Bio-Skills Lab Curricula

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



Lumbar Procedures Bio-Skills Lab
17 CME Credits

 

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

Hands-On Lab Training

  • Interlaminar Epidural
  •  L1-5 Transforaminal Epidural (subpedicular)
  • Medial Branch Block
  • S1 Transforaminal Epidural
  • Sacroiliac Joint
  • Needlecraft
  • C-Arm Positioning and Utilization

Lectures and Didactics

  • Lumbar Anatomy, Imaging, and Image Correlation
  • Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
  • Risk Mitigation, Complications and Case Management
  • Fluoroscopy: Technical Considerations and Radiation Safety
  • Radiation Safety
  • Coding

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

 
LUMBAR PROCEDURES BIO-SKILLS LAB 

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

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

 

 


Advanced Lumbar Procedures Bio-Skills Lab
17 CME Credits

 

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

Hands-On Lab Training

  • L1-5 Transforaminal (subpedicular)/S1 Transforaminal Epidural
  • L1-5 Transforaminal Epidural (infraneural)
  • Medial Branch Block
  • Intra-articular Zygapophysial Joint
  • L1-4 Medial Branch Parallel Needle Placement
  • L5 Dorsal Ramus Parallel Needle Placement
  • Cadaveric Prosection
  • Lectures and Didactics

Lectures and Didactics

  • Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
  • Spinal Innervation
  • Advanced Imaging Case Presentations
  • Interpretation of Diagnostic Blocks
  • Introduction to Radiofrequency
  • Risk Mitigation
  • Coding
  • Contrast Pattern Analysis

 


Cervical Procedures Bio-Skills Lab
17 CME Credits

 

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

Hands-On Lab Training

  • Interlaminar Epidural
  • Transforaminal Epidural
  • C3-6 Medial Branch Block
  • C7 Medial Branch Block
  • Third Occipital Nerve Block
  • Intra-articular Zygapophysial Joint
  • C-Arm Utilization

Lectures and Didactics

  • Cervical Anatomy, Imaging, and Imaging Correlation
  • Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
  • Risk Mitigation, Complications and Case Management
  • Coding

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

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

 


Advanced Cervical Procedures Bio-Skills Lab
17 CME Credits

 

Building on the cervical foundation, the Advanced Cervical Bio-Skills Lab utilizes expertly dissected cadavers for demonstration of anatomic structures in correlation with the injection procedures.

Hands-On Lab Training

  • Third Occipital Nerve Block/Radiofrequency
  • C3-6 Medial Branch Block/Radiofrequency
  • C7 Medial Branch Block/Radiofrequency
  • Cervical Transforaminal Epidural
  • Thoracic Transforaminal Epidural
  • C1-2 Atlanto-Axial Joint Injection
  • Cadaveric Prosection

Lectures and Didactics

  • Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
  • Spinal Innervation
  • Advanced Imaging Case Presentations
  • Introduction to Radiofrequency
  • Risk Mitigation
  • Coding
  • Contrast Pattern Analysis

 


Radiofrequency Procedures Bio-Skills Lab
16 CME Credits

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

 

Hands-On Lab Training

  • L2-4 Medial Branch Radiofrequency
  • L5 Dorsal Ramus Radiofrequency
  • Third Occipital Nerve Radiofrequency
  • C3-6 Medial Branch Radiofrequency
  • C7 Medial Branch Radiofrequency

Lectures and Didactics

  • Posterior Column Anatomy of Lumbar and Cervical Medial Branch Blocks
  • Indications, Techniques, and Evidence-based Patient Selection and Procedural Technique
  • Radiofrequency Principles
  • Complications and Case Management

RADIOFREQUENCY PROCEDURES BIO-SKILLS LAB

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

 

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

 


Discography Procedures Bio-Skills Lab

13 CME Credits

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

Hands-On Lab Training

  • Cervical Discography
  • Thoracic Discography
  • L1-L4 Discography
  • L5/S1 Discography

Lectures

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

  


Neurostimulation Procedures Bio-Skills Lab
8 CME Credits

 

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

Hands-On Lab Training

  • How to Trial: Trial Process, Lead Advancement, and Location
  • Placing and Anchoring Permanent Leads
  • IPG Implant Pocket Creating and Lead Passing

Lectures and Didactics

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

 


Comprehensive Procedures Bio-Skills Lab
13 CME Credits

 

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

Hands-On Lab Training

  • Cervical, Thoracic, and Lumbar Transforaminal Injections
  • Cervical, Thoracic, and Lumbar Discography
  • Cervical, Thoracic, and Lumbar Intra-articular Zygapophysial Joint
  • Cervical, Thoracic, and Lumbar Medial Branch Block
  • Cervical, Thoracic, and Lumbar Radiofrequency Neurotomy
  • C1-C2 (A-A) Joint
  • Sacroiliac Joint Injections



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

 

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

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

Lectures

  • Imaging of the Lumbar and Cervical Spine – Case Presentations
  • Spinal Innervation: Anatomy and Clinical Implications
  • Complications: Structures at Risk
  • Anatomy and Physiology of Pain

Hands-On Lab Training

  • Available techniques during fluoroscopic correlation rotations include:
    • Cervical, Thoracic, and Lumbar Transforaminal Injection
    • Cervical, Thoracic, and Lumbar Disc Access
    • Cervical, Thoracic, and Lumbar Intraarticular Zygapophysial Joint
    • Cervical, Thoracic, and Lumbar Medial Branch Block
    • Cervical, Thoracic, and Lumbar Radiofrequency Neurotomy
    • Cervical, Thoracic, and Lumbar Interlaminar Injection
    • Caudal Injection
    • C1-C2 Atlanto-Axial Joint
    • Sacroiliac Joint Injection
    • Sacral Lateral Branch Block

 


Lumbar and Cervical Fluoroscopic Imaging Course
8.5 CME Credits

 

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

Hands-On C-Arm Positioning

  • Interlaminar Epidural
  • L4-5 Transforaminal Epidural Steroid Injection
  • Medial Branch Block
  • Zygapophysial Joint Injection
  • Sacroiliac Joint Injection
  • Discography
  • C1-2 Atlanto-Axial Joint Injection
  • Interlaminar Epidural Injection

Lectures

  • C-Arm Operation, Radiation Safety, and Patient Positioning
  • Cervical Fluoroscopic Anatomy and Technique Setup
  • Lumbar Fluoroscopic Anatomy and Technique Setup

LUMBAR AND CERVICAL FLUOROSCOPY PROCEDURES 2013
"In my opinion, The Spine Intervention Society puts on good programs and is truly committed to advancing and continuing medical education. I always take something away that I implement for the benefit and protection of my employer, the patients, and myself."
Josephine VanDrielen, RT


Imaging Anatomy for the Spine Interventionalist
11.75 CME Credits

 

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

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

Lectures

  • Imaging Techniques
  • Basic Anatomy of the Spine by Region
  • Diagnostic Confidence
  • Degenerative Pathology
  • Lessons Learned

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

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

 

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