advancing the science and practice of pain medicine · and practice of pain medicine ......

Advancing the Science and Practice of Pain Medicine

in a Changing Healthcare Environment

26TH ANNUAL MEETINGSan Antonio, TX l February 3–6, 2010

t h e A m e r i c A n A c A d e m y o f P A i n m e d i c i n e

CPT copyright 2008 American Medical Association. All rights reserved.CPT is a registered trademark of the American Medical Association.

2 Register online today at www.PainMed.org.2 Register online today at www.PainMed.org. Need more info? Call 847/375-4731. 3

Invitation to the American Academy of Pain Medicine’s 26th Annual Meeting

It is my distinct privilege to invite you to the American Academy of Pain Medicine’s (AAPM) 26th Annual Meeting in San Antonio. We selected San Antonio as a convenient and economical location to bring together Pain Medicine colleagues from across the country.

AAPM’s outreach spans the United States, and there is much to learn from one another about clinical practice, research, and policy. Communicating face-to-face helps us focus on the opportunities and challenges for our specialty and solve important national and state policy issues affecting practice in a rapidly changing healthcare environment.

In concert with AAPM’s tradition of focusing on emerging issues in Pain Medicine, the 26th Annual Meeting features a multitude of expert faculty, new presentation platforms, and plenty of opportunity for networking and fun.

With healthcare reform at the national level taking center stage, pain-care practitioners now have the ideal opportunity to continue pushing for pain-care reform. Our keynote address will be delivered by Daniel B. Carr, MD DABPM FFPMANZCA (Hon), Saltonstall Professor of Pain Research in the Department of Anesthesia at Tufts Medical Center and Tufts University School of Medicine. Dr. Carr’s national and international leadership of Pain Medicine spans several decades of research, education, and policy development. He is a strong proponent for the specialty of Pain Medicine and its important public health role.

Dr. Carr’s address, Pain Medicine’s Stake in Healthcare Reform, will celebrate AAPM’s collective achievements, our Pain Medicine journal, and “The Decade of Pain” as he looks to the future of Pain Medicine. Dr. Carr will provide an interdisciplinary perspective on the current status of Pain Medicine, how it should optimally evolve, and the perceived threats to it doing so. The message is certain to inspire Academy members and all healthcare providers to achieve quality, integrated pain care while meeting the expectations of the growing numbers of patients with pain in a resource-limited environment.

Plenary sessions will focus on Pain Genomics, Litigation Perspectives, and Pain Medicine Moving Forward: 2010 and Beyond. I am pleased to announce that this meeting offers Integrative, Interventional, and Patient-Centered Care Tracks. As AAPM continually increases the scientific rigor of our educational programming, this year’s annual meeting will include both literature review and research update sessions to bring the emerging advances in Pain Medicine research to its members.

The annual meeting also boasts 2 days of preconference sessions, including AAPM’s Essential Tools for Treating the Patient in Pain™ course, Neuromodulation from Head to Toe, and Preventing Injuries with Spine Interventions.

As well, this meeting offers an unparalleled opportunity to network with fellow Pain Medicine practitioners. The chance to dialogue face-to-face with world-class Pain Medicine experts and colleagues is a professional benefit for all. You will also get a first look at the latest treatments for the Pain Medicine market and much, much more. I am certain that you will find this educational experience personally and professionally rewarding, and I am delighted to extend this invitation for you to attend AAPM’s 26th Annual Meeting.

Rollin M. Gallagher, MD MPHAAPM President

The Science of Pain

• ComprehensiveHeadacheSymposium

• NeuromodulationfromHeadtoToe

• ComprehensiveCancerPain

• EssentialToolsforTreatingthePatientinPain™

• CervicalSpineInterventions

• ProsandConsofOralandIntrathecalOpioidTherapy

• UpdatesinPalliativeSedation

• AdvancingUltrasonographyinPainMedicine

• PainResearchUpdates

The Practice of Pain

• ElectronicHealthRecords

• EmergingLegalProceedingsinPain

• MockTrialReview(AudienceParticipation)

• CommercialInsuranceClaimsData

• AdvancingPainResearchinthePrivatePractice

• TheDifficultPatientandPhysicianRelationship

• BusinessManagement:AuditingandStaff Training for Compliance

• FAQsoftheOfficeoftheInspectorGeneral(OIG)Compliance

• ClinicalGuidelinesforLowBackPainandChronicPain Management

• ProfessionalisminPainMedicine

The Changing Healthcare Environment

• PainMedicine’sStakeinHealthcareReform

• ConflictsofInterestinPhysicianEducation

• ValueofPhysicianExtendersinPainMedicine

• TheFutureofPainMedicine

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New this year…up to 20 additional pain CME credits

Earn even more Pain continuing medical education (CME).As a primary benefit of registering for this year’s Annual Meeting, you will receive access to a new, post-program Web-based module that will allow you to earn up to 20 hours of additional CME credits from the concurrent education sessions you missed onsite at the annual meeting.

Network with colleagues

who are on the forefront of

Pain Medicine.

Look inside for opportunities to network, study,

and become better equipped

to help today’s pain patients.

THREE REASONS YOU WANT TO BE SURE TO ATTEND

Great Sessions for Today’s Pain Physician and their Treatment Teams


About The Meeting

CoNTINuINg MedICAL eduCATIoN CRedITsAccreditation Council for Continuing Medical Education The American Academy of Pain Medicine (AAPM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education (CME) for physicians.

AAPM designates all AAPM CME activities associated with the 26th Annual Meeting for a maximum of 33.75 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AAPM 26th Annual Meeting and Related Education Programs 26th Annual Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17.75 creditsEssential Tools for Treating the Patient in Pain™ . . . . . . . . . . . . . . .16 credits Neuromodulation from Head to Toe . . . . . . . . . . . . . . . . . . . . . . 4 credits Preventing Injuries with Spine Interventions . . . . . . . . . . . . . . . . 3.5 credits

Through a strategic initiative that maximizes the educational experience for the 2010 Annual Meeting, all meeting attendees will be given the opportunity to earn up to 20 additional CME credits at no additional cost by completing the additional concurrent sessions postconference activities through a Web-basedplatforminVoice-OverPowerPoint(VOPP).

Please note: Attendees cannot receive credit for Day 2 of Essential Tools for Treating the Patient in Pain™, Neuromodulation from Head to Toe, and ISIS Preconference Session: Preventing Injuries with Spine Interventions because they occur simultaneously. The maximum number of CME credits that can be earned for the 26th Annual Meeting, Essential Tools for Treating the Patient in Pain™, Neuromodulation from Head to Toe, and the Preventing Injuries with Spine Interventions is 33.75 AMA PRA Category 1 credits™.

American Academy of Family Physicians (AAFP)An application for American Academy of Family Physicians (AAFP) CME credit has been filed with the AAFP. Determination of credit is pending.

American Academy of Physician Assistants (AAPA)The American Academy of Physician Assistants (AAPA) accepts Category 1 CME credit from the American Osteopathic Association Council on Continuing Education (AOACCME), prescribed credit from AAFP, and AMA PRA Category 1 credit™ for the PRA organizations accredited by ACCME.

Continuing Nursing Education (CNE) The 26th Annual Meeting and all related AAPM educational activities will be submitted to the Association of Rehabilitation Nurses (ARN) for a maximum of 52.5 contact hours. ARN is accredited as an approver of continuing nurs-ing education by the American Nurses Credentialing Center’s Commission on Accreditation.

AAPM 26th Annual Meeting and Related Education Programs 26th Annual Meeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17.75 hoursEssential Tools for Treating the Patient in Pain™ . . . . . . . . . . . . . 14.75 hours

Through a strategic initiative that maximizes the educational experience for the 2010 Annual Meeting, all meeting attendees will be given the opportunity to earn up to 20 additional CE credits at no additional cost by completing the additional concurrent sessions postconference activities through a Web-based platforminVOPP.

dIsCLosuReIt is the policy of AAPM to plan and implement educational activities in accordance with ACCME’s Essential Areas and Elements and Standard for Commerical Support (SCS) to ensure balance, independence, objectivity, and scientific rigor. As an ACCME Accredited Provider, AAPM is eligible to receive commercial support from industry but cannot receive guidance, either nuanced or direct, on the content of the activity or on who should deliver the content.

All program faculty and planners are required to disclose all financial relationships they may have or have had within the last 12 months with commercial interests whose products or services are related to the subject matter of the presentation. Any real or apparent conflicts of interest must be resolved prior to the presentation. Disclosure information will be made available to attendees at the annual meeting. Faculty will also be expected to disclose this information to the audience both verbally and in print (slide presentation) at the beginning of each presentation.

Faculty is also required to inform program participants if any unlabeled uses of products regulated by the U.S. Food and Drug Administration will be discussed.

New syLLAbus FoRMATThe Academy will be “going green” for another consecutive year. Registrants will be able to download, view, and print faculty slides and presentation infor-mation from AAPM’s Web site 1 week before the 26th Annual Meeting and for several weeks after the meeting. AAPM is especially pleased to provide registrants a new benefit this year: complete meeting recordings that will be accessibleinVoice-OverPowerPoint(VOPP)formatafterthemeetingatnoadditional charge. This format allows registrants the opportunity to obtain additional CME credit for the concurrent sessions they were not able to attend onsite.

Preprinted syllabi for the annual meeting are available for $125, and preprinted preconference syllabi are available for $25 (see p. 21). All orders must be received no later than December 7. Preordered syllabi will be distributed at the annual meeting. A printed schedule of sessions and events will be given to each attendee, and poster abstracts will be distributed on flash drive. Evaluation forms will be made available online and will not be printed.

“Going green” helps AAPM in reducing paper usage by more than 350,000 pages and eliminating the production of nearly 1,000 CD-ROMs.


who shouLd ATTeNdAAPM educational programming is intended for Pain Medicine practitioners and all healthcare professionals interested in enhancing their knowledge and improving their practice of Pain Medicine and treatment of addiction through scientific research, clinical practice, advocacy, and regulatory affairs.

why you shouLd ATTeNdl Incorporate evidence-based practice strategies back home.

l Improve your knowledge of Pain Medicine techniques.

l Focus on the treatment modalities most relevant to your practice.

l Review the fundamentals of Pain Medicine.

l Enhance your practice performance with the newest products and services showcased in the exhibit hall.

l Advance the interdisciplinary approach to pain care.

l Gain critical insight into current healthcare rules and regulations.

l Network with other pain specialists at the most comprehensive meeting for the clinical management of pain.

l Gain valuable insight into the patient-centered approach to pain care.

MeeTINg objeCTIvesAfter attending this meeting, participants should be better able tol assess, diagnose, and evaluate patients with a variety of acute and chronic

pain disorders

l develop appropriate treatment and rehabilitation plans for patients with acute and chronic pain, and identify when to refer patients

l identify, treat, or appropriately refer patients with addiction

l evaluate new trends, therapies, techniques, and diagnostic procedures in pain management

l identify the indications, contraindications, and complications for established techniques and therapies for the management of pain

l evaluate and treat behavioral and psychological issues associated with chronic pain

l explain the legal, ethical, and regulatory issues surrounding the practice of Pain Medicine

l implement strategies and processes for providing patient-centered pain care in a changing healthcare environment

l maximize efficiencies and improve Pain Medicine business practices.

desIRed ouTCoMesl Produce changes in behavior that lead to improving pain-practice

outcomes.

l Transmit knowledge and implementation of practices that improve the delivery of pain care across the healthcare continuum.

l Expand coverage, improve quality, and reduce cost through a coordinated care-delivery system.

l Foster and maintain a highly trained, competent pool of pain professionals.

l Advance the science and practice of Pain Medicine in a changing healthcare environment.

sPeCIAL seRvICesAAPM will work to accommodate any attendees with a disability. Advance notification is needed to accommodate all special requests, as stated in the U.S. Department of Justice Americans with Disabilities Act.

CoNFeReNCe Co-ChAIRs

Timothy R. Deer, MDPresident and CEOThe Center for Pain ReliefCharleston,WV

Ajay D. Wasan, MD MScAssistant Professor—Department of Anesthesiology and PsychiatryHarvard Medical SchoolBoston, MA

Director—Section of Clinical Pain ResearchAnesthesiology and PsychiatryPain Management CenterBrigham and Women’s HospitalChestnut Hill, MA

esseNTIAL TooLs FoR TReATINg The PATIeNT IN PAIN™ Co-ChAIRs

Zahid H. Bajwa, MDAssistant Professor—Department of Anesthesiology and NeurologyHarvard Medical SchoolDirector—Education and Clinical Pain ResearchBeth Israel Deaconess Medical CenterBoston, MA

Gagan Mahajan, MDAssociate Professor—Department of Anesthesiology and Pain MedicineUniversity of California—Davis School of MedicineSacramento, CA

sCIeNTIFIC PosTeR sessIoN ChAIRJeffrey M. Tiede, MDColumbia Interventional Pain CenterColumbia, MO

CoMMITTee MeMbeRs

Asokumar Buvanendran, MDInterventional Track ChairAssociate ProfessorDirector of Orthopedic AnesthesiaRush University Medical CenterChicago, IL

Marc A. Huntoon, MDInterventional Track ChairAssociate Professor—Department of Anesthesiology, Division of Pain MedicineMayo ClinicRochester, MN

Leonardo Kapural, MD PhDInterventional Track ChairAssociate Professor—Clevelend Clinic Lerner College of MedicineClinical Research Director—Pain ManagementCleveland ClinicCleveland, OH

About the Meeting Program Committee


About The Meeting

Donna M. Bloodworth, MDIntegrative Track ChairAssociate ProfessorBaylor College of MedicineOutpatient Clinic Director—Department of Physical Medicine and RehabilitationQuentinMeaseCommunityHospitalHarris County Hospital DistrictHouston, TX

Michael H. Moskowitz, MD MPHIntegrative Track ChairAssistant Clinical ProfessorUniversity of California—Davis School of MedicineCo-Director—Pain MedicineBay Area Pain Medical AssociatesMillValley,CA

Paul J. Christo, MD MBAAssistant Professor— Multidisciplinary Pain Fellowship Program Director—Department of Anesthesiology and

Critical Care MedicineDivision of Pain MedicineJohns Hopkins University School of MedicineBaltimore, MD

Robert I. Cohen, MDAssistant Professor—Department of

AnesthesiologyBeth Israel HospitalArnold Pain Management CenterBoston, MA

Steven P. Cohen, MDAssociate Professor and Director of Pain ResearchWalter Reed Army Medical CenterAssociate Professor and Director of Medical

EducationJohns Hopkins School of MedicineBaltimore, MD

Daniel Doleys, PhDDirector—Department of PsychologyPain & Rehabilitation InstituteBirmingham, AL

Larry C. Driver, MDProfessor—Pain MedicineDepartment of Anesthesiology and Pain MedicineMD Anderson Cancer CenterHouston, TX

Perry G. Fine, MDProfessor—Department of AnesthesiologyPain Research Center University of Utah School of MedicineSalt Lake City, UT

Douglas Gourlay, MD FRCPAnaesthesiologyWasser Pain Management Centre Mt. Sinai HospitalWaterdown, ON, Canada

Martin Grabois, MDProfessor and Chairman—Department of Physical

Medicine and RehabilitationBaylor College of MedicineHouston, TX

Howard A. Heit, MD FACP FASAMAssistant Clinical ProfessorGeorgetown University School of MedicineFairfax,VA

Diane Moskowitz Keaney, MSN RN CNSClinical Nurse SpecialistBay Area Pain Medical AssociatesMillValley,CA

Tim J. Lamer, MDAssociate Professor, Department ChairAnesthesiology and Pain MedicineMayo ClinicRochester, MN

Robert M. Levy, MD PhDProfessor—Neurological SurgeryAssociate Professor—PhysiologyNorthwestern University Feinberg School of

MedicineChicago, IL

Bill H. McCarberg, MDFounder—Chronic Pain Management ProgramUniversity of California–San DiegoPrimary CareKaiser PermanenteEscondido, CA

Sunil J. Panchal, MDPresidentNational Institute of Pain/COPE FoundationLutz, FL

Jerome Schofferman, MDDirector—Research and Education San Francisco Spine Institute SpineCare Medical Group, Inc.Daly City, CA

Steven P. Stanos, DOAssistant Professor—Department of Physical

Medicine and RehabilitationMedical Director—Center for Pain ManagementRehabilitation Institute of ChicagoChicago, IL

C. Douglas Stewart, PACPhysician AssistantCenter for Pain ReliefCharleston,WV

Lynn R. Webster, MDMedical DirectorLife Tree Clinical Research and Pain ClinicSalt Lake City, UT

AdvIsoRWay Yin, MDInterventional Medical Associates of

Bellingham, PCBellingham, WA

INTeRNATIoNAL AdvIsoRs

United States

Michel Y. Dubois, MDProfessor of AnesthesiologyNew York University Medical CenterDirector—New York University Pain Program

AnesthesiologyNew York University Pain CenterNew York, NY

Scott M. Fishman, MD MPHChief—Division of Pain MedicineDepartment of Anesthesiology and Pain MedicineUniversity of California–Davis School of MedicineLawrence J. Ellison Ambulatory Care CenterSacramento, CA

Rollin M. Gallagher, MD MPHDirector for Pain Policy Research and Primary CarePenn Pain MedicineClinical Professor of Psychiatry and AnesthesiologyUniversity of Pennsylvania School of MedicineDeputy National Program Director for Pain

ManagementPhiladelphiaVeteransAffairsMedicalCenterPhiladelphia, PA

China

De Ren Zhang, MDMemberChinese Academy of SciencesDirector—Nan Shan HospitalNanshan, Shenzhen, China

Jisheng Han, MDMemberChinese Academy of SciencesProfessor—Department of PhysiologyDirector—Neuroscience Research Institute Peking University Beijing, China

Australia/New Zealand

Michael Cousins, MD DSc FANZCA FRCA FAChHPM(RACP) FFPMANZCAUniversity of Sydney at Royal North Shore HospitalPain Management Research InstituteSt. Leonards, Sydney, Australia

C. Roger Goucke, MB ChB DTM&H FANZCA FFPMANCZA FAChPMDirector—Pain Management DepartmentSir Charles Gairdner HospitalNedlands, Western Australia, Australia

Nikolai Bogduk, MD PhDDepartment of Clinical ResearchNewcastle Bone and Joint InstitutionNewcastle, New South Wales, Australia

schedule at a glance


Wednesday, February 3

8 am–Noon Essential Tools for Treating the Patient in Pain™ Day 2 (PME)

Neuromodulation from Head to Toe (001)

Noon–1:15 pm Satellite luNcheoN SympoSium 1.25 cme

1:30–5 pm Essential Tools for Treating the Patient in Pain™ Day 2 (PME) (continued)

Preventing Injuries with Spine Interventions (002)

5–6:30 pmaapm 26th aNNual meetiNg Welcome ReceptioN

exhibitS & poSteR SeSSioNS

Thursday, February 4

7–8:15 am Satellite bReakfaSt SympoSium 1.25 cme

8:30–9:30 am Pain Medicine’s Stake in Healthcare Reform (101)

9:30–10 am AAPM President’s Welcome Address and Awards Presentation (102)

10–10:45 am American Medical Association Address (103)

10:45–11:45 am bReakexhibitS & poSteR SeSSioNS

11:45 am–12:15 pm Plenary Research Highlights (104)

12:30–1:45 pm Satellite luNcheoN SympoSium 1.25 cme

iNteRveNtioNal tRack iNtegRative tRack patieNt-ceNteRed caRe tRack

2–3:30 pm

Compliance Updates: Frequently Asked Questions About OIG Compliance, Anti-Kickback, and Stark Regulations (201)

The Pain of Business Management: Auditing and Staff Training for Compliance

(201)

Physician Enhancement: The Value of Physician Extenders in Pain Medicine (201)

Opioid Therapy: Examining and Evaluating the Pros and Cons of Oral and Intrathecal Opioid Therapy in the Treatment of Non-

Cancer Pain (202)

Comprehensive Cancer Pain Care: An Integrated Palliative Approach to Pain

and Collateral Symptoms in the Cancer Patient (203)

3:30–4 pm bReak

4–5 pmCervical Spine Interventions: Improving

Patient Safety and Patient Outcomes (204) Mindfulness, Embodiment, and Brain Power: The Unity of Mind, Body, and Brain

in Pain Treatment (205)

Advancing Pain Therapies in Chemically Dependent Patients with Serious Medical

Illness (206)

5–6 pm Advancing Ultrasonography in Pain Medicine (207)

Pain Research Updates (208)

6–7 pm aapm 26th aNNual meetiNg ReceptioNexhibitS & poSteR SeSSioNS

7–8:15 pm Satellite diNNeR SympoSium 1.25 cme

Tuesday, February 2

7:45–11:45 am Essential Tools for Treating the Patient in Pain™ Day 1 (PME)

Noon–1:15 pm luNch bReak

1:30–6 pm Essential Tools for Treating the Patient in Pain™ Day 1 (PME) (continued)


Friday, February 57–8:15 am aapm membeRS’ aNNual buSiNeSS meetiNg

8:30–9:30 am Pain Genomics (105)

9:30–10:15 am Plenary Research Highlights (106)

10:15–11:15 am bReakexhibitS & poSteR SeSSioNS

11:15 am–12:15 pm Litigation Perspectives: Emerging Legal Proceedings in Pain Medicine (107)

12:30–1:45 pm Satellite luNcheoN SympoSium 1.25 cme


2–3:30 pm

How Does Your Pain Practice Measure Up? Lessons Learned from Commercial

Insurance Claims Data (301)CPT® and RUC Update: 2010 (301)

Comprehensive Headache Symposium (302) Restoring Function in Patients with Chronic Pain (303)

3:30–4 pm bReak

4–5 pmIntrathecal Drug Delivery Systems:

Advancing Opioid and Nonopioid Therapies (304)

Pain Medicine Litigation Practices Through Mock-Trial Review (305)

Advancing Pain Research in Private Practice (306)

5–6 pm

Epidural Injections—Pros and Cons: A Comprehensive Review of Evidence,

Epidural Cytokine Therapy, and Complications in the Treatment

of Chronic Pain (307)

Professionalism in Pain Medicine (308)

6:15–7:30 pm Satellite diNNeR SympoSium 1.25 cme

Saturday, February 67–8:15 am Satellite bReakfaSt SympoSium 1.25 cme

8:30–9:30 am Exploring the Role Conflict-of-Interest Guidelines Play in Physician Learning (108)

9:30–10:45 am Pain Medicine Moving Forward: 2010 and Beyond (109)

10:45–11:15 am bReak

11:15–11:45 am Plenary Research Highlights (110)

Noon–1:15 pm Satellite luNcheoN SympoSium 1.25 cme


1:30–3 pmNeuromodulation in Special Populations:

Examining the Efficacy of Stimulation Versus Intrathecal Pump Therapy (401)

The Difficult Patient (402) Get with the Guidelines: Clinical Guidelines for Low Back Pain and Chronic Pain

Management (403)

3–3:30 pm bReak

3:30–5 pmElectronic Health Record for the Pain

Practice: Improving Office Efficiencies, Coding, and Patient Records (404)

In Pursuit of a Comfortable Death: Updates in Palliative Sedation and Physician-Assisted Suicide (405)

Psychology for the Non-Psychologist (406)

Wednesday, February 35–6:30 pm

Welcome ReceptionJoin friends and colleagues at the 26th Annual Meeting Welcome Reception in Exhibit Hall B. The exhibits and posters will be available for visiting and viewing.

Thursday, February 49:30–10:45 am

AAPM President’s Welcome Address and Awards PresentationRollin M. Gallagher, MD MPH

American Medical Association Address Cecil B. Wilson, MD AMA President-Elect

Thursday, February 46–7 pm

ReceptionVisittheExhibitsandPosterSessionsin Exhibit Hall B.

Friday, February 5 7–8:15 am

AAPM Annual Business Meeting

networking Opportunities


Preconference sessions

Essential Tools for Treating the Patient in Pain™ is designed for clini-cians interested in obtaining an overview of some of the fundamentals of Pain Medicine in addition to practical approaches to the treat-ment of common pain disorders. The course offers clinically focused lectures and case presentations on the assessment, diagnosis, and treatment of patients with various acute, cancer, and chronic pain syndromes.

Educational Learning Objectives1. Evaluate the patient in pain with a focus on neuroanatomy and

musculoskeletal examination.

2. Describe the neurophysiology of pain transmission.

3. Describe pharmacological, interventional, and rehabilitation techniques for the treatment of chronic pain.

4. Implement protocols for appropriate prescribing practices.

5. Understand how to treat pain and suffering in the patient with terminal illness.

6. Understand the legal and ethical issues surrounding pain management.

Day 1, Tuesday, February 2 • 7:45–11:45 am, 1:30–6 pm

Day 2, Wednesday, February 3 • 8 am–noon, 1:30–5 pm

*There is an additional fee to attend this program. Preregistration is required.

Essential Tools for Treating the Patient in Pain™

What Every Primary Care and Pain Specialist Needs to Know*

TuESDay, FEbruary 2 and WEDnESDay, FEbruary 3

WEDnESDay, FEbruary 3

8 am–noonneuromodulation from Head to Toe (001)*

Intrathecal Infusion Therapy for Cancer and Non-Cancer Pain: Predictors of Patient OutcomesSince 1979, when Wang, Nauss, and Thomas (1979) reported that small amounts of morphine administered into the subarachnoid space produced pain relief for longer than 12 hours, intraspinal morphine administration has been utilized extensively for the treatment of pain.

Throughout the 1980s and 1990s, there have been many improvements in intrathecal pump systems and an expanding line of pharmacological therapies available for intrathecal administration. Many varieties of pump systems have been developed, ranging from the simple catheter to the more sophisticated, totally implantable, externally programmable pump. Initially, intrathecal pump systems were used for cancer pain until the indication was expanded to include patients suffering from chronic, intractable pain not amenable to conventional pain therapy. The aim was better pain control with fewer adverse effects than conventional routes of opioid administration, such as oral medications, analgesic patch, or injections (Williams & Louw, 2000).

Because intrathecal drug infusion delivers medication directed to the intrathecal space, patients with nociceptive, neuropathic, or mixed pain who have failed to respond to more conservative therapies may respond to this form of therapy (Krames, 2009).

It has been postulated that improved selection criteria for intrathecal infusion therapy for cancer and non-cancer pain patients will improve overall patient outcomes. A task force has been created to capture and consolidate data to determine predictors of positive outcomes resulting from intrathecal infusion therapy. These data will be presented to assist practitioners in predicting positive responders to therapy and potentially improve overall patient outcomes.

ModeratorMarc A. Huntoon, MD

Cancer PainTimothy R. Deer, MD

Non-Cancer PainRobert M. Levy, MD

Stimulation of the Nervous System for the Treatment of PainThe role of changing the nervous system by directly affecting the nervous sys-tem using an electrical current or drug delivery has never been more influen-tial than it is today. Spinal cord stimulation (SCS) is important in the treatment of neuropathic pain. This technique involves the placement of pacing leads in the epidural space to change the way signals are delivered from the spinal cord to the brain. It is important to review the selection of appropriate candi-dates, the use of this therapy for new and emerging indications, and the man-agement of complications. Faculty will discuss each of these important issues.

ModeratorTimothy R. Deer, MD

Selection and Implantation for Visceral Syndromes: Angina, and Pelvic and Abdominal PainLeonardo Kapural, MD PhD

Identification and Management of ComplicationsNagy Mekhail, MD PhD

The Psychology of Implantable Devices: Avoiding Mental Land Mines and Achieving Great OutcomesDaniel M. Doleys, PhD


Preconference sessions

Peripheral Nerve Stimulation: What Are the Current Indications and Which Patients Are Candidates?The practice of peripheral nerve stimulation is currently undergoing resur-gence in interest, with occipital stimulation being discussed for a variety of head pain syndromes. Other recently popular techniques include stimulation of trigeminal end-branches, peripheral field stimulation, and peripheral nerve stimulation for extremity pain. Three major methods for targeting peripheral nerves now exist: open surgical placement of paddle electrodes for largely peripheral extremity-pain syndromes; peripheral field stimulation for failed back axial-pain syndromes, groin-and-chest pain syndromes, and others; and minimally invasive electrode placement for extremity neuropathic-pain syndromes.

Faculty will discuss some of the current evidence for these approaches, the differences in therapeutic effect, and strategies for management.

ModeratorMarc A. Huntoon, MD

Targets for Stimulating the Periphery from Head to ToeTimothy R. Deer, MD

A History of Stimulating the Periphery: A Look at the Evolution of the TreatmentAbram H. Burgher, MD

Peripheral Nerve Field Stimulation: Do We Really Need to Stimulate a Nerve?Konstantin V. Slavin, MD

Advanced Neurosurgical TechniquesNeurosurgical techniques in Pain Medicine are experiencing a revolution in both technology and technique. This session discusses how the use of deep brain stimulation, paddle leads, and the selection of treatment protocols for the pain patient are opening avenues to treatment protocols not available to patients in the past.

ModeratorTimothy R. Deer, MD

Paddle Leads: Do Tripolar Arrays Matter?Claudio A. Feler, MD

Stimulating the Deep Brain and Motor Cortex for the Treatment of Pain Robert M. Levy, MD

1:30–5:00 pmISIS Preconference Session: Preventing Injuries with Spine Interventions (002)*This session increases participants’ knowledge and awareness of the risks associated with several more commonly performed pain management proce-dures. This literature-based preconference session highlights intra-operative and post-operative images of many cases in which complications from an interventional procedure are documented. Specific emphasis is placed on how to best reduce risk and optimally avoid injuries during the course of perform-ing cervical, thoracic, and lumbar epidural steroid injections; cervical and lumbar radiofrequency neurotomy; spinal cord stimulation; intrathecal pumps; and vertebral augmentation procedures.

ModeratorJeffrey T. Summers, MD

General Considerations with Spine Intervention Procedures: Risks and Risk ReductionJeffrey T. Summers, MD

Cervical and Thoracic Interlaminar and Transforaminal Epidural InjectionsJeffrey D. Petersohn, MD

Zygapophysial Joint Radiofrequency NeurotomyJeffrey D. Petersohn, MD

Lumbar Interlaminar and Transforaminal Epidural InjectionsJeffrey T. Summers, MD

Spinal Cord Stimulation and Intrathecal Pump TherapyMichael L. Whitworth, MD

Vertebral Augmentation ProceduresMichael L. Whitworth, MD

*An additional fee is required to attend these preconference sessions. Preregistration is required. See the rate information in box D on the registration form on page 21.


THurSDay, FEbruary 4

8:30–9:30 amPain Medicine’s Stake in Healthcare reform (101)FacultyDaniel B. Carr, MD DABPM FFPMANZCA (Hon)

Although America’s healthcare system has many strengths, it remains unsus-tainably complex, costly, and unattainable for many. Transforming the health-care system into an accessible, high-quality, coordinated, and cost-effective enterprise is a top priority for the Obama administration. The steps taken to do so will have a profound affect on everyone involved in the burgeoning field of Pain Medicine, including patients and society at large, who view pain treat-ment as a fundamental human right.

Daniel B. Carr’s, MD DABPM, keynote address, “Pain Medicine’s Stake in Healthcare Reform,” will celebrate the collective achievements of AAPM, its Pain Medicine journal, and “The Decade of Pain” as he looks to the future of Pain Medicine. Dr. Carr will provide an interdisciplinary perspective on the current status of Pain Medicine, how it should optimally evolve, and the perceived threats to its doing so. He will inspire Academy members and all healthcare providers to achieve quality, integrated pain care while meeting the expectations of the growing numbers of patients with pain in a resource-limited environment.

Amid the mounting economic, legal, and regulatory pressures that threaten a balanced pain policy, Dr. Carr’s keynote address will pave the way to securing a place for Pain Medicine at this critical juncture in our nation’s healthcare delivery system. He will first address why, despite tremendous scientific advances, quality measures indicate that the treatment of pain lags behind the science of pain.

Renowned for his contributions to pain research, evidence-based Pain Medicine, and pain education, Dr. Carr serves as the Saltonstall Professor of Pain Research in the Department of Anesthesia at Tufts Medical Center in Boston and as the founding director of the Tufts Master’s Degree and Certificate Program in Pain Research, Education, and Policy. A past AAPM Board member and secretary, he has received the Academy’s prestigious Philipp M. Lippe, MD, Award for outstanding contributions to the social and political aspects of Pain Medicine. A senior editor of and contributor to Pain Medicine, he is an honorary fellow of the Australian and New Zealand Faculty of Pain Medicine. Dr. Carr co-chaired the U.S. Federal panel that prepared the first clinical practice guidelines to follow evidence-based methodology (on acute and cancer pain), was lead technical consultant for evidence reports on cancer pain and related symptoms for the U.S. Agency for Healthcare ResearchandQuality,andafoundingeditoroftheCochraneCollaboration’sCollaborative Review Group on Pain, Palliative, and Supportive Care. He has been an advisor to the Joint Commission and contributed to its Essential Guide for Clinical Leaders on pain treatment. His industry experience as chief medical officer for Javelin Pharmaceuticals has further broadened his perspective. AAPM and the extended pain community will be engaged by Dr. Carr’s commanding leadership as evidenced by his development of pain fellowship programs; comprehensive, multidisciplinary pain-treatment centers; evidence-based guidelines; and chronic-pain outcomes instruments. Dr. Carr’s inspiring keynote address will bridge the gap between existing pain care and optimal pain care.

9:30–10 amaaPM President’s Welcome address and awards Presentation (102)Rollin M. Gallagher, MD MPH

10–10:45 amamerican Medical association addressAMA Position on Pain Education (103)Cecil B. Wilson, MD

Amid the national initiative to reform the country’s healthcare delivery system and in its continual effort to improve the framework to which healthcare is delivered, American Medical Association (AMA) President-Elect Cecil B. Wilson, MD, will address the critical role of effective pain education in this current reform movement.

With a distinguished record of service and leadership in organized medicine, Dr. Wilson has served as president of the Florida Medical Association (FMA) and chair of its board of governors and executive committee. In addition, Dr. Wilson has held leadership roles in his specialty of internal medicine as past chair of the American College of Physicians (ACP) Board of Regents and American Society of Internal Medicine (ASIM), and as a member of the merger committee between ACP and ASIM.

11:45 am–12:15 pmPlenary research Highlights (104)Jeffrey M. Tiede, MD

Investigator-initiated research is crucial to the growth and scien-tific basis of Pain Medicine as a specialty. As a result of the pay-for-

performance movement, Pain Medicine providers will have a greater burden to justify the scientific basis for their treatments as well as to document their outcomes. The reputation of AAPM as a premier professional-service and scientific organization has resulted in a significant increase in the quality of cutting-edge scientific-research abstracts. The 2010 Scientific Poster Review Committee has selected two of the highest-ranking submissions to be pre-sented live in this plenary venue.

Plenary sessions


FrIDay, FEbruary 5

8:30–9:30 amPain Genomics (105)Debra A. Schwinn, MD

Genomics has revolutionized medicine. Words such as pharma-cogenetics, transcriptomics, proteomics, and metabolomics have

become household names at international scientific and clinical meetings. Whether predicting patient pain after surgery, diagnosing chronic pain syn-dromes, or monitoring interventional drug therapy and response to other interventions, genetics has been firmly established in medicine.

Debra A. Schwinn, MD, professor and chair of the Department of Anesthesiology and Pain Medicine and adjunct professor of Pharmacology and Genome Sciences at the University of Washington in Seattle, will address four specific areas of genomics and their significant implications on the practice of clinical Pain Medicine moving forward.

A member of the Institute of Medicine and Association of American Physicians, Dr. Schwinn has also completed a sabbatical at the National Human Genome Research Institute at the National Institutes of Health (NIH). With historic roots in strengthening the field of interdisciplinary Pain Medicine, Dr. Schwinn is committed to elevating Pain Medicine to the next level through the establishment of a world-class interdisciplinary pain center at the University of Washington.

9:30–10:15 amPlenary research Highlights (106)Leonardo Kapural, MD PhD

The 2010 Scientific Poster Review Committee has selected two of the highest-ranking submissions to be presented live in this ple-nary venue.

11:15 am–12:15 pmLitigation Perspectives: Emerging Legal Proceedings in Pain Medicine (107)ModeratorPatricia J. Barker, Esq.

In addition to the number of significant changes in healthcare regulatory issues that have occurred in 2008 and 2009, the specialty of Pain Medicine has come under increasing legal scrutiny. This plenary session addresses the critical issues as they relate to healthcare regulatory developments under the Medicare program, required medical record documentation, and other key federal and state regulations related to the specialty of pain.

Moderated by Patricia J. Barker, Esq., from the firm of Barker & Castro, LLP, andincludingthefacultyofS.PeterVoudouris,Esq.,fromthefirmofTuckerEllis & West, LLP, and William M. Tiano, Esq., from the firm of Berthold, Tiano, & O’Dell, this session will provide polar perspectives as to the consequences of inadequate medical record documentation and other red-flag rules in today’s challenging healthcare environment.

Medical Record Updates: The Critical Role of DocumentationS. Peter Voudouris, Esq.

Legal Pitfalls for the Physician Defendant in a Malpractice ActionWilliam M. Tiano, Esq.

SaTurDay, FEbruary 6

8:30–9:30 amExploring the role Conflict-of-Interest Guidelines Play in Physician Learning (108)David J. Rothman, PhD

AAPM represents expertise and authority to those inside and outside the emerging field of Pain Medicine. The medical community and the general public rely on the Academy to provide evidence-based information and unbiased scientific recommendations.

In the past decade, there has been an elevated level of scrutiny placed between industry support and medical education. In this plenary address, David J. Rothman, PhD, lead author on the JAMA publication “Professional Medical Associations and Their Relationships with Industry: A Proposal for Controlling Conflicts of Interest,” will address the proposed conflict-of-interest guidelines in relation to the traditional continuing medical education model.

Dr. Rothman, a Bernard Schoenberg Professor of Social Medicine and professor of History at Columbia College of Physicians and Surgeons, is president of the Institute on Medicine as a Profession and continues to address the place of professionalism in medicine through an endowment from the Open Society Institute and George Soros.

Question-and-Answer Session ModeratorsJerome Schofferman, MDSheila M. Rothman, PhD

9:30–10:45 amPain Medicine Moving Forward: 2010 and beyond (109)

Panel Discussion ModeratorTimothy R. Deer, MD

PanelKenneth A. Follett, MD PhDScott M. Fishman, MDRollin M. Gallagher, MD MPHJames P. Rathmell, MDRichard W. Rosenquist, MD

In the pursuit of optimal pain care for the mounting pain patient population and amid the evolving changes in the healthcare-reform debate, there exists momentum toward building Pain Medicine as its own unique specialty. There also exists a school of thought that Pain Medicine should maintain its status as an anesthesia-based practice.

Moderated by 26th Annual Meeting Committee Co-Chair, Timothy R. Deer, MD, this panel of key opinion leaders will deliberate on their unique perspectives as to where the practice of Pain Medicine is heading in the coming years and look for ways to consolidate disperate interests.

11:15–11:45 am Plenary research Highlights (110)Donna M. Bloodworth, MD

The 2010 Scientific Poster Review Committee has selected two of the highest-ranking submissions to be presented live in this plenary venue.

Plenary sessions

Concurrent scientific sessions



2–3:30 pmCompliance updates: Frequently asked Questions about OIG Compliance, anti-Kickback, and Stark regulations (201)

Pain physicians will have to make major changes in their practices to succeed in the current healthcare climate. AAPM is committed to helping its members and other pain practitioners make these changes.

This session provides the information and tools necessary to address corporate compliance from an Office of the Inspector General (OIG), anti-kickback, and STARK regulation perspective.

Moderator: Jeffrey Peterson

FacultyTBD

The Pain of business Management: auditing and Staff Training for Compliance (201)

An effectively trained staff with appropriate administrative oversight is key in fos-tering and maintaining a compliant, patient-friendly environment.

This session discusses the importance of routine and systematic auditing, along with the significance of hiring an experienced office manager and front-desk team to ensure compliance with payers and governmental and regulatory bodies. With the increased scrutiny being placed on Pain Medicine practitioners, these are timely and important issues. Due to the veritable “alphabet soup” of auditing weaponry at the governments disposal, OIG, Centers for Medicare and Medicaid Services, and Recovery Audit Contractor, it is now more important than ever that physicians understand the importance of auditing and appropriate staff training.


The Importance of Routine Auditing for the Pain PracticeJeffrey Peterson

Appropriate Staff Training and Administrative OversightTBD

Physician Enhancement: The Value of Physician Extenders in Pain Medicine (201)

The use of extenders has been an important innovation in the division of medi-cal labor. Physician assistants and nurse practitioners have played an important role in filling the demands for medical services, but the value of the physician extender in delivering quality patient care and efficiencies to the pain practice is often misunderstood.

This session discusses the roles and responsibilities of the extender and reviews the value of the extender not only as an individual practitioner, but also as a critical component of the pain management continuum.

Moderator: Eric J. Grigsby, MD The Value of Physician Extenders in Pain Practice Eric J. Grigsby, MD

Role of the PA in the Pain PracticeC. Douglas Stewart, PAC

Responsibilities of the Physician Extender in a Pain PracticeGail L. McGlothlen, APRN-BC CNS

2–3:30 pmOpioid Therapy: Examining and Evaluating the Pros and Cons of Oral and Intrathecal Opioid Therapy in the Treatment of non-Cancer Pain (202)

A great controversy exists regarding the rational benefits and usage of opioids for chronic non-cancer pain versus concerns about issues of tolerance, hyperalge-sia, long-term efficacy, possibility of misuse and addiction, and regulatory issues related to this class of drugs.

This debate session addresses the use of opioids for chronic non-cancer pain, presenting the most recent best evidence and expert opinion. It also provides an overview of the ethical and moral imperatives associated with these questions as they relate to opioid use. It presents new ideas in the development of opioid-abuse deterrent solutions and approaches to managing tolerance and hyperalgesia. During this debate, faculty will review evidence-based literature on the effectiveness of opioids, discuss studies on opioid-induced hyperalgesia and tolerance, and comment on the benefits and side effects known to occur with prolonged treatment.

As a part of this pro-versus-con debate, Pain Medicine clinicians will have an opportunity to discuss other issues related to the long-term use of opioids for chronic non-cancer pain and gain a greater understanding of best practices.

Moderator: Sridjan S. Nedeljkovic, MD Debate ParticipantsSridjan S. Nedeljkovic, MDAjay D. Wasan, MD MScEdgar L. Ross, MD

2–3:30 pmComprehensive Cancer Pain Care: an Integrated Palliative approach to Pain and Collateral Symptoms in the Cancer Patient (203)

Significant pain can be present at any stage of cancer and may be a problem for an extended time. At the time of diagnosis, 30%–40% of patients experience pain, 50%–70% experience it during treatment, and 80% or more have pain with advanced disease. Pain may be due to the cancer itself, caused by treatment, or from a concurrent problem. Although pain is a commonly noted issue for cancer patients, it includes a variety of symptoms, including fatigue, anxiety, depres-sion, insomnia, anorexia, nausea, and others. These problems may independently cause suffering, or they may work in concert to adversely affect the patient’s quality of life.

The cancer patient needs an integrative palliative approach to care that concurrently addresses pain and collateral symptoms, perhaps more than any other chronic pain patient.

This session highlights the complex interplay of pain as part of the symptom burden in the cancer patient at various stages of disease and care. It discusses whole-patient assessment that generates comprehensive multimodal treatment, symptoms and pathophysiology, patient assessment, rational and balanced polypharmacotherapy, and interventional procedures, all with an underlying context of palliative care strategies.

Moderator: Larry C. Driver, MD Collateral Damage: Pain and Symptoms in the Cancer PatientLarry C. Driver, MD

Interventional Cancer Pain ReliefOscar De Leon-Casasola, MD

Integrating the Palliative into the Pain Care of the Cancer PatientPerry G. Fine, MD

interventional track

integrative track

patient-centered care track

12 Register online today at www.PainMed.org.


12 Register online today at www.PainMed.org. Need more info? Call 847/375-4731. 13

4–5 pmCervical Spine Interventions: Improving Patient Safety and Patient Outcomes (204)

Peer-reviewed literature suggests that catastrophic injury to the cervical spinal cord can occur during image-guided pain intervention. New evidence from the American Society of Anesthesiologists (ASA) Closed Claims Database supports this notion and demonstrates that many practitioners continue to perform these techniques under deep sedation and without image guidance.

This session examines ASA Closed Claims data and scientific literature in efforts to determine the safest techniques for performing cervical procedures. It places an emphasis on the knowledge of radiographic anatomy required and the optimal means to acquire the needed skills to perform these techniques safely.

Moderator: James P. Rathmell, MD Pain Treatment at the Cervical Spinal Level: Emerging Evidence from the ASA Closed Claims StudyJames P. Rathmell, MD

Is the Use of Sedation Safe During Neuraxial Interventions?Edward Michna, MD JD RPh

Is the Use of Radiographic Guidance Essential for Interventions Performed at the Cervical Spinal Level?Stanley Golovac, MD

4–6 pmMindfulness, Embodiment, and brain Power: The unity of Mind, body, and brain in Pain Treatment (205)

Translational medicine takes us on a journey from the neuroimmunology of the stress response to the catastrophic healthcare costs of stress-related diseases. Since the introduction of mindfulness meditation and mindfulness therapies into clinical medicine in 1979, there has been an accumulating body of research and clinical evidence underscoring the efficacy of this and other mindfulness-based approaches in reducing preventable stress-related diseases and disease exacer-bations. In the last 5 years, this slowly growing body of evidence has generated increasing attention and interest. New mindfulness-based clinical models are being implemented, tested, and researched. The National Institutes of Health (NIH) has invested millions of dollars into mindfulness-oriented and mind-body research, especially translational medicine.

Chronic pain management physicians strive to offer the best possible medical treatments, yet many patients continue to struggle with a lack of hope and overwhelming stress that sabotage potential successes of the pain treatments and therapies offered. Mind-body and mindfulness therapies can be safely offered as a foundational treatment regimen to support and precede successful outcomes in improved functionality, increased sense of well-being, and perceptions of optimism. These simple, effective processes can easily be offered by any pain management physician who has been educated in mind-body and mindfulness therapies.

Researchers and clinicians world-wide are collaborating and identifying clinical approaches focused on mindfulness meditation and mind-body modalities.

It is essential that the pain practitioner fully understand and incorporate these modalities into daily patient-care paradigms.

Moderator: Marcia J. Howton, MD Mindfulness Therapies: The Cutting Edge of Translational Medicine—Where Mind and Body MeetMarcia J. Howton, MD

Mindfulness Therapies: The Cutting Edge of Translational Medicine—Where Mind and Brain MeetMichael H. Moskowitz, MD MPH

Craniosacral, Osteopathic Manipulative, and Touch TherapiesMarla D. Golden, DO

4–5 pmadvancing Pain Therapies in Chemically Dependent Patients with Serious Medical Illness (206)

Persistent and recurrent pain are common among patients with advanced medi-calillnesses,suchascancer,end-stagerenaldisease,HIV,heartfailure,pulmonarydisease (e.g., end-stage chronic obstructive pulmonary disease [COPD]), and neurodegenerative diseases, such as Multiple Sclerosis, Parkinson’s disease, and Amyotrophic Lateral Sclerosis. Pain contributes to impaired function and, in some cases, reduced life expectancy. Chemical dependency disorders are a common comorbidity and need to be understood and taken into account when structur-ing pain treatments among this population in order to mitigate risk, both for the individual patient and society.

This session examines the ways that this particular population of patients differs from other populations of patients with chronic pain disorders. It establishes measurable goals of therapy, as well as the ability to assess and manage their pain in order to optimize outcomes.

Moderator: Perry G. Fine, MD Defining the IssuesPerry G. Fine, MD

Clinical Problem SolvingScott M. Fishman, MD

5–6 pmadvancing ultrasonography in Pain Medicine (207)This session provides an overview of ultrasonography-guided procedures

in Pain Medicine. It reviews the basics of ultrasonography as well as the advan-tages and limitations of ultrasonography relative to other imaging techniques. It also discusses various techniques for ultrasound-guided blocks (e.g. stellate gan-glion block, cervical facet and nerve root blocks, lumbar facet and paravertebral blocks, neuroaxial blocks, caudal injections, and sacroiliac joint). An analysis of existing published literature as well as other applications of ultrasonography in the diagnosis and management of chronic pain syndromes will be addressed.

Moderator: Samer Narouze, MD MSc Cervical Spine ApplicationsSamer Narouze, MD MSc

Lumbar Spine ApplicationsMichael Gofeld, MD

Peripheral ApplicationsPhilip Peng, MBBS FRCPC

5–6 pmPain research updates (208)Increasing both the quality and quantity of scientific pain research remain

a primary goal of the 2010 Annual Meeting Planning Committee. This education session will be dedicated to “late breaking research” in Pain Medicine therapies, techniques, and emerging diagnostic procedures.

Moderator: Ajay D. Wasan, MD MSc

Faculty TBD



FrIDay, FEbruary 5

2–3:30 pmHow Does your Pain Practice Measure up? Lessons Learned from Commercial Insurance Claims Data (301)

There have been significant increases in the number of lumbosacral and cervical injections for the treatment of low-back and neck pain among Medicare patients. One major limitation of these analyses is that commercially insured patients are not represented. Also, while these reviews report the prevalence of these proce-dures, utilization frequency (visits/patient) and intensity (services/visit) are not widely reported.

Pain physicians, who provide nearly 80% of interventional pain services to Medicare patients, will benefit from knowing the reimbursement requirements of commercial insurers, as well as the type, frequency, and intensity of interventional pain services that are presently approved. This session compares the use and utilization of procedures, such as translaminar ESIs, transforaminal ESIs, facet-joint injections, and sacroiliac-joint injections.

Data are drawn from paid medical claims for 2 million commercially insured members in different regions of the United States from 2004–2008 and will be used to identify the different types, frequency, and intensity of interventional pain services received by approximately 20,000 spinal-pain patients. The data set consists of 2,000 providers of interventional pain care, representing 35,000 office, outpatient, and ambulatory surgical center visits. Provider and patient summaries will be presented, as well as a demonstration of patient and physician variation in the type and amount of interventional pain care.

Moderator: Ajay D. Wasan, MD MSc Introduction to an Analysis of Pain-Practice PatternsAjay D. Wasan, MD MSc

Pain-Practice Patterns Across the United StatesSteven Delaronde, MPH MSW

CPT® and ruC update: 2010 (301)The 2008 and 2009 Current Procedural Terminology (CPT®) and Relative

ValueScaleUpdateCommittee(RUC)cyclesresultedinnumerouscodingchang-estotheCPT.ThesecodingchangeshavetranslatedtosignificantRelativeValue(RVU)changesattheRUC.Allpracticesneedtostayup-to-datewiththeselatestchanges in order to maximize their profitability.

This session presents changes that are an ongoing collaborative effort at the AMA and RUC to which the AAPM has contributed. These changes will not be fully determined or released until shortly before the AAPM 2010 Annual Meeting. Attendees will obtain the latest information on coding changes and their implications on the pain practice.

CPT® and RUC Update: 2010Eduardo M. Fraifeld, MD

2–3:30 pmComprehensive Headache Symposium (302)Intractable migraine and cervicogenic headaches are among the most

challenging areas in headache and Pain Medicine. Understanding this pathophys-iology is crucial to the application of appropriate diagnostic and therapeutic modalities.

This symposium emphasizes the importance of the multidisciplinary approach to headache disorders. The panel reviews the pathophysiology, comorbidity, and advances in pharmacological therapies. Topics covered in this session include the emerging role of various interventional diagnostic and therapeutic techniques, the role of radiofrequency ablation, and neuromodulation.

Moderator: Zahid H. Bajwa, MDInterventional Management for Intractable HeadacheSamer Narouze, MD MSc

Headache Disorders: Comprehensive Management and Emerging PerspectivesZahid H. Bajwa, MD

Outpatient Versus Inpatient Management of Intractable HeadacheJoel R. Saper, MD

2–3:30 pmrestoring Function in Patients with Chronic Pain (303)

One of the most important goals in the treatment of pain patients is improving function. Certainly, one of the goals of narcotic medication is to improve func-tion. There are a number of techniques to evaluate and treat physical and psycho-logical function deficits.

Attendees will address and understand these deficits. It also summarizes the issue of improving function in patients with chronic pain, defines functionality, discusses methods to assess function, presents conceptual treatment to improve function, and reviews outcome data.

Moderator: Martin Grabois, MD Treatment Concepts to Improve Physical Functional Disability in Patients with Chronic PainMartin Grabois, MD

Evaluating Functional Deficits in Patients with Chronic PainDonna M. Bloodworth, MD

Treatment Concepts to Improve Psychological Functional Deficits in Patients with Chronic PainAlbert L. Ray, MD

4–5 pmIntrathecal Drug Delivery Systems: advancing Opioid and non-Opioid Therapies (304)

Intrathecal drug delivery is a method in which drugs are placed in the neuroaxis to have a direct impact on the neuroreceptors. This therapy allows for patients who have experienced failure in using other routes of drug delivery because of side effects or lack of efficacy. This therapy is utilized for both cancer- and non-cancer-related pain syndromes.

This session will provide an overview of Intrathecal Drug Delivery Systems (IDDS), including a brief history, patient selection criteria, and current evidence for effectiveness in cancer and non-cancer pain. Available drug options, strategies for using intrathecal agents, and complications of IDDS will be addressed.

Moderator: Paul Christo, MD MBA IDDS Overview: History, Patient Selection, Evidence, and ComplicationsPaul Christo, MD MBA

Current Drug Options and Decision MakingAsokumar Buvanendran, MD

Treatment of Cancer Pain with Intrathecal Drug DeliveryLisa J. Stearns, MD

4–6 pmPain Medicine Litigation Practices Through Mock-Trial review (305)

The specialty of Pain Medicine has come under increasing legal scrutiny in recent years. This education session conveys what every physician should know about court room procedures, legal proceedings, testimony, and jury verdicts. A mock-trial format will present a case in direct examination, expert testimony, and jury decision format, allowing the participants and attendees to witness a live demon-stration of an actual court proceeding.

Moderator: Patricia J. Barker, EsqParticipantsEdward Michna, MD JD, physician defendant S. Peter Voudouris, Esq, judgeWilliam M. Tiano, Esq, attorney for plaintiffPatricia J. Barker, Esq, attorney for defenseTimothy R. Deer, MD, expert for plaintiff


integrative track




14 Register online today at www.PainMed.org. Need more info? Call 847/375-4731. 15

4–5 pm

advancing Pain research in Private Practice (306)AAPM remains committed to expanding the field of pain research. This

education session will explore the current methodological and practical barriers to pain research and engage participants with innovative ways to move beyond the limits of reductionist theory and into present day “real life” solutions to increasing pain research in the private pain practice.

Moderator: Alex Cahana, MD PhDCollaborating with the Pharmaceutical and Device IndustryLynn R. Webster, MD

Tracking Your Patient Outcomes as a Research, Quality-Improvement, and Marketing ToolAlex Cahana, MD PhD

5–6 pmEpidural Injections—Pros and Cons: a Comprehensive review of Evidence, Epidural Cytokine Therapy, and Complications in the Treatment of Chronic Pain (307)

Low back pain is the leading cause of disability in the world. Among individuals with chronic low back pain, approximately 35% have neuropathic symptoms. Despite the limited long-term evidence supporting any one treatment for neuropathic or mechani-cal back pain, epidural steroid injections remain the most commonly performed procedure in pain clinics across the United States. As interventional pain management utilization rates continue to increase nationwide, procedure-related complications have risen in parallel. Direct nerve injury represents the most common category of chronic pain management claims and is the second most serious complication after death. Of particular concern are neuraxial injuries, which may occur not only as result of direct trauma during the procedure but also as a result of bleeding, infection, and embolic events believed to occur with periradicular injections of particulate steroids.

This debate session discusses the evidence supporting epidural steroid injections in various contexts, the ideal candidates for such treatment, and whether this therapy is effective in preventing surgery.

Moderator: Anita Gupta, DO PharmDDebate ParticipantsAnita Gupta, DO PharmD

Salim M. Hayek, MD PhD

Steven P. Cohen, MD

5–6 pmProfessionalism in Pain Medicine (308)Conflict of interest (COI) exists in medicine when secondary interests have the potential to influence the care of patients, either directly or indirectly

through medical education, research, and publications. Although there are many types of conflicts, financial COI, especially relationships between physicians and the industry, are the most troublesome and contentious. It is necessary to recog-nize that these relationships have been and are essential for the discovery and dissemination of new knowledge. However, because of their great potential to influence patient care, such relationships must be very transparent and stringent-ly managed. Best management practices will require that physicians accept that the influences of COIs are subconscious, powerful, and difficult to resist despite a physician’s education, intelligence, and best intentions.

This session defines COI and demonstrates some of the complex neurobiological mechanisms involved. Faculty will review best management, demonstrating how some relationships with industry—while beneficial, ethical, and professional—still present potential conflicts.

Continuing medical education is particularly vulnerable to the effects of COI, despite ACCME guidelines. This session explains how COI can affect the validity of peer-reviewed research publications. It also scrutinizes COI that exist between professional medical associations and industry.

Moderator: Jerome Schofferman, MD Conflicts of Interest in Pain MedicineJerome Schofferman, MD

Professional Medical Associations and Conflicts of InterestDavid J. Rothman, PhD

Conflicts of Interest in Consumer Health-Advocacy OrganizationsShelia M. Rothman, PhD


1:30–3 pmneuromodulation in Special Populations: Examining the Efficacy of Stimulation Versus Intrathecal Pump Therapy (401)

Special patient populations with refractory chronic pain pose particular challeng-es when considering neuromodulation. There are special situations where guide-lines are unclear as to the safety or efficacy of implantable devices in particular clinical settings. Factors such as anticoagulation, age, and diffuse pain conditions need further exploration.

There is no consensus on the use of neuromodulation techniques in patients who are chronically anticoagulated; however, age may be an important determinant of the neuromodulation technique utilized.

In chronic pain patients receiving oral opioids, younger (< 50 years of age) patients consumed more than twice the average opioid dose consumed by older patients (> 70 years of age), despite similar starting doses. Additionally, only the older patients demonstrated clinically significant reduction in visual analog scale scores. New data will be presented suggesting similar trends with chronic intrathecal opioid infusion therapy.

Patients with diffuse neuropathic or vascular pain that may be amenable to either spinal cord stimulation or intrathecal therapy have more commonly received pain pump implants. Other viable options for spinal cord stimulation in the cervical region, particularly in younger patients, will be discussed.

Moderator: Salim M. Hayek, MD PhD Neuromodulation in Diffuse Pain Syndromes and Axial Back PainSalim M. Hayek, MD PhD

Anticoagulation and NeuromodulationTimothy R. Deer, MD

Effect of Age on Intrathecal Opioid RequirementsSamer Narouze, MD MSc

1:30–3 pmThe Difficult Patient (402)A surprisingly large number of patients treated by pain specialists exhibit

behaviors and beliefs that physicians might find difficult. These patients may be argumentative, manipulative, and distrustful and are sometimes labeled as “dif-ficult.” Difficult patients tend to have outcomes that are inferior to those patients who partner in their health care and arouse resentment and anger in the attend-ing physician. These reciprocating feelings can damage the patient-physician alli-ance that is essential to attaining the best outcome for pain patients.

This session provides an overview of the three arms of care: the patient, the physician, and the patient-physician relationship. It categorizes the different types of difficult patients and examines possible psychological comorbidities. It then discusses the psychodynamics and examines the complexities of the doctor-patient relationship, including the phenomena of transference.

This session also discusses the difficult doctor by evaluating data regarding the practice patterns of physicians who report greater numbers of difficult patients. Attendees will take away valuable recommendations and potential solutions for working with difficult patients.

Moderator: Jerome Schofferman, MD The Difficult PhysicianJerome Schofferman, MD

Psychodynamics of the Patient-Physician RelationshipRobert Hines, MD

The Difficult Patient: Identification and CategorizationAjay D. Wasan, MD MSc


16 Register online today at www.PainMed.org.16 Register online today at www.PainMed.org.


1:30–3 pmGet with the Guidelines: Clinical Guidelines for Low back Pain and Chronic Pain Management (403)

Two sets of guidelines for low back pain treatment, one by the American Pain Society (APS) and the other by the American Society of Anesthesiologists (ASA) have been recently published and serve to direct treatment decisions by clini-cians, managed-care organizations, and other providers. This session reviews the APS low back pain guidelines for interventional procedures, interdisciplinary management, and surgical interventions. Similar guidelines from the ASA, with some differing recommendations, will also be reviewed.

Roger Chou, MD, will discuss evidence-review methodology and grading as well as review-specific evidence for interventional therapies for low back pain in the 2009 APS guidelines. Steven Stanos, DO, will review evidence for interdisciplinary treatment. James Rathmell, MD, will counter with a review of the methodology and recommendations of the ASA Practice Guidelines on Chronic Pain. A panel discussion will focus on discrepancies in guidelines and methodological issues, as well as practical options for improving the development of future chronic-pain and recurrent guidelines.

Moderator: Steven P. Stanos, DO

Review of the Evidence for Interdisciplinary TreatmentSteven P. Stanos, DO

Review of the Evidence of Methodology and Grading—Specific Evidence for Interventional Therapies for Low Back Pain TreatmentRoger Chou, MD

Review of the Methodology and Recommendations of the ASA Practice Guidelines on Chronic PainJames P. Rathmell, MD

3:30–5 pmElectronic Health record for the Pain Practice: Improving Office Efficiencies, Coding, and Patient records (404)

Electronic Health Records (EHR) have become an important tool in the delivery of quality, cost-effective, and compliant healthcare services. Many physicians have already purchased an EHR or are in the process of evaluating one of the many available products. Studies have shown that effective use of the technology may result in a reduction of malpractice claims, higher patient satisfaction, and greater compliance with governmental policies.

This session addresses the pivotal role Health Information Technology (HIT) will play in transforming health care and demonstrates how the 2008 stimulus package will further incentivize physicians to implement this technology back home.


Effective use of the Electronic Health Record and the 2008 Stimulus Program IncentiveMichael Burger

Helping Physicians Navigate Readiness and ImplementationTBD

3:30–5 pmIn Pursuit of a Comfortable Death: updates in Palliative Sedation and Physician-assisted Suicide (405)

Within the last several years, a number of major national medical organiza-tions, including the American Medical Association and the American Academy of Hospice and Palliative Medicine, have issued formal guidelines and policies on quality care of the dying patient and the provision of palliative sedation for intractable end-of-life suffering. These guidelines and policies reflect different (and potentially conflicting) perspectives on the range of acceptable options for managing intractable pain and distress. In light of recent legal developments concerning physician-assisted suicide, it is clear that considerable uncertainty and controversy persist with regard to what constitutes the range of acceptable palliative options for patients at or near the end of life whose symptoms are severe and refractory. During the past year, AAPM’s Council on Ethics has been actively engaged in analyzing and discussing these developments and position statements.

Conducted by three members of the AAPM Council on Ethics, this session provides an overview of the most salient features of these recent clinical practice guidelines and policies, along with statutory enactments and case law developments. It also reviews the pertinent ethical concepts and principles that inform the provision of hospice and palliative medicine.

Moderator: Michel Y. Dubois, MD

Background of the Issues and AAPM’s PositionMichel Y. Dubois, MD

Ensuring a Comfortable Death: Clinical and Practical ConsiderationsPerry G. Fine, MD

Physician-Assisted Suicide or Aid in Dying and Palliative Sedation: Legal and Ethical UpdatesBen Rich, PhD JD

3:30–5 pmPsychology for the non-Psychologist (406)

The bio-psycho-social model of pain proposes that the experience of pain and responses to it result from a complex interaction of biological, psychological, and social factors. The bio-psycho-social model has almost universally replaced traditional biomedical characterizations of pain, which focused on disease- and injury-related activation of specific receptors in the peripheral nervous system. Considerable evidence suggests that the manner in which one copes with pain influences the patient’s level of physical functioning and persistence of long-term pain complaints. Similarly, patients with high levels of catastrophizing about pain are less responsive to a variety of treatments and more likely to experience wide-spread, disabling pain. Recent reviews indicate that psychiatric symptoms such as depression and anxiety are among the strongest predictors of inadequate analgesic responses to opioids and of potential opioid misuse. Factors such as catastrophizing and depression can be readily assessed by a brief questionnaire, behavioral observation, and interventions that target psychosocial processes.

This session focuses on providing practical information on the assessment and management of psychological and psychiatric symptoms for Pain Medicine physicians.

Moderator: Robert R. Edwards, PhD Practical Importance of the Bio-Psycho-Social Model of PainRobert R. Edwards, PhD

Recognizing and Managing Psychiatric Factors in Pain PatientsJordan F. Karp, MD

Multidisciplinary Management of Pain Patients: Psychological TreatmentsRobert N. Jamison, PhD


integrative track



AAPM Faculty

Zahid H. Bajwa, MDAssistant Professor—Department of

Anesthesiology and NeurologyHarvard Medical SchoolDirector—Department of Education

and Clinical Pain ResearchBeth Israel Deaconess Medical CenterBoston, MA

Patricia J. Barker, EsqPrincipalBarker & Castro, LLPChicago, IL

Donna M. Bloodworth, MDAssociate ProfessorBaylor College of MedicineOutpatient Clinic Director—

Department of Physical Medicine and Rehabilitation

QuentinMeaseCommunityHospitalHarris County Hospital DistrictHouston, TX

Michael BurgerDirector—Clinical Product

ManagementSage SoftwareTampa, FL

Abram H. Burgher, MD Physician AssistantDepartment of Pain MedicineCenter for Pain and Supportive CareScottsdale, AZ

Asokumar Buvanendran, MDAssociate Professor—Department of

AnesthesiologyDirector of Orthopedic AnesthesiaRush University Medical CenterChicago, IL

Alex Cahana, MD PhDProfessor—Anesthesiology and Pain

MedicineAdjunct Professor—Bioethics and

Humanities, Radiology Chief—Division of Pain MedicineDepartment of Anesthesiology and

Pain MedicineUniversity of WashingtonMedical Center for Pain ReliefSeattle, WA

Daniel B. Carr, MD DABPM FFPMANZCA (Hon)Saltonstall Professor of Pain

Research—Department of Anesthesia

Tufts Medical CenterTufts University School of MedicineBoston, MA

Roger Chou, MDAssociate Professor—MedicineOregon Health & Science UniversityPortland, OR

Paul J. Christo, MD MBAAssistant ProfessorDirector—Multidisciplinary Pain

Fellowship ProgramDepartment of Anesthesiology and

Critical Care MedicineDivision of Pain MedicineJohns Hopkins University School of

MedicineBaltimore, MD

Steven P. Cohen, MDAssociate Professor and Director of

Pain ResearchWalter Reed Army Medical CenterAssociate Professor and Director of

Medical EducationJohns Hopkins School of MedicineBaltimore, MD

Oscar A. De Leon-Casasola, MDProfessorandViceChairforClinical

AffairsRoswell Park Cancer Institute–

University at BuffaloChief—Pain MedicineDepartment of AnesthesiologyRoswell Park Cancer InstituteBuffalo, NY

Timothy R. Deer, MDPresident and CEOThe Center for Pain Relief, Inc.Charleston,WV

Steven Delaronde, MPH MSWAdjunct ProfessorUniversity of ConnecticutDirector—Department of Medical

InformaticsTriad HealthcarePlainville, CT

Daniel M. Doleys, PhDDirector—Department of PsychologyPain and Rehabilitation InstituteBirmingham, AL

Larry C. Driver, MDProfessor—Pain MedicineDepartment of Anesthesiology and

Pain MedicineMD Anderson Cancer CenterHouston, TX

Michel Y. Dubois, MDProfessor—AnesthesiologyNew York University Medical CenterDirector—New York University Pain

ProgramAnesthesiaNew York University Pain CenterNew York, NY

Robert R. Edwards, PhDAssistant ProfessorBrigham and Women’s Hospital—

Harvard Medical SchoolClinical Psychologist—Department of

AnesthesiologyBrigham and Women’s Pain

Management CenterChestnut Hill, MA

Claudio A. Feler, MDAssociate ProfessorDepartment of NeurosurgeryUniversity of Tennessee Medical

CenterNeurosurgeonSemmes-Murphey Neurologic &

Spine InstituteMemphis, TN

Perry G. Fine, MDProfessor—Department of

AnesthesiologyPain Research CenterUniversity of Utah School of MedicineSalt Lake City, UT

Scott M. Fishman, MDChief—Division of Pain MedicineDepartment of Anesthesiology and

Pain MedicineUniversity of California–Davis School

of MedicineLawrence J. Ellison Ambulatory Care

CenterSacramento, CA

Kenneth A. Follett, MD PhDProfessor and Chief—Department of

NeurosurgeryUniversity of Nebraska Medical

CenterOmaha, NE

Eduardo M. Fraifeld, MDMedical Director—Pain ClinicSouthside Pain SolutionsDanville,VA

Rollin M. Gallagher, MD MPHPresident—American Academy of

Pain MedicineDirector—Department of Pain

ManagementPhiladelphiaVeteransAffairsMedical

CenterPhiladelphia, PA

Michael Gofeld, MDAssistant Professor—Anesthesiology

and Pain MedicineDirector of Clinical Operations—

Center for Pain ReliefAnesthesia and Pain MedicineUniversity of WashingtonSeattle, WA

Marla D. Golden, DOClinical FacultyUniversity of FloridaMedical Director—Department of

Pain MedicineIntegrative Pain ManagementJacksonville, FL

Stanley Golovac, MDCo-DirectorDepartment of Pain MedicinePain ManagmentMerritt Island, FL

Martin Grabois, MDProfessor and Chairman—

Department of Physical Medicine and Rehabilitation

Baylor College of MedicineHouston, TX

Eric J. Grigsby, MDMedical DirectorFounding PartnerNapa Pain InstituteNapa, CA

Anita Gupta, DO PharmDAssistant Professor—Department of

Anesthesiology and Critical Care–Pain Medicine

University of PennyslvaniaPhiladelphia, PA

Salim M. Hayek, MD PhDAssociate ProfessorCase Western Reserve UniversityChief—Division of Pain MedicineDepartment of AnesthesiologyUniversity Hospitals Case Medical

CenterCleveland, OH

Robert Hines, MDCo-DirectorBay Area Pain Medical AssociatesMillValley,CA

Marcia J. Howton, MDAssociate Professor—Department of

PsychiatryUniversity of Nevada at RenoMedical Director—Department of

Anesthesiology and Chronic PainAnesthesia Care ConsultantsReno,NV

Marc A. Huntoon, MDAssociate Professor—Department

of Anesthesiology, Division of Pain Medicine

Mayo ClinicRochester, MN

Robert N. Jamison, PhDAssociate ProfessorHarvard Medical SchoolClinical Psychologist—Department of

Anesthesia and PsychiatryBrigham and Women’s HospitalChestnut Hill, MA

Leonardo Kapural, MD PhDAssociate ProfessorCleveland Clinic Lerner College of

Medicine at Case WesternClinical Research Director—

Department of Pain ManagementCleveland ClinicCleveland, OH

18 Register online today at www.PainMed.org.18 Register online today at www.PainMed.org.

AAPM Faculty (continued)

Jordan F. Karp, MDAssistant Professor—Psychiatry,

Anesthesiology, and Clinical and Translational Science

University of Pittsburgh School of Medicine

Medical Director—Geriatric Psychiatry

UPMC Pain Medicine at Centre Commons

Department of PsychiatryWestern Psychiatric Institute and

ClinicPittsburgh, PA

Paul G. Kreis, MDProfessor—Department of

Anesthesia and Pain MedicineUniversity of California–Davis School

of MedicineSacramento, CA

Robert M. Levy, MDProfessor—Neurological Surgery,

Physiology, and Radiation Oncology

Northwestern University Feinberg School of Medicine

Professor—Department of Neurological Surgery

Northwestern University Feinberg School of Medicine

Chicago, IL

Gagan Mahajan, MDAssociate Professor—Department of

Anesthesiology and Pain MedicineUniversity of California–Davis School


Bill H. McCarberg, MDFounder—Chronic Pain ProgramUniversity of California–San DiegoPrimary CareKaiser PermanenteEscondido, CA

Gail L. McGlothlen, APRN-BC CNSClinical Nurse SpecialistNapa Pain InstituteNapa, CA

Nagy Mekhail, MD PhDProfessorCleveland Clinic Lerner College of

MedicineDepartment Chairman—Department

of Pain ManagementCleveland ClinicCleveland, OH

Edward Michna, MD JD RPhInstructor—AnesthesiaHarvard Medical SchoolDirector—Pain Trials CenterDepartment of Anesthesia, Pain and

Perioperative MedicineBrigham and Women’s HospitalBoston, MA

Michael H. Moskowitz, MD MPHAssistant Clinical ProfessorUniversity of California–Davis School

of MedicineCo-Director—Department of Pain

MedicineBay Area Pain Medical AssociatesMillValley,CA

Samer Narouze, MD MScProgram Director—Pain Medicine

FellowshipDepartment of Pain ManagementCleveland ClinicCleveland, OH

Srdjan S. Nedeljkovic, MDAssistant Professor—AnesthesiaHarvard Medical SchoolDirector—Fellowship Program, Pain

MedicineDepartment of Anesthesiology,

Perioperative and Pain MedicineBrigham and Women’s HospitalChestnut Hill, MA

Philip Peng, MBBS FRCPCAssociate ProfessorToronto Western HospitalDirector—Anesthesia Pain ProgramToronto Western HospitalToronto, ON, Canada

Jeffrey D. Petersohn, MDPain CareLinwood, NJ

Jeffrey PetersonChief Operating OfficerComptrollerThe Center for Pain ReliefCharleston,WV

James P. Rathmell, MDAssociate ProfessorHarvard Medical SchoolChief—Division of Pain MedicineDepartment of Anesthesia, Critical

Care, and Pain MedicineMassachusetts General HospitalBoston, MA

Albert L. Ray, MDAssociate Clinical ProfessorUniversity of Miami—Miller School of

MedicineMedical DirectorPain Medicine SolutionsMiami, FL

Ben A. Rich, JD PhDProfessor and Endowed Chair of

BioethicsSchool of Medicine Alumni

Association Department of Internal Medicine–

Anesthesiology and Pain MedicinceUniversity of California–Davis School


Richard W. Rosenquist, MDProfessor of AnesthesiologyDirector—Pain Medicine DivisionDepartment of AnesthesiaUniversity of IowaIowa City, IA

Edgar L. Ross, MDDirector—Pain Management Center

Department of Pain MedicineBrigham and Women’s HospitalChestnut Hill, MA

David J. Rothman, PhDPresident—Institute on Medicine as a

ProfessionBernard Schoenberg Professor of

Social Medicine Columbia College of Physicians and

SurgeonsNew York, NY

Sheila M. Rothman, PhDProfessor—Sociomedical SciencesColumbia University Mailman School

of Public HealthProfessor—Sociomedical SciencesCenter for Study of Society and

MedicineColumbia College of Physicians and

SurgeonsNew York, NY

Joel R. Saper, MDFounderMichigan Head Pain & Neurological

InstituteAnn Arbor, MI

Jerome Schofferman, MDDirector—Research and EducationSan Francisco Spine InstituteSpineCare Medical GroupDaly City, CA

Debra A. Schwinn, MDProfessor and Chair—Department of

AnesthesiologyUniversity of Washington Medical

CenterSeattle, WA

Konstantin V. Slavin, MDAssociate Professor—NeurosurgeryChief of Stereotactic and Functional

NeurosurgeryDepartment of NeurosurgeryUniversity of Illinois at Chicago

Medical CenterChicago, IL

Howard S. Smith, MDAssociate ProfessorAcademic Director—Pain

ManagementDepartment of AnesthesiologyAlbany Medical CollegeDelmar, NY

Steven P. Stanos, DOAssistant Professor—Department

of Physical Medicine and Rehabilitation

Medical Director—Center for Pain Management

Rehabilitation Institute of ChicagoChicago, IL

Lisa J. Stearns, MDMedical Director—Department of

Pain and Palliative MedicineCenter for Pain and Supportive CareScottsdale, AZ

C. Douglas Stewart, PACPhysician AssistantCenter for Pain ReliefCharleston,WV

Jeffrey T. Summers, MDDirector—Division of Pain

ManagementNew South NeuroSpineFlowood, MS

William M. Tiano, EsqPrincipalBerthold, Tiano, and O’DellCharleston,WV

Jeffrey M. Tiede, MDColumbia Interventional Pain CenterColumbia, MO

S. Peter Voudouris, EsqPartnerTucker Ellis & West, LLPCleveland, OH

Ajay D. Wasan, MD MScAssistant Professor—Anesthesiology

and PsychiatryHarvard Medical SchoolBoston, MADirector—Section of Clinical Pain

ResearchBrigham and Women’s HospitalPain Management CenterChestnut Hill, MA

Lynn R. Webster, MDMedical DirectorLifetree Clinical Research and Pain

ClinicSalt Lake City, UT

Michael L. Whitworth, MDPresidentAdvanced Pain Management SurgeryColumbus, IN

Cecil B. Wilson, MDPresident-ElectAmerican Medical AssociationChicago, IL


About The Meeting


satellite symposia

Satellite Symposia will be held in conjunction with the annual meeting. These independently sponsored, commercially sup-ported symposia are open to meeting registrants. The AAPM Program Planning Committee has reviewed and approved the symposia after determining the topics are relevant to the audi-ence and complementary to the official AAPM program. There is no additional fee to attend these symposia, but preregistration is required. Seating will be available on a first-come, first-served basis. Program details and speakers are subject to change. All satellite symposia will be designated for a maximum of 1.25 AMA PRA Category 1 credits™. Physicians should only claim credit com-mensurate with the extent of their participation in the activity. Please preregister at www.symposiareg.org/aapm or with Cathy Rickert at 847/375-4881 or [email protected].


12:30–1:45 pmLunch Satellite SymposiumNew Horizons in Peripheral Neuropathic PainThis symposium will offer an update on peripheral neuropathic pain, including recent insights into the role of peripheral-specific voltage-gated sodium chan-nels(VGSC),aswellasevidencefromrandomized-controlledtrialsoffirstlinepharmacologic agents, published subsequent to the 2007 neuropathic pain guidelines.TheroleofVGSCsbeyondthewell-establishedNa(v)1.7,Na(v)1.8and Na(v)1.9 is being investigated, such as Na(v)1.1, Na(v)1.2 and Na(v)1.8 in patients with CRPS Type 1 and PHN. Meanwhile, the body of evidence on effi-cacy and safety of agents evaluated in the guidelines has grown substantially since 2007. A systematic review and update of this evidence will be provided.

The Roles of Sodium Channels in Nociception: Implications for Mechanisms of Neuropathic Pain

New Developments in the Treatment Algorithm for Peripheral Neuropathic Pain

FacultyOscar de Leon-Casasola, MD John N. Wood, FMedSci FRS

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine (PIM) and Miller Medical Communications, LLC. PIM is accredited by the ACCME to provide continuing medical education for physicians.

This activity is supported by an educational grant from Endo Pharmaceuticals Inc.

FrIDay, FEbruary 5

12:30–1:45 pmLunch Satellite SymposiumAchieving Consensus on Opioid Analgesia to Meet Patient Needs and Minimize Risk for Diversion and AbuseThrough the interactive presentation of practical clinical cases, this sympo-sium will examine advances in pain management and discuss multimodality strategies for managing the growing problems of opioid abuse and diversion within a healthcare continuum.

FacultyBruce D. Nicholson, MDBill H. McCarberg, MDSeddon R. Savage, MD MS

This independent commercially supported symposium is sponsored by DIME (The Discovery Institute of Medical Education). DIME is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

This activity is funded through an educational grant from King Pharmaceuticals, Inc.

6:15 pm–7:30pmDinner Satellite SymposiumBreakthrough Pain in Patients with Cancer: Optimizing Outcomes and Minimizing RiskIn this program, the pathophysiology and characteristics of breakthrough pain will be reviewed as well as ways to assess and identify breakthrough pain when present. The prevalence of breakthrough pain and the negative impact in cancer patients will be explored. In addition, the pharmacokinetics of opi-oids, benefits and limitations of approved treatments for breakthrough pain, and investigational agents will be examined. The concepts of opioid misuse, abuse, and addiction; ways to minimize risk in patients taking opioids; and strategies to address issues, including the implementation of Risk Evaluation and Mitigation Strategy (REMS) programs, will be discussed. Lastly, ways to improve collaboration with other healthcare providers to improve patient out-comes will be assessed.

Management of Breakthrough Pain in Patients with Cancer: Matching Treatments to Pain Characteristics, Benefits and Limitations of Available Options, and New Advances

Addiction and Abuse in Pain Medicine: Understanding the Concepts, Minimizing Risk, and Strategies to Address Issues

Case Studies in Breakthrough Pain: Collaborating with Various Healthcare Providers to Optimize Patient Care

FacultySunil Panchal, MDSteven Passik, PhDLynn R. Webster, MD FACPM FASAM

This independent commercially supported symposium is sponsored by MedXcel, LLC. CME credits will be awarded by Educational Review Systems (ERS). ERS is accredited by the ACCME to provided CME for Physicians.

This activity is funded through an educational grant from MEDA Pharmaceuticals.


noon–1:15 pmLunch Satellite Symposium

Effective Management of Chronic Pain Using Non-Traditional AnalgesicsThis symposium will begin with an overview of the prevalence and morbid-ity associated with chronic pain conditions. The barriers and disparities that prevent effective treatment of patients suffering from pain will be discussed. Next, the faculty will review the pathophysiology of chronic pain and highlight potential targets for treatment. They will then go on to provide clinical trial data demonstrating the effectiveness of non-traditional analgesics in manag-ing chronic pain. The activity will conclude with an interactive question-and-answer session.

FacultyTBD

This independent commercially supported symposia is sponsored by ACCELMED. CME credits will be awarded by PIM. PIM is accredited by the ACCME to provide continuing medical education for physi-cians.

This activity is funded through an educational grant from Eli Lilly and Company.

Please refer to www.symposiareg.org/aapm for new listings.

Need more info? Call 847/375-4731. 19


exhibits and Commercial support

exhIbIToRs(as of September 29, 2009)

exhIbITs exhIbIT sCheduLewedNesdAy, FebRuARy 3Opening Reception with Exhibits. . . . . . . . . . . . . . . . . . . . . . .5–6:30 pm

ThuRsdAy, FebRuARy 4Exhibits Open . . . . . . . . . . . . . . . . . . . . . . . . 10:30 am–12:30 pm; 3–7 pm

Break with Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10:45–11:45 am

Reception with Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–7 pm

FRIdAy, FebRuARy 5Exhibits Open . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 am–Noon

Break with Exhibits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10:15–11:15 am

Addison Health/Write PadAdvanced Toxicology NetworkAIT LaboratoriesAllMedsAmerican Chronic Pain AssociationAmeritoxAnazaoHealth CorporationAspen Medical ProductsAutomated Healthcare SolutionsBiosound Esaote UltrasoundBoston ScientificCalloway Labs

Cephalon, Inc.Cosman MedicalData Unlimited International, Inc.Dominion DiagnosticsElsevier, Inc.Emerging Solutions in PainEndo PharmaceuticalsEpimed International, Inc.Healthpac Computer SystemsImplant Funding SolutionsKimberly-Clark Health CareKing Pharmaceuticals

Lilly USA, LLCLinear Medical SolutionsLippincott, Williams & WilkinsLiteCure, LLCMeda PharmaceuticalsMedtox LaboratoriesMedtronic, Inc.National Pain FoundationNeurogesX, Inc.NeurothermPainDX, Inc.Pain Medicine News

PearsonPhysicians Business NetworkPractical Pain ManagementPriCara, Divison of Ortho-McNeil

Janssen Pharmaceuticals, Inc.Protech Radiation Safety ResourcesPurdue Pharma L.P.Regenesis Biomedical, Inc.SonoSiteSt. Jude MedicalStryker Intervention SpineWiley Blackwell

The AAPM 26th Annual Meeting will feature more than 100 booths that showcase products and services specifically designed for physicians practicing the specialty of Pain Medicine. By visiting the exhibit floor, you will experience firsthand the technology, products, and services that can help manage your professional goals and strategic objectives and keep you and your organization at the forefront of your field. Exhibitors will feature products and information in the following areas:

l alternative delivery systemsl billing servicesl business management servicesl clinical trial managementl electronic health recordsl educationl insurance/worker’s

compensation

l laboratory testingl medical devicesl medical publishing/journalsl medical equipmentl office managementl pharmaceuticalsl software.

Improving patient care by providing you with best clinical practices and “clinical pearls” for stratifying and monitoring risk in patients being treated for pain is the goal of this CME activity. Using the IDEAL™ (Interactive Digitally Enhanced Atmosphere for Learning) Learning Center format, this activity begins with an interactive visual and auditory learning session in the Education Gallery and culminates in the Teaching Rounds, an interac-tive small-group learning experience. The Education Gallery presents best clinical practices in treating the pain patient and includes interac-tive, self-assessment questions throughout. The Teaching Rounds offers the opportunity to interact with experts and their peers in sessions with live-programmed patients and to practice “clinical pearls” in dealing with

everyday issues of treating patients with pain. We invite you to share your own experiences with your colleagues and hope you enjoy this dynamic format. This educational activity will be considered a success if it improves knowledge of pain management and increases comfort level in appropri-ately prescribing controlled substances. IDEAL provides participants with an opportunity to interact in a lesson and then practice skills with peers and experts.

The Pain Paradox: Providing Effective Relief While Mitigating Risk IDEAL™ CME activity is co-sponsored by Global Education Group and Educational Awareness Solutions. The educational program is supported by an educational grant from Purdue Pharma L.P.

New CoRPoRATe sATeLLITe eduCATIoN PRogRAMWEDnESDay, FEbruary 3

noon–6:30 pm


10:30 am–12:30 pm, 3–7 pm

FrIDay, FEbruary 5

10 am–noon

Running continuously during the times listed above, The Pain Paradox CME activity can be completed at your convenience. This distinct IDEALTM activity is designed to take 20 minutes–1 hour. You decide based on your own schedule and educational needs.

The Pain Paradox: Providing Effective relief While Mitigating riskHoward Heit, MD; Douglas Gourlay, MD; Paul Arnstein, PhD RN


Please type or print clearly. Use a separate form for each registrant.

Full Name _______________________________________________ First Name for Badge __________________________________________ Credentials ___________________

Facility ___________________________________________________________________________________ Facility City/State _______________________________________

Preferred Address ( n home n office) ________________________________________________________________________ City/State/ZIP _______________________________Contact information listed here will be included in the attendee registration list that is distributed at the meeting. You may opt to have your contact information removed from this list in Box G below.

Home Phone ___________________________________________ Office Phone ___________________________________ Fax__________________________________________

E-mail (required) ________________________________________________________________________________ (fta) n Check here if this will be your first AAPM Annual Meeting.

Emergency Contact Name __________________________________________________________ Day Phone _____________________ Evening Phone ______________________

To register, make your selections in the boxes below, add the subtotals, and indicate the total amount in box I.

FOR OFFICE USE ONLY

Customer #_________________ Mtg Ord # 3-________________

Date_____________________ I___________________________

A

E

q MasterCard q VIsA q AMErICAn ExprEss q Discover q Check (enclosed)

• Make check payable to AAPM.• A charge of $75 will apply to checks

returned for insufficient funds.

payment

Account Number Expiration Date

Cardholder’s Name (Please print) Signature

AAPM 26th AnnuAl Meeting RegistRAtion FoRMFebruary 3–6, 2010 • San Antonio, TX(Essential Tools for Treating the Patient in Pain™ and preconference sessions begin on February 2, 2010.)

• If rebilling of a credit card charge is necessary, a $75 processing fee will be charged.• I authorize AAPM to charge the above listed credit card amounts reasonably deemed by AAPM to be accurate and appropriate.

C

1-Day Annual Meeting registration (for registrants attending 1 day of the meeting ONLY)

Please select the day you wish to attend the Annual Meeting:n Thursday (TH) n Friday (FR) n Saturday (ST) Early-bird rate postmarked on or Regular rate postmarked after before December 7, 2009 December 7, 2009

AAPM Physician Member MD n $350 MD n $450AAPM Affiliate Member AD n $200 AD n $300Student Member SD n $200 SD n $300Resident Member RD n $200 RD n $300Trainee Member TD n $200 TD n $300Nonmember ND n $450 ND n $550Military MILD n $200 MILD n $300

subtotal Box B $_______________

Annual Meeting registration (February 3–6, 2010) Early-bird rate postmarked on or Regular rate postmarked after before December 7, 2009 December 7, 2009

AAPM Physician Member M n $600 n $700Join & Register Physician* JR n $900 n $1,000AAPM Affiliate Member A n $300 n $400Join & Register Affiliate* JRA n $425 n $525AAPM Student Member S n $300 n $400Join & Register Student* JRS n $300 n $400AAPM Resident Member R n $300 n $400Join & Register Resident* JRR n $300 n $400AAPM Trainee Member T n $300 n $400Join & Register Trainee* (fellowship) JRT n $300 n $400Nonmember N n $800 n $900Military** MIL n $300 n $400*You must complete and submit the appropriate membership application (p. 23) and any supporting documents with your registration form to receive this discounted rate. If these documents are not received, you will be registered and charged at the nonmember rate. Documents can be faxed to 847/375-6477.**A copy of your military ID must be sent with your registration to receive this rate.

subtotal Box A $_________________

Essential Tools for Treating the patient in pain™ registration (pME) (Feb. 2, 7:45 am–6 pm; Feb. 3, 8 am–5 pm) Rate if also registering Rate for Program only, Rate for Program only, for the Annual Meeting postmarked on or before postmarked after December 7, 2009 December 7, 2009AAPM Physician Member n $250 MEC n $400 MEC n $500AAPM Affiliate Member n $100 AEC n $200 AEC n $300Student Member n $100 SEC n $200 SEC n $300Resident Member n $100 REC n $200 REC n $300Trainee Member n $100 TEC n $200 TEC n $300Nonmember n $400 NEC n $450 NEC n $550printed Essential Course syllabus* CMI n $50 subtotal Box C $_________________

Concurrent scientific session selectionsThese concurrent sessions are included in your Annual Meeting registration. Please indicate which sessions you plan to attend.Thursday, February 4 Friday, February 52–3:30 pm 4–5 pm 5–6 pm 2–3:30 pm 4–5 pm 5–6 pm 2 0 2 0 2 0 3 0 3 0 3 0

saturday, February 61:30–3 pm 3:30–5 pm 4 0 4 0

B

Dpreconference seminar registration (Select which seminars you wish to attend)Wednesday, February 3

8 am–noon n Neuromodulation from Head to Toe (001) 1:30–5 pm n ISIS (002) Rate if also registering Rate for seminar only, Rate for seminar only, for the Annual Meeting postmarked on or before postmarked after December 7, 2009 December 7, 2009

AAPM Physician Member n $250 MPC n $400 MPC n $500AAPM Affiliate Member n $100 APC n $200 APC n $300Student Member n $100 SPC n $200 SPC n $300Resident Member n $100 RPC n $200 RPC n $300Trainee Member n $100 TPC n $200 TPC n $300Nonmember n $400 NPC n $450 NPC n $550printed Course Materials* 001 Neuromodulation CM2 n $25002 ISIS CM3 n $25number of seminars____x rate_______+ course materials______=

subtotal Box D $_______________

Guest registrationNumber of Guest Badges __________________ x $100 (GST)

Guest Name(s) ____________________________________________________

subtotal Box F $ _______________

F

If payment does not accompany this form, your registration will not be processed. Full payment must be postmarked on or before December 7, 2009, to qualify for early-bird rates.Cancellation policy: All cancellations must be submitted in writing. A $100 processing fee applies to all cancellations. No refunds will be made on cancellations postmarked after January 11, 2010. All refunds will be processed after the Annual Meeting.*You must register for the course to purchase a printed course syllabus.

special requestsn I will require special assistance. (SA) n I will need a vegetarian meal. (SDV)n I will need a kosher meal. (SDK)

n I do not wish to have my name and contact information included in the on-site attendee list. (DIS)

G

H IAApM Members’ Meeting MB n (Friday, Feb. 5, 7–8:15 am) All AAPM members are invited to attend.

Meeting syllabus (SYL) n $125Printed copy of the Annual Meeting Syllabus.

subtotal Box H $ _______________

GrAnD TOTAL

A or B + C or D + F + H =

$ __________________________Be sure to complete all boxes.

4 Easy Ways to register• Online www.painmed.org (Credit card payment only)• Fax 847/375-6477 (Credit card payment only)

• Phone 847/375-4731 (Credit card payment only)• Mail AAPM Annual Meeting P.O. Box 839, Glenview, IL 60025-0839

21

Registration, City, and Travel Information

Registration InformationFull registration for the Annual Meeting includes• admission to all sessions (Thursday–Saturday),

including plenary sessions and scientific sessions• online syllabus before meeting• admission to the exhibit hall• refreshment breaks and receptions• access to the virtual 26th Annual Meeting online

after the conference.

Early Registration Discount (savings of $100)The deadline to receive the early-bird registra-tion rate is December 7, 2009. All registrations postmarked after this date will be processed at the regular rate. Space availability in session rooms, speaker handouts, and other amenities may not be available to onsite registrants.

Preconference Seminar and Essentials Course Discount (savings of $150)Register for both the full meeting and a precon-ference session or the Essentials Course and save up to $150! Simply register for the full conference in Box A of the registration form (page 21), then select the applicable rate in the preconference box (Box D) or Essentials (Box C). The savings will auto-matically be deducted from your total registration amount. Register before December 7, 2009, for even more savings.

Satellite SymposiaTo register for all symposia, please visit www.symposiareg.org/aapm or contact Cathy Rickert by phone at 847/375-4881 or e-mail at [email protected].

Registration Rates and CategoriesAAPM Physician MembersTo take advantage of this registration rate, mem-bers must be in good standing when registering for the meeting. Active members are physicians (DO or MD) who have an unrestricted license to practice medicine in the United States. These phy-sicians spend a significant portion of their time treating pain patients and studying pain disorders.

Affiliate Members (Nonphysician Healthcare Professionals)Available to physician assistants, nurses, nurse practitioners, and other nonphysician health-care professionals who have an interest in Pain Medicine.

Students, Residents, and TraineesTo take advantage of this registration rate, written documentation of current status (e.g., faculty let-ter) must be provided at the time of registration. Student, resident, and trainee members must be enrolled and in good standing in either a resi-dency or fellowship program in an institution in the United States or in a curriculum of allopathic or osteopathic medicine in an institution in the United States. There is no membership fee for stu-dent, resident, and trainee members.

Spouse and Guest RegistrationEach registrant may purchase guest badges for $100 per badge. The badges will allow guests into the exhibit hall for the receptions on Thursday and Friday but do not offer continuing medical educa-tion credits.

Join and Register (savings of $275)Physicians planning to register for the AAPM Annual Meeting who are not AAPM members can save $275 and receive the benefits of AAPM mem-bership by choosing the Join and Register rate. AAPM Membership is open to physicians (DO or MD) who have an unrestricted license to practice medicine and who spend a significant portion of their time treating pain patients and studying pain disorders. The membership application, includ-ing license information, is required at the time of registration. Membership information will be sent approximately 3 weeks after processing the registration.

AAPM members enjoy benefits including• discounts on attending the annual meeting• subscription to Pain Medicine, a peer-reviewed,

indexed journal• Pain Medicine Network, AAPM’s newsletter• AAPMail, a biweekly e-mail update on current

events affecting the specialty and the field of Pain Medicine

• access to position statements and coding information on AAPM’s Web site, www.painmed.org.

PreregistrationAll methods of registration require prepayment.

Online*www.painmed.org (preferred method)Phone*847/375-4731

Fax*877/375-6477 within the United States *credit card payment only

Mail AAPMPO Box 839Glenview, IL 60025-0839

Cancellation and Refund Policies• Written notification is required for all

cancellations.• A $100 processing fee applies to all cancellations.• All refunds will be processed after the conference.• No refunds will be made on cancellations made

after January 11, 2010.AAPM reserves the right to substitute faculty or to cancel or reschedule the 26th Annual Meeting due to low enrollment or other unforeseen cir-cumstances. If AAPM must cancel, registrants will receive a full credit or refund of their paid registra-tion fee. No refunds will be made by AAPM for lodging, airfare, or any other expenses related to attending the 26th Annual Meeting.

san AntonioSan Antonio has an array of culture and rich history and boasts a variety of unforgettable experiences.Relax and enjoy the River Walk, just steps from the Grand Hyatt San Antonio, dine at one of the many restaurants along the way, or discover the count-less adventures throughout the city. Explore caves, wild animal preserves, or become a kid again at one of five area theme parks. For more informa-tion, please visit www.visitsanantonio.com.

WeatherSan Antonio typically boasts mild weather during the early months of the year. In February, the aver-age high is 67˚ F.

Hotel InformationThe Grand Hyatt San Antonio is AAPM’s 26th Annual Meeting headquarters hotel. AAPM’s group rate is $215 single and $240 double, plus all applicable taxes.To obtain the group rate, identify yourself as attending the AAPM Annual Meeting. Please note this rate is offered until December 14, 2009, pro-vided that rooms in the AAPM block are still avail-able. Reservations made after the above date will be taken on a space- and rate-available basis.

Grand Hyatt San Antonio600 E Market StreetSan Antonio, TX 78205800/233-1234 (Reservations)Visitwww.PainMed.orgforhotelinformation.Afirst night’s deposit is due with each guaranteed room. All deposits will be refunded if the reserva-tion is cancelled 72 hours prior to arrival date.

Airline United Airlines is offering special discounts for attendees of the AAPM meeting. Simply call our Special Meeting Desk at 800/521-4041 and refer to Meeting ID Number 550KO to receive a 2%–15% discount off applicable fares. If you purchase your ticket at least 30 days prior to travel, you will re-ceive an additional 5% discount (on most classes of service). This special offer applies to travel on domestic segments of all United Airlines, United Express, TED, and United code share flights (UA*) operated by US Airways, US Airways Express, and Air Canada.

To purchase your ticket online, visit www.united.com and receive a 5% discount off the lowest applicable fares. After you link to www.united.com, enter your origin and destination, travel dates, and your promotion code number 550KO; available flights will then be displayed. Flights that qualify for the discount will be clearly identified with a green star symbol, which means that the itinerary is “electronic certificate eligible.” When you select an electronic certificate eligible flight, United will automatically calculate and present your dis-counted fare. This special offer applies to flights to or from the United States only. There are no fees for booking online. Note the Code 550KO is case sensi-tive and the characters need to be capitalized.

To check schedules and to take advantage of this offer, please visit www.united.com or call 800/521-4041.


AAPM MeMbeRshiP APPlicAtion

Thank you for your interest in joining the American Academy of Pain Medicine. Active Members are physicians (MD or DO) who have unrestricted licenses to practice medicine in the United States or Canada. Documents required for membership: copies of medical license, medical degree, and board certification (if applicable).

International Members are physicians (MD or DO) who have licenses to practice medicine in their country of origin outside of the United States and Canada. Documents required for membership: copies of medical license, medical degree, and board certification (if applicable).

Affiliate Members are non-physician healthcare professionals (registered nurses, nurse practitioners, physician assistants, physical therapists, psychologists, or pharmacists) who are involved in direct patient care on pain teams. They must be sponsored by an active physician member of AAPM. Documents required for membership: copies of professional license, professional degree, and board certification (if applicable), and a letter of recommendation from an active physician member of AAPM.

students, residents, and Trainees (in fellowship programs) must provide a letter from their current department head or program director that verifies enrollment and good standing and (if applicable) copies of medical license and medical degree.

Select AAPM Membership Benefits (For a complete list, visit www.PainMed.org.) Pain Medicine—one of today’s most frequently cited medical journals for pain, the premier source of peer-reviewed research on matters relevant to the clinical practice of Pain Medicine

AApM E-news—biweekly e-newsletter with latest Pain Medicine news, information on advocacy related to pain as a specialty, clinical trials, member honors, and Academy updates

AApMail Alerts—timely information that includes FDA alerts, advocacy updates, member information, and more

Web site (www.painmed.org)—continuously updated, it contains Live News Feed, information on upcoming meetings, a growing library of Pain Medicine resources, and much more

Membership Categoriesn Active Membership ($375) n International Membership ($250) n Affiliate Membership ($190)n Student Membership ($0) n Resident ($0) n Trainee in fellowship program (1st year $0, 2nd year $100, 3rd year $375)

Name ___________________________________________________________________________Professional Degree __________________________________________________

Mailing address (n home n office) City _______________________________________________State _______________________________ZIP ___________________________

Phone (n home n office) ____________________________________________________________Fax (n home n office) _______________________________________________

E-mail (n home n office) ____________________________________________________________Date of Birth _______________________________________________________

What is your specialty of origin? _________________________________________________________________________________________________________________________

Are you board certified? n yes n no Name of board _______________________________________________________________________________________________________

Professional Licensure: Type __________________________________________________________State ___________ Date ___________ License Number ______________________

Is your license unrestricted? n yes n no

Are you a member of the American Medical Association? n yes n no

Are you a member of another professional medical association? n yes n no Which one: ______________________________________________________________________________

Physicians only: Are you a Diplomate of the American Board of Pain Medicine? n yes n no

Years of Experience in pain Medicine ____________

Practice Focus/Special Interest (Check all that apply.)n Regional anesthesia, nerve blocks n Implantable technology n Surgical Interventions n Medical pain managementn Manual medicine n Rehabilitation n Acupuncture n Pain and addictive disordersn Psychological treatment n Other (specify) _______________________________________

Current Practice Setting (Check all that apply.)n Medical school n Hospital n Private practice (solo) n Private practice (group) n Outpatient n Military n Other (specify) __________________________________________________

Age Focus of Clinical Practice (Check all that apply.)n Pediatric (birth–16 years) n Adult (17–65 years) n Geriatric (over 65 years)n Adult and geriatric n All age groups

payment n Check (made payable to AAPM) n MasterCard n Visa n Discover n American Express

Account number __________________________ ________________________ Expiration Date _________________ Signature ______________________ Date __________________

American Academy of Pain Medicine4700 W. Lake Ave. • Glenview, IL 60025 • 847/375-4731 • fax 847/375-6477 • [email protected] • www.PainMed.org


EARN UP TO 53.75* PAIN CME FROM THE PREMIER PAIN ASSOCIATIONTake advantage of the outstanding educational sessions offered at AAPM’s Annual Meeting and earn up to 53.75 AMA PRA Category 1 Credits™ through:

• Essential Tools for Treating the Patient in Pain™—up to 16 CME• Interventional Preconference Sessions—up to 7.5 CME• Annual Meeting Sessions—up to 17.75 CME• New in 2010: Post-Conference Education Module—up to 20 more CME: As an added benefit of this year’s annual meeting, attendees will receive access to a new,

post-program online-education module, enabling you to earn up to 20 additional CME credits from the concurrent education sessions you missed live at the annual meeting.

The meeting will provide the opportunity to learn from expert faculty about

The Science of Pain

PRESORTED STANDARD

US POSTAGEPAID

PERmiT #62GlENviEw, il 60025

diamOnd level

silver level

gOld level

brOnze level

corporate sponsors

Not a member? Save up to $275 when you Join & Register

4700 W. Lake AvenueGlenview, IL 60025-1485847/375-4731www.PainMed.org

*53.75 CME is AMA PRA Category 1 by attending AAPM’s Annual Meeting and Preconference Sessions and reviewing Post-Conference educa-tional modules from all AAPM’s Essentials Course, Preconference Seminars, and Annual Meeting Conferences that were not attended on-site.

AAPM 26th Annual Meeting February 3–6, 2010Preconference sessions begin February 2.

RegisteR today!

• Pain Medicine’s Stake in Healthcare Reform

• Conflicts of Interest in Physician Education

• ValueofPhysicianExtendersinPainMedicine

• The Future of Pain Medicine

• Comprehensive Headache Symposium

• Neuromodulation from Head to Toe

• Comprehensive Cancer Pain

• Essential Tools for Treating the Patient in Pain™

• Cervical Spine Interventions

• See inside for more

The Practice of Pain

The Changing healthcare environment

• Electronic Health Records

• Emerging Legal Proceedings in Pain

• Mock Trial Review (Audience Participation)

• Advancing Pain Research in the Private Practice

• Business Management: Auditing and Staff Training for Compliance

• See inside for more