Management of Pediatric Sports-Related Concussion
Date:
Time:
AGENDA
June 4, 2015
5:45 pm – 8:30 pm
Location: East Carolina Heart Institute
115 Heart Drive Greenville, NC
Target Audience: Pediatric and Family Medicine Physicians, PAs, NPs
Registration Fees:
MD, DO, Other Doctorates: $35.00/PA, NP, Other Health Care
Professionals: $25.00/ Residents, Medical Students: $15.00
5:45-6:00pm
6:00-6:15pm
6:15-7:05pm
7:05-7:50pm
7:50-8:10pm
Buffet Open and Registration
Welcome and Overview, Dr. Laura DePalma
From Field to Physician, Dr. Johna Register-Mihalik
From Physician to Function, Dr. Josh Bloom
Communicating with School-Based Athletic Trainers,
Dr. Sharon Rogers
8:10-8:20pm Community-Based Injury Prevention Initiatives,
Ms. LaTangee Knight
8:20-8:30pm Closing and Q&A, Dr. Laura DePalma
Program Description:
Many athletes seek care for concussions from community physicians who do not specialize in concussion management. Concussions are an area of
substantial study, continually evolving as evidence grows. This event will cover best practices in concussion management including the use of
additional tools, such as computerized neurocognitive testing, as well as local and state protocols for returning athletes to activity, and injury
prevention efforts happening in the community.
East Carolina University Faculty:
Laura DePalma, DO
Clinical Assistant Professor
Department of Pediatrics
Pediatric Sports Medicine
Guest Faculty:
Josh Bloom, MD, MPH
Carolina Family Practice and Sports Medicine
Team Physician
Carolina Hurricanes, Cary High School, USA Baseball
LaTangee D. Knight, MA
Injury Prevention Program Coordinator
Eastern Carolina Injury Prevention Program
Vidant Medical Center
Sharon Rogers, PhD, LAT, ATC
Associate Professor
Department of Health Education and Promotion
Athletic Training Education
Johna K. Register-Mihalik, PhD, LAT, ATC
Assistant Professor
Exercise and Sport Science Research Scientist
Matthew Gfeller Sport-Related TBI Research Center
Injury Prevention Research Center
University of North Carolina at Chapel Hill
Objectives:
From Field to Physician *Describe the role of various factors including helmets, mouth guards, rules changes, neck strength, as they relate to
preventing concussions *Define concussion, sub concussive events and post-concussion syndrome *Describe how concussions occur *Describe the
signs and symptoms of concussions *Explain the components of a sideline assessment to evaluate for concussion (SCAT-3)
From Physician to Function *Discuss the office evaluation and initial management of concussions in adolescents *Overview the role of computerized
neurocognitive testing (post-injury) as it relates to the office evaluation and management plan *Define the terms “return to play” and “return to learn”
and describe the decision process for clearing athletes to re-engage *Discuss when to refer to other specialists for additional evaluation and
management
Communicating with School-Based Athletic Trainers *Explain local and state procedures related to “return to play” and “return to learn” *Provide
the materials and tools needed to communicate with school-based athletic trainers
Community-Based Injury Prevention Initiatives *Identify community-based resources aimed at concussion awareness
Credit:
Accreditation: 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 The Brody School of Medicine of East Carolina University and Pitt County Schools. The Brody
School of Medicine of East Carolina University is accredited by the ACCME to provide continuing medical education for physicians.
Credit: The Brody School of Medicine of East Carolina University designates this live activity for a maximum of 2.5 AMA PRA Category 1
Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Eastern AHEC Contact Hours: Certificates reflecting 2.5 contact hours of education will be awarded at the completion of the program.
Disclosure: In order to ensure balance, independence, objectivity and scientific rigor in all CME presentations, teaching faculty, planners and reviewers are required to
disclose any financial or other relationship they have with commercial entities-pharmaceutical, equipment or other for-profit corporations-that could be construed by
learners as posing a possible conflict of interest. Neither Laura DePalma, DO; Sharon Rogers, PhD; LaTangee D. Knight, MA nor the planners or reviewers have
financial or other relationships with ANY commercial interest except for Josh Bloom, MD who is on the Scientific Advisory Board for I Biometrics, LLC and Johna K.
Register-Mihalik, PhD who’s spouse was a developer for the app that concerns concussion education and screening for the Gfeller Center with PAR, Inc. and
none are aware of personal conflicts of interest related to this program.
Additional Information: For more information: Contact the Office of CME at 252.744-5208
Please fax completed registration form to EAHEC Registrations at 252.744.5229.
Management of Pediatric Sports-Related Concussion
June 4, 2015
5:45 pm-8:30 pm
East Carolina Heart Institute
115 Heart Drive
Greenville, NC 27835
All participants should pre-register--- MD, DO: $35.00/PA, NP: $25.00/ Residents, Medical Students: $15
Return to: Office of CME, PO Box 7224, Greenville, NC 27835-7224 ATTN: Registration
Last Name _____________________________________First Name ________________________________ MI______
Four digit AHEC ID**

**This number is used to compile your CE record and log into the online evaluation system. Historically, this number is the last four digits of your SSN, but can be any
four digits that will be meaningful to you. Not providing the same four digit number every time may result in incomplete CE records or missing courses in the online
evaluation system.
Discipline (check one)
MD
DO
NP
PA
Other ____________________
Specialty _______________________________________________
E-mail goes to
Home
Office
AMA PRA Category 1 Credit(s)™
EAHEC Contact Hours
Workplace ______________________________________________________________
Street/PO Box ___________________________________________________________________
City ____________________________________________ State _________ Zip ____________
Phone ____________________________ *E-mail _______________________________________
Home address __________________________________________________________________
City ____________________________________________ State _________ Zip ____________
Phone ____________________________ *E-mail _______________________________________
FOR OFFICE USE ONLY: Event No.: 46543
METHOD OF PAYMENT (indicate check or charge card)
Check/Cash Enclosed for $ ______________
Charge:  Visa  MasterCard  AMX
Account #
 Discover

Security Code (Last 3 digits on back of card)
Expiration Date ________________

________________________________________________________________
Signature (If Paying by Credit Card – Billing Address Required)
________________________________________________________________
Street/PO Box
________________________________________________________________
City
State
Zip
Please fax completed registration form to EAHEC Registrations at 252.744.5229.