Imaging, Fluoroscopy, and Radiation Safety

Cadaver Workshop

and Online VideO lecturesBasic, intermediate, and aBiPP PreParatiOn

FeBruary 1-2, 2014

ImagIng, FluorosCopy, and radIatIon saFety

January 31, 2014uP tO 28.25 AMA PRA CAtegoRy 1 CRedits™

Hotel & Course loCation:Embassy suitEs PhoEnix north, 2577 WEst GrEEnWay road, PhoEnix, aZ 85023. 602-375-1777

CaDaVer WorKsHoP:sciEncE carE, 2020 WEst mElinda lanE, PhoEnix, aZ 85027. (800) 590-8131

n sPEcial room ratEs thru January 16, 2014n 75% off mEEtinG fEE to fElloWs & rEsidEnts

.

ASIPP®

American Society of Interventional Pain PhysiciansThe Voice of inTerVenTional Pain ManageMenT Since 199881 lakEviEW drivE, Paducah, kEntucky 42001PhonE: 270-554-9412 | fax: 270-554-5394 | WEb: www.asipp.org | Email: [email protected]

ExcEllEncE in Education for intErvEntional Pain Physicians

2 AmericAn Society of interventionAl PAin PhySiciAnS

on behalf of the board of the american society of interventional Pain Physicians, it is my privilege and pleasure to invite you to attend the cadaver Workshop (basic, intermediate, and abiPP Preparation), february 1-2, 2014 and the imaging, fluoroscopy, and radiation safety course on January 31, 2014.

We have revised our program to meet continuing needs of interventionalists, based on input and needs assessment over the years and created a state-of-the-art educational program of didactic courses covering various interventional techniques under fluoroscopy and a comprehensive hands-on interventional cadaver

Workshop. We have changed the seminar and workshop to accommodate training levels and capacity of participants.

on the first day, the comprehensive review course in imaging, fluoroscopy, and radiation safety 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 prepare physicians seeking board certification by abiPP, obtain 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 non-spinal interventional techniques. Participants will also benefit from the experience of individual physicians across the united states. during the 1½ day cadaver hands-on workshop, physicians can improve existing skills, learn new skills, prepare for the interventional techniques certification examination, or prepare for the board examination.

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 imaging, fluoroscopy, and radiation safety review 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 hope you will make your plans early to attend. We look forward to seeing you in Phoenix. if you have any questions, please feel free to contact me at 2831 lone oak road, Paducah, ky 42003, phone: 270-554-8373 ext. 101, fax: 270-554-8987, or e-mail: [email protected]

thank you,

laxmaiah manchikanti,chairman of the board and chief Executive officer, asiPP

From the ChaIrman and Ceo

American Society of Interventional Pain PhysiciansThe Voice of inTerVenTional Pain ManageMenT since 199881 Lakeview Drive, Paducah, KY 42001Phone: 270.554.9412 | Fax: 270.554-5394E-Mail: [email protected] Site: www.asipp.org

chairMan of The Board andchief eXecUTiVe officer Laxmaiah Manchikanti, MD—Paducah, KYPresidenT Hans C. Hansen, MD—Conover, NCiMMediaTe PasT PresidenTFrank J.E. Falco, MD—Newark, DE PresidenT-elecTRamsin M. Benyamin, MD—Bloomington, ILfirsT eXecUTiVe Vice PresidenTDavid L. Caraway, MD, PhD—Huntington, WVsecond eXecUTiVe Vice PresidenTAaron K. Calodney, MD— Tyler, TXVice PresidenT sTraTegic PlanningFrancis Riegler, MD—Malibu, CAsecreTarYPeter S. Staats, MD—Shrewsbury, NJTreasUrerDavid Bryce, MD—Middleton, WI

lifeTiMe direcTorsCyrus E. Bakhit, MD—Roanoke, VALaxmaiah Manchikanti, MD—Paducah, KYVijay Singh, MD—Niagara, WI

direcTors aT largeSalahadin Abdi, MD, PhD—Houston, TXMark V. Boswell, MD, PhD—Louisville, KY Harold Cordner, MD—Sebastian, FLTim Deer, MD—Charleston, WVSudhir Diwan, MD—New York, NYHaroon Hameed, MD—Blatimore, MDMariam Hameed, MD—Boston, MAJoshua A Hirsch, MD—Boston, MAAlan Kaye, MD, PhD—River Ridge, LAAllan T. Parr, MD—Covington, LA Gabor B. Racz, MD—Lubbock, TXDavid M. Schultz, MD—Minneapolis, MN John R. Swicegood, MD—Fort Smith, ARAndrea M. Trescot, MD—Eagle River, AK

direcTors eMeriTUsStandiford Helm II, MD—Laguna Hills, CA David S. Kloth, MD—Danbury, CT

Pain PhYsician ediTor-in-chiefAlan David Kaye, MD, PhD—New Orleans, LA

aMa delegaTesLee T. Snook, MD—Sacramento, CAHaroon Hameed, MD—Baltimore, MD

sTaffMelinda Martin, Director of OperationsRay Lane, Director of Public RelationsHolly Long, Coordinator of Editorial ServicesVidyasagar Pampati, Statistician and ProgrammerPaula Reynolds Spear, Meeting CoordinatorTom Prigge, Multimedia SpecialistCindy Rogers, Administrative AssistantSummer Moffitt, Administrative Assistant

goVernMenT affairs coUnselSenator Tim Hutchinson & Randi Hutchinson, Esq., Dickstein Shapiro, LLP, 1825 Eye Street NWWashington, DC 20006 [email protected]

Jeff Mortier, Legislative PartnerRyan, Mackinnon, Vasapoli and Berzok, LLP1634 Eye Street NW, Suite 1200Washington, DC 20006

general coUnselErin Brisbay McMahonJD, Wyatt, Tarrant & Combs, LLP, 250 West Main Street, Suite 1600Lexington, KY 40507859.288.7452 | [email protected]

3AmericAn Society of interventionAl PAin PhySiciAnS


DesCriPtionthis 1-day review course includes didactics on the topic of fluoroscopy. Participants experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.

target auDienCe/PurPosethis intensive review course in fluoroscopy is planned as a cmE activity for interventional pain physicians—for review, skills improvement or to fullfil state board requirements for cmE hours in fluoroscopic interpretation and radiation safety.

objeCtiVesafter this course, participants should be able to:- describe the delivery of multiple aspects of interventional pain management.- review multiple areas of interventional pain management including fluoroscopic interpretation and radiation safety- demonstrate skills through interactive review of images

outComePhysicians 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.

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.

aCCreDitation statementthis live 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

Category i CreDitthe institute for medical studies designates this educational activity for a maximum of 7.5 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 serViCesorganizers 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.

aCCommoDationsEmbassy suites Phoenix north2577 West Greenway road, Phoenix, aZ 85023. Phone: 602-375-1777inform the agent that you are booking for american society of interventional Pain Physicians. We have secured a group room rate of $129. reserve rooms early—all unbooked rooms will be released after January 16, 2014.

Course DireCtors

laxmaiah manchikanti, mDchairman of the board and cEo, asiPPmedical director, Pain management center Paducah, kyclincal Professor of anesthesiology and Perioperative medicine, university of louisvillelouisville, ky

Hans C. Hansen, mDPresident, asiPPmedical directorthe Pain relief centers, llc conover, nc

FaCulty

sheri albers, Dodirector of researchradiology research and consultationsacramento, california

Frank j. e. Falco, mDimmediate Past President, asiPPmedical director, midatlantic spinenewark, dEclinical assistant Professortemple university medical schoolPhiladelphia, Pa

David m. schultz, mDdirector-at-large, asiPPmedical directormedical advanced Pain specialistsminneapolis, mn

louis K. Wagner, PhDProfessor of radiologychief Physicistdept. of diagnostic andinterventional imaginguniversity of texas medical schoolhouston, texas

arthur Watanabe, mDspinal diagnosticsspokane, Wa


7:00am–8:00am registration (Complimentary breakfast provided by the embassy suites for attendees staying at host hotel)

8:00am–8:30am introduction laxmaiah manchikanti, mD

8:30am–9:00am Evolution, basic Principles and mechanics of x-ray and fluoroscopy louis K. Wagner, PhD

9:00m–9:30am Principles of radiation safety louis K. Wagner, PhD

9:30am–10:00am clinical aspects of fluoroscopic safety in interventional Pain management David schultz, mD

10:00am–10:30 breaK

10:30am–11:00am lumbar spine fluoroscopy, needle Placement and image interpretation Frank Falco, mD

11:00am–11:30am cervical spine fluoroscopy, needle Placement and image interpretation arthur Watanabe, mD

11:30am–12:00pm head and neck fluoroscopy, needle Placement and image interpretation sheri albers, mD

12:00pm–1:00pm lunCH - Provided

1:00pm–1:30pm fluoroscopy, needle Placement and image interpretation:thorax, chest and abdomen Frank Falco, mD

1:30pm–2:00pm thoracic spine fluoroscopy, needle Placement and image interpretation arthur Watanabe, mD

2:00pm–2:30pm fluoroscopy, needle Placement and image interpretation of Extremities sheri albers, Do

2:30pm–3:00pm breaK

3:00pm–3:30pm regulatory aspects of fluoroscopy louis K. Wagner, PhD

3:30pm–4:00pm complications of interventional techniques David schultz, mD

4:00pm–5:30pm review of images and Questions all FaCulty

5:30pm aDjourn

imaGinG, fluoroscoPy, and radiation safEtyFriDay January 31, 2014



Cadaver Workshop

DesCriPtion, PurPose anD target auDienCe

this 1½-day workshop is designed for interventional pain physicians, for a review, skills improvement, or to assist in preparation for comprehensive interventional Pain management Examination qualifications. 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.

• Eachcadaverstationislimitedtoamaximumof7participants.• Participantscanchoosethelevelofparticipation:basic,intermediate,

or comprehensive interventional Pain management Examination Preparation course.

• C-armsandstate-of-the-artequipmentareutilizedinthiscourse.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.

• Participantswillbeprovidedwith7videolecturesrelevanttothecoursematerial

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.

outComePhysicians should be able to integrate multiple aspects of interventional pain management techniques in patient treatments so that patients have better outcomes and reduced side effects.

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.

aCCreDitation anD Cme CreDit statementsthis live and online 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 asiPP. ims is accredited by the accmE to provide continuing medical education for physicians.

the institute for medical studies designates this educational activity for a maximum of 20.75 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 serViCesorganizers 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.

CaDaVer WorKsHoP sitescience care sets the standard of excellence for the donation and responsible use of human tissue for medical research, training and professional education. science care is the only organization to be accredited by both the american association of tissue banks (aatb) and accredited as a provider by the accreditation council for continuing medical Education (accmE).

CaDaVer lab Course leVels

BasIC IntermedIate ComprehensIve Ipm examInatIonpreparatIon - advanCed

1. caudal epidural injections

2. lumbar interlaminar epidural injections

3. lumbar transforaminal epidural injections

4. sacroiliac joint interventions

5. lumbar facet joint nerve blocks

6. thoracic facet joint nerve blocks

7. cervical facet joint nerve blocks

8. lumbar facet radiofrequency neurotomy

1. lumbar discography

2. Percutaneous adhesiolysis

3. lumbar sympathetic blocks and hypogastric plexusblocks

4. lumbar facet joint nerve blocks and radiofrequency neurotomy

5. cervical and thoracic interlaminar epidurals

6. thoracic facet interventions (medial branch blocks, and radiofrequency neurotomy)

7. cervical facet joint interventions (medial branch blocks, and radiofrequency neurotomy)

8. celiac plexus block

1. caudal, lumbar, thoracic, cervical interlaminar epidural

2. lumbar transforaminal and discography

3. lumbar facet joint interventions (facet joint nerve blocks, and radiofrequency neurotomy)

4. thoracic facet joint interventions (medial branch blocks and radiofrequency neurotomy), intercostal nerve blocks

5. cervical facet joint interventions (medial branch blocks and radiofrequency neurotomy)

6. spinal cord stimulation lead placement

7. sympathetic blockade (stellate ganglion, lumbar sympathetic blocks and celiac plexus blocks)

8. sacroiliac injections joint injections and adhesiolysis


aCCommoDationsembassy suites PHoenix nortH2577 WEst GrEEnWay road,PhoEnix, aZ 85023602-375-1777

set in 17 acres of lush private grounds, the Embassy suites Phoenix – north hotel is an amazing place to stay, whether you are here for work or fun. Work from the comfort of your spacious two-room suite with high-speed internet access and a large desk. inform the hotel that you are booking for asiPP. We have secured a group room rate of $129. reserve rooms early—all unbooked rooms will be released on january 16, 2014.

6:45am sHuttles DePart From embassy suites to tHe CaDaVer FaCility - (breaKFast on your oWn)(Complimentary breakfast provided by the embassy suites for attendees staying at host hotel)

7:00am–7:30am registration

7:30am–8:00am basiC and intermeDiateintroduction - Hans Hansen, mD

PreParation for abiPP Part iintroduction - laxmaiah manchikanti, mD

8:00am–9:00am imaging for interventionalists – Fluoroscopy, radiation safety, and needle Placement - Frank Falco, mD Case Discussions

9:15am–1:00pm HanDs-on CaDaVer WorKsHoPPartiCiPants rotate tHrougH multiPle stations

1:00pm–2:30pm WorKing lunCH - Case Discussions (lunch Provided)

2:30pm–6:15pm HanDs-on CaDaVer WorKsHoPPartiCiPants rotate tHrougH multiPle stations

6:15pm sHuttles DePart From CaDaVer FaCility to tHe Host Hotel

hands-on cadavEr WorkshoPsaturDay fEbruary 1, 2014

hands-on cadavEr WorkshoPsunDay fEbruary 2, 2014

6:45am sHuttles DePart From embassy suites to tHe CaDaVer FaCility - (breaKFast on your oWn)(Complimentary breakfast provided by the embassy suites for attendees staying at host hotel)

7:00am–7:15am registration

7:15am – 8:30am Case Discussions - Hans Hansen, mD and standiford Helm, ii, mD

8:45am–11:15am HanDs-on CaDaVer WorKsHoP

11:15am aDjournment WitH sHuttles DeParting From CaDaVer FaCility to airPort anD Host Hotel

comPrEhEnsivE rEviEW coursEnote: thE onlinE rEviEW coursE vidEos must bE viEWEd Prior to attEndinG thE hands-on cadavEr WorkshoP

Cadaver Workshop


registration Form

registration inFormation

approximately 70 participants will be allowed in the Workshop. Please complete the enclosed registration form and return to asiPP with payment (your application will not be processed if payment does not accompany registration form).

asiPP reserves the right to cancel this Workshop and/or review Preparation course upon reason-able notice and will assume no financial obligation to registrants for cancellation of the course 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. registrants who are not accepted into this workshop will receive notice by mail with their returned check.

Please Print exaCtly as you WisH your name to aPPear:

_____________________________________________________________________________________________________namE (first) (middlE initial) (last) (dEGrEE)

_____________________________________________________________________________________________________orGaniZation

_____________________________________________________________________________________________________addrEss

_____________________________________________________________________________________________________city statE ZiP country

_____________________________________________________________________________________________________PhonE fax

_____________________________________________________________________________________________________E-mail

reVieW Course in FluorosCoPy anD CaDaVer WorKsHoP (PHysiCians only)Physician: m $2,750 member m $2,950 non-memberfellow: m 75% discount

CaDaVer WorKsHoP only (PHysiCians only)Physician: m $2,500 member m $2,800 non-memberfellow: m 75% discount

reVieW Course in FluorosCoPy onlyPhysician: m $350 member m $450 non-memberradiology technician: m $250 member m $350 non-memberfellows: m 75% discount

***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 [email protected]

_____________________________________________________________________________________________________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: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 1, 2014. cancellations after January 1, 2014 but prior to January 17, 2014, will forfeit 50% of their registration fee. no refunds can be made after January 17, 2013.

imPortant. Please answer all the questions:

Primary specialty Certification:m anesthesiology m Physiatrym neurosurgery m other: ____________________

Pain medicine subspecialty Certification:m american board of anesthesiologym american board of Pain medicinem american board of interventional Pain Physiciansm fellow of interventional Pain Practice (fiPP)

specialty Designation:m 09 - interventional Pain managementm 72 - Pain managementm other: ______________________________________

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 intermediatem abiPP Preparation (advanced)

total number of procedures performed during past year:

location

asc hoPd office

caudal Epidural _____ _____ _____

lumbar interlaminar Epidural _____ _____ _____

thoracic interlaminar Epidural _____ _____ _____

cervical interlaminar Epidural _____ _____ _____

lumbar transforaminal Epidural _____ _____ _____

lumbar facet Joint blocks _____ _____ _____

sacroiliac Joint injections _____ _____ _____

lumbar facet radiofrequency _____ _____ _____

cervical facet Joint injections _____ _____ _____

thoracic facet Joint injections _____ _____ _____

thoracic facet radiofrequency _____ _____ _____

cervical facet radiofrequency _____ _____ _____

lumbar discography _____ _____ _____

thoracic discography _____ _____ _____

cervical discography _____ _____ _____

Percutaneous adhesiolysis _____ _____ _____

lumbar sympathetic blocks _____ _____ _____

hypogastric Plexus blocks _____ _____ _____

stellate Ganglion blocks _____ _____ _____

t2, t3 sympathetic blocks _____ _____ _____

celiac Plexus blocks _____ _____ _____

Prsrt stdu.s. PostaGE

PaiDPaducah, ky

PErmit #44

American Society of Interventional Pain Physicians81 lakeview drive, Paducah, ky 42001

ExcEllEncE in Education of intErvEntional Pain Physicians

Cadaver Workshop and Online VideO lecturesBasic, intermediate, and aBiPP PreParatiOn FeBruary 1-2, 2014

ImagIng, FluorosCopy, and radIatIon saFetyJanuary 31, 2014uP tO 28.25 AMA PRA CAtegoRy 1 CRedits™Hotel & Course loCation:Embassy suitEs PhoEnix north, 2577 WEst GrEEnWay road, PhoEnix, aZ 85023. 602-375-1777

CaDaVer WorKsHoP:sciEncE carE, 2020 WEst mElinda lanE , PhoEnix, aZ 85027. (800) 590-8132

n sPEcial room ratEs until January 16, 2014n 75% off mEEtinG fEE to fElloWs & rEsidEnts

Cadaver Workshop and Online VideO lecturesBasic, intermediate, and aBiPP PreParatiOn

FeBruary 1-2, 2014


January 31, 2014PhOenix, ariZOna

ASIPP®

American Society of Interventional Pain PhysiciansThe Voice of inTerVenTional Pain ManageMenT Since 1998

81 lakEviEW drivE, Paducah, kEntucky 42001PhonE: 270-554-9412 | fax: 270-554-5394 | WEb: www.asipp.org | Email: [email protected]

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Health & Medicine

Imaging, Fluoroscopy, and Radiation Safety