Comprehensive Clinical Management:
Focus on Patients With Spasticity Course

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Name*
First Last
Degree
- MD
- DO
- OT-R/L
- OTD
- OTA
- PT
- MOT
- MPT
- DPT
- PTA
- SLP
- NP
- PA
- Resident
- Fellow
- Other
Check all that apply
Please specify

Separate multiple degrees with a comma.
Email*
(Please ensure that this is the email used for registration.)
Will you need CME/CE credits?*
- No
- UUCME: 5.75 CME credits
- TPTA: 5.25 CCUs
- AOTA: 0.5 CEU
- ASHA: 0.45 CEU
What is your specialty focus?*
- Neurology
- Physiatry
- Physical Therapy
- Occupational Therapy
- Speech-Language Pathology
- Other
Please specify your specialty focus*
Hidden
Type of practice:
- Hospital Setting
- Long-Term Care/Skilled Nursing Facility
- Early Intervention Service
- Private Practice / office based
- School Health Program
- Academic Institution
- Outpatient Clinic
- Home Health Care
- Other
Type of practice (multiple choice):
- Hospital Setting
- Long-Term Care/Skilled Nursing Facility
- Early Intervention Service
- Private Practice / office based
- School Health Program
- Academic Institution
- Outpatient Clinic
- Home Health Care
- Other
Please specify your type of practice*
The knowledge and/or skills gained from the course can be applied to my practice.*
- Yes
- No
- Unsure

How well did this course meet the following learning objectives?*

	Excellent	Good	Fair	Poor	N/A
Recognize the importance, benefits, challenges, and practical concerns regarding the interdisciplinary team approach for management of patients with spasticity, in order to develop individualized treatment plans
Interpret the clinical evidence, guidelines, and recommendations on the use of neurotoxins and adjunctive rehabilitation interventions (physical therapy [PT]/occupational therapy [OT]/speech-language pathology [SLP]), both alone and in combination, in order to establish appropriate treatment strategies for these patients
Assess neuromuscular pathology and individual patient functional goals, in order to identify appropriate muscles, determine dosing, maximize therapeutic benefit, and minimize complications
Evaluate methods of guidance and localization (ie, EMG, E-Stim, ultrasound), in order to incorporate best practices for proper placement of neurotoxin
Apply optimal guidance and localization techniques, especially ultrasound technology, in order to improve efficacy in injecting BoNT for treatment of spasticity
Integrate home exercise programs into spasticity management post-BoNT, in order to optimize patient rehabilitation outcomes
Facilitate interaction and improve communication among members of the interdisciplinary treatment team, in order to encourage appropriate referrals for both neurotoxin injection and adjunctive therapy that may optimize patient outcomes

What questions, if any, remain unclear to you?
Did you achieve the learning goals you identified at the beginning of the course?*
- Yes
- No
As a result of this course, I will likely make changes to my practice in these categories:*
- Clinician-Patient Communication
- Diagnosis
- Documentation (appropriate)
- Patient Education
- Clinician – Clinician Communication
- Quality Improvement
- Patient Safety
- Treatment Approach
- Medication
Hidden
Will you make any of the following practice changes as a result of this course?
- Yes
- No

Practice Changes*

Will you make any of the following practice changes as a result of this workshop?

	Yes	No
I will utilize more refined screening criteria to identify patients for botulinum neurotoxin treatment
I will refer patients where appropriate for neurotoxin treatment
I will recommend or prescribe PT/OT/SLP where indicated for patients receiving neurotoxin treatment
I will use routine outcome measurements (eg, Modified Ashworth Scale) more often or more consistently
I will establish or strengthen case documentation shared by treatment team members
I will form or expand a treatment team of interdisciplinary members for case management
I will share today’s course materials with clinicians who did not participate here today
I will more often or more consistently discuss with patients the importance of home exercise therapy as an adjunct to their clinical care

I will make the following additional specific change in my practice.
Please evaluate this activity as a whole:*
Excellent Good Fair Poor
Program Content
Relevance to my clinical practice
Effectiveness in meeting identified need
Overall, I would rate this course as:*
- Excellent
- Good
- Fair
- Poor
What was the most effective aspect(s) of this workshop and why?
What was the least effective aspect(s) of this workshop?
Overall Evaluation*
Excellent Good Fair Poor
Welcome and Program Overview - Cindy Ivanhoe, MD
The Team Approach to Effective Patient Management - Katharine Alter, MD
Overall Evaluation - Presentation Free of Commercial Bias*
Yes No
Welcome and Program Overview - Cindy Ivanhoe, MD
The Team Approach to Effective Patient Management - Katharine Alter, MD
Interactive Video Grand Rounds: Longitudinal Follow up:*
Excellent Good Fair Poor
Cindy Ivanhoe, MD
Katharine Alter, MD
Sofia Tilton, MS, CCC-SLP
Laura Wiggs, PT, NCS, CBIS
Craig Davis, OTR
Interactive Video Grand Rounds: Longitudinal Follow up: - Presentation Free of Commercial Bias*
Yes No
Cindy Ivanhoe, MD
Katharine Alter, MD
Sofia Tilton, MS, CCC-SLP
Laura Wiggs, PT, NCS, CBIS
Craig Davis, OTR
Physicians’ Workshop – A Hands-on Session: Localization/Guidance Techniques: Focus on Ultrasound and EMG/E-Stim
Excellent Good Fair Poor
Katharine Alter, MD
Physicians’ Workshop – A Hands-on Session: Localization/Guidance Techniques: Focus on Ultrasound and EMG/E-Stim - Presentation Free of Commercial Bias
Yes No
Katharine Alter, MD
Therapists’ Workshop – Facilitating Therapist and Physician Communication: Bringing It All Together to Optimize Patient Outcomes
Excellent Good Fair Poor
Laura Wiggs, PT, NCS, CBIS
Sofia Tilton, MS, CCC-SLP
Craig Davis, OTR
Therapists’ Workshop – Facilitating Therapist and Physician Communication: Bringing It All Together to Optimize Patient Outcomes - Presentation Free of Commercial Bias
Yes No
Laura Wiggs, PT, NCS, CBIS
Sofia Tilton, MS, CCC-SLP
Craig Davis, OTR
Patient Workshop
Excellent Good Fair Poor
Katharine Alter, MD
Cindy Ivanhoe, MD
Laura Wiggs, PT, NCS, CBIS
Sofia Tilton, MS, CCC-SLP
Craig Davis, OTR
Patient Workshop - Presentation Free of Commercial Bias
Yes No
Katharine Alter, MD
Cindy Ivanhoe, MD
Laura Wiggs, PT, NCS, CBIS
Sofia Tilton, MS, CCC-SLP
Craig Davis, OTR

	Excellent	Good	Fair	Poor
Katharine Alter, MD

	Yes	No
Katharine Alter, MD

Commercial Support and Disclosure:*

	Yes	No
Disclosure of faculty relationships with commercial organizations was made available to me before the presentation.
The commercial supporters were acknowledged in the printed materials.
Were commercial promotional products displayed in the meeting room?

If you answered “No” to any of the Commercial Support and Disclosure sections in question 14 or the first two questions here, or “Yes” to the third question, please provide further detail.
Was the environment conducive to learning?*
- Yes
- No
Was the geographic location appropriate?*
- Yes
- No
How suitable was the audiovisual equipment, technical equipment, and/or computer-based components?*
- Excellent
- Good
- Fair
- Poor
Comments:
What topics would you like to see addressed in future courses?

	Excellent	Good	Fair	Poor
Welcome and Program Overview - Cindy Ivanhoe, MD
The Team Approach to Effective Patient Management - Katharine Alter, MD

	Yes	No
Welcome and Program Overview - Cindy Ivanhoe, MD
The Team Approach to Effective Patient Management - Katharine Alter, MD

	Excellent	Good	Fair	Poor
Cindy Ivanhoe, MD
Katharine Alter, MD
Sofia Tilton, MS, CCC-SLP
Laura Wiggs, PT, NCS, CBIS
Craig Davis, OTR

	Yes	No
Cindy Ivanhoe, MD
Katharine Alter, MD
Sofia Tilton, MS, CCC-SLP
Laura Wiggs, PT, NCS, CBIS
Craig Davis, OTR

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Comprehensive Clinical Management:Focus on Patients With Spasticity Course

Comprehensive Clinical Management:
Focus on Patients With Spasticity Course