ASIPP Educational Services Excellence in the education of Interventional Pain Physicians REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS COMPREHENSIVE REVIEW COURSE Up to 7.25 AMA PRA Category 1 Credits (Plus Free Online Lectures) 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
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 Regenerative Medicine Review Course in Musculoskeletal and Lumbar Spine Disorders. The course will run June 29-30 in Orlando, Florida at the Loews Sapphire Falls Resort at Universal Orlando. 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. Laxmaiah Manchikanti, MD Chairman of the Board and Chief Executive Officer, ASIPP Sheri Albers, DO Director-At-Large, ASIPP Sheldon Jordan, MD Neurological Associates of West Los Angeles STATEMENT OF NEED This Regenerative Medicine Review Course in Musculoskeletal and Lumbar Spine Disorders includes: 1 day comprehensive review course and 1 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 are based on the American Board of Interventional Pain Physicians requirements. EDUCATIONAL OBJECTIVES/TARGET AUDIENCE This Regenerative Medicine Review Course in Musculoskeletal and Lumbar Spine Disorders is targeted to interventional pain physicians seeking CME credit hours and an 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) 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. CATEGORY I CREDIT The Institute for Medical Studies designates the Interventional Techniques Comprehensive Review Course live activity for a maximum of 7.25 AMA PRA Category 1 Credits and the Interventional Techniques Comprehensive Cadaver Workshop live activity for a maximum of 8 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. 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 REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS 6:30am 7:55am 7:55am 10:00am 7:55am 8:00am 8:00am 8:20am 8:20am 8:45am 8:45am 9:10am 9:10am 9:30am 9:30am 10:30am REGISTRATION AND BREAKFAST Session Chair - Sheldon Jordan, MD Introduction by Session Chair - Sheldon Jordan, MD Introduction to Regenerative Medicine and Review Course - Laxmaiah Manchikanti, MD Scientific Basis of Role Regenerative Medicine and Musculoskeletal Disorders Miguel Pappolla, MD Legal and Ethical Aspects and FDA Position on Regenerative Medicine in Musculoskeletal and Lumbar Spine Disorders - Sheldon Jordan, MD Basics and Technical Aspects of Fluoroscopy and Ultrasound - Sheri Albers, DO BREAK WITH EXHIBITORS 10:30am 12:00pm Ultrasound Hands on Workshop - Sheldon Jordan, MD; Sheri Albers, DO; Steve Aydin, DO; Kenneth Candido, MD; Kent Remley, MD; Miguel Pappolla, MD; Dmitri Souza, MD; Andrea Trescot, MD 12:00pm 12:55pm 12:55pm 3:00pm 12:55pm 1:00pm 1:00pm 1:30pm 1:30pm 2:00pm LUNCH & SYMPOSIUM - Andrea Trescot, MD. Sponsored by Stimwave Session Chair - Sheldon Jordan, MD Introduction by Session Chair - Sheldon Jordan, MD Bone Marrow Concentrate: Evolution, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Steve Aydin, DO PRP: Evolution, Physiology, Application and Acquisition in Musculoskeletal and Lumbar Spine Disorders - Miguel Pappolla, MD 2:00pm 3:00pm Ultrasound Hands on Workshop - Sheldon Jordan, MD; Sheri Albers, DO; Steve Aydin, DO; Kenneth Candido, MD; Kent Remley, MD; Miguel Pappolla, MD; Dmitri Souza, MD; Andrea Trescot, MD 3:00pm 3:30pm 3:30pm 5:30pm 3:30pm- 3:35pm 3:35pm 4:05pm 4:05pm 4:35pm 4:35pm 5:00pm 5:30pm 7:00pm BREAK WITH EXHIBITORS Session Chair - Sudhir Diwan, MD Introduction by Session Chair - Sudhir Diwan, MD Application of Regenerative Medicine in Lower Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) - Sheri Albers, DO Application of Regenerative Medicine in Upper Extremity Disorders: Evidence and Technical Considerations (Fluoroscopy and/or Ultrasound) of Intraarticular Injections Steve Aydin, DO Application of Regenerative Medicine in Spinal Disorders Sudhir Diwan, MD MEET & GREET WITH EXHIBITORS American Society of Interventional Pain Physicians 3
SATURDAY, JUNE 30, 2018 REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS 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 BASIC INTERMEDIATE 1. BMC acquisition and preparation 2. Shoulder joint and related injections 3. Elbow and wrist joint and related injections 4. Hip joint and related injections 5. Knee joint and related injections 6. Ankle and foot and related injections 7. Free Form 1. BMC acquisition and preparation 2. Upper extremity injections 3. Lower extremity injections 4. Lumbar facet joint injections 5. Sacroiliac joint and related injections 6. Lumbar discography 7. Free Form 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 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) FELLOWSHIP TRAINING: m Pain Medicine m Spine Surgery m Sports Medicine m Other: 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 SELECT CADAVER WORKSHOP LEVEL (see page 4) mbasic m Intermediate PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR: NAME (FIRST) (MIDDLE INITIAL) (LAST) ORGANIZATION ADDRESS CITY STATE ZIP PHONE FAX E-MAIL REGENERATIVE MEDICINE REVIEW COURSE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS 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: PROCEDURE Soft Tissue and Ligament Injections Shoulder Injections TOTAL PERFORMED 1 day Review Course Only 1 day Review Course and 1 day Cadaver Workshop Cadaver Workshop Level m $600 Member m $800 Non-Member m $300 Resident/Fellow* m $2,800 Member m $3,200 Non-Member m $1,400 Resident/Fellow* m Basic m Intermediate Elbow Injections Wrist Injections Hip Injections Knee Injections Ankle Injections Sacroiliac Joint Injections Caudal Epidural Injections Lumbar Interlaminar Epidural Injections Lumbar/Sacral Transforaminal Epidural Injections Lumbar/Sacral Facet Joint Nerve Blocks Lumbar Facet Joint Intraarticular Injections Lumbar Discography Pudendal Nerve Blocks Ultrasound Guided Injections 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 REGENERATIVE MEDICINE IN MUSCULOSKELETAL AND LUMBAR SPINE DISORDERS COMPREHENSIVE REVIEW COURSE Up to 7.25 AMA PRA Category 1 Credits (Plus Free Online Lectures) 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