controlled substance m ana gement meeting... · examination in order for physicians to obtain...

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

ControllEdSubStAnCE

MAnAgEMEnt CoMPrEhEnSIvE rEvIEw CourSE

And CompetenCy exAminAtionUp to 14 AMA PRA Category 1 Credits™

July 24-25, 2017 | Chicago, IlhotEl & rEvIEw CourSE loCAtIon:

HyAtt CHiCAgo mAgnifiCent mile633 north Saint Clair Street, Chicago, il 60611 | 312-787-1234

SPECIAl dISCountS:• 50% off meeting fee to fellows & Residents

• Special room rates until June 23, 2017• ASipp® Board Review eBooks 50% off

OnlInE MEEtIng InfOrMatIOn and rEgIstratIOn

American Society of Interventional Pain PhysiciansthE VOIcE Of IntErVEntIOnal PaIn ManagEMEnt81 lakeview drive. Paducah, KY 42001Phone: 270-554-9412 | fax: 270-554-5394Web: www.asipp.org | Email: [email protected]

AmericAn Society of interventionAl PAin PhySiciAnS2

Controlled SubStanCe ManageMentJuly 24-25, 2017 | ChiCago, il

FroM thE CourSE dIrECtorS

On behalf of the Board of directors of the american society of Interventional Pain Physicians (asIPP®), we invite you to one of the most comprehensive and useful educational conferences available anywhere. the asIPP® comprehensive review courses and competency Examinations in controlled substance Management will be held at the hyatt chicago Magnificent Mile hotel in chicago, Il, on June 24-25, 2017.

since we began offering the competency review courses in 2005, they have become recognized as a “must attend” training event for interventional pain physicians and physicians just entering interventional pain management or in-training and physicians appearing for board examinations by various boards. the controlled substance Management course is so beneficial to practices, both office-based and ascs, that many physicians send their staff to keep them current on the cutting edge aspects of controlled substance management

this intensive review course is designed to present interventional pain management specialists and other health care providers an in-depth review of multiple areas of interventional pain management—the areas we were never taught, yet are crucial for our survival. the course features nationally recognized experts in controlled substance management.

In addition to the review course, the american Board of Interventional Pain Physicians (for physicians) and the american association of allied Pain Management Professionals (for non-physicians) offers the opportunity for examination in order for physicians to obtain competency certification and non-physicians to obtain associate certificates in controlled substance Management. We are now offering two separate times for the exam: tuesday evening at 4:00pm or friday at 8:00am.

We hope you will join us in the Windy city for this special educational event. Whether you have practiced pain medicine or interventional pain management for years, if you are new to the discipline, or if you are in training—the ever-changing field of controlled substance management and the rules and regulations associated with this area of interventional pain management makes this an essential course for you.

sincerely,

hans hansen, MdAndrea trescot, MdSanford Silverman, Md

Andrea trescot, MdPast President, asIPP®

Sanford Silverman, Mddirector at large, asIPP®

C o u r S E d I r E C t o r S

hans C. hansen, MdPresident Elect, asIPP®

laxmaiah Manchikanti, Mdchairman of the Board and chief Executive Officer, asIPP® and sIPMs

AmericAn Society of interventionAl PAin PhySiciAnS 3


StAtEMEnt oF nEEd

this comprehensive review course is planned as a cME activity to prepare for competency certification or an in-depth review in areas of controlled substance Management. this review course is based on the american Board of Interventional Pain Physicians’ specifications for competency certification examinations.

these courses will provide in-depth evaluation of the knowledge of the participants with extensive review of subject(s).

as part of this comprehensive, in-depth, intense review course, asIPP® will provide participants with online material of the lectures.

EduCAtIonAl obJECtIvES/tArgEt AudIEnCE

the course is intended to present interventional pain management specialists, nurses, and other healthcare providers an in-depth review of multiple areas of controlled substance management.

EduCAtIonAl obJECtIvES For ControllEd SubStAnCE MAnAgEMEnt:

• Review basic science and core concepts• Discuss pharmacology for IPM• Identify clinical use and effectiveness• Identify substance abuse in IPM• Discuss topics with documentation, regulatory issues, legal issues, and ethical issues

outCoME

Participants in the controlled substance Management course should be able to apply the fundamental concepts of managing controlled substances in your practice, from pharmacology and the clinical uses to identifying abuse and the legal aspects of prescribing, for better outcomes and reduced side effects.

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.

ASIPP® is now an ABA Registered CME Provider.

CAtEgory I CrEdIt

the Institute for Medical studies designates this live activity for a maximum of 14 AMA PRA Category 1 Credits ™ for controlled substance Management. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physicians of Osteopathic Medicine — the american Osteopathic association (aOa) accepts AMA PRA Category 1 Credits™ as aOa category 2-B credit.

rn, nP, And PA CrEdIt

nurse Practitioners: the american academy of nurse Practitioners (aanP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the accME.

rns/ aPns- most state nursing Boards accept cE activities designated for AMA PRA Category 1 Credits™ towards re-licensure requirements. check with your board to determine whether they will accept this cME activity towards your re-licensure. this activity has designated up to 16 AMA PRA Category 1 Credits™ for controlled substance Management from organizations accredited by the accME.

Physician assistants- the american academy of Physician assistants (aaPa) accepts AMA PRA Category 1 Credits™ from organizations accredited by the accME.

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.

KEntuCKy PhySICIAnS: hb1 QuAlIFyIng CourSE

the Kentucky Board of Medical licensure house Bill 1 states that each physician licensed to practice medicine or osteopathy within the commonwealth of Kentucky who is authorized to prescribe or dispense controlled substances within the commonwealth shall complete at least four and one-half (4.5) hours of approved category I credit continuing medical education hours relating to the use of KasPEr, pain management, addiction disorders, or a combination of two (2) or more of those subjects on or before december 31, 2017. the controlled substance Management review includes up to 16 hB1 qualifying hours for the two-day course.

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.

ACCoMModAtIonS hyatt Chicago Magnificent Mile633 north saint clair street, chicago, Il 60611Phone: 312-787-1234

during a stay at hyatt centric chicago Magnificent Mile, you’ll experience the electric energy of the Windy city with a coveted address right on Michigan avenue. Explore all the city has to offer—from noted attractions like navy Pier to high-end shopping along the Mag Mile—then relax in one of our welcoming guest rooms. Inform the agent that you are booking for american society of Interventional Pain Physicians. We have secured a group rate of $239. register early, as all unbooked rooms will be released on June 23, 2017 or until sold out, whichever occurs first.



Monday July 24, 2017ContRolled SUBStAnCe mAnAgement

7:00am – 7:45am rEgIStrAtIon & ContInEntAl brEAKFASt

7:50am – 12:00pm session chair – hans hansen, Md

7:50am – 8:30am Introduction to asIPP and state of controlled substance Use in IPM hans hansen, Md

8:30am – 9:15am Epidemiology of Prescription Opioid Use, Overuse, and abuse in chronic Pain Sanford Silverman, Md

9:15am – 10:00am comprehensive assessment and documentation of a chronic Pain Patient hans hansen, Md

10:00am – 10:30am brEAK

10:30am – 11:15am anatomy, Physiology, and Psychology of Pain: Is there a difference Between acute, subacute, chronic, and lifetime Pain? Andrea trescot, Md

11:15am – 12:00pm Overdose Prevention strategies – hans hansen, Md

12:00pm – 12:55pm lunCh on your own

12:55pm – 6:00pm session chair – Andrea trescot, Md

12:55pm – 1:00pm Introduction by session chair – Andrea trescot, Md

1:00pm – 1:45pm Opioid Pharmacology, Interactions, and side Effects: Practical applications Andrea trescot, Md

1:45pm – 2:30pm controlled substance Pharmacology: non-Opioids, Benzodiazepines, sedatives, and hypnotics: the relevance to Pain Physician – Andrea trescot, Md

2:30pm – 3:15pm Ethics in Pain Medicine and research – Jim giordano, Md, Phd

3:15pm – 3:45pm brEAK

3:45pm – 4:30pm role of antipyretics, analgesics, antidepressants, and anticonvulsants in Pain Medicine – Andrea trescot, Md

4:30pm – 5:15pm role of cannabinoids in chronic Pain Management Sanford Silverman, Md

5:15pm – 6:00pm adherence Monitoring In chronic Pain: Pitfalls, Economic, and Other consequences of drug testing, and genetic testing hans hansen, Md



tuesday July 25, 2017ContRolled SUBStAnCe mAnAgement

7:00am – 7:50am rEgIStrAtIon & ContInEntAl brEAKFASt

7:50am – 12:15pm session chair – hans hansen, Md

7:50am – 8:00am Introduction by session chair – hans hansen, Md

8:00am – 8:45am Practical application of Opioid guidelines (asIPP cdc and Others)

hans hansen, Md

8:45am – 9:30am assessment and Management of drug dependency and Withdrawal

Sanford Silverman, Md

9:30am – 10:15am drug dependency and abuse in the health care team

Susan K. blank, Md

10:15am – 10:45am brEAK

10:45am – 11:30am Effectiveness and Modes of Office detoxification: Is It Worth Your time?

Susan K. blank, Md

11:30am – 12:15pm abuse deterrent technologies – Sanford Silverman, Md

12:15pm – 1:10pm lunCh on your own

1:10pm – 3:30pm session chair – hans hansen, Md

1:10pm – 1:15pm Introduction by session chair – hans hansen, Md

1:15pm – 2:00pm Preventing and responding to drug Investigations of Your Practice

vicki Myckowiak, Esq

2:00pm – 2:45pm terminology, Mechanisms and Management of abuse and addictive disorders:

relevance to Pain Physician – Susan K. blank, Md

2:45pm – 3:30pm dealing with a difficult Patient: demanding, Manipulative, and seductive

Stephen Minore, Md

3:30pm – 4:00pm brEAK

EXAMInAtIon

4:00pm rEgIstratIOn

4:15pm test Instruction and Examination (You will have 2 hours to complete the 100 question examination)

EXAMInAtIon - Friday July 28, 2017 7:30am rEgIstratIOn

8:00am test Instruction and Examination (You will have 2 hours to complete the 100 question examination)



rEgIStrAtIon For PhySICIAnS

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SICIANS

ABIPP

PAyMEnt MEthod (Please check one):m MastErcard m VIsa m aMErIcan ExPrEss m dIscOVEr

___________________________________________________________________________________________ crEdIt card nUMBEr ExP datE sEcUrItY cOdE

___________________________________________________________________________________________ naME On card

m chEcK chEcK nUMBEr ______________________ m EnclOsEd (Payable to ABIPP) (Your application will not be processed if payment does not accompany registration form)

________________________________________________________________________ sIgnatUrE Of aPPlIcant

PErSonAl InForMAtIonPlease type or print your information clearly

__________________________________________________________________________________________________________________________________________________naME (fIrst) (MIddlE InItIal) (last)

__________________________________________________________________________________________________________________________________________________OrganIzatIOn

__________________________________________________________________________________________________________________________________________________addrEss

__________________________________________________________________________________________________________________________________________________cItY statE zIP

__________________________________________________________________________________________________________________________________________________PhOnE cEll fax

__________________________________________________________________________________________________________________________________________________E-MaIl

PhySICIAn InForMAtIonPlease answer all the following questions.

MEdICAl dEgrEE: m Md m dO m Phd m Other (specify) ____________________________________________________________

PrIMAry ProFESSIonAl PrACtICE SEttIng (please check all that apply):m ambulatory surgery m hospital m Office m academic m University m administrative m Military m Va

m Other (please specify): _____________________________________________________________________________________________

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 June 28, 2017. cancellations after June 28, 2017, but prior to July 12, 2017, will forfeit 50% of their registration fee. no refunds can be made after July 12, 2017.

rEgIStEr onlInE At www.asipp.org/meetings.htm

If registering as a Fellow or Resident, you must provide the name of your fellowship program, university, or hospital, the coordinator, and contact number:

_________________________________________________________________________________________________________________________________________________

CoURSe/exAminAtion RegiStRAtion infoRmAtion

CoURSe(choose one)

m 2-day controlled substance Management: Physician Member $700

m 2-day controlled substance Management: Physician non-member $900

exAminAtion(choose one)

m Wednesday July 25: controlled substance Management Examination: Physician $600

m friday July 28: controlled substance Management Examination: Physician $600



rEgIStrAtIon For non-PhySICIAnS

PAyMEnt MEthod (Please check one):m MastErcard m VIsa m aMErIcan ExPrEss m dIscOVEr

___________________________________________________________________________________________ crEdIt card nUMBEr ExP datE sEcUrItY cOdE

___________________________________________________________________________________________ naME On card

m chEcK chEcK nUMBEr ______________________ m EnclOsEd (Payable to ABIPP) (Your application will not be processed if payment does not accompany registration form)

________________________________________________________________________ sIgnatUrE Of aPPlIcant

PErSonAl InForMAtIonPlease type or print your information clearly

__________________________________________________________________________________________________________________________________________________naME (fIrst) (MIddlE InItIal) (last)

__________________________________________________________________________________________________________________________________________________OrganIzatIOn

__________________________________________________________________________________________________________________________________________________addrEss

__________________________________________________________________________________________________________________________________________________cItY statE zIP

__________________________________________________________________________________________________________________________________________________PhOnE cEll fax

__________________________________________________________________________________________________________________________________________________E-MaIl

non-PhySICIAn InForMAtIonPlease answer all the following questions.

PErSonAl dAtA: (for statistical purposes only) date of birth ______/______/______ m Male m female

hIghESt dEgrEE EArnEd: ______________________________________________________________________________

cErtIfIcatIOns: m Jd m MBa m Ma m cPa m cPc m cPE m Pa m nP m crna m rn m rt m st m Other (specify) _______

ProFESSIonAl QuAlIFICAtIonS/EXPErIEnCE In thE FIEld:m coding _____ years m Billing _____ years m compliance _____ years m Practice Management _____ years

If registering as a Fellow or Resident, you must provide the name of your fellowship program, university, or hospital, the coordinator, and contact number:

_________________________________________________________________________________________________________________________________________________

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 June 28, 2017. cancellations after June 28, 2017, but prior to July 12, 2017, will forfeit 50% of their registration fee. no refunds can be made after July 12, 2017.

rEgIStEr onlInE At www.asipp.org/meetings.htm

CoURSe/exAminAtion RegiStRAtion infoRmAtion

CoURSe(choose one)

m 2-day controlled substance Management: non-physician Member $500

m 2-day controlled substance Management: non-physician non-member $600

exAminAtion(choose one)

m Wednesday July 25: controlled substance Management Examination: non-physician $500

m friday July 28: controlled substance Management Examination: non-physician $500

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controlled substance m ana gement meeting... · examination in order for physicians to obtain...

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