Access the complete set of videos used in the SIS Bio-Skills Labs when you purchase SIS’s Lumbar and Cervical Vignettes. This is your only opportunity to learn directly from one of SIS’s founders, master interventional specialist Dr. Charles Aprill himself, as he demonstrates SIS Guidelines-based procedures on cadavers.

Lumbar Vignettes:

• Caudal Epidural Injections
• Sacroiliac Joint Injections
• S1 Transforaminal Epidural Injections
• L5/S1 Disc Access
• L5 Transforaminal Epidural Injections
• L5 Dorsal Ramus Blocks
• L4/5 Facet Joint Injections
• L4/5 Interlaminar Epidural Injections
• L4 Medial Branch Blocks
• L3/4 Disc Access
• L3 Transforaminal Epidural Injections

Cervical Vignettes:

• C7/T1 Facet Joint Injections
• C7/T1 Interlaminar Epidural Injections
• C7 Medial Branch Blocks
• C7 Sympathetic Blocks
• C6/7 and C5/6 Transforaminal Epidural Injections
• C6/7, C5/6, and C4/5 Disc Access
• C4/5/6 Medial Branch Blocks
• C3 Medial Branch and Third Occipital Nerve Blocks
• C1/2 Lateral Atlanto-Axial Joint Injections

View a free, three-minute preview.

Review the journal article and evidentiary table that analyzes the methodology and findings of a study examining the genicular neurotomy of the knee: MRI characterization of T anatomy and implications for intervention. The paper, Investigation of genicular neurotomy of the knee: MRI characterization of T anatomy and implications for intervention, was critically reviewed by SIS Research Division members Drs. Anthony Schwarzer and Vance Lehman. 

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act

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

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Anthony Schwarzer, MB BS, PhD
Nothing to disclose

Vance Lehman
Nothing to disclose

OTHER DISCLOSURES
Anthony Schwarzer, MB BS, PhD
Stock ownership: Ramsay Health and CSL

Vance Lehman
Nothing to disclose

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 6/23/2020 
Date of Activity Expiration: 6/24/2022

Review the journal article and evidentiary table that analyzes the methodology and findings of a study examining the predictors of pain recurrence after lumbar facet joint injections. The paper, Campos, W.K. et al. Predictors of Pain Recurrence After Lumbar Facet Injections, was critically reviewed by SIS Research Division members Drs. Joe Lee and Nathaniel M. Schuster.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Joe Lee, MD
Nothing to disclose

Nathaniel M. Schuster, MD
Speaker: Eli Lilly and Co. (future)
Grant support: Eli Lilly and Co. (non-monetary assistance, no direct payment received)

OTHER DISCLOSURES
Joe Lee, MD
Position as proprietor: Joe Lee, MD, LLC
Stock ownership: Pfizer, TRowe Price Health Sciences Fund
Consultant: Advanced Medical Reviews, Prium, Consultant Veteran Evaluation Services, Consultant Dane Street
Travel Expenses: Veteran Evaluation Services 

Nathaniel M. Schuster, MD
Stock ownership: NociMeter
Any position in physician society/association: SIS, AAPM, AAN/AHS, NANS, ASRN, Pain Medicine Journal

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 6/23/2020 
Date of Activity Expiration: 6/24/2022

Review the journal article and evidentiary table that analyzes the methodology and findings of a study examining adverse events after spinal cord stimulator placement or revision in patients whose anticoagulants had been held. The paper, Safety of Spinal Cord Stimulation in Patients Who Routinely Use Anticoagulants, was critically reviewed by SIS Research Division members Joe Lee, MD and W. Jeremy Beckworth, MD.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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
Dermot Maher, MD
Nothing to disclose

Fahad Khan, MD
Nothing to disclose

OTHER DISCLOSURES
Dermot Maher, MD
Nothing to disclose

Fahad Khan, MD
Nothing to disclose

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 1.0 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: 7/31/2018
Date of Activity Expiration: 7/30/2021

Review the journal article and evidentiary table that analyzes the methodology and findings of a study examining the spread and volume of injectate required for a valid cervical medial branch block (MBB). The paper, Cervical Medial Branch Block Volume Dependent Dispersion Patterns as a Predictor for Ablation Success: A Cadaveric Study by Wahezi SE et al., was critically reviewed by SIS Research Division members Drs. Anthony Schwarzer and Byron Schneider.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Anthony Schwarzer, MB BS, PhD
Nothing to disclose

Byron Schneider, MD
Nothing to disclose

OTHER DISCLOSURES
Anthony Schwarzer, MB BS, PhD
Stock ownership: Ramsay Health, CSL

Byron Schneider, MD
Consultant: AIM Specialty Health, State Farm
Advisory committees: AIM Specialty Health, MACRA
Position in physician society/association: AAPM&R, NASS, SIS, AAP
Travel expenses: NASS, SIS

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 4/30/2019
Date of Activity Expiration: 4/29/2022

Review the journal article and evidentiary table that analyzes the methodology and findings of a study assessing the impact of duloxetine on the effectiveness of spinal cord stimulation. The paper, Duloxetine Improves Spinal Cord Stimulation Outcomes for Chronic Pain, was critically reviewed by SIS Research Division members Dermot P. Maher, MD, MS, and Yi Zhang, MD, PhD.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes" Section 107 of the Copyright Act.

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:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principle to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Demot P. Maher, MD, MS
Nothing to disclose

Yi Zhang, MD, PhD
Nothing to disclose

OTHER DISCLOSURES
Demot P. Maher, MD, MS
Nothing to disclose

Yi Zhang, MD, PhD
Nothing to disclose

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 7/17/2019
Date of Activity Expiration: 7/16/2022

Review the journal article and evidentiary table that analyzes the methodology and findings of a study that aimed to characterize the incidence of systemic reactions to epidural and facet injections of steroid. The paper, The Incidence of Various Types of Systemic Reactions Related to Epidural Steroid Injections: A Prospective Observational Study by Lee GY, Lee JW, Yeom JS, Kim KJ, Shin HI, Kang HS, was critically reviewed by SIS Research Division members Drs. W. Jeremy Beckworth and Joe Lee.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

Credit Designation Statement
SIS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
W. Jeremy Beckworth, MD
Nothing to disclose

Joe Lee, MD
Nothing to disclose

OTHER DISCLOSURES
W. Jeremy Beckworth, MD
Grant support: Mesoblast

Joe Lee, MD
Stock ownership: Pfizer, mutual funds
Consultant: Prium, Advanced Medical Reviews, Veterans Evaluation Services, Redlink
Expert witness: Prium
Position in physician society/association: SIS
Travel expenses: Veteran Evaluation

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 7/9/2018
Date of Activity Expiration: 7/8/2021

Review the journal article and evidentiary table that analyzes the methodology and findings of a study examining adverse events after spinal cord stimulator placement or revision in patients whose anticoagulants had been held. The paper, Safety of Spinal Cord Stimulation in Patients Who Routinely Use Anticoagulants, was critically reviewed by SIS Research Division members Joe Lee, MD and W. Jeremy Beckworth, MD.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information 
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Joe Lee, MD
Nothing to disclose

W. Jeremy Beckworth, MD
Nothing to disclose

OTHER DISCLOSURES
Joe Lee, MD
Stock ownership: Pfizer, mutual funds
Consultant: Prium, Advanced Medical Reviews, Veterans Evaluation Services, Redlink
Expert witness: Prium
Position in physician society/association: SIS
Travel expenses: Veteran Evaluation 

W. Jeremy Beckworth, MD
Grant support: Mesoblast

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release:12/3/2018
Date of Activity Expiration:12/2/2021

Review the journal article and evidentiary table that analyzes the methodology and findings of a study that examined treatment outcomes for patients with lumbar disc herniation who were treated with either interlaminar or transforaminal epidural steroid injections of particulate corticosteroid. The paper, Comparison of Treatment Outcomes in Lumbar Disc Herniation Patients Treated with Epidural Steroid Injections: Interlaminar Versus Transforaminal Approachby Bensler S. et al. was critically reviewed by SIS Research Division members Drs. Yi Zhang and Dermot P. Maher.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Yi Zhang, MD, PhD
Nothing to disclose

Dermot P. Maher, MD, MS
Nothing to disclose

OTHER DISCLOSURES
Yi Zhang, MD, PhD
Nothing to disclose

Dermot P. Maher, MD, MS
Nothing to disclose

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support 
commercial support was received for this activity.

Date of Activity Release: 1/6/2020
Date of Activity Expiration: 1/5/2023

Review the journal article and evidentiary table that analyzed spinal cord stimulation and the effects of varying frequency on sham effect and placebo response. The paper, Prospective, Randomized, Sham-Control, Double Blind, Crossover Trial of Subthreshold Spinal Cord Stimulation at Various Kilohertz Frequencies in Subjects Suffering From Failed Back Surgery Syndrome (SCS Frequency Study), was critically reviewed by SIS Research Division members Nathaniel M. Schuster, MD and Byron J. Schneider, MD.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer 
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

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:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principle to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
Nathaniel M. Schuster, MD
Nothing to disclose

Byron J. Schneider, MD
Nothing to disclose

OTHER DISCLOSURES
Nathaniel M. Schuster, MD
Medical advisor: Karuna Labs
Grant support: Eli Lilly, Migraine Research Foundation, Association of Migraine Disorders, American Association of Orofacial Pain

Bryon J. Schneider, MD
Consultant: Professional Disabilities Associates
Advisory committee: Tennessee Advisory Group - Spine Episodes of Care
Position in physician society/association: NASS, SIS
Travel expenses: NASS, SIS

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 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 9/4/2018 
Date of Activity Expiration: 9/3/2021