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INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING
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INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING

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  • 1. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM Thursday – Saturday November 4 – 6, 2010 Groningen, Holland • The Netherlands Program Chair & Host: HH.. LLOOUUIISS JJOOUURRNNEEEE,, MMDD,, PPHHDD
  • 2. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen Joint Sponsorship By: ASNM Regional Symposia Chair Rebecca Clark-Bash This symposium provides comprehensive updates for neurolophysiologic monitoring professionals and advanced practitioners who collaborate on the neuromonitoring team, as well as surgeons and anesthesiologists who require intraoperative neuromonitoring (IONM) during procedures. Experts from the international IONM community will examine common and important updates, including: I SEP & Transcranial Motor Evoked Potentials and EMG for spine surgery I Auditory Evoked Potentials and Cranial Nerve monitoring for craniotomy and skull- based monitoring I EEG and SEP for carotid endarterectomy and aneurysm monitoring I Didactic sessions and interactive panel forums will focus on pre-existing conditions, data analysis, anesthetic considerations,complications and troubleshooting. Intraoperative monitoring professionals I Neurophysiologists I Neurosurgeons I Neurologists I Orthopedists I ENT Surgeons I Anesthesiologists I Nurses I Audiologists I Professionals involved in interventional intraoperative neuromonitoring of evoked potentials,EMG and EEG during surgical procedures. At the completion of this symposium, participants should be able to: I Discuss the comprehensive principles for conducting and interpreting intraoperative neurophysiological monitoring across multimodality applications of IONM I Identify neuroanatomy and neurophysiology relevant to IOM I Describe the principles and methods of recording and monitoring I Identify the elements for clinical decision making during IOM. I Identify the basic aspects related to the business of IOM. I This activity is designed to address the following ABMS/IOM competencies: medical knowledge, patient care, professionalism. COURSE DESCRIPTION TARGET AUDIENCE SYMPOSIUM OBJECTIVES
  • 3. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen ASNM GRONINGEN SYMPOSIUM FACULITY Jeffery E. Arle, MD, PhD Department of Neurosurgery Lahey Clinic Burlington, Massachusetts USA Rebecca Clark-Bash, CLTM, CNIM, F.ASNM President, Director of Education & Training Knowledge Plus, Inc. Lincolnshire, Illinois USA Ulrich Beese, MD, PhD Department of Anesthesiology University Medical Center Groningen The Netherlands. Ariane M.J. Bour, MD, PhD Department of Neurophysiology Maastricht University Medical Center Maastricht, The Netherlands. Bernard Allan Cohen, PhD, D.ABNM Neurological Monitoring Associates, LLC Milwaukee, Wisconsin USA Cor J. Kalkman MD, PhD Department of Anesthesiology University Medical Center Utrecht Utrecht, The Netherlands Vedran Deletis, MD, PhD Director, Intraoperative Neurophysiology Institute for Neurology & Neurosurgery St. Lukes Roosevelt Hospital New York, New York USA David B. MacDonald, MD, FRCP(C), ABCN Head, Section of Neurophysiology Department of Neurosciences King Faisal Specialist Hospital Riyadh, Saudi Arabia Jan Jacob A. Mooij, MD, PhD Chief Dept of Neurosurgery University Medical Center Groningen Groningen, The Netherlands Aage R. Møller, PhD, D. Med. Sci. Professor of Cognition and Neuroscience MF Jonsson Endowed Chair School of Behavioral & Brain Sciences The University of Texas at Dallas Richardson, Texas USA Ernst B. Muskens Department of Clinical Neurophysiology University Medical Center Groningen Groningen, The Netherlands Dachling Pang, MD, FRCS (C), FRCS (Eng),FACS Professor of Pediatric Neurosurgery University of California Davis Regional Centre for Pediatric Neurosurgery Kaiser Permanente Hospitals Oakland, California USA Herbert E. Polak Department of Anesthetics Sint Maartenskliniek Nijmegen, The Netherlands Josep M.Espadaler, MD, PhD Director Clinical Neurophysiology Department Hospital del MarAssoc Professioal, Medical School University Autonoma de Barcelona Barcelona, Spain Ilona Rácz Department of Anesthetics Sint Maartenskliniek Isabel Fernandez-Conejero, MD Department of Intraoperative Neurophysiology Hospital Universitari de Bellvitge L´Hospitalet de Llobregat Barcelona, Spain
  • 4. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen ASNM GRONINGEN SYMPOSIUM FACULITY Chantal van Hal, MD Department of Orthepedics Sint Maartenskliniek Nijmegen, The Netherlands Eric A. Hoebink MD Department of Orthopedics Amphia Hospital Breda, The Netherlands Eelco W Hoving, MD, PhD Department of Neurosurgery University Medical Center Groningen Groningen, The Netherlands H. Louis Journee, MD, PhD Departments of Neurosurgery* an Orthopedics’ *University Medical Center Groningen ‘Sint Maartenskliniek Nijmegen, The Netherlands Karl F. Kothbauer, MD Chief, Division of Neurosurgery Department of Surgery General and Pediatric Neurosurgery Luzerner Kantonsspital, Luzern, Switzerland Fiete Lange, MD, PhD Department of Clinical Neurophysiology University Medical Center Groningen Groningen, The Netherlands Danielle Langeloo MD, PhD Department of Orthopedic Surgery Sint Maartenskliniek Nijmegen, The Netherlands Prof. Roger Lemon, BSc, MA, PhD, FMedSci National Hospital for Neurology UCL 12 Queen Square, London WC1N 3BG UK Prof. Werner H. Mess, MD, PhD Department of Neurophysiology Maastricht University Medical Center Maastricht, The Netherlands. M.Sc. Maja Rogic´ Department for Neuroscience Laboratory for Human Experimental Neurophysiology School of Medicine University of Split, Coratia Brett Netherton, MS, CNIM Technical Director Rocworks, LLC Prosperity, South Carolina USA Francesco Sala, MD, PhD Section of Neurosurgery, Assist Professor of Neurosurgery Head Intraoperative Neurophysiology Unit Department of Neurological Sciences and Vistion University of Verona, Italy Jay L. Shils, PhD, D.ABNM, F.ASNM Director, Intraoperative Monitoring Lahey Clinic Burlington, Massachusetts USA Stanley Skinner, MD Abbott Northwestern's Neuroscience Institute Minneapolis, Minnesota USA Tod Sloan, MD, MBA, PhD Associate Chair for Development University of Colorado at Denver School of Medicine Department of Anesthesiology Aurora, Colorado USA Michiel J. Staal MD, PhD Professor of Neuromodulation Department of Neurosurgery University Medical Center Groningen Groningen, The Netherlands Mark Stecker MD, PhD, D.ABNM, F.ASNM Professpr of Neuroscience and Director of Neurophysiology Marshall University School of Medicine / Cabell Huntington Hospital Huntington, West Virginia USA PD Dr. med. Andrea Szelényi Department for Neurosurgery Johann Wolfgang Goethe University Hospital Frankfurt, Germany Charles Yingling PhD, D.ABNM, F.ASNM Adjunct Faculty-Clinical Professor Professor of Otolaryngology / Head and Neck Surgery Stanford School of Medicine Palo Alto, California USA
  • 5. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM Program Schedule University Medical Center Groningen The Netherlands Thursday, November 4, 2010 9:00 a.m. Welcome by the ASNM & ISIN I Bernard Cohen, PhD, DABNM, President Elect ASNM I Karl F. Kothbauer, MD President ISIN 9:10 a.m. Introduction & Host Welcome I H. Louis Journee, MD, PhD Session I: Comprehensive Principles in Intraoperative Neurophysiology 9:15 a.m. Sensory System & Sensory Evoked Potentials I David B. MacDonald, MD, FRCP(C), ABCN 9:45 a.m. Motor System & Motor Evoked Potential I Vedran Deletis, MD, PhD 10:15 a.m. Auditory Evoked Potentials: Neurophysiology and IONM I Aage R. Møller, PhD, D. Med. Sci. 10:45 a.m. Break with Exhibitors 11:00 a.m. Anesthetic Principles I Tod Sloan, MD, MBA, PhD 11:30 a.m. Selective Vascular Model Studies on Ischemic Effects on Responses of Motor Pathways & Muscles I Cor J. Kalkman, MD, PhD 11:50 a.m. Evaluation Live IONM I Moderator: H. Louis Journee, MD, PhD 12:30 p.m. Lunch Above lectures subjected to delay reservation breaking the IOM Session. Session II: Concurrent Focus Sessions Neurosurgery I: 1:30 p.m. Vascular & Brain Tumor Surgery Szelényi Workshop & Hands-On 2:15 p.m. MEP IONM in the Brain Stem Region Fernandez Neurosurgery II: 1:30 p.m. DBS: Micro-Electrode Recording Shils & Arle Advanced Applications 2:15 p.m. Conus-Cauda Surgery Yingling Spine Surgery 1:30 p.m. Scoliosis Surgery Polak & Rácz 2:15 p.m. Spinal Monitoring Skinner Documentation 1:30 p.m Proper Charting & Medical Legal Aspects Cohen Vascular Surgery 2:15 p.m. Thoraco-Abdominal Aneurysms Repair Bour & Mess 3 :00 p.m. Poster Presentations: Practical Issues in Neurophysiologic Monitoring I Moderator: Brett Netherton 3:30 p.m. Break with Exhibitors
  • 6. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM THE NETHERLANDS Thursday, November 4, 2010 (continued) Forum Discussion: Quality Development & Management of Intraoperative Neuromonitoring Service 4:00 p.m. Televoting I I Moderator: Mark Stecker, MD, PhD 4 :10 p.m. Establishing A Quality IONM Program: US Experience I Mark Stecker, MD, PhD 4 :00 p.m. Establishing A Quality IONM Program: Europe Experience I Andrea Szelényi, MD, PhD 4:40 p.m. Requirements for IONM in a Hospital Organization: Challenges & Integration in Medical Care Programs, Financing, Education programs and Credentialing I Rebecca Clark Bash, R.EEG/EP T. CNIM, CLTM, FASNM 5:10 p.m. Remote Monitoring: Coping with Understaffing?Features and Limitations of Remote Monitoring From Opposite Views I Charles Yingling, PhD, DABNM, FASNM 5:30 p.m. A European View on Remote Monitoring I Werner Mess, MD, PhD 5:45 p.m. Introperative Monitoring Service Outsourcing: Pros & Cons I Bernard Cohen, PhD, DABNM 5:55 p.m. Televoting II I Moderator: Mark Stecker, MD, PhD 6:05 p.m. Forum Discussion Guided by Televoting Questionary I Moderator: Mark Stecker, MD, PhD 6:30 p.m. Adjourn Please Join Us For An ASNM & ISIN Cocktail Reception When:Thursday Evening • Time: 6:30 p.m. – 8:00 p.m.
  • 7. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM THE NETHERLANDS Friday, November 5, 2010 7:30 a.m. Breakfast Open Discussion Sessions (Select One) I. TES-MEP Monitoring I Vedran Deletis, MD, PhD II. Fossa Posterior Monitoring: Auditory, Motor & Cranial Nerve I Aage R. Møller, PhD, D. Med. Sci. III. Spinal Cord Monitoring I Karl F. Kothbauer, MD V. Monitoring in Aneurysm & Brain Tumor Surgery I PD Dr. med. Andrea Szelényi VI. Mapping of Eloquent Areas of the Brain I Isabel Fernandez-Conejero, MD VII. Anesthetic Considerations in Monitoring I Tod Sloan, MD, MBA, PhD IV. Micro-Electrode Recording I Jay L. Shils, PhD, D.ABNM, F.ASNM & Jeffrey Arle, MD, PhD Scientific Session: Spinal Cord Monitoring 8:30 a.m. Warning Criteria Using Epidural Recorded D-waves & Muscular MEP’s in Medulary Tumor Surgery I Karl F. Kothbauer, M.D. 8:55 a.m. Warning Amplitude Criteria of TES Evoked MEP’s in Reconstructive Spine Surgery I Danielle Langeloo MD, PhD 9:10 a.m. Warning Criteria Based on TES Threshold & Morphology of MEP’s. I Charles Yingling PhD, D.ABNM, F.ASNM 9:35 a.m. Continuous EMG Monitoring in Spinal Cord Surgery: An Experimental Study & Features in TES-MEP Clinical Monitoring I Stanley Skinner, MD 10:00 a.m. Current Warning MEP Criteria: What Do and Don’t They Share? I H. Louis Journee, MD, PhD 10:15 a.m. Break with Exhibitors Scientific Session: Optimizing TES 10:30 a.m. Physiological Base of MEP & D-waves I Professor Roger Lemon, BSc, MA, PhD, FMedSci 11:00 a.m. Inter-Patient Variability of Inter-Pulse Interval (IPI) in TES I Chantal van Hal, MD 11:15 a.m. Minimizing TES Induced Movements I Eric Hoebink MD 11:30a.m. How & When to Use Conditioning Techniques? I H. Louis Journee, MD, PhD 11:50 a.m. Procedure for Optimizing TES Parameters I H. Louis Journee, MD, PhD Scientific Session: Safety of Transelectrical Stimulation (TES) 12:00 p.m. Safety of Transcranial Stimation I David B. MacDonald, MD, FRCP(C), ABCN 12:30 p.m. Lunch Scientific Session: Neurosurgery (Brain) A. Workshop: Neurophysiologic Mapping of Motor Speech Related Cortical Areas 2:00 p.m. Neurophysiology of TMS Inducing Speech Arrest and It’s Mechanisms I M.Sc. Maja Rogic´ 2:20 p.m. Preoperative Testing of Patients Requiring Surgery of Motor Cortex Eloquent Areas I Josep M.Espadaler, MD, PhD
  • 8. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM THE NETHERLANDS Friday, November 5, 2010 (continued) 2:30 p.m. New Approach to the Intraoperative Neurophysiologic Mapping of the Eloquent Cortex I Isabel Fernandez-Conejero, MD 2:40 p.m. Live Demonstration Using Magnetically Induced Speech Arrest & Pre-Operative Mapping 3 :00 p.m. Open Discussion Scientific Session: Fossa Posterior 3:10 p.m. Neurophysiology in Neurosurgical Treatment of Hemifacial Spasm I Jan Jacob A. Mooij, MD, PhD 3:30p.m. Intraoperative Monitoring of the Corticobulbar Pathways I Isabel Fernandez-Conejero, MD 3:50 p.m. Break with Exhibitors Scientific Session: Supra Tentorial Region 4:10 p.m. MEP Monitoring Aneurysm and Brain Tumor Surgery I PD Dr. med. Andrea Szelényi 4:30 p.m. Cortical & Subcortical Mapping I Francesco Sala, MD 4:50 p.m. Open Discussion Scientific Session: Functional Neurosurgery 5:00 p.m. Neuromodulation: Present & Future Trends I Michiel J. Staal, MD, PhD 4:20 p.m. Modeled Neurophysiological Assessment of SCS Electrodes & Motor Cortex Stimulation I Jeffrey E. Arle, MD, PhD 5:40 p.m. Deep Brain Stimulation: Micro-Electrode Recording I Jay L. Shils, PhD, D.ABNM, F.ASNM 6:00 p.m. Neurophysiological Assessment in Placement of MCS Electrodes I Jay L. Shils, PhD, D.ABNM, F.ASNM 6:15 p.m. Open Discussion Workshops Colloquium Rooms (Participation is Limited to 25 Attendees) 5:00 p.m. 5:45 p.m. Scientific Poster Presentations I Eric Hoebink, MD I. Brain Stem Mapping I Isabel Fernandez-Conejero, MD II. Monitoring in Scoliosis Surgery I Fiete Lange MD, PhD I Ernst B. Muskens III. Charting & Documention I Rebecca Clark-Bash, R.EEG/EP T., CNIM, CLTM, F.ASNM IV. Anesthesia Protocols in Spine Surgery I Ulrich Beese MD, PhD Exhibit Hall Cocktail Reception When: Friday Evening Time: 6:15 p.m. – 7:30 p.m.
  • 9. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen Saturday, November 6, 2010 Spinal & Conus-Cauda Monitoring 8:00 a.m. The Use of Electrophysiology Monitoring During Surgery for Spinal Dysraphism I Dachling Pang, MD, FRCS (C), FRCS (Eng), FACS 9:00 a.m. Conus-Cauda Surgery: Monitoring & Mapping Afferent Pathways & BCR I Vedran Deletis, MD, PhD 9:20 a.m. Value and Pitfalls of Motor Mapping & Monitoring in the Cauda Equina. I Francesco Sala, MD 9:40 a.m. Pediatric Surgery in the Conus-Cauda Region I Eelco W. Hoving, MD, PhD 9:55 a.m. How to Tailor Anesthesia for IOM in Pediatrics I Tod Sloan, MD, MBA, PhD 10:10 a.m. Motor Monitoring in Young Children I H. Louis Journee, MD, PhD 10:30 a.m. Break with Exhibitors Forum Presentations: Role of IOM Societies & Future Changes in Care Models 10:50 a.m. Televoting I I Moderator: Karl F. Kothbauer, MD 11:00 a.m. ASNM Vision on Education & Credentialing in the United States I Mark Stecker, MD, PhD 11:15 a.m. ISIN Vision on Education & Credentialing in Europe I Francesco Sala, MD 11:30 a.m. Contemporary Challenges for ION Societies I Karl F. Kothbauer, MD 11:55 a.m. Televoting II I Moderator: Karl Kothbauer, MD 12:05 a.m. Forum Discussion Guided by the Televoting Questionary I Moderator: Karl F. Kothbauer, MD 12:35 a.m. Announcement of ISIN Education Programs Starting in Barcelona 2011 I Isabel Fernandez-Conejero, MD 12:40 p.m. Concluding remarks by the Presidents of the ASNM & ISIN I Bernard Cohen, PhD, D.ABNM President Elect ASNM I Karl F. Kothbauer, M. D. president ISIN 12:30 p.m. Adjourn FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM THE NETHERLANDS ASNM requires disclosure and resolution of all conflicts of interest to insure balance, independence, objectivity and scientific rigor in all CME programming. Conflicts of interest of all individuals who control CME content will be identified and resolved prior to this educational activity. Full disclosure will be made in the syllabus. Presenters will also disclose discussion of off-label uses. FACULTY DISCLOSURE
  • 10. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen I CME credits are applied at the TUFT’s University Medical School I Accreditation has been requested at the European Union Medical Specialists / European Accreditation Council for Continuing Medical Education (UEMS /EACCME) I For Dutch participants accreditation is requested by: de Nederlandse Verenigingen voor Anesthesiologie (NVA), Heelkunde (NVvH), Neurochirurgie (NVVN), Neurologie (NVN) en de Nederlandse Orthopedie Vereniging (NOV) I ASET ACE credits shall be applied for. Physician This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Tufts University School of Medicine (TUSM) and the American Society of Neurophysiological Monitoring. TUSM is accredited by the ACCME to provide continuing medical education for physicians. TUSM designates this educational activity for a maximum of [#] AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. Once we clarify the amount of credits to be offered you can fill in the number for this section. Requirements for Successful Completion To receive CE credit, participants must sign-in, attend the entire activity and complete and submit the activity evaluation provided in syllabus materials. Certificates/statements of credit will be mailed within 4-6 weeks after the activity. Commercial Support and Exhibitors A list of commercial supporters and exhibitors will be provided to participants in activity materials. Non Endorsement Statement The content and views presented in this educational activity are those of the faculty and do not necessarily reflect the opinions or recommendations of Tufts University School of Medicine or American Society of Neurophysiological Monitoring. Inclusion in this activity does not constitute approval or endorsement of any commercial products or services. These materials have been prepared based on the best available information, but are not exhaustive of the subject matter. Participants are advised to critically appraise the information presented and encouraged to consult the available literature for any commercial products mentioned. ADA/OEO Nondiscrimination Policy Tufts University School of Medicine (TUSM) considers all applicants and activity participants without regard to race, color, national origin, age, religious creed, sex or sexual orientation. TUSM is an Equal Opportunity Employer. TUSM does not discriminate on the basis of a disability in admissions, access to treatment, or employment in their programs and activities as identified in the American with Disabilities Act. Please let us know in advance if you require any accommodations. Policy On Privacy And Confidentiality: To view TUSM OCE privacy policy, please see: http://www.tufts.edu/med/about/offices/oce/privacy.html For question regarding certification please contact: Tufts University School of Medicine-Office of Continuing Education at med-oce@tufts.edu or 617-636-6579. ACCREDITATION & CREDITS
  • 11. INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING University Medical Center Groningen INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM University Medical Center Groningen The Netherlands Registration Information The registration fee includes tuition, electronic version of course syllabus, daily continental breakfast, both receptions & break refreshments. Cancellation of registration is accepted up to Oct. 1, 2010 Registration is accepted on-line at: http://www.esnm.org Confirmations will be sent for registrations directly from the website. Registrations cannot be processed or confirmed without full payment. Symposium Rates Before October 1st, 2010 After October 1st 2010 Program Registration 300 400 Technologists & Students 200 300 With Full Price Physician 75 175 Printed Handout* 75 Syllabus Options: The registration fee includes an electronic version of the course material (e.g.: USB flash drive or disk). A printed syllabus is available for an additional charge and must be ordered in advance. Extra Ticket for Thursday Evening Cocktail Reception FREE Extra Ticket for Friday Evening Cocktail Reception 37.50 Meeting Location: University Medical Center Groningen de Blauwe Zaal (main auditorium) Groningen, The Netherlands Information for directions one can contact the secretary of Mr H.F.E.M. Gubbels: Please phone: +31 (0)50 3611402 Hotel & Hostel Information: Visit http://www.esnm.org Traveling to Groningen: Groningen is located in The Netherlands with 185,000 inhabitants and is the capital of the province of Groningen. Groningen city was founded around 1100 A.D. and has a rich history, which can clearly be seen from the old medieval buildings in the down town area. By Train: Groningen has three train stations, the central station (Station Groningen), Groningen Europapark and Groningen Noord. All trains eventually arrive at the central station; only a few trains stop at the smaller stations. There are direct trains from Schiphol airport (Amsterdam), Utrecht and Rotterdam to Groningen (2-2.5 hours) and Amsterdam Centraal can be reached with one change. Exhibitor Opportunities - Contact Us: Please contact the Wenckebach Instituut, Postgraduate School of Medicine Mr. H.E.F.M Gubbels, consulent P.O.Box 30.001, NL-9700 RB Groningen The Netherlands (t) +31 (0)50 361 1396 (f) +31 (0)50 3611819 mail to: paog@wenckebach.umcg.nl Route by car: For visitors to congresses or other events the University Medical Center Groningen (UMCG) has a car parking at the north end of the terrain. To get there follow from the Groningen Ring the signs ‘UMCG Noord’. Public transport: The UMCG is easily reached by public transport. Several bus lines departing from the Central Railway Station drive in about 10 minutes to the UMCG. Some buses stop at the head entrance of the hospital, others at the side and at the north end. You can also use the ‘park and ride’ city bus. Because the bus schedules vary often, we direct you for up to date information to the sites for public transport (www.92920ov.nl and www.citybus.nl/English). Regretfully, the 9292ov.nl site is in Dutch. However, its homepage offers the possibility to make an inquiry that probably is understandable, even if you do not speak Dutch. All small group workshops & hands on sessions are held in the Onderwijs Centrum. The exact room numbers will be handed out with the materials.
  • 12. PRSRT STD U.S. POSTAGE PAID GREEN BAY WI PERMIT NO. 460 ASNM 20 N.Michigan Ave., Suite 700 Chicago, IL 60602 INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING FIRST JOINT CROSS-ATLANTIC EDUCATIONAL SYMPOSIUM November 4-6, 2010 CONTACT US: If you have further questions: American Society of Neurophysiological Monitoring 20 North Michigan Avenue Suite 700 Chicago, IL 60602 Phone: (Country Code: 001) 800-479-7979 Fax: (Country Code: 001) 800-479-7989

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