Curriculum

• Evaluation and management of Idiopathic Parkinson's disease
• Early disease: differential diagnosis; motor and non-motor features; neuroprotection; patient education; initiating symptomatic therapy
• Mid-stage disease: management of motor and nonmotor symptoms; use of adjunctive medications
• Advanced disease: management of complicated motor fluctuations with apomorphine, continuous delivery of levodopa, DBS, experimental therapeutics (clinical trials); management of Parkinson's disease psychosis; management of dementia; swallowing and gait safety; home care coordination; end of life issues

Other parkinsonian syndromes

• Diagnostic exam and historical features that are used to clinically diagnose PSP, MSA, CBD and DLB
• Management of complications of atypical parkinsonism
• Understanding prognosis and managing patient expectations, awareness of experimental therapy, importance of brain banks

• Clinical phenomenology that define generalized and focal dystonias
• Application of available treatments for dystonia including oral medications, botulinum toxin, and DBS surgery
• Huntington’s disease and other choreas
• Differential diagnosis of chorea presenting in adults and children
• Diagnosis and management of secondary choreas, such as hemiballism
• Sydenham chorea, other immunological choreas
• Diagnosis and management of Huntington’s disease
• Use of genetic testing to diagnose Huntington's disease and requirements of the predictive Huntington's disease gene testing program
• Familiarity with current experimental approaches for treating Huntington's disease, including symptomatic and neuroprotective agent
• Management of psychosocial, legal, ethical, and other practical management issues in Huntington's disease

• Phenomenology and differential diagnosis of tics in adults and children
• Management of tics, nonmotor features and comorbid behavioral problems in Tourette syndrome

• Clinical features of essential tremor and distinction from other tremor disorders such as Parkinson's disease, dystonic tremor
• Management of essential tremor with oral medications and DBS

• Recognition and management of drug-induced parkinsonism (learn the drugs that can cause DIP)
• Recognition and management of tardive dyskinesia, and other tardive syndromes
• Recognition and management of neuroleptic malignant syndrome, serotonin syndrome, acute dystonic reaction

• Clinical recognition of myoclonus and understanding of anatomical/physiological types (spinal, propriospinal, cortical)
• Recognition of the causes of myoclonus including metabolic derangement, epilepsy, degenerative disease, prion disease, essential myoclonus

• Core clinical features that define restless leg syndrome
• Recognition of primary and secondary restless leg syndrome
• Role of iron in restless leg syndrome
• Management of restless leg syndrome with oral medications

• Clinical diagnosis and use of imaging in hemifacial spasm
• Use of botulinum toxin to manage symptoms of hemifacial spasm
• Ataxias
• Recognition of cerebellar ataxia, sensory ataxia on examination
• Familiarity with the causes of acute, subacute, and chronic causes of ataxia including genetic, parainfectious, paraneoplastic, and structural pathologies