SIS 2019 Winter Seminar - Tucson, Arizona
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2/16/2019 to 2/17/2019
When: February 16-17, 2019
Where: JW Marriott Tucson Starr Pass Resort & Spa
Tucson, Arizona 
United States

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The SIS 2019 Winter Seminar offers you a warm winter getaway in Tucson, Arizona where you can earn 12 CME credits attending lectures presented by members of the SIS Board of Directors.


Saturday, February 16

Registration Open
7:00 a.m.-5:00 p.m.

Continental Breakfast and CME Research Poster Presentations With Authors
7:00-8:00 a.m.

Welcome Remarks
Speaker: Josh Rittenberg, MD
8:00-8:10 a.m.

Transforaminal Epidural Steroid Injections
Timothy Maus, MD
8:10-9:10 a.m.

In this session you will be presented with a summary of risk mitigation techniques for lumbar TFESI. The literature underpinning selective nerve blocks as a distinct procedure with critical technical differences from TFESI also will be presented.

8:10 a.m. - Imaging of Lumbar Compressive Lesions
Timothy Maus, MD

8:40 a.m. - Selective Nerve Root Blocks: The Evidence
Timothy Maus, MD

8:55 a.m. - An Evidence-based Update on Effectiveness of Lumbar Transforaminal Epidural Steroid Injection
Zachary McCormick, MD

Lumbar Posterior Element Pain
Moderator: David J. Kennedy, MD
9:10-10:10 a.m.

In this new session, David Levi, MD will explain whether any imaging study can give us a clue as to the origin of Z-joint pain; Kieran Slevin, MD will review clinical evaluations and the interpretation of blocks; John MacVicar, MB ChB will share information on how patient selection and technique can influence radiofrequency neurotomy outcomes; and Zachary McCormick, MD will demonstrate the procedural flaws that call the MINT trial results into question.

9:10 a.m. - Anatomy and Imaging
David Levi, MD

9:20 a.m. - Clinical Evaluation and Interpretation of Blocks
Kieran Slevin, MD

9:35 a.m. - Radiofrequency Neurotomy: How Patient Selection and Technique Affect Outcome
John MacVicar, MB ChB

9:55 a.m. - Appropriate Research Methodology for the Clinical Study of Lumbar Radiofrequency Neurotomy: A Critique of the MINT Trials
Zachary McCormick, MD

Networking Break
10:10-10:25 a.m.

Considerations in Posterior Pelvic Pain: Part 1 - Diagnosis
Moderator: Alison Stout, DO
10:25-11:10 a.m.

Posterior pelvic pain includes a set of wide and varied differential diagnoses outside of referred pain from the spine. Providing care for patients requires an understanding of the differential diagnosis, clinical evaluation, and imaging/anatomical considerations regarding the SIJ and other diagnoses less commonly recognized. This session will guide you in the evaluation of the patient with pain in the posterior pelvis using the most current concepts and literature.

10:25 a.m. - Differential Diagnosis: When the Buttock Pain is Not From the Spine or SIJ
Alison Stout, DO

10:35 a.m. - Clinical Evaluation: Spine vs. SIJ
Kieran Slevin, MD

10:50 a.m. - Imaging the Sacroiliac Joint and Hip
Timothy Maus, MD

11:05 - Discussion

Risk Mitigation and Safety in Interventional Spine Care
Zachary McCormick, MD
11:15 a.m.-12:20 p.m.

In this session you will be presented with up-to-date strategies for the reduction of complications associated with lumbar and cervical epidural steroid injections. See how employing these guidelines and strategies can impact adverse events rates.

11:15 a.m. - Risk Mitigation Strategies for Lumbar Epidural Steroid Injection Procedures
Timothy Maus, MD

11:30 a.m. - Risk Mitigation Strategies for Cervical Epidural Steroid Injections
Zachary McCormick, MD

11:45 a.m. - Evidence-based Anticoagulation Practices During Interventional Spine Procedures
Zachary McCormick, MD

12:00 p.m. - Adverse Event Rates When Guidelines and Risk Mitigation Strategies are Employed
Timothy Maus, MD

12:15 p.m. - Discussion

Lunch on Your Own
12:20-1:35 p.m.

FactFinders Presents
Moderator: Zachary McCormick, MD
1:35-2:35 p.m.

SIS FactFinders provide information about key patient safety issues. This session’s speakers will debunk myths surrounding patient safety issues and provide you with tips to help you mitigate risks and stay on-course towards optimal outcomes.

1:35 p.m. - Introduction
Zachary McCormick, MD

1:37 p.m. - Routine Intravenous Access for Epidural Steroid Injections Without Sedation
Scott Horn, DO

1:47 p.m. - Risk of Bleeding with Non-Aspirin Non-Steroidal Anti-Inflammatory Drugs Before Spine Procedures
Matthew Smuck, MD

1:57 p.m. - Are Gadolinium-Based Contrast Media Safe Alternatives to Iodinated Contrast Agents for the Safe Performance of Spinal Injection Procedures?
Timothy Maus, MD

2:07 p.m. - Spine Cord Stimulation Patients with Permanent Pacemakers and Defibrillators
Kieran Slevin, MD

2:17 p.m. - Preventing External Skin Burns During Radiofrequency Neurotomy Procedures
Zachary McCormick, MD

2:27 p.m. - Discussion

Networking Break
2:35-2:50 p.m.

Discogenic Pain
Moderator: David Levi, MD
2:50-4:05 p.m.

In this new Discogenic Pain session Yakov Vorobeychik, MD, PhD will explain anatomic and physiologic pain triggers; Richard Derby, MD will review past, present, and future treatments; Zachary McCormick, MD will share information on the risks of lumbar provocation discography; and David Levi, MD will discuss the latest on regenerative treatments for discogenic low back pain.

2:50 p.m. - Discogenic Pain: Anatomic and Physiologic Changes in the Disc
Yakov Vorobeychik, MD, PhD

3:05 p.m. - Discography - Past, Present, and Future
Richard Derby, MD

3:25 p.m. - Lumbar Provocation Discography: Short-term and Long-term Risks
Zachary McCormick, MD

3:40 p.m. - Intradiscal Regenerative Therapies
David Levi, MD

3:55 p.m. - Discussion

Outcomes Measures and Reimbursement
Moderator: Scott Horn, DO
4:05-5:05 p.m.

Are you are leaving money on the table because you don’t know the ins and outs of accurate procedural coding? Learn more about common coding mistakes that are losing you money.

4:05 p.m. - Frequent Coding Mistakes Losing You Money
Scott Horn, DO

4:25 p.m. - Outcome Measures: Benefits of Incorporating Data Collection into Your Practice
Kieran Slevin, MD

4:45 p.m. - Emerging Technologies for Outcome Measurements
Matthew Smuck, MD

Adjourn for the Day
5:05 p.m.

Networking Reception
5:15-6:15 p.m.

Sunday, February 17

Registration Open
7:30 a.m.-12:00 p.m.

Continental Breakfast
7:30-8:00 a.m.

Flow Pattern Analysis
Timothy Maus, MD
8:00-9:00 a.m.

To inject, or not to inject? You will be able to better answer that critical question after you participate in the Flow Pattern Analysis session at the SIS 2019 Winter Seminar. You will begin by identifying flow in epidural, intradural, subarachnoid, intravascular, and other less desirable spaces. Then, with that knowledge, you will be presented with a series of case studies and have the confidence to answer: To inject, or not to inject?

8:00 a.m. - Transforaminal Flow Patterns: Epidural, Subarachnoid, Intradural, Intravascular
Timothy Maus, MD

8:30 a.m. - Case Presentations - Would You Inject?
David J. Kennedy, MD

Cervical Axial Pain
Moderator: Josh Rittenberg, MD
9:00-10:00 a.m.

The Cervical Axial Pain session at the SIS 2019 Winter Seminar will provide information on the anatomy, imaging, and clinical features associated with cervical pain. Presentations will explore the technical considerations of medial branch blocks and radiofrequency neurotomy and proffer pearls of wisdom from master clinicians on how they conduct physical exams.

9:00 a.m. - Anatomy and Imaging
Josh Rittenberg, MD

9:15 a.m. - Clinical Evaluation
Josh Rittenberg, MD

9:25 a.m. - Medial Branch Block: Technical Considerations
John MacVicar, MB ChB

9:35 a.m. - Radiofrequency Neurotomy: Technical Considerations
John MacVicar, MB ChB

9:50 a.m. - Discussion

Networking Break
10:00-10:15 a.m.

Considerations in Posterior Pelvic Pain: Part 2 - Treatments
Alison Stout, DO
10:15-11:00 a.m.

Posterior pelvic pain includes a set of wide and varied differential diagnoses outside of referred pain from the spine and discussions about treatment options are contentious. This session will guide clinicians in the treatment of the patient with pain in the posterior pelvis using the most current concepts.

10:15 a.m. - Injection Therapies for Buttock Pain
David Levi, MD

10:30 a.m. - SIJ Corticosteroid Injection
John MacVicar, MB ChB

10:40 a.m. - SIJ Radiofrequency Neurotomy: Anatomic and Procedural Considerations
Alison Stout, DO

10:50 a.m. - Discussion

Ask the Experts
Moderator: Josh Rittenberg, MD
11:00 a.m.-12:00 p.m.

An attendee favorite returns with master clinicians debating topical issues in this question-and-answer session. Bring your burning questions and pose them to the SIS Board of Directors.

Your Warm Winter Getaway
JW Marriott Tucson Starr Pass Resort & Spa
3800 West Starr Pass Boulevard
Tucson, Arizona 85745
Group Rate: $209 single/double

Book your room in the group block and receive the discounted resort fee of $10 per night, a savings of $19 per night. Click here to make your room reservation or call 877.622.3140 and mention "SIS Winter Seminar" to receive the discounted rate. The SIS room rate expires on Thursday, January 24, 2019, at 7 p.m. ET subject to availability.

Registration Fees - Before December 22, 2018
Physician Members - $675
Military Physicians, Fellows, Residents, and Medical Student Members - $295
Allied Health Professionals - $375
Non-member Physicians - $1,225

Register early and save. All Seminar rate increase by $100 on December 22, 2018 and again on January 26, 2019.

2019 SIS Golf Tournament - Entry Fee $199 - REGISTRATION CLOSED
Includes green fees, cart rental, and lunch with proceeds benefiting SIS. Registration for the golf tournament closes Thursday, January 31, 2019.


The nearest airport is Tucson International Airport (TUS), 12 miles from the resort. Please arrange your own ground transportation to and from the resort. Overnight self-parking is available at the hotel and included in the discounted resort fee. Valet parking with in/out privileges is $25 per day.

Plan to arrive for the SIS 2019 Golf Tournament, which beings in the early afternoon of Friday, February 15, 2019. The General Session of the Seminar beings at 7:30 a.m. on Saturday, February 16, 2019.

Educational Objectives
Upon completion of this activity, participants should be able to:

  • Identify best practices to ensure patient safety during interventional spine procedures;
  • Describe how strict diagnostic criteria and anatomically validated technique can improve outcomes;
  • Review spine interventional procedures from the cervical to the sacral regions to identify predictors of success and common controversies;
  • Discuss advanced procedural details that can increase patient safety;
  • Assess new technologies and discuss how they are poised to change interventional spine care.

Continuing Medical Education (CME)
The Spine Intervention Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Spine Intervention Society designates this live activity for a maximum of 12 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Target Audience
This live activity has been designed for individuals who are involved in the care of patients with spine pain.

Registration Open to All
The content of this course is geared towards physicians but registration is open to SIS members, non-member physicians, and mid-level staff.

Special Accommodations
SIS only contracts with facilities that are in compliance with the U.S. Americans with Disabilities Act (ADA) and also strives to meet the needs of all diets with food provided to participants during the course. All ADA accommodations and/or dietary requests should be submitted by Thursday, January 17, 2019 to

Cancellation Policy
The Spine Intervention Society requires cancellation at least 21 days prior to the course to receive a refund less a $150 administrative fee. Cancellation less than 21 days prior will result in forfeiture of all fees. SIS reserves the right to cancel this event due to circumstances beyond its control. The Society assumes no financial obligation to registrants for possible costs incurred.

Disclosure Policy
SIS plans and implements educational activities in accordance with the Accreditation Council for Continuing Medical Education (ACCME) Criteria and Standards for Commercial Support to ensure balance, independence, objectivity, and scientific rigor. As an ACCME-accredited provider, the Society’s policy requires program speakers, moderators, committee chairs, committee members, planners, and staff to disclose all financial relationships they may have or have had within the last twelve (12) months with commercial interests whose products or services may impact their presentation.

The Chairs of the Education Division and the Instructor Development Committee review all disclosures prior to presentation and has a process of resolution that, if not satisfied, results in the removal of the speaker. The intent of this policy is not to prevent expert speakers with relevant relationship(s), with commercial interest(s), or other interests from involvement in CME but rather to ensure that the Society’s CME activities promote quality and safety, are effective in improving medical practice, are based on valid content, and are independent from commercial interests and free of commercial bias. Disclosure information will be made available to all participants at this meeting. Speakers are also required to disclose this information to the participants verbally and on the introductory slide at the beginning of each presentation.

To ensure the integrity of members, volunteers, and leaders, and to maintain public confidence, SIS has adopted a policy of uniform disclosure of financial relationships. Any individual participating in a sponsored activity must disclose to the audience any financial relationship in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g. stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected.

Commercial Support Disclosure
The Society fully complies with all ACCME requirements for commercial support and maintains a separation of promotion from education. The content or format of SIS CME activities, or its related materials, promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest. The Spine Intervention Society is a non-profit medical society. Revenues from this and all courses are used for future research and educational endeavors.

Course Materials
Materials presented at this course are made available by the Spine Intervention Society for educational purposes only. No distribution or reproductions of any kind, including audio and video recordings, may be made of the presentations. SIS reserves all rights to such material.

Photography Disclaimer
I agree to hold harmless and indemnify the Society from any and all claims involving the use of my picture or likeness. The Society reserves the right to use any photographs or videos taken at SIS events without the expressed written permission of those included within. The Society may record your likeness, image, voice, sound effects, interview, and performance and edit and incorporate such recording into formats including, but not limited to, educational, literary, and/or promotional materials such as advertising, website, and social media content with or without the participant’s name.

SIS shall retain final editorial, artistic, and technical control of the recording and content from any event and may use and authorize others to use the recording and any portions thereof in all markets, manner, and media, whether now known or hereafter developed. SIS and/or its successors and assignees shall own all rights, title, and interest, including the copyright, in and to the recording and related materials to be used and disposed of without limitation, as SIS shall determine.

Code of Conduct
SIS has a zero-tolerance policy prohibiting any form of discrimination or harassment, including, but not limited to, offensive verbal or written comments related to race, color, creed, religion, national origin, gender, age, disability, marital status, sexual orientation, military status, gender identity, or gender expression; the display of sexual images in public spaces; deliberate intimidation, stalking, or following; harassing photography or recordings; sustained disruption of talks or other events; inappropriate physical contact; and unwelcome sexual attention. 

All attendees, speakers, sponsors, staff, and volunteers at Society activities are required to agree to uphold this code of conduct during the event and in activity-related social events at off-site locations and in related online communities and social media. 

If you experience harassment or hear of any incidents of unacceptable behavior, SIS asks that you inform either Margaret Klys, MJ, CAE, Executive Director/CEO, at  or +1.708.505.9416 or Anne Rounds, CMP, HMCC, Director of Meetings, at  or +1.415.385.7462.

Those who violate this Code of Conduct will be asked to cease any inappropriate behavior, are expected to comply immediately, and may be subject to sanctions up to and including expulsion from the activity without refund and prohibition from attendance at future Society activities.


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