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December 2017; 7 (6) Research

Incorporating students into clinic may be associated with both improved clinical productivity and educational value

Jeremy A. Tanner, Karthik T. Rao, Rachel E. Salas, Roy E. Strowd, Angeline M. Nguyen, Alexandra Kornbluh, Evan Mead-Brewer, Charlene E. Gamaldo
First published August 28, 2017, DOI: https://doi.org/10.1212/CPJ.0000000000000394
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Article Information

vol. 7 no. 6 474-482
DOI: 
https://doi.org/10.1212/CPJ.0000000000000394
Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • Received March 20, 2017
  • Accepted June 7, 2017
  • First Published August 28, 2017.

Article Versions

Copyright & Usage: 
© 2017 American Academy of Neurology

Author Disclosures

    1. Jeremy A. Tanner, MD*,
    2. Karthik T. Rao, MD*,
    3. Rachel E. Salas, MD,
    4. Roy E. Strowd, MD,
    5. Angeline M. Nguyen, MD,
    6. Alexandra Kornbluh, MD,
    7. Evan Mead-Brewer, MHA and
    8. Charlene E. Gamaldo, MD
  1. Jeremy A. Tanner, MD*,
    2. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  2. Karthik T. Rao, MD*,
    3. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  3. Rachel E. Salas, MD,
    4. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for travel or speaker honoraria:

    1. Merck Travel fund to belsomra workshop

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. Polysomnography in the evaluation of abnormal movements during sleep, UpToDate

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. Glutamate, Hyperarousal, and Restless Legs Syndrome R01NS075184-01A1 NIH $306,755 PI: Allen R Co-Investigator, 18% The goal of this project is to evaluate a possible new basic biological basis for RLS. We will study brain imaging measures of levels of glutamate, use transcranial magnetic stimulation of the motor cortex measuring function of the glutamate system and cortical excitability, record sleep disturbance and daytime leg discomfort and movements. My role \ is to spearhead and complete the TMS arm of the study. 7/1/12-6/30/15

    Research Support, Academic Entities:

    1. 7/1/15-6/3/18 7/1/15-6/3/18 Towards a Quantitative Diagnosis of Sleep Disorders: Analysis of Spatio- Temporal Dynamics of Sleep EEG in Good and Bad Sleepers Johns Hopkins Catalyst Award $75,000 PI: Sridevi Sarma Co-Investigator; 6% The goal of this project is to apply network-based modeling techniques to capture the spatio- temporal dynamics during sleep stages in order to reliably discriminate the PSG EEG patterns of good and bad sleepers. 7/1/15-6/3/18 Evaluating the Spatio-Temporal Dynamics of Sleep EEG in a Seropositive HIV Black Men 1P30AI094189-01A1 Center for Aids Research ? Johns Hopkins University $50,000 PI: Salas R We will use graph theory and apply network-based modeling techniques to capture the spatio- temporal dynamics during sleep stages in order to reliably discriminate the PSG EEG patterns of HIV seropositive individuals (with and without insomnia) from seronegative controls. Our novel approach is a promising technique that will establish PSG, specifically through sleep EEG, as an innovative and non-invasive biomarker for insomnia in individuals with HIV. 1/1/14-12/13/14

    Research Support, Foundations and Societies:

    1. Cognitive Behavior Therapy for Insomnia (CBT-I) in persons with Traumatic Brain Injury American Sleep Medicine Foundation (ASMF Strategic Research Award Category I) $250,000 PI: L. Buenaver Co-Investigator; 1% The goal of this project is to develop a novel educational/clinical tool for the management of TBI related sleep disturbance in military personnel that could also be adapted for civilian use. This includes the development of a portable, fieldable/deployable, cost-effective platform for delivering basic sleep medicine education, a clinical assessment paradigm and a behavioral management intervention.7/1/15-6/3/18 Neurophysiological Mechanisms Underlying the Sleep & Migraine Association American Sleep Medicine Foundation (Junior Faculty Award) $75,000 PI: Salas R, 15% (over 2 years) To define the association between cortical excitability and functional outcomes of sleep (i.e., surveys) in migraine patients as compared to controls. To determine the association between cortical excitability and electrophysiological sleep parameters (i.e., sleep efficiency, wake after sleep onset) on polysomnography in migraine patients as compared to controls. To determine the association between cortical excitability and sleep regulatory substances (i.e., IL-1, IL-6, TNF-alpha) in migraine patients compared to controls. 7/1/13-6/30/14 The Parkinson Progression Markers Initiative (PPMI) Identification number: 90043816 Michael J. Fox Foundation $212,422 PI: Mari Z Co-Investigator; Percent effort: TBD (per referral) The goal of this study is to identify disease markers for PD progression over 5 years Towards a Quantitative Diagnosis of Sleep Disorders: Analysis of Spatio-Temporal Dynamics of Sleep EEG in Good and Bad Sleepers Johns Hopkins Catalyst Award $75,000 PI: Sridevi Sarma Co-Investigator; 6% The goal of this project is to apply network-based modeling techniques to capture the spatio- temporal dynamics during sleep stages in order to reliably discriminate the PSG EEG patterns of good and bad sleepers. Cognitive Behavior Therapy for Insomnia (CBT-I) in persons with Traumatic Brain Injury American Sleep Medicine Foundation (ASMF Strategic Research Award Category I) $250,000 PI: L. Buenaver Co-Investigator; 1% The goal of this project is to develop a novel educational/clinical tool for the management of TBI related sleep disturbance in military personnel that could also be adapted for civilian use. This includes the development of a portable, fieldable/deployable, cost-effective platform for delivering basic sleep medicine education, a clinical assessment paradigm and a behavioral management intervention. The Parkinson Progression Markers Initiative (PPMI) Identification number: 90043816 Michael J. Fox Foundation $212,422 PI: Mari Z Co-Investigator; Percent effort: TBD (per referral) The goal of this study is to identify disease markers for PD progression over 5 years Glutamate, Hyperarousal, and Restless Legs Syndrome R01NS075184-01A1 NIH $306,755 PI: Allen R Co-Investigator, 18% The goal of this project is to evaluate a possible new basic biological basis for RLS. We will study brain imaging measures of levels of glutamate, use transcranial magnetic stimulation of the motor cortex measuring function of the glutamate system and cortical excitability, record sleep disturbance and daytime leg discomfort and movements. My role \ is to spearhead and complete the TMS arm of the study. 8/20/10-8/12/15

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  4. Roy E. Strowd, MD,
    5. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. (1) Neurology, Resident and Fellow Section, Deputy Section Editor, 2015-Current.

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. Wake Forest School of Medicine Center for Translational Sciences Award, KL2 Career Development Award.

    Research Support, Foundations and Societies:

    1. (1) American Academy of Neurology, Medical Education Research Fellowship Training Program (2014-2015). (2) American Academy of Neurology, Medical Education Research Grant (2016-2017).

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  5. Angeline M. Nguyen, MD,
    6. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  6. Alexandra Kornbluh, MD,
    7. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  7. Evan Mead-Brewer, MHA and
    8. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. NONE

    Employment, Commercial Entity:

    1. (1) Johns Hopkins University, financial analyst, 3 years (2) Johns Hopkins Hospital, administrative resident, 1 year

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  8. Charlene E. Gamaldo, MD
    9. Scientific Advisory Boards:

    1. NONE

    Gifts:

    1. NONE

    Funding for Travel or Speaker Honoraria:

    1. NONE

    Editorial Boards:

    1. NONE

    Patents:

    1. NONE

    Publishing Royalties:

    1. Polysomnography in the evaluation of abnormal movements during sleep, UpToDate

    Employment, Commercial Entity:

    1. NONE

    Consultancies:

    1. NONE

    Speakers' Bureaus:

    1. NONE

    Other Activities:

    1. NONE

    Clinical Procedures or Imaging Studies:

    1. NONE

    Research Support, Commercial Entities:

    1. NONE

    Research Support, Government Entities:

    1. NONE

    Research Support, Academic Entities:

    1. NONE

    Research Support, Foundations and Societies:

    1. NONE

    Stock/Stock Options/Board of Directors Compensation:

    1. NONE

    License Fee Payments, Technology or Inventions:

    1. NONE

    Royalty Payments, Technology or Inventions:

    1. NONE

    Stock/Stock Options, Research Sponsor:

    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:

    1. NONE

    Legal Proceedings:

    1. NONE

  1. Department of Neurology (JAT, KTR, RE Salas, RE Strowd, AMN, AK, EM-B, CEG), Johns Hopkins Medicine, Baltimore, MD; and Department of Neurology (RE Strowd), Wake Forest School of Medicine, Winston-Salem, NC.
  1. Correspondence to:
    cgamald1{at}jhmi.edu
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