INTERVENTIONAL TECHNIQUES meeting Brochures/2016/0616... · American Society of Interventional Pain Physicians 5 COMPREHENSIVE REIEW CURSE AND CADAER WRSHP FOR INTERENTINAL TECHNIUES

ASIPP® Educational Services | Excellence in the education of Interventional Pain Physicians

American Society of Interventional Pain Physicians

The Voice of Interventional Pain Management

INTERVENTIONALTECHNIQUES

COMPREHENSIVE REVIEW COURSE Up to 17.5 AMA PRA Category 1 Credits™

AND CADAVER WORKSHOP Up to 12.75 AMA PRA Category 1 Credits™

June 9-12Sheraton Memphis Downtown Hotel

Venue:Sheraton Memphis Downtown Hotel

250 North Main Street, Memphis, TN, 38103Phone: 901-527-7300 | Hotel Reservations: 866-716-8106

Medical Education and Research Institute Center44 S Cleveland Street, Memphis, TN 38104

Phone: 901-722-8001

Specials:• Special room rates through May 16, 2016

• 50% Off Meeting Fee to Fellows & Residents

American Society of Interventional Pain Physicians2

COMPREHENSIVE REVIEW COURSE AND CADAVER WORKSHOP FOR INTERVENTIONAL TECHNIQUESJUNE 9-12, 2016 | MEMPHIS, TN

FROM THE CHAIRMAN OF THE BOARD AND CEO

On behalf of the Board of the American Society of Interventional Pain Physicians (ASIPP®), it is our privilege and pleasure to invite you to attend this comprehensive four day Review Course and Cadaver Workshop in Interventional Techniques. The course will run June 9 through June 12, 2016 in Memphis Tennessee at The Sheraton Downtown Memphis and the state-of-the-art Medical Education and Research Institute.

These unique courses meets the continuing needs of interventionalists, based on input and needs assessment over the years and are cutting edge educational programs. It entails two days of didactic courses and two days of hands-on workshops covering various interventional techniques. You may take or both of the courses.

The first two days involves comprehensive review course in interventional techniques. This two day course is an essential component for interventional pain physicians and provides education opportunities to assist you in providing high-quality, competent, safe, accessible, and cost-efficient services to your patients. Lectures are given by highly qualified ASIPP faculty members and each lecture presentation can be downloaded as future reference material.

The next two days will be a Cadaver Workshop fashioned to accommodate training levels and capacity of participants. Physicians can choose from basic, intermediate, or ABIPP examination preparation course levels to mirror your needs and skill level.

The course provides necessary CME credits and/or an in-depth review of interventional techniques. Participants will experience a comprehensive and intense learning opportunity focused on meeting their needs at the highest level of medical education.

Whether you have been practicing interventional pain management for many years or are new to the field with basic skills, we are confident you will find this course and cadaver workshop to be beneficial, as it is essential to learn new and relevant information to survive in the new millennium.

We look forward to seeing you in Memphis. If you have questions, please feel free to contact the ASIPP office at 81 Lakeview Drive, Paducah, KY 42001, phone: 270-554-9412, fax: 270-554-5394, or e-mail: [email protected]

Thank you,

Laxmaiah Manchikanti,MD

Laxmaiah Manchikanti, MDChairman of the Board and Chief Executive Officer, ASIPP®

C O U R S E D I R E C T O R S

Miles Day, MDMedical Director of the Grace Health System Pain Management Center

Jay Grider, MD, PhDMember, ASIPP® Committee on Education and Research

American Society of Interventional Pain Physicians 3


STATEMENT OF NEED

This comprehensive review course and cadaver workshop is planned as CME activity to prepare for ABIPP or an in-depth review in areas of interventional techniques. This review course and cadaver workshop is based on the American Board of Interventional Pain Physicians’ requirements.

These courses will provide in-depth evaluation of the knowledge of the participants with extensive review of subject(s).

As part of the comprehensive, in-depth, intense review course, ASIPP® will provide participants with online material of the lectures.

EDUCATIONAL OBJECTIVES/TARGET AUDIENCE

This comprehensive review course and cadaver workshop for interventional techniques is targeted to interventional pain physicians seeking CME credit hours and introduction or review of proven interventional techniques, as well as skills improvement and/or to fulfill CME hours.

EDUCATIONAL OBJECTIVES

• Review basic science and core concepts• Attain understanding of interventional techniques• Incorporate interventional techniques in treating your patients so that patients have better outcomes and reduced side effects• Provide high-quality, competent, safe, accessible, and cost-efficient services to your patients• Improve existing skills and/or develop new skills in the delivery of interventional techniques• Discuss documentation and coding for IPM• Review infection control and complications• Discuss fraud and abuse

OUTCOME

Physicians should be able to integrate multiple aspects of interventional techniques in treating their patients so that patients have better outcomes.

AMERICANS WITH DISABILITIES ACT AND SPECIAL SERVICES

Organizers fully comply with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact the organizers at (270) 554-9412 at least 10 days prior to the conference.

ACCREDITATION STATEMENT

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Institute for Medical Studies and the American Society of Interventional Pain Physicians (ASIPP®). The Institute for Medical Studies is accredited by the ACCME to provide continuing medical education for physicians.

ASIPP® is now an ABA Registered CME Provider.

CATEGORY I CREDIT

The Institute for Medical Studies designates this live activity for a maximum of 17 AMA PRA Category 1 Credits ™ for the Interventional Techniques Review Course and 12.75 AMA PRA Category 1 Credits™ for Cadaver Workshop. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physicians of Osteopathic Medicine — the American Osteopathic Association (AOA) accepts AMA PRA Category 1 Credits™ as AOA Category 2-B credit.

RN, NP, AND PA CREDIT

Nurse Practitioners: The American Academy of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

RNs/ APNs- most State Nursing Boards accept CE activities designated for AMA PRA Category 1 Credits™ towards re-licensure requirements. Check with your board to determine whether they will accept this CME activity towards your re-licensure. This activity is designated for 17 AMA PRA Category 1 Credits ™ for the Interventional Techniques Review Course and 12.75 AMA PRA Category 1 Credits™ for Cadaver Workshop from organizations accredited by the ACCME.

Physician Assistants- The American Academy of Physician Assistants (AAPA) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

CODING CREDIT

ASIPP® has applied for approval of the American Academy of Professional Coders for the appropriate Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or any sponsors.

AMERICANS WITH DISABILITIES ACT AND SPECIAL SERVICES

Organizers fully comply with the legal requirements of the Americans with Disabilities Act and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact the organizers at (270) 554-9412 at least 10 days prior to the conference.

Duplication or distribution of materials or recording of lectures without express written permission from ASIPP® is prohibited. There is NO commercial support for this course.

ACCOMMODATIONS Sheraton Memphis Downtown Hotel

250 North Main Street, Memphis, TN 38103

Phone: (1)(901) 527-7300 | sheratonmemphisdowntown.com

Enjoy outstanding service in the warm, welcoming atmosphere of the newly renovated Sheraton Memphis Downtown Hotel. Attached to the Memphis Cook Convention Center and located as a direct stop on the vintage Memphis Main Street Trolley line, experience easy access to some of downtown’s most notable attractions. Inform the agent that you are booking for American Society of Interventional Pain Physicians. We have secured a group rate of $141. Register early, as all unbooked rooms will be released on May 16, 2016 or until sold out, whichever occurs first.



THURSDAY JUNE 9, 2016Comprehensive Review Course for Interventional Techniques

6:30 AM – 7:25 AM REGISTRATION AND BREAKFAST

7:25 am – 10:00 am Chairperson - Laxmaiah Manchikanti, MD

7:25 am – 8:00 am Introduction - Laxmaiah Manchikanti, MD

8:00 am – 8:30 am Current Status of IPM an Interventional Techniques - Laxmaiah Manchikanti, MD

8:30 am – 9:00 am Practical Aspects of Fluoroscopy - Sheri Albers, MD

9:00 am – 9:30 am Structural Basis of Lumbar Pain - Obi Onyewu, MD

9:30 am – 10:00 am Diagnostic Interventions in Lumbar Spine: Effectiveness and Utility - Peter Kosek, MD

10:00 AM- 10:25 AM BREAK WITH EXHIBITORS

10:25 am – 12:00 pm Chairperson - Alan Kaye, MD, PhD

10:25 am – 10:30 am Introduction

10:30 am – 11:00 am Therapeutic Lumbar Facet Joint Interventions: Effectiveness and Clinical Utility - Peter Kosek, MD

11:00 am – 11:30 am Lumbar Epidural Injections: Effectiveness and Clinical Utility - Obi Onyewu, MD

11:30 am – 12:00 pm Lumbar Facet Joint Interventions: Technical Considerations - Alan Kaye, MD, PhD

12: 00 PM – 12:55 PM LUNCH

12:55 pm – 3:00 pm Chairperson - Obi Onyewu, MD

12:55 pm – 1:00 pm Introduction - Obi Onyewu, MD

1:00 pm – 1:30 pm Lumbar Epidural Injections: Technical Considerations - Obi Onyewu, MD

1:30 pm – 2:00 pm Discography: Technical Considerations - Leland Lou, MD

2:00 pm – 2:30 pm Sacroiliac Joint Interventions: Technical Considerations -Peter Kosek, MD

2:30 pm – 3:00 pm Structural Basis of Cervical and Thoracic Pain - Jay Grider, MD, PhD

3:00 PM – 3:25 PM BREAK WITH EXHIBITORS

3:25 pm – 6:00 pm Chairperson - Jay Grider, MD, PhD

3:25 pm – 3:30 pm Introduction - Jay Grider, MD, PhD

3:30 pm – 4:00 pm Diagnostic Interventions of Cervical and Thoracic Spine: Value and Clinical Utility - Leland Lou, MD

4:00 pm – 4:30 pm Therapeutic Interventions of the Cervical and Thoracic Spine: Effectiveness and Clinical Utility - Peter Kosek, MD

4:30 pm – 5:00 pm Cervical Facet Joint Interventions: Technical Considerations - Peter Kosek, MD

5:00 pm – 5:30 pm Thoracic Facet Joint Interventions and Intercostal Nerve Blocks: Technical Considerations - Jay Grider, MD, PhD

5:30 pm – 6:00 pm Documentation and Coding for IPM Techniques - Marvel Hammer, RN, CPC



FRIDAY JUNE 10, 2016Comprehensive Review Course for Interventional Techniques

6:30 AM – 7:25 AM REGISTRATION AND BREAKFAST

7:25 am – 10:00 am Chairperson - Alan Kaye, MD, PhD

7:25 am – 7:30 am Introduction - Alan Kaye, MD, PhD

7:30 am – 8:00 am Cervical and Thoracic Epidural Injections: Technical Considerations - Alan Kaye, MD, PhD

8:00 am – 8:30 am Cervical Sympathetic Blocks: Technical Considerations - Matthew Rupert, MD

8:30 am – 9:00 am Complex Regional Pain Syndrome - Leland Lou, MD

9:00 am – 9:30 am Lumbar Sympathetic and Hypogastric Plexus Blocks: Technical Considerations -

Miles Day, MD

9:30 am – 10:00 am Relevance of Anticoagulant and Antithrombotic Therapy - Peter Kosek, MD

10:00 AM- 10:25 AM BREAK WITH EXHIBITORS

10:25 am – 12:00 pm Chairperson - Hans Hansen, MD

10:25 am – 10:30 am Introduction - Hans Hansen, MD

10:30 am – 11:00 am Spinal Cord Stimulation: Effectiveness and Clinical Utility - Jay Grider, MD, PhD

11:00 am – 11:30 am Spinal Cord Stimulation: Technical Considerations - Jay Grider, MD, PhD

11:30 am – 12:00 pm An Algorithmic Approach to Spinal Pain - Hans Hansen, MD

12: 00 PM – 12:55 PM LUNCH

12:55 pm – 3:00 pm Chairperson - Leland Lou, MD

12:55 pm – 1:00 pm Introduction - Leland Lou, MD

1:00 pm – 1:30 pm Headache and Facial Pain - Miles Day, MD

1:30 pm – 2:00 pm Trigeminal Nerve Blockade: Technical Considerations - Leland Lou, MD

2:00 pm – 2:30 pm Infection Control in IPM - Hans Hansen, MD

2:30 pm – 3:00 pm Advocacy and the Promotion of an IPM Practice - Nick Autrey

3:00 PM – 3:25 PM BREAK WITH EXHIBITORS

3:25 pm – 6:00 pm Chairperson -David Bryce, MD

3:25 pm – 3:30 pm Introduction - David Bryce, MD

3:30 pm – 4:00 pm Intrathecal Infusion Systems: Effectiveness and Clinical Utility - David Bryce, MD

4:00 pm – 4:30 pm Intrathecal Infusion Systems: Technical Considerations - David Bryce, MD

4:30 pm – 5:00 pm Complications of Interventional Techniques - Hans Hansen, MD

5:00 pm – 5:30 pm Fraud and Abuse in an IPM Practice - Vicki Mykowiak, JD

5:30 pm – 6:00 pm LCDs, NCDs, and Payor Coverage Polices - Vicki Mykowiak, JD



SATURDAY JUNE 11, 2016Cadaver Workshop for Interventional Techniques

SUNDAY JUNE 12, 2016Cadaver Workshop for Interventional Techniques

7:15am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY

7:15am–7:45am REGISTRATION AND BREAKFAST

7:45am–8:00am INTRODUCTION

8:00am–9:00am Overview of Technical Considerations - Laxmaiah Manchikanti, MD

9:00am–12:00pm HANDS-ON CADAVER WORKSHOP

12:00pm–1:00pm LUNCH

1:00pm–5:30pm HANDS-ON CADAVER WORKSHOP

5:30pm SHUTTLES DEPART FROM CADAVER FACILITY TO THE HOTEL

7:15am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY

7:30am–8:00am REGISTRATION AND BREAKFAST

8:00am–8:30am INTRODUCTION

8:30am –12:00pm HANDS-ON CADAVER WORKSHOP

12:00pm SHUTTLES DEPART FROM CADAVER FACILITY TO THE HOTEL & TO THE AIRPORT

CADAVER LAB COURSE LEVELS

BASIC INTERMEDIATE ABIPP PREPARATION

1. Sacroiliac joint interventions 2. Lumbar

interlaminar epidural injections

3. Lumbar transforaminal epidural injections

4. Lumbar facet joint nerve blocks5. Lumbar facet radiofrequency neurotomy6. Caudal epidural

injections

1. Cervical and thoracic interlaminar epidurals2. Cervical facet joint

interventions (medial branch blocks, and

radiofrequency neurotomy) 3. Thoracic facet interventions

(medial branch blocks, and radiofrequency neurotomy)

4. Lumbar discography and adhesiolysis5. Lumbar sympathetic blocks and hypogastric plexus blocks6. Lumbar facet joint nerve

blocks and radiofrequency neurotomy

1. Cervical facet joint interventions (medial branch blocks and radiofrequency neurotomy) and cervical interlaminar epidural injections

2. Thoracic facet joint interventions (medial branch blocks and radiofrequency neurotomy), intercostal nerve blocks, and thoracic interlaminar epidural injections

3. Lumbar facet joint interventions (facet joint nerve blocks, and radiofrequency neurotomy) and sacroiliac joint injections

4. Caudal epidural, interlaminar epidural, transforaminal, and percutaneous adhesiolysis

5. Spinal cord stimulation lead placement and lumbar discography6. Sympathetic blockade (stellate ganglion,

lumbar sympathetic blocks and celiac plexus blocks)



REGISTRANT INFORMATIONIMPORTANT. Please answer all the questions:

MEDICAL DEGREE:m MD m DO m PhDm List other: ____________________________

PRIMARY SPECIALTY CERTIFICATION:m Anesthesiology m Physiatrym Neurosurgery m Other: _______________________________

PAIN MEDICINE SUBSPECIALTY CERTIFICATION:m ABMS Pain Medicine (Anesthesiology, PMR, Neurology, Psychiatry, Emergency Medicine)m American Board of Pain Medicinem American Board of Interventional Pain Physiciansm Fellow of Interventional Pain Practice (FIPP)

SPECIALTY DESIGNATION:m 09 - Interventional Pain Managementm 72 - Pain Managementm Other: ______________________________________

WHAT IS YOUR PRACTICE LOCATION:m ASC m HOPD m Office-setting

PERCENTAGE OF INTERVENTIONAL PAIN MANAGEMENT PRACTICE:m 0% m 1-25% m 26-50% m 51-75% m > 75%

YEARS IN INTERVENTIONAL PAIN MANAGEMENT PRACTICE:m 0 m 1-5 m 6-10 m > 10

CADAVER COURSE LEVELm Basic m Intermediate m ABIPP Preparation

TOTAL NUMBER OF PROCEDURES PERFORMED DURING PAST YEAR:

LOCATION ASC HOPD Office

Sacroiliac Joint Injections _____ _____ _____

Caudal Epidural Injections _____ _____ _____

Lumbar InterlaminarEpidural Injections _____ _____ _____

Lumbar/Sacral TransforaminalEpidural Injections _____ _____ _____

Lumbar/Sacral FacetJoint Nerve Blocks _____ _____ _____

Lumbar Facet Joint Blocks _____ _____ _____

Thoracic and Cervical Interlaminar Epidural Injections _____ _____ _____

Lumbar Facet Blocks andRadiofrequency _____ _____ _____

Thoracic Facet Blocks andRadiofrequency _____ _____ _____

Cervical Facet Joint Blocks

and Radiofrequency _____ _____ _____

Lumbar Discography _____ _____ _____

Hydrodiscectomy _____ _____ _____

Nucleoplasty _____ _____ _____

Automated PercutaneousLumbar Discectomy _____ _____ _____

REGISTRATION

PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR:

___________________________________________________________________________________________________NAME (FIRST) (MIDDLE INITIAL) (LAST)

_________________________________________________________________________________________ORGANIZATION

_________________________________________________________________________________________ADDRESS

_________________________________________________________________________________________CITY STATE ZIP

_________________________________________________________________________________________PHONE FAX

_________________________________________________________________________________________E-MAIL

*** If registering as a fellow, please list below the name of fellowship program, university or hospital and fax or e-mail a letter from the program director verifying your status. Your application for registration cannot be processed and you will not receive the 50% discount until ASIPP receives this letter. Fax the letter to 270-554-5394 or e-mail to [email protected]

________________________________________________________________________________________NAME OF FELLOWSHIP PROGRAM

Payment Method (Please check one):m MASTERCARD m VISA m AMERICAN EXPRESS m DISCOVER

________________________________________________________________________________________CREDIT CARD NUMBER SECURITY CODE (Back of Card) EXP. DATE

________________________________________________________________________________________NAME ON CARD

________________________________________________________________________________________AUTHORIZED SIGNATURE (required on all credit card orders)

(Your application will not be processed if payment does not accompany registration form)RETURN COMPLETED FORM TO:ASIPP®, 81 Lakeview Drive, Paducah, KY 42001 or Fax to 270-554-5394

CANCELLATION POLICY:ASIPP reserves the right to cancel this course upon reasonable notice and will assume no financial obligation to registrants for cancellation for reasons beyond its control. Registration fees will be refunded however, costs incurred by the registrants, such as airline or hotel fees or penalties, are the responsibility of the registrants. ASIPP requires a 30-day notice of cancellation. Cancellations must be submitted in writing by May 10, 2016. Cancellations after May 10, 2016 but prior to May 26, 2016 will forfeit 50% of their registration fee. No refunds can be made after May 26, 2016

REGISTER ONLINE AT www.asipp.org/meetings.htm

Comprehensive Review Course & Hands-on Cadaver Workshop for Interventional TechniquesPhysicians only- All registrations must be approved

m 2-Day Review Coursem $600 Member m $800 Non Memberm 50% Fellow Discount ***

m Hands-on Cadaver Workshop m $2,400 Member m $2,800 Non Memberm 50% Fellow Discount ***

m Cadaver Workshop Levelm Basic m Intermediatem Advanced (ABIPP Preparation)

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Documents

INTERVENTIONAL TECHNIQUES meeting Brochures/2016/0616... · American Society of Interventional Pain Physicians 5 COMPREHENSIVE REIEW CURSE AND CADAER WRSHP FOR INTERENTINAL TECHNIUES