Sports-Related Conference on Concussion and Spine Injury - CME

The 10 th Annual
<strong>Sports</strong>-<strong>Related</strong> <strong>Conference</strong> on
Concussion and Spine Injury
Friday, May 17, 2013
The Joseph B. Martin <strong>Conference</strong> Center
at the Harvard Medical School
77 Avenue Louis Pasteur
Boston, MA 02115
Presented by:
Boston Children’s Hospital Brain Injury Center and
Boston Children’s Hospital Department of Neurosurgery
with support from the Harvard Medical School Department of Continuing Education and
the Boston Children’s Hospital Department of Psychiatry
Directors:
Mark R. Proctor, MD
Robert C. Cantu, MD
William P. Meehan III, MD
Alex M. Taylor, PsyD
Register online at cme.hms.harvard.edu/courses/sports

Concussion and spine injury: A growing epidemic
The past few years have seen major changes in the approach to sports-related head and
spinal injuries, in athletes of all ages and levels of competition. Concussion, once worn by
athletes like a badge of honor, is now clearly identified as a brain injury that increasingly
affects children as early as elementary school. We’re learning that head injuries previously
identified as minor can have major impacts—both short- and long-term—and that long-term
outcome is difficult to predict, particularly when that patient is under 18, and influenced by
many factors.
Optimal care for head and spine injuries begins on the field. Long term, many specialties
have a role to play—pre-hospital transport, nursing, primary care, emergency medicine,
sports medicine, neurosurgery, neurology, critical care, radiology, physiatry and
neuropsychology. If there is a weak link anywhere along this chain, overall care will suffer,
and patients may be left with lasting deficits.
About this year’s conference
The 2013 conference is presented by the Boston Children’s Hospital Brain Injury Center and
Department of Neurosurgery, with support from the Department of Psychiatry and the Harvard
Medical School’s Department of Continuing Education. Talks and breakout sessions will share
the latest thinking of experts who routinely manage concussion and spinal injuries, from athletic
trainers to neurosurgeons. Presenters will discuss the latest strategies for evaluating and treating
athletes at all levels, informed by the latest scientific evidence.
Special guest speaker Ted Johnson, former player for the New England Patriots, will give his
personal perspective on concussion, and the Massachusetts Department of Public Health will
review the Massachusetts concussion legislation.
Discussion topics will include:
• Concussion basics, prevention and evaluation
• Managing symptoms: headache and balance problems
• Repeat concussion and chronic traumatic encephalopathy
• Cervical and lumbar spine injuries
• When to return an athlete to play
• Considerations for female athletes
Additional highlights:
• In-depth workshops on nursing, on-field management of the injured athlete and
neuropsychological testing
• An interactive case review session (participants are invited to submit cases)
Who should attend?
This course is for anyone involved in assessing and managing athletes with head or spinal
injuries—including athletic trainers, coaches, emergency medical technicians, neurologists,
neuropsychologists, neurosurgeons, nurses, pediatricians, physical therapists, physician assistants,
primary care physicians, psychologists and sports medicine physicians.
Learning objectives
Upon completion of this activity, participants will be able to:
• Assess and evaluate sports-related concussion and spine injuries
• Develop strategies to diagnose and treat them effectively
• Determine when to safely return an athlete to play in accordance with best practice and
legal requirements
• Recognize when to refer patients to an expert for a higher level of care
• Work in a multidisciplinary team to provide optimal care for athletic patients
<strong>Conference</strong> schedule and program | Friday, May 17, 2013
7 to 8 a.m. Registration
Plenary Talks
8 to 8:30 a.m. The Basics of Concussion
William P. Meehan III, MD
8:30 to 9 a.m. Chronic Traumatic Encephalopathy
Ann McKee, MD
9 to 9:30 a.m. Neuropsychology and <strong>Sports</strong> Concussion
Alex M. Taylor, PsyD
9:30 to 10 a.m. Concussion in female athletes:
does sex and gender matter?
Jill Brooks, PhD
10 to 10:15 a.m. Break
10:15 to 10:45 a.m. Vestibular and Balance Symptoms after Concussion
Lenore Herget, PT, DPT, M.Ed
10:45 to 11:15 a.m. Should We Limit “Hit Counts” in Contact <strong>Sports</strong>?
Chris Nowinski
11:15 to 11:45 a.m. Cervicogenic Headaches
Robert C. Cantu, MD
11:45 a.m. to 12:15 p.m. Athletic Spine Injuries
Mark R. Proctor, MD
12:15 to 1 p.m. Lunch
1 to 1:15 p.m. Review of the Massachusetts Concussion Legislation
Lauren Smith, MD, MPH
1:15 to 2 p.m. Perspectives of a Professional Athlete
Ted Johnson, former New England Patriots player
2:15 to 4:15 p.m. Two-Hour Breakout Session
• How to Set Up a Concussion Practice
William P. Meehan III, MD; Michael O’Brien
One-Hour Breakout Sessions (each repeats)
• Mild Brain Injury Nursing Workshop
Regina Laine, MSN, PNP, CNRN; Ariana Moccia, RN, BSN;
Alison Oxton, MSN, CPNP-PC; and
Michelle Parker, MS, CPNP
• On-Field Management of the Injured Athlete
Pierre D’Hemecourt, MD, and Steve Clark, AT
• Interpretive considerations in the neuropsychological
assessment of SRC
Alex M. Taylor, PsyD, and Celiane Rey-Casserly, PhD
• Interactive Case Review (bring cases or submit in advance)
Robert C. Cantu, MD; Karameh Hawash, MD;
Mark R. Proctor, MD
Program changes/substitutions may be made without notice.

Presenters (alphabetical)
Jill Brooks, PhD
Clinical Neuropsychologist
Head to Head Consultants
Jill Brooks is currently in private practice specializing in sports-related concussion. She serves on
multiple state-level traumatic brain injury committees and was instrumental in the development
of the New Jersey state concussion law. She was formerly an associate professor of Neurology at
UMDNJ-Robert Wood Johnson Medical School.
Robert C. Cantu, MD
Chief of Neurosurgery Service and Chair, Department of Surgery, Emerson Hospital
Adjunct Faculty, Department of Neurosurgery and Senior Advisor, Brain Injury Center,
Boston Children’s Hospital
Adjunct Professor of Exercise and Sport Science, University of North Carolina, Chapel Hill
A nationally renowned expert in sports-related spine and head injuries and return-to-play criteria,
Robert Cantu serves as a neurosurgical consultant to many college and professional teams. He is
also vice president for the National Operating Committee on Standards for Athletic Equipment and
author of “Concussions and Our Kids: America’s Leading Expert on How to Protect Young Athletes
and Keep <strong>Sports</strong> Safe.”
Steve Clark, AT
Assistant Athletic Trainer, Northeastern University
Steve Clark has been a Certified Athletic Trainer since 1999 and holds a master’s degree in Exercise
Science/Biomechanics. He is also a Certified Strength and Conditioning Specialist and a clinical
instructor for Northeastern University Athletics.
Pierre d’Hemecourt, MD
Director of Primary Care <strong>Sports</strong> Medicine, Boston Children’s Hospital
Lecturer in <strong>Sports</strong> Medicine, Harvard Medical School
Pierre d’Hemecourt is formally trained in both emergency and sports medicine and has been
part of the <strong>Sports</strong> Medicine staff at Boston Children’s since 1997. He is also a team physician for
Northeastern University, co-medical chair of the Boston Marathon and medical director for the
Boston Athletic Association’s Half Marathon.
Karameh Hawash, MD
Attending Neurologist, Brain Injury Clinic, Boston Children’s Hospital
Director of Neurologic Outcomes, Brain Injury Center, Boston Children’s Hospital
Instructor in Neurology, Harvard Medical School
Karameh Hawash is a board-certified neurologist with special qualification in child neurology. She treats
patients in both the Brain Injury Center and the Headache Program at Boston Children’s.
Lenore Herget, PT, DPT, M.Ed
Staff Physical Therapist, <strong>Sports</strong> Medicine Center, Massachusetts General Hospital
Lenore Herget evaluates and treats high school- through professional-level athletes with
concussions. Her clinical expertise is in vestibular treatment and progression of exercise through
exertional protocols to safely return to play. Her clinical research has focused on management
of athletes with post-concussion syndrome and the efficacy of pre- and post-season vestibular
testing to aid in return-to-play decision-making. She continues to play year-round soccer in the
Eastern Massachusetts Women’s Soccer League.
Ted Johnson
Former New England Patriots Player
Ted Curtis Johnson (born December 4, 1972) grew up in Carlsbad, California, where he graduated from
Carlsbad High School in 1991. From there he attended the University of Colorado and was drafted by
the Patriots in the second round of the 1995 NFL Draft with the 57th overall selection. He helped the
Patriots reach Super Bowl XXXI and win Super Bowl XXXVI, Super Bowl XXXVIII and Super Bowl XXXIX.
In his 10-year professional career, Johnson played in 125 regular season games, recorded 757 tackles,
11.5 sacks, one interception, 16 passes defensed, six forced fumbles, and seven fumble recoveries.
Johnson retired before the 2005 NFL season after sustaining many concussions during his career.
Currently Johnson co-hosts a sports radio show in Houston, Texas, at KILT AM and co-hosts a
nationally syndicated show weekends on CBS <strong>Sports</strong> Radio.
Regina Laine, MSN, PNP, CNRN
Pediatric Neuroscience Nurse, Boston Children’s Hospital
Regina Laine sees urgent patients in the Neurology clinic and is a member of
the Brain Injury Center at Boston Children’s.
Ann McKee, MD
Co-Director, Center for the Study of Traumatic Encephalopathy
Director of Neuropathology, New England VA Medical Centers
Professor of Neurology and Pathology, Boston University School of Medicine
Ann McKee is both a board-certified neurologist and a neuropathologist.
For the last 19 years, she has directed the Boston University and VA Brain Banks.
William P. Meehan III, MD
Director of the <strong>Sports</strong> Concussion Clinic in the Division of <strong>Sports</strong> Medicine,
Boston Children’s Hospital
Director of Research, Brain Injury Center, Boston Children’s Hospital
Assistant Professor of Pediatrics, Harvard Medical School
William Meehan is board-certified in pediatrics, pediatric emergency medicine and sports medicine
and author of the book “Kids, <strong>Sports</strong>, and Concussion: A Guide for Coaches and Parents.” He
has received grants from the National Institutes of Health and the Center for the Integration of
Medicine and Innovative Technology to conduct clinical and scientific research on concussive
brain injury.
Ariana Moccia, RN, BSN
<strong>Sports</strong> Concussion Clinic, Division of <strong>Sports</strong> Medicine, Boston Children’s Hospital
Christopher Nowinski
Co-Founder and Executive Director, <strong>Sports</strong> Legacy Institute
Co-Director, Boston University Center for the Study of Traumatic Encephalopathy
A former Harvard football player and WWE professional wrestler, Christopher Nowinksi is widely
credited with bringing the concussion crisis to public attention. He serves on the NFL Players
Association Mackey-White Traumatic Brain Injury Research Committee and the Ivy League
Concussion Committee, and is the author of the critically acclaimed book “Head Games,”
which inspired an award-winning documentary of the same name.
Michael J. O’Brien, MD
Associate Director, <strong>Sports</strong> Concussion Clinic, Boston Children’s Hospital
Instructor in <strong>Sports</strong> Medicine, Harvard Medical School
Michael O’Brien is board certified in internal medicine with special qualifications in primary
care sports medicine. He has been an attending physician in the Division of <strong>Sports</strong> Medicine at
Boston Children’s Hospital since 2004, and is the team physician for The Roxbury Latin School.
He is the Associate Director of the <strong>Sports</strong> Concussion Clinic at Boston Children’s Hospital.
Alison Oxton, MSN, CPNP-PC
Pediatric Neuroscience Nurse, Boston Children’s Hospital
Alison Oxton is a nurse practitioner in the Brain Injury Center at Boston Children’s Hospital.
She specializes in management and treatment of mild traumatic brain injuries.
Michelle Parker, MS, CPNP
Pediatric Neuroscience Nurse, Boston Children’s Hospital
Program Manager, Boston Children’s Brain Injury Center
Michelle Parker is a nurse practitioner for the Department of Neurosurgery
at Boston Children’s Hospital.
Mark R. Proctor, MD
Neurosurgeon and Director of the Brain Injury Center, Boston Children’s Hospital
Associate Professor of Neurosurgery, Harvard Medical School
Mark Proctor has published and lectured locally and nationally regarding sports-related
head and spine injuries. He is also the founder and sponsoring surgeon of the
Boston chapter of ThinkFirst National Injury Prevention Foundation, as well as
the chairman of its board.

Presenters (continued)
Celiane Rey-Casserly, PhD
Director of the Neuropsychology Program, Boston Children’s Hospital
Assistant Professor of Psychology, Department of Psychiatry, Harvard Medical School
Celiane Rey-Casserly is board-certified in clinical neuropsychology and professional psychology. In
addition to her leadership role within Boston Children’s Neuropsychology Program, she works with
patients in the hospital’s Brain Injury Center, Pediatric Brain Tumor Program and Trauma Center.
Lauren A. Smith, MD, MPH
Medical Director and Chief Medical Officer, Massachusetts Department of
Public Health
Lauren Smith provides senior clinical leadership for programs, planning and policy at the
Massachusetts Department of Public Health, where she recently led the development of
regulations related to new legislation on sports head injuries.
Alex M. Taylor, PsyD
Director of Neuropsychology, Brain Injury Center, Boston Children’s Hospital
Instructor in Psychology, Department of Psychiatry, Harvard Medical School
Alex Taylor specializes in the diagnosis and management of acquired head injury and sportsrelated
concussion (SRC). His work includes investigating SRC’s impact on neurocognitive and
neurobehavioral functioning.
Accreditation
Physicians
The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
The Harvard Medical School designates this live activity for a maximum of 7 AMA PRA Category
1 Credits . Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Athletic Trainers
• Boston Children’s Hospital is recognized by the Board of Certification, Inc., to offer
6.75 continuing education hours for Certified Athletic Trainers.
Psychologists
• The Division of Psychology, Department of Psychiatry at Boston Children’s Hospital is approved by
the American Psychological Association to sponsor continuing education for psychologists.
• The Division of Psychology, Department of Psychiatry at Boston Children’s Hospital maintains
responsibility for this program and its content. This program offers 6 continuing education credits.
Nurses
• Boston Children’s Hospital is an approved provider of continuing nursing education by the
Massachusetts Association of Registered Nurses and the American Nurses Credentialing
Center Commission on Accreditation. Nursing contact hours for this program are pending.
ACGME Competencies: This course is designed to meet one or more of the following Accreditation Council of Graduate
Medical Education competencies: patient care, medical knowledge, practice-based learning and system-based practice.
Disclosure Policy: The Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards and Policies.
It is HMS’s policy that those who have influenced the content of a CME activity (e.g., planners, faculty, authors, reviewers
and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any
conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any
commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of
data and unlabeled or investigational uses of products during their presentations.
For more information about accreditation, contact course administrator Joanna Jenkins at
617-355-6446 or joanna.jenkins@childrens.harvard.edu.
Course location
The Joseph B. Martin <strong>Conference</strong> Center at the Harvard Medical School
77 Avenue Louis Pasteur | Boston, MA 02115
The Joseph B. Martin <strong>Conference</strong> Center at the Harvard Medical School is a large glass building located directly
across the street from the Boston Latin School. It is accessible both by car and by public transportation (MBTA
subway Green lines B or D, or MBTA bus routes 47, CT2 or 8A). Public parking garages are within walking distance.
Registration information
Registration by credit card (VISA or MasterCard) can be made at cme.hms.harvard.edu/courses/sports. For
registration by check (draft on a United States bank), please make payable to the Harvard Medical School
and mail with registration form to the Harvard Medical School—Department of Continuing Education,
P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash
payment is not permitted. Upon receipt of your paid registration, an email confirmation from the HMS-DCE office
will be sent to you. Be sure to include an email address that you check frequently. Your email address is used
for critical information, including registration confirmation, evaluation and certificate.
Online registration
To register or view course information, visit cme.hms.harvard.edu/courses/sports.
Inquiries
Inquiries should be made by email to hms-cme@hms.harvard.edu or by phone to 617-384-8600 (Monday through
Friday, between 10 a.m. and 4 p.m. EST).
Refund policy
A handling fee of $60 is deducted for cancellations. Refund requests must be received by postal mail, email, or
fax one week prior to the course. No refunds will be made thereafter.
The 10th Annual <strong>Sports</strong>-<strong>Related</strong> <strong>Conference</strong> on Concussion and Spine Injury
Friday, May 17, 2013 | The Joseph B. Martin <strong>Conference</strong> Center at the Harvard Medical School
All fields required. (Please print clearly.) COURSE #00332491
GROUP REGISTRANTS: IF PAYING BY CHECK, please copy this form and submit each
registrant’s contact information with payment.
Tuition fee
Physicians $265 (USD) Residents and Fellows $200 (USD)
Other professionals $185 (USD) Past attendees (of this course) $165 (USD)
Groups of 3 or more (per person) $155 (USD)
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