Brochure - American Society Of Interventional Pain Physicians
Transcription
Brochure - American Society Of Interventional Pain Physicians
ASIPP® EDUCATIONAL SERVICES | EXCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHYSICIANS HOTEL & COURSE LOCATION: PLANET HOLLYWOOD 3667 LAS VEGAS BLVD STH LAS VEGAS, NV 89109 (877) 333-9474 CADAVER WORKSHOP: Quendo Center 2425 E. Oquendo Road , Las Vegas, NV 89120 Phone: 702.739.6698 Toll Free: 866.800.7326 n SPECIAL ROOM RATES n 50% OFF MEETING FEE TO FELLOWS & RESIDENTS RETURNING BY POPULAR DEMAND! ONE AND ONLY THIS YEAR! REVIEW CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV UP TO 15.5 AMA PRA CATEGORY 1 CREDITS™ American Society of Interventional Pain Physicians The Voice of Interventional Pain Management since 1998 CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV FROM THE COURSE DIRECTORS On behalf of the Board of the American Society of Interventional Pain Physicians, it is our privilege and pleasure to invite you to attend the Cadaver Workshop (Basic, Intermediate, and Advanced (Disc Decompression & Vertebral Augmenation) and Ultrasound for Non-Spinal Injections on August 22-24, 2014 in Las Vegas at the modern and exciting Planet Hollywood (located on the Las Vegas Strip) and the state-of-the-art Oquendo Center . Our program meets continuing needs of interventionalists, based on input and needs assessment over the years and is a state-of-the-art educational program of didactic courses covering various interventional techniques and a comprehensive hands-on interventional Cadaver Workshop under fluoroscopy. The seminar and workshop is designed to accommodate training levels and capacity of participants. In response to popular demand we have added ultrasound for non-spinal techniques which will take place at Planet Hollywood. On the first day, the comprehensive review course in interventional techniques and fluoroscopy is designed to provide interventional pain physicians with the ability to understand fluoroscopic interpretation and appropriate needle placement. This 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. This course, as with all ASIPP courses, focuses on doing the right things, the right way, and for the right reasons. The comprehensive cadaver workshop is also planned to provide necessary CME credits and/or as an in-depth review of interventional techniques. Participants will experience a comprehensive and intense learning opportunity focusing either on basic, intermediate or advanced techniques, or intraarticular injections and advanced ultrasound. Participants will also benefit from the experience of individual physicians across the United States. During the 2½ day meeting, physicians can improve existing skills and/or learn new skills and techniques. 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. Our faculty consists of many experts in the field of interventional techniques. We trust you will be as excited as we are about this exceptional opportunity for professional enhancement. We look forward to seeing you in Las Vegas. If you have any 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: asipp@asipp.org ASIPP® American Society of Interventional Pain Physicians THE VOICE OF INTERVENTIONAL PAIN MANAGEMENT SINCE 1998 81 Lakeview Drive, Paducah, KY 42001 Phone: 270.554.9412 | Fax: 270.554-5394 E-Mail: asipp@asipp.org Web Site: www.asipp.org CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER Laxmaiah Manchikanti, MD—Paducah, KY OFFICERS PRESIDENT Ramsin M. Benyamin, MD—Bloomington, IL IMMEDIATE PAST PRESIDENT Hans C. Hansen, MD—Conover, NC PAST PRESIDENT Frank J.E. Falco, MD—Newark, DE PRESIDENT-ELECT Aaron K. Calodney, MD— Tyler, TX VICE PRESIDENT STRATEGIC PLANNING Francis Riegler, MD—Malibu, CA SECRETARY Peter S. Staats, MD—Shrewsbury, NJ TREASURER David Bryce, MD—Middleton, WI LIFETIME DIRECTORS Cyrus E. Bakhit, MD—Roanoke, VA Laxmaiah Manchikanti, MD—Paducah, KY Vijay Singh, MD—Niagara, WI DIRECTORS AT LARGE Salahadin Abdi, MD, PhD—Houston, TX Mark V. Boswell, MD, PhD—Louisville, KY Harold Cordner, MD—Sebastian, FL Tim Deer, MD—Charleston, WV Sudhir Diwan, MD—New York, NY Haroon Hameed, MD—Arlington, VA Mariam Hameed, MD—Boston, MA Joshua A. Hirsch, MD—Boston, MA Alan Kaye, MD, PhD—River Ridge, LA Allan T. Parr, MD—Covington, LA Gabor B. Racz, MD—Lubbock, TX David M. Schultz, MD—Minneapolis, MN John R. Swicegood, MD—Fort Smith, AR Andrea M. Trescot, MD—Eagle River, AK DIRECTORS EMERITUS Standiford Helm II, MD—Laguna Hills, CA PAIN PHYSICIAN EDITOR-IN-CHIEF Alan D. Kaye, MD, PhD—New Orleans, LA AMA DELEGATES Lee Snook, MD - Sacremento, CA Haroon Hameed, MD—Arlington, VA (Alternate) Thank you, AMA RUC Kenneth Candido, MD – Chicago, IL Hans Hansen, MD - Conover, NC (Alternate) AMA CPT ADVISORY COMMITTEE Frank J.E. Falco, MD - Newark, DE Sachin “Sunny” Jha, MD – Chicago, IL (Alternate) STAFF Melinda Martin, Director of Operations Ray Lane, Director of Public Relations Holly Long, Coordinator of Editorial Services Vidyasagar Pampati, Statistician and Programmer Tom Prigge, Multimedia Specialist Cindy Rogers, Administrative Assistant Summer Moffitt, Administrative Assistant GOVERNMENT AFFAIRS COUNSEL Senator Tim Hutchinson & Randi Hutchinson, Esq., Dickstein Shapiro, LLP, 1825 Eye Street NW Washington, DC 20006 202.420.3600 hutchinsont@dicksteinshapiro.com Laxmaiah Manchikanti,MD Chairman of the Board and CEO, ASIPP Ramsin Benyamin, MD Kenneth Candido, MD President, ASIPP Course Director, ASIPP Jeff Mortier, Legislative Partner Ryan, Mackinnon, Vasapoli and Berzok, LLP 1634 Eye Street NW, Suite 1200 Washington, DC 20006 GENERAL COUNSEL Erin Brisbay McMahon JD, Wyatt, Tarrant & Combs, LLP, 250 West Main Street, Suite 1600 Lexington, KY 40507 859.288.7452 | emcmahon@wyattfirm.com Membership open to all Interventional Pain Physicians 2 AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV DESCRIPTION This 2½ day review course and cadaver workshop includes interventional techniques (basic, intermediate, and advanced), Ultrasound for non-spinal injections, and Disc Interventions (advanced). Participants experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques. ACCREDITATION STATEMENT This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education thru the Joint Sponsorship of the Institute for Medical Studies (IMS )and the American Society of Interventional Pain Physicians. IMS is accredited by the ACCME to provide continuing medical education for physicians. TARGET AUDIENCE/PURPOSE This intensive review course in fluoroscopy is planned as a CME activity for CATEGORY I CREDIT interventional pain physicians—for review, skills improvement or to fulfill The Institute for Medical Studies designates this live activity for a state board requirements for CME hours in fluoroscopic interpretation and maximum of 15.5 AMA PRA Category 1 Credits™. Physicians should only radiation safety. claim credit commensurate with the extent of their participation in the activity. OBJECTIVES After this course, participants should be able to: - Describe the delivery of multiple aspects of interventional pain AMERICANS WITH DISABILITIES ACT & SPECIAL SERVICES management. Organizers fully comply with the legal requirements of the Americans with - Review multiple areas of interventional pain management including Disabilities Act and the rules and regulations thereof. If any participant in fluoroscopic interpretation and radiation safety this educational activity is in need of accommodations, please contact the - Demonstrate skills through interactive review of images organizers at (270) 554-9412 at least 10 days prior to the conference. PURPOSE AND TARGET AUDIENCE This 2½ day review course and cadaver workshop is designed for interventional pain physicians, for a review, and skills improvement. ASIPP offers the most in-depth, comprehensive, and individualized programs available in interventional pain management, featuring maximum hands-on training with cadavers in a state-of-the-art facility and maximum ability to interact with other participants. Participants will experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques. • Each cadaver station is limited to a maximum of 7 participants. • Participants can choose the level of participation: basic, intermediate, or Advanced. On Sunday there is the option to attend either workshops in intraarticular injections or advanced ultrasound. • C-arms and state-of-the-art equipment are utilized in this course. Participants are requested to dress in casual attire or scrubs. Leaded aprons and thyroid shields will be provided. However, participants are advised to bring their own protective eyewear. The workshop is offered to improve the delivery of multiple aspects of interventional pain management. The desired outcome is to integrate multiple aspects of interventional pain management in treating your patients so that patients have better outcomes and reduced side effects. OUTCOME Physicians should be able to integrate multiple aspects of fluoroscopy in interventional pain management in treating their patients so that patients have better outcomes and reduced side effects for Medical Studies (IMS) and ASIPP. IMS is accredited by the ACCME to provide continuing medical education for physicians. Planet Hollywood 3667 Las Vegas Boulevard South, Las Vegas, NV 89109 (866) 317-8289 Everyone is a celebrity at Planet Hollywood Las Vegas Resort and Casino. See why this hip, modern, dramatic hotel is unlike any other on the Strip. Inform the agent that you are booking for American Society of Interventional Pain Physicians. We have secured a group room rate of $145 through July 23, 2014 or until block is full. Early booking is encouraged. CADAVER WORKSHOP SITE Quendo Center 425 E. Oquendo Road , Las Vegas, NV 89120 Phone: 702.739.6698 | Toll Free: 866.800.7326 Even with 66,000 square feet to work with, our attention to detail is staggering. It starts with our capacity for up to 30 fully-equipped clinical lab stations, allowing for more simultaneous, THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. NO DUPLICATION OR DISTRIBUTION OF MATERIALS, OR RECORDING OF LECTURES ASSOCIATED. THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS 3 CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV DIDACTIC REVIEW COURSE FRIDAY AUGUST 22, 2014 7:00am–8:00am REGISTRATION 8:00am – 8:30am Introduction Ramsin Benyamin, MD 8:30am – 9:30am Fluoroscopy – Needle Placement Frank Falco, MD 9:30am – 10:00am Ultrasound Basics Kenneth Candido, MD 10:00am–10:30am BREAK 10:30am – 11:00am Ultrasound Guided Intraarticular Injections Kenneth Candido, MD 11:00am – 11:30am Ultrasound Guided Plexus and Peripheral Nerve Blocks Vanila Singh, MD 11:30am – 12:00pm Complications of Interventional Techniques - Blind, Ultrasound, and Flouroscopy Ramsin Benyamin, MD 12:00pm – 1:00pm LUNCH GENERAL SESSION BASIC ADVANCED 1:00pm – 1:30pm Lumbar/Sacral Transforaminal Epidural Injections Hans Hansen, MD Lumbar Facet Joint Blocks and Radiofrequency Thermoneurolysis Leland Lou, MD Automated Percutaneous Lumbar Discectomy (APLD) Kenneth Candido, MD 1:30pm – 2:00pm Lumbar Interlaminar Epidural Injections Harold Cordner, MD Percutaneous Adhesiolysis Ralph Justiz, MD Hydrodiscectomy Ramarao Pasupuleti, MD 2:00pm – 2:30pm Sacroiliac Joint Injections Hans Hansen, MD Cervical Facet Joint Blocks and Radiofrequency Thermoneurolysis Leland Lou, MD Endoscopic Discectomy Frank Falco, MD 2:30pm – 3:00pm BREAK 3:00pm – 3:30pm Caudal Epidural Injections Ralph Justiz, MD Thoracic Facet Joint Blocks and Radiofrequency Thermoneurolysis Hans Hansen, MD Basics of Osteoporotic Fractures Kent Remley, MD 3:30pm – 4:15pm Lumbar/Sacral Facet Joint Nerve Blocks Harold Cordner, MD Lumbar Discography Frank Falco, MD Lumbar/Thoracic Vertebral Augmentation Kent Remley, MD 4:15pm – 5:00pm Image Interpretation and Trouble Shooting Kent Remley, MD Thoracic and Cervical Interlaminar Epidural Injections Ralph Justiz, MD Sacroplasty Ramsin Benyamin, MD 5:00pm 4 INTERMEDIATE ADJOURN AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VETEBRAL AUGMENTATON) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV HANDS-ON CADAVER WORKSHOP SATURDAY AUGUST 23, 2014 6:45am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY 7:00am–8:00am REGISTRATION AND BREAKFAST 8:00am – 8:30am Introduction 8:30am – 12:00pm HANDS-ON CADAVER SESSION 12:00pm–1:00pm LUNCH 1:00pm – 5:30pm HANDS-ON CADAVER SESSION 5:30pm SHUTTLES DEPART FROM CADAVER FACILITY TO THE HOTEL CADAVER LAB COURSE LEVELS BASIC 1. Fluoroscopy Positioning 2. Lumbar Facet Joint Nerve Blocks INTERMEDIATE 1. Cervical and Thoracic Interlaminar Epidural Injections 2. Cervical Facet Joint Blocks and Radiofrequency 3. Lumbar Interlaminar Epidural Injections Thermoneurolysis 4. Lumbar/Sacral Transforaminal Epidural Injections 5. Caudal Epidural Injections 6. Sacroiliac Joint Injection 3. Thoracic Facet Joint Blocks and Radiofrequency Thermoneurolysis 4. Lumbar Facet Joint Blocks and Radiofrequency Thermoneurolysis ADVANCED Disc Decomprssion & Vertebral Augmentation 1. Automated Percutaneous Lumbar Discectomy (APLD) 2. Hydrodiscectomy 3. Endoscopic Discectomy 4. Thoracic Vertebral Augmenation 5. Lumbar Vertebral Augmentation 6. Sacroplasty 5. Lumber Discography 6. Percutaneous Adhesiolysis THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. NO DUPLICATION OR DISTRIBUTION OF MATERIALS, OR RECORDING OF LECTURES ASSOCIATED. AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS 5 CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV HANDS-ON ULTRASOUND WORKSHOP SUNDAY AUGUST 24, 2014 7:00am–8:00am REGISTRATION AND BREAKFAST AT HOTEL 8:00am – 12:00pm HANDS-ON ULTRASOUND SESSION 12:00pm ADJOURN MARK YOUR CALENDAR! NON-SPINAL ULTRASOUND PROCEDURES CADAVER WORKSHOP AND ONLINE VIDEO LECTURES 1. Shoulder and Related Joints 2. Elbow, Wrist, and Other Joints BASIC, INTERMEDIATE, AND ABIPP PREPARATION (INCLUDES ULTRASOUND FOR NON-SPINAL INJECTIONS) OCTOBER 17-19, 2014 | ORLANDO, FLORIDA UP TO 14.75 AMA PRA CATEGORY 1 CREDITS™ FOR WORKSHOP AND UP TO 7 AMA PRA CATEGORY 1 CREDITS™ FOR VIDEO LECTURES 3. Hip Joint 4. Knee, Ankle, and Other Joints 5. Brachial Plexus and Nerve Blocks 6. Interscalene Nerve Blocks 7. Stellate Ganglion Nerve Blocks 8. Lumbar Plexus and Nerve Blocks ASIPP 17th ANNUAL MEETING APRIL 9-11, 2015 ORLANDO, FLORIDA American Society of Interventional Pain Physicians The Voice of Interventional Pain Management since 1998 THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. NO DUPLICATION OR DISTRIBUTION OF MATERIALS, OR RECORDING OF LECTURES ASSOCIATED. 6 AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VETEBRAL AUGMENTATON) AND ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV REGISTRATION REGISTRATION INFORMATION PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR: IMPORTANT. Please answer all the questions: Primary Specialty Certification: m Anesthesiology m Physiatry m Neurosurgery m Other: ____________________ _____________________________________________________________________________________________ NAME (FIRST) (MIDDLE INITIAL) (LAST) (DEGREE) 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) _____________________________________________________________________________________________ ORGANIZATION Percentage of Interventional Pain Management Practice: m 0% m 1-25% m 26-50% m 51-75% m > 75% _____________________________________________________________________________________________ ADDRESS _____________________________________________________________________________________________ CITYSTATE ZIP COUNTRY Years in Interventional Pain Management practice: m 0 m 1-5 m 6-10 m > 10 _____________________________________________________________________________________________ PHONEFAX Please select one of the following: m Basic m Intermediate m Advanced (Disc Interventions) ____________________________________________________________________________________________ E-MAIL Total number of procedures performed during past year: LOCATION ASC HOPD Office Sacroiliac Joint Injections _____ _____ _____ Caudal Epidural Injections _____ _____ _____ Lumbar Interlaminar Epidural Injections _____ _____ ____ ***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 crogers@asipp.org ____________________________________________________________________________________________ NAME OF FELLOWSHIP PROGRAM PAYMENT METHOD (Please check one): m MASTERCARD m VISA m AMERICAN EXPRESS m DISCOVER Lumbar/Sacral Facet Joint Nerve Blocks INTENSIVE REVIEW COURSE, CADAVER WORKSHOP, AND ULTRASOUND COURSE Physician: m $2,500 Member m $2,700 Non-Member Fellow: m 50% Discount _____ _____ _____ ______________________________________________________________________________________________ Lumbar/Sacral Transforaminal Epidural Injections _____ _____ _____ Thoracic and Cervical Interlaminar Epidural Injections _____ _____ _____ CREDIT CARD NUMBER SECURITY CODE (Back of Card) EXP. DATE ______________________________________________________________________________________________ NAME ON CARD Lumbar Facet Blocks and Radiofrequency Thermoneurolysis _____ _____ _____ ______________________________________________________________________________________________ Thoracic Facet Blocks and Radiofrequency Thermoneurolysis _____ _____ _____ (Your application will not be processed if payment does not accompany registration form) Cervical Facet Blocks and Radiofrequency Thermoneurolysis _____ _____ _____ RETURN COMPLETED FORM TO: ASIPP, 81 Lakeview Drive, Paducah, KY 42001 or Fax to (270) 554-5394 Lumbar Discography _____ _____ _____ Percutaneous Adhesiolysis _____ _____ _____ Lumbar Discography _____ _____ _____ Hydrodiscectomy _____ _____ _____ Automated Percutaneous Lumbar Discectomy _____ _____ _____ AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS AUTHORIZED SIGNATURE (required on all credit card orders) CANCELLATION POLICY: ASIPP requires a 30-day notice of cancellation. Cancellations must be submitted in writing by July 22, 2014. Cancellations after July 22, 2014 but prior to August 9, 2014, will forfeit 50% of the registration fee. No refunds will be issued for cancellations made after August 9, 2014. 7 American Society of Interventional Pain Physicians 81 Lakeview Drive, Paducah, KY 42001 RETURNING BY POPULAR DEMAND! ONE AND ONLY THIS YEAR! REVIEW CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC DECOMPRESSION & VERTEBRAL AUGMENTATION) ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV UP TO 15.75 AMA PRA CATEGORY 1 CREDITS™ ASIPP® EDUCATIONAL SERVICES | EXCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHYSICIANS HOTEL & COURSE LOCATION: PLANET HOLLYWOOD 3667 LAS VEGAS BLVD STH LAS VEGAS, NV 89109 (877) 333-9474 CADAVER WORKSHOP: Quendo, 2425 E. Oquendo Road , Las Vegas, NV 89120 Phone: 702.739.6698 Toll Free: 866.800.7326 n SPECIAL ROOM RATES n 50% OFF MEETING FEE TO FELLOWS & RESIDENTS . RETURNING BY POPULAR DEMAND! ONE AND ONLY THIS YEAR! REVIEW CADAVER - BASIC, INTERMEDIATE, ADVANCED (DISC INTERVENTIONS) ULTRASOUND FOR NON-SPINAL INJECTIONS AUGUST 22-24 | LAS VEGAS, NV UP TO 15.5 AMA PRA CATEGORY 1 CREDITS™ American Society of Interventional Pain Physicians The Voice of Interventional Pain Management since 1998 PRSRT STD U.S. POSTAGE PAID PADUCAH, KY PERMIT #44
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THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. NO DUPLICATION OR DISTRIBUTION OF MATERIALS, OR RECORDING OF LECTURES ASSOCIATED. THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE.
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