Self-Assessment Module

Practical Case Based Discussions of Functional Radiosurgery for Obsessive-Compulsive Disorders and Essential Tremors

A session from the Radiosurgery Society 2018 Webinar Series presented by:

  • Sameer A. Sheth, MD, PhD
  • Tony J. Wang, MD
  • Eric Storch, PhD

This course, which has been accredited by the American Board of Radiology (ABR) for Self-Assessment Module (SAM) maintenance of certification credit for both physicians and medical physicists, is available from March 14, 2018, through 11:59 p.m. Eastern time on June 1, 2023.

In order to earn credit for this course, participants must:

  • Learners must listen to each self-directed audio recording while following along with the visual slides/read the articles.
  • Pass the post-test with a score of 75% or higher.
  • Complete an evaluation form to receive a certificate of completion.
  • Participate in the entire activity as partial credit is not available.
  • If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.

The activity is approximately 1-hour in length.

Course Fees

  • Non-Member: $25 or JOIN NOW to become a Member
  • RSS Member: Free
  • Already a member? Login for free access information
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Statement of Need

Obsessive-compulsive disorder (OCD) is a chronic disorder characterized by uncontrollable and reoccurring thoughts and excessive urges to repeat certain actions. Approximately 2-3% of the population have OCD. For people with OCD, obsessions and compulsions can be intrusive, anxiety-provoking, time consuming and can cause major distress ultimately impairing work, social or other important functions. OCD is typically treated with medication, behavioral therapy or a combination, however, 20-30% of OCD patients do not respond to medications and behavioral therapy. There is a need to identify new treatment options for OCD patients. Essential tremor (ET) is a nervous system disorder that causes involuntary and rhythmic shaking that can affect almost any part of the body. ET has a 9% prevalence rate in people over the age of 60 years. ET has significant detrimental impact on quality of life, interfering with the ability to perform activities of daily life including grooming, feeding, dressing and writing. Treatment of ET may include anticonvulsant medications and beta blockers, surgical interventions, and deep brain stimulation, all of which have limited efficacy and side effects. Neurosurgical therapies such as stereotactic radiosurgery can provide an important option for patients suffering from OCD and ET in whom traditional therapies have not been effective.

Target Audience

This program is designed to meet the needs of radiation oncologists, neurosurgeons, residents-in-training, medical physicists and healthcare professionals with interest in learning about the rationale for the use of stereotactic radiosurgery for the treatment of OCD & essential tremors.

Activity Objectives

  • Describe SRS indications and contraindications for obsessive-compulsive disorder and essential tremors.
  • Explain key SRS contouring and treatment planning issues related to functional disorders.
  • Discuss rationale for single-fraction SRS for functional disorders.

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and the Radiosurgery Society. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation Statement

Amedco LLC designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Radiology SA-CME Self-Assessment Credit

The Radiosurgery Society Self-Assessment Module (SAM) titled Practical Case Based Discussions of Functional Radiosurgery for Obsessive-Compulsive Disorders and Essential Tremors is qualified by the American Board of Radiology in meeting the criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification Program and has been qualified for 1.0 SAM credits. The ABR qualified this SAM on March 14, 2018.

Physicists: Please note that AMA Category 1 CE offerings count towards ARB-MOC credits. The Radiosurgery Society does not offer CAMPEP credit for our Self-Assessment Modules (SAMs).

For more information, please refer to the ABR information guide found here.

Disclosure of Conflict of Interest

The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1-­‐6.2, 6.5)

All individuals in a position to control the content of CE are listed below.

  • Sameer A. Sheth, MD, PhD - Koh Young: Consultant, Medtronic: Consultant
  • Tony J. Wang, MD - AbbVie: Consultant, Research Grant Overall Principal & Research Grant Overall Principal Investigator, AstraZeneca: Consultant & Scientific/Medical Advisory Board Member, Cancer Panels: Consultant Investigator, Doximity: Consultant, Stock Shareholder, Elekta: Speakers Bureau, Honorarium/Speaker & Speakers Bureau, Merck: Consultant, Novocure: Scientific/Medical Advisory Board Member, RTOG Foundation: Research Grant Overall Principal Investigator, Rutgers University: Honorarium, University of Iowa: Honorarium, Wolters Kluwer: Other
  • Eric Storch, PhD - No Disclosures

Acknowledgement of Financial Commercial Support

No financial commercial support was received for this educational activity.

Acknowledgement of In-Kind Commercial Support

No in-kind commercial support was received for this educational activity.

Certificate of Participation

A certificate will be issued upon completion of course requirements, including the evaluation, enabling you to register your credit with the appropriate licensing boards or associations.

Technology Requirements

Software Requirements

  • A browser version of Internet Explorer 10.0 and higher or Firefox 3.0 or higher, Google Chrome Version 35 or higher.

A note on browser incompatibility:

  • We have tested IE 6.x in controlled configurations and we can stream successfully, but there are some versions that may not support the RTMP streams we push out - basically new technology that old technology can't handle.
  • Possible remedy: upgrade browser version, try alternate browsers such as Firefox.
  • Flash Player Version 11 or higher. If you have an older version it would be best to upgrade now. It's free and does not require a reboot.

Hardware Requirements

  • Windows Based Computer, Mac based Computers, smart phone, tablets
  • Windows Based Computer, Mac based Computers, smart phone, tablets
  • Windows XP SP 3 or Vista Home Premium or better
  • Mac OS x 10.5.3 or better
  • Pentium 4 or better
  • 1meg of System Ram (Memory)
  • True Color 32 bit video card
  • Sound card and speakers

For more help with technical issues please click here.


No refunds, extensions, or substitutions will be made for those participants who, for any reason, have not completed the course by the end of the qualification date. The qualification date for each course is listed on the RSS website under the title of the course.

Participants using RSS online courses to satisfy the requirement of a Maintenance of Certification (MOC) program should verify the number, type and availability dates of any course before making a purchase. No refunds, extensions, or substitutions will be made for participants who have purchased courses that do not align with their MOC requirement.

The course and its materials will only be available on the RSS website for that 3 year period regardless of purchase date. At the expiration of the qualification, participants will no longer have access to the course or its materials. The RSS reserves the right to remove a course before the end of its qualification period.

Please contact if you have questions.