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DAY ONE:   Clinical Skills Training


7:30 8:30 AM

  C-CAT Program Overview and Introduction to Ontario SABS CAT Legislation:
Dr. Avi Orner
8:30 – 9:00 AM   Criteria 1: Spinal Cord Injuries: ASIA Methodology and SCIM Scores:
Dr. Arthur Ameis
9:00 – 9:30 AM   Criteria 2 & 3: Limb Amputation & Vision Impairment:  Dr. Michel Lacerte 
9:30 – 9:45 AM   


9:45 – 11:15 AM


Criteria 4: Adult TBI’s: GOSE Methodology, Radiological Considerations, and Qualification Pathways

Overview of TBI’s, SABS criteria and GOSE methodology:
Dr. Konstantine Zakzanis and  Dr. Manu Mehdiratta

11:15 – 11:45AM


Criteria 5: Pediatric TBI’s: KOSCHI Methodology, Radiological Considerations and Qualification Pathways:  Dr. Arthur Ameis and Dr. Peter Rumney

11:45 – 12:15PM

  TBI Case Review and Panel: Application of TBI Definitions and Radiological Findings in the Clinical Context, Interpretation of GOSE/ KOSCHI Data Scores and Multidisciplinary Case Studies.

Dr. Arthur Ameis, Mr. David Bertschi, Ms. Ranya Ghatas, Dr. Michel Lacerte,
Mr. Fabio Longo and Dr. Konstantine Zakzanis

12:15 – 1:00PM   LUNCH & NETWORKING
1:00 – 1:45 PM


Criteria 6: WPI Analysis – AMA4 Principles and Methodology Review:
Arthur Ameis and Dr. Avi Orner

  1:45 – 2:30 PM   Criteria 7: WPI Analysis – Mental Health (AMA6) Update and Methodology Overview:
Dr. Jeremy Frank
  2:30 – 2:45 PM   NETWORKING BREAK
   2:45 – 3:30 PM

  Criteria 8: Mental/Behavioural Qualification: 2016 Updates to the Use of AMA4 Chapter 14 and Applicable Case Law: Dr. William Gnam
    3:30 – 4:15PM

  Interdisciplinary Case Law Study Presentation: “Top 10 over 10 years”:
Mr. David Bertschi & Mr. Fabio Longo
   4:15 – 4:45 PM   Panel Discussion
   4:45 – 5:00 PM   CONCLUSION/WRAP UP:  Dr. Avi Orner
 DAY TWO: Mental Behavioural Track
  8:00 - 8:30 AM   History of Mental/Behavioural and CAT Definition, Seminal Case Law, Government Decisions: How We Got Here: Dr. Ron Kaplan
  8:30 - 9:45 AM

  Four Domains Revisited: In-depth Training and Review of the Assessment of the four domains outlined in AMA4 Chapter 14 (Criterion 8), implications of the revised definition, systematic approaches to assessment, integration of situational assessment data, case law review and detailed case examples:
Dr. Jeremy Frank and Ms. Erin Sesel

 9:45 - 10:00 AM   NETWORKING BREAK
10:00 - 11:30 AM

  Moving to AMA6: In Depth Training in Assessment Methodologies Outlined in AMA6 Required for Criterion 7: BPRS, PIRS, GAF, Strategies for Assessment, Detailed Case Examples and Expected Controversies Going Forward: Dr. William Gnam
11:30 - 12:30 PM

  GOS-E: Comprehensive Training on the use of GOS-E Required for the Assessment of Criterion 4, Assessment and Scoring/Rating Strategies and Case examples:
Dr. Joanna Hamilton and Ms. Erin Sesel
 12:30 - 1:15 PM   LUNCH & NETWORKING
   1:15 - 2:15 PM   KOSCHI: Comprehensive Training on the use of the KOSCHI required for the Assessment of Criterion 5, Assessment and Rating Strategies and Case examples: Dr. Joanna Hamilton
   2:15 - 3:00 PM

  Truth Through Discourse I: Using Real-world Multidisciplinary Clinical Cases, Experienced Guides will work in Two Parallel Small Group Sessions to Integrate Available Information and to Assign Ratings, including calculation of the PIRS and BPRS for Criterion 7 and ratings in the four domains for Criterion 8:  
Dr. William Gnam, Dr. Jeremy Frank and Dr. Konstantine Zakzanis
   3:00 - 3:30 PM

  Case Discussion I: The two groups will reconvene to discuss and debate the findings and determinations:
Dr. William Gnam, Dr. Jeremy Frank and Dr. Konstantine Zakzanis

   3:30 - 3:45 PM


   3:45 - 4:30PM 


Truth Through Discourse II: Using an real-world cases, the two groups will work through the available information and to assign CAT Ratings.

  1. Session II-A: The focus in this session will be on adult brain injury and GOS-E ratings but with other mental-behavioral considerations as well:
    Dr. William Gnam, Dr. Jeremy Frank and Dr. Konstantine Zakzanis
  2. Session II-B: In this session, participants with an interest in pediatric assessment will review multiple sources of assessment data on a pediatric brain injury case. Using an interactive approach, will help the group to integrate available information and to assign ratings: Dr. Joanna Hamilton
   4:30 - 4:45 PM   
  Case Discussion II-A: The two groups above will reconvene to discuss and debate the findings and Determinations:
Dr. William Gnam, Dr. Jeremy Frank and Dr. Konstantine Zakzanis
   4:45 - 5:00 PM  

  DAY TWO:  Physical Track 
Dr. Mansour Alvi, PhD, PEng, MD, FRCSC, Orthopaedic Surgeon
Dr. Arthur Ameis, BSC, MD, FRCPC, DABPMR, [SSC Pain Medicine], DESS CFE, C-CAT (P),  Physical Medicine & Rehabilitation
Dr. Michel Lacerte, MDCM, MSC, FRCPC, CCRC, C-CAT (P), Physical Medicine & Rehabilitation
   7:30 - 8:15AM    Key Concepts and Methodology of the AMA Guides 4th Ed. Chapters 1& 2
   8:15 - 9:45 AM  
  Upper Extremity Impairment Rating methodology and case presentation
  9:45 - 10:00AM  
  10:00 - 11:30AM       Spine Impairment Rating with Case Presentations
 11:30 - 12:30AM 
  Lower Extremities Impairment Rating with Case Presentations
 12:30 -  1:15 PM 
    1:15 - 2:15 PM 
  Central Nervous System Impairment Rating with Case Presentations
    2:15 - 3:15 PM 
  Beyond Musculoskeletal Systems - AMA 4, Chapters 5-12
    3:15 - 3:30 PM 
    3:30 - 4:45 PM   Advance Case Studies and Expert Ratings Training
    4:45 - 5:00 PM   



It is strongly recommended that all participants in the Advanced Skills course (Mental Behavioural Track & Physical Track) bring a copy of the AMA Guides to the Evaluation of Permanent Impairment 4th Edition and 6th Edition (as applicable) for reference during the session.

The C-CAT Program Committee has the right to cancel or change speakers, program content and date without prior notice, and assumes no liability for these changes.


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