American Society of Interventional Pain Physicians

The Voice of Interventional Pain Management

LUMBAR ENDOSCOPIC SPINAL

DECOMPRESSIONCOMPREHENSIVE 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, FLVENUE

Loews Sapphire Falls Resort at Universal Orlando™6601 Adventure Way, Orlando. FL 32819

Reservation Group Call-In CenterToll 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**

ASIPP® Educational Services | Excellence in the education of Interventional Pain Physicians

American Society of Interventional Pain Physicians2

LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION REVIEW COURSE AND HANDS-ON CADAVER WORKSHOPJUNE 29-30, 2018 | ORLANDO, FLORIDA

DESCRIPTIONThis 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 STATEMENTThese 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 CREDITThe 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 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.

ASIPP® is now an ABA Registered CME Provider.

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.

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™.

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, MDChairman of the Board and Chief Executive Officer, ASIPP®

Jason Capra, MD, PhDPain Specialist

Frank J.E. Falco, MDFounder, CEO and a Principal, Mid Atlantic Spine and Pain

Sukdeb Datta, MDVice President - Strategic Alliances, ASIPP®

ACCOMMODATIONS

LOEWS SAPPHIRE FALLS RESORT AT UNIVERSAL ORLANDO ™

6601 Adventure Way, Orlando, Florida, 32819Phone: 888-430-4999 | Reservations: 1-888-430-4999 Reservation Group Call-In CenterToll 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.

American Society of Interventional Pain Physicians 3

LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION REVIEW COURSE AND HANDS-ON CADAVER WORKSHOPJUNE 29-30, 2018 | ORLANDO, FLORIDA

FRIDAY, JUNE 29, 2018 REVIEW COURSE FOR LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION

7:00am – 8:00am BREAKFAST AND REGISTRATION

8:00am – 9:30am Morning Session Chairperson: Frank Falco, MD

8:00am – 8:30am Introduction - Frank Falco, MD

8:30am – 9:00am Spinal Stenosis: Overview, Diagnosis, and Classification Sheri L. Albers, DO

9:00am – 9:30am Lumbar Disc Pathology: Overview, Diagnosis, and Classification Kent B. Remley, MD

9:30am – 10:30am BREAK

10:30am – 12:00pm Session Chairperson- Sukdeb Datta, MD

10:30am – 11:00am Technical Considerations: Needle Placement and Manipulation Kent Remley, MD

11:00am – 11:30am Technical Considerations: Endoscope Placement and Manipulation Frank Falco, MD

11:30am – 12:00pm Technical Considerations: Transforaminal Endoscopic Surgery: Inside–Out Jason Capra, MD

12:00pm –12:55pm LUNCH & SYMPOSIUM - Andrea Trescot, MD. Sponsored by Stimwave

1:00pm – 3:00pm Afternoon Session Chairperson- Jason Capra, MD

1:00pm – 1:30pm Technical Considerations: Transforaminal Endoscopic Surgery: Outside–In Sukdeb Datta, MD

1:30pm – 2:00pm Indications & Efficacy: Transforaminal Endoscopic Surgery Frank Falco, MD

2:00pm - 2:30pm Technical Considerations: Disc Protrusions vs. Extrusion Sukdeb Datta, MD

2:30pm – 3:00pm Technical Considerations: Disc Decompression L4/5 and L5/S1 Frank Falco, MD

3:00pm – 3:30pm BREAK

3:30pm – 5:30pm Session Chairperson: Jason Capra, MD

3:30pm – 4:00pm Technical Considerations: Lumbar Endoscopic Facet Joint Rhizotomy Jason Capra, MD

4:00pm – 4:30pm Technical Considerations: Disc & Spinal Decompression for Spondylolisthesis Kent Remley, MD

4:30pm – 5:00pm Technical Considerations: Other Applications - Obesity & Elderly Jason Capra, MD

5:30pm – 7:00pm MEET & GREET WITH EXHIBITORS

American Society of Interventional Pain Physicians4

LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION REVIEW COURSE AND HANDS-ON CADAVER WORKSHOPJUNE 29-30, 2018 | ORLANDO, FLORIDA

CADAVER LAB COURSE LEVELS FORLUMBAR ENDOSCOPIC DECOMPRESSION

PROCEDURES

INTERMEDIATE

1. Discography

2. Needle Placement

3. L4/5 Endoscopic

4. L5/S1 Endoscopic

5. Annual Tear Endoscopic

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

American Society of Interventional Pain Physicians 5

LUMBAR ENDOSCOPIC SPINAL DECOMPRESSION REVIEW COURSE AND HANDS-ON CADAVER WORKSHOPJUNE 29-30, 2018 | ORLANDO, FLORIDA

REGISTRANT INFORMATIONIMPORTANT. Please answer all the questions:

MEDICAL DEGREE:m MD m DO m PhDm List other: ____________________________

PRIMARY SPECIALTY CERTIFICATION:m Anesthesiology m Physiatrym Neurosurgery m Other: _______________________________

PAIN MEDICINE SUBSPECIALTY CERTIFICATION:mAmerican Board of Anesthesiology m American Board of Pain Medicinem American Board of Interventional Pain Physiciansm Fellow of Interventional Pain Practice (FIPP)m Competency in Interventional Pain Management m Competency in Regenerative Medicine

SPECIALTY DESIGNATION:m 09 - Interventional Pain Managementm 72 - Pain Managementm Other: ______________________________________

FELLOWSHIP TRAINING: mPain Medicine m Spine Surgery m Sports Medicinem Other: ______________________________________

YEARS IN INTERVENTIONAL PAIN MANAGEMENT PRACTICE:m 0 m 1-5 m 6-10 m > 10

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 TOTAL

Lumbar Discography _________

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 _________

REGISTRATION PLEASE PRINT EXACTLY AS YOU WISH YOUR NAME TO APPEAR:

___________________________________________________________________________________________________NAME (FIRST) (MIDDLE INITIAL) (LAST)

_________________________________________________________________________________________ORGANIZATION

_________________________________________________________________________________________ADDRESS

_________________________________________________________________________________________CITY STATE ZIP

_________________________________________________________________________________________PHONE FAX

_________________________________________________________________________________________E-MAIL

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

LUMBAR ENDOSCOPIC DECOMPRESSION REVIEW COURSE AND CADAVER WORKSHOPPhysicians only- All registrations must be approved

1 day Review Course Only m $1,000 Member m $1,100 Non-Member

1 day Review Course and 1 day Cadaver Workshop

m $4,000 Member m $4,300 Non-Member

Cadaver Workshop Level m Intermediate

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