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Making the Parkinson's Disease Diagnosis

Making the Parkinson's Disease Diagnosis


Patient Case Study

Time to Complete

30 minutes


February 29, 2016


August 31, 2017
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Maximum Credits

0.50 / AMA PRA Category 1 Credit(s)TM

Accredited Provider

This program is provided by Albert Einstein College of Medicine.

Commercial Supporter

This activity is supported by an educational grant from GE Healthcare.


Produced by Haymarket Medical Education (HME)

Program Description

Parkinson's Disease (PD) remains as a condition with no clear diagnostic test. Diagnosis is based on the clinical, observational presence of 2 or more of the cardinal signs: tremor, bradykinesia, and rigidity. Therefore, the diagnosis of PD is challenging, particularly during its early stages when the first signs and symptoms are subtle and nonspecific. Moreover, there is an overlap of PD symptoms with those of similar movement disorders, such as essential tremor, dystonic tremor, and other parkinsonian syndromes. Nonmotor symptoms (eg, dysarthria, dysphagia, and sialorrhea) and inadequate response to dopaminergic medication further cloud the diagnostic picture in PD. Timely and proper diagnosis creates a need for clinicians to recognize PD diagnostic criteria and appropriate testing, particularly in atypical cases where further evaluation is warranted. This activity is intended to provide clinicians with information to make more precise diagnoses, especially in the early stages of the disease, and on the role of imaging modalities.

Intended Audience

Neurologists, primary care clinicians, movement disorder specialists, and other healthcare professionals who diagnose patients with Parkinson’s disease

Educational Objectives

After participating in this activity, clinicians should be better able to:

  • Utilize evidence-based protocols to arrive at an accurate and timely diagnosis of Parkinson’s disease (PD)
  • Interpret recent clinical data and recommendations for incorporation of neuroimaging in order to improve diagnostic accuracy in patients with suspected parkinsonian syndrome

Conflict Of Interest Disclosure Policy

It is the policy of Albert Einstein College of Medicine to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. In accordance with ACCME policies and standards, all faculty participating in any sponsored activity are expected to disclose to the audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing educational activities in which they participate. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other entities. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the participants may form their own judgments about the presentation with the full disclosure of the facts. It is required by the ACCME that each speaker disclose to the audience any discussion of unlabeled use of a commercial product or device or an investigational use not yet approved for any purpose.


David M. Kaufman, MD
Professor, The Saul R. Korey Department of Neurology
Professor, Department of Psychiatry and Behavioral Sciences
Montefiore Medical Center
New York, NY

Dr. Kaufman has nothing to disclose.

Daniel Truong, MD
Neurologist and Medical Director
The Parkinson and Movement Disorder Institute
Orange Coast Memorial
Fountain Valley, CA

Dr. Truong has disclosed that he receives grants/research support from AbbVie Inc., Adamas Pharmaceuticals, Inc., Kyowa Hakko Kirin Pharma, Inc., STEADY PD3, Cynapsus Therapeutics Inc., Biorasi, Acorda Therapeutics Inc., Merz Pharmaceuticals, Impax Laboratories, GE Healthcare, and Pfizer.

Accredited Provider Disclosure

The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine have nothing to disclose with regard to commercial support.

Publishing Staff Disclosures

Priya Wanchoo, MD, and Mary Ellen Journick of Haymarket Medical Education have nothing to disclose with regard to commercial support.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Albert Einstein College of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Disclosure of Unlabeled Use

This educational activity may contain discussion of approved and/or investigational uses of agents that are not indicated by the FDA. GE Healthcare, Albert Einstein College of Medicine, and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of GE Healthcare, Albert Einstein College of Medicine, and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

If you have any questions relating to the accreditation of this activity, please contact Mildred Adighiuzor at 718-920-6674.


To obtain credit, a score of 70% or better on the post-test is required. This CME is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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