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Agenda

Friday, April 14th

12:00 – 12:30 pm Registration

12:30 – 12:45 pm: Introduction & Housekeeping; Viviane Ugalde, MD

12:45 – 1:45 pm: Intimate Partner Violence (IPV) and Traumatic Brain Injury (TBI) – an underappreciated population; Eva Valera, PhD – Associate professor in psychiatry at Harvard Medical School and research scientist at Massachusetts General Hospital.

1:45 – 2:45 pm Neuroendocrine Changes after TBI – Diagnostic Challenges and Treatment; Tamara Wexler, MD, PhD – Neuroendocrinologist, Clinical Associate Professor, Department of Rehabilitation Medicine, NYU Grossman School of Medicine.

2:45 – 3:00 pm       BREAK

 3:00 – 4:00 pm: Physical therapy treatments for post concussive symptoms; Lisa Flexner, DPT – OSU Cascades Clinical Assistant Professor and Academic Coordinator of Clinical Education, Doctor of Physical Therapy Program; Instructor, Kinesiology.

4:00 – 5:00 pm: Use of the Buffalo Concussion Treadmill Test in Concussion (BCTT); Jenny Wilhelm, PT, DPT, NCS (Neurological Certified Specialist). OHSU

 5:00 pm – 7:00 pm – BREAK

 7:00 pm – 9:00 pm – Social & The Center Foundation Keynote Speakers – NO CME/CEU CREDITS

Hors d’oeuvre and Dessert Bar + Drink

 Keynote Speakers: Stan Herring, MD and David Stricklin, ATC

Life as a team physician for the NFL and over 30 years of concussion management

View from an ATC treating professional athletes in the NFL.

Saturday, April 15th

7:30 – 7:45 am – Registration, coffee and networking

7:45 – 8:00 am –  Introduction; Viviane Ugalde, MD

8:00 – 9:00 am: Overview of Pediatric concussion and Update of CDC guidelines; Gerry Gioia, PhD, Division Chief, Neuropsychology Director, Safe Concussion Outcome, Recovery and Education (SCORE) Program; National Children’s Hospital, Washington, DC. 

9:00 – 10:00 am: Subtyping Concussions – Diagnosis and Management; James Chesnutt, MD, Associate Professor of Family Practice, School of Medicine, OSHU, Sports Medicine.

10:00 – 10:15 am BREAK

10:15 – 11:15 am: Persisting symptoms after concussion, myths and evidence; Stan Herring, MD, UW clinical professor in the Departments of Rehabilitation Medicine, Orthopedics and Sports Medicine, and Neurological Surgery. 

11:15 – 12:15 pm: Athletic Training Approaches to Concussion Management; David Stricklin, MS, LAT, ATC, Head Athletic Trainer for the Seattle Seahawks

12:15 – 1:15 pm: Lunch and Panel Discussion; Drs. Gioia, Herring, Chesnutt, Melissa McCart, Ann Glang, and David Stricklin

1:15 – 2:15 pm: Sleep and Affective Disorders in mild TBI; Tyler Duffield, PhD, Neuropsychologist, Assistant Professor in the Dept of Family Medicine and Neurology, OHSU. 

2:15 – 3:15 pm: Mild TBI and Military Blast Injuries; Jesse Shaw, DO, Assistant Professor of Family Medicine, School of Medicine, OSHU

3:30 pm BREAK

3:30 – 4:30 pm: The neurological basis and practical application of the Vestibular Oculomotor Screening (VOMS) in concussion; Kit Carmiencke, OD, Integrated Eye Care, Bend OR. 

4:30 – 5:00 pm: Update on current research projects in Oregon/Central Oregon; Ann Glang, PhD, Research Professor and Director of CBIRT. and Melissa McCart DEd, Director of Oregon TBI Teams, University of Oregon 

5:00 – 5:15 pm: Closing Remarks; Viviane Ugalde, MD

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Course Objectives

Intimate Partner Violence (IPV) and Traumatic Brain Injury (TBI) – an underappreciated population – Dr. Eve Valera 

At the conclusion of this lecture, participants will be able to:

1. Recognize and examine the prevalence of IPV-related TBI amongst all cases TBI.
2. Summarize the cognitive and psychological functioning effects of TBIs sustained from IPV.
3. Apply specific treatment approaches and strategies for IPV-related TBI.

Neuroendocrine changes after TBI – diagnostic challenges and treatment – Dr. Tamara Wexler 

At the conclusion of this lecture, participants will be able to:

1. Analyze and apply the evidence related to neuroendocrine abnormalities after TBI, prevalence and clinical presentation.
2. Apply a diagnostic strategy for identifying patients with neuroendocrine abnormalities after TBI
3. Analyze and describe treatment options and clinical outcomes for neuroendocrine abnormalities following TBI.

Physical therapy treatments for post concussive symptoms – Lisa Flexner 

At the conclusion of this lecture, participants will be able to:

1. Analyze evidence based treatment for neck pain in the post-concussive patient.
2. Analyze evidence based treatment for vestibular symptoms in the post-concussive patient.
3. Develop and apply treatment approaches for persisting symptoms following concussion.

Use of the Buffalo Concussion Treadmill Test in Concussion (BCTT) – Jenny Wilhelm 

At the conclusion of this lecture, participants will be able to:

1. Demonstrate the appropriate application of the Buffalo Concussion Treadmill Test.
2. Analyze 2-3 cases implementing the BCTT into a treatment program review the outcomes of said testing and treatment.
3. Demonstrate appropriate technique in the set up and application taking a patient through the BCTT.

Overview of Pediatric concussion and Update of CDC guidelines – Dr. Gerry Gioia 

At the conclusion of this lecture, participants will be able to:

1. Analyze and apply evidenced based treatment protocols for symptom management in the pediatric patient population.
2. Summarize the latest CDC guidelines on concussion management in the pediatric patient population.
3. Identify and apply the latest data on Return to Learn recommendations following injury.

Subtyping Concussions – Diagnosis and Management – Dr. James Chesnutt 

At the conclusion of this lecture, participants will be able to:

1. Describe the evidence for subtyping concussions and its implication in the diagnosis and treatment of concussion.
2. Identify and describe auditory concussions, a new subtype of concussions.
3. Analyze the evidence or experiential treatment approaches and how they differ for the different subtypes of concussions.

Persisting symptoms after concussion, myths and evidence – Dr. Stan Herring 

At the conclusion of this lecture, participants will be able to:

1. Analyze and apply the evidence related to the causes and treatment for persisting post concussive symptoms.
2. Describe the latest evidence related to the current concussion prevention tools and their utility in preventing concussions.
3. Compare and contrast NFL concussion protocol to school concussion protocols and apply the differences to the treatment of concussion in the general population. (a physician’s perspective)

Athletic Training approaches to concussion management – David Stricklin 

At the conclusion of this lecture, participants will be able to:

1. Review and apply the latest techniques for on field assessment of concussion.
2. Summarize the evidence for the best practices for concussion management in athletes.
3. Compare and contrast NFL concussion protocol to school concussion protocols and apply the differences to the treatment of concussion in the general population. (a physician’s perspective)

Sleep and Affective Influences/Disorders in mild TBI – Dr. Tyler Duffield

At the conclusion of this lecture, participants will be able to:

1. Review and apply the existing knowledge of sleep disorders in mild TBI to the treatment and management of mild TBI.
2. Describe affective disorders in mild TBI.
3. Describe and apply post-injury sleep interventions and relevancy of post-injury psychotherapeutic treatment options in the treatment of sleep disorders associated with mild TBI.

Mild TBI and military blast injuries – Dr. Jesse Shaw 

At the conclusion of this lecture, participants will be able to:

1. Describe the types of injuries military personnel have been exposed to and the differences in mechanism of injury related to these exposures.
2. Differentiate and recognize the differences in the presentation of TBI related to military blast injuries and the overlay of PTSD and other affective disorders with mild TBI symptoms.
3. Develop and apply treatment plans for veterans suffering from TBI.
4. Identify and discuss community resources available for Veterans.

The neurological basis and practical application of the Vestibular Oculomotor Screening (VOMS) in concussion – Kit Carmiencke 

At the conclusion of the lecture, participants will be able to:

1. Summarize the role of the Oculomotor and Vestibular systems as two of the emerging subtypes of concussion.
2. Analyze the evidence and utility of eye tracking (technologies as a biomarker of concussion.
3. Develop treatment programs for concussion-induced vestibular-oculomotor dysfunction.

Update on current research projects in Oregon/Central Oregon – Ann Glang, Melissa McCart 

At the conclusion of the lecture, participants will be able to:

1. Describe the current research projects for UO/CBIRT related to mild TBI,
2. Summarize the preliminary results of the Return to School study.
3. Discuss and identify future/upcoming research related to the management of treatment of mild TBI in Oregon.

Panel Discussion – Drs. Gioia, Herring, Chesnutt, Melissa McCart, Ann Glang, and David Stricklin – 

At the conclusion of the lecture, participants will be to:

1. Review case studies assessing difficult return to play decisions in children with multiple concussions and apply these lessons to your own clinical decision making.
2. Describe on the field clinical decision making to remove the athlete from play.
3. Develop a return to learn plan for children with persisting post concussive symptoms

 

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Faculty

Kit Carmiencke, OD, FCOVD

Bio coming soon

James Chesnutt, MD
Family Practice Sports Medicine, Oregon Health Sciences University
Dr. Jim Chesnutt is an Associate Professor of Family Medicine, Neurology, and Orthopedics & Rehabilitation at OHSU and is board certified in Sports Medicine.  Jim is Medical Director of the Oregon Health & Science University (OHSU) Concussion Program, and focuses his practice on sports medicine and concussion care and research. His research focuses on concussion rehabilitation, balance and gait assessment and modelling of concussion injury, sub-types and recovery.  He  has been a member of the  Oregon Governor’s Traumatic Brain Injury Task Force, co-directs the Oregon Concussion Awareness and Management Program (OCAMP) and is a member of the OSAA Medical Advisory Committee  and  develops other policy and state laws to improve safe and healthy sports in Oregon. Dr. Chesnutt also practices Sports Medicine at Rebound Orthopedics and is one of the Team Physicians for the Portland Trail Blazers.

Tyler Duffield, PhD

Tyler Duffield is a neuropsychologist (board application recently approved) and assistant professor of family medicine and neurology at OHSU. His clinical activities include neuropsychological evaluations and cognitive behavioral therapy for insomnia (CBT-I) across the lifespan and clinical conditions. His research broadly focuses on utilization of novel technologies to attempt to improve understanding and management of neurological, psychiatric, and sleep disorders/dysfunction. His current research focuses on the integration of an eye-tracking system and computerized cognitive battery to explore headache and sleep dysfunction contributions to mTBI related cognitive performances.

Lisa Flexner, PT, DPT, DMT, MA, CSCS, CHWC, FAAOMPT

Dr. Lisa Flexner, PT, DPT, FAAOMPT, is Clinical Assistant Professor and Director of Clinical Education at Oregon State University’s Doctor of Physical Therapy (DPT) program on the Cascades campus in Bend, Ore. She is a fellowship-trained orthopedic manual physical therapist with clinical focus in spine, persistent pain, and physical therapy management of concussion and scoliosis. Dr. Flexner has balanced clinical practice and academic instruction throughout her career, joining OSU-Cascades full-time in April 2020. In the DPT program, she directs the clinical education curriculum for all 135 students, leads courses in professionalism, communication, and leadership, and assists in anatomy and clinical courses. Prior to joining OSU-Cascades, Dr. Flexner was on the teaching team for the University of Washington’s DPT program from 2008-2015, focusing on orthopedics and pediatric sports medicine.

Dr. Flexner graduated from Stanford University with degrees in psychology and sociology and worked in the business world until a serious injury led her to physical therapy. She received her DPT degree from the University of Washington, where she trained with physiatrists including Dr. Stanley Herring and Dr. Chris Standaert. Dr. Flexner’s orthopedic residency and fellowship in manual therapy are from the Ola Grimsby Institute, and she is a Fellow in the American Academy of Orthopaedic Manual Physical Therapy. As a clinician, she worked in private practice and hospital settings, and helped develop physical therapy evaluation and management programs for concussion and scoliosis at Seattle Children’s Hospital. Dr. Flexner’s academic interests lie in connecting the clinical to the classroom in novel ways, helping students link what they’re learning to the complex human beings they will treat. Her research is developing in three areas: (1) physical therapy education; (2) the relationship between social stigma, pain, and health outcomes, and (3) cancer survivorship. She advocates for patients, physical therapy, and health care through her work with the American Physical Therapy Association and the Central Oregon Health Council.

Gerard Gioia, PhD
Division Chief, Neuropsychology, Director, Safe Concussion Recovery and Education (SCORE) Program, Consultant for CDC, Heads Up. Children’s National Health System
BIO – Dr. Gioia is the Division Chief of Pediatric Neuropsychology at Children’s National Health System, where he directs the SCORE Concussion Program. He is Professor of Pediatrics and Psychiatry at the GWU School of Medicine. He has developed a number of post-concussion tools for children, and worked with the CDC on their “Heads Up” concussion educational toolkits. Dr. Gioia has participated in the International Concussion in Sport Group Consensus meetings, American Academy of Neurology Sports Concussion Guideline panel, and the CDC’s mild TBI guideline development. He provided concussion management services to youth, high school, college and professional teams. He is the current President and Fellow of the Sports Neuropsychology Society.

Ann Glang, PhD

Ann Glang, PhD, is a Research Professor and Director of CBIRT. Since 1987, she has secured and directed or co-directed over 30 federally funded research projects focused on individuals with TBI, including both descriptive and intervention research projects. Her research interests include strategies and supports in the school setting for children and adolescents with brain injuries, teacher training and childhood brain injury prevention. She has published numerous articles in refereed journals, edited two books on her work with children with TBI, and co-authored five manuals for educators serving children with TBI. Dr. Glang was awarded the 2011 Researcher of the Year award by the North American Brain Injury Society. Dr. Glang has also led the development of a range of SBIR-funded health education programs, including Brain 101, a concussion education and management program for high schools.

Stan Herring, MD

Stanley A. Herring, MD, is a board-certified physical medicine and rehabilitation physician who has been in practice over 38 years. He is a clinical professor in the Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery at the University of Washington. Dr. Herring hols the Zackery Lystedt Sports Concussion Endowed Chair.

Dr. Herring is a co-founder of the Sports Institute at UW Medicine where he serves as senior medical advisor and he also serves as co-medical director of the UW Medicine Sports Concussion Program. He is also co-medical director of UW Medicine Orthopedic Health and Sports Medicine, and he is one of the team physicians for the Seattle Mariners. Dr. Herring’s practice focuses on the diagnosis and management of neurological and musculoskeletal injuries, particularly focusing on spinal disorders in active people and athletes as well as sports-related concussions.

Dr. Herring has held many national leadership positions; including presidents of the North American Spine Society, member of the Board of Trustees of the American College of Sports Medicine, and board member of the Foundation for Physical Medicine & Rehabilitation. He is also a founding member of the American Medical Society for Sports Medicine and the Physiatric Association of Sports, Spine and Occupational Rehabilitatoin.

Dr. Herring is on the editorial boards of professional journals and has been an editor of nine textbooks as well as an author of 102 peer-reviewed journal articles and 55 textbook chapters. He was a major contributor to the successful passage of the Zackery Lystedt Law in Washington State, and his continued work helped pass similar youth concussion legislation in all 50 states and the District of Columbia. In addition, Dr. Herring is a frequent national and international speaker on a variety of physiatric and sports medicine topics.

Melissa McCart, DEd

Melissa McCart, DEd, received her doctorate in Educational Methodology, Policy, and Leadership, her MS in behavioral disabilities and her administrator’s licenses from the University of Oregon. She has worked extensively with at-risk children and families as a behavior specialist for school district 4j, as a behavior consultant for Lane ESD and as a special education teacher. Prior to coming to CBIRT, Melissa spent seven years as a school administrator of a Pre-K to 8th grade school. She is currently the Project Coordinator for the Oregon TBI Team and works on various other projects at CBIRT. Her work at CBIRT combines her educational experiences with her passion for helping children and families.

Jesse Shaw, DO

Dr. Jesse Shaw specializes in both family medicine and sports medicine.

He works with patients to manage short-term concerns as well as lifelong illness and injuries. He helps his patients stay healthy using a combination of medicine, fitness, health and nutrition. He works with weekend warriors and world-class athletes to understand all aspects of their health – from movement, to nutrition, to medical needs. He both treats injuries and helps his patients avoid injuries by staying strong.

Outside of work, Dr. Shaw and his wife take their daughter and Boxers on hikes and to local sports games. He also enjoys supporting the US Olympic and Paralympic Committee covering Team USA athletes around the world.

David Stricklin, MS, LAT, ATC

David Stricklin is the Seahawks head athletic trainer and enters his 14th season with the team. Promoted to head athletic trainer in 2019, he served as assistant athletic trainer from 2010-18, and was a season-long assistant in 2005. In his role, Stricklin is responsible for the oversight of healthcare provided for Seahawks players, coaches and football support staff. This includes but is not limited to player medical appointments with physicians and imaging, management of the medical staff including team physicians, athletic trainers, physical therapists, chiropractors and any other ancillary healthcare providers. He also manages players’ practice and game status as related to injuries and illnesses. He is responsible for ensuring all medical staff is compliant with the most up to date emergency management for on-field injuries, current injury rehabilitation and treatment methods, and any other NFL mandated protocols such as concussion and mental health. Stricklin holds numerous professional licenses and certifications, including a Washington State Athletic Trainers License. Before joining the Seahawks, Stricklin served as an assistant athletic trainer for football and head athletic trainer for Oregon State’s nationally ranked baseball program from 2006-10. He was a graduate assistant athletic trainer for the Beavers from 2003-05 after spending the summer of 2002 as an athletic training intern with the San Francisco 49ers. Stricklin earned a Bachelor of Science–Exercise Science degree from Central Washington University and a Masters of Science–Sports Medicine degree, along with a certificate in healthcare administration, from Oregon State University. Stricklin serves on the Executive Committee for the Professional Football Athletic Trainer’s Society and the Seahawks’ DEI council. Married to Courtney, they have two daughters, Olivia and Avery.

Viviane Ugalde, MD
Physiatry, Medical Director Concussion Management for The Center Foundation 
Dr. Viviane Ugalde is a board certified Physical Medicine and Rehabilitation doctor with a subspecialty certification in Brain Injury Medicine. Dr. Ugalde has practiced concussion management since 1990 and serves as the Medical Director for The Center Foundation’s concussion management program in Central Oregon. She joined the team of physicians at The Center in 2007 and runs a weekly concussion clinic to help coordinate care for both pediatric and adult patients

Eve Valera, PhD

Dr. Valera, Associate Professor in Psychiatry at Harvard Medical School and Research Scientist at Massachusetts General Hospital has worked in the domestic violence field for over 25 years using a range of methodologies to understand the neural, cognitive and psychological consequences of brain injuries from intimate-partner violence, with her most recent focus being on transgender women.  She regularly lectures internationally (e.g., South Korea, Spain, France, Colombia, Canada, China, Japan) and has received national and international recognition (e.g., TV news, NYT Magazine, Forbes, CBC Canadian radio).  She has been the recipient of numerous awards including the prestigious Robert D. Voogt Founders Award, Rappaport Research Fellowship in Neurology, PINK Concussions Domestic Violence Award, the Women Making History Award and the Anne Klibanski Visiting Scholars Award. She is passionate about raising awareness and educating all relevant stakeholders about this tremendously overlooked public health problem.

Tamara Wexler, MD, PhD

Tamara L. Wexler, MD, PhD, is an endocrinologist specializing in neuroendocrinology and reproductive endocrinology, internationally recognized for her expertise in post-TBI pituitary dysfunction. She has served as an Attending Physician in Internal Medicine at the Massachusetts General Hospital and as the founding Director of the NYU Langone Medical Center Pituitary Center.

Dr. Wexler received her MD and her PhD in Neuroscience from the University of Pennsylvania. She completed her Internal Medicine residency and Endocrinology fellowship at the Massachusetts General Hospital, where she was part of the Neuroendocrine Unit, designed and ran national clinical trials on the effects of growth hormone, and served for 12 years on the Optimum Care Committee.

While on staff at the MGH, Dr. Wexler spent four years at McKinsey & Company, where she served as the Global Endocrinology Lead. She is an elected member of the University of Pennsylvania Institute for Diabetes, Obesity, and Metabolism Leadership Council, and recently completed her term as an elected member of the Endocrine Society Clinical Guidelines Committee and chair of the Clinical Guidelines Portfolio Task Force. She is a speaker and moderator at academic medical centers and international conferences, and her publications appear in the Journal of Clinical Endocrinology & Metabolism and Clinical Endocrinology, among other journals.

Dr. Wexler is a Clinical Associate Professor at NYU, where she continues to direct pituitary research within the Rusk Rehabilitation Center, an Adjunct Associate Professor at the University of Pennsylvania, and she founded Neuroendocrine Associates to provide education and clinical care regarding post-brain injury neuroendocrine issues.

Jennifer Wilhelm, PT, DPT, NCS

Jennifer specializes in neurological diagnoses including Parkinson’s disease, traumatic brain injury (including concussions) and geriatric clients. Jennifer believes strongly in interdisciplinary care for her clients and works closely with the OHSU Parkinson’s Center and Sports Medicine Concussion teams to optimize her patients care. Jennifer has a passion of incorporating her client’s goals and individualized needs with current research to help improve their level of function.

In addition to clinical care, Jennifer also seeks to enhance clinical outcomes by working in the Balance Disorder Laboratory. She is currently assisting in several clinical intervention studies for Parkinson’s disease and traumatic brain injury.

 

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CME/CEU Credit Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of St. Charles Health System and The Center Foundation. St. Charles Health System is accredited by the ACCME to provide continuing medical education for physicians.

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

 

This program has been planned and implemented in accordance with the requirements and policies of the Board of Certification for the Athletic Trainer (BOC) through the joint sponsorship of The Center Foundation and St. Charles Health System. The Center Foundation is approved by the BOC to provide continuing education for Athletic Trainers.

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Pricing

In-Person 

Full Conference – Friday and Saturday – Including Friday Social 
Physician and Physician Assistant Registration: $400
Allied Health Care Provider Registration: $350

1 Day – Friday Only – No Social
Physician and Physician Assistant Registration: $150
Allied Health Care Provider Registration: $100

1 Day – Saturday Only – No Social
Physician and Physician Assistant Registration: $275
Allied Health Care Provider Registration: $225

Friday Hors d’oeuvre and Dessert Social and Keynote Speaker – $50

Virtual

Full Conference – Friday and Saturday 
Physician and Physician Assistant Registration: $250
Allied Health Care Provider Registration: $200

1 Day – Friday Only
Physician and Physician Assistant Registration: $100
Allied Health Care Provider Registration: $75

1 Day – Saturday Only
Physician and Physician Assistant Registration: $200
Allied Health Care Provider Registration: $150

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Registration

 

COMING SOON!

 

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Cancellation and Refund Policy

Cancellations with full refund available until March 1, 2023.
Cancellations with 50% refund available March 1 to March 31, 2023.
No refund after April 1, 2023.
*Illness or death in the immediate family are mitigating circumstances considered for refunds with a written request received no later than 10 days after the end of the conference.