Has the idea and practice of academic medicine changed in recent years? My perspective on what it means for early-to-mid career academic neurologists is now online as an OpMed on Doximity. May resonate with other specialties. www.doximity.com/articles/1a1...

For trainees and early career faculty AAN Section Spotlight: Job search and early career in Academic Movement disorders Sept. 17, 2025 at 12 pm EST Speaker: Kelly Mills, MD, MHS Director, Movement Disorders Division Johns Hopkins Neurology @aanmember.bsky.social aan.zoom.us/meeting/regi...

Do you know the 2025 updates in diagnosis and treatment of paroxysmal movement disorders? What are the causes of the sudden, brief episodes of involuntary movements like twisting, jerking or shaking. New article in the AAN's latest issue of Continuum. @amepilepsysoc.bsky.social

The clinically and conceptually fascinating topic of Paroxysmal Movement Disorders. Honored to contribute to the 2025 Movement disorders Continuum issue. Thank you for the invitation Dr. @michaelokun.bsky.social and Dr. Lyell Jones. Link: continuum.aan.com/doi/abs/10.1... @aanmember.bsky.social

QEEG can identify neural changes even in early stages of cognitive decline and help differentiate etiologies. Our review in Clinical Neurophysiology Practice covers fundamentals and focuses on applications. Link to full text: doi.org/10.1016/j.cn...

When those who moved to private practice are asked if they miss academia.. Featuring Former Jedi Baylan Skoll (Ahsoka S1E6)

Join the University of Rochester Huntington’s disease team on Saturday, May 17th for the Team Hope Walk at Roberts Wesleyan! Check it out here: northeast.hdsa.org/events/2025-...

Can there be fluctuations in cognition and mood early in PD? Do you ask about anxiety and dysautonomia? The answers may surprise you. Spoiler alert: Stop being hyperfocused on motor dysfunction. Spend more time w/ folks and you may be surprised what emerges –de profundis – out of the depths.

All of academic medicine could all learn from oncology. It must adapt to recruit and retain physicians. “It’s Dire”: Unprecedented Oncologist Faculty Departures Prompt ASCO Response Link: www.oncologynewscentral.com/oncology/unp... Letter: ascopubs.org/doi/10.1200/... @aanmember.bsky.social

The closure of hospitals, especially in healthcare deserts is a blot on our healthcare system. Crozer Chester Medical Center hosted residency training programs for IM, FM, EM, ObGyn and Psychiatry. These two hospitals saw nearly 80,000 ER visits last year. www.fox29.com/news/crozer-...

Great to visit @michiganstateu.bsky.social, meet with trainees, old friends and present grand rounds on our work in the intersection of cognitive and autonomic domains.

Can cognitively unimpaired PD patients experience fluctuations in cognition and mood with dopamine replacement? Yes: analysis reveals greater odds of fluctuations in anxiety (OR 7.5) and cognition (OR 2.8) with autonomic burden. movementdisorders.onlinelibrary.wiley.com/doi/10.1002/...

Dr. @elisabethbik.bsky.social presenting at UC Neurology grand rounds today on the fascinating topic of Errors and Misconduct in Biomedical Research. From patterns on bathroom tiles to western blots.

Unlike private practices, some academic dept. have $0 CME and at least one is prohibiting attendance Academic leadership: Physicians stay for academic advancement despite poor autonomy, lower pay, lesser clinical support, more admin oversight. "Prestige" alone won't suffice for retention.

It was fun and informative to chat with Dr. Sagari Bette on the neurology job hunt. Particularly interesting to learn from Dr. Anant Wadhwa, a movement disorders neurologist in a non-academic position in Boise, ID. @sara-schaefer-md.bsky.social Link: www.buzzsprout.com/1932303/epis...

Great to see MDS @movedisorder.bsky.social on #BlueSky. Added to the starter pack for movement disorders.

Most people get care where (and if) they can. For those able & willing to travel, they follow the reputation of specific programs/ individuals. With departments housing 100 or more neurologists, can such a ranking even be accurate? What is the purpose? health.usnews.com/best-hospita...

Great to see AAN President, Dr. Rost on Bluesky! @nataliarostmd.bsky.social @aanmember.bsky.social

It was a great honor and pleasure to present at the #AAN @aanmember.bsky.social in beautiful and sunny San Diego, and together with @Andres Deik and @amahajanmd.bsky.social share the latest news on movement disorders. Luckily, a lot is going on in our field! 😄

Those immensely useful tasks don’t “save the world” or “revolutionize healthcare as we know it” unfortunately. A good read: www.bmj.com/content/386/...

AI in clinical care? Lots of news but with such influence, comes responsibility. Evidence for unmonitored use must pass a high bar of scrutiny. Prof. Lees and I share our viewpoint and a wishlist. Link to full text: movementdisorders.onlinelibrary.wiley.com/doi/full/10....

If you are a senior resident, fellow and/ or a first time attendee to #AANAM ➡️Browse the app ➡️Email ppl to set up meetings ➡️Walk up to people and say hello ➡️Practice a 1 min intro ➡️Update CV ➡️Find out where the coffee is ➡️Wear comfy shoes Any others? P.S. 23 days to go @aanmember.bsky.social

Academic hospitals: 0 Private business: 3 Hahneman, Philly -> Mercy, Chicago -> Crozer Chester, PA I’m sure there are others. www.fox29.com/news/crozer-...

Happening now.. Dr. Steven Frucht speaking on focal task specific dystonia. Link to weekly lecture series: mailchi.mp/e94a6a9a7eb0...

Important read, compelling arguments. academic.oup.com/brain/articl...

Movement disorders may morph over time and our collective knowledge is ever-increasing. A fine example to showcase the need for careful observation and lifelong learning. www.neurology.org/doi/10.1212/...

Great to see MDS @movedisorder.bsky.social on #BlueSky. Added to the starter pack for movement disorders.

Our reply to a recent letter in the Movement disorders journal on fluctuations in DLB was just published online (full access available). Promising line of research. movementdisorders.onlinelibrary.wiley.com/doi/10.1002/...

Wondering if your study section cancelled? I update this sheet daily. As of today, 56/124 study sections that should have met since Jan 2, 2025 have "not met as scheduled." docs.google.com/spreadsheets...

Science = wonder. www.nature.com/articles/d41...

Join us at #AANAM on Sunday, April 6th at 7 am as we cover updates in 🧠Pharmacological therapeutics (yours truly) 🧠DBS/ FUS (Dr. Fiorella Contarino) and 🧠AI (Dr. Deik) in movement disorders in 30 mins each! Link: www.aan.com/msa/Public/E... @aanmember.bsky.social

Fellows are under no obligation to bring back delicious souvenirs from fancy vacations..

Great to see new movement disorders accounts on Blue Sky. @kmillsy.bsky.social @sadnicka.bsky.social @tremorjournal.bsky.social @kevinduque.bsky.social

All that jerks is not myoclonus, not all who needle find benefit. Our editorial on the new IAPRD myoclonus classification is online. @albertoespay.bsky.social www.prd-journal.com/article/S135...

Does exercise have a dose-dependent impact on cognition in PD? Our work led by Dr. Seemiller is now online. Physical activity levels associate with cognitive performance in both OFF- and ON- states. Small amounts of physical activity can benefit cognition. www.prd-journal.com/article/S135...

No time to teach? UCSF Neurology piloted (6 months) and implemented (3 years) an education value unit (EVU) system. Results in @greenjournal.bsky.social Education www.neurology.org/doi/10.1212/...

Exploring the intersection of daytime sleepiness and orthostatic hypotension in Parkinson’s disease Link to full text (till Feb 18, 2025): authors.elsevier.com/a/1kLz8,WmRV...

What does a positive αSyn-SAA mean? ✅It supports a Parkinson's diagnosis. ✅It does not indicate disease mechanisms, severity, progression rate, biological subtypes, or treatment response. Important article: www.sciencedirect.com/science/arti... @albertoespay.bsky.social @ajlees.bsky.social

Students, trainees and practicing neurologists: here is a list of conferences relevant for movement disorders education to choose from in 2025.

Is orthostatic hypotension (OH) a cause of daytime sleepiness in PD? Our analysis shows no association in an early, treated cohort. However, in those cognitively impaired, OH has an interesting, complex expression with daytime sleepiness via depression. Link: www.sciencedirect.com/science/arti...

Propranolol reduces severity of resting tremor in PD, irrespective of cognitive load, that may be implemented at the level of the primary motor cortex. Results of a Placebo-Controlled Crossover Trial in the Annals of Neurology. doi.org/10.1002/ana....

Cool MEG study on oscillatory slowing and functional connectivity differences before cognitive impairment in individuals 11 cognitively unimpaired individuals with pathogenic mutations in the presenilin-1 or APP gene and a 1:3 matched control group Link: academic.oup.com/braincomms/a...

Season’s greetings @albertoespay.bsky.social Luca Marsili

🧠Honored to be elected as Chair of the AAN Movement disorders section from 2025-2027. Let’s go! 🧠 @aanmember.bsky.social

If attending neurology conferences is your thing, moving to San Diego might be a great bet Philly has been dethroned as the favorite of the conference Gods 10/2024: NCS 11/2024: CNS 11/2024: SVIN 4/2025: AAN 11/2025: SfN 12/2025: PSG 9/2026: ANA

Final first-author paper from my postdoc w/ the brilliant @sylvainbaillet.bsky.social + crew! We find converging evidence for a pathway b/w norepinephrine ➡️ cortical alpha rhythms ➡️ cognitive dysfunction in #Parkinson's disease academic.oup.com/brain/advanc... 🧵👇 (1/n)

Do virtual interviews represent a “culture of good enough”? Important that this discussion move forwards. My thoughts on this important article are now published at the link below in @greenjournal.bsky.social Education www.neurology.org/doi/10.1212/...

The American Medical Association surveyed doctors about insurance “prior authorizations” and found: 41 prior auths per doctor per week 13 hours spent per week on prior auths 24% reported hospitalizations due to delays from prior auths 8% reported disability/deaths due to delays from prior auths

Vascular Neurology Considerations for Antiamyloid Immunotherapy: Science Advisory from American Heart Association. Affirmed by AAN. ❌Anticoagulants: exclude from immunotherapy ❌Thrombolytics: avoid until date demonstrating safety are available Link: www.ahajournals.org/doi/epdf/10....