Myth: Genicular nerve radiofrequency ablation (RFA) is not associated with known clinically significant complications. 

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Zachary L. McCormick, MD; Jaymin Patel, MD; Aaron Conger, DO; and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee 

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Zachary McCormick, MD
Nothing to disclose

Jaymin Patel, MD
Consultant: Professional Disability Associates

Aaron Conger, DO
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Zachary McCormick, MD
Position on physician society/association: American Academy of Pain Medicine Research Committee.
Grant and research support: Research grant: Foundation of PM&R, Midwest Pain Society research grant, SIS research grant.

Jaymin Patel, MD
Consultant: Professional Disability Associates

Aaron Conger, DO
Position on physician society/association: SIS Research Division member.
Grant and research support: Research grant: SIS research grant.

Clark C. Smith, MD, MPH
Nothing to disclose

References
eferences are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/24/2020
Date of Activity Expiration: 8/23/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors
Milan P. Stojanovic, MD; Ramesh Bathina, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee   

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Ramesh Bathina, MD
Nothing to disclose 

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Ramesh Bathina, MD
Nothing to disclose

Milan P. Stojanovic, MD
Position in physician society/associations: World Institute of Pain
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/14/2020
Date of Activity Expiration: 8/13/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors
D. Scott Kreiner, MD; Jatinder Gill, MD; Milan P. Stojanovic, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee   

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Jatinder Gill, MD
Nothing to disclose

D. Scott Kreiner, MD
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Jatinder Gill, MD
Nothing to disclose

D. Scott Kreiner, MD
Advisory committees or review panels: Vertebral Augmentation AUC (relationship with MPW)
Any position in physician society/association: NASS
Travel expenses: NASS, Vertebral Augmentation AUC

Milan P. Stojanovic, MD
Position in physician society/associations: World Institute of Pain
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement.

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/10/2020
Date of Activity Expiration: 8/09/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures. Adherence to these practices will help decrease the risk of preventable complications.

Authors
Fred DeFrancesch, MD; Milton H. Landers, DO, PhD; Kevin Martinez, MD; George Rappard, MD; Milan P. Stojanovic, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee   

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosures Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Fred DeFrancesch, MD
Nothing to disclose

Milton H. Landers, DO, PhD
Nothing to disclose

Kevin Martinez, MD
Ownership in a commercial interest: Discgenics

George Rappard, MD
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Fred DeFrancesch, MD
Stock ownership: Mutual funds
Speaker: Depomed
Expert witness: IME
Position in physician society/association: SIS
Travel expenses: SIS
Entertainment and Social Event Courtesies: Various pharma and SIS functions

Milton H. Landers, DO, PhD
Ownership: Midwest Surgery Center
Position in physician society/association: SIS

Kevin Martinez, MD
Advisory committees or review panels: Louisiana Workers Compensation, Medical Advisory Committee
Position in physician society/association: SIS

George Rappard, MD
Expert witness: Multiple plaintiff firms.
Position in physician society/association: NASS, SIS

Milan P. Stojanovic, MD
Position in physician society/association: World Institute of Pain
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/14/2020
Date of Activity Expiration: 8/13/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors
Milan P. Stojanovic, MD; Ramesh Bathina, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee  

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Ramesh Bathina, MD
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Ramesh Bathina, MD
Nothing to disclose

Milan P. Stojanovic, MD
Position in physician society/associations: World Institute of Pain
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/10/2020
Date of Activity Expiration: 8/09/2023

Description 
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors  
Clark C. Smith, MD, MPH; Marc A. Valley, MD, MPH; Milan P. Stojanovic, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee  

Copyright 
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Clark C. Smith, MD, MPH
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Marc A. Valley, MD, MPH
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Clark C. Smith, MD, MPH
Nothing to disclose

Milan P. Stojanovic, MD
Position in physician society/associations: World Institute of Pain
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Marc A. Valley, MD, MPH
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/10/2020
Date of Activity Expiration: 8/09/2023

Myth: Interlaminar epidural injection with particulate as opposed to non-particulate steroid poses a greater risk of thrombotic/embolic-related neurologic complications.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Clark C. Smith, MD, MPH: Shaan Sudhakaran, MD: and Zachary L. McCormick, MD on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Clark C. Smith, MD, MPH
Nothing to disclose

Shaan Sudhakaran, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

OTHER DISCLOSURES
Clark C. Smith, MD, MPH
Nothing to disclose

Shaan Sudhakaran, MD
Nothing to disclose

Zachary L. McCormick, MD
Grant and research support: Foundation of PM&R, Midwest Pain Society, SIS
Position in physician society/associations: AAPM

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/13/2020 
Date of Activity Expiration: 8/12/2023

Myth:  Therapeutic anticoagulation (AC) should be discontinued prior to all lumbar epidural steroids injections (ESIs). 

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.

Authors
Byron J. Schneider, MD; David C. Miller, MD, MA; Ryan Mattie, MD; Zachary L. McCormick, MD; and Clark C. Smith, MD, MPH on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• Identify best practices to ensure patient safety during interventional spine procedures
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures

Author Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Byron J. Schneider, MD
Nothing to disclose

David C. Miller, MD
Nothing to disclose

Ryan Mattie, MD
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

Clark C. Smith, MD, MPH
Nothing to disclose

OTHER DISCLOSURES
Byron J. Schneider, MD
Consultant: AIM Specialty Health, State Farm

David C. Miller, MD
Nothing to disclose

Ryan Mattie, MD
Nothing to disclose

Zachary L. McCormick, MD
Grant and research support: Foundation of PM&R, Midwest Pain Society, SIS
Position in physician society/association: AAPM

Clark C. Smith, MD, MPH
Nothing to disclose

References
References are provided within the FactFinder.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/13/2020 
Date of Activity Expiration: 8/12/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors 
Andrew J. Engel, MD; Marc Maes, MD; Milan P. Stojanovic, MD; and Yakov Vorobeychik, MD, PhD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee 

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosures Information  
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Andrew J. Engel, MD
Nothing to disclose

Marc Maes, MD
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Andrew J. Engel, MD
Expert witness: IME
Travel expenses: SIS

Marc Maes, MD
Position in physician society/association: Vlaamse Anesthesiologische Vereniging voor Pijnbestrijding

Milan P. Stojanovic, MD
Position in physician society/association: World Institute of Pain, Education Committee
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/12/2020
Date of Activity Expiration: 8/11/2023

Description
Learn about the important elements in the safe performance of interventional pain procedures.  Adherence to these practices will help decrease the risk of preventable complications.

Authors 

Yakov Vorobeychik, MD, PhD; Adrian Popescu, MD; and Milan P. Stojanovic, MD on behalf of the Spine Intervention Society’s Standards Division and Evidence Analysis Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

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

• List contraindications to the procedure, and
• Identify best practices to ensure patient safety during interventional pain procedures.

Author Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Adrian Popescu, MD
Nothing to disclose

Milan P. Stojanovic, MD
Nothing to disclose

Yakov Vorobeychik, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Adrian Popescu, MD
Nothing to disclose

Milan P. Stojanovic, MD
Position in physician society/association: World Institute of Pain, Education Committee
Travel expenses: World Institute of Pain - FIPP Exam
Other: Pain Practice Journal - Editorial Work Reimbursement

Yakov Vorobeychik, MD, PhD
Nothing to disclose

References
References are provided within the PDF.

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Date of Activity Release: 8/12/2020
Date of Activity Expiration: 8/11/2023