Bio-Skills Lab Curricula

Course Curriculum
The recommended progression for SIS’s hands-on labs is outlined below. The SIS CME Activities Calendar lists our upcoming offerings and links to registration. Please note: Not all courses are currently offered. Membership in the Spine Intervention Society does not automatically approve you to attend our hands-on Bio-Skills Labs. Please reference the Bio-Skills Lab Protocol for further information.



Lumbar Procedures Bio-Skills Lab
17 CME Credits


Lumbar techniques are the foundation for interventional spine procedures. When performed according to SIS practice guidelines, these techniques lay the groundwork for optimal patient outcomes. Whether you are beginning in the field, or need a refresher, the SIS Lumbar Bio-Skills Lab is essential.

Hands-On Training will include:
Needlecraft
C-Arm Utilization

Lumbar Injection Techniques will Include:
Interlaminar Epidural
L1-5 Transforaminal Epidural (subpedicular)
Medial Branch Block
S1 Transforaminal Epidural
Sacroiliac Joint

Lectures and Breakouts will Include:
Anatomy and Imaging
Indications and Techniques
Risks and Complications
Fluoroscopy Technical Considerations
Radiation Safety
Coding and Billing
Complications and Management

By special arrangement, AAPM&R members are welcome to attend this SIS Bio-Skills Lab.

 

"I could not have been more impressed with the instructors. They have not only proven themselves to be experts in interventional pain management, but are extremely personable and dedicated to teaching. Each instructor went above and beyond to actively teach the principles and procedures.”
Jesse Michael Hatgis, DO

 
"The instructors were outstanding. I really enjoyed the course. The drive for evidence-based medicine is a major driver for me."
Michael Slesinski, DO

 

 


Advanced Lumbar Procedures Bio-Skills Lab
17 CME Credits


Building on the foundation of the lumbar bio-skills course, the Advanced Lumbar Bio-Skills Lab allows you to continue the progression of your knowledge and skills with training utilizing expertly dissected cadavers for demonstration of anatomic structures in correlation with injection procedures.

Hands-On Lab Training will include:
L1-5 Transforaminal Epidural (subpedicular)/S1 Transforaminal Epidural Injection
L1-5 Transforaminal Epidural (infraneural) Injection
Intra-articular Zygapophysial Joint Injection
Medial Branch Block
L1-4 Medial Branch Parallel Needle Placement
L5 Dorsal Ramus Parallel Needle Placement

Lectures and Breakouts will Include:
Advanced Imaging Cases
Indications and Techniques
Risks and Complications
Spinal Innervation
Introduction to Radiofrequency Neurotomy
Contrast Pattern Analysis

 


Cervical Procedures Bio-Skills Lab
17 CME Credits

 

Performing cervical interventional spine procedures is not simply moving from the back to the neck; the structures present a completely new skill set and a higher level of precision and care. This course is an introduction to cervical injection techniques.

Cervical Injection Techniques will include:
Interlaminar Epidural
Transforaminal Epidural
C3-6 Medial Branch Block
C7 Medial Branch Block
Third Occipital Nerve Block
Intra-articular Zygapophysial Joint

C-Arm Utilization
Radiation Safety
Parallax Error
Fluoroscopic Anatomy in True AP, True Lateral, and Oblique Positions
Fluoroscopic Positioning for Cervical Procedures

Lectures and Breakouts will include:
Cervical Anatomy, Imaging, and Imaging Correlation
Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
Risk Mitigation, Complications and Case Management
Coding and Billing


"This was probably one of the best conferences I've ever been to (and I've been a physician for a LONG time). I am so thankful that these instructors basically donate their extremely valuable time simply to allow me to learn how to do these safely. I am amazed and deeply grateful."
Mark Hinrichs, MD


"Thank you for the tremendous organization. This is my third trip from Australia for a SIS course, and again not disappointed with either your organization and your presenters contributions. I look forward to next time."
John Monagle, MD

 


Advanced Cervical Procedures Bio-Skills Lab
17 CME Credits

 

Hands-On Training will include:
C2-3 Zygapophysial Joint: Intra-articular Access, Third Occipital Nerve Block, Radiofrequency Neurotomy
C1-2 Lateral Atlanto-Axial Joint Injection
C0-C1 Atlanto-Occipital Joint Injection
Greater Occipital Nerve Injection - Ultrasound
Fluoroscopy and Ultrasound Correlation (Third Occipital Nerve and Medial Branch Block)
Prosected Cadaver Station

Lectures and Breakouts will include:
Anatomy and Imaging
Indications and Techniques
Coding and Billing
Headache Algorithm: Cervicogenic Sources and Masqueraders
Cervical Case Discussion

 


Radiofrequency Procedures Bio-Skills Lab
16 CME Credits

Radiofrequency neurotomy is a treatment option that has the potential to positively effect your patients well being. This course is designed to systematically teach you how to assess imaging, medial branch blocks, symptomology, and utilize appropriate decision-making models. Both lumbar and cervical regions are covered in this radiofrequency neurotomy bio-skills lab.

 

Hands-on Training in Radiofrequency Neurotomy For The:
L3-4 Medial Branch
L5 Primary Dorsal Ramus
Third Occipital Nerve (TON)
C3-6 Medial Branch
C7 Medial Branch

Lectures and Breakouts will include:
Anatomy of Lumbar and Cervical Posterior Columns
Lumbar and Cervical Medial Branch Blocks
Radiofrequency Neurotomy Principles
Lumbar and Cervical Radiofrequency Neurotomy
Lumbar and Cervical Case Management
Coding and Billing 

 

"I felt this course was professionally done and would recommend it to fellow physicians.”
Hari Lakshmanan MD

 

"I appreciated when the instructors would “think out loud" as they analyzed a problem or tackled an injection; especially when the anatomy was not ideal."
Gregory Gullo, MD

 


"This course has been organized in the typical Spine Intervention Society way: efficiently, with high quality lectures and stations. Thank you to all involved. You have done a great job!"
Zbigniew Kirkor, MD

 


Disc Access Bio-Skills Lab

12.75 CME Credits

Discography is an excellent diagnostic tool for every pain physicians’ armamentarium. Having the competence to use it effectively can be the decisive factor in surgical versus less invasive care options for your patients.

Hands-On Training For:
Cervical Disc Access
Thoracic Disc Access
L1-L4 Disc Access
L5/S1 Disc Access

Lectures will Include:
Anatomy, Imaging, and Image Correlation
Indications, Techniques, and Evidence-based Patient Selection, and Procedural Technique
Risk Mitigation, Complications, and Case Management
Therapeutic Disc Interventions: Literature Update
Coding and Billing

  


Neurostimulation Procedures Bio-Skills Lab
8 CME Credits

 

This SIS Bio-Skills Lab uses a systematic evidence-based approach and is designed to address the current and future trends in neurostimulation. This course is highly structured and utilizes experienced instructors from multiple disciplines who provide lectures and hands-on bio-skills training on state of the art electro-neuromodulation utilizing fluoroscopic guidance.

Hands-On Lab Training In:
How to Trial: Trial Process, Lead Advancement, and Location
Placing and Anchoring Permanent Leads
IPG Implant Pocket Creating and Tunneling

Lectures and Breakouts will include:
Patient Selection: Psychological Evaluation, Confounding Medical Conditions, and Approval Process
How to Trial Patients and Evaluation of Trial Results
Permanent Placement and Ongoing Care
Complication and Risk Mitigation
Case Presentations
Coding and Billing

 


Comprehensive Procedures Bio-Skills Lab
13 CME Credits

 

The comprehensive procedures hands-on lab provides attendees the ability to choose their own instruction. The unique course structure features small-group instruction on any techniques in  our Practice Guidelines for Spinal Diagnostic & Treatment Procedures requested (neuromodulation is excluded). This course contains hands-on lab instruction only; no lectures are provided.

Hands-On Lab Techniques will Include:
Cervical, Thoracic, and Lumbar:

Transforaminal Injections
Intra-articular Zygapophysial Joint Injections
Interlaminar Epidural Injections
Medial Branch Blocks
Disc Access
Radiofrequency Neurotomy

C1-C2 Atlanto-Axial Joint Injection
Sacroiliac Joint Injection



Intensive Anatomy and Hands-On Fluoroscopic Correlation Bio-Skills Lab
17 CME Credits

 

The Intensive Anatomy and Hands-On Fluoroscopic Correlation Bio-Skills Lab training includes hands-on examination of professionally prepared cadaver sections and dissections, intensive exposure to radiographic imaging and gross anatomical correlation, needle placement utilizing fluoroscopic guidance for interventional spine procedures; and small didactic group discussions.

This course provides a unique opportunity to interface with experts in neuroanatomy, spine radiology, and spinal interventions. Participants will leave the course with a better understanding of the “hidden” implications and anatomical basis upon which spinal interventions are based.


Hands-On Fluoroscopic Correlation Rotations will Include:

Cervical, Thoracic, and Lumbar:

Transforaminal Injections
Intra-articular Zygapophysial Joint Injections
Interlaminar Epidural Injections
Medial Branch Blocks
Disc Access
Radiofrequency Neurotomy

C1-C2 Atlanto-Axial Joint Injection
Caudal Injection
Sacroiliac Joint Injection
Sacral Lateral Branch Block

Lectures and Breakouts will include:
Lumbar and Cervical Radiographic Imaging
Spinal Innervation
Complications
Structures at Risk
Anatomy and Physiology of Pain

 


Lumbar and Cervical Fluoroscopic Imaging Course
8.5 CME Credits

 

This course is designed for physicians and/or their radiologic technologists or assistants who work with fluoroscopic C-Arm imaging for interventional pain management injections and procedures. This course provides lectures, hands-on training, one-on-one instructor interaction, and participant discussion time with the expert faculty to provide an intimate and continuous opportunity for participants to improve their knowledge of C-Arm operation, radiation safety, fluoroscopic anatomy, and optimal views for lumbar and cervical injections.

Hands-On C-Arm Positioning
Interlaminar Epidural
L4-5 Transforaminal Epidural Steroid
Medial Branch Block
Zygapophysial Joint
Sacroiliac Joint
Disc Access
C1-2 Atlanto-Axial Joint
Interlaminar Epidural

Lectures will Include:
C-Arm Operation, Radiation Safety, and Patient Positioning
Cervical Fluoroscopic Anatomy and Technique Setup
Lumbar Fluoroscopic Anatomy and Technique Setup


"In my opinion, The Spine Intervention Society puts on good programs and is truly committed to advancing and continuing medical education. I always take something away that I implement for the benefit and protection of my employer, the patients, and myself."
Josephine VanDrielen, RT


Imaging Anatomy for the Spine Interventionalist
11.75 CME Credits

 

Correctly analyzing the three-dimensional anatomy of the spine is imperative for safe and effective interventions. This analysis is realized through imaging. This course will help spine practitioners to appreciate the strengths and weaknesses of the several imaging techniques that guide interventions, to correlate imaging findings with pain syndromes, and to understand the proper utilization of imaging in patient care. This course goes beyond the SIS bio-skills courses and augments the physician’s understanding of imaging techniques, what they depict, and what to look for to keep your patients safe. 

The course includes lectures, breakout group sessions, and participant discussion time with faculty. Lectures will include imaging techniques, basic anatomy of the spine by region, diagnostic confidence, degenerative pathology and sinister disease.

Lectures will Include:
Imaging Techniques
Basic Anatomy of the Spine by Region
Diagnostic Confidence
Degenerative Pathology
Lessons Learned

Breakout Group Sessions
These sessions allow attendees to examine numerous spine cases with each instructor. This provides an opportunity to observe how different radiologists systematically examine large data sets, filter out extraneous information, and focus on critical findings. The cases will emphasize normal anatomy, normal variants which may stimulate disease, and degenerative phenomena which may be associated with typical axial and radicular pain syndromes.

There is no hands-on lab training during this course, so you do not need to be a member to attend.

 

 

 

 

 

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