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Transcranial Magnetic Stimulation Course

Description and Learning Objectives


Transcranial Magnetic Stimulation (TMS) was developed as a non-invasive tool to investigate brain networks given its ability to modulate cortical activity as an “electrod-less stimulator of the brain”. The application of TMS as a diagnostic and therapeutic modality in psychiatry and neurology has been explored over the last three decades given its non-invasive nature and its ability to modulate cortical excitability. Clinical application of TMS has been tested across several psychiatric and neurological illnesses culminating in an FDA approval for the treatment of major depressive disorder resistant to one antidepressant trial in 2009. On-going work is being done to validate the diagnostic and therapeutic utility of TMS in other psychiatric and neurological illnesses.
 
This course is designed to provide both didactic and practical sessions. A didactic overview of the basic principles, safety profile and practice setting, and TMS applications in psychiatry and in neurology will be provided. This will be followed by hand-on practice sessions to allow participants to acquire basic skills in setting up diagnostic and treatment protocols relevant to their area of interest. The course will provide a total of 16 hours of didactic and practice sessions. These sessions will be continuing professional development accredited and can be claimed as group learning activity and/or assessment activity based on professional affiliation and learning goals of the participants.
 
Those interested in pursuing full credit for a certificate course from the Temerty Brain Stimulation center at CAMH and U of Toronto in TMS are required to complete minimum of twenty hours of a supervised TMS practicum in approved sites within two years of completion of the course. Logistics of this practicum can be discussed with course director and manager. Also, course director is the regional CPD educator for the Royal College of Physicians and Surgeons of Canada and will provide specific advice around structuring and claiming of CPD activities related to this course for interested participants.
 
The course is presented by a selected high quality faculty involved in the research and practice of TMS at the CAMH Temerty Brain Stimulation Centre, UHN (University of Toronto), SJHC-London (Western University), and Douglas Hospital (McGill University)
 
The book: “Repetitive Transcranial Magnetic Stimulation Treatment for Depressive Disorders, A Practical Guide”  By Paul B Fitzgerald and Z. Jeff Daskalakis, signed by Dr. Daskalakis is  included in the registration fee as a syllabus for the course and a resource for future reference.
 

Target Audience

This course is open to all interested in studying TMS.
 

Time/Date/Location

To Be Announced 

Delivery Method

In class and practical sessions in TMS lab at CAMH
 

Cost

To be determined.

Faculty

Dr. Jeff Daskalakis: Chair
With an expertise in the neurophysiology of severe psychiatric disorders, Dr. Daskalakis is the Temerty Chair Therapeutic Brain Intervention. The Temerty Centre uses magnetic brain stimulation to study the role of cortical inhibition and plasticity as potential pathophysiological mechanisms in schizophrenia, depression and obsessive compulsive disorder. Dr. Daskalakis also conducts treatment studies using repetitive transcranial magnetic brain stimulation (rTMS) and magnetic seizure therapy for refractory symptoms in these disorders. He has been a NARSAD Lieber Young Investigator (2004, 2006) a NARSAD Independent Investigator (2008) and holds a CIHR and SSO operating awards. Finally, he has over 170 peer-reviewed publications in prestigious journals such as the Archives of General Psychiatry, Brain and the American Journal of Psychiatry and is an editorial board member for Biological Psychiatry.
 
Dr. Amer Burhan: Course Director
Dr. Amer Burhan is a geriatric neuropsychiatrist practicing in London Ontario. He is an Assistant Professor in Psychiatry and Medicine at the Schulich School of Medicine and Dentistry at Western University and Adjunct Professor in Psychiatry at U of Toronto. He is the clinical lead for the Cognitive Neuropsychiatry Clinic and Electroconvulsive therapy and brain stimulation service at St. Joseph’s Health Care London, neuropsychiatrist for Western University Parkinson Foundation Center of Excellence and the recipient of several teaching awards and has several research publications mainly in the area of late-life cognitive neuropsychiatric disorders and in non-invasive brain stimulation.  He is South Western Ontario regional CPD educator for the RCPSC since 2009.
 
Credentials
 
Medical degree: Baghdad University 1993
Jeanne Timmins-Costello fellowship in basic neuroscience research for 1997-1998.
Psychiatry residency at the University of Rochester School of Medicine and Dentistry in Rochester NY, 1998 and 2001.
Advanced training in geriatric neuropsychiatry at Schulich School of Medicine/Western University, 2001-2003
FRCPC in Psychiatry from RCPSC 2003.
Certification in Neuropsychiatry/behavioral Neurology from the United Council for Neurological Subspecialties in the United States 2007.
Mini-fellowship in Transcranial Magnetic Stimulation and non-invasive brain stimulation from Harvard Medical School in March of 2010.

Dr. Daniel Blumberger: Faculty
Dr. Blumberger completed his medical school training at the University of Toronto where he also completed his residency training in psychiatry.  He completed a Research Fellowship in Brain Stimulation and Geriatric Psychiatry at the Centre for Addiction and Mental Health.  Dr. Blumberger was awarded a CIHR Postdoctoral Fellowship from the Institute of Aging. He is also a recipient of a NARSAD Young Investigator Award to study the role of cortical inhibition in late-life depression.  He is a Clinician Scientist in the Campbell Family Research Institute and the Temerty Centre for Therapeutic Brain Intervention. He was recently appointed the Medical Head of all Brain Stimulation services in the Temerty Centre for Therapeutic Brain Intervention.  He is also the Head of the Late-Life Mood Disorders Clinic at CAMH.  His research focuses on the use of brain stimulation therapies for refractory psychiatric disorders.  His main research focus is the treatment and neurophysiology of treatment resistant depression across the lifespan.  He is the principal investigator or co-investigator on a several novel studies using different brain stimulation modalities including: ECT, MST, rTMS and deep rTMS.
 
Dr. Tarek Rajji: Faculty
Chief, Geriatric Psychiatry    
Head, Geriatric Outpatient Clinics and Services Centre for Addiction and Mental Health
 
Dr. Rajji was appointed Chief in Geriatric Psychiatry at the Centre for Addiction and Mental Health (CAMH) in September 2012. Dr. Rajji is also a clinician scientist and Head of Geriatric Outpatient Clinics and Services at CAMH.
 
Dr. Rajji obtained his M.D. from the American University of Beirut, Lebanon. He completed residency in general psychiatry at the University of Texas Southwestern Medical Center and clinical training in geriatric psychiatry at Western Psychiatric Institute and Clinic in Pittsburgh. In 2006, he joined CAMH and the University of Toronto as a research fellow in geriatric psychiatry and then as a clinician scientist and an Assistant Professor of Psychiatry in December 2009. Dr. Rajji is a Fellow of the Royal College of Physicians and Surgeons of Canada and certified by the American Board of Psychiatry and Neurology with subspecialty in Geriatric Psychiatry.
 
Dr. Rajji was the lead geriatric psychiatrist on several clinical initiatives at CAMH prior to assuming the roles of Chief and Head. He also received numerous research awards and honors. His research is supported by private, provincial, federal, national, and international agencies.
 
Dr. Rajji focuses on restoring brain function in older patients with severe mental illness and Alzheimer’s disease. Towards this goal, he combines brain stimulation, cognitive, functional, and pharmacological methods to study and enhance neuroplasticity across the lifespan with a special focus on late life.

Dr. Robert Chen: Faculty
Robert Chen, MA, MBBChir, MSc, FRCPC
Catherine Manson Chair in Movement Disorders
Professor of Medicine (Neurology), University of Toronto
Director, the Eliot Phillipson Clinician Scientist Training Program
Senior Scientist, Toronto Western Research Institute
 
Dr. Chen’s laboratory is currently investigating the organization of cortical inhibitory and excitatory pathways in the human motor cortex, pathophysiology of movement disorders, the mechanisms of action of deep brain stimulation as a treatment of movement disorders and cortical plasticity following peripheral injury such as amputation or nerve and muscle transfer. The techniques used include single pulse, paired pulse and repetitive magnetic brain stimulation; detailed analysis, computer modeling and co-registration with structural MRI images of electroencephaolgraphic (EEG) cortical rhythms, and movement-related cortical potentials.
Robert Chen received his MA and medical degrees (MBBChir) from the University of Cambridge in 1989, and MSc degree from the University of Toronto in 1992. He undertook internship at Guy's Hospital (University of London, London, U.K.), residency in Internal Medicine at Queen's University (Kingston, Ontario, Canada) and residency in Neurology at the University of Western Ontario (London, Ontario, Canada) followed by three years of fellowship training in human motor control and movement disorders at the National Institute of Neurological Disorders and Stroke at the National Institutes of Health in Bethesda, Maryland. In 1998 he joined the faculty of the University of Toronto. He is board certified in Neurology and Clinical Neurophysiology and sub-specializes in movement disorders. His research interests include human motor physiology and pathophysiology of movement disorders. Dr. Chen's research is also supported by grants from the Canadian Institutes of Health Research.

Dr. Genevieve Gagnon: Faculty
Dr. Gagnon is a clinical neuropsychologist at the Douglas Institute affiliated with McGill University, in Montréal. She is interested in the relationship between brain and behavior and uses TMS and tDCS as clinical interventions to treat patients with refractory psychiatric illnesses and also as a research tool to study the neural basis of memory and cognition.

She earned her PhD. in Clinical Psychology at Laval University (Quebec City) with a specialization in Neuropsychology and worked with a variety of patients presenting with a wide array of cognitive disorders (e.g. acquired brain injuries, early dementia, epilepsy, schizophrenia, etc). She also trained and taught at Harvard Medical School in Dr. Pascual-Leone’s lab and clinic and completed a post-doc with Dr. Tarek Rajji at the Center for Addiction and Mental Health (CAMH) in Toronto. Before she moved to Montreal to work at the Douglas Institute, she was the consulting neuropsychologist at CAMH’s memory clinic, ran a small private practice in neuropsychology and taught a course entirely dedicated to Human Memory, at the University of Toronto. 
 

Certification/Credits

Completion of the course will provide 16 hours towards certificate of completion course at U of Toronto, an approved practicum of 20 hours plus 3-hour virtual interactive cases exam will meet the requirement for the certification (total of 39 hours).
 
Accreditation:CPD accredited

 

Affiliation/Partnership

Temerty Brain Stimulation Centre at CAMH and University of Toronto
 

Course Resources

Book, slides
 

Registration

To Be Announced
 
Cancellations and Refunds
A $100.00 handling fee will be deducted upon cancellation. Refund requests by fax or email must be received 2 weeks before start date. In addition, The fees are non-transferable.
 
Cancellation of Courses
Should this course be cancelled for any reason CAMH is not responsible for lost monies for accommodations, flights or other incidentals.
 

Contact

For more information please contact:
 
Janey Haggart
Education Assistant
Tel. 416-535-8501 x 6021
fax. 416-595-6617
janey.haggart@camh.ca

 

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