American Headache Society

Session : AHS1421
Plenary 1: Head Talks
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Bert B. Vargas, MD, FAHS

Introduction Bert B. Vargas, MD, FAHS

Case Presentation Epidemiology Case Wrap-up Richard B. Lipton, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Discuss the prevalence, burden and distribution of primary headache disorders. Use epidemiologic information to improve diagnosis of headache disorders. Understand risk factors for migraine progression. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Case Presentation Pathophysiology Case Wrap-up Andrew C. Charles, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Recognize basic mechanisms of headache disorders. Identify new therapeutic targets for headache. Apply understanding of basic headache mechanisms to clinical practice. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Case Presentation Acute Treatment Case Wrap-up Kathleen B. Digre, MD, FAHS At the conclusion of this presentation, attendees should be better able to: List 5 key elements of acute headache treatment. Describe 3 factors that impede acute headache treatment. Know the difference between migraine specific therapy and rescue therapy. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Case Presentation Preventive Treatment of Migraine Case Wrap-up Elizabeth W. Loder, MD, MPH, FAHS At the conclusion of this presentation, attendees should be better able to: Define and describe situations in which preventive treatment for migraine should be considered. Classify and give examples of preventive medications for migraine, and the strength of evidence that supports their use. Formulate an appropriate preventive treatment plan for patients with migraine. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Interpersonal and Communication Skills

Session : AHS1422
Plenary 2: Trigeminal Autonomic Cephalalgias, Secondary and Imaging Headaches
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Werner J. Becker, MD, FAHS

Introduction Werner J. Becker, MD, FAHS

Trigeminal Autonomic Cephalalgias Peter J. Goadsby, MD, PhD, FAHS At the conclusion of this presentation, attendees should be better able to: Explain TAC pathophysiology to patients. Acquire clinical clues to the differential diagnosis of TACs. Distinguish TACs by clinical and treatment responses. Devise strategies of investigation for TACs. Plan the care of patients with TACs. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Secondary Headache R. Allan Purdy, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Define important TOP RED FLAGS for Secondary Headaches. Recognize the ones that are really DANGEROUS and cannot be missed. Illustrate by way of SELECTED CASES how important it know about secondary headaches. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Imaging Findings and Strategies in the Evaluation of Headache Kent Nelson, MD At the conclusion of this presentation, attendees should be better able to: Recognize imaging findings that can be present in patients with secondary headache. Select appropriate imaging options and strategies in specific headache syndromes. Demonstrate imaging findings and essential structures to patients with headache. Identify and disregard some of the imaging artifacts encountered with MRI evaluation of headache patients. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Session : AHS1423
Debate: Venous Sinus Stenting IIH
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Joel R. Saper, MD, FAHS

PRO: Felipe Albuquerque, MD At the conclusion of this presentation, attendees should be better able to: Understand the indications and techniques for intracranial stenting. Understand the contraindications for this treatment. Understand the potential complications of this treatment. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

CON: Deborah I. Friedman, MD, MPH, FAHS At the conclusion of this presentation, attendees should be better able to: Describe the clinical circumstances in which venous sinus stenting may be an appropriate treatment for IIH. Name the complications which have been reported with venous sinus stenting in patients with IIH. Explain the role of the cerebral venous system in regulating intracranial pressure and the rationale for venous sinus stenting in IIH. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

Session : AHS1425
Concurrent Session 2: Injection Training
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Andrew Blumenfeld, MD, FAHS Bert B. Vargas, MD, FAHS Rashmi B. Halker, MD, FAHS Jack Schim, MD, FAHS Jessica Ailani, MD,

At the conclusion of this presentation, attendees should be better able to: Perform onabotulinumtoxinA injections. Perform occipital nerve blocks. Perform supraorbital and other nerve blocks. Decide when to perform a nerve block for a patient. Decide when to refer a patient for onabotulinumtoxinA injections for their headaches. Physician core competency(s) related to this presentation is/are: Practice-based Learning and Improvement

Session : AHS1426
Concurrent Session 3: Office Practice
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Joel R. Saper, MD, FAHS

Introduction Joel R. Saper, MD, FAHS

Billing and Coding Neil Parikh, MD, MBA At the conclusion of this presentation, attendees should be better able to: Develop basic understanding of practice valuation. Be better aware of changes in billing and coding. Navigate various options for private practices such as hospital employment, IPA, or transitioning to cash practice. Physician core competency(s) related to this presentation is/are: Practice-based Learning and Improvement

Adherence Scott W. Powers, PhD, ABPP, FAHS At the conclusion of this presentation, attendees should be better able to: Comprehend definitions of adherence. Identify ways to measure adherence. Appreciate what is known about adherence in patients with chronic pain, and in particular, headache disorders. Incorporate questions and approaches to promote adherence into their office practice. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Systems-based Practice.

Affordable Care Act What It Means to You Joshua M. Cohen, MD, MPH and Neil Parikh, MD, MBA At the completion of this program, participants will be better able to: Analyze how the Patient Protection and Affordable Care Act has changed the landscape of healthcare provision and understand the new payment models and insurance products which physicians may see in the marketplace. Review the Patient Centered Medical Home and how headache specialists may be able to to obtain incentives for serving as the coordinator of a medical home for their patients. Discuss the medical bump and what it means for cognitive care providers while examining the shifting definition of these complex terms. Physician core competency(s) related to this presentation is/are: Patient Care, Practice-Based Learning and Improvement, Systems Based Practice

Building Communication Skills and Increasing Patient Satisfaction David J. Gullen, MD At the conclusion of this presentation, attendees should be better able to: Examine their reactions to difficult patient encounters. Analyze how using empathy and relationship building skills will help them deal with difficult patient encounters. Acquire core relationship building skills to use in clinical encounters. Physician core competency(s) related to this presentation is/are: Patient Care, Professionalism and Interpersonal Skills

Neurobiology of Stress and Resilience Cynthia Stonnington, MD At the conclusion of this presentation, attendees should be better able to: Explain how acute and chronic stress affects brain structure and function and leads to symptoms. Recognize strategies that resilient people use to buffer the detrimental effects of stress. Discuss the concept of mindfulness and its effect on brain structure and function. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

Reimbursement and Follow Through Techniques Stacy Girard, MBA, CPC At the conclusion of this presentation, attendees should be better able to: Identify top reimbursement issues involving headache procedures. Develop monitoring tools to track and identify trends and/or issues related to denials. Locate key reimbursement and regulatory resources available. Physician core competency(s) related to this presentation is/are: Practice-based Learning and Improvement

Session : AHS1427
Concurrent Session 4: Translational Medicine
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Robert E. Shapiro, MD, PhD

Introduction Robert E. Shapiro, MD, PhD

Epidemiology Research Dawn C. Buse, PhD, FAHS At the conclusion of this presentation, attendees should be better able to: Explain the scientific methods of epidemiologic research. Critically read, critique and evaluate the scientific epidemiologic literature on migraine, headache, facial pain and related topics. Apply epidemiologic data to modify diagnosis and clinical care in clinical practice. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement, Systems-based Practice 23

The Genetics of Migraine F. Michael Cutrer, MD At the conclusion of this presentation, attendees should be better able to: Understand that a significant portion of the risk of migraine is heritable. Understand the significance of the genetics of migraine. Have better understanding of recent and ongoing genomic investigations in migraine. Know the difference between GWAS, WES and WGS based studies. Physician core competency(s) related to this presentation is/are: Medical Knowledge

Animal Models of Headache K.C. Brennan, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Describe and distinguish the cortical spreading depression, inflammatory soup, and nitroglycerin models of headache. Explain what animal models offer that cannot be obtained from work in humans. Be able to read original headache research papers (not just reviews!) without fear. Physician core competency(s) related to this presentation is/are: Medical Knowledge

Research Imaging of the Migraine Brain Todd J. Schwedt, MD, MSCI, FAHS At the conclusion of this presentation, attendees should be better able to: Describe basic concepts behind structural and functional imaging modalities that have been used to study migraine. Summarize findings from imaging studies that have investigated the brain during migraine attacks. Summarize findings from imaging studies that have investigated the brain between migraine attacks. Physician core competency(s) related to this presentation is/are: Medical Knowledge

Session : AHS1428
Concurrent Session 5: Complementary and Alternative Medicine
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Stewart J. Tepper, MD, FAHS

Introduction Stewart J. Tepper, MD, FAHS

Role of Acupuncture in Headache Disorders Remy Coeytaux, MD, PhD At the conclusion of this presentation, attendees should be better able to: Be familiar with the history and practice of acupuncture. Know about the breadth of the published literature that pertains to acupuncture for headache disorders. Know the key findings from seminal trials and meta-analyses of acupuncture for migraine, tension-type headache, and chronic headache disorders. Be familiar with the findings form a large, patient level data meta-analysis of acupuncture for chronic headache. Discuss with their patients the potential role that acupuncture might play in the management or prevention of migraine, tension-type headache, and chronic daily headache. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

The Use of Nutraceuticals in Individuals with Headache Tamara Pringsheim, MD At the conclusion of this presentation, attendees should be better able to: Comprehend the evidence supporting the use of nutraceuticals for the treatment of headache. Apply knowledge regarding the efficacy of nutraceuticals to headache-related clinical case scenarios. Acknowledge public interest in and preferences for the use of nutraceuticals to treat medical conditions, including headache. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Diet Vincent T. Martin, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Recognize which foods and/or beverages represent potential triggers for migraine headache. Describe the potential mechanisms through which food and/or beverages might trigger attacks of migraine. Identify the specific diets that have been shown to reduce the frequency of chronic headache and/or migraine headache. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

Session : AHS1429
Plenary 3: Migraine and Obesity
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Dawn C. Buse, PhD, FAHS

Introduction Dawn C. Buse, PhD, FAHS

The Association between Migraine and Obesity Not Just Empty Calories Richard B. Lipton, MD, FAHS At the conclusion of this presentation, attendees should be better able to: Assess the role of obesity as a migraine initiating and exacerbating factor. Discuss the specificity of obesity as a factor in migraine vs. other headache and pain disorders. Incorporate assessments of obesity, depression, allodynia and anxiety into patient evaluations in headache practice. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge

Beyond BMI: Mechanisms and Implications of the Migraine and Obesity Association B. Lee Peterlin, DO, FAHS At the conclusion of this presentation, attendees should be better able to: Describe the central and peripheral nervous system processes which overlap in both the regulation of feeding and migraine pathophysiology. Identify neurotransmittors and molecules that are targeted by existing migraine therapies which also modulate the drive to feed. Define what an adipokine is and discuss how certain adipokines may promote inflammatory processes underlying the migraine and obesity association. Physician core competency(s) related to this presentation is/are: Medical Knowledge

Weight Loss as a Treatment for Migraine: Emerging Evidence and Practical Implications Dale S. Bond, PhD At the conclusion of this presentation, attendees should be better able to: Identify and explain putative physiological, psychological, and behavioral mechanisms through which weight loss might help to reduce attack frequency and severity in persons who have migraine and obesity. Summarize existing evidence to support weight loss, produced via surgical and behavioral methods, as a treatment for migraine in persons with obesity. Articulate a rationale for conducting randomized controlled trials to test behavioral weight loss as a treatment for migraine in persons with obesity. Describe the aims and methods of the Womens Health and Migraine (WHAM) trial, the first randomized controlled trial to test behavioral weight loss treatment for migraine. Discuss the potential implications of WHAM and other trials for research and clinical practice. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Systems-based Practice

Session : AHS1430
Plenary 4: Women's Issues / Vascular
Conference : 2014 Scottsdale Headache Symposium
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Moderator: Juline Bryson, MD

Introduction Juline Bryson, MD

Cardiac Evaluation of the Female Migraineur: An Internists Perspective Susan Hutchinson, MD At the conclusion of this presentation, attendees should be better able to: Utilize and be aware of current published guidelines for the assessment of cardiovascular risk in women. Apply cardiovascular risk assessment tools in the female migraineur in the clinical setting. Describe the clinical implications of the cardiovascular risk in developing a migraine treatment plan. List the acute and preventive migraine medications that may be of concern in women who have a high risk of cardiovascular disease (CVD). Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

Use of Exogenous Estrogen In Women with Migraines: The Risk of Adverse Cerebrovascular Outcomes Huma Sheikh, MD At the conclusion of this presentation, attendees should be better able to: Identify Risk Factors associated with Stroke in women with migraines. Review the WHO and ACOG guidelines regarding the use of exogenous hormones in women with migraine. Develop an understanding of the pathophysiology of estrogen hormones on the arterial circulation. Review the Protocol for the development of Guidelines regarding the Use of Exogenous Estrogens in Women with Migraine. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Systems-based Practice

Pathophysiology of Hormone and Migraine Gretchen Tietjen, MD At the conclusion of this presentation, attendees should be better able to: Describe the epidemiology of migraine in women throughout the life cycle, including at menarche, during pregnancy, and after menopause. Explain the mechanisms by which sex hormones may serve as a migraine trigger in women. Discuss treatment options for menstrual migraine, including the use of exogenous hormones. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge, Practice-based Learning and Improvement

Session : AHS1431
General Session: Orthostatic Hypotension, POTS and Migraine
Conference : 2014 Scottsdale Headache Symposium
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Deborah Tepper, MD Moderator: Stephen D. Silberstein, MD, FAHS

At the conclusion of this presentation, attendees should be better able to: Identify the symptoms of POTS as well as the epidemiology of the disorder in relation to migraine. Organize an efficient diagnostic and treatment strategy for POTS in the migraineur, such that patients can lead as normal a life as possible. Describe to migraine patients the likely course of their POTS and engage them in implementation of treatment strategies that address their headaches as well as their POTS symptoms. Physician core competency(s) related to this presentation is/are: Patient Care, Medical Knowledge