RegeneRative Medicine Review couRse and Hands-on cadaveR woRksHop(PreParation for ComPetenCy examination)Up To 19.75 ama Pra Category 1 Credits™FebRuaRy 26-28, 2016 | oRlando, FlHost Hotel: Rosen Centre Hotel, 9840 International Drive, Orlando, FL 32819Phone: (407) 996-9840 | Fax: (407) 996-2659 | Reservations: (800) 204-7234CADAVER WORKSHOP SITE: University of Central Florida, College of Medicine6850 Lake Nona Blvd., Orlando, FL 32827

ASIPP® EDUCATIONAL SERVICESExCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHySICIANS

PRSRT STDU.S. POSTAgE

paidPADUCAH, Ky

PERMIT #44

American Society of Interventional Pain Physicians81 Lakeview Drive, Paducah, Ky 42001The Voice of Interventional Pain Management

RegeneRative Medicine Review couRse and Hands-on cadaveR woRksHop (PreParation for ComPetenCy examination)SUbmiTTed For ama Pra Category 1 Credits™FebRuaRy 26-28, 2016 | oRlando, FlHost Hotel: Rosen Centre Hotel, 9840 International Drive, Orlando, FL 32819Phone: (407) 996-9840 | Fax: (407) 996-2659 | Reservations: (800) 204-7234CADAVER WORKSHOP SITE: University of Central Florida, College of Medicine6850 Lake Nona Blvd., Orlando, FL 32827

ASIPP® EDUCATIONAL SERVICESExCELLENCE IN EDUCATION OF INTERVENTIONAL PAIN PHySICIANS

ASIPP® Educational ServicesExcEllEncE In EducAtIon of IntErvEntIonAl PAIn PhySIcIAnS

AmericAn Society of interventionAl PAin PhySiciAnS

RegeneRative Medicine Review couRse and Hands-on cadaveR woRksHopFebRuaRy 26-28 | oRlando, FloRida

descRiption

This Regenerative Medicine Review and Hands-on Workshop includes 1 day of didactics and 1 1/2 days of cadaver workshop. Participants will experience a comprehensive and intense learning opportunity, focusing on interventional pain management techniques.

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 CME hours.

obJectives

- Attain understanding of regenerative medicine. - Attain eligibility for ABIPP competency certification. - Incorporate regenerative medicine 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. - Fluoroscopic interpretation.

puRpose and taRget audienceRegeneRative Medicine pRactical Review

This 2 1/2 day, comprehensive review course and hands-on workshop in Regenerative Medicine is designed to provide interventional pain physicians with the ability to understand ultrasound interpretation and regenerative medicine. 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.

accReditation stateMent

These 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 cRedit

The Institute for Medical Studies designates this live activity for a maximum of 19.75 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 seRvices

Organizers 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 site

University of Central Florida, College of Medicine6850 Lake Nona Blvd., Orlando, FL 32827

couRse diRectoRs

laxmaiah Manchikanti, MdChief Executive Officer and Chairman of the Board, ASIPPMedical Director, Pain Management Center of PaducahPaducah, Ky Clinical Professor of Anesthesiology and Perioperative MedicineUniversity of LouisvilleLouisville, Ky

george c. chang chien, doMember, ASIPP Committee on Regenerative MedicineMedical Director Pain ManagementVentura County Medical Center, Ventura, CADirector, Center for Regenerative MedicineSouthern California University, Whittier, CA

aaron k. calodney, MdPresident-Elect, ASIPPDirector of Clinical ResearchPrecision Spine CareTexas Spine and Joint HospitalTyler, Tx

annu navani, MdMedical Director,Comprehensive Spine and Sports CenterCampbell, CAAdjunct Clinical Associate Professor, Division of Pain, Department of AnesthesiologyStanford University School of MedicineStanford, CA

accoMModationsRosen centRe Hotel9840 INTERNATIONAL DRIVE, ORLANDO, FL 32819 | (800) 204-7234Rosen Centre raises the bar in guest service, convenience and value among Orlando hotels with the numerous amenities at the 1,334-room, award-winning convention property. inform the agent that you are booking for american society of interventional pain physicians. we have secured a group room rate of $160. Reserve rooms early—all unbooked rooms will be released after February 4, 2016.

AmericAn Society of interventionAl PAin PhySiciAnS

RegeneRative Medicine Review couRse and Hands-on cadaveR woRksHopFebRuaRy 26-28 | oRlando, FloRida

FRiday FEBRUARy 26 | REgENERATIVE MEDICINE didactics6:30am – 7:30am bReakFast and RegistRation

Morning Session Chairperson: annu navani, Md

7:30 am – 8:00 am Introduction laxmaiah Manchikanti, Md

8:00 am – 8:45 am Current Landscape of Regenerative Medicine Richard Rosenthal, Md

8:45am – 9:30amBasic Science of Regenerative Medicine and Biologicals: PRP, Stem Cells, Other Biologicals

aaron calodney, Md

9:30am – 10:15am Ethical Aspects of Regenerative Medicine: good, Bad, and the Ugly Richard Rosenthal, Md

10:15am – 10:45am bReak

10:45am – 11:30am Practice guidelines for Regenerative Medicine in Interventional Pain Management annu navani, Md

11:30am – 12:35pm Regenerative Medicine Applications for Soft Tissue Pathology george chang chien, do

12:35pm – 1:35pm luncH

Afternoon Session Chairperson: george chang chien, do

1:35pm – 2:20pm Applications of Regenerative Medicine in Joint Pathology annu navani, Md

2:20pm – 3:05pm Applications of Regenerative Medicine in Spinal Disorders kenneth pettine, Md

3:05pm – 3:35pm bReak

3:35pm – 4:20pm Regulatory Affairs and Biologics: A Clinician’s Perspective? david Harrell, phd

4:20pm – 4:45pm Imaging: Blind, Ultrasound, or Fluoroscopy? george chang chien, do

7:15am sHuttles depaRt FRoM Hotel to tHe cadaveR Facility

7:30am – 8:00am RegistRation and bReakFast

8:00am – 8:30am Introduction

8:30am – 9:15am Ultrasound guided Injections george chang chien, do

9:15am – 12:00pm cadaveR woRksHop12:00pm – 1:00pm luncH

1:00pm – 5:30pm cadaveR woRksHop5:30pm sHuttles depaRt FRoM cadaveR Facility to tHe Hotel

7:15am sHuttles depaRt FRoM Hotel to tHe cadaveR Facility

7:30am – 8:00am RegistRation and bReakFast

8:00am – 8:30am Discussion

8:30am – 12:00pm cadaveR woRksHop12:00pm sHuttles depaRt FRoM cadaveR Facility to tHe Hotel & to tHe aiRpoRt

satuRday FEBRUARy 27 | REgENERATIVE MEDICINE cadaveR woRksHop *

sunday FEBRUARy 28 | REgENERATIVE MEDICINE cadaveR woRksHop *

* RegeneRative Medicine Rotations

1. Stem Cell Acquisition 4. Injection Techniques: Muscles & Ligaments – Intraarticular Upper Extremity2. Injection Techniques: Muscles & Ligaments – Upper Extremity 5. Injection Techniques: Muscles & Ligaments – Intraarticular Lower Extremity3. Injection Techniques: Muscles & Ligaments – Lower Extremity 6. Lumbar Disc Injections 7. PRP

AmericAn Society of interventionAl PAin PhySiciAnS

RegeneRative Medicine Review couRse and Hands-on cadaveR woRksHopFebRuaRy 26-28 | oRlando, FloRida

RegistRant inFORMatiOniMPORtant. Please answer all the questions:

PRiMaRy sPecialty ceRtiFicatiOn:m Anesthesiology m Neurosurgery m Physiatry m Other: ______________________________________

Pain Medicine subsPecialty ceRtiFicatiOn:m American Board of Anesthesiology m American Board of Pain Medicine m American Board of Interventional Pain Physicians m 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 More than 75%

yeaRs in inteRventiOnal Pain ManageMent PRactice:m 0 m 1-5 m 6-10 m More than 10

Medical degRee:m MD m DO m PhD m Other ___________________________________________

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 27, 2016. An administrative fee of $200 will be assessed. Cancellations after January 27, 2016 but prior to Feb. 12, 2016, will forfeit 50% of their registration fee. No cancellations accepted after Feb. 12, 2016. Refunds will be sent after the conclusion of the meeting.

For your convenience and faster registration, register online at www.asipp.org/meetings.htm

RetuRn cOMPleted FORM tO:ASIPP®, 81 Lakeview Drive, Paducah, KY 42001 or Fax to (270) 554-5394

RegistRation PLeASe PrINT exAcTLY AS YOu wISh YOur NAMe TO APPeAr ON YOur BADge:

_____________________________________________________________________________________________NAMe (FIrST) (MIDDLe INITIAL) (LAST) (Degree)

_____________________________________________________________________________________________OrgANIzATION

_____________________________________________________________________________________________ADDreSS

_____________________________________________________________________________________________cITY STATe zIP cOuNTrY

_____________________________________________________________________________________________PhONe FAx

____________________________________________________________________________________________e-MAIL

Registration for 2 1/2 day Regenerative Medicine Workshop

Regenerative Medicine course Only:

m $800 (Member) m $1000 (Non-Member) m $700 (Non-physician) review course Only m 50% Fellow Discount***

Regenerative Medicine 1 1/2-day cadaver Workshop (physicians only)

m $ 2,400 (Member) m $ 2,700 (Non-Member)m 50% Fellow Discount***

tOtal $ ________________________

***If registering as a fellow, please list below the name of fellowship program 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)