Description: 

The Deep Brain Stimulation (DBS) Case Conference consists of medical professionals who come together to evaluate the appropriate treatment for Parkinson's/ movement disorder patients which may include deep brain stimulation treatment. We evaluate outcome measures at regular intervals including 1) Criteria for appropriate patient selection, 2) Surgical placement, and 3) Successful programming and ongoing monitoring. We use a multi-disciplinary interprofessional approach to learn from, with, and about one another and gain consensus about individualized care plan recommendations.

Target Audience: 

Nurse Practitioner (NP)

Nurse, Registered (RN)

Physicians (MD or DO)

Psychologists

Social Workers

Students of Health Professions

Learning Objectives: 

After Attending This Activity Learners Should Be Able To:

1. Evaluate the potential risks and benefits for patients considering neuromodulation using a multidisciplinary approach.

2. Recommend therapy and alternatives to the patients that are considering neuromodulation.

3. Critique short- and long-term neuromodulation outcomes such as surgical placement and subsequent successful programming of the device.

4. Recognize and discuss potential implicit biases or social drivers of health outcomes so as to minimize disparities.

Providing Culturally Appropriate Care which is Free of Implicit Biases (AB 1195 & 241):

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:

• • Sarica, C., Conner, C., Yamamoto, K., Tang, A., Germann, J. & Lannon, M. et al. (2023). Trends and disparities in deep brain stimulation utilization in the United States: A nationwide impatient sample analysis from 1993 to 2017. The Lancet Regional Health Americas; 26. LINK TO ARTICLE
  • Cramer, S. W., Do, T. H., Palzer, E. F., Naik, A., Rice, A. L., Novy, S. G., Hanson, J. T., Piazza, A. N., Howard, M. A., Huling, J. D., Chen, C. C., & McGovern, R. A. (2022). Persistent Racial Disparities in Deep Brain Stimulation for Parkinson's Disease. Annals of neurology, 92(2), 246–254. LINK TO ARTICLE

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

Dr. Rudolph J. Schrot, faculty for this RSS has disclosed consulting relationships with SI-Bone involving education and product development, and professional services with Medtronic involving education. These relevant financial relationships have been reviewed and mitigated through clear role delineation. Dr. Schrot does not have independent control over case selection, content development, or clinical recommendations. Cases are selected and discussed by a multidisciplinary committee (that includes members without relevant financial relationships), ensuring balanced, evidence-based, and peer-informed perspectives.

No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.   

– Provider Designee/Verification: Fozia Ferozali, Ed.D. 

Faculty List: 

Course Director(s)

Kim McHaffie has no relevant financial relationships to disclose at this time.

Lin Ramatowski, RN, MPH, NP, MSN has no relevant financial relationships to disclose at this time.

Moderator(s)

Kim McHaffie  has no relevant financial relationships to disclose at this time.

Planner(s)

Erica Byrd, MD has no relevant financial relationships to disclose at this time.

Joanna Huang, Joanna Huang, PsyD has no relevant financial relationships to disclose at this time.

Kevin Littleton, MD has no relevant financial relationships to disclose at this time.

Rudolph Schrot, MD, MAS, FAANS has a financial relationship (Other Professional Service) with Medronic; financial relationship (Consultant) with SI Bone.

Speaker(s)

Azad Ghassemi, Radiologist has no relevant financial relationships to disclose at this time.

Jeffrey Kuo, MD has no relevant financial relationships to disclose at this time.

Renee Low, Ph.D. has no relevant financial relationships to disclose at this time.

Barbara Mapalo  has no relevant financial relationships to disclose at this time.

Himaja Peddi, MD has no relevant financial relationships to disclose at this time.

Narasimhachari Raghavan, M.D., F.A.C.R. has no relevant financial relationships to disclose at this time.

Rudolph Schrot, MD, MAS, FAANS has a financial relationship (Consultant) with SI Bone; financial relationship (Other Professional Service) with Medronic.

Nicklesh Thakur, D.O. has no relevant financial relationships to disclose at this time.

Erika White, MSN, RN has no relevant financial relationships to disclose at this time.