Nation's First Continuing Medical Education (CME) Program for Balance Disorders
“Neurovestibular Sciences: The Study of Balance Medicine” is the first of its kind in the nation designed specifically to teach clinics and private practices how to manage dizzy and balance disordered patients. MD's and DO's who attend the three day course will be eligible to receive 24 AMA PRA Category 1 Credit(s)™.

Neurovestibular Sciences: The Study of Balance Medicine, Part I
Jointly sponsored by Postgraduate Institute for Medicine and
Better Balance Fall Prevention and Wellness Society, LLC
Curriculum Outline: Part I
Curriculum Outline: Part II
Registration Fees
Next seminar:
Omni Severin, Indianapolis 
November 5 - 7, 2010
The next CME Seminar will be held at Omni Severin, Indianapolis, Indiana. A special group rate of $99 for a single/double occupancy is available when you reserve your room by the October 14, 2010 cutoff date. Please call the hotel at 317-634-6664 to reserve your room and request the Better Balance CME room rate. Group rates are available three days pre and post seminar based on availability. For more hotel information, click here.
Event dates and locations:
Indianapolis, IN, November 5 - 7, 2010
Tampa, FL, February 25-26, 2011
Target Audience
This activity has been designed to meet the educational needs of medical doctors and health care professionals involved in the care of patients with balance disorders.
Program Overview
This course is designed specifically to reach clinics and private practices how to manage dizzy and balance disordered patients. The health care professionals who attend will learn to successfully apply all educational material presented and learned skills acquired directly and immediately into their practices. Participants will gain an enhanced understanding of effective diagnosis and management techniques to benefit their patients with dizziness, balance and movement disorders.

Educational Objectives
After completing this activity, participants should be better able to:
- Explain the impact of the events of presbyastasis.
- Distinguish patient groups who may present with balance disorders.
- Identify patients appropriate for vestibular work-ups early in the course of evaluation.
- Discuss the importance of appropriate and timely referrals of patients who are good candidates for vestibular rehabilitation therapy.
- Formulate effective and cognitive falls prevention strategies
Download Registration and Payment Form
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Curriculum Outline: Part I
Curriculum Outline: Part II
Registration Fees
Curriculum Outline
Neurovestibular Sciences:
The Study of Balance Medicine – Part One
Course Director – Randolph McKenzie, MD, PhD, FACS
Program Agenda
Course Outline:
-
Introduction
- Historical Perspectives
- Scope of the Problem
- Normal Aging- The Phenomenon of Presbyastasis
- Balance Factors & Aging
- Visual, Vestibular & Proprioceptive Changes with Aging
- Falls
-
Anatomy & Physiology
- Central & Peripheral Vestibular Systems
- General Considerations
- Balance Control
- Peripheral Vestibular Systems
- Labyrinthine Structures
- Semicircular Canals (SCC)
- Otolith Organs
- Vestibular Receptor Cells
- Endolymph Flow
- Physiology of Vestibular Afferents
- Vestibular Afferents
- SCC excitation / inhibition
- SCC Orientation
- Vestibular Nuclei
- Vestibular Ocular Reflex (VOR)
- Central Vestibular System
- Vestibular Nerves
- Vestibular Nuclei
- Location & Orientation
- Vestibular Efferent Pathways
- Cerebellum
- Gross & Microscopic Anatomy
- Vestibulo & Spino Cerebellar Afferents
- Deep Nuclear Arrangement
- Vestibular Reflex Systems
- Summary of Peripheral & Central Vestibular Systems
III. Vestibular Testing
- Patient History & Physical
- Nystagmus Defined
- VNG Versus ENG
- Infrared Electrooculography
- VNG Test Divisions
- Oculomotor
- Positional including Dix Hallpike
- Rotational
- Caloric
- Platform Posturography
- Posturography Defined
- Sensory Organization Tests (SOT), Motor Coordination Tests (MCT) & Limits of Sway (LOS)
- Normal Posturography
- Types of Abnormal Posturography
- Comparison of VNG & CDP
- Vestibular Disorders with Accompanying Audiological Findings
- Benign Paroxysmal Positional Vertigo (BPPV)
- Diagnostic Criteria
- Cupuloliathiasis
- Canalithiasis
- Patient Evaluation
- Posterior Canal BPPV
- Lateral (Horizontal) Canal BPPV
- Superior Canal BPPV
- Treatment of BPPV – Canalith Repositioning Procedures
- Epley Maneuver
- Semont Maneuver
- Modified Liberatory Maneuver
- “Bar-b-que” Roll Maneuver
- Brandt-Darhoff Habituation Exercises
- Complications of BPPV Treatment
Vestibular Rehabilitation Therapy (VRT)
- Basis for VRT
- Patient Assessment
- Diagnoses for VRT
- VRT Exercises
- Gain Improvement of VOR
- Habituation Exercises
- Static & Dynamic Postural Stability Exercises
- Balance Retraining Exercises
- Gait Retraining Exercises
- Substitution Exercises
- Occupational Therapy Intervention
- Long-term Maintenance
Establishing a Balance Practice
- Types
- Marketing
- Patient Referrals
- Screening Techniques
- Interactions with Other Health Care Professionals
- “Balance Team” Concept
Billing & Coding for Vestibular Testing
Case Studies
Hands-On Breakout Sessions
- VNG Demonstration
- Platform Posturography Demonstration
- BPPV Treatment maneuvers
- VNG & CDP Interpretation
Faculty
Randolph McKenzie, MD, PhD, FACS is the Course Director for “Neurovestibular Sciences: The Study of Balance Medicine.” Dr. McKenzie, a published author and lecturer, with more than 20 years of clinical experience, has held many academic positions including his current role as Associate Professor of Otology/Neurotology, Department of Otolaryngology – Head and Neck Surgery for the University of Tennessee Health Science Center, Memphis, Tennessee.
Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine (PIM) and the Better Balance Fall Prevention and Wellness Society, LLC. PIM is accredited by the ACCME to provide continuing medical education for physicians.
Credit Designation
Postgraduate Institute for Medicine designates this educational activity for a maximum of 24 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by PIM for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.
Curriculum Outline: Part I
Curriculum Outline: Part II
Registration Fees
Event hours:
Friday, 8:00 am to 5:30 pm
Saturday, 8:00 am to 5:30 pm
Sunday, 8:00 am to 5:30 pm
NOTE: Attendees will be credited for actual hours attended. If you cannot attend the entire seminar, you will still receive credit for the hours you are present. Please refer to the program agenda for schedule details.
Program Agenda for Part I
Adjustments may be made to the program agenda. Please contact us and request an update for the most current information.
Friday's Agenda, November 5th (Part I) |
7:15 – 7:45 am |
Registration |
7:45 – 8:00 am |
Welcome and Introductions |
8:00 – 9:00 am |
Historic Perspectives, Scope of Problem, Normal Aging, Falls |
9:00 – 9:50 am |
Anatomy – Central & Peripheral Vestibular Systems, Peripheral Vestibular Systems |
9:50 – 10:00 am |
Break |
10:00 – 11:00 am |
Physiology – Vestibular Afferents, Central Vestibular Systems, Vestibular Nerves |
11:00 – 12:00 pm |
Physiology – Vestibular Nuclei, Efferent Pathways, Cerebellum |
12:00 – 1:00 pm |
Lunch hour |
1:00 – 2:00 pm |
Cerebellum (cont’d), Vestibular Reflex Systems, Summary of Peripheral/Central Vestibular Systems |
2:00 – 3:00 pm |
Breakout Session – VNG Demonstration |
3:00 – 3:15 pm |
Break |
3:15 – 4:00 pm |
Breakout Session – Platform Posturography |
4:00 – 5:30 pm |
Breakout Session – Introduction to VNG & Platform Posturography Interpretation |
5:30 pm |
Adjourn |
Saturday's Agenda, November 6th (Part I) |
7:15 – 8:00 am |
Announcements |
8:00 – 9:00 am |
Vestibular Testing, VNG Test Divisions |
9:00 – 10:00 am |
VNG (cont’d), Platform Posturography |
10:00 – 10:15 am |
Break |
10:15 – 11:00 am |
Review VNG, Posturography, Other Testing |
11:00 – 12:00 pm |
Vestibular Disorders with Audiologic Findings, Benign Paroxysmal Positional Vertigo |
12:00 – 1:00 pm |
Lunch hour |
1:00 – 2:00 pm |
Benign Paroxysmal Positional Vertigo (cont’d) |
2:00 – 3:00 pm |
Breakout Session – BPPV Diagnosis and Canalith Repositioning Maneuvers |
3:00 – 3:15 pm |
Break |
3:15 – 4:15 pm |
Breakout Session – VNG & Posturography Interpretations, Case Studies |
4:15 – 5:30 pm |
Establishing a Balance Practice, Billing & Coding for Vestibular Testing |
5:30 pm |
Adjourn |
Sunday's Agenda, November 7th (Part I) |
8:00 – 10:00 am |
Vestibular Rehabilitation Therapy – Basis for VRT, Patient Selection, Diagnosis, VRT Exercises |
10:00 – 10:15 am |
Break |
10:15 – 11:00 am |
VRT Case Studies, Creation of VRT Treatment Protocols |
11:00 – 12:00 pm |
Common Errors in Vestibular Testing – Prevention & Avoidance |
12:00 – 1:00 pm |
Lunch hour |
1:00 – 5:00 pm |
VNG & Platform Testing/Interpretation, BPPV Treatment Protocols, Establishing a Balance Practice, Billing & Coding, Case Studies |
5:00 – 5:30 pm |
Course Wrap-up, Q&A |
5:30 pm |
Adjourn |
Americans with Disabilities Act
Event staff will be glad to assist you with any special needs (ie, physical, dietary, etc). Please contact us prior to the live event by calling toll-free: 1-866-809-4452 or indicate your request(s) on the registration form.
November's Event Location
The November Better Balance CME program will be hosted at the downtown Omni Severin, Indianapolis, Indiana on November 5 - 7, 2010.
Download Registration and Payment Form
Word format or PDF format
Curriculum Outline: Part I
Curriculum Outline: Part II
Registration Fees
Seminar Registration Fees 
Fees for all registered attendees:
All physicians (MD's or DO's) requesting CME credits
Early registration is $795.00
Late registration is $895.00
All attendees who are not requesting CME credits, including physicians, OT's, PT's, nurses, technicians, other health care professionals and staff members
Early registration is $439.00
Late registration is $539.00
Late registration is defined as “less than 14 days in advance of the starting day of the event.” Late registration for the November seminar is any registration received AFTER October 29, 2010. Full payment must be received with each registration. Visa, Mastercard and checks drawn on US banks are accepted.
Program Agenda
What is included for all registered attendees?
-
Notebook of the course information and handouts
-
Any meals provided will be announced
-
One year membership in the Better Balance Fall Prevention and Wellness Society for all registered attendees who attend the 2010 seminars.
CEU’s for PT’s, OT’s, nurses and DC’s are planned for the future, but not available for current seminars.

Payment Information
Visa, Mastercard, American Express and checks drawn on US banks are accepted. To pay by credit card, click here to pay online via our secure portal. NOTE: If you pay online by credit card, you will still need to complete the registration form. We will contact you once payment is received to ensure all information is received.
Download Registration Form
Word format or PDF format
Program Agenda
Hotel Reservation Information
Please click on an image for details on Better Balance CME seminar locations and hotel accomodations.

Thank you for your interest in Better Balance Fall Prevention and Wellness™ Society
www.betterbalancefallprevention.com
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