ASIPP Educational Services Excellence in the education of Interventional Pain Physicians LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION COMPREHENSIVE REVIEW COURSE Up to 6.5 AMA PRA Category 1 Credits AND CADAVER WORKSHOP Up to 8 AMA PRA Category 1 Credits JUNE 29-30, 2018 ORLANDO, FL VENUE Loews Sapphire Falls Resort at Universal Orlando 6601 Adventure Way, Orlando. FL 32819 Reservation Group Call-In Center Toll Free: 1.866.360.7395 Local: 407.503.9276 Fax: 407.503.9208 SPECIALS Special room rates through June 7, 2018 50% Off Meeting Fee to Fellows/Residents **This course is open to physicians only** American Society of Interventional Pain Physicians The Voice of Interventional Pain Management
YOU RE INVITED 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 Lumbar Endoscopic Spinal Decompression Review Course and Hands-On Cadaver Workshop. The course will run June 29-30 in Orlando, Florida at the Loews Sapphire Falls Resort at Universal Orlando. Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP Frank J.E. Falco, MD Founder, CEO and a Principal, Mid Atlantic Spine and Pain 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 1 day of hands-on cadaver workshop. Jason Capra, MD, PhD Pain Specialist Sukdeb Datta, MD Vice President - Strategic Alliances, ASIPP DESCRIPTION This lumbar intervention course includes 1 day of didactics and 1 day of cadaver workshop. Lumbar Endoscopic Spine Decompression is a minimally invasive procedure that can help relieve pain, numbness and decreased mobility caused by nerve pressure created by a ruptured, herniated or bulging disc. This technique is performed by inserting a small instrument under X-ray guidance through the skin to reach the affected disc and provide treatment. OBJECTIVES - Attain understanding of Lumbar Endoscopic Spine Decompression - Attain eligibility for competency certification - Integrate new and progressive interventional pain management 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 ACCREDITATION STATEMENT These CME activities have been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of The Institute for Medical Studies and the American Society of Interventional Pain Physicians. 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 Lumbar Endoscopic Spinal Decompression Review Course live activity for a maximum of 6.5 AMA PRA Category 1 Credits and the Lumbar Endoscopic Spinal Decompression Cadaver Workshop live activity for a maximum of 8 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AMERICANS WITH DISABILITIES ACT & 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 these educational activities is in need of accommodations, please contact the organizers at (270) 554-9412 at least 10 days prior to each conference. ASIPP is now an ABA Registered CME Provider. ACCOMMODATIONS LOEWS SAPPHIRE FALLS RESORT AT UNIVERSAL ORLANDO 6601 Adventure Way, Orlando, Florida, 32819 Phone: 888-430-4999 Reservations: 1-888-430-4999 Reservation Group Call-In Center Toll Free: 1.866.360.7395 Local: 407.503.9276 Fax: 407.503.9208 The experience starts with you. At Loews Hotels you drive everything we do. It all goes back to the fact that, here, your experience isn t quite like everywhere else. We know how to wow you with big flavor and style (look no further than our top-notch restaurants, ocean-side pools, and relaxing spas). Yet, as one of the only independently owned family hotel companies, we know that hospitality comes from the heart. And we re dedicated to give you just that. The cut-off date for our room block with discounted rates is on June 7, 2018 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
FRIDAY, JUNE 29, 2018 REVIEW COURSE FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION 7:00am 8:00am 8:00am 9:30am 8:00am 8:30am 8:30am 9:00am 9:00am 9:30am 9:30am 10:30am 10:30am 12:00pm 10:30am 11:00am 11:00am 11:30am 11:30am 12:00pm 12:00pm 12:55pm 1:00pm 3:00pm 1:00pm 1:30pm 1:30pm 2:00pm 2:00pm - 2:30pm 2:30pm 3:00pm 3:00pm 3:30pm 3:30pm 5:30pm 3:30pm 4:00pm 4:00pm 4:30pm 4:30pm 5:00pm 5:30pm 7:00pm BREAKFAST AND REGISTRATION Morning Session Chairperson: Frank Falco, MD Introduction - Frank Falco, MD Lumbar Disc Pathology: Overview, Diagnosis, and Classification Kent B. Remley, MD Spinal Stenosis: Overview, Diagnosis, and Classification Sheri L. Albers, DO BREAK Session Chairperson- Sukdeb Datta, MD Technical Considerations: Needle Placement and Manipulation Kent Remley, MD Technical Considerations: Endoscope Placement and Manipulation Frank Falco, MD Technical Considerations: Transforaminal Endoscopic Surgery: Inside Out Jason Capra, MD LUNCH & SYMPOSIUM - Andrea Trescot, MD. Sponsored by Stimwave Afternoon Session Chairperson- Jason Capra, MD Technical Considerations: Transforaminal Endoscopic Surgery: Outside In Sukdeb Datta, MD Indications & Efficacy: Transforaminal Endoscopic Surgery Frank Falco, MD Technical Considerations: Disc Protrusions vs. Extrusion Sukdeb Datta, MD Technical Considerations: Disc Decompression L4/5 and L5/S1 Frank Falco, MD BREAK Session Chairperson: Jason Capra, MD Technical Considerations: Lumbar Endoscopic Facet Joint Rhizotomy Jason Capra, MD Technical Considerations: Disc & Spinal Decompression for Spondylolisthesis Kent Remley, MD Technical Considerations: Other Applications - Obesity & Elderly Jason Capra, MD MEET & GREET WITH EXHIBITORS American Society of Interventional Pain Physicians 3
SATURDAY, JUNE 30, 2018 CADAVER WORKSHOP FOR INTERVENTIONAL TECHNIQUES 6:30am SHUTTLE LEAVES FOR LAB 7:00am REGISTRATION AND BREAKFAST 7:45 am 8:00 am INTRODUCTION - Laxmaiah Manchikanti, MD 8:00 am 8:45 am Overview of Cadaver Workshop - Laxmaiah Manchikanti, MD 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 CADAVER LAB COURSE LEVELS FOR LUMBAR ENDOSCOPIC DECOMPRESSION PROCEDURES INTERMEDIATE 1. Discography 2. Needle Placement 3. L4/5 Endoscopic 4. L5/S1 Endoscopic 5. Annual Tear Endoscopic 4 American Society of Interventional Pain Physicians
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 American Board of Anesthesiology m American Board of Pain Medicine m American Board of Interventional Pain Physicians m Fellow of Interventional Pain Practice (FIPP) m Competency in Interventional Pain Management m Competency in Regenerative Medicine SPECIALTY DESIGNATION: m 09 - Interventional Pain Management m 72 - Pain Management m Other: FELLOWSHIP TRAINING: m Pain Medicine m Spine Surgery m Sports Medicine m Other: PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR: NAME (FIRST) (MIDDLE INITIAL) (LAST) ORGANIZATION ADDRESS CITY STATE ZIP PHONE FAX E-MAIL LUMBAR ENDOSCOPIC DECOMPRESSION REVIEW COURSE AND CADAVER WORKSHOP Physicians only- All registrations must be approved YEARS IN INTERVENTIONAL PAIN MANAGEMENT PRACTICE: m 0 m 1-5 m 6-10 m > 10 1 day Review Course Only m $1,000 Member m $1,100 Non-Member NUMBER OF YEARS EXPERIENCE IN LUMBAR SPINAL ENDOSCOPIC DECOMPRESSION: m 0 m 1-5 m 6-10 m > 10 TOTAL NUMBER OF PROCEDURES PERFORMED DURING PAST YEAR: PROCEDURE Lumbar Discography TOTAL 1 day Review Course and 1 day Cadaver Workshop Cadaver Workshop Level m $4,000 Member m $4,300 Non-Member m Intermediate Lumbar Transforaminal Epidural Lumbar Interlaminar Epidural Endoscopic Lumbar Disc Decompression Endoscopic Lumbar Decompression for Spinal Stenosis Endoscopic Decompression for Lumbar Spondylolisthesis Endoscopic Lumbar Decompression for Disc Extrusion Percutaneous Disc Decompression 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 30, 2018. Cancellations after May 30, 2018 but prior to June 15, 2018 will forfeit 50% of their registration fee. No refunds can be made after June 15, 2018. REGISTER ONLINE AT http://www.asipp.org/asipp-national-meetings.html American Society of Interventional Pain Physicians 5
American Society of Interventional Pain Physicians 81 Lakeview Drive, Paducah, KY 42001 LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION COMPREHENSIVE REVIEW COURSE Up to 6.5 AMA PRA Category 1 Credits AND CADAVER WORKSHOP Up to 8 AMA PRA Category 1 Credits JUNE 29-30, 2018 ORLANDO, FL VENUE Loews Sapphire Falls Resort at Universal Orlando 6601 Adventure Way, Orlando. FL 32819 Reservation Group Call-In Center Toll Free: 1.866.360.7395 Local: 407.503.9276 Fax: 407.503.9208 SPECIALS Special room rates through June 7, 2018 50% Off Meeting Fee to Fellows/Residents **This course is open to physicians only** PRSRT STD U.S. POSTAGE PAID PADUCAH, KY PERMIT #44