American Society of Interventional Pain Physicians | August 15, 2018
6.75 A MA PRA Category 1 Credits™
11 AMA PRA Category 1 Credits

Neuromodulation Cadaver Workshop will be
limited to 4 physicians per station.
Minimum attendance of 4 physicians required thirty days prior to meeting or
course and workshop is subject to cancellation. Register early!

1 Day Review Course and 1.5 Day Cadaver Workshop.
1. Trial lead placement for low back pain
2. Trial lead placement for neck pain
3. Spinal cord stimulator permanent implant placement (conventional)
4. Wireless trial and permanent placement
5. Transforaminal trial and permanent placement
6. Placement of intrathecal infusion system
7. Intercostal nerve stimulation
8. Sacroiliac stimulation
9. Suprascapular nerve stimulation
10. Free forum

Procedures are subject to change.

18 A MA PRA Category 1 Credits™

6.75 A MA PRA Category 1 Credits™

11 AMA PRA Category 1 Credits

7 AMA PRA Category 1 Credits™
(Plus Free Online Lectures)
11 AMA PRA Category 1 Credits™
Physician burnout: It’s not you, it’s your medical specialty
When thinking about becoming a physician, medical students might be interested in knowing which specialties can be considered the most stressful medical jobs. More than 15,000 physicians from 29 specialties responded to a recent survey about burnout and depression.
The survey asked about the prevalence of burnout factors and how they affect physicians’ lives. Overall, 42 percent of respondents were burned out—down from 51 percent last year—and 15 percent admitted to experiencing either clinical or colloquial forms of depression.
For the most stressful medical job, the highest percentages of burnout occurred among these medical specialties:
  • Critical care: 48 percent.
  • Neurology: 48 percent.
  • Family medicine: 47 percent.
  • Obstetrics and gynecology: 46 percent.
  • Internal medicine: 46 percent.
  • Emergency medicine: 45 percent.
Physicians in these medical specialties reported the lowest rates of burnout:
  • Plastic surgery: 23 percent.
  • Dermatology: 32 percent.
  • Pathology: 32 percent.
  • Ophthalmology: 33 percent.
  • Orthopedics: 34 percent.


State Lawmakers Push to Lower Drug Costs

With all the focus on the Trump administration's proposal to lower the cost of prescription drugs, it's easy to forget that other people are also working on this issue. But several states have been making their own efforts to ease the cost of drugs for their residents.
In Nevada, the high cost of drugs has become a real problem, state Senator Yvanna Cansela (D-Clark County) said at a briefing sponsored by the Pew Charitable Trusts, in Washington. Cansela's constituents include people who work in the famous Las Vegas Strip entertainment district, the University of Nevada Las Vegas, the Las Vegas airport, the convention center, and the casinos.

FDA Taps Social Media to Identify and Assess Emerging Drug Abuse Threats

As the US Food and Drug Administration (FDA)  tackles the opioid crisis head on , one of the organization's goals is to identify emerging trends of drug abuse and intervene more quickly. A perspective piece published in the  New England Journal of Medicine  highlighted the tools the agency will use to evaluate these shifting  patterns of substance abuse  and reduce public risk. 
The agency continues to battle the nation's opioid problem even as it looks to detect and prevent the next threat. Douglas C. Throckmorton, MD; Scott Gottlieb, MD; and Janet Woodcock, MD, all of the FDA, noted that the agency is committed to using a multifaceted approach of pharmacovigilance that allows it to intercede proactively and effectively to anticipate changes in drug abuse.

Blog: How to Fight Misinformation in Healthcare
'Fake news' about your patient can be remedied with one step: talking

"Fake news" is a term that's become notorious over the last couple of years -- for notorious reasons, perhaps. But there's actually another serious area where there is inadvertently an awful lot of "fake news" on a daily basis. And that is, well you guessed it: in healthcare throughout our nation's hospitals and offices.
Let me explain, and I suspect anyone who works in healthcare will be familiar with the scenario. A physician or nurse assumes care of a new patient and a huge amount of information is thrown their way. They have "coronary artery disease," they "drink five beers a day," they "take a steroid pill every day," they "will be discharged to rehabilitation." All sounds like very serious stuff. However, in years of being a practicing physician, there is one rule I always follow: Take everything with a grain of salt until you actually sit down and talk directly with the patient.

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding
print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Opioid Use Rising in ADHD Patients on Stimulants

More frequent long-term opioid use was seen among adults with attention-deficit/hyperactivity disorder (ADHD) if they were taking stimulants, an observational study of Medicaid prescription data found.
Opioid use (≥30 days) was seen among 16.5% of those who used stimulants, compared with 13% of those who did not, reported Yu-Jung Jenny Wei, PhD, of the University of Florida in Gainesville, and colleagues.

Abuse-Deterrent Opioid Formulations: Barriers to Broader Use

Abuse-deterrent opioid formulations (ADFs) are among the various strategies aimed at reducing opioid misuse and abuse. Although ADFs were introduced to the US market in 2010, they are not yet widely used. In a study published in  Expert Opinion on Drug Delivery,  investigators explored potential barriers to the widespread use of ADFs. 1
Many of the parameters thought to impede acceptance of  ADFs  are related to the higher cost of these drugs compared with conventional opioid formulations. For example, one study found that annual median prescription expenditures by the Oklahoma state Medicaid program were $8313 higher for patients using ADFs compared with those using conventional long-acting opioid drugs ( P  <.01). 2  In addition, payer reimbursement for ADFs is limited, and the Centers for Medicare & Medicaid Services have prioritized other strategies to target opioid abuse and overdose, including reduction of physician overprescribing and expansion of  naloxone  use, respectively. 3

Pain Physician
July/August 2018 Issue Features

Health Policy Review
  • Reframing the Prevention Strategies of the Opioid Crisis: Focusing on Prescription Opioids, Fentanyl, and Heroin Epidemic
Systematic Reviews
  • Is Unilateral Percutaneous Kyphoplasty Superior to Bilateral Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures? Evidence from a Systematic Review of Discordant Meta-Analyses
  • Prevalence of Recurrent Herniation Following Percutaneous Endoscopic Lumbar Discectomy: A Meta-Analysi
Randomized Trials
  • Thermal Versus Super Voltage Pulsed Radiofrequency of Stellate Ganglion in Post-Mastectomy Neuropathic Pain Syndrome: A Prospective Randomized Trial
  • Evaluation of an Experimental Pain Model by Noncompartmental Analysis of Results from a Randomized Placebo Controlled Trial
  • Transforaminal vs Interlaminar Epidural Steroid Injection for Acute-Phase Shingles: A Randomized, Prospective Trial

DOJ News
Post Acute Medical Agrees to Pay More Than $13 Million to Settle Allegations of Kickbacks and Improper Physician Relationships
Post Acute Medical, LLC, a Pennsylvania-based operator of long‑term care and rehabilitation hospitals across the country, and certain affiliated entities through which the company operates its facilities (collectively, “PAM”), have agreed to pay the United States, Texas, and Louisiana a total of $13,168,000 to resolve claims that they violated the False Claims Act, and the Texas and Louisiana false claims statutes, by knowingly submitting claims to the Medicare and Medicaid programs that resulted from violations of the Anti‑Kickback Statute and the Physician Self‑Referral Law, the Justice Department announced today.
The Anti-Kickback Statute, in relevant part, prohibits offering or paying anything of value to encourage the referral, or to encourage recommending or arranging for the referral, of items or services covered by Medicare, Medicaid, and other federally funded programs. The Physician Self‑Referral Law, commonly known as the Stark Law, prohibits a hospital from billing Medicare for certain services referred by physicians with whom the hospital has an improper financial relationship. Both the Anti-Kickback Statute and the Stark Law are intended to ensure that medical decision-making is not compromised by improper financial incentives and is instead based on the best interests of the patient.
Since it was founded in 2006, PAM entered into numerous physician-services contracts on behalf of its hospitals. Although the purpose of these contracts was ostensibly to retain physicians as medical directors or in other administrative or medical roles, the United States alleged that in reality the company’s payments under these contracts were intended to induce the physicians to refer patients to PAM’s facilities. The company allegedly violated the AKS further by entering into what it called “reciprocal referral relationships” with unaffiliated healthcare providers such as home health companies. In the course of those arrangements, PAM allegedly referred patients to those other providers with the understanding that those providers would refer other patients to PAM’s facilities.


State Society News 

Aug 17-19, 2018
Ohio and Kentucky SIPP Meeting
Click HERE for more information

July 12-14, 2019
GSIPP 2019 - 15th Annual Meeting & Pain Summit
The Cloister Hotel at Sea Island
Sea Island, GA
For more information, contact Karrie Kirwan at or Tara Morrison at or 770-613-0932.

Send in your state society meeting news to Holly Long,
ASIPP | Pain Physician Journal | Phone | Fax | Email