administrators, and teachers for students with prolonged post-concussion symptoms.
  • Dialog with school and medical personnel to improve communication regarding concussion management.
  • Educate regarding Oregon state laws on concussion and school responsibilities.
  • Organizers: Sue Hayes, Dr. Ann Glang, Melissa McCart

Dr. Ann Glang, Dr. Melissa McCart, Sue Hayes, David Kracke, Dr. Stan Herring; Dr. McKay Sohlberg, 

Teachers, school counselors, coaches, athletic directors, physicians, PA’s, RNs, NPs, PTs, OTs, STs, ATCs, etc.

Course Agenda:

8:30 - 9:00

9:00 - 9:05
Welcome and housekeeping by Dr. Viviane Ugalde

9:05 - 9:45
Dr. Stan Herring: Overview of Concussion, Mechanism, Clinical Presentation and Impacts on Function.

(Break out session for clinicians – Dr. Sondra Marshall and Dr. Viviane Ugalde: ImPACT 101)

9:45- 10:30

Dr. Ann Glang: Back to school:  Best practices for returning to learning


  • Participants will be able to describe the barriers to effective school reintegration following concussion
  • Participants will be able to describe the elements of infrastructure that schools need to have in place to optimize education for children with brain injury.

10:30 - 10:45

10:45 - 11:15
Sue Hayes: Challenges with Students with Prolonged Post Concussive Syndromes; How Do We Communicate?

11:15 - noon

Dr. McKay Sohlberg: Considerations for Management of Persistent Cognitive Effects Following Concussion

  • Participants will be able to describe the different contributions that interact to result in persistent cognitive impairments following concussion
  • Participants will be able to describe different approaches, including rationale and implementation for management of cognitive impairments following concussion.

Noon - 12:45
David Kracke, Atty: Overview of Current Status of Oregon Law and Concussions – School, Clinician, Student, and Parental Responsibilities

12:45 - 1:15

Dr. Melissa McCart: Promoting Success at School Following Concussion:  Recommendations for Improvement

  • Participants will be able to describe evidence-based strategies to support children and youth with brain injury in the school setting.

Buffet/Box Lunch

free time

Friday Evening Reception Dinner

6:00 – 9:00 p.m.  Tetherow Event Pavilion

Keynote speaker, Dr. Stan Herring: Concussion Update and Experiences in the NFL


  • Give an overview of professional teams approach to concussion management
  • Review latest research and recommendations on multiple concussions
  • Latest research regarding CTE (chronic traumatic encephalopathy)

Jenna Sneva: Personal Experience with Concussion, Oregon Law, and Where We Are Now.

Dinner for guests/spouses/others: $60 inclusive

Saturday Session

7:30 a.m. – 4:30 p.m. Tetherow Event Pavilion

Course Agenda

7:30- 8:00
Registration and Continental Breakfast

8:00 - 8:15
Welcome, Housekeeping, and Update on Concussion Management in Central Oregon
Dr. Viviane Ugalde

  • Objectives: Brief overview of current protocols in Central Oregon and data from our program regarding number of concussions, recurrent concussions, and students with prolonged symptoms.

8:15 - 9:00
Current Status of Concussion Prevention and Diagnosis of Concussion
Dr. Kevin Guskiewicz

  • Objectives: Discuss evidenced based approaches to concussion prevention with helmets, mouth pieces, helmet sensors, exercise protocols for neck strengthening, etc.
  • Review latest laboratory tests for concussion diagnosis

9:00 - 9:45
Latest Neurologic and Imaging evaluation of concussions/ TBI
Dr. Jenny Wilson

  • Objectives: Review latest technology for radiological diagnosis of concussion and discuss best practices currently for imaging of concussion especially in children.

9:45 – 10:00

10:00 – 11:00
Recurrent Concussion and Return to Learn/Play
Dr. Stan Herring

  • Objectives: Discuss medical approaches to concussion diagnosis, management, and return to learn and play protocols. Discuss recurrent concussion and clinical decision making regarding return to play especially in the context of multiple concussions. Discuss latest research on approaches to prolonged symptoms.

11:00 - 11:45
Why Can’t I Do Anything? Return to Activity Protocols
Dr. Jim Chesnutt

  • Objectives: Review evidence based return to activity protocols including the Buffalo Protocol. Discuss practical applications of return to activity.

11:45 - 12:15
Sleep Disorders and Concussion
Dr. Miranda Lim

  • Objectives: Provide an overview of sleep disorders associated with concussion, their implication on recovery, and strategies to treat.

12:15 - 12:30
Break and Buffet Lunch

12:30 - 1:30
Working Lunch
Panel - Dr. Chesnutt, Lisa Flexner PT, Dr. Herring, Stuart Johnson PT, Rachel Lee PT, Dr. Kirsten Scott

  • Objectives: Discuss difficult cases regarding symptoms limiting return to activity/school/ work and approaches to tackling these challenges.
  • Physical Therapy Cases or PCP Cases – 5-10 minute presentations of difficult cases for panel discussion.

1:30 - 2:15
Affective Disorders and Concussion
Dr. Sondra Marshall 

  • Objectives: Review evidence based data on affective disorders and association/causality with concussion. Recommend approaches and resources to deal with patients challenged by these disorders.

2:15 - 2:45
Headache Management
Dr. Jason Coryell

  • Objectives: Discuss diagnosis of post traumatic headaches vs others, and management and troubleshooting difficult cases of headaches that limit both mental and physical activity.

2:45 -4:00
Vision Impairments and Concussion
Dr. Kirsten Scott, Dr. Jim Chesnutt, Stuart Johnson, PT

  • Objectives: Discuss approaches to identification, diagnosis, and treatment of visual impairments post-concussion from on the field assessment, medical evaluation, and treatment.

4:00 - 4:30
Summary and CME wrap up by Viviane Ugalde

CME and CEU certificates available at the conclusion of the afternoon session


This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of St. Charles Health System and The Center Foundation. St. Charles Health System is accredited by the Oregon Medical Association to provide continuing medical education for physicians.

St. Charles Health System designates this live activity for a maximum of 12 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

(Physical Therapists and Athletic Trainers):

BOC ap-logo

This program qualifies as continuing education units approved by the Board of Certification, provider number P563. Full conference 12 CEU or 4 CEU Friday only.

Certificates of attendance are available for occupational therapists and speech pathologists

CME and CEU Certificates: Participants will be able to pick up their completion certificates at the registration table following the morning and/or afternoon sessions of the conference. No certificates will be awarded before the conclusion of the event.

Conference Chair

Viviane Ugalde, MD, Physical Medicine and Rehabilitation, is The Center Foundation’s Concussion Program Medical Director since 2011. She has practiced in concussion management since 1990. Dr. Ugalde currently practices at The Center Orthopedic & Neurosurgical Care & Research, is the Director of St. Charles Outpatient Rehabilitation, and sits on The Center Foundation Board of Directors. She is active in sports research and works with the OSU Cascades Biomechanics FORCE Lab. Dr. Ugalde attended medical school at the University of Nevada, completed her residency training at the University of California Davis, and spent 11 years as an academic physician at UC Davis with emphasis on sports medicine, electro diagnostics, and spinal cord injury.


James Bryan, PhD, neuropsychologist for the Timbers professional soccer team in Portland, Oregon

Jim Chesnutt, MD, Sports Medicine, OHSU Concussion Program

Lisa Flexner, DPT, DMT, CSCS, FASOMPT, Focus Physical Therapy, Bend, Oregon

Ann Glang, PhD, University of Oregon, Center for Brain Injury Research and Training

Kevin Guskiewicz, PhD, ATC, University of North Carolina

Sue Hayes, High Desert Educational Service District

Stan Herring, MD, physiatrist and team physician for the Seattle Sea Hawks

Stuart Johnson, PT, Rebound Physical Therapy, Bend, Oregon

David Kracke, JD, attorney for OCAMP

Rachel Lee, PT, Therapeutic Associates, Bend, Oregon

Miranda Lim, MD, PhD - Neurologist, Portland VA and OHSU, sleep specialist

Sondra Marshall, PhD, neuropsychologist, St. Charles Health System and COPA

Melissa McCart, University of Oregon, Center for Brain Injury Research and Training

Juan Piantino, MD, OHSU pediatric neurologist ,   

Juliette Preston, MD, neurologist OHSU, headache specialist

Kirsten Scott, OD neuro-optometry, Bend Oregon

McKay Sohlberg, PhD, CCC-SLP, University of Oregon, Communication Disorders & Sciences

Viviane Ugalde, MD, physiatrist, Medical Director Concussion Management for the Center Foundation in Bend, Oregon

“Helmets off” to our planning committee and their supporting organizations:

Dr. Jim Chesnutt – OHSU Sports Medicine

Sonja Donohue – The Center Foundation

Dr. Ann Glang – University of Oregon Center for Brain Injury Research and Training

Sue Hayes - Central Oregon Regional Programs, High Desert ESD

Dr. Sondra Marshall – St. Charles Behavioral Health

Melissa McCart – University of Oregon Center for Brain Injury Research and Training

Jules Moratti-Green - St. Charles Emergency Department

Dr. Laurie Shank – St. Charles Behavioral Health

Dr. Viviane Ugalde – The Center Orthopedic & Neurosurgical Care & Research