Session 4: Traumatic brain injury: Clinical classification/presentation, recovery, and subacute- to long-term outcomes
Title: Traumatic brain injury: Clinical classification/presentation, recovery, and subacute- to long-term outcomes
Traumatic brain injury (TBI) is a significant domestic and international public health problem. Clinically, TBI can result in diverse sets of presentations (i.e., various signs and symptoms) and outcomes, which can present challenges in diagnosis and injury management. This workshop will review the fundamental landscape of TBI, including common mechanisms of injury, conventional definitions/classifications, biological and clinical sequelae, typical and atypical recovery, and the role of neuropsychological assessment in diagnosis and injury management. Estimates suggest that 70-90 percent of all traumatic brain injuries are mild in severity based on traditional sets of classification criteria. A recent report from the National Academies of Science, Engineering, and Medicine concluded that a more refined approach to injury severity taxonomy beyond the traditional classification system of ‘mild, moderate, and severe was necessary.’ Further, growing evidence suggests that there is a spectrum of injury severity within the ‘mild’ TBI classification category. This program will review the gradient of injury characteristics, clinical presentation, and biological markers (neuroimaging and blood-based biomarkers) along this ‘mild’ injury severity spectrum. Finally, there is increasing awareness and concern around TBI, sport-related concussion, and repetitive head impact exposure (via contact sport participation) as a risk factor for Alzheimer’s disease and related dementias (ADRDs). This program will review the current evidence for TBI, sport-related concussion, and contact sport exposure as a risk factor for ADRDs, as well as moderating factors throughout the lifespan that may attenuate or intensify these associations.
Title: Normal Aging to Dementia: Neuropsychological Patterns and Contributions to Common Diagnoses and Strategies for Healthy Aging
This session will review cognition through normal aging, mild cognitive impairment, and dementia in the elderly. Common neurodegenerative dementia syndromes, such as Alzheimer’s disease and frontotemporal dementia, will also be discussed including the cognitive profiles and associated behavioral changes. Finally, we will review strategies for brain health and wellness to help prevent or delay the onset of cognitive decline.
This advanced seminar is geared to mental health and health professionals.
Participants who engage in this educational intervention will be able to:
- Participants who engage in this education intervention will be able to:
- Classify TBI injury severity based on acute injury characteristics and apply this classification to their understanding of patient recovery and prognosis.
- Familiarize with common post-injury sequelae and conventional methods of assessment.
- Differentiate various injury-related features (e.g., neuroimaging, symptom severity, recovery) across the severity spectrum within the ‘mild’ traumatic brain injury classification.
- Understand the risk of adverse long-term outcomes (clinical syndromes, clinical function, and neurobiological) associated with TBI, sport-related concussion, and contact sport exposure, as well as factors that may moderate these associations.
- Discuss the differences between normal aging, Mild Cognitive Impairment, and Dementia
- Learn about common neurodegenerative syndromes and the neuropsychological patterns that often emerge
- Identify at least 2 strategies for brain health and wellness
In accordance with the ACCME® Standards for Integrity and Independence in Accredited Continuing Education, Standard 3, all in control of content must disclose any relevant financial relationships. The following in control of content had no relevant financial relationships to disclose.
Dr. Benjamin Brett, is a clinical neuropsychologist and Assistant Professor in the Department of Neurosurgery at the Medical College of Wisconsin. As a Center for Neurotrauma Research faculty member, Dr. Brett is an active researcher and co-investigator on a number of multicenter studies examining acute and chronic effects of sport-related concussion/traumatic brain injury. In this role, he has received grant funding from the National Institute on Aging of the National Institutes of Health to examine the long-term effects of sport-related concussion across the lifespan. He is the author of 58 peer-reviewed publications and four book chapters. Dr. Brett also currently performs clinical work as a neuropsychologist in various settings at the Medical College of Wisconsin, including the traumatic brain injury clinic. Additionally, he currently holds committee membership positions with multiple national organizations, including the American Academy of Clinical Neuropsychology and Sports Neuropsychology Society.
Alissa M. Butts, Ph.D., ABPP-CN is an Assistant Professor of Neurology and is board certified in Clinical Neuropsychology (American Board of Professional Psychology) at the Medical College of Wisconsin. She completed her fellowship at the Mayo Clinic and was Faculty there until 2019 when she joined the faculty at MCW. Dr. Butts specializes in the assessment of adults with cognitive deficits associated with a variety of neurologic and other medical conditions, with particular interest in neurodegenerative disorders. She was involved with the Healthy Actions to Benefit Independence and Thinking (HABIT)® program for individuals with Mild Cognitive Impairment (MCI) while at the Mayo Clinic and is currently heavily involved in the Interdisciplinary Memory Assessment Program (IMAP) at MCW for individuals undergoing workup for dementia. Dr. Butts’ research interests include neurocognitive and neuroimaging correlates of neurodegenerative syndromes, including typical and atypical presentations of Alzheimer’s disease and related dementias. She continues to hold an External Research Collaborator position with Mayo Clinic, and she has been primary or co-author on many papers in the area of neurodegenerative disorders.
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians
Designation of Credit Statement
The Medical College of Wisconsin designates each week-long session of this live activity for a maximum of 15 AMA PRA Category 1 CreditTM and each two-day session for a maximum of 8 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hours of Participation for Allied Health Professionals
The Medical College of Wisconsin designates each week-long session of this live activity for up to 15.0 hours of participation for continuing education for allied health professionals and each two-day session a maximum of 8.0 hours of participation for continuing education for allied health professionals.
Psychology CE Credit Statement
The Medical College of Wisconsin is approved by the American Psychological Association to sponsor continuing education for psychologists. The Medical College of Wisconsin maintains responsibility for this program and its content.
This activity contains content or processes that may be potentially stressful. MCW's Psychology Continuing Education Grievance Policy.
"This program is Approved by the National Association of Social Workers (Approval # 886840778-8759) for 8 continuing education contact hours."
- 8.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 8.00 APAAPA credit.
- 8.00 Hours of ParticipationHours of Participation credit.
- 8.00 NASW
Tuition for 5-day sessions is $685. Two-day sessions are $395. Tuition for graduate and medical students and resident physicians is $400 and $215 with a letter from the training director.
Tuition for 5-day sessions will be reduced to $630, and to $350 for 2-day sessions, if received by June 1, 2022.
Please note: A $17.00 non-refundable processing fee is assessed on all registrations.
Refunds, minus a $50 administrative fee, may be obtained if requested in writing no later than 15 days prior to the beginning of each session. There will be no refunds thereafter.
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35th Annual Door County Summer Institute under “Featured Courses,” register, and follow the prompts.
All registrations will be assessed $17.00 non-refundable processing fee.
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