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CORONAVIRUS (COVID-19) UPDATE Residents may not be allowed to travel, your practices may be impacted, thereby changing your
normal interview process, there may be different guidelines/regulations depending on where you live, and additional financial stress may be involved on both sides. NASS is paying close attention to official
recommendations regarding the Coronavirus (COVID-19). We will continue to monitor this fluid situation with respect to the current Match date.
2020-2021 INTERVENTIONAL SPINE AND MUSCULOSKELETAL MEDICINE (ISMM) FELLOWSHIPS
NASS is the world’s largest spine society representing surgical and non-surgical specialties. There has been a growing demand for well-trained interventional spine and non-surgical musculoskeletal specialists. To address this, NASS developed criteria to officially recognize ISMM fellowship programs that meet a standard of academic and educational rigor agreed upon by the NASS ISMM Fellowship Committee. A core curriculum has been developed to provide high quality, consistent clinical and procedural education for all matriculating trainees. All NASS-recognized ISMM Fellowships have agreed to participate in a Match program starting in 2020 for the 2021 and future incoming classes. This will be via NASS for the current cycle. Within this document, please find:
The ISMM Match Timeline (page 2)
Application Form (fellowship applicants; pages 38-41)
Program Director Forms (pages 42-51)
Fellowship Participation Agreement (programs and applicants; pages 52-60)
WHAT DISTINGUISHES NASS ISMM FELLOWSHIPS FROM PAIN FELLOWSHIPS? The primary focus of NASS-recognized ISMM fellowships is the clinical assessment and treatment of patients with spine and musculoskeletal conditions. The fellowships are unique from ACGME Pain Medicine fellowships, which require training in inpatient acute pain management, palliative care, psychiatry, pediatric pain management, and intubation. PROVISIONAL STATUS Programs that do not, yet, meet the criteria to be a NASS-recognized fellowship may apply for Provisional status and work toward Recognized status within a 2-year cycle. All provisional programs will follow the rules of the NASS-recognized programs and the 2 year clock begins upon approval of provisional status. Following is the list and description of all fellowships, their location (alphabetical by state, city) and program directors. Interested applicants should contact the programs directly for further information/instruction. Detailed program information begins on page 6.
2020-2021 Interventional Spine and Musculoskeletal Medicine (ISMM) Fellowship Match Timeline (for positions beginning July/August, 2021)
January 1, 2020
Applicant registration open; application is available on the NASS website: www.spine.org (Education/Interventional Spine and Musculoskeletal Medicine tabs; page 36). Contacts at each program are listed in the directory.
Please note that although registration is open up until the match deadline, applicants are encouraged to register as early as possible to allow time for application processing and interviews.
Wednesday, January 1-Saturday, July 25, 2020
Interview Period
Designated Interview Period.
Saturday, July 25, 2020 Certification of Rank
Lists
Program rank lists must be submitted by 6:00 PM (PT).
Applicants rank lists must be submitted by 6:00 PM (PT).
Wednesday, August 5, 2020
Match Day/Results
Match results are made available to programs and applicants.
Thursday, August 6, 2020
Post-Match Vacancies
Programs and Applicants will be provided a list of vacancies and may communicate directly in order to fill vacancies.
July/August 2021 Training Begins
Fellowship training begins.
NASS-RECOGNIZED INTERVENTIONAL SPINE & MUSCULOSKELETAL MEDICINE (ISMM) FELLOWSHIP DIRECTORY
ALABAMA Ortho Spine & Sports (Birmingham) Bradly S. Goodman, MD and Srinivas Mallempati, MD Contact: Brad Goodman, MD; [email protected] ARIZONA Barrow Brain & Spine (Phoenix) Scott Kreiner, MD Contact: Rebecca Kordys; [email protected] Desert Spine & Sports Physicians (Phoenix) Brad Sorosky, MD and Susan Sorosky, MD Contact: Kathryn Meloy, DSSP Practice Administrator; [email protected] CALIFORNIA Stanford PM&R Interventional Spine Fellowship (Palo Alto) Joshua H. Levin, MD and Matthew Smuck, MD Contact: Erin Nelligan; [email protected] GEORGIA Emory Orthopaedics and Spine Center (Atlanta) Jaymin Patel, MD and W. Jeremy Beckworth, MD Contact: Miki DeJean, MA; [email protected] MISSOURI Washington University (St. Louis) Heidi Prather, DO and Chi-Tsai Tang, MD Contact: Chi-Tsai Tang, MD; [email protected] NEW YORK HSS Physiatry Interventional Spine and Sports Medicine Fellowship (New York) Jonathan S. Kirschner, MD Contact: Anita Malhotra; [email protected] OHIO Cleveland Clinic Russell C. DeMicco, DO Contact: Leslie Berdecia; [email protected] PENNSYLVANIA NERA Spine & Sports Medicine (Bethlehem) Scott Naftulin, DO Contact: Meegan Dorsey; [email protected]
Spine Medicine Fellowship at the Hospital of the University of Pennsylvania (Philadelphia) Adrian Popescu, MD Contact: Nadia Miles; [email protected] OSS Health Interventional Spine & Sports (York) Michael B. Furman, MD, MS and Brian D. Steinmetz, DO Contact: Luanne McDonald; [email protected] SOUTH CAROLINA Medical University of South Carolina (Charleston) David R. O’Brien, Jr., MD Contact: Arleeta Burns; [email protected] TENNESSEE Vanderbilt University (Nashville) Byron J. Schneider, MD, FAAPMR and DJ Kennedy, MD Contact: Kara Dyer; [email protected] TEXAS Texas Spine & Scoliosis (Austin) E. Kano Mayer, MD and Enrique Pena, MD Contact: Ashely Duncan; [email protected] The Spine and Sports Center (Houston) Benoy V. Benny, MD Contact: Benoy Benny, MD; [email protected] UTAH University of Utah (Salt Lake City) Zachary McCormick, MD, FAAPMR Contact: Charis Wren; [email protected] VIRGINIA Virginia iSpine (Richmond) Michael J. DePalma, MD Contact: Brandy Glasgow; [email protected] Jordan-Young Institute (Virginia Beach) David S. Levi, MD and Scott I. Horn, DO Contact: Sydney Campbell; [email protected] WASHINGTON DC Spine & Pain Fellowship at International Spine, Pain & Performance Center/National Rehabilitation Hospital (Washington, DC) Mehul J. Desai, MD, MPH Contact: Melissa Falkowski; [email protected]
ISMM Fellowships/ Provisional Status MARYLAND Johns Hopkins (Baltimore) Akhil Chhatre, MD Contact: Akhil, Chhatre, MD; [email protected] PENNSYLVANIA The Rothman Institute (Philadelphia) Jeffrey A. Gehret, DO Contact: Jeffrey Gehret; [email protected] TEXAS UT Southwestern (Dallas) Ankit Patel, MD, Program Director Kavita Trivedi, DO, Associate Program Director Contact: Valeria Rodela; [email protected]
Alabama Ortho Spine & Sports Fellowship positions available: 4 Brad Goodman, MD Srinivas Mallempati, MD 1801 Gadsden Highway Birmingham, AL 35235 Phone: (205) 228-7600 Contact: Brad Goodman, MD Email: [email protected]
Website: www.alabamaorthospineandsports.com Approximate percentage of training of interventional spine procedures by region:
Cervical: 20% Thoracic: 10% Lumbar: 70% Fellowship Overview Our fellowship offers hands-on experience with all aspects of minimally invasive musculoskeletal and spinal interventions. Fellows receive experience in the evaluation and management of MSK/sports and spinal injuries. Procedures performed include kyphoplasty, spinal cord stim, superior/mild, ultrasound guided injections, PRP Stem Cells and all spinal injections. Drs. Goodman and Mallempati teach these procedures on a national level for NASS and other organizations. Procedures Taught PRP/Regenerative Medicine Ultrasound-guided interventions EMG/NCS Kyphoplasty/Vertebroplasty Spine Cord Stimulation Trials Spinal Cord Stimulation Implantation Sports Team Coverage Shoulder Arthrography Hip Arthrography Elbow/Wrist Arthrography Foot/Ankle Arthrography
Barrow Brain and Spine Academic Affiliation: University of Arizona College of Medicine - Phoenix Fellowship positions available: 1 D. Scott Kreiner, MD, Fellowship Director 4530 E Muirwood Drive, Suite 110 Phoenix, AZ 85044 Phone: (480) 765-5808 Contact: Rebecca Kordys Email: [email protected]
Approximate percentage of training of interventional spine procedures by region:
Cervical: 20% Thoracic: 1%-2% Lumbar: 79% Fellowship Overview Barrow Brain and Spine offers a 13-month fellowship in musculoskeletal medicine and interventional spine. We are currently working with our 12th fellow. Our practice is in a Phoenix suburb of young professionals and we have about 50-60% private insurance, 5% Workers Comp, and the rest (about 40%) Medicare. Our focus is acute and subacute injuries and pain with about 70-80% spine, the rest is other musculoskeletal injuries. Interventional spine training includes all traditional spine procedures with the exception of intrathecal pumps. As a matter of course, we do not do chronic narcotic management, so we haven’t had the need for pumps. We also utilize basic diagnostic musculoskeletal ultrasound examinations and use ultrasound-guidance for peripheral joint injections. The 13-month fellowship begins on July 15th of each year. Procedures Taught PRP/Regenerative Medicine Ultrasound-guided interventions EMG/NCS Kyphoplasty/Vertebroplasty Spine Cord Stimulation Trials Hip Arthrography
Desert Spine and Sports Physicians Fellowship positions available: 1-2 Susan Sorosky, MD; Brad Sorosky, MD, Fellowship Directors 3700 N. 24th Street, Suite 201 Phoenix, AZ 85016 Phone: (602) 840-0681 Contact: Kathryn Meloy, DSSP Practice Administrator Email: [email protected]
Approximate percentage of training of interventional spine procedures by region:
Cervical: 25% Thoracic: 10% Lumbar: 65% Fellowship Overview Desert Spine and Sports (DSSP) fellowship is a PM&R based program that strives to provide comprehensive interventional spine, sports, and musculoskeletal education in a private practice setting emphasizing ethical and evidence-based medicine. We have five board-certified PM&R physicians on staff who practice out of two offices in Phoenix and Mesa, both of which include fluoroscopic procedure suites and on-site physical therapy clinics. Education includes 1) Outpatient clinic - acute and chronic spine and musculoskeletal diagnoses, comprehensive neuromusculoskeletal exam, ordering and interpreting of diagnostic images - plain films, MRI and CT; 2) Fluoroscopically-guided spine and joint procedures - lumbar, cervical, and thoracic epidural injections/selective nerve root blocks and medial branch blocks and radiofrequency ablations, sacroiliac joint injections, intra-articular joint injections, sympathetic blocks, kyphoplasty, spinal cord stimulation trials; 3) Electrodiagnostic studies; 4) Musculoskeletal ultrasound-guided peripheral injections; 5) Platelet rich plasma joint and tendon injections; 5) Prolotherapy; 5) Coding and billing; and 6) Business skills and Practice Management. We also encourage/support fellows to participate in academy meetings, procedural workshops and other educational meetings throughout the year. We select one to two fellows each year who work directly under the supervision of a DSSP physician. A typical week consists of time in the fluoroscopic suite as well as the outpatient clinic which includes electrodiagnostic studies, ultrasound guided injections, and regenerative therapies. The fellow(s) are also responsible for presenting a total of 3 articles at our monthly journal club which includes community physical therapists and medical professionals and delivering a monthly didactic to the practice on a spine or musculoskeletal medicine topic. Physical exam and ultrasound guided injection didactics are also included throughout the year. Requirements for application to the DSSP fellowship include 1) Completion of an ACGME-accredited residency program in PM&R, 2) ABPMR board-certified or eligible, 3) Personal Statement, 4) Curriculum Vitae, and 5) Three letters of recommendation. Applications will be accepted until September 1st and should be emailed to Kathryn Meloy, DSSP Practice Administrator at [email protected]. After completed application materials are received, we
will review the material and contact selected applications for a two-day interview with the attending and current fellow physicians in both offices. Thank you for your interest. Procedures Taught PRP/Regenerative Medicine Ultrasound-guided Interventions EMG/NCV Kyphoplasty/vertebroplasty Spinal Cord Stimulation Trials Sports team coverage (if requested) Shoulder arthrography Hip arthrography Elbow/wrist arthrography (limited) Foot/ankle arthrography (limited)
Stanford University PM&R Interventional Spine Fellowship Fellowship positions available: 1 Josh Levin, MD, Fellowship Director Matthew Smuck, MD 450 Broadway St., M/C 6342 Redwood City, CA 94063 Phone: (650) 721-7627 Contact: Maria Anagnostou Email: [email protected] Website: http://ortho.stanford.edu/education/fellowship/InterventionalSpineFellowship.html Research/Publication Obligation: Yes Approximate percentage of training of interventional spine procedures by region: Cervical: 35% Thoracic: 5% Lumbar: 60% Fellowship Overview The goal of the Stanford University PM&R Interventional Spine Fellowship is to train a dedicated physiatrist in advanced diagnosis and comprehensive management of acute and chronic spine disease. The fellow will encounter a wide spectrum of conditions affecting the spine including those treated by medical, interventional, and surgical measures. The Stanford Spine Center is a word-class multidisciplinary facility with on-site clinics, imaging (ultrasound, x-ray, CT and MRI), electrodiagnostics lab, therapy gym, and surgery center. The fellow will work and learn in this dynamic environment under the guidance of the program director and its many faculty. Faculty include fellowship-trained spine and musculoskeletal specialists from PM&R, Orthopaedic Surgery, Neurosurgery and Radiology. The fellow is exposed to a broad range of procedures including ultrasound and fluoroscopic-guided percutaneous interventions (mix is approximately 30% cervical, 5% thoracic, 50% lumbar and 15% appendicular) and electrodiagnostic studies.
This is a strongly academic program. The fellow will have an integral role in education thru interactions with residents and medical students, and by contributing to and organizing aspects of the regular didactic program, spine indications conference, and cadaver lab sessions. The fellowship fosters clinical research and the fellow is expected to publish in a peer reviewed journal. Basic science research opportunities are available through interdisciplinary efforts for those interested.
This one-year fellowship begins each year on August 1 and is not ACGME-accredited. There is a stipend. Fellows must have a California Medical License and be Board Certified or Board eligible in PM&R before beginning the Fellowship.
Emory Spine Center of Emory University Fellowship positions available: 1
Jaymin Patel, MD, Fellowship Director W. Jeremy Beckworth, MD, Assistant Fellowship Director
59 Executive Park S. Atlanta, GA 30329 Phone: (216) 445-9234; Fax: (216) 636-2607
Contact: Miki DeJean, MA Email: [email protected]
Approximate percentage of training of interventional spine procedures by region:
Cervical: 30% Thoracic: 10% Lumbar: 60%
Fellowship Overview Emory Orthopaedics is proud to offer an Interventional Spine Fellowship for PM&R residency graduates interested in furthering their practical and academic interventional spine career. We will be participating in the North American Spine Society (NASS) Consortium of Fellowships. This is a 12-month fellowship, with one position available per year (August 1 – July 31).
Fellows will have the opportunity to work with one of the largest academic spine physiatry groups in the country. With over 29,000 outpatient visits and 7,000 procedures performed among all of our spine physiatrists, there is a great mix of degenerative, trauma, and deformity conditions as well as intermittent tumor and infection cases. Outpatient experience will include EMG/NCS, evaluation and treatment in the continuum of acute to chronic spine conditions to develop physical exam skills, imaging interpretation, treatment regimens and overall spine wellness.
An opportunity will also be available to participate in surgical clinics to understand the depth of a complete, interdisciplinary spine center. Procedural experience will include fluoroscopically guided spine interventions including epidural steroid injections, radiofrequency ablation, spinal cord stimulation trials and implantation, vertebral augmentation and ultrasound exposure. Experience with our neurosurgical faculty and orthopedic surgery faculty is readily available and encouraged.
The fellow will be expected to have an independent EMG/NCS clinic as a part of the fellowship and is expected to meet requirements to be eligible for Electrodiagnostic Board Certification.
Clinical research will be expected in addition to participating in resident education.
Procedures Taught Cervical-thoracic-lumbar epidural steroid injections Cervical-thoracic-lumbar facet joint interventions Ultrasound-guided Interventions EMG/NCS Kyphoplasty/Vertebroplasty Spinal Cord Stimulation Trials Spinal Cord Stimulation Implantation
PM&R Sports Medicine and Interventional Spine Fellowship at Washington University Chi-Tsai Tang, MD, Fellowship Program Director Heidi Prather, DO, Fellowship Program Associate Director Washington University Orthopedics 14532 South Outer Forty Drive, Suite 200 Chesterfield, MO 63017 Phone: (314) 514-3901 Contact: Christi Martine Email: [email protected] Email: [email protected]
Website: https://www.ortho.wustl.edu/content/Education/8260/Training-Programs/Fellowship-Training/Physical-Medicine-and-Rehabilitation-Interventional-Spine-and-Musculoskeletal-Medicine-Fellowship-Non-operative.aspx. Research/Publication Obligation: Yes Approximate breakdown of exposure to specific patient populations:
Spine: 60% Peripheral Joints: 20% Acute Injuries: 20% Fellowship Overview Washington University’s PM&R Sports and Interventional Spine fellowship offers the unique opportunity to train at a tertiary academic center and learn the gamut of musculoskeletal medicine from experts in the field PM&R, orthopedics, and neurosurgery. The fellowship allows exposure to a wide variety of patients including those with acute sports injuries as well as those with chronic low back and neck pain. You will learn to evaluate and conservatively treat all different types of musculoskeletal complaints, and learn the indications for surgical referral. You will work in a variety of different clinical settings, including a neurosurgery specialty clinic, a multidisciplinary clinic for underserved individuals, and an orthopedic injury clinic where fractures are routinely seen and managed. You will be in an attending physician’s clinic most times, but will also have the opportunity to independently manage patients with attending oversight. You will be taught by leaders in the field of PM&R, all with board certifications in sports medicine, pain medicine, or both. You will learn to perform various fluoroscopic guided injections, as well as ultrasound guided injections, and have the opportunity to continue performing EMGs. Washington University also has an ACGME accredited PM&R Sports Medicine fellowship, and you will work closely with this fellow throughout the year. Many of the didactics will be shared, and include weekly physiatry didactics/journal clubs, weekly sports medicine didactics, quarterly gatherings with physical therapists, and monthly conferences with neurosurgery spine. There will also be opportunities to spend time with specialists in orthopedic surgery, neurosurgery, radiology, emergency medicine, and pediatrics. There are also several Washington University sponsored courses throughout the year that the fellow can attend. This includes an annual introduction to musculoskeletal ultrasound course,
biannual movement systems impairment physical therapy course, and an annual sports medicine update course that the fellows can attend. The fellow will also have the opportunity to travel for an injection course during the year. Objectives of the Fellowship The goal of the fellowship is to train a well-rounded musculoskeletal physician, who is comfortable with seeing acute or chronic issues. The fellow should leave the fellowship competent in basic fluoroscopic spine and peripheral joint injections, as well as basic ultrasound guided injections. Depending on interest, the fellow has the opportunity to learn more advanced pain procedures as well. Scholarly activity is highly encouraged and there are ample opportunities to undertake a research project. Teaching is part of the fellowship and the fellow will have the opportunity to teach the PM&R residents during the year. Procedures Taught Fluoroscopic guided procedures: TFESI (C-T-L)
Facet (C-T-L) MBB (C-T-L) RFA (C-T-L, knee, hip) SIJ Hip, shoulder, ankle, elbow, other peripheral joints Ultrasound guided procedures: Shoulder (subdeltoid bursa, biceps tendon, glenohumeral joint, acromioclavicular joint) Hip (hip joint, piriformis, greater trochanteric bursa) Knee (knee joint)
HSS Physiatry Interventional Spine and Sports Medicine Fellowship Program Academic Affiliation: Hospital for Special Surgery/Weill Cornell Medicine Fellowship positions available: 2 Jonathan S. Kirschner, MD, Fellowship Director Hospital for Special Surgery 535 East 70th Street New York, NY 10021 Phone: (646) 714-6327 Contact: Anita Malhotra Email: [email protected]
Website: https://www.hss.edu/physiatry-spine-and-sport-medicine-fellowship.asp Approximate percentage of training of interventional spine procedures by region:
Cervical: 15% Thoracic: 2% Lumbar: 83% Fellowship Overview The fellowship focuses on a comprehensive, non-surgical approach to conditions and diseases that affect the musculoskeletal system with a focus on spine and sports medicine. We are looking to train future Academic Physiatry leaders and strong communication, interpersonal and leadership qualities are desired. Each fellow will learn to integrate the history, physical examination, and radiographic findings into a comprehensive rehabilitation plan. Our fellows build skills and knowledge of the indications and techniques for advanced physiatric care of musculoskeletal and sports injuries and work closely with orthopedic surgeons to better understand surgical options, indications and complications. They will be exposed to both common and uncommon peripheral nerve and brachial plexus disorders/injuries and participate in high-level electrodiagnostic studies. In addition they will learn to perform a wide array of interventional fluoroscopic procedures, including cervical and lumbar epidural injections (interlaminar, transforaminal and caudal) , facet injections, facet cyst aspirations and ruptures, medial branch blocks, radiofrequency ablation (cervical and lumbar), intra-articular hip and shoulder injections. Comprehensive ultrasound skills are acquired through an introductory ultrasound course with didactics and hands-on scanning, hip cadaver lab and daily clinical exposure. Fellows will be competent in most major joint, bursa, tendon, and PRP injections with ultrasound guidance and many sit for the RMSK exam. All fellows cover High School and Division I athletic events at Saint Peter’s University. Marathon coverage, adaptive sports and mass cardiac screenings round out the Sports Medicine exposure, along with an extremely robust year-long didactic curriculum shared by Primary Care Sports Medicine and Orthopedic Sports fellows and attendings. Fellows will
become competent in concussion evaluation and primary management under the direction of a board certified TBI fellowship trained physiatrist. In the course of fellowship training, there will be optional rotations with musculoskeletal radiologists and surgeons. Fellows attend weekly Sports Medicine and Spine lecture series. In addition, there are weekly Physiatry Grand Rounds and the option to attend additional weekly conferences in sports, spine, arthroplasty, radiology, foot & ankle and hand with some of the world’s experts. We have a robust research program and all fellows are required to perform research. Protected time and research support staff are provided. HSS is an equal opportunity employer and does not discriminate with regard to sex, color, creed, religion, sexual preference or disability.
Procedures Taught
Interlaminar Epidural Steroid Injections (C,T,L)
Medial branch blocks, intra-articular facet injections and RFA (C,T,L)
Caudal epidural injections
PRP/Regenerative Medicine
Ultrasound-guided interventions
EMG/NCS
Sports Team Coverage
Shoulder Arthrography
Hip Arthrography
Elbow/Wrist Arthrography
Foot/Ankle Arthrography
Spine Medicine Fellowship at the Cleveland Clinic
Russell DeMicco, DO, Fellowship Director
Santhosh Thomas, DO, MBA Co-Fellowship Director
Adrian Zachary, DO, MPH Co-Fellowship Director
Cleveland Clinic Center for Spine Health
9500 Euclid Avenue
Cleveland, OH 44195
Phone: (216) 445-9234; Fax: (216) 636-2607
Contact: Leslie Berdecia
Email: [email protected]
Email: [email protected]
Website: http://my.clevelandclinic.org/neurological_institute/spine/medical-
professionals/fellowships.aspx
Research/Publication Obligation: Yes
Approximate percentage of exposure to the Spine by region:
Cervical: 35%
Thoracic: 5%
Lumbar: 60%
Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: 60%
Trauma: 5%
Deformity: 10%
Tumor: 5%
Pediatric: 5%
Other 20%
Fellowship Overview
Cleveland Clinic's Center for Spine Health offers a unique opportunity to receive spine
medicine graduate training through our fellowship program. At Cleveland Clinic, you will have
the chance to work with some of the country's best Spine Medicine Physicians, Physiatrists,
Rheumatologists, Neurologists, Neurosurgeons, and Orthopaedists.
Our Orthopaedic Surgery, Rheumatology and Neuroscience programs are consistently ranked
among the top 10 in the nation and No. 1 in Ohio by U.S. News & World Report's Annual
"America's Best Hospitals" survey. Cleveland Clinic itself is ranked one of America's top
hospitals.
Our fellows are trained comprehensively - we focus not only on procedural techniques, but also
on spine wellness, surgical evaluations, image interpretation, pharmacologic therapies and
more. Fellows have opportunities to work with sports medicine, radiology, metabolic bone
disease, chronic pain rehabilitation program, and integrative medicine.
Objectives of the Fellowship
The goal of the Cleveland Clinic Spine Medicine Fellowship is to train broadly competent,
non-operative specialists in the evaluation and management of the full spectrum of spine
disorders. The unique integration of non-operative and surgical specialists within the Center for
Spine Health, provides fellows the opportunity to develop outstanding clinical skills grounded
in an evidence based framework.
Scholarly activity is encouraged and expected. Fellows are active participants in clinical
research and writing.
Fellows participate in weekly grand rounds and joint surgical/medical conferences as well as
tumor board, Cleveland Spine Review, spine research meetings, and cadaver workshops.
Fellows are also involved with resident and medical student education. The Cleveland Clinic
does have a PM&R Residency.
Procedures Taught
Fluoroscopically-Guided Procedures Include:
Facet Joint Injections (Cervical, Thoracic, and Lumbar (C-T-L))
Medial Branch Blocks (C-T-L)
Radiofrequency Ablation of the Medical Branch Nerves
Epidural Steroid Injections (Caudal, C-T-L Interlaminar, and C-T-L Transforaminal)
Sacroiliac Joint Injections
Intra-Articular Hip Joint Injections
Piriformis Injections
There is exposure to Ultrasound-guided Interventions, EMG/NCS, Vertebral Augmentation
(Vertebroplasty/Kyphoplasty), and Spinal Cord Simulation as well.
NERA Spine & Sports Medicine Academic Affiliation: Philadelphia College of Osteopathic Medicine Fellowship positions available: 1 Scott Naftulin, DO, Fellowship Director 3400 Bath Pike, Suite 400 Bethlehem, PA 18017 Phone: (610) 954-9400 Contact: Meegan Dorsey Email: [email protected] Website: nerehab.com Approximate percentage of training of interventional spine procedures by region:
Cervical: 30% Thoracic: 10% Lumbar: 60% Fellowship Overview Northeastern Rehabilitation Associates, PC (NERA) was founded in 1991. NERA is the region’s premier physician group specializing in Physical Medicine and Rehabilitation. In addition to providing comprehensive nonsurgical treatment for back and neck pain, our board certified physicians provide services for many other disabling conditions in both inpatient and outpatient settings. Our physicians subspecialize in Pain Management, Electrodiagnostic Medicine (EMG/Nerve Conduction Studies), Spinal Cord Injury, Stroke, Brain Injury/Concussion Management, Independent Medical Evaluations, and Sports Medicine. Procedures Taught PRP/Regenerative Medicine Ultrasound-guided interventions EMG/NCS Kyphoplasty/Vertebroplasty Spine Cord Stimulation Trials Shoulder Arthography Hip Arthrography
Spine Medicine Fellowship at the Hospital of the University of Pennsylvania- Penn Spine Center Adrian Popescu, MD, Fellowship Director SIS instructor
Ilya Igolnikov, MD Assistant Fellowship Director Penn Spine Center Department of Physical Medicine and Rehabilitation 1800 Lombard Street Philadelphia, PA 19146 Phone: 215-893-2668 Fax: 215-893-2686
Contact: Nadia Miles, Administrative Assistant Email: [email protected] Website: https://www.pennmedicine.org/departments-and-centers/physical-medicine-and-
rehabilitation/education-and-training/physical-medicine-and-rehabilitation-fellowship-
program
Research/Publication Expectations: Yes
Approximate percentage of exposure to the Spine by region: Cervical: 25% Thoracic: 5% Lumbar: 70% Approximate percentage of Fellowship exposure to the Spine by diagnostic category: Degenerative: 60% Trauma: 5% Deformity: 10% Tumor: <4% Pediatric: <1% Other: 20% Fellowship Overview Penn Spine Center at the Hospital of the University of Pennsylvania offers a unique opportunity to receive spine medicine graduate training through our fellowship program. Penn Spine Center has a long track record of outstanding successful spine specialists. As a graduate of the fellowship program, you will have control of comprehensive evaluation of patients with complex spine disorders including understanding advanced imaging studies, evidence based and ethical interventional treatments, and decision making process to provide expert spine care. Penn Medicine is ranked annually as one of America's top academic institutions. This is reflected in the educational experience for our trainees, opportunities for collaboration within the academic institution and the job placement post fellowship.
Our fellows have numerous opportunities to present for weekly spine rounds with top Penn spine surgeons, non-operative physicians and physical therapy colleagues. Occasionally, we have international visiting professors that give grand rounds. Our fellows are exposed to the most comprehensive spine care for a very diverse disease group patient population. Objectives of the Fellowship The goal of the Penn Medicine Spine Fellowship is to train top non-operative specialists in the evaluation and management of the full spectrum of spine disorders. The unique integration of non-operative and surgical specialists within the Penn Spine Center, provides fellows the opportunity to develop outstanding diagnostic clinical skills and procedural skills. Scholarly activity is encouraged and expected. Fellows are expected to participate in resident and medical student education. Procedures Taught ALL fluoroscopically guided procedures described in SIS Guidelines Fluoroscopically-Guided Procedures Include: Facet Joint Injections (Cervical, Thoracic, and Lumbar (C-T-L)) Medial Branch Blocks (C-T-L) Radiofrequency Ablation of the Medical Branch Nerves (C-T-L) Epidural Steroid Injections (Caudal, C-T-L Interlaminar, and C-T-L Transforaminal) Lumbar Discography Sacroiliac Joint Injections Intra-Articular peripheral joint injections Tendon Sheath Injections Ultrasound guided procedures and exposure to diagnostic ultrasound There is exposure to Ultrasound-guided Interventions in clinic with AIUM certified instructor
There is bi-monthly experience in Electrodiagnostics with AANEM board certified expert
There is exposure to Vertebral Augmentation (Vertebroplasty/Kyphoplasty) in Neuro
Interventional Radiology suite and exposure to BI-planar C-arm procedures with master
instructor –Neuro IR Faculty (unique opportunity for better understanding anatomy, planning
of the spine procedure using imaging, and safety of complex procedures)
Thank you for your kind consideration.
OSS Health Interventional Spine and Sports Fellowship
Fellowship positions available: 6 (3 starting January 1; 3 starting July 1) Michael B. Furman, MD, MS, Fellowship Director Brian D. Steinmetz, DO, Assistant Fellowship Director James J. Gilhool, DO, Assistant Fellowship Director Paul S. Lin, MD Shannon Schultz, MD Brady M. Wahlberg, DO OSS Health 1855 Powder Mill Road York, PA 17403 Phone: (717) 848-4800 ext. 4245 Contact: Luanne McDonald Email: [email protected] Website: https://osshealth.com/for-physicians/interventional-spine-sports-medicine-fellowship/ Research/Publication Obligation: Yes
Approximate percentage of training of interventional spine procedures by region:
Cervical: 35% Thoracic: 10% Lumbar: 55%
Fellowship Overview Please see our website for more information: Our twelve-month physiatric-based program has an optimal combination of academics within a private practice multi-specialty setting. We have trained over 80 graduates over the last 20 years. This program is ideally suited for those of you who seek training in the following:
Basic and Advanced Interventional Spine Care
Sports Medicine/Musculoskeletal Medicine
Advanced Electrodiagnostics
Advanced Imaging (MRI, CT, Nuclear)
Musculoskeletal Diagnostic and Therapeutic Ultrasound
Business skills, billing and coding
Practice Management/Building
Education Structured weekly didactics in Spine, MSK Ultrasound, Sports/MSK medicine Monthly Hands-on Workshops Monthly Sports/Orthopedic Case Conference (with orthopedics/primary care sports) Monthly Spine Case Conference (with orthopedic spine surgeons) Monthly Foot/Ankle Case Conference (with podiatry/ orthopedic foot/ankle) Elective Rotations with all Orthopedic specialties, Rheumatology, Podiatry within the practice Grand Rounds/Journal Club Annual Resident Course Bi-annual OSS Fellowship CME conference
Procedures Taught ~7,000 fluoroscopically-guided procedures/year ~2,000 Ultrasound-guided procedures/year ~120 OR-based procedures/year Basic and Advanced Cervical, Thoracic and Lumbosacral Spinal Interventions Kyphoplasty/Vertebroplasty Intracept Procedure (Basivertebral Nerve RF ablation) Superion Implant (Interspinous Spacer device) Spinal Cord and DRG Stimulation Trials and Implantations Intradiscal Interventions Intrathecal Pump Placement and Management Diagnostic Ultrasound Evaluations Ultrasound-guided interventions Tenex Tenotomy PRP/Regenerative Medicine EMG/NCS Arthrogram Procedures Myelogram Procedures Sports Team Coverage Orthopedic Urgent Care – reductions, splinting We train six fellows annually. Three (3) fellows begin their one-year training in July and three (3) begin their one-year training in January. The next open fellowship positions will be for those starting July 1, 2020 and January 1, 2021 Requirements Requirements for consideration for the OSS Health Interventional Spine and Sports Medicine Fellowships include the following:
Completion of an accredited North American Physical Medicine & Rehabilitation residency or other residency with a minimum of three months of electrodiagnostic
experience.
Current Pennsylvania Allopathic/Osteopathic medical and DEA licensures. These need to be current prior to your fellowship start date.
Confirmation of successful completion of the U.S. Medical Licensing Examination (USMLE) and/or the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) prior to program acceptance
Personal Statement
Curriculum Vitae
Three letters of recommendation, including one from your residency program director
Our application
Cover letter We are one of the NASS Interventional Spine and Musculoskeletal Medicine Fellowships and will be abiding by the September, 2019 Common Offer Date. You may contact our Fellowship Coordinator, Luanne McDonald, at [email protected] or (717) 718-2000, extension 2048 with additional questions.
Medical University of South Carolina Fellowship positions available: 2 David R. O’Brien, Jr., MD, Fellowship Director 96 Jonathan Lucas Street Suite 708A, MSC 623 Charleston, SC 29425 Phone: (843) 876-0111 Contact: Arleeta Burns Email: [email protected] Research/Publication Obligation: Yes Approximate percentage of training of interventional spine procedures by region:
Cervical: 35% Thoracic: 5% Lumbar: 60% Fellowship Overview Since 2001, Dr. O’Brien has been the Director of the first and only previously PASSOR-Recognized Interventional Spine and MSK fellowship in North Carolina with over 25 graduates. This program was successfully relocated to MUSC in Charleston SC in 2018. We have two openings for the 2019-2020 academic year. Our program is geared towards training Physiatrists in the diagnosis and treatment of spine and musculoskeletal disorders. Fellows receive hands-on training in a variety of fluoroscopically guided procedures, such as: lumbar, cervical, and thoracic epidurals, nerve blocks and facet injections, facet cyst rupture, discography, peripheral joint injections and arthrography of the hip, shoulders, sacroiliac joint, elbow, wrist, ankle, subtalar and knee, radiofrequency ablations, ultrasound-guided procedures, regenerative medicine and electrodiagnostic studies. Fellows are exposed to evidence based medicine, weekly lecture series, interventional spine didactic and lecture series and have the opportunity to participate in research projects. Fellows get significant training in health policy, medical coding and other business aspects of medicine. David O'Brien Jr., MD is an Associate Professor, Fellowship Director and Chief of Physiatry at MUSC. He has 4 Board Certifications in Physiatry, Pain Medicine, Sports Medicine and Electrodiagnostic Medicine. He is on the Board of Directors for the North American Spine Society (NASS) and serves as Health Policy Director. He is a past Board Member for the Spine Intervention Society and still serves on the SIS health policy council. He has numerous publications and has given over 100 national/international presentations in at least 8 countries and continues serve as course Director and/or faculty for numerous national and international cadaver courses. Benefits Include
Competitive salary with Health and Dental insurance.
NASS-Recognized Fellowship.
Charleston is a world-class destination with nearby beaches, ocean-oriented activities, golf,
restaurants, and colleges with numerous activities available.
Physicians who are in good standing in a clinical American Board of Medical Specialties
(ABMS) residency in Physical Medicine and Rehabilitation are eligible to apply. Start dates are
typically mid-summer. Applicants should send c/v and 2 letters of reference to: [email protected]
Procedures Taught PRP/Regenerative Medicine Ultrasound-guided Interventions EMG/NCS Kyphoplasty/Vertebroplasty Spinal Cord Stimulation Trials (optional) Sports Team Coverage (optional) Shoulder Arthrography Hip Arthrography Elbow/Wrist Arthrography Foot/Ankle Arthrography Radiofrequency Facet Denervation
Vanderbilt University PM&R Spine and Musculoskeletal Rehabilitation Medicine Academic Affiliation: Vanderbilt University Medical Center Fellowship positions available: 2 Bryon J. Schneider, MD, Fellowship Director David J. Kennedy, MD, Associate Fellowship Director Vanderbilt University Medical Center 2201 Children’s Way, Suite 1318 Nashville, TN 37212 Phone: (615) 936-5502 Contact: Kara Dyer Email: [email protected] Website: https://www.vumc.org/pmr/
Research/Publication Obligation: Yes Approximate percentage of exposure to the Spine by region:
Cervical: 30% Thoracic: 10% Lumbar: 60% Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: 45% Trauma: 10% Deformity: 15% Tumor: 5% Pediatric: 5% Other 20% Fellowship Overview Vanderbilt University Medical Center (VUMC) offers a unique opportunity to receive spine medicine graduate training through our North American Spine Society recognized (NASS) fellowship program. At Vanderbilt University Medical Center, you will have the chance to work with some of the country's best Spine Medicine Physiatrists, Neurosurgeons, Orthopaedic Spine Surgeons, Anesthesiologists, and therapists. VUMC is a U.S News & Report Honor Hospital, an honor which only the nation’s top 20 hospitals receive. VUMC offers experiences in a top tier academic facility with diverse patient populations, state-of-the art technology, cutting edge research, and outstanding faculty. Our comprehensive training focuses on evaluation and treatment throughout the disease continuum, including physical examination, imaging interpretation, therapy and medicine prescriptions, surgical evaluations, spine wellness, and extensive training in interventional spine procedures including the cervical, thoracic and lumbar regions all taught in accordance with Spine Intervention Society principles. Opportunities also exist at the Osher Center for Integrative health and the Dayani Center for Health and Wellness.
Objectives of the Fellowship The goal of the Vanderbilt University Medical Center PM&R Spine and Musculoskeletal Rehabilitation Medicine Fellowship is to train the future thought leaders in the field. To do so we offer an in-depth training in spine medicine, with a focus on interventional procedures and the research behind them. Scholarly activity is expected and supported. Fellows are active participants in clinical research and writing. Fellows participate in resident teaching to the Vanderbilt University Medical Center PM&R residency, weekly rounds, joint surgical/medical conferences, and spine research meetings. Procedures Taught Fluoroscopically-Guided Procedures Include: Epidural Steroid Injections (Transforaminal and interlaminar in the cervical, thoracic, and lumbar regions) Sacroiliac Joint Injections Medial Branch Blocks and facet joint injections (in all spine regions, including advanced procedures such as AA joint injections) Radiofrequency Ablation of the Medical Branch Nerves Intra-Articular Hip Joint Injections EMGs/NCS There is exposure to Ultrasound-guided Interventions, Vertebral Augmentation (Vertebroplasty/Kyphoplasty), and Spinal Cord Simulation as well.
Texas Spine and Scoliosis E. Kano Mayer, MD, Fellowship Director Enrique Pena, MD, Co-Fellowship Director Texas Spine & Scoliosis 1600 West 38th Street, Suite 200 Austin, TX 78731 Phone: (512) 342-3580 Contact: Ashley Duncan Email: [email protected] Email: [email protected]
Website: www.texasspineandscoliosis.com Research/Publication Obligation: No Approximate percentage of exposure to the Spine by region:
Cervical: 25% Thoracic: 5-10% (Scoliosis heavy) Lumbar: 65% Fellowship Overview Texas Spine and Scoliosis Center at the University of Texas Dell Medical Center is an interdisciplinary center that prides itself on a team-based approach to spine care combining the expertise of fellowship trained spine surgeons and interventionists, focusing on the promotion of conservative care. It is a regional center of excellence for deformity and tumor care with robust research output and a national profile in medical efficacy, outcomes, research, and socio-economic and medical policy issues. Interventionists and surgeons work side by side in clinic to create and integrated approach to delivering total spine care. Physicians meet on a weekly basis to present challenging cases in a multidisciplinary (physician, physician assistant, pain management, nursing and physical therapy) complex spine conference. The fellowship uses a sports-based rehabilitation approach combined with cutting-edge surgical techniques and facilities that emphasize functional return in the highly active Austin community. We are excited to offer both surgical and medical fellowship positions in our practice, giving us the opportunity to demonstrate the interdisciplinary methods we advocate. Objectives of the Fellowship The goal of the Texas Spine and Scoliosis Spine Medicine Fellowship is to produce the next generation of well-rounded spine care experts, committed to evidence based, integrated care. Fellows are expected to attend the weekly interdisciplinary spine case conferences.
Procedures Taught Cervical, Thoracic, Lumbar Fluoroscopically guided Interlaminar spine injection Cervical and Lumbar Transforaminal epidural steroid injection Cervical, Thoracic, Lumbar Medial Branch and facet injections Cervical, Thoracic, Lumbar Medial Branch Radiofrequency Neurotomy/rhizotomy Diagnostic sacroiliac joint blockade and therapeutic injection Diagnostic lateral branch blockade Intracept Procedure PRP/Regenerative Medicine Ultrasound-guided interventions EMG/NCS (Elective) Kyphoplasty/Vertebroplasty Spinal Cord Stimulation Trials Spinal Cord Stimulation Implantation (Elective) Sports Team Coverage Shoulder Arthrography (Elective) Hip Arthrography (Elective)
UT Southwestern Medical Center - Provisional Accreditation Status Fellowship positions available: 1 Ankit Patel, MD, Program Director Kavita Trivedi, DO, Associate Program Director 5323 Harry Hines Blvd Dallas, Texas 75390-9055 Phone: (214) 648-8581 Contact: Valeria Rodela Email: [email protected] Website: https://www.utsouthwestern.edu/education/medical-school/departments/physical-medicine/education-training/fellowship/spine-musculoskeletal.html Research/Publication Obligation: Yes Approximate percentage of exposure to the Spine by region:
Cervical: 30% Thoracic: 10% Lumbar: 60% Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: 65% Trauma: 10% Deformity: 10% Tumor: 5% Pediatric: 1% Other 10% Fellowship Overview UT Southwestern Medical Center's Department of Physical Medicine and Rehabilitation offers a one-year fellowship opportunity for Board Eligible/Board Certified physicians interested in Interventional Spine and Musculoskeletal Medicine (ISMM). Fellows will receive in-depth multidisciplinary training in various aspects of spine and musculoskeletal medicine. Fellows will work closely with members of an interdisciplinary spine program including fellowship-trained PM&R physicians in pain medicine and sports medicine, anesthesiology pain management physicians, orthopedic spine surgeons, neurosurgeons, radiologists, physical therapists, and psychologists. Fellowship Goals The goal of the Interventional Spine and Musculoskeletal Medicine (ISMM) fellowship at UT Southwestern Medical Center is to prepare the fellow with the comprehensive skill set necessary to fully evaluate and manage patients with acute and chronic spinal & musculoskeletal pain. We offer a comprehensive training program with exposure to patients with cervical/thoracic/lumbar spine disorders as well as a variety of musculoskeletal disorders.
Trainees will gain hands-on experience to a wide array of interventional procedures including cervical/thoracic/lumbar spine nerve blocks, facet blocks, epidural steroid injections, radiofrequency nerve ablations, sacroiliac joint injections, peripheral joint injections, dorsal column stimulator trials and implants, and vertebral augmentation. The fellow will also have the opportunity to improve his or her ultrasound and electrodiagnostic skills under the guidance of our musculoskeletal and sports medicine faculty members. The fellow will also have exposure to regularly scheduled didactic lecture series, grand rounds, journal clubs, and research meetings. Our mission is to provide mentorship and training to the next generation of leaders in the field. Duration/Positions Offered The duration for the NASS accredited ISMM fellowship is 1-year (August 1 through July 31) and one position if offered per year. Stipend and Benefits Fellows receive a substantial salary and are provided with a comprehensive benefits package (medical, dental, vision, supplemental life, AD&D insurance, long-term care insurance, flexible spending accounts and retirement) at little or no cost. For additional information regarding benefits, please visit the UT Southwestern Medical Center Human Resources website at https://www.utsouthwestern.edu/about-us/administrative-offices/human-resources/benefits-and-retirement/.
The Spine and Sports Center Number of fellowship positions: 1 Benoy Benny, MD, Fellowship Director 2100 West Loop South Suite 150 Houston, TX 77027 Phone: (713) 590-2700 Contact: Benoy Benny, MD Email: [email protected]
Website: https://www.thespineandsportscenter.com/fellowship-benoy-v-benny.html Research/Publication Obligation: Yes Approximate percentage of training of interventional spine procedures by region:
Cervical: 20% Thoracic: 5% Lumbar: 75% Fellowship Overview The Spine and Sports Center (TSASC) is a dynamic outpatient physiatry group based in Houston, Texas. TSASC is committed to excellence in clinical and interventional training of Spine and Musculoskeletal medicine. Our fellows learn clinical evaluation and decision-making skills in Spine and general Musculoskeletal disorders, as well as acquire competence in fluoroscopy-guided spine interventions (lumbar, sacral, cervical and thoracic). Key elements of the fellowship training include radiographic assessment, musculoskeletal ultrasound (for injection guidance and diagnostics), and business of outpatient practice. Our case mix is generally 70% spine, 30% general musculoskeletal/sports medicine. In addition to spine procedures, there is physical examination skills, EMG’s and ultrasound-guided joint and soft tissue injections (including platelet-rich plasma therapies [PRP], Bone marrow stem cell injections as well as other regenerative injections). This program is ideally suited for those of you who seek training in the following:
Basic and Advanced Interventional Spine Care
Physical exam and Diagnostic methods for identifying musculoskeletal and spine pain pathologies
Musculoskeletal and Sports Medicine
Musculoskeletal Ultrasound
Business skills, billing and coding The fellowship provides training in all aspects of Musculoskeletal Medicine and Interventional Spine Care including, but not limited to, fluoroscopically guided spine procedures,
electrodiagnostics, musculoskeletal ultrasound, and the management of general musculoskeletal/pain disorders. The fellow will feel very comfortable in the care of the spine, shoulder, knee and hip. The fellowships include high school football coverage, team physicals as well as coverage of local sports like the Houston Marathon. The fellowship training emphasizes the use of diagnostic and therapeutic cervical, thoracic and lumbosacral spine procedures. These include diagnostic and therapeutic epidural steroid injections, sacroiliac injections, facet procedures (including radiofrequency denervation), provocation discography, percutaneous intradiscal procedures. Training also includes regenerative medicine and the interpretation of MRI, CT and plain films. Emphasis is placed on selection of appropriate patients based on a comprehensive neuromusculoskeletal evaluation including history, physical examination and diagnostic image interpretation. When appropriate, therapeutic image guided procedures are incorporated into a comprehensive rehabilitation program.
Training also includes a thorough understanding of practical issues such as business skills, billing and coding to prepare physicians for private or academic practice. The practice also includes time spent in physical therapy to see how that is an integral part of a comprehensive conservative spine and musculoskeletal practice. Research will be a part of the Fellowship where they will be expected to be involved in at least one research project to be submitted for publishing. Teaching and journal clubs will also be part of the fellowship curriculum. Each fellow will also be expected to participate in outpatient clinics both independently and directly supervised by their attending physicians. Their exposure in addition to PM&R will also be with exposure and an understanding of what spine orthopedists, sports orthopedists and neurosurgeons do, that will help them tremendously when they finish their fellowship. Procedures Trained In
Cervical, thoracic, lumbar epidural injections
Cervical, thoracic, lumbar selective nerve injections
Cervical, thoracic, lumbar facet joint injections
Cervical, thoracic, lumbar medial branch blocks
Sacroiliac joint injections
Intraarticular hip, knee, and shoulder injections
Facet procedures (including radiofrequency neurotomy)
Lumbar discography and intradiscal therapeutic procedures
Tenotomies
Percutaneous Disc Decompression
Vertebral augmentation
Arthrograms
Interpretation of MRI, CT and plain films
Musculoskeletal ultrasound
Opportunity to learn ultrasound guided injections
Electrodiagnostic skills
Opportunity for conference time (i.e. spinal procedure didactic conference such as AAPM&R, NASS, SIS, etc.)
Management of general musculoskeletal/pain disorders and pain conditions.
Joint / bursa / trigger point injections
Platelet-rich plasma (PRP) therapy
Regenerative injections
Bone Marrow stem cell injections
Sports Teams coverage include high school football, team physicals and the Houston Marathon
University of Utah Interventional Spine and Musculoskeletal Medicine Fellowship Fellowship positions available: 1 Zachary McCormick, MD, Fellowship Director 590 Wakara Way Salt Lake City, UT 84108 Phone: (801) 587-5458 Contact: Charis Wren Email: [email protected] Website: https://medicine.utah.edu/pmr/fellowships/interventional-spine/ Research/Publication Obligation: Yes Approximate percentage of exposure to the Spine by region: Cervical: 35% Thoracic: 5% Lumbar: 60% Fellowship Overview The Interventional Spine Fellowship at the University of Utah is a non-ACGME fellowship program that emphasizes the recruitment and training of the next generation of academic and clinical leaders in the field of Spine Medicine. Very strong faculty mentorship distinguishes this program from many others. This fellowship is a specialized post-graduate training program designed to provide focused knowledge and skills in the management of persons with spine and musculoskeletal disorders. This is a 12-month program that offers clinical and interventional care, teaching, research experiences, and leadership development. The academic environment emphasizes an approach to clinical problem solving, encouraging self-directed study, the development of analytic skills, and sound procedural judgment. The mission of the program is to provide spine and musculoskeletal medicine education to academically inclined physiatrists who have completed an accredited residency training program, and who wish to bring excellence to the field of Physical Medicine & Rehabilitation. Clinical Education
Exposure to acute, sub-acute and chronic spine and musculoskeletal pathology University of Utah outpatient spine clinics both independently and with direct
attending supervision Opportunity to learn fluoroscopically guided spinal injections and ultrasound-guided
injections under direct attending supervision. The mix is approximately 35% cervical, 5% thoracic, 55% lumbar and 5% appendicular. Experience includes spinal injections from upper cervical to sacral levels, radiofrequency neurotomy, and neuromodulation. Exposure to cadaver courses is available and encouraged.
Opportunity to rotate with radiologists, orthopaedic surgeons, and neurosurgeons, and immediate access to these specialists for consultation/education
Exposure to shadowing spine-specialized physical therapists Progress to independence through continuity clinic Maintain and sharpen electrodiagnostic skills (optional)
Didactic Education
Core Fellowship Didactic Lecture Series: Spinal anatomy, kinesiology, diagnostics, therapeutics.
Spinal procedure case conference Journal club Ultrasound Bootcamp Department of PM&R Grand Rounds
Teaching Opportunities
Organize journal club conference Deliver lectures during didactic conferences Facilitate spinal procedure case conference Supervise medical students and PM&R residents during their clinical rotations
Research Opportunities
Adopt and work on impactful spine/musculoskeletal research projects, supported by strong faculty mentorship
Prepare and give grand rounds style presentations Publish peer-reviewed journal articles and research abstracts, supported by strong
faculty mentorship Publishable textbook chapters Present at National/International meetings
Procedures Taught PRP/Regenerative Medicine Ultrasound-guided interventions Kyphoplasty/Vertebroplasty (optional) Spinal Cord Stimulation Trails Spinal Cord Stimulation Implantation Shoulder Arthrography Hip Arthrography Elbow/Wrist Arthrography Foot/Ankle Arthrography
Virginia iSpine Physicians, PC Fellowship positions available: 1-2 Michael J. DePalma, MD, Fellowship Director 9020 Stony Point Parkway Suite 140 Richmond, VA 23235 Phone: (804) 330-0303 Contact: Brandy Glasgow Email: [email protected]
Website: www.vaispine.com Approximate percentage of training of interventional spine procedures by region:
Cervical: 20% Thoracic: 15% Lumbar: 65% Fellowship Overview
The Virginia iSpine Physicians Interventional Spine Care fellowship program is a rigorous
training program that teaches physiatrists an evidence based, algorithmic approach to
diagnosing and treating painful spinal disorders. Fellows learn how to critically evaluate and
interpret historical features, physical exam findings, diagnostic imaging features, and
electrodiagnostic evaluations to formulate a comprehensive differential diagnosis. Inherent in
this process is the judicious use of fluoroscopically guided precision spinal procedures to
accurately diagnose and optimally treat symptoms.
Fellows contribute to original research, grant writing, abstract and manuscript preparation, and
student, resident, and patient education. These research and community outreach activities are
orchestrated through the Virginia Spine Research Institute, Inc.
Fellows trained in this curriculum will learn how to operate an efficient iSpine practice,
practice evidence based spine medicine, and conduct meaningful spine research. A minimum 2
day interview visit is required after application submission and invitation to visit. Two
positions are offered starting in July and September of each academic year. Interviews are
conducted starting in May and run through mid August of the preceding calendar year.
Interested applicants should submit a letter of intent, personal statement, current CV, 3 letters
of recommendation, USMLE (or equivalent) and SAE scores to Dr. Michael J. DePalma
by email. Procedures Taught Ultrasound-guided interventions EMG/NCS Kyphoplasty/Vertebroplasty Spine Cord Stimulation Trials Other: Medial Branch Blocks; Radiofrequency Ablation; TFESI’s; Intradiscal Procedures
Jordan-Young Institute Number of fellowship positions: 1 David S. Levi, MD Scott I. Horn, DO 5716 Cleveland Street Virginia Beach, VA 23462 Contact: Sydney Campbell MSEd, ATC, VLAT | Clinical Manager and Athletic Trainer Email: [email protected] Website: https://www.jordan-younginstitute.com Research/Publication Obligation: Yes Fellowship Overview Overview: Our fellowship offers hands-on experience and training in non-surgical spine and general musculoskeletal interventions. There’s a strong focus on fluoroscopic guided interventional spinal procedures. Drs. Horn and Levi serve as instructors for spinal injection courses at the national level for NASS and other organizations. The fellow will gain experience in regenerative medicine procedures including PRP and bone marrow concentrate for spine and peripheral joints. Non-axial joint interventions are performed under ultrasound guidance and the fellow will gain experience in musculoskeletal ultrasound for needle guidance and diagnostics. The Jordan-Young Institute prides itself on a positive and enthusiastic work environment. It is essential to the practice that providers and support staff work as a unit to improve patient care and quality health care experience. Procedures Taught Epidural steroid injections transforaminal and interlaminar (C,T,L) Facet joint intra-articular (C,T,L) Facet joint medial branch blocks Radiofrequency neurotomy (C,L) Sacroiliac joint injections Sacroiliac joint radiofrequency neurotomy Lumbar discography Spinal cord stimulator trials PRP and bone marrow concentrate: spine and peripheral joints, tendons and ligaments. Ultrasound guided peripheral injections including shoulder, elbow, wrist, hand, hip, knee, ankle and foot.
Spine & Pain Fellowship at International Spine, Pain & Performance Center/National Rehabilitation Hospital Fellowship positions available: 1 Mehul J. Desai MD, MPH, Program Director Faculty: Puneet Sayal, MD, MPH International Spine, Pain & Performance Center 2141 K Street NW Suite 600 Washington, DC 20037 202.808.8295 | 202.808.8296 fax Contact: Melissa Falkowski Email: [email protected] Email: [email protected] Website: www.isppcenter.com Research/Publication Obligation: Yes Approximate percentage of exposure to the Spine by region:
Cervical: 40% Thoracic: 10% Lumbar: 50% Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: 60% Trauma: 5% Deformity: 10% Tumor: 5% Pediatric: 5% Other 20% Fellowship Overview International Spine, Pain & Performance Center/National Rehabilitation Hospital provides a unique opportunity to receive spine, pain medicine and musculoskeletal medicine graduate training through our fellowship program. The International Spine, Pain & Performance Center (ISPPC) is an integrated, interdisciplinary practice including Physiatrists, Anesthesiologists, Physical Therapists, Nutritionists and Behavioral Health providers. The National Rehabilitation Hospital (NRH) is ranked as one of the top Rehabilitation Hospitals in the United States. NRH hosts a number of additional fellowship training programs including traumatic brain injury, cancer rehabilitation and sports medicine. Our fellows are trained comprehensively - we focus not only on procedural techniques including fluoroscopically and ultrasound-guided, but also on diagnostics, physical
examination, spine and overall wellness, radiographic interpretation, pharmacologic therapies and more. Fellows have opportunities to work with sports medicine, radiology, metabolic bone disease, physical therapy and integrative medicine. The goals of the fellowship are:
To train the next generation of musculoskeletal pain and spine specialists.
To educate fellows in the full spectrum of care.
To contribute to the continued development of clinical research in these areas. Scholarly activity is required. Fellows are active participants in clinical research and writing. Fellows participate in weekly grand rounds and salient lectures at NRH, pain and spine research meetings, and cadaver workshops. Fellows are also involved with resident and medical student education. Medical Students from George Washington University and physical medicine & rehabilitation residents from NRH rotate at the ISPPC. NRH sponsors a PM&R residency-training program. Procedures: Fluoroscopically Guided Procedures Include:
Intra-articular Facet Joint Injections (Cervical, Thoracic, and Lumbar (C-T-L))
Medial Branch Blocks (C-T-L)
Radiofrequency Ablation of the Medical Branch Nerves (C-T-L and SI)
Radiofrequency Ablation of the Knee and Hip
Epidural Steroid Injections (Caudal, C-T-L Interlaminar, and C-T-L Transforaminal)
Sacroiliac Joint Injections
Intra-Articular Hip Joint Injections
Piriformis Injections
Trigeminal Nerve Blocks and Ablation
Vertebral Body Augmentation (Vertebroplasty/Kyphoplasty/Sacroplasty)
Peripheral Nerve Stimulation
Spinal Cord Stimulation (Trial & Implant)
Intrathecal Drug Delivery (Trial & Implant)
Interspinous Spacers
Prolotherapy
Platelet-Rich Plasma
Bone Marrow Concentrate Ultrasound-guided Interventions Include:
Peripheral Joint Injections
Peripheral Nerve Blocks
Prolotherapy
Platelet-Rich Plasma
Bone Marrow Concentrate
Peripheral Nerve Stimulation
Tendon/Ligament Injections
North American Spine Society Interventional Spine and Musculoskeletal Medicine Fellowship Common Application MD PhD DO Other
Name Last First Middle
Date of Birth (MM/DD/YY) SSN
Address City, State, ZIP
Home Phone Cell Phone Other Phone
E-mail Alternate E-mail
Current Hospital/Institution City, State, ZIP
PLEASE COMPLETE THE FOLLOWING CONCERNING ANY REVOCATIONS AND/OR DENIED PRIVILEGES.
Have you ever been denied a license and/or privileges?
If YES, please provide information concerning the incident(s):
Are you required to fulfill any service obligations post-fellowship (i.e. National Health Service Corps, Armed Forces Scholarship, state programs, etc.)?
If YES, please state your service start date and length
Citizenship United States Other (specify) Visa Status
Permanent Contact Name
Address Phone
USMLE/COMLEX Scores
Step 1 Step 2 Step 3
Date Date Date
Board Certified Specialties (if applicable)
Year Certified Expires
MEDICAL TRAINING & EDUCATION
Residency
Program/Hospital Name, City, State Specialty Dates (M/Y-M/Y)
Residency
Internship
Honors/Awards
Program/Hospital Name, City, State Type Dates (M/Y-M/Y)
Honors/Awards
Research Experience
Research Topic
Institution Name, City, State Dates (M/Y-M/Y)
Duties
Research Experience
Honors/Awards
Research Topic
Institution Name, City, State Dates (M/Y-M/Y)
Duties
Honors/Awards
Medical School
Institution Name, City, State Degree Dates (M/Y-M/Y)
Graduate
(If applicable)
Undergraduate
Honors/Awards
Honors/Awards
Institution Name, City, State
Institution Name, City, State
Degree & Major
Degree & Major
Dates (M/Y-M/Y)
Dates (M/Y-M/Y)
Undergraduate
Honors/Awards
LETTERS OF RECOMMENDATION, IN ADDITION TO THE DEAN'S LETTER, HAVE BEEN REQUESTED FROM THE FOLLOWING INDIVIDUALS: (All letters must be on letterhead with the recommender's signature or e-signature)
Name Title Institution Address
Please select one:
I hereby waive the right to access the above letters and will so inform the authors.
I hereby reserve the right to access the above letters and will so inform the authors.
By typing your name below you are submitting an e-signature which will act as your signature confirming your understanding and adherence to the following statement:
I have read and I understand the instructions for completing this application. I certify that the information submitted in this application, and in supplemental documents, is complete and accurate to the best of my knowledge. I understand that any false or missing information may disqualify me for this position.
Signature of Applicant Date
Instructions for Application to the NASS Interventional Spine and
Musculoskeletal Fellowship Program PLEASE READ CAREFULLY
1. Please include your CV and PERSONAL STATEMENT as separate documents.Your CV should include (but is not limited to) the following:
- Additional research experience- Publications & contributions (abstracts, manuscripts, peer-reviewed articles, presentations)
- Memberships & Professional/Society Meetings (if applicable)- Community service work- Certifications- Honors- Licenses, etc.
Your PERSONAL STATEMENT should include your short and long-term professional goals and why you are interested in pursuing an interventional spine and musculoskeletal medicine fellowship.
Please submit the completed application form to each individual NASS ISMM Fellowship program. Each individual program may have additional requirements.
The full list of NASS-recognized ISMM Fellowship programs can be found on the NASS website:https://www.spine.org/Portals/0/Assets/Downloads/Education/ISMMFellowshipDirectory.pdf
PROGRAM DIRECTORS INTRESTED IN AN ISMM FELLOWSHIP
Thank you for your interest in the NASS-recognized Interventional Spine and Musculoskeletal Medicine (ISMM) Fellowship. In order to be a NASS-recognized fellowship, the program will need to meet the points criteria as outlined on the ISMM Fellowship Qualification System (pages 49-50). It is not required to be NASS-recognized to have the fellowship listed on the website, however, the program will need to meet the point system to be part of the SF Match process, when that time comes. Programs and Program Directors that do not meet the points criteria to be a NASS-Recognized fellowship may apply for Provisional Status and work toward Recognized Status within a 2-year cycle (see attached document for details; page 61). The Fellowship Curriculum Standards Document on pages 43-48 is informational. Please fill out the necessary documents on the following pages and return to Colleen O’Brien at [email protected]. (applications are reviewed twice per year with deadlines of July 31st and January 31st to submit all materials). Fill out and return:
Points Qualification System* (pages 49-50)
Program Template to have your program listed in the online directory (page 51)
Fellowship Participation Agreement (pages 52-60)
ISMM Fellowship Provisional Status (page 61)
The application also requires current CVs for the Program Director(s)/Associate/Co-director.
*Points Qualification
1st NASS-recognition term = 2 years. If the program re-qualities for "recognition" status, terms are 5 years thereafter.
250+ points required for NASS-recognition if the program is run by a fellowship director within 5 years post-training. Provisional Status is granted for 200-249 points in this scenario.
350+ points required for NASS-recognition if the program is run by a fellowship director with >5 years of experience post-training. Provisional Status is granted for 300-349 points in this scenario.
Associate PD points are worth 1/2 of total.
Provisional status qualification: 150 points. Must meet 350 points within 2 years to become recognized. If this standard is not met, the program loses provisional status.
Points must be reviewed independently by two NASS ISMM Fellowship Committee members, who will make a recommendation to the committee as a whole for a vote.
Applications for NASS-recognition will be reviewed twice per year with deadlines of July 31st and January 31st to submit all materials.
1
Fellowship in Interventional Spine and Musculoskeletal
Medicine
Curriculum Template
I. MEDICAL ASSESSMENT AND MANAGEMENT
Unit Objectives: Demonstrate an understanding of the functional anatomy, biomechanics,
physiology, and pathophysiology of the spine, related supporting muscles and ligaments,
and neural elements. Demonstrate knowledge of the clinical presentation of the disorders
affecting the spine, neural elements, and supporting structures. Demonstrate the ability to
perform an appropriate history and physical examination, select appropriate diagnostic
studies and implement a treatment plan incorporating the indicated pharmacologic,
nonpharmacologic, and complementary modalities.
A. Clinical Skills
1. Describe the practical anatomy of the cervical spine, thoracic spine,
lumbar spine, pelvis, and sacrum. Review the fundamental
biomechanics of the spinal column, including the discs, facet joints, and
supporting myofascial tissues. Describe the clinical neuroanatomy of
the spinal cord, spinal roots, and cauda equina
2. Perform a comprehensive spinal evaluation including history and
physical examination, including neuromuscular assessment. Identify
nonorganic physical signs. Assess proximal joints (shoulders and hips).
Perform physical examination testing for the sacroiliac joint.
3. Demonstrate an understanding of radiologic imaging studies and
interventions as they specifically relate to spine patients:
a. Describe the indications for plain radiography in spinal disorders.
Outline the indications for special views, e.g. oblique views,
flexion/extension, scoliosis series.
b. Identify normal and abnormal anatomy as visualized on spinal CT and
MR imaging. Describe the degenerative cascade as seen on MR
imaging, including type 1, 2, and 3 endplate changes.
c. Describe the most appropriate imaging strategy for specific spinal
disorders including: acute vertebral compression fracture, discitis,
osteomyelitis, pars fractures, arachnoiditis, tumors, chiari
malformations, “instability”, spondyloarthropathy, malignancy, and
spinal hardware loosening or compromise.
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d. Discuss the indications for spinal myelography
e. List the indications for CT and MR guided biopsies
f. List the contraindications to MR imaging and myelography.
g. Describe the limitations of spinal imaging, including “false positive”
findings in asymptomatic populations.
4. Review the indications for electrodiagnostic testing in spinal patients,
and understand how to properly interpret an electrodiagnostic study.
Spinal Segment/ System-specific Modules (A-E)
For each spinal segment, system, or special population-specific section below (A-E), the
following should be discussed:
1. For “axial”/non-radicular pain within the segmental region
a. Differential Diagnosis
b. Clinical Presentation, relevant physical examination
c. Indications for spinal imaging and considerations
d. Indications for interventional diagnostic testing
e. Management of acute, subacute, and chronic pain within the segmental
region; prognosis.
f. Indications for surgical evaluation
2. For radicular pain within the segmental region
a. Differential Diagnosis
b. Clinical Presentation, relevant physical examination
c. Indications for spinal imaging and considerations
d. Indications for interventional diagnostic testing
e. Medical and Interventional management of acute, subacute, and chronic
pain within the segmental region; prognosis
f. Indications for surgical evaluation
Spinal Segment-specific considerations that should be discussed:
B. Cervical Spine
5. Cervical facet joint syndrome, cervicogenic headache, and whiplash
6. Cervical central canal stenosis with and without myelopathy
7. Cervical Disc herniation with and without radiculopathy
8. Cervical spondylosis with and without radiculopathy
9. Cervical region myofascial pain
C. Thoracic Spine
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10. Thoracic facet joint syndrome
11. Costovertebral and costo-transverse joint pathology
12. Thoracic central canal stenosis with and without myelopathy
13. Thoracic Disc herniation with and without radiculopathy
14. Thoracic spondylosis with and without radiculopathy
15. Thoracic region myofascial pain
16. Thoracic vertebral body compression fracture; review medical work-up
and management of low bone mineral density; spinal orthoses.
D. Lumbarsacral Spine
1. Lumbosacral facet joint syndrome
2. Lumbar central canal stenosis with and without cauda equina
compromise, neurogenic claudication
3. Lumbar disc herniation with and without radiculopathy, cauda equina
syndrome
4. Lumbar spondylosis with and without radiculopathy
5. Spondylolisthesis
6. Degenerative Scoliosis
7. Lumbar disc pain, internal disc disruption
8. Vertebrogenic low back pain
9. Lumbar region myofascial pain
10. Lumbar vertebral body compression fracture
11. Piriformis syndrome
12. Sacroiliac joint region pain
13. Coccidynia
E. Inflammatory/Infectious/Visceral
14. Inflammatory Spondyloarthropathies; non-spinal manifestations of
these disorders.
15. Discitis and vertebral osteomyelitis.
16. Non-spinal causes of back and neck pain including mediastinal,
gastrointestinal, gynecologic, genitourinary, vascular, and
rheumatologic.
E. Pediatric Spinal Disorders
4
17. List common causes of back and neck pain in the pediatric population,
including pars fracture and myofascial syndromes. Describe diagnosis
and management of acute pars fracture.
18. Review the evaluation and management of adolescent scoliosis,
including indications for bracing and surgery.
F. Non-Interventional Therapeutics
19. Review the pertinent clinical pharmacology of nonsteroidal anti-
inflammatory drugs and their role in the management of spinal pain.
Discuss contraindications to NSAIDs, potential drug interactions, and
appropriate monitoring for toxicity.
20. Review the pertinent clinical pharmacology of antidepressants,
anticonvulsants and muscle relaxants and their role in the management
of spinal pain. Discuss contraindications to these agents, potential drug
interactions, and appropriate monitoring for toxicity.
21. Review the pertinent clinical pharmacology of nonopioid and opioid
analgesics and their role in the management of spinal pain. Discuss
contraindications to opioids, potential drug interactions and appropriate
monitoring for toxicity. Review the issues of tolerance, diversion and
abuse as they relate to the use of opioid agents in spinal pain.
22. Review the pertinent clinical pharmacology of commonly used herbal
products and nutritional supplements and their role in the management
of spinal pain. Discuss contraindications to these agents, potential drug
interactions, and appropriate monitoring for toxicity.
23. Review the evidence for efficacy of alternative/complementary therapy
including TENS, acupuncture, massotherapy, prolotherapy, spinal
distraction and manipulation in spinal disorders. Outline potential
adverse effects.
24. Describe the indications for physical therapy in the management of
acute, subacute and chronic back pain. Review the role of active
exercise in treatment of spinal conditions. Describe the elements of and
rationale for different therapy approaches including McKenzie,
stabilization, flexion, and others. Describe the indications for the use of
modalities such as ultrasound and electrical stimulation.
25. Describe the unique clinical issues in evaluation and management of
spinal pain in geriatric patients.
5
26. Describe the significance of psychosocial issues as they relate to spinal
pain management. Demonstrate competence is evaluating patients for
the presence of significant psychosocial issues. Outline the concepts of
central and peripheral sensitization, including the neurophysiologic
basis for psychosocial impact on pain perception. Describe the role of
consultants in psychiatry or psychology in the comprehensive
multidisciplinary management of complex pain disorders.
27. Understand the appropriate role, limitations, and indications for
functional capacity evaluation. Describe the concept of an independent
medical evaluation, as well as the reporting and confidentiality
limitations of such an exam. Describe the concepts of impairment and
disability. Outline the differences between current disability systems
including social security and workers’ compensation.
II. Interventional Spine Care
Unit objective: Demonstrate understanding of the pertinent regional anatomy and
innervation of the spine including facet joints, medial branch nerves, and sacroiliac joints.
Understand the clinical pharmacology of local anesthetics and corticosteroids used in
interventional spine procedures, including contraindications and adverse effects.
Demonstrate a knowledge of the clinical indications for the full range of diagnostic and
therapeutic spine procedures. Demonstrate a knowledge of the complications,
difficulties, and contraindications to these procedures. Demonstrate prevention and
management strategies for complications arising from interventional spine procedures.
Demonstrate the ability to perform a facet (zygapophysial or z-joint) arthrogram and
intra-articular facet (zygapophysial or z-joint) joint injections, medial branch blocks,
transforaminal epidural injections, interlaminar epidural injections, caudal epidural
injections, sacroiliac joint injections, and intra-articular hip joint injections.
For all below subsections (A-G), the following should be reviewed/conducted:
1. Identification of appropriate candidates for the procedure
2. List the potential complications, difficulties, and contraindications to the
procedure.
3. List necessary supplies, solutions, and needles required to perform the injection.
4. Identification of all structures traversed along the path to the intended final needle
position, as well as the regional neurovascular anatomic correlations with bony
landmarks as viewed by fluoroscopy; identification of the appropriate orientation
of approach and fluoroscopic projections for procedural safety and effectiveness.
5. Under fluoroscopic guidance and staff supervision, correctly position needle(s)
for the safe and effective completion of the procedure.
6
6. Understand post procedure management, including assessment of diagnostic
response using a post procedure pain diary (when relevant).
Procedure-specific considerations that should be discussed:
A. Facet joint injections (cervical, thoracic, and lumbar (C-T-L)
B. Medial/lateral branch blocks (C-T-L-S)
6. Describe the function and course of the medial and lateral branch
nerves, identifying the location on spine model, anatomic drawing, and
imaging. Include discussion of the “exceptions” (i.e. third occipital nerve,
L5 dorsal ramus).
7. Describe why steroids are not indicated for medial or lateral branch
blocks.
C. Radiofrequency ablation procedures
9. Describe the appropriate settings in the importance of impedance in
radiofrequency ablation.
10. Describe considerations of grounding pad location
D. Epidural steroid injections (caudal, C-T-L interlaminar, and C-T-L
transforaminal)
E. Intra-articular sacroiliac joint injections
F. Intra-articular hip joint injections
30. Describe the indications for doing an intra-articular hip injection and
when/why it may be appropriate to do the injection with local anesthetic
only. Describe which local anesthetics are most chondrotoxic.
G. Clinical pharmacology for interventional procedures
36. Discuss the pertinent clinical pharmacology of different corticosteroid
used for interventional procedures, including duration and mechanism of
action. Describe why dexamethasone is recommended as the first line
steroid choice in TFESIs. Understand that no steroids are FDA approved
for epidural use.
37. Discuss risks and contraindications to corticosteroid therapy.
38. Describe the various anesthetics used to perform diagnostic and
therapeutic interventional procedures, including duration of action,
adverse effects, and contraindications to use.
Interventional Spine & Musculoskeletal Medicine Fellowship Directory Program Listing Program Director:
Please check to acknowledge if you are applying for a NASS recognized fellowship. If Yes, please fill
out and submit the attachment along with your CV.
Name of Fellowship:
Number of fellowship positions available:
Address:
City, State, Zip / Province, Postal Code
Phone number: Fax Number:
Contact Name: Contact Email:
Program Website:
Does your program involve:
Percent of Fellowship devoted to operative care:
Percent of Fellowship devoted to non-operative care: (Outpatient office of clinic care, inpatient hospital care, etc.)
Research/Publication obligation?
Cervical: percentage
Thoracic: percentage
Lumbar: percentage
Approximate percentage of Fellowship exposure to the Spine by diagnostic category:
Degenerative: percentage
Trauma: percentage
Deformity: percentage
Tumor: percentage
Pediatric: percentage
Other: percentage
Please provide a brief narrative description of your Fellowship, so that a prospective applicant may be
able to decide whether your Fellowship offers the qualities he/she is seeking, and can thus better limit the number of programs considered for an interview. Please include a brief description of the Fellow’s
responsibilities, academic expectations, and the anticipated approximate stipend.
Return to:
Colleen O’Brien, North American Spine Society Phone: (630) 230-3664; FAX: (630) 230-3764; Email: [email protected]
ISMM PARTICIPATION AGREEMENT 1
INTERVENTIONAL SPINE AND MUSCULOSKELETAL MEDICINE (ISMM) FELLOWSHIP MATCH
PARTICIPATION AGREEMENT
1.0 Introduction
1.1 Purpose. The Interventional Spine and Musculoskeletal Medicine (“ISMM”) Fellowship Match is a program that utilizes a computer-based algorithm to help match medical residents with fellowship appointments in the interventional spine field. The goal of the ISMM is to relieve the pressure of uncoordinated appointments and forced early choices on Fellowship Candidates. In order to achieve this goal, Participants in the ISMM (both Fellowship Candidates and Fellowship Programs) are obligated to the follow the requirements outlined below in this Participation Agreement (“Agreement”).
1.2 Oversight and Enforcement. The North American Spine Society (“NASS”) is responsible for overseeing the ISMM and the enforcement of the ISMM rules as outlined in this Agreement.
1.3 Definitions. The following terms commonly used in this Agreement shall have the definitions prescribed below:
(a) Applicant: An Applicant is an individual who meets the eligibility requirements set forth in Section 2.1, below.
(b) Fellow: A Fellow is an individual who meets the eligibility requirements set forth in Section 2.2, below.
(c) Fellowship Candidate: Applicants and Fellows are collectively referred to as Fellowship Candidates.
(d) Fellowship Program: A Fellowship Program is an institution offering a position that meets the eligibility requirements of Section 2.3 below, along with the faculty, instructors and Program Director associated with that position.
(e) Affiliated Institution: Hospitals, Outpatient Surgery Centers, Medical School Departments and Divisions, and Medical Practices with which the Fellowship Program participates in the provision of patient care.
(f) Participant: Fellowship Candidates and Fellowship Programs are collectively referred to as the “Participants,” and individually referred to as a “Participant.”
(g) Match: A Match is the result of the computer-based algorithm that is used to pair the Rank Lists of Fellowship Candidates and Fellowship Programs to place, if applicable, interested Fellowship Candidates with interested Fellowship Programs.
(h) Rank List: A Rank List is a confidential list prepared, in accordance with the procedures and deadlines set by the NASS ISMM Committee (as may be modified from time to time), outlining - in order of preference - the Fellowship Candidates or Fellowship Programs a Participant seeks to be matched with as a result of the ISMM process. FELLOWSHIP CANDIDATES AND FELLOWSHIP PROGRAMS UNDERSTAND THAT THEY ARE AGREEING TO ENTER INTO A
ISMM PARTICIPATION AGREEMENT 2
BINDING COMMITMENT WITH ANY ONE OF THE FELLOWSHIP CANDIDATES OR FELLOWSHIP PROGRAMS LISTED ON HIS/HER/ITS RANK LIST, IN THE EVENT OF A MATCH.
(i) Waiver: A Waiver is a release from the binding commitment of a Match. A Waiver may only be granted by the Match Committee, pursuant to the procedures set forth in Section 5.0.
(j) Vacant Fellowship Position: A Vacant Fellowship Position is one that is left unfilled after the Match of Rank Lists between Fellowship Candidates and Fellowship Programs has occurred. 2.0 Eligibility Requirements 2.1 Applicant Eligibility. In order to participate in the ISMM, an Applicant must complete the registration requirements of the Match, pay all applicable registration and application fees, comply with any other criteria listed on the ISMM Fellowship Web site each year, and be reasonably expected to meet the Minimum Fellowship Eligibility Criteria outlined in section 2.2 below by the scheduled starting date of the Fellowship Program to which they are applying. 2.2 Fellow Eligibility. A Fellow must meet the following criteria prior to the schedule start date of the his/her training with a Fellowship Program: (1) have completed a resident training program certified by the Accreditation Council for Graduate Medical Education (“ACGME”) in good standing, or the equivalent certification for DO candidates and (2) be eligible for Board Certification in his or her field (collectively “Minimum Fellowship Eligibility Criteria”). Further, each Fellowship Program may have eligibility requirements in addition to the Minimum Fellowship Eligibility Criteria (“Specialty Eligibility Criteria”); Applicants must check with particular Fellowship Programs to determine if there are Specialty Eligibility Criteria which may apply, and are responsible for meeting any such requirements prior to the start date of the Fellowship Program. 2.3 Fellowship Program Eligibility Requirements. In order to qualify for participation in the ISMM as a “Fellowship Program,” the subject program must: (1) provide a minimum of one (1) year post-residency course of training focused in the field of interventional spine care and musculoskeletal medicine; and (2) have a Program Director that is a member of NASS. 3.0 Fellowship Candidate Responsibilities In addition to the obligations outlined elsewhere in this Agreement, Fellowship Candidates have the following responsibilities as Participants in the ISMM program: 3.1 Fellowship Candidates must promptly comply with the deadlines and procedures of ISMM, as established (and may be modified from time to time) by the NASS ISMM Committee. 3.2 Fellowship Candidates shall be truthful in their communications with Fellowship Programs and the NASS ISMM Committee, including accurately representing his/her qualifications for a Fellowship Program. 3.3 Fellowship Candidates agree to cooperate with the Match, the NASS ISMM Committee and/or Fellowship Programs to carry out the purpose and intent of this Agreement, including but not limited to, the delivery of information and records and the execution of such documentation reasonably required.
ISMM PARTICIPATION AGREEMENT 3
3.4 Fellowship Candidates shall not expect a Fellowship Program to reveal how he/she will be ranked. 3.5 Fellowship Candidates shall not communicate with Fellowship Programs after the interview but before the release of Match results, other than:
a. a brief communication (letter or email) providing the Fellowship Candidate with feedback regarding the interview and program, and/or requesting similar feedback from the Fellowship Program; b. in order to provide any additional documentary information requested by the Fellowship Program at the time of or after the interview; or c. in order to withdraw the Fellowship Candidate’s application to the Fellowship Program.
3.6 Fellowship Candidates shall not disclose their Rank List prior to the release of the Match results. 3.7 FELLOWSHIP CANDIDATES RECOGNIZE THAT A MATCH IS A BINDING COMMITMENT. FAILURE TO FULFILL A MATCH MAY SUBJECT THE FELLOWSHIP CANDIDATE TO SANCTIONS, PURSUANT TO SECTION 8.0, UNLESS A WAIVER IS OBTAINED, PURSUANT TO SECTION 5.0, BELOW. 3.8 Fellowship Candidates recognize that if he/she fails to honor a Match, the Fellowship Candidate cannot, for a period of one (1) year after the date on which the Match Fellowship Program was set to begin, accept alternate employment of any kind with any institutions that sponsor Fellowship Programs that participate in the NASS ISMM program, or any Affiliated Institutions unless the Fellowship Candidate first obtains a Waiver, pursuant to Section 5.0. 3.9 Fellowship Candidates agree to conduct themselves in an ethical and professional manner with regards to the ISMM. 4.0 Fellowship Program Responsibilities In addition to the obligations outlined elsewhere in this Agreement, Fellowship Programs have the following responsibilities as Participants in the NASS ISMM Match: 4.1 Fellowship Programs must promptly comply with the deadlines and timelines of the NASS ISMM Match, as set (and may be modified from time to time) by the NASS ISMM Committee. 4.2 Fellowship Programs shall be truthful in their communications with Fellowship Candidates, the Match, and/or the NASS ISMM Committee. 4.3 Fellowship Programs agree to cooperate with Match, the NASS ISMM Committee, and/or Fellowship Candidates to carry out the purpose and intent of this Agreement, including but not limited to the delivery of information and records and the execution of such documentation reasonably required. 4.4 Fellowship Programs shall not ask, or otherwise pressure, a Fellowship Candidate to reveal how the Fellowship Program will be ranked.
ISMM PARTICIPATION AGREEMENT 4
4.5 Fellowship Programs shall not communicate with Fellowship Candidates after the interview, but before the release of the results of the Match, other than:
a. a brief communication (letter or email) providing feedback regarding the interview and the Fellowship Candidate’s potential for matching with the Fellowship Program, provided that such communications are unilateral, voluntary and unconditional; or
b. in order to request additional documentary information as part of the Fellowship Candidate’s application.
4.6 Fellowship Programs shall not, prior to the release of the results of the Match, disclose its Rank List or guarantee a Fellowship Candidate that he/she will be provided a position. 4.7 FELLOWSHIP PROGRAMS ACKNOWLEDGE THAT A MATCH IS A BINDING COMMITMENT. FAILURE TO HONOR A MATCH MAY SUBJECT THE FELLOWSHIP PROGRAM TO SANCTIONS, PURSUANT TO SECTION 8.0, UNLESS A WAIVER IS OBTAINED, PURSUANT TO SECTION 5.0, BELOW. 4.8 Fellowship Programs shall not offer employment positions to any Fellowship Candidate prior to the date that Match results are released, and shall not discuss or interview Fellowship Candidates for any such positions prior to the deadlines set by the NASS ISMM Committee for doing so. 4.9 Fellowship Programs shall only offer positions within its Fellowship Program through the NASS ISMM Match. 4.10 Fellowship Programs and their Affiliated Institutions (defined in Section 1.3) shall not discuss or offer any type of Fellowship position or any other employment positions to any Fellowship Candidate who has failed to honor his/her Match to another Fellowship Program without first obtaining a Waiver, pursuant to Section 5.0. This prohibition of employment shall continue for one (1) year after the date on which the subject Fellowship Candidate’s Match was set to begin. It should be noted that sanctions applicable a Fellowship Program by this Section 4.10 also apply to potential employment by Affiliated Institutions, even if those Affiliated Institutions are not specifically part of the NASS ISMM Program. 4.11 Fellowship Programs shall publish any Specialty Eligibility Criteria that Fellowship Candidates are expected to meet on the Match on their web site prior to the date that Fellowship Candidates may begin registering for the Match. 4.12 If requested, Fellowship Programs shall provide Fellowship Candidates with a copy of the current employment contract, similar to one that the Fellowship Candidate will be expected to sign in the event of a Match, on or before the date the Fellowship Candidate interviews with the Fellowship Program. Fellowship Candidates acknowledge that the provision of such contracts is intended to clarify the terms of the fellowship and promote discussion between the Participants, and that such contract may change in substance and nature prior to the actual initiation of fellowship. 4.13 Fellowship Programs and Program Directors shall conduct themselves in an ethical and professional manner with regards to the NASS ISMM Fellowship Program.
ISMM PARTICIPATION AGREEMENT 5
4.14 Fellowship Programs shall designate an officer (“Program Director”) who shall be responsible for ensuring the Fellowship Program’s timely compliance with the procedures of the NASS ISMM Fellowship Program and this Agreement. Note that the Program Director and all physicians associated with the Fellowship Program shall be subject to sanctions in the event the Fellowship Program fails to follow the rules outlined in this Agreement. 5.0 Waiver Requests 5.1 Binding Commitment. A MATCH IS A BINDING COMMITMENT ON BOTH THE FELLOWSHIP CANDIDATE AND THE FELLOWSHIP PROGRAM. FELLOWSHIP PROGRAMS AND FELLOWSHIP CANDIDATES ARE NOT AUTHORIZED TO RELEASE EACH OTHER FROM A MATCH; RATHER A RELEASE OF A MATCH MAY ONLY BE MADE BY THE MATCH COMMITTEE, PURSUANT TO THE WAIVER PROVISIONS OUTLINED IN THIS AGREEMENT. PARTICIPANTS UNDERSTAND THAT WAIVERS ARE NOT AUTOMATIC, AND ARE GRANTED IN ONLY RARE CIRCUMSTANCES. 5.2 Waiver Requests by a Fellowship Candidate. A Fellowship Candidate may request a Waiver from the obligations of a Match if fulfilling the commitment would cause undue personal hardship or if there has been a substantial change in the Fellowship Program. A Fellowship Candidate that desires to request a Waiver must follow the procedures and timelines for doing so as set by the NASS ISMM Committee (as may be modified from time to time) and as outlined in this Agreement. 5.3 Waiver Requests by Fellowship Programs. A Fellowship Program may request a Waiver from a Match with a Fellowship Candidate if circumstances beyond its control make it unable to continue to honor their Match commitment. A Fellowship Program that desires to request a Waiver must follow the procedures and timelines for doing so as set by the NASS ISMM Committee (as may be modified from time to time) and as otherwise outlined in this Agreement. 5.4 Waiver Decisions. The NASS ISMM Committee may seek input and information from multiple sources, including from other affected Participants (including the non-requesting Fellowship Candidate or Fellowship Program), in deciding whether a request for a Waiver should be granted. However, the decision on whether a Waiver shall be granted is in the sole discretion of the NASS ISMM Committee, whose decision shall be final, and not subject to review through arbitration or otherwise. The NASS ISMM Committee shall decide whether to accept or reject a request for a Waiver within fourteen (14) days of when all information pertaining to such a request is received. Fellowship Candidates may not discuss, interview for, or accept another employment position (whether with a Fellowship Program or otherwise) with any institutions who have Fellowship Programs within any Match program until a final decision is made by the NASS ISMM Committee on the Waiver. Likewise, Fellowship Programs may not discuss, interview, or offer any other individuals the subject Fellowship Program position until a final decision is made by the NASS ISMM Committee on the request for a Waiver. 5.5 Consequences of Waiver Decisions. If the NASS ISMM Committee decides to grant a request for a Waiver, the Fellowship Candidate is free to accept another position, and the Fellowship Program is free to offer the Fellowship Program as a Vacant Fellowship Position, in accordance with the rules outlined in Section 7.0. The NASS ISMM Committee will not pursue sanctions pursuant to Section 8.0 of this Agreement in the event a Waiver is granted; however, the Match Committee’s granting of a Waiver has no bearing on any contractual penalties the Parties may owe to each other outside of this Agreement.
ISMM PARTICIPATION AGREEMENT 6
6.0 Withdrawals 6.1 Voluntary Withdrawals by Fellowship Candidates. A Fellowship Candidate may withdraw from the ISMM Fellowship process at any time before his/her Rank List is submitted. 6.2 Voluntary Withdrawals by Fellowship Programs. A Fellowship Program may withdraw its position(s) from the NASS ISMM program at any time before the date (as set by the NASS ISMM Committee, and may be modified from time to time) that Applicants may begin registering for the NASS ISMM Fellowship program. A Fellowship Program may withdraw its positions from the ISMM Match after Applicants begin registering for the ISMM, only with the permission of the NASS ISMM Committee, which will not be unreasonably withheld. In such event, the Fellowship Program is responsible for informing the NASS ISMM Committee, and all Applicants who have applied to that Fellowship Program. The Fellowship Program is also responsible for handling all requests for refunds from Applicants who have applied to the Fellowship Program. 6.3 Involuntary Withdrawals of Fellowship Candidates. In the event that the NASS ISMM Committee becomes aware that a Fellowship Candidate has violated this Agreement or is not intending to fulfill his/her commitment to a Match, the NASS ISMM Committee has the authority to withdraw the Fellowship Candidate from the ISMM for the remainder of that match cycle, and/or prohibit the Fellowship Candidate from participating in future NASS ISMM Fellowship program cycles. The NASS ISMM Committee shall not withdraw a Fellowship Candidate pursuant to this paragraph, unless – after providing the Fellowship Candidate a reasonable opportunity under the circumstances to explain his/her position – the NASS ISMM Committee determines, in its sole discretion, that the Fellowship Candidate has violated this Agreement or is not intending to fulfill his/her commitment to a Match. In the event of such an involuntary withdrawal by the NASS ISMM Committee, the Fellowship Program (if any) where the subject Fellowship Candidate was matched will automatically be granted a Waiver pursuant to Section 5.0. An involuntary withdrawal is in addition to any authority to sanction Fellowship Candidates pursuant to Section 8.0 below. 6.4 Involuntary Withdrawals of Fellowship Programs. In the event that the NASS ISMM Committee becomes aware that a Fellowship Program has violated this Agreement or is not intending to fulfill its commitment to a Match, the NASS ISMM Committee has the authority to withdraw the Fellowship Program from the NASS ISMM Fellowship program for the remainder of that match cycle, and/or prohibit the Fellowship Program from participating in future ISMM Fellowship cycles. The NASS ISMM Committee shall not withdraw a Fellowship Program pursuant to this paragraph, unless – after providing the Fellowship Program a reasonable opportunity under the circumstances to explain its position – the NASS ISMM Committee determines, in its sole discretion that the Fellowship Program has violated this Agreement or is not intending to fulfill her/her commitment to a Match. In the event of such an involuntary withdrawal by the Match Committee, the Fellowship Candidate (if any) that was matched with the subject Fellowship Program will automatically be granted a Waiver pursuant to Section 5.0. An involuntary withdrawal is in addition to any authority to sanction Fellowship Programs and/or Program Directors pursuant to Section 8.0, below. 6.5 Automatic Withdrawals of Fellowship Candidates. Fellowship Candidates recognize that in the event he/she is registered for multiple fellowship match programs, the Fellowship Candidate must accept the first Match he/she receives once a Match occurs. 7.0 Vacant Fellowship Positions.
ISMM PARTICIPATION AGREEMENT 7
7.1 Direct Negotiations. A Vacant Fellowship Position is one that is left unfilled after the Match of Rank Lists between Fellowship Candidates and Fellowship Programs has occurred. This position may be filled by direct negotiations between the Fellowship Program and Fellowship Candidates. 7.2 Binding Commitment. Once a Vacant Fellowship Position is offered and accepted, it becomes a binding commitment, subject to the satisfactory completion of the Minimum Fellowship Eligibility Criteria, along with any Specialty Eligibility Criteria set by the Fellowship Program. Once such an offer is made and accepted, a copy or notice of the acceptance or agreement (whether formal or informal) must be sent to the Match Committee within one week of the acceptance or agreement. Failure to honor a commitment made to a Vacant Fellowship Position, unless a Waiver is obtained, may subject the violating Fellowship Program or the Fellowship Candidate to the same sanctions applicable to a Fellowship Program and Fellowship Candidate who Match on the basis of Rank List submission and the subsequent Match algorithm, pursuant to Section 8.0. 8.0 Sanctions 8.1 Power to Sanction. In the event the NASS ISMM Committee learns of information suggesting a violation of this Agreement, the NASS ISMM Committee is empowered to investigate whether such a violation exists. If the NASS ISMM Committee determines that such a violation exists, the NASS ISMM Committee may, in addition to other actions authorized herein, proceed to recommend sanctions against the violating Fellowship Candidate or Fellowship Program, including all faculty, instructors and Program Directors associated with that Fellowship Program. 8.2 Sanction Proceedings. If the Match Committee, pursuant to paragraph 8.1 above, decides that this Agreement has been violated, the Match Committee may file a Complaint against the violating Fellowship Candidate, Fellowship Program, and/or Program Directors with the NASS Professional Conduct and Ethics Committee (“PCEC”), indicating the nature of the violation and any recommended sanctions. The PCEC will be charged with confirming whether a violation of this Agreement occurred and whether the recommended sanctions are appropriate. The procedures and rules of the PCEC, as may be modified from time to time, shall govern any sanctions proceedings for violations of this Agreement. In the event of a conflict between the rules and procedures of the PCEC and this Agreement, the rules of this Agreement shall govern. 8.3 Consent to Jurisdiction before NASS’ PCEC. THE PARTICIPANTS AGREE THAT BY ENTERING INTO THIS AGREEMENT AND PARTICIPATING IN THE ISMM THEY ARE AGREEING TO SUBMIT TO THE JURISDICTION AND PROCEDURES OF THE PCEC, WHICH ARE AVAILABLE AND MAY BE VIEWED ON NASS’ WEB SITE, WWW.SPINE.ORG. PARTICIPANTS FURTHER AGREE TO ABIDE BY THE DECISIONS OF THE PCEC, INCLUDING ITS DECISIONS REGARDING SANCTIONS, REGARDLESS OF THE PARTICIPANT’S STATUS AS A MEMBER OF NASS. 8.4 Available Sanctions. In the event the PCEC determines, in accordance with the procedures outlined above, that a Participant has violated this Agreement, the PCEC has the authority to impose sanctions against the violating Participant, which may include – but is not limited to – the following:
• Prohibition from membership in NASS; • Prohibition from presenting or moderating at any meetings sponsored by NASS; • Prohibition on receiving any research funding from NASS;
ISMM PARTICIPATION AGREEMENT 8
• Ban from ISMM, and possibly from other non- spine SF Match programs; • Publication of individually- identified sanctions by NASS; • Written reprimand or other letter outlining concerns, which may be published by NASS or
filed with the American Board of Medical Specialties, the American Board of Physical Medicine and Rehabilitation, , and/or the ACGME, or the equivalent certifying body for DO candidates or any other entity or individual the PCEC deems relevant, including potential employers of the violating participant; or
• Any other sanctions that the PCEC deems relevant and proper. The above prohibitions and bans may be time-limited or permanent, at the discretion of the PCEC. 9.0 The NASS ISMM Committee 9.1 NASS ISMM Committee Responsibilities. The NASS ISMM Committee is responsible for assisting NASS in the administration and enforcement of the ISMM rules and procedures as outlined in this Agreement. 9.2 Terms. The members and chairperson of the NASS ISMM Committee shall serve for a three (3) year term, unless removed or reappointed. 10.0 Disclaimers 10.1 No Guarantee of a Match. Fellowship Candidates acknowledge that participation in the NASS ISMM Fellowship program does not provide any guarantee that they will be matched with any particular Fellowship Program, or any Fellowship Programs at all. Fellowship Programs, likewise, acknowledge that participation in the NASS ISMM fellowship program does not provide any guarantees that they will be matched with any particular Fellowship Candidate or that the Fellowship Program will be matched with any Fellowship Candidate at all. 10.2 Third-Party Processing of Matches. The Fellowship Candidates and Fellowship Programs acknowledge that the NASS ISMM Fellowship program may utilize an outside party to process the matching of Rank Lists. The NASS ISMM Fellowship program makes no representations or warranties as to the accuracy, completeness, security or reliability of this process. 11.0 Miscellaneous 11.1 Choice of Law and Arbitration. This Agreement shall be construed and interpreted in accordance with the Laws of the State of Illinois. The Participants agree that any controversy or claim arising out of or relating to this Agreement, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules, and judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. The place of arbitration shall be Chicago, Illinois. Except as may be required by law, neither a Participant nor an arbitrator may disclose the existence, content, or results of any arbitration hereunder without the prior written consent of the NASS ISMM Committee. 11.2 Severability. In the event that any one or more of the provisions contained in this Agreement or in any other instrument referred to herein, shall, for any reason, be held to be invalid, illegal or unenforceable in any respect, then to the maximum extent permitted by law, such invalidity,
ISMM PARTICIPATION AGREEMENT 9
illegality or unenforceability shall not affect any other provision of this Agreement or any other such instrument.
11.3 Limitation on Liability. The Participants acknowledge that the liability of the NASS ISMM Fellowship program, NASS, or third party Match administrators (including any of these organizations’ members, employees and/or agents) for any violations of this Agreement or the procedures of the NASS ISMM Fellowship program are limited to the refund of any fees paid to participate in the NASS ISMM Fellowship program.
Program Director Signature ____________________ Date __________
NASS-Recognized Interventional Spine and Musculoskeletal Medicine Fellowships (ISMM) Provisional Status
I. Programs and Program Directors that do not meet the PD or points criteria to be a
NASS-Recognized fellowship may apply for Provisional status and work toward Recognized status within a 2-year cycle.
II. All Provisional programs will follow the rules of the NASS-Recognized programs III. To achieve Provisional status:
a. PD and program faculty will work to achieve ‘point-criteria’ within a 2-years to
move from Provisional status to ‘NASS-Recognized status. The 2-year clock begins upon approval of Provisional status.
b. Program and Program Director (PD) agree to adhere to all components of the NASS-sponsored fellowship match. This includes, exclusion on offering fellowship spots outside the match unless left ‘unmatched.’ All reported actions to circumvent the match will be adjudicated by NASS educational committee and Ethics committee with commensurate penalties.
c. PD and faculty will be board certified in a relevant sub-specialty and approved by the NASS ISSM-fellowship work-group
d. Demonstrate a commitment to develop an internal didactic program that meets or exceeds the NASS-ISSM program curriculum.
e. Program and PD are responsible for ensuring >90% fellow attendance to NASS ISSM-fellowship online group didactics during the program’s Provisional status.
f. PD must volunteer and teach one ISSM-fellowship online group didactics ‘segment’ each year of Provisional status that will be rated by other fellows nationally and considered during application to move to Recognized status.
g. PD and faculty of Provisional programs agree to maintain a consistent commitment to local and national activities necessary to qualify for Recognized status, and continue sufficient activities to maintain this status after achieving NASS Recognized status.
h. Programs that move from Provisional status to NASS Recognized status agree to
a prospective 2-year 360 review of the PD, faculty and fellows to ensure consistent maintenance of program standards.
