las vegas, nv - American Society Of Interventional Pain Physicians

ASIPP® EDUCATIONAL SERVICES | EXCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHYSICIANS
RETURNING BY POPULAR DEMAND!
CADAVER
WORKSHOP
BASIC, INTERMEDIATE, AND ABIPP PREPARATION
WITH ONLINE LECTURES
SATURDAY, FEBRUARY 28 AND SUNDAY, MARCH 1 | LAS VEGAS, NV
UP TO 19.75 AMA PRA CATEGORY 1 CREDITS™
ULTRASOUND
FOR NON-SPINAL
INJECTIONS
FRIDAY, FEBRUARY 27 | LAS VEGAS, NV
UP TO 7 AMA PRA CATEGORY 1 CREDITS™
n SPECIAL ROOM RATES
n 50% OFF MEETING FEE TO FELLOWS & RESIDENTS
The American Society of Interventional Pain Physicians
81 LAKEVIEW DRIVE, PADUCAH, KY 42001
P: 270.554.9412 | F: 270.554.5394 | WWW.ASIPP.ORG | ASIPP@ASIPP.ORG
MEETING INFORMATION: HTTP://WWW.ASIPP.ORG/MEETINGS.HTM
HOTEL & COURSE LOCATION:
THE VENETIAN
3355 SOUTH LAS VEGAS BOULEVARD, LAS VEGAS, NV 89109
PHONE: 702-414-1000 | RESERVATIONS: 866.659.9643
CADAVER WORKSHOP:
OQUENDO CENTER, 2425 E. OQUENDO ROAD , LAS VEGAS, NV 89120
PHONE: 702.739.6698 | TOLL FREE: 866.800.7326
CADAVER WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
FROM THE COURSE DIRECTOR
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 either one or both of
our first courses of the year. They include a Cadaver Workshop (Basic, Intermediate,
COURSE DIRECTORS
and ABIPP Preparation) with online lectures and Ultrasound for Non-Spinal
Laxmaiah Manchikanti, MD
Chairman of the Board
and CEO, ASIPP
Medical Director,
Pain Management Center
of Paducah,
Paducah, KY
Clinical Professor of
Anesthesiology and
Perioperative Medicine
University of Louisville
Louisville, KY
Injections. The courses will run February 27 through March 1, 2015 in Las Vegas at
The Venetian and the state-of-the-art Oquendo Center .
These courses meet the continuing needs of interventionalists, based on input and needs assessment
over the years and are cutting edge educational programs. They incorporate didactic courses and
hands-on workshops covering various interventional techniques to enhance the knowledge and/or
skill-level of the participants.
On the first day, the comprehensive review course and hands-on workshop in Ultrasound for Non-spinal
Injections is designed to provide interventional pain physicians with the ability to understand
fluoroscopic interpretation and appropriate needle placement. This one day course is an essential
component for interventional pain physicians and provides education opportunities to assist you in
Kenneth Candido, MD
Chairman and Professor,
Department of Anesthesiology
Advocate Illinois Masonic
Medical Center
Chicago, IL
are online lectures specific to your chosen course level, which should enhance the learning experience.
Ramsin M. Benyamin, MD
President, ASIPP
President, Millennium
Pain Center
Bloomington, IL
Clinical Associate Professor,
Department of Surgery
University of Illinois College
of Medicine,
Urbana-Champaign, IL
Lectures are given by highly qualified ASIPP faculty members and each lecture presentation can be
FACULTY
providing high-quality, competent, safe, accessible, and cost-efficient services to your patients.
Starting the second day 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. As part of the Cadaver Workshop, there
downloaded as future reference material.
Both courses provide 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. Participants will also benefit from the camaraderie
and experience of individual physicians across the United States.
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 renowned 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
Thank you,
Sheri Albers, DO
Sacramento, CA
Eric Anderson, MD
Bloomington, IL
Andres Betts, MD
San Clemente, CA
Ramsin Benyamin, MD
Bloomington, IL
Joseph Cabaret, MD
Camarillo, CA
Kenneth Candido, MD
Chicago, IL
Harold Cornder, MD
Sebastian, FL
Amit Gulati, MD
New York, NY
Hans Hansen, MD
Conover, NC
Sheldon Jordan, MD
Santa Monica, CA
Kent Remley, MD
Zionsville, IN
Andrea Trescot, MD
Wasilla, AK
Mercy Udoji, MD
Birmingham, AL
Arthur Watanabe, MD
Liberty Lake, WA
Laxmaiah Manchikanti,MD
Chairman of the Board and CEO, ASIPP
2
AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS
CADAVER WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
DESCRIPTION
Choose to attend one or both of ASIPP’s first courses of 2015 in Las
Vegas. You can attend the one day Ultrasound for Non-spinal Injections
course or the 1½ day Cadaver Workshop course with online lectures or
both. Participants will experience a comprehensive and intense learning
opportunity, focusing on interventional pain management techniques
in both courses.
TARGET AUDIENCE/PURPOSE
These comprehensive review courses in interventional techniques are
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 state board requirements for CME
hours in fluoroscopic interpretation and radiation safety.
OBJECTIVES
ULTRASOUND FOR NON-SPINAL INJECTIONS
- Attain the ability to understand ultrasound interpretation and
appropriate needle placement in non-spinal regions.
- To integrate multiple aspects of interventional pain management
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.
- Describe the delivery of multiple aspects of interventional pain
management.
- Improve existing skills and/or develop new skills in the delivery
of interventional techniques involving ultrasound for non-spinal
injections.
- Demonstrate skills through interactive review of images.
CADAVER WORKSHOP
- To integrate multiple aspects of interventional pain management
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.
- Describe the delivery of multiple aspects of interventional pain
management.
- Improve existing skills and/or develop new skills in the delivery of
interventional techniques.
- Review multiple areas of interventional pain management including
fluoroscopic interpretation and radiation safety.
- Demonstrate skills through interactive review of images.
and provides education opportunities to assist you in providing highquality, competent, safe, accessible, and cost-efficient services to your
patients.
CADAVER WORKSHOP
During this 1½ day meeting, interventional pain physicians can
improve existing skills and/or learn new skills and techniques.
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 ABIPP
Examination preparation. Included are online lectures to aid in the
understanding of and delivery of specific interventional techniques.
• Each cadaver station is limited to a maximum of 7 participants.
• Participants can choose the level of participation: basic, intermediate,
or ABIPP Preparation
• 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.
• Participants will be provided with 7 video lectures relevant to the
course material
OUTCOME
Physicians should be able to integrate multiple aspects of ultrasound
and fluoroscopy in interventional pain management in treating their
patients so that patients have better outcomes.
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 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 ULTRASOUND FOR
NON-SPINAL INJECTIONS live activity for a maximum of up to 7 AMA
PRA Category 1 Credits™ and the CADAVER WORKSHOP live activity for a
maximum of up to 19.75 AMA PRA Category 1 Credits™. Physicians should
only claim credit commensurate with the extent of their participation in
the activity.
AMERICANS WITH DISABILITIES ACT & SPECIAL SERVICES
PURPOSE AND TARGET AUDIENCE
ULTRASOUND FOR NON-SPINAL INJECTIONS
This one day, comprehensive review course and hands-on workshop
in Ultrasound for Non-spinal Injections is designed to provide
interventional pain physicians with the ability to understand
fluoroscopic interpretation and appropriate needle placement. This one
day course is an essential component for interventional pain physicians
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.
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 WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
ULTRASOUND FOR NON-SPINAL PAIN INJECTIONS
FRIDAY FEBRUARY 27, 2015
7:00am–8:00am BREAKFAST AND REGISTRATION
Kenneth Candido, MD
8:00am–8:30am Introduction and Ultrasound Basics
8:30am–8:45am Diagnostic Ultrasound of the Shoulder and Rotator Cuff
Kenneth Candido, MD
8:45am–9:00am Diagnostic Ultrasound of the Elbow, Wrist, and Surrounding Bursae
Kent Remely, MD
9:00am–9:15am Diagnostic Ultrasound of the Hip Joint and Piriformis
Andres Betts, MD
9:15am–9:30am Knee, Ankle, and Surrounding Bursae
Sheri Albers, DO
9:30am–9:45am Interscalene and Stellate Ganglion Nerve Blocks
Kenneth Candido, MD
Sheldon Jordan, MD
9:45am–10:00am Lumbar Plexus and Nerve Blocks
10:00am–10:30am BREAK
10:30am –12:00pm
HANDS-ON NON-SPINAL ULTRASOUND ROTATIONS
12:00pm–1:00pm LUNCH
1:00pm –3:00pm
HANDS-ON NON-SPINAL ULTRASOUND ROTATIONS
3:00pm–3:30pm BREAK
3:30pm–5:00pm
HANDS-ON NON-SPINAL ULTRASOUND ROTATIONS
NON-SPINAL ULTRASOUND TOPICS
n Needle Placement
n Hip Joint and Piriformis
n Brachial Plexus and Nerve Blocks
n Shoulder and Rotator Cuff
n Knee, Ankle, and Surrounding Bursae
n Interscalene Nerve Blocks
n Elbow, Wrist, and Surrounding Bursaen Lumbar Plexus and Nerve Blocks
n Stellate Ganglion Nerve Blocks
THERE IS NO COMMERCIAL SUPPORT FOR THIS COURSE. NO DUPLICATION OR DISTRIBUTION OF MATERIALS, OR RECORDING OF LECTURES ASSOCIATED.
4
AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS
CADAVER WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
HANDS-ON CADAVER WORKSHOP
SATURDAY, FEBRUARY 28, 2015
6:45am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY
7:00am–8:00am REGISTRATION AND BREAKFAST
8:00am–8:30am Introduction
8:30am–9:30am
9:30am –12:00pm
Imaging for Interventionalists –
Fluoroscopy, Radiation Safety, and Needle Placement
Laxmaiah Manchikanti, MD
Arthur Watanabe, MD
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
HANDS-ON CADAVER WORKSHOP
SUNDAY, MARCH 1, 2015
6:45am SHUTTLES DEPART FROM HOTEL TO THE CADAVER FACILITY
7:00am – 7:30am REGISTRATION AND BREAKFAST
7:30am – 8:30am Anti-Coagulatnt Therapy and Infection Control
8:30am – 11:45am
Laxmaiah Manchikanti, MD
HANDS-ON CADAVER WORKSHOP
11:45am SHUTTLES DEPART FROM CADAVER FACILITY TO THE HOTEL & TO THE AIRPORT
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 WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
CADAVER LAB COURSE LEVELS
ADVANCED
(ABIPP PREPARATION)
BASIC
INTERMEDIATE
1. Sacroiliac joint interventions
1. Cervical and thoracic interlaminar epidurals
2. Lumbar interlaminar epidural 2. Cervical facet joint interventions
injections
(medial branch blocks, and radiofrequency
neurotomy)
3. Lumbar transforaminal
epidural injections
3. Thoracic facet interventions (medial branch
blocks, and radiofrequency neurotomy)
4. Lumbar facet joint nerve
blocks
4. Lumbar discography and adhesiolysis
5. Lumbar facet radiofrequency
neurotomy
5. Lumbar sympathetic blocks and hypogastric plexus blocks
6. Caudal epidural injections
6. 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 discography
6. Sympathetic blockade (stellate ganglion, lumbar sympathetic blocks and celiac plexus blocks)
ACCOMMODATIONS
THE VENETIAN RESORT HOTEL CASINO
3355 Las Vegas Blvd. South, Las Vegas, NV 89109
Hotel: 702.414.1000 | Reservations: 866.659.9643
http://www.venetian.com
Combining unrivaled travel and logistical convenience, award-winning
service, vast, flexible meeting space, eco-friendly LEED certifications and
universal appeal for guests, and you start to understand why this is Las
Vegas’ preferred meetings venue. Our experienced staff takes great pride
in meeting and exceeding your expectations. Inform the agent that you
are booking for American Society of Interventional Pain Physicians. We have
secured a group rate of $159. Register early, as all unbooked rooms will be
released on February 5, 2015 or until sold out, whichever occurs first.
CADAVER WORKSHOP VENUE
OQUENDO CENTER
2425 E. Oquendo Road, Las Vegas, NV 89120
Phone: 702.739.6698 | Toll Free: 866.800.7326
http://www.oquendocenter.org
The clinical capabilities and astounding amenities of the Oquendo
Center make it an incomparable event solution. 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, hands-on learning. This means more opportunity to practice
and perfect each new skill.
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 WORKSHOP (BASIC, INTERMEDIATE, AND ABIPP PREPARATION) WITH ONLINE LECTURES
AND ULTRASOUND FOR NON-SPINAL INJECTIONS
FEBRUARY 27- MARCH 1 | LAS VEGAS, NV
REGISTRATION
PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR:
REGISTRATION INFORMATION
IMPORTANT. PLEASE ANSWER ALL THE QUESTIONS:
_____________________________________________________________________________________________
NAME
(FIRST)
(MIDDLE INITIAL)
(LAST)
(DEGREE)
Primary Specialty Certification:
m Anesthesiology m Physiatry
m Neurosurgery m Other: ____________________
_____________________________________________________________________________________________
ORGANIZATION
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)
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
Please select one of the following:
m 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 Interlaminar
Epidural Injections
_____ _____ ____
Lumbar/Sacral Facet Joint
Nerve Blocks
_____ _____ _____
Lumbar/Sacral Transforaminal
Epidural Injections
_____ _____ _____
Thoracic and Cervical Interlaminar
Epidural Injections
_____ _____ _____
Lumbar Facet Blocks and Radiofrequency
Thermoneurolysis _____ _____ _____
Thoracic Facet Blocks and Radiofrequency
Thermoneurolysis _____ _____ _____
Cervical Facet Blocks and Radiofrequency
Thermoneurolysis
_____ _____ _____
Lumbar Discography _____ _____ _____
Percutaneous Adhesiolysis _____ _____ _____
Lumbar Discography
_____ _____ _____
Hydrodiscectomy
_____ _____ _____
Automated Percutaneous
Lumbar Discectomy
_____ _____ _____
AMERICAN SOCIETY OF INTERVENTIONAL PAIN PHYSICIANS
_____________________________________________________________________________________________
ADDRESS
_____________________________________________________________________________________________
CITY
STATEZIP
COUNTRY
_____________________________________________________________________________________________
PHONEFAX
____________________________________________________________________________________________
E-MAIL
INTENSIVE REVIEW COURSE, CADAVER WORKSHOP,
AND ULTRASOUND COURSE
Cadaver Workshop and
Ultrasound for Non-Spinal Injections
m $3,100 (Member)
m $3,600 (Non-Member)
m50% Discount***
Cadaver Workshop ONLY: m $2,500 (Member) m $2,800 (Non-Member)
m50% Discount***
Ultrasound for Non-Spinal Injections ONLY: m $ 800 (Member) m $1,000 (Non-Member)
*** 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
______________________________________________________________________________________________
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 January 28, 2015.
Cancellations after January 28, 2015 but prior to February 13, 2015, will forfeit 50% of their registration fee. No
refunds can be made after February 13, 2015.
7
American Society of
Interventional Pain Physicians
81 Lakeview Drive, Paducah, KY 42001
PRSRT STD
U.S. POSTAGE
RETURNING BY POPULAR DEMAND!
CADAVER WORKSHOP
BASIC, INTERMEDIATE, AND ABIPP PREPARATION WITH ONLINE LECTURES
SATURDAY, FEBRUARY 28 AND SUNDAY, MARCH 1 | LAS VEGAS, NV
UP TO 19.75 AMA PRA CATEGORY 1 CREDITS™
ULTRASOUND FOR
NON-SPINAL INJECTIONS
FRIDAY, FEBRUARY 27 | LAS VEGAS, NV
UP TO 7 AMA PRA CATEGORY 1 CREDITS™
n SPECIAL ROOM RATES
n 50% OFF MEETING FEE TO FELLOWS & RESIDENTS
ASIPP® EDUCATIONAL SERVICES | EXCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHYSICIANS
RETURNING BY POPULAR DEMAND!
CADAVER WORKSHOP
BASIC, INTERMEDIATE, AND ABIPP PREPARATION WITH ONLINE LECTURES
SATURDAY, FEBRUARY 28 AND SUNDAY, MARCH 1 | LAS VEGAS, NV
UP TO 19.75 AMA PRA CATEGORY 1 CREDITS™
ULTRASOUND FOR
NON-SPINAL INJECTIONS
FRIDAY, FEBRUARY 27 | LAS VEGAS, NV
UP TO 7 AMA PRA CATEGORY 1 CREDITS™
n SPECIAL ROOM RATES n 50% OFF MEETING FEE TO FELLOWS & RESIDENTS
PAID
PADUCAH, KY
PERMIT #44