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Course Information

Agenda

Saturday     Sunday     Monday     Tuesday     Wednesday

Saturday, March 16, 2019

7:00 am
Registration, Continental Breakfast, and Visit Exhibits
Informal Discussion with Faculty
7:50 am
Welcome and Introduction
Richard Rosenquist, MD

The Fundamentals

Moderator: Richard Rosenquist, MD
8:00 am
Radiofrequency Ablation: The Importance of Understanding Basic Science
David Provenzano, MD
8:30 am
Spinal Cord Stimulation – Mechanism of Action
Ricardo Vallejo, MD, PhD
9:00 am
Evaluation and Treatment of Neck and Arm Pain Following Cervical Fusion
Thomas Mroz, MD
9:30 am
Sacroiliac Joint RFA: Indications, Better Technique, Better Outcomes?
David “DJ” Kennedy, MD
10:00 am
Refreshment Break and Visit Exhibits
10:30 am
Cervical Spine Surgery: Watchful Waiting vs. Decompression
Thomas Mroz, MD
11:00 am
New Algorithm for Treatment of Chronic Abdominal Pain
Leo Kapural, MD, PhD
11:30 am
Core Stability
David “DJ” Kennedy, MD
12:00 pm
Panel Discussion/Question and Answer Period
12:30 pm
Adjourn
6:30 – 8:30 pm
Reception
Let’s Rock and Roll!

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Sunday, March 17, 2019

7:30 am
Registration, Continental Breakfast, and Visit Exhibits
Informal Discussion with Faculty

Regulatory, Billing and Ethical Challenges in Pain Practice

Moderator: Robert Bolash, MD
8:00 am
Neuromodulation – Will Overuse Kill the Technology?
Timothy R. Deer, MD
8:20 am
Kickbacks and the Price of Business
Michael Frey, MD
8:40 am
CPT and RUC: How is a Code Created and Get Value?
Richard W. Rosenquist, MD
9:00 am
Effective Billing for Neuromodulation Procedures
Robert Bolash, MD
9:20 am
Site of Service Payment Differentials: Changes in 2018 and Beyond
David Provenzano, MD
9:40 am
Medical and Ethical Concerns in Billing
Michael Frey, MD
10:00 am
Refreshment Break and Visit Exhibits

Emerging Pharmacological and Interventional Treatment

10:30 am
Intracept
David “DJ” Kennedy, MD
10:45 am
ReActiv8
Christopher J. Gilligan, MD
11:00 am
CGRP Antagonists
MaryAnn Mays, MD
11:15 am
Nerve Growth Factor
Mark S. Wallace, MD
11:30 am
NaV1.7 as a Pharmacogenomic Target for Pain
Robert Bolash, MD
11:45 am
Salvaging Failed Spinal Cord Stimulation: The Evidence
David Provenzano, MD
12:00 pm
Panel Discussion/Question and Answer Period
12:30 pm
Adjourn
6:00 – 7:00 pm
Problem-based Learning Discussions
  A. Incorporating Wellness Into Your Pain Practice
Teresa Dews, MD
  B. Evaluating the Patient with Chronic Abdominal Pain
Leo Kapural, MD, PhD
  C. Update on Anticoagulation Guidelines for Chronic Pain Procedures
David Provenzano, MD

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Monday, March 18, 2019

7:30 am
Continental Breakfast and Visit Exhibits
Informal Discussion with Faculty

Neuromodulation: Effective Utilization of Targets, Techniques and Devices

Moderator: Samuel Samuel, MD
8:00 am
Neurostimulation: From Inception to the Future
Nagy Mekhail, MD, PhD
8:30 am
Tonic Stimulation
Ricardo Vallejo, MD, PhD
8:45 am
Peripheral Nerve Stimulation
Konstantin Slavin, MD
9:00 am
Burst Stimulation
Timothy R. Deer, MD
9:15 am
High Frequency Stimulation
Leo Kapural, MD, PhD
9:30 am
Feedback Modified Stimulation
Nagy Mekhail, MD, PhD
9:45 am
Craniofacial Stimulation
Konstantin Slavin, MD
10:00 am
Intrathecal Drug Delivery
Robert Bolash, MD
10:15 am
DRG Stimulation
Timothy R. Deer, MD
10:30 am
Refreshment Break and Visit Exhibits

Neuromodulation – Changing Paradigms and Devices: How Do I Choose the Best One For My Patient?

11:00 am
Matching the Diagnosis and the Technique/Device for the Best Patient Outcome – A Case Discussion with the Experts
Moderator: Nagy Mekhail, MD, PhD
Panelists: Robert Bolash, MD;
Timothy R. Deer, MD;
Leo Kapural, MD, PhD;
Konstantin Slavin, MD;
Ricardo Vallejo, MD, PhD;
Mark S. Wallace, MD
12:00 pm
Panel Discussion/Question and Answer Period
12:30 pm
Adjourn

PA/ARNP Session

2:00 pm
Effective Physician and Advanced Practice Provider Collaboration
Teresa Dews, MD
2:30 pm
Pain Care in the Elderly
Scott Petersen, PA-C
3:00 pm
Pharmacogenomics and Opioids
Jennifer Hockings, PharmD, PhD
3:30 pm
Neurologic Evaluation of the Pain Patient
Imanuel R. Lerman, MD
4:00 pm
Adjourn
6:00 – 7:00 pm
Problem-based Learning Discussions
  D. Ethical Lapses in Clinical Practice: One Physicians Journey
Michael Frey, MD
  E. Troubleshooting SCS
Ricardo Vallejo, MD, PhD
  F. To Stop or Not, That is the Question: Acute Pain Management for the Patient on Chronic Buprenorphine
Chad Brummett, MD

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Tuesday, March 19, 2019

7:30 am
Continental Breakfast and Visit Exhibits
Informal Discussion with Faculty

The Opioid Crisis

Moderator: Jijun Xu, MD, PhD
8:00 am
The Role of Acute Prescribing in the Opioid Epidemic
Chad Brummett, MD
8:45 am
Buprenorphine:A Viable Alternative?
Robert Bolash, MD
9:00 am
Pharmacogenomics: Fad or the Future?
Jennifer Hockings, PharmD, PhD
9:15 am
Evolving Role of Pain Physicians in Identifying, Treating Opioid Use Disorder
Richard W. Rosenquist, MD
9:30 am
Opioid Stewardship at the Enterprise Level
Christopher J. Gilligan, MD
9:45 am
FDA Approved Direct to Consumer Pharmacogenomic Testing: How Do I Respond?
Jennifer Hockings, PharmD, PhD
10:00 am
Refreshment Break and Visit Exhibits

Ketamine for Pain Medicine

10:30 am
Ketamine for Chronic Pain
Samuel Samuel, MD
10:45 am
Ketamine for Acute Pain
Sree Kolli, MD
11:00 am
Ketamine: Miracle Drug or Latest Fad?
Teresa Dews, MD
11:15 am
Contraindications to Ketamine Treatment
Samuel Samuel, MD
11:30 am
Non-Pain Related Applications of Ketamine
Christopher J. Gilligan, MD
11:45 am
Ketamine for CRPS
Jijun Xu, MD, PhD
12:00 pm
Panel Discussion/Question and Answer Period
12:30 pm
Adjourn

PA/ARNP Session

2:00 pm
Evaluating the Low Back Pain Patient
Christopher J. Gilligan, MD
2:30 pm
Transitioning Inpatient Consults to Effective Outpatient Care
Scott Petersen, PA-C
3:00 pm
Approaching Difficult Conversations
Robert Bolash, MD
3:30 pm
5 Headaches You Should Know
MaryAnn Mays, MD
4:00 pm
Adjourn
6:00 – 7:00 pm
Problem-based Learning Discussions
  G. Low Back Pain Care Path Outcomes: Reduced Cost or Better Patient Care or Both?
Christopher J. Gilligan, MD
  H. Effective Opioid Tapering Strategies
Robert Bolash, MD
  I. Medical Marijuana
Mark S. Wallace, MD

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Wednesday, March 20, 2019

7:30 am
Continental Breakfast
Informal Discussion with Faculty

Medical Marijuana

Moderator: Teresa Dews, MD
8:00 am
Role of Cannabinoids in Chronic Pain Treatment
Mark S. Wallace, MD
8:30 am
Adverse Effects of Cannabinoids
Scott Petersen, PA-C
9:00 am
Oils, Edibles, Smoking, Vaping: How Do You Decide?
Mark S. Wallace, MD
9:30 am
Refreshment Break

Headaches

10:00 am
Evaluating the Headache Patient: When Is Imaging Indicated?
Imanuel R. Lerman, MD
10:30 am
Rational Approach to Pharmacological Migraine Treatment
MaryAnn Mays, MD
11:00 am
Interventional Approaches to Headache Management
Samuel Samuel, MD
11:30 am
Adverse Effects of Pharmacological Treatments
MaryAnn Mays, MD
12:00 pm
Panel Discussion/Question and Answer Period
12:30 pm
Adjourn

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Optional Live Ultrasound Guided Workshop for Physicians

2:00 – 5:00 pm
Fee: $500 per workshop session
Only available for physician symposium registrants. Space is limited, so early online registration is recommended.
Saturday, March 16, 2019, Session 1
How to Improve Your Ultrasound Technique, Anatomy of Truncal and Lower Extremity Blocks, and 4 Hands-on Stations: 1) Trunk Blocks (TAP, Intercostal, Rectus Sheath, Iliohypogastric, Ilioinguinal, Genitofemoral, Erector Spinae), 2) Lower Extremity Nerve Blocks (Femoral, Obturator, LFCN), 3) Lower Extremity Joint Injections (Hip, Knee), PENG (Pericapsular Nerve Group Block), and 4) Ankle Injections (Post-tibial, Superficial Peroneal, Plantar Fascia)
Faculty: Sree Kolli, MD; Imanuel R. Lerman, MD; David Provenzano, MD; Samuel Samuel, MD; Jijun Xu, MD, PhD

NEW THIS YEAR!

Optional Live Ultrasound/Cadaver Workshop for Physicians

1:30 - 5:00 pm
Fee: $650

Fee: $500 per workshop session
Only available for physician symposium registrants. Space is limited, so early online registration is recommended. The bus will depart at 12:30 pm and a boxed lunch will be provided.
Sunday, March 17, 2019, Session 2
In addition to lectures and scanning on live models, this ultrasound workshop will include a combined session in the cadaver lab. This workshop will provide learners with the opportunity to have hands on experience performing ultrasound guided blocks in cadavers and scanning dynamic anatomy in live models.

Anatomy of Head and Neck Blocks (Stellate Ganglion, Cervical Roots, Brachial Plexus), Anatomy of Shoulder Joint, and 4 Hands-on Stations: 1) Stellate Ganglion Block, Cervical Nerve Root, Brachial Plexus, 2) Shoulder Joint, Suprascapular Nerve, 3) Upper Extremity Peripheral Nerves/ Elbow Injection, and 4) Pudendal Nerve Blocks, Caudal, Piriformis, SI Joint Injection
Faculty: Sree Kolli, MD; David Provenzano, MD; Imanuel R. Lerman, MD; Samuel Samuel, MD; Jijun Xu, MD, PhD

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Optional Cadaver Workshops for Physicians

1:30 – 5:30 pm
Fee: $700 per workshop session

Only available for physician symposium registrants. Space is limited, so early online registration is recommended. The bus will depart at 12:30 pm and a boxed lunch will be provided. Attendees will rotate to each station.
Saturday, March 16, 2019, Session 3

Station 1 – Genicular and Hip RFA
Shrif Costandi, MD

Station 2 – Cervical Facet Medial Branch RFA
Teresa Dews, MD

Station 3 – Pelvic Pain Techniques (Pudendal Nerve RFA, Ganglion Impar)
Robert Bolash, MD

Station 4 – Lumbar Facet Medial Branch RFA and Facet Joint Injection
David “DJ” Kennedy, MD
Monday, March 18, 2019, Session 4

Station 1 – Sympathetic Chain Blocks (Thoracic Paravertebral, LSB)
Jijun Xu, MD, PhD

Station 2 – Trigeminal Nerve Blocks and Sphenopalatine Blocks
Samuel Samuel, MD

Station 3 – Intradiscal Procedures (Discography)
Shrif Costandi, MD

Station 4 – Intra-abdominal Blocks (Celiac, Splanchnic, Superior Hypogastric Plexus)
Leo Kapural, MD, PhD
Tuesday, March 19, 2019, Session 5 – Advanced Session

Station 1 – Dorsal Column SCS Lead Placement
Christopher J. Gilligan, MD

Station 2 – Headache Pain Blocks (Atlanto-Axial Joint, Third Occipital RFA)
Samuel Samuel, MD

Station 3 – Sacral Lateral Branch Cooled and Bipolar RFA for Sacroiliac Pain
Teresa Dews, MD

Station 4 – Vertebroplasty and Kyphoplasty for Compression Fractures
Shrif Costandi, MD

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