Interventional Techniques

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1 ASIPP Educational Services Excellence in the education of Interventional Pain Physicians Interventional Techniques Comprehensive Review Course Up to 8 AMA PRA Category 1 Credits (Plus Free Online Lectures) and Cadaver Workshop Up to 11 AMA PRA Category 1 Credits November 3-5, 2017 Las Vegas, NV Venue Four Seasons Hotel Las Vegas, Mandalay Place 3960 S Las Vegas Blvd, Las Vegas, NV (702) fourseasons.com/lasvegas Cadaver Workshop Site Oquendo Center 2425 E Oquendo Rd, Las Vegas, NV (702) oquendocenter.org Specials Special room rates through October 3, % Off Meeting Fee to Fellows/Residents American Society of Interventional Pain Physicians The Voice of Interventional Pain Management

2 From The Conference Co-Chairs 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 Review Course and Hands-On Cadaver Workshop in Interventional Techniques. The course will run November 3-5, 2017 in Las Vegas, Nevada at the Four Seasons and the Oquendo Center. This unique course meets the continuing needs of interventionalists, based on input and needs assessment over the years and is a cutting edge educational program. It entails 1 day of lectures and 1½ days of hands-on cadaver workshop. Conference Co-chairs Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP Francis X. Riegler, MD President, ASIPP Hans Hansen, MD President-Elect, ASIPP Aaron K. Calodney, MD Immedate Past President, ASIPP Standiford Helm II, MD Treasurer, ASIPP Statement of Need This Interventional Techniques Course includes: 1 day comprehensive review course and 1½ day hands on cadaver workshop. This course is planned as a 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. 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. 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 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) 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. CATEGORY I CREDIT The Institute for Medical Studies designates the Interventional Techniques Comprehensive Review Course live activity for a maximum of 8 AMA PRA Category 1 Credits and the Interventional Techniques Comprehensive Cadaver Workshop live activity for a maximum of 11 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. ASIPP is now an ABA Registered CME Provider. Accommodations Four Seasons Hotel Las Vegas, 3960 S Las Vegas Blvd, Las Vegas, NV On the iconic Las Vegas strip, luxurious Four Seasons Hotel Las Vegas Art-Deco inspired guest rooms and suites reflect the energy and excitement of one of the world s most vibrant cities. The Hotel offers direct access to the adjacent Mandalay Bay Resort & Casino and the city s nightlife and entertainment. The cut-off date for our room block with discounted rates is on October 3, 2017 or until sold out, whichever occurs first. 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. 2 American Society of Interventional Pain Physicians

3 Friday, November 3, 2017 Comprehensive Review Course for Interventional Techniques 6:30am 7:55am 7:55am 10:00am 7:55am 8:00am 8:00am 8:30am 8:30am 9:15am 9:15am 10:00am 10:00am 10:25am 10:25am 12: 00pm 10:25am 10:30am 10:30am 11:00am 11:00am 11:30am 11:30am 12:00pm REGISTRATION AND BREAKFAST session Chair - Francis X. Riegler, MD Introduction by Session Chair - Francis X. Riegler, MD Introduction to Workshop and ASIPP - Francis X. Riegler, MD Practical Aspects of Fluoroscopy in Interventional Pain Management - Arthur S. Watanabe, MD Lumbar Epidural Injections (Caudal, Interlaminar, and Transforaminal) - Hans Hansen, MD BREAK WITH EXHIBITORS session Chair - Hans Hansen, MD Introduction by Session Chair - Hans Hansen, MD Lumbar Discography - Aaron K. Calodney, MD Sacroiliac Joint Injections - Hans Hansen, MD Percutaneous Adhesiolysis - Laxmaiah Manchikanti, MD 12: 00pm 12:55pm LUNCH 12:55pm 3:00pm 12:55pm 1:00pm session Chair - Sukdeb Datta, MD Introduction by Session Chair - Sukdeb Datta, MD 1:00pm 1:40pm Cervical and Thoracic Epidural Injections - Francis X. Riegler, MD 1:40pm 2:20pm 2:20pm 3:00pm 3:00pm 3:30pm 3:30pm 6:00pm 3:30pm- 3:35pm 3:35pm 4:15pm 4:15pm 4:55pm Hip & Knee Injections and Radiofrequency Thermoneurolysis - Douglas Beall, MD Lumbar Facet Joint Interventions (Intraarticular, Nerve Blocks and Radiofrequency Thermoneurolysis) - aaron Calodney, MD BREAK WITH EXHIBITORS session Chair - Ramsin Benyamin, MD Introduction by Session Chair - Ramsin Benyamin, MD Cervical Facet Joint Interventions (Intraarticular, Nerve Blocks and Radiofrequency Thermoneurolysis) - Hans Hansen, MD Thoracic Facet Joint Interventions (Intraarticular, Nerve Blocksand Radiofrequency Thermoneurolysis) - Ramsin Benyamin, MD 4:55pm 5:25pm Sympathetic Blockade: Celiac, Lumbar Sympathetic and Hypogastric Blocks - Sukdeb Datta, MD 5:25pm 6:00pm Spinal Cord Stimulation Trial Process - Sukdeb Datta, MD 6:00 pm 6:30 pm Percutaneous Disc Decompression - Scott Adelman, MD American Society of Interventional Pain Physicians 3

4 saturday, November 4, 2017 cadaver workshop for Interventional Techniques 6:45 am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY 7:00 am REGISTRATION AND BREAKFAST 7:45 am 8:00 am INTRODUCTION - Laxmaiah Manchikanti, MD 8:00 am 8:45 am Introduction and Fluoroscopy - Laxmaiah Manchikanti, MD & Sheri Albers, DO 9:00 am 12:00 pm hands-on CADAVER WORKSHOP 12:00 pm 1:00 pm LUNCH 1:00 pm 5:00 pm hands-on CADAVER WORKSHOP 5:30 pm SHUTTLES DEPART FROM LAB TO THE HOTEL sunday, November 5, 2017 cadaver workshop for Interventional Techniques 8:00 am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY 8:15 am REGISTRATION AND BREAKFAST 9:00 am 12:00 pm hands-on CADAVER WORKSHOP 12:30 pm SHUTTLES DEPART FROM LAB TO AIRPORT AND HOTEL Cadaver LAB COURSE LEVELS BASIC INTERMEDIATE ADVanced 1. Caudal epidural 2. Sacroiliac joint 3. Lumbar interlaminar epidural 4. Lumbar transforaminal epidural 5. Lumbar facet joint nerve blocks 6. Lumbar intraarticular 7. Lumbar facet radiofrequency neurotomy 8. Percutaneous adhesiolysis 9. Knee and hip 10. Free Form 1. Lumbar transforaminal epidural 2. Lumbar Discography 3. Lumbar medial branch blocks and radiofrequency thermoneurolysis 4. Thoracic interlaminal epidural 5. Cervical interlaminar epidural 6. Cervical intraarticular 7. Thoracic intraarticular 8. Cervical medial branch blocks and radiofrequency neurotomy 9. Thoracic medial branch blocks and radiofrequency neurotomy 10. Free Form 1. Lumbar facet joint interventions (facet joint nerve blocks, and radiofrequency neurotomy) 2. Cervical facet joint interventions (facet joint, medial branch blocks and radiofrequency neurotomy) 3. Thoracic facet joint interventions (facet joint, medial branch blocks and radiofrequency neurotomy) 4. Lumbar discography and transforaminal epidural 5. Percutaneous Disc Decompression 6. Sympathetic blockade (lumbar sympathetic blocks, celiac plexus blocks, hypogastric plexus blocks) 7. Spinal cord stimulator lead placement 8. Knee and hip and neurotomy 9. Free Form 4 American Society of Interventional Pain Physicians

5 Registration Registrant INFORMATION IMPORTANT. Please answer all the questions: Medical Degree: m MD m DO m PhD m List other: Primary Specialty Certification: m Anesthesiology m Physiatry m Neurosurgery m Other: Pain Medicine Subspecialty Certification: m ABMS Pain Medicine (Anesthesiology, PMR, Neurology, Psychiatry, Emergency Medicine) m American Board of Pain Medicine m American Board of Interventional Pain Physicians m Fellow of Interventional Pain Practice (FIPP) Specialty Designation: m 09 - Interventional Pain Management m 72 - Pain Management m Other: What is your practice location: m ASC m HOPD m Office-setting Please print exactly as you wish your name to appear: Name (First) (Middle Initial) (Last) Organization Address City state Z zip Phone Fax Interventional Techniques Review Course And Cadaver Workshop Physicians only- All registrations must be approved 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 Total number of procedures performed during past year: LOCATION ASC HOPD Office Sacroiliac Joint Injections Caudal Epidural Injections Review Course only Review Course and 1½ day Cadaver Workshop Cadaver Workshop Level m $600 Member m $800 Non-Member m $300 Fellow/Resident * m $2,500 Member m $2,800 Non-Member m $1,250 Fellow/Resident * m Basic m Advanced Lumbar Interlaminar Epidural Injections Lumbar/Sacral Transforaminal Epidural Injections Lumbar/Sacral Facet Joint Nerve Blocks Lumbar Facet Joint Blocks Thoracic and Cervical Interlaminar Epidural Injections Lumbar Facet Blocks and Radiofrequency Thoracic Facet Blocks and Radiofrequency Cervical Facet Joint Blocks * If registering as a Resident or Fellow, please list below the name of fellowship program, university or hospital and fax or a letter from the program director verifying your status. Your application for registration cannot be processed and you will not receive the discount until ASIPP receives this letter. Fax the letter to or to 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 and Radiofrequency Lumbar Discography Hydrodiscectomy Nucleoplasty Automated Percutaneous Lumbar Discectomy 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 or Fax to 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 October 1, Cancellations after October 1, 2017 but prior to October 16, 2017 will forfeit 50% of their registration fee. No refunds can be made after October 16, Register online at American Society of Interventional Pain Physicians 5

6 American Society of Interventional Pain Physicians 81 Lakeview Drive, Paducah, KY Interventional Techniques Comprehensive Review Course Up to 8 AMA PRA Category 1 Credits (Plus Free Online Lectures) and Cadaver Workshop Up to 11 AMA PRA Category 1 Credits November 3-5, 2017 Las Vegas, NV Venue Four Seasons Hotel Las Vegas, Mandalay Place 3960 S Las Vegas Blvd, Las Vegas, NV (702) fourseasons.com/lasvegas Cadaver Workshop Site Oquendo Center 2425 E Oquendo Rd, Las Vegas, NV (702) oquendocenter.org Specials Special room rates through October 3, % Off Meeting Fee to Fellows/Residents PRSRT STD U.S. Postage Paid Paducah, KY Permit #44