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Neuromodulation Therapies for Neurology

You'll be able to identify appropriate candidates for TMS, VNS, DBS, and RNS and discuss how each modality works in clinical practice.

What this track covers

This track covers the major neuromodulation therapies used in neurology and psychiatry, including transcranial magnetic stimulation, vagus nerve stimulation, deep brain stimulation, and responsive neurostimulation, along with non-invasive options like tDCS. It focuses on how each device works, who tends to be considered for it, and how these therapies fit alongside medication management.

What you will practice

  • Distinguish candidacy considerations for TMS versus VNS in treatment-resistant depression
  • Recognize DBS target selection patterns for movement disorders versus psychiatric indications
  • Understand how RNS closed-loop seizure detection differs from open-loop stimulation
  • Compare non-invasive options (tDCS, external trigeminal stimulation) to implantable devices
  • Identify red flags that would prompt referral to a specialized neuromodulation center

Simulator scenario

A patient with treatment-resistant depression who has failed multiple medication trials presents asking about neuromodulation options, requiring the clinician to walk through modality selection and referral reasoning.

Board question topics

  • Mechanism differences between TMS, VNS, DBS, and RNS
  • Patient selection criteria across neuromodulation modalities
  • Non-invasive versus implantable device considerations
  • Recognizing indications for neurology referral for device therapy

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