Annual Conference Physician Registration

Certified Internet Activity Enduring Material
What Can I Expect for the Internet Activity Enduring Material:
Enduring materials are activities that endure over a specified time. Examples of enduring materials include print
(monograph), audio only (podcast), audio and video (DVD, CD-ROM, and Internet-based materials).

Download the conference brochure

Course Director: Kwame Asante, MD, Physiatrist and Medical Director, Mount Sinai Hospital – Trinity Health Of New England
Activity Coordinator: René Carfi, MSW, Senior Brain Injury Specialist, Brain Injury Alliance of Connecticut

Intended Audience: Physicians
Keynote Speaker: Lilly (Lydia) Velez-Herrera, Brain Injury Survivor and CEO/Founder of Lilly Sin Barreras, LLC

Worth a total 13.5 CME Credit
Time to Complete: 1.5 hours for each program

Joint Accreditation Direct Accreditation Statement: "In support of improving patient care, this activity has been jointly planned and implemented by Trinity
Health and Brain Injury Alliance of Connecticut. Trinity Health is jointly accredited by the AccreditationCouncil for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team."
Designation of Credit: Trinity Health designates this Internet Activity Enduring Material for a maximum of 1.50 AMA PRA
Category 1 Credit(s) ™ Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Commercial Support Acknowledgement: None

CME Credit/s: 1.50
Can You See Me, Can You Hear Me?
Lilly (Lydia) Velez-Herrerra, CEO/Founder of Lilly Sin Barreras, LLC
As Lydia’s presentation title suggests, she and her organization are driven by the motto, “I Can See You, I Can You Hear You”, as they aim to provide resources to those who don’t have them or don’t know where to find them. During her talk, Lydia will describe how she was moved by her own experiences with TBI. Through them, she came to understand that sometimes all a person needs is an extended hand. On her search for healthcare providers, she learned that sometimes it takes people that are completely different from you to help you and that it’s important to be patient with, and stand up for, people with neurological disorders. Though Lydia’s TBI contributed to her struggle physically, socially, and emotionally, she expresses how, because of it, she grew stronger—especially in the fact that she never gave up on her own growth/improvement and refused to ever be anybody but herself. In having this experience, Lydia now aims to be a source of help and support to all of those in need—whether it be by providing them with information, legal help, or a general helping hand.

Learning Objectives
1. Describe the barriers to accessing physical, cognitive and emotional rehabilitation after brain injury.
2. Describe the adjustment process individuals go through following brain injury.
3. Discuss coping mechanisms and the role of self-care in adjustment to brain injury.

On-Demand Workshops
CME Credit/s: 1.50
Aging with Brain Injury
Tina Trudel, PhD, CBIST, ABDA, Founder and Co-Principal at Northeast Evaluation Specialists
While brain injury can have a significant impact on day to day functioning in areas of cognition, behavior and physical health, relatively little is known about the long-term effect as an individual ages. How does brain injury impact the aging process, and how does the aging process impact brain injury? This workshop will discuss the aging process and issues that arise, when one is living with an acquired brain injury.
Learning Objectives
1. Identify and discuss how brain injury impacts the typical aging process.
2. Identify recommendations to address long-term health problems following brain injury.
3. Identify health problems related to brain injury.

CME Credit/s: 1.50
Covid Related Brain Injury? From the ICU to Rehabilitation
Timothy Belliveau, PhD, ABPP, Director of Post-Doctoral Training & Research at Hospital for Special Care & Alaina Breitberg Hammond, PsyD, Rehabilitation Psychologist at Hospital for Special Care
This presentation will provide a brief overview of COVID-19 infection among individuals who require a hospital level of care, with particular interest in neurological symptoms during the acute phase of illness. There will be a review of the characteristics of a small cohort of patients who participated in long-term acute care, including their risk factors, cognitive status, emotional adjustment, and the extent of their recovery of physical functioning while in the hospital. The presentation will also address the question of brain injury due to COVID-19 infection by distinguishing specific factors from nonspecific factors, along with a discussion of the scientific literature on cognitive deficits associated with Post Intensive Care Unit Syndrome.
Learning Objectives
1. Identify potential neurological manifestations of COVID-19.
2. Explain the cognitive impact of Post-Intensive Care Syndrome.
3. Identify how Functional Independence Measure (FIM) is used as a marker of rehabilitation outcome, including potential limitations.

CME Credit/s: 1.50
Mindfulness-Based Approaches to Traumatic Brain Injury Rehabilitation
Tracey Meyers (Sondik), PsyD, Psychologist at Lawyers Concerned for Lawyers
Recent research has demonstrated the benefits of using mindfulness-based techniques with individuals with traumatic brain injury. These benefits include increased quality of life, better emotional regulation, improved problem solving, attention and working memory, and better coping skills to manage psychological and physiological pain. This workshop will review current research findings, describe specific mindfulness-practices that can be effective for individuals with TBI, and will demonstrate and practice mindfulness-based strategies with participants that can be used during everyday life.
Learning Objectives
1. Identify the current literature for the use of mindfulness-based techniques for individuals with Traumatic Brain injury.
2. Describe mindfulness and mindfulness meditation including specific practices for individuals with traumatic brain injury.
3. Identify at least three different mindfulness-based strategies to use for everyday life.

CME Credit/s: 1.50
Managing Dysphagia in Patients with Traumatic Brain Injury
Beth Bouchard, MA, CCC-SLP, Speech Language Pathologist at Saint Francis Hospital and Medical Center/Trinity Health Of New England
Managing patients with brain injury can be challenging. Each individual comes with their own set of issues and rules, from cognitive-linguistic deficits, communication challenges, behavior problems, and often dysphagia. The assessment and treatment of dysphagia in this population is critical as the patient moves through levels of care. This workshop will provide an overview of assessment and treatment specific to managing dysphagia in those with brain injury.
Learning Objectives
1. Identify salient issues regarding the assessment and treatment of dysphagia in patients with brain injury.
2. Describe Rancho Los Amigos levels and dysphagia management at each level.
3. Describe therapy strategies for ongoing dysphagia therapy including any recent developments.

CME Credit/s: 1.50
Brain Injury Resources: Helping Individuals and Families Navigate Their Way
René Carfi, LMSW, CBIST, Senior Brain Injury Specialist; Cassandra Riley, MS, CBIS, Manager of Brain Injury Navigation Services; and Devon Julien, Brain Injury Specialist at Brain Injury Alliance of Connecticut
Brain injury is a sudden and drastic life altering event that often leaves individuals and families feeling that they do not know where to go for help. This workshop will provide an overview of various resources that individuals, families and professionals can explore. It will also review commonly asked questions from families and individuals following brain injury, including those new to brain injury or several years post injury.
Learning Objectives
1. Identify gaps in the continuum of care following brain injury.
2. Identify areas of need following brain injury.
3. Identify potential resources for individuals with brain injury and their family members/conservators following inpatient rehabilitation.

CME Credit/s: 1.50
Positive Behavioral Intervention and Supports (PBIS) for Individuals with Brain Injury
Tim Feeney, PhD, Chief Knowledge Officer, Belvedere Health Services and The Mill School
“Positive Behavior Interventions and Supports” (PBIS) refers to an environmental, antecedent, support-oriented approach to helping individuals with problem behavior. This presentation will provide a review of a context sensitive framework for developing positive supports for individuals struggling with life after brain injury. Within this framework, intervention plans are developed to integrate cognitive and communicative approaches, focus on the inclusion of meaningful activities in an individual’s daily routine, and, most importantly, are developed with the goal of helping individuals with multiple challenges learn to regulate themselves.
Learning Objectives
1. Identify behavior patterns utilizing research-based strategies developed as part of the Positive Behavior Intervention and Supports.
2. Describe how to make changes to an individual’s environment to eliminate triggers for behavior.
3. Describe the method for teaching prosocial skills with individuals with brain injury.

CME Credit/s: 1.50
Lifespan Traumatic Brain Injury Practice From a Cultural Humility and Social Justice Framework
David Lechuga, PhD, ABPP, Director of the Neurobehavioral Clinic & Counseling Center & Christine Salinas, PsyD, Instructor of Psychiatry at Harvard Medical School and Neuropsychologist at Boston Children’s Hospital Epilepsy Division
Diverse populations can face increased risk for brain injury, combined with reduced access to healthcare related to insurance barriers, transportation barriers, and culturally and linguistically appropriate providers. This workshop will provide an overview of existing healthcare disparities for diverse populations, along with tools and strategies for creating a more equitable environment that serves people with brain injury.
Learning Objectives
1. Describe how racism, bias, and stigmatization affect their work as a healthcare provider or administrator.
2. Define Equitable Neuropsychological Assessment and Intervention Models.
3. Describe the importance of taking a Cultural Neuropsychological Pledge, or equivalent.

CME Credit/s:1.50
Use of Telehealth in Patients with Traumatic Brain Injury
Naheed Asad-Van de Walle, MD, Attending Physiatrist of Record TBI Unit, Mount Sinai Rehabilitation Hospital/Trinity Health Of New England
This presentation will discuss uses of telehealth for screening, evaluation and treatment focusing on special needs of patients with TBI. Focusing on the increased need for use of telemedicine during COVID-19, social distancing and pros and cons of the use of telemedicine versus in-person appointments.
Learning Objectives
1. Explain the use of telemedicine in TBI patients where appropriate.
2. Identify the benefits and limitations of telemedicine of patients with TBI.
3. Describe innovative telemedicine techniques specifically for TBI patients in the setting of COVID-19 social isolation.

Completing the Activity
As a Requirement to Receive Credit: A minimum standard learning assessment has been established and is included at the end of this enduring activity.
Bibliographic resources that enable learners to conduct further reference related to the topic of the enduring activity have been included in the enduring material.
Additional CE Information:
• Target Audience: Physicians
• There is no commercial interest or support associated with this CE program activity.
• Hardware/Software Requirements: To view these presentations, you must have an Internet browser (i.e., Internet Explorer, Firefox, Safari, etc.) installed and speakers to hear the audio portion.
• Disclaimer/s:
o The information provided is for continuing education purposes only and is not meant to substitute for the independent medical judgement of a healthcare provider relative to diagnostic and treatment options of a specific patient's medical condition.

Released Date: 4/1/2021 Reviewed: 4/1/2021 Expires: 5/1/2021

Problems or Information Regarding Your CE, Please Contact
The Office of Continuing Education - Trinity Health
20555 Victor Parkway
Livonia, Michigan 48152
Contact: Karen Cassidy, Manager of CE