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In Person 2023 Rhode Island Stroke Symposium
This is the registration site for IN PERSON attendance at the 2023 Rhode Island Stroke Symposium
REGISTRATION FEES | EARLY BIRD Until 8.20.23 | REG FEE After 8.20.23 |
Physicians | $125.00 | $150.00 |
Nurses, EMS & Allied Team | $50.00 | $75.00 |
Residents, Fellows & Med Students | FREE | FREE |
LIVE IN PERSON
Providence Marriott Downtown
1 Orms Street
Providence, RI 02904
Symposium Overview
The Rhode Island Stroke Symposium seeks to integrate the most advanced research and medical knowledge in the treatment of stroke and provide a forum for dissemination of that knowledge. The purpose of the program is to provide an update on state-of-the-art acute stroke evaluation treatment as practiced at a Comprehensive Stroke Center.
Rhode Island Hospital is the oldest Comprehensive Stroke Center in New England and a high-volume center that provides care for patients with acute ischemic stroke, intraparenchymal hemorrhage, and subarachnoid hemorrhage. In this program, participants will be exposed to a variety of disciplines including neurocritical care, stroke neurology, neuro-interventional radiology, advanced practice professionals, registered nurses, and other members of the stroke team at Rhode Island Hospital. The goal of the activity is to enhance the care of the stroke patient in Rhode Island and the wider New England region.
Target Audience
Regional primary care and specialist physicians, including emergency physicians, neurologists, cardiologists, radiologists, surgeons, nurse practitioners, registered nurses, paramedics, pharmacists, physical therapists, occupational therapists, speech therapists, social workers, advanced practice professionals, residents, fellows, medical students and other allied members of the healthcare team.
Learning Objectives
At the conclusion of the symposium, participants should be better able to:
1. Recognize the critical role of EMS and advanced practice professionals in the evaluation and management of large vessel occlusion stroke
2. Outline best practices for in-hospital code strokes
3. Mitigate in-hospital complications post-stroke
4. Apply best practices in the evaluation and management of acute stroke in the emergency department
5. Select patients with large core infarcts and mild stroke symptoms suitable for mechanical thrombectomy
6. Identify and manage patients with early neurologic deterioration in lacunar stroke
7. Describe strategies to enhance the efficacy of intravenous thrombolysis for acute stroke
8. Summarize the evolving concept of ESUS (embolic stroke of unknown source)
9. Outline the use of cilostazol in secondary stroke prevention
10. Discuss the interplay of diet, lifestyle, and brain health
11. Identify appropriate timing of when to (re)start anticoagulation after ischemic stroke
12. List adjunctive strategies for stroke recovery
13. Identify comprehensive rehab practices post-stroke
14. Select patients who may benefit from alternatives to long-term anticoagulation for stroke prevention
15. Describe the concept of code ICH for initial evaluation and management for intracerebral hemorrhage
16. State the latest updates in minimally invasive surgery for intracerebral hemorrhage
17. Describe latest updates in the management of aneurysmal subarachnoid hemorrhage
18. Discuss evaluation and management of patients with unruptured intracranial aneurysms and arterio-venous malformations
| 8:00 - 8:05 am | Welcome & Introduction, Symposium Chairs | Christoph Stretz, MD, FAAN & Shadi Yaghi, MD | |
| 8:05 - 8:55 am | Pre-hospital and In-hospital Evaluation of Ischemic Stroke | TOPIC BLOCK 1 | |
| Redefining the clinical roles of EMS and APPs in LVO strokes | Katherine Quinn, PA | ||
| In-hospital code strokes | Karen Schaefer, MSN, APRN, AGCNS-BC, ASC-BC, FCNS | ||
| Preventing in-hospital complications post-stroke | Stephanie Souza, MSN, RN | ||
| Discussion | |||
| 8:55 - 10:00 am | Acute Ischemic Stroke - Acute Treatment | TOPIC BLOCK 2 | |
| ED evaluation and management of acute ischemic stroke | Rebecca Karb, MD, PhD | ||
| How can we improve efficacy of thrombolysis? | Karen Furie, MD, MPH | ||
| Mechanical thrombectomy for large core infarcts | Radmehr Torabi, MD | ||
| Early neurologic deterioration in lacunar strokes | Eric Goldstein, MD | ||
| Discussion | |||
| 10:00 - 10:15 am | BREAK | ||
| 10:15 - 10:45 am | Debate 1: Mechanical Thrombectomy for Mild Strokes | Pro: Eytan Raz, MD/PhD vs Con: Negar Asdaghi, MD | |
| 10:45 - 11:50 am | Secondary Prevention | TOPIC BLOCK 3 | |
| Should the ESUS construct be retired? | James Siegler, MD | ||
| Cilostazol for secondary stroke prevention | Adam de Havenon, MD, MS | ||
| Diet, lifestyle, and brain health | Ali Saad, MD | ||
| When to (re)start anticoagulation after cardioembolic stroke | Tina M Burton, MD | ||
| Discussion | |||
| 11:50 - 12:20 pm | LUNCH BREAK | ||
| 12:20 - 12.50 pm | GAME: STROKE OF GENIUS | Elizabeth Perelstein, MD & Maheen Rana, MD | |
| 12:50 - 1:20 pm | Debate 2 - KEYNOTE: Anticoagulation for AF Detected After Stroke | Pro: Lee Schwamm, MD vs Con: Luciano Sposato, MD | |
| 1:20 - 2:40 pm | Stroke Recovery | TOPIC BLOCK 4 | |
| The role of physiatry early after stroke | Matthew Reuter, MD | ||
| Cognitive rehabilitation in stroke care | Lucia Watson, SLP | ||
| Aphasia post-stroke - a patient perspective | Denise Lowell | ||
| Strategies to enhance stroke recovery - TMS/VNS | Claudia Wheeler, DO, FAAPMR | ||
| Assessing driving readiness after Stroke | Janet Rivard Michaud, OT/L | ||
| Discussion | |||
| 2:40 - 2:55 pm | BREAK | ||
| 2:55 - 3.25 pm | Debate 3: LAA Occlusion vs Anticoagulation in Stroke Prevention in AFib | Pro: Shadi Yaghi, MD vs Con: Ashkan Shoamanesh, MD | |
| 3:25 - 4:45 pm | Intracranial Hemorrhage | TOPIC BLOCK 5 | |
| Code ICH - the golden hour of evaluation and management of intracerebral hemorrhage | Christoph Stretz, MD, FAAN | ||
| Minimally invasive surgery for ICH - who, when, and why? | Krisztina Moldovan, MD | ||
| 2023 Guideline Updates for the Management of Aneurysmal Subarachnoid Hemorrhage | Ali Mahta, MD | ||
| Evaluation and management of unruptured intracranial aneurysms | Curt Doberstein, MD | ||
| Unruptured AVMs - does the natural history justify treatment? | Mahesh Jayaraman, MD | ||
| Discussion | |||
| 4:45 - 5:00 pm | Closing Remarks & Remaining Questions | ||
| 5:00 - 6:00 pm | Meet & Greet Social Hour, AQUA Patio |
Live in person at the Providence Marriott Downtown &
Live Streamed via Zoom
Symposium Chairs
Christoph Stretz, MD, FAAN
Assistant Professor of Neurology
Warren Alpert Medical School of Brown University
Neurologist, Divisions of Vascular Neurology & Neurocritical Care
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Shadi Yaghi, MD
Associate Professor of Neurology
Warren Alpert Medical School of Brown University
Co-Director, Comprehensive Stroke Center
Rhode Island Hospital
Director, Vascular Neurology
Lifespan Health System
Providence, Rhode Island
Symposium Speakers
Negar Asdaghi, MD, FRCPC
Associate Professor of Clinical Neurology
Stroke and Vascular Neurology
University of Miami Health System
Miami, Florida
Tina M. Burton, MD
Assistant Professor of Neurology
Warren Alpert Medical School of Brown University
Vascular Neurologist
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Adam de Havenon, MD, MSCI
Associate Professor of Neurology
Yale University School of Medicine
New Haven, Connecticut
Curt Doberstein, MD
Professor, Department of Neurosurgery
Warren Alpert Medical School of Brown University
Director, Cerebrovascular Surgery
Rhode Island Hospital
Providence, Rhode Island
Karen Furie, MD, MPH
Samuel I. Kennison, M.D., and Bertha S. Kennison Professor of Clinical Neuroscience
Professor of Neurology, Chair of Neurology
Warren Alpert Medical School of Brown University
Chief of Neurology
Rhode Island Hospital, The Miriam and Bradley Hospitals
Providence, Rhode Island
Eric D. Goldstein, MD
Assistant Professor of Neurology
Warren Alpert Medical School of Brown University
Vascular Neurologist
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Mahesh Jayaraman MD
Vice Chair of Diagnostic Imaging
Professor of Diagnostic Imaging, Neurology, and Neurosurgery
Warren Alpert Medical School of Brown University
Director, Neurovascular Center at Rhode Island Hospital
Providence, Rhode Island
Rebecca A. Karb, MD, PhD
Assistant Professor of Emergency Medicine
Warren Alpert Medical School of Brown University
Co-Director, Comprehensive Stroke Center
Emergency Medicine Physician
Brown Emergency Medicine
Providence, Rhode Island
Denise Lowell, MA
Founder and President, Just Aphasia Stroke Knowledge (Just ASK)
Aphasia Stroke Knowledge
Hope, Rhode Island
Ali Mahta, MD
Associate Professor of Neurology and Neurosurgery
Warren Alpert Medical School of Brown University
Neurocritical Care Attending Physician
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Krisztina Moldovan, MD
Assistant Professor of Neurosurgery
Warren Alpert Medical School of Brown University
Co-Director of Endovascular Neurosurgery Program
Rhode Island Hospital
Providence, Rhode Island
Elizabeth M. Perelstein, MD
Assistant Professor of Neurology
Warren Alpert Medical School of Brown University
Vascular Neurologist
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Katherine Quinn, PA
Lead Physician Assistant
Stroke and Neurointerventional Radiology
Rhode Island Hospital Neurovascular Center
Providence, Rhode Island
Maheen Rana, MD
Vascular Neurology Fellow
Warren Alpert Medical School of Brown University
Comprehensive Stroke Center
Rhode Island Hospital
Providence, RI
Eytan Raz, MD, PhD
Associate Professor, Interventional and Diagnostic Neuroradiology
Chief, Interventional Neuroradiology
NYU Langone Hospital
Brooklyn, New York
Matthew Reuter, MD
Assistant Professor of Neurology, Clinician Educator
Warren Alpert Medical School of Brown University
Physiatrist
Lifespan Physical Medicine and Rehabilitation
Newport, Rhode Island
Janet Rivard Michaud, OT/L
Occupational Therapist
Rhode Island Hospital
Providence, Rhode Island
Ali Saad, MD
Neurologist
Climate & Health Policy Fellow
University of Colorado
Karen Schaefer, MSN, APRN, AGCNS-BC, ASC-BC, FCNS
Stroke Program Manager
Newport Hospital and The Miriam Hospital
Newport and Providence, Rhode Island
Ashkan Shoamanesh, MD, FRCPC
Associate Professor of Medicine (Neurology)
Marta and Owen Boris Chair in Stroke Research and Care
Director of Hemorrhagic Stroke Research Program and Scientist
McMaster University, Population Health Research Institute
Stoke Neurologist, Hamilton Health Sciences Foundation
Hamilton, Ontario, Canada
Lee Schwamm, MD
Associate Dean, Digital Strategy and Transformation
Yale School of Medicine
Professor in Biomedical Informatics & Data Sciences
Senior Vice President and Chief Digital Health Officer
Yale New Haven Health System
New Haven, Connecticut
James Siegler, MD
Assistant Professor of Neurology
University of Chicago
Director, Stroke Program
University of Chicago Medical Center
Chicago, Illinois
Stephanie Souza, MSN, RN
Assistant Clinical Manager
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Luciano Sposato, MD, MBA, FRCPC
Professor of Neurology
Department of Clinical Neurological Sciences
Kathleen & Dr. Henry Barnett Chair in Stroke Research
Head, Stroke Program
London Health Sciences Centre, Western University
London, Ontario, Canada
Radmehr Torabi, MD
Assistant Professor of Neurosurgery and Diagnostic Imaging
Warren Alpert Medical School of Brown University
Co-Director of Endovascular Neurosurgery
Rhode Island Hospital
Providence, Rhode Island
Lucia Watson, MS, CCC-SLP
Owner & Clinician
Speech Works RI
Providence, Rhode Island
Claudia A. Wheeler, DO, FAAPMR
Assistant Professor of Neurology, Clinician Educator
Warren Alpert Medical School of Brown University
Physiatrist
Lifespan Physician Group Physical Medicine & Rehabilitation
Rhode Island Hospital
Providence, Rhode Island
Planning Committee
Nakeesha Brown
Administrative Coordinator
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Meghan Flanagan, MS, CCC-SLP
CME Coordinator
Office of Continuing Medical Education
Warren Alpert Medical School of Brown University
Providence, Rhode Island
Melissa M. Harmon, MS, RN
Manager
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Michelle King
CME Coordinator
Office of Continuing Medical Education
Warren Alpert Medical School of Brown University
Providence, Rhode Island
Jennifer Maloney
Assistant Director, CME Accreditation and Special Projects
Office of Continuing Medical Education
Warren Alpert Medical School of Brown University
Providence, Rhode Island
Stephanie Souza, MSN, RN
Assistant Clinical Manager
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Christoph Stretz, MD, FAAN
Assistant Professor of Neurology
Warren Alpert Medical School of Brown University
Neurologist, Divisions of Vascular Neurology & Neurocritical Care
Comprehensive Stroke Center
Rhode Island Hospital
Providence, Rhode Island
Maria Sullivan
Director
Office of Continuing Medical Education
Warren Alpert Medical School of Brown University
Providence, Rhode Island
Shadi Yaghi, MD
Associate Professor of Neurology
Warren Alpert Medical School of Brown University
Co-Director, Comprehensive Stroke Center
Rhode Island Hospital
Director, Vascular Neurology
Lifespan Health System
Providence, Rhode Island
Continuing Education for Physicians
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 Warren Alpert Medical School of Brown University and the Comprehensive Stroke Center at Rhode Island Hospital in collaboration with the Department of Neurology and Neurovascular Center. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education.
Credit Designations
Physicians
The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physical Therapists
The APTA Rhode Island has approved the 2023 RI Stroke Symposium for 8.0 credits. 
Nurses
The Center for Professional Practice and Innovation is approved as a provider of nursing continuing professional development by the Northeast Multistate Division Education Unit, an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Pre-Hospital Continuing Education
This continuing education activity is approved by the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) Course #: 23-BUBM-F1-0922, CEH Number and Type: 8.00 FR. CAPCE represents that this program has met standards for accreditation and does not endorse the opinions or content presented. For more information, or to register a concern go to: https://www.capce.org/CertificateTrouble/Index
Available Credit
- 8.00 AMA PRA Category 1 Credit™The Warren Alpert Medical School of Brown University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
- 8.00 ANCCThis continuing nursing education activity was approved by the Northeast Multistate Division, an accredited provider by the American Nurses Credentialing Center’s Commission on Accreditation.
- 8.00 AttendanceParticipants will receive a Certificate of Attendance stating this program is designated for AMA PRA Category 1 Credit™. This credit is accepted by the AAPA and AANP.
- 8.00 Participation
- 8.00 Physical TherapistThe Warren Alpert Medical School Office of Continuing Medical Education is approved by the Rhode Island Board of Physical Therapy to offer CE programs for physical therapists.
EXHIBIT OPPORTUNITIES AVAILABLE
A limited number of exhibit spaces are available on a first-come first-serve basis at the Providence Marriott Downtown venue.
The Warren Alpert Medical School of Brown University is Accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. To ensure independence in CME activities, the Office of Continuing Medical Education fully adheres to the Accreditation Council for Continuing Medical Education Standards for Integrity and Independence in Continuing Education. http://www.accme.org/
For information, please contact Michelle King via email or phone (401) 863-5254
Price
We are thrilled this year, for the first time to be able to offer an in-person option of the Rhode Island Stroke Symposium. A limited number of seats are available at the venue, so register today to secure your spot! If registration is full, you may add yourself to the waitlist for the in-person event, and/or register for the virtual live stream via Zoom.
A select number of complimentary seats are reserved for Brown University Fellows, Residents, and Students on a first come, first served basis. Please contact cme@brown.edu for instructions.
Once that capacity is reached, Fellows, Residents, and Students affiliated with Brown University and beyond are welcome to a complimentary registration for the virtual live stream of the event via Zoom.
Cancellation Policy
Cancellations must be made in writing to the Brown CME Office at least two weeks prior to the conference, no later than September 7, 2023. A $15.00 administrative fee will be charged for all refunds (no refunds for “no shows”). There will be no additional charge for substitutions. This conference is subject to change or cancellation. Brown CME reserves the right to change the delivery format, delay, or cancel a course due to any unforeseen circumstances. In the event that the program is canceled, your registration fee will be refunded.