Annual Clinical Meeting - American Academy of Pain Management

25th
year!
A m e r i c a n A c a d e m y o f Pa i n Ma n a g e m e n t ’ s
Annual Clinical Meeting
EXPLORE THE SCIENCE, PRACTICE THE ART
OF INTEGRATive PAIN MANAGEMENT
September 18-21, 2014
J W Ma r r i o t t d e s e r t r i d g e , p h o e n i x , a r i z o n a
2014 Keynote
Speakers include:
Gary Kaplan, DO
Donald C. Manning, MD, PhD
September Williams, MD
Daniel Duhigg, DO
Marla Golden, DO
Michael H. Moskowitz, MD, MPH
Peter A. Moskovitz, MD
Jay Sandweiss, DO
See inside
for information
on more than
41 educational
events.
Don’t miss the
early registration
discounts!
REGISTER AT
aapainmanage.org
or give us a call
(209) 533-9744
Join us in PHOENIX!
■ Learn about best practices in
•
pain management: prescribing,
assessing addiction and abuse
issues, diet and supplement use,
the brain in pain, and more.
■ Compete with your peers in the
second annual Pain Game!
■ Become part of our energized
integrative community. Network
with your peers, learn from
experts, and share knowledge
with the best minds in pain
management today.
@AAPainManage #PAIN2014
facebook/aapainmanage.org
■ Physicians can earn up to 26
AMA PRA Category 1 Credits™
.
CE/CEUs will be offered for
other disciplines as well.
WELCOME
25th
year!
Annual Clinical Meeting
25th silver anniversary
EXPLORE THE SCIENCE, PRACTICE THE ART
OF INTEGRATive PAIN MANAGEMENT
September 18-21, 2014
JW Marriott desert ridge
phoenix, arizona
contents
2 About the Meeting
3 Continuing
Education Credit,
Who Should Attend, Learning Objectives
4 Meeting Schedule
6 Hotel Information, Faculty Bios
7 Registration Form 8 Meeting Highlights
contact
information
Registration
(209) 533-9744, Ext.100
www.aapainmanage.org
Or mail to:
American Academy of
Pain Management
975 Morning Star Drive
Suite A
Sonora, CA 95370
Poster Abstract
Submission
and Continuing
Education
(209) 533-9744, Ext.112
[email protected]
aapainmanage.org
Come for the education, the experience, and the fun!
Twenty-five years ago the American Academy of Pain Management (the Academy)
began building a foundation—a membership base—that was truly inclusive and
represented clinicians from a wide variety of disciplines. The founders recognized that,
because of the complexity of chronic pain, patients would not get “better” with single
modality treatments (i.e., medications or procedures) and that optimal care required multiple interventions and treatments by an interdisciplinary team. This is what has always
set our organization apart from the other professional pain organizations and given us
our strength, agility, and ability to grow as new understandings about pain emerge.
Our interdisciplinary approach is most evident at our Annual Clinical Meeting, Exploring
the Science, Practicing the Art, which will take place in Phoenix from September 18-21.
Attendees who’ve been at our past meetings tell us repeatedly that our meeting is different from the others in the variety of speakers, topics and, most of all, the open mindedness of the attendees. They also acknowledge the professional growth and inspiration
that come from meeting with clinicians who represent multiple disciplines coming together
to discuss a problem, deconstruct a case study, or ask different questions.
Our “main stage” programs present research in new and exciting ways that will
challenge you intellectually, emotionally, and ethically. The individual sessions look at
several pain conditions from a variety of perspectives, and our second annual Pain
Game will allow you to test your knowledge in a competitive environment. It is good fun.
Visit our website at www.aapainmanage.org for complete information about the meeting,
including course descriptions, learning objectives and speaker bios. Make your plans
today to celebrate our 25th Anniversary with us and join with the best and the brightest
in an open, interactive, and engaging forum!
Hotel
JW Marriott Phoenix
Desert Ridge
(480) 293-5000
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
2
Register online at www.aapainmanage.org
Sincerely,
Lennie Duensing
Executive Director
LEARNING
OPPORTUNITIES
continuing
education credit
The Academy is applying for approval of 26 hours of credit (6 hours
pre-meeting; 20 hours meeting) for the following disciplines:
Chiropractors
Applying for approval by the Southern California University of Health Sciences
School of Professional Studies.
Counselors
The American Academy of Pain Management is an NBCC-Approved Continuing
Education Provider (ACEPTM) and may offer NBCC-approved clock hours for
events that meet NBCC requirements. The American Academy of Pain Management solely is responsible for all aspects of the program.
who should attend
Any clinician who practices, or is interested in practicing
pain management from an integrative perspective, will
benefit from the meeting.
Family Physicians
Applying for approval by the American Academy of Family Physicians.
learning objectives
Naturopathic Physicians
After the meeting, participants will be able to:
Applying for approval by the Oregon Board of Naturopathic Medicine.
Nurses/Nurse Practitioners
• Describe the benefits of using an integrative model
of care to manage pain.
Applying for approval by The University of Nebraska Medical Center College
of Nursing Continuing Nursing Education which is accredited as a provider of
continuing nursing education by the American Nurses Credentialing Center’s
Commission on Accreditation.
• Explain how research is supporting integrative pain
management techniques.
Nurse Anesthetists
• Create a treatment plan for the patient with chronic
pain that incorporates complementary, lifestyle, and
mind-body therapies when appropriate.
Applying for approval by the American Association of Nurse Anesthetists.
Pharmacists
Applying for approval by The Oregon State University College of Pharmacy which
is approved by the Accreditation Council on Pharmaceutical Education as a
provider of continuing pharmaceutical education.
Physical Therapists
Applying for approval by the Texas Board of Physical Therapy Examiners.
Physicians
The American Academy of Pain Management is accredited by the Accreditation
Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Academy of Pain Management designates this live activity for a
maximum of 26 AMA PRA Category 1 Credits™. Physicians should only claim
credit commensurate with the extent of their participation in the activity.
Psychologists
• Assess pain using a variety of strategies.
partners
Our meeting is a collaborative effort and each year we
look to our partners to help us create and promote the
meeting to their constituents. This marks the sixth year
that the Academy has partnered with the University of
Arizona Center for Integrative Medicine and graduates from their fellowship program will be presenting
throughout the meeting. For the third year, we are
partnering with Project ECHO™ Chronic Pain and
Headache Clinic at the University of New Mexico, and
for the second year, the University of Nebraska School
of Nursing and the Oregon State University College of
Pharmacy will partner with us and continue to provide
accreditation.
The American Academy of Pain Management is approved by the American
Psychological Association to sponsor continuing education for psychologists. The
American Academy of Pain Management maintains responsibility for this program
and its content.
Social Workers
Approved by the Florida Board of Clinical Social Work, Marriage and Family
Therapy and Mental Health Counseling, provider #50-84. Expires 3/31/15.
Please note: the Academy is not offering continuing education hours/credits for acupuncturists, podiatrists
or dentists at this meeting. This list is in the process of being updated. If you have any questions about
CE hours/credits listed above, please contact Cathleen Coneghen, Education Manager, at (919) 890-5215
or [email protected]
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
Register online at www.aapainmanage.org
3
CONFERENCE
SESSIONS
September 18-21, 2014
JW Marriott desert ridge
phoenix, arizona
Annual Clinical Meeting
pre-conference sessions
conference sessions
Thursday, September 18
Thursday, September 18
Hands-on and Didactic Sessions
Meeting Kick-off Activities
5:00-5:30 PM
President’s Welcome
Robert Bonakdar, MD
9:00 AM-4:30 PM
Break: 10:30-10:45 AM
Boxed Lunch (Provided): 12:00-1:00 PM
Break: 2:30-2:45 PM
■ Best Practices in Opioid Prescribing:
Tools and Techniques You Can Use Next Week
Faculty: Jeffrey A. Gudin, MD; Brett B. Snodgrass, MSN, APRN, FNP-C;
W. Clay Jackson, MD, DipTh; Saundra Jain, MA, PsyD, LPC
1. Keynote
Total Recovery: Solving the Mystery of
Chronic Pain and Depression
5:30-6:30 PM
Faculty: Gary E. Kaplan, DO, DABFP, DABPM, FAAMA
6:30-8:30 PM President’s Reception and Exhibits
■ Essentials of Pain Management in the Exhibit Hall
Faculty: Brian Shelley, MD; George D. Comerci, Jr; MD, FACP;
Daniel Duhigg, DO
■ Solving the Mystery of Chronic Pain, Depression and Illness:
F riday, September 19 Total Recovery from Myofascial Pain Syndrome to Central
Sensitization Syndrome
7:00-7:45 AM
Morning Movement (non-CME)
Faculty: Chill Yee, MD
Faculty: Jay P. Shah, MD; Gary E. Kaplan, DO, DABFP, DABPM, FAAMA
7:00-8:00 AM
Supported Breakfast - Advocacy
Faculty: Bob Twillman, PhD
■ Neuroplastic Transformation
Faculty: Marla Golden, DO; Michael H. Moskowitz, MD, MPH
2. Keynote
The Emerging Role of the Microbiome in
Pain Medicine – Why It Matters To You
8:05-9:05 AM
Faculty: Donald C. Manning, MD, PhD
9:05-9:35 AM Break
3. Exercise Prescription for Chronic Pain Conditions
Emphasis on Chronic Low Back Pain
Faculty: Chill Yee, MD
9:35-10:35 AM
4. Opioid Induced Hyperalgesia
Faculty: Jeffrey A. Gudin, MD
5. Know Pain; Know Gain –
Therapeutic Neuroscience Education
Faculty: Adriaan Louw, PT, PhD
6. Enhancing Patient-Provider Communication to
Improve Pain Outcomes
10:40-11:40 AM
Faculty: Brett B. Snodgrass, MSN, APRN, FNP-C
7. Bone Marrow and Adipose Derived Autologous
Stem Cells for the Treatment of Chronic
Musculoskeletal Pain
Faculty: Harry Adelson, ND, DAAPM
8. Interventional Treatment of Low Back Pain
Faculty: Andrew W. Sukiennik, MD
11:45 AM-1:15 PM Supported Lunch
1:20-2:20 PM
9. Self-Regulation Strategies: Biofeedback and
Mindfulness Interventions for Chronic Pain
Faculty: Bruce F. Singer, PsyD; Peter Behel, MA, BCB
10. New Perspectives on Neurogenic Thoracic
Outlet Syndrome
Faculty: Paul J. Christo, MD, MBA
11. Neuroimaging of Central Pain
Faculty: Richard E. Harris, PhD
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
4
Register online at www.aapainmanage.org
Please note the meeting agenda may be
subject to change. For the most updated
session information please visit:
http://aapainmanage.org/conference/
annual-clinical-meeting/agenda.html
CONFERENCE
SESSIONS
Friday, Continued
2:25-3:25 PM Exhibit Hall Drawing
(Last chance to visit the Exhibit Hall)
12. Keynote
Pain Disparity: Clinical Medical Ethical
Considerations and Progressive Care
Faculty: September Williams, MD
3:25-4:25 PM
25. Hypnosis for Pain Control
Faculty: David R. Patterson, PhD, ABPP
3:25-4:25 PM Best Poster Session in the Exhibit Hall
Thomas N. Watson DPT, PT, DAAPM
26. Geriatric Pain
Faculty: Katherine E. Galluzzi, DO, CMD, FACOFP dist.
Poster Session - Exhibit Hall
4:25-5:25 PM
13. Fibromyalgia: A Multidisciplinary, Functional
Medicine Approach to Diagnosis and Treatment
27. Chronic Pelvic Pain: A “Pain Generator”
Oriented Approach to Therapy
Faculty: Robert Moldwin, MD
Faculty: Chris A. Kleronomos, FNP-BC, DAAPM,
DAOM- L.Ac., RH (AHG)
4:30-5:30 PM
28. Analgesia on the Menu: The Role of Nutrition
in the Management of Joint Pain
14. Impact of Post-Operative Pain
Faculty: Albert Ray, MD
Faculty: Nancy Cotter, MD
2:25-3:25 PM
15. Rebuilding Lives
Faculty: Cathie O’Connell, PhD
5:30-6:30 PM
16. plenary
Who is at Risk for Opioid Addiction:
How Do I Know?
Faculty: Daniel Duhigg, DO
6:30-8:00 PM Exhibitor Hosted Cocktail Party
Saturday, September 20
7:00-7:45 AM
Morning Meditation (non-CME)
Faculty: Bruce F. Singer, PsyD 7:00-8:00 AM Supported Breakfast
8:05-9:05 AM
17. Keynote
N.O.R.M.A.L.: Neuroplastic Optimization and Reduction of Medications for Adaptive Living
Faculty: Marla Golden, DO;
Michael H. Moskowitz, MD, MPH
9:05-9:35 AM Break
9:35-10:35 AM
18. An Evidence-Based Review of Dietary
Supplements Used to Treat Pain
Faculty: David Kiefer, MD
19. Hormones and Pain Care: A New Frontier
Faculty: Forest Tennant, MD, Dr. P.H.
29. Total Care for Total Pain:
Antemortem Care in the Postmodern Era
Faculty: W. Clay Jackson, MD, DipTh
30. Is it Myofascial Pain, Fibromyalgia, Migraine or Chronic Widespread Pain: A Differential Diagnosis
Faculty: Joanna Katzman, MD
5:35-6:35 PM
31. Plenary
The Pain Game
Faculty: Bob Twillman, PhD; Katherine E. Galluzzi, DO, CMD, FACOFP dist.; Daniel Duhigg, DO
Sunday, September 21
7:00-7:45 AM Morning Yoga (non-CME)
Faculty: Catherine R. Stallworth, MD, FAAPMR, RYT
7:00-8:00 AM Supported Breakfast
8:00-10:00 AM
32. Tertiary Care for Primary Headaches
Faculty: Duren Michael Ready, MD, FAHS, DAAPM
33. Drug Testing Update: Discussion
with a Clinician and Toxicologist
Faculty: Gary M. Reisfield, MD; Bruce A. Goldberger, PhD
8:00 AM-12:00 PM 34. Worlds Unite: Treating Pain with Manual Medicine, Acupuncture, and Nutraceutical/Herbal Medicine
Faculty: Jay Sandweiss, DO, C–NMM/OMM, FAAMA
10:05-10:15 AM Break
22. Yoga, Mindfulness, and Hypnosis: An Exploration of the Science and Art of Healing
Faculty: Catherine R. Stallworth, MD, FAAPMR, RYT
10:15 AM-12:15 PM 35. Orofacial Pain Management
Part 1: “Chronic Fibrosing Osteomyelitis–Clinical and
Histopathologic Presentation of a Frequently
Misdiagnosed Bone Disease MSD”
Faculty: William R. Adams, DDS, MSD and
Lawrence I. Goldblatt, DDS
Part 2: “Periauricular Percutaneous Electrical Nerve Field
Stimulation (Pnfs): Non-Narcotic Alternatives for Chronic and Acute Post Operative Pain”
Faculty: Christopher R. Brown, DDS, MPS
23. The Interpretation of Spinal MRI for the
Non-Radiologist
36. Risk Management: Behavioral Screening Tools
Faculty: Tracy L. McPherson, PhD
20. Osteopathic Approaches to Back Pain
Faculty: Michael Kurisu, DO
10:40-11:40 AM
21. Selective Pain Pharmacology and Interactions
with Miscalculated Risks
Faculty: Jeffrey Fudin, R.Ph, BS, PharmD, DAAPM, FCCP
Faculty: Christian D. González, MD
11:45 AM-1:15 PM Supported Lunch
24. Keynote
Trusting Your Patients: Objectivity and
Subjectivity in Health and Healthcare
1:20-2:20 PM
Faculty: Peter A. Moskovitz, MD
12:20-1:20 PM
37. Keynote
The Kaleidoscope of Pain:
Musings of Doctoring and Healing
Faculty: Jay Sandweiss, DO, C–NMM/OMM, FAAMA
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
Register online at www.aapainmanage.org
5
FACULTY BIOS
& HOTEL INFO
faculty
William R. Adams, DDS, MSD, Co-Founder, Indianapolis
Endodontics, Indianapolis, Indiana.
Harry Adelson, ND, DAAPM, Medical Director, Docere Clinic,
hotel
JW Marriott Desert Ridge
5350 East Marriott Drive, Phoenix, AZ 85054
Reservations 1-800-266-9432
Group Name
American Academy of Pain Management
2014 Annual Clinical Meeting
Group Rate
Park City, Utah.
Peter Behel, MA, BCB, Clinical Director, Pacific Biofeedback,
Chris A. Kleronomos, FNP-BC, DAAPM, DAOM- L.Ac., RH
(AHG), Medical Director, Fibromyalgia and Neuromuscular Pain
Center of Oregon, LLC., Salem, Oregon.
Michael Kurisu, DO, Clinical Director, University of California San
Diego Center for Integrative Medicine, San Diego, California.
Santa Rosa, California.
Adriaan Louw, PT, PhD, Co-founder and CEO, International Spine
and Pain Institute, Story City, Iowa; Co-owner, The Ortho Spine and
Christopher R. Brown, DDS, MPS, Chief of Healthcare Services, Pain Clinic, and private clinical practice, Story City, Iowa; Adjunct facInnovative Health Solutions, Versailles, Indiana.
Paul J. Christo, MD, MBA, Associate Professor, The Johns
Hopkins University School of Medicine; Host, Aches and Gains
Radio Show, Baltimore, Maryland.
George D. Comerci, Jr., MD, FACP, Co-Leader, UNM ECHO
Pain and Headache Program; Professor of Medicine, University
of New Mexico, Albuquerque, New Mexico.
ulty, Rockhurst University, Kansas City Missouri, St. Ambrose University,
Davenport, Iowa, and University of Las Vegas, Las Vegas, Nevada.
Donald C. Manning, MD, PhD, Chief Medical Officer, Adynxx
Inc., San Francisco, California.
Tracy L. McPherson, PhD, Senior Research Scientist, Substance
Abuse, Mental Health and Criminal Justice Studies, NORC at the
University of Chicago, Bethesda, Maryland.
$219.00 and up per night, government rates also
available. Use government rate code AAPGRA0914.
Nancy Ann Cotter, MD, Lead Physician, Integrative Medicine,
VA NJ Healthcare, East Orange, New Jersey.
Book Online
Daniel Duhigg, DO, Attending Addictions Psychiatrist, University of Pelvic Pain Treatment Center, The Arthur Smith Institute for Urology
https://resweb.passkey.com/go/AAPMclinical
meeting2014
transportation
Airport
Phoenix Sky Harbor International Airport – PHX
Phone: 1-602-273-3300
Distance to the Hotel: 19 miles
Shuttle Service
Super Shuttle
Phone: 1-800-BlueVan (1-800-258-3826)
Fee: $23 (one way); reservation required
Taxi
Estimated taxi fare: $60 (one way)
Car Service
TransStyle
Phone: 1-480-948-6131
Estimated fee: $60 for a Sedan and $80 for an SUV
Car Rentals
Hertz is located at the JW Marriott
Phone: 1-480-538-5480
Parking
On-site parking: $10 daily
Valet parking: $27 USD daily
($17 with a paid resort fee)
RV parking available if self-parked.
New Mexico Interdisciplinary Chronic Pain Initiative Clinic, ECHO and
CPC Adolescent Substance Use Disorders Clinic; Assistant Professor,
Psychiatry and Neurology, University of New Mexico, Albuquerque,
New Mexico.
Jeffrey Fudin, B.S., Pharm.D., FCCP, DAAPM, Owner & Managing Editor, PainDr.com & Pain Blog; Adjunct Associate Professor of
Pharmacy Practice & Pain Management, Albany College of Pharmacy
& Health Sciences, Albany, New York; Adjunct Assistant Professor of
Pharmacy Practice, University of Connecticut School of Pharmacy,
Storrs, Connecticut; Clinical Pharmacy Specialist and Director, PGY2
Pain & Palliative Care Pharmacy Pain Residency, Stratton VA Medical
Center, Albany, New York.
Robert Moldwin, MD, Professor of Urology, Hofstra North
Shore-LIJ School of Medicine, Hempstead, New York; Director,
North Shore-LIJ Healthcare System, New Hyde Park, New York.
Peter A. Moskovitz, MD, Clinical Professor of Orthopaedic
Surgery and Neurological Surgery, George Washington University,
Washington, DC.
Michael H. Moskowitz, MD, MPH, Neuroplastic Partners, LLC,
Bay Area Pain Medical Associates, Sausalito, California; Associate
Clinical Professor, Department of Anesthesiology and Pain Medicine,
University of California, Davis, California.
Cathie O’Connell, PhD, Private Practice, Desert Psychological
Associates, Phoenix, Arizona.
Katherine E. Galluzzi, DO, CMD, FACOFP dist., Professor,
David R. Patterson, PhD, ABPP, Professor of Psychology,
Rehabilitation Medicine, University of Washington School of Medicine,
Seattle, Washington.
Bruce A. Goldberger, PhD, Chief, Professor and Director of
Albert Ray, MD, Medical Director, The LITE Center; Clinical
Associate Professor, University of Miami, Miller School of Medicine,
Miami, Florida.
Chair and Director of the Department of Geriatrics, Philadelphia
College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Toxicology, Division of Forensic Medicine, Department of Pathology,
College of Medicine, University of Florida, Gainesville, Florida.
Lawrence I. Goldblatt, DDS, MSD, Professor of Oral and Maxil-
Duren Michael Ready, MD FAHS, DAAPM, Director, Headache
lofacial Pathology and Dean Emeritus, Indiana University School of
Dentistry, Indianapolis, Indiana.
Clinic, Scott & White Clinic, Texas A&M College of Medicine; Program
Director, Central Texas Headache Fellowship, Scott & White Healthcare, Temple, Texas.
Marla Golden, DO, MS, Neuroplastic Partners, LLC, Integrative
Pain Management, Jacksonville, Florida; Assistant Clinical Professor of
Emergency Medicine and Regional Assistant Dean, Philadelphia College of Osteopathic Medicine, Georgia Campus, Suwanee, Georgia.
Gary M. Reisfield, MD, Assistant Professor and Chief, Pain
Management Services, Divisions of Addiction Medicine and Forensic
Psychiatry, Department of Psychiatry, University of Florida College of
Medicine, Gainesville, Florida.
Christian D. González, MD, Clinical Director, Pain Medicine,
Aventura Spine & Wellness Center, Aventura, Florida; Vice President,
American Academy of Pain Management, Sonora, California.
Jay Sandweiss, DO, C-NMM/OMM, FAAMA, Private Wellness-
Jeffrey A. Gudin, MD, Director of Pain and Palliative Care,
Englewood Hospital and Medical Center, Englewood, New Jersey;
Clinical Instructor, Anesthesiology, Mt. Sinai University School of
Medicine, New York, New York.
Richard E. Harris, PhD, Assistant Professor, Department of
Anesthesiology, University of Michigan, Ann Arbor, Michigan.
W. Clay Jackson, MD, DipTh, Clinical Assistant Professor of Psy-
chiatry, University of Tennessee College of Medicine; Private practice
in family and palliative medicine, Memphis, Tennessee.
Oriented Osteopathic Medical Practice, Ann Arbor, Michigan.
Jay P. Shah, MD, Senior Staff Physiatrist, Rehabilitation Medicine
Department, National Institutes of Health Clinical Research Center,
Bethesda, Maryland.
Brian Shelley, MD, Wellness Director, First Choice Community
Healthcare, Albuquerque, New Mexico.
Bruce F. Singer, PsyD, Director, The Chronic Pain and Recovery
Center (CPRC), Silver Hill Hospital, New Canaan, Connecticut.
Brett B. Snodgrass, MSN, APRN, FNP-C, Family Nurse Practitioner, Comprehensive Primary Care, Bartlett, Tennessee.
Saundra Jain, MA, PsyD, LPC, Private Practice, Austin, Texas;
Catherine R. Stallworth, MD, FAAPMR, RYT, Medical
Gary E. Kaplan, DO, DABFP, DABPM, FAAMA, Clinical Associate Professor, Department of Community and Family Medicine,
Georgetown University School of Medicine; Medical Director/President, Kaplan Center for Integrative Medicine, McLean, Virginia.
Andrew W. Sukiennik, MD, Assistant Professor, Tufts Medical
Pain Center, Albuquerque, New Mexico; Neurologist, University of New
Mexico Health Sciences Center, Albuquerque, New Mexico; Director,
University of New Mexico Project ECHO Chronic Pain and Headache
Program, Albuquerque, New Mexico.
Clinic, West Covina, California.
David S. Kiefer, MD, Clinical Faculty, Department of Family
Medicine and Institute on Aging, University of Wisconsin,
Madison, Wisconsin; Clinical Assistant Professor of Medicine,
Arizona Center for Integrative Medicine, University of Arizona,
Tucson, Arizona.
September Williams, MD, Clinical Medical Ethicist, Ninth Month
Consults: A Bioethics Consultation Practice; Writer and Filmmaker,
San Francisco Bay Area.
Adjunct Clinical Affiliate, University of Texas at Austin, School of
Nursing, Austin, Texas.
Director, St. Thomas Hospital Rehabilitation Center; Founder,
BE Well Integrative Medical Clinic, Nashville, Tennessee.
School, Boston, Massachusetts; Board-certified Anesthesiologist
and Pain Management Physician, Winchester Hospital, Winchester,
Massachusetts.
Joanna Katzman, MD, MSPH, Director, University of New Mexico Forest Tennant, MD, Dr. P.H., Owner, Veract Intractable Pain
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
6
Register online at www.aapainmanage.org
Bob Twillman, Deputy Executive Director and Director of Policy
and Advocacy, American Academy of Pain Management, Kansas
City, Kansas.
Chill Yee, MD, Private Practice; Clinical Faculty Member, Sutter
Medical Group, Davis, California.
September 18-21, 2014
JW Marriott desert ridge
phoenix, arizona
REGISTRATION
FORM
Annual Clinical Meeting
1.
ATTENDEE INFORMATION (Please print or type)
Name ________________________________________________________Clinical License(s)_____________________________________________
Company, Facility, or Clinic Name (Required if Pain Program Accredited Facility)_______________________________________________________________
Address _________________________________________________________________________________________________________________
City____________________________________________________________ State___________________________Zip______________________
Daytime Phone____________________________________________E-mail (required) ________________________________________________
2.
3.
Pre-Meeting Subtotal $_______________
Pre-Meeting registration Thursday 8:00 AM to 3:30 PM (up to 6 add’l CE/CME and .6 CEUs)
Choose one
$399
$399
$399
$399
Best Practices in Opioid Prescribing: Tools and Techniques You Can Use Next Week
Essentials of Pain Management (This course is a study aid for the Academy’s credentialing exam)
Solving the Mystery of Chronic Pain, Depression and Illness: Total Recovery from Myofascial Pain Syndrome to Central Sensitization Syndrome
Neuroplastic Transformation
Meeting Registration Subtotal $_______________
Clinical Meeting Registration
Included in your fee: Thursday Keynote and President’s Reception, all day Friday, Saturday, and Sunday.
Member*
Non-Member with 1 year Membership
Non-Member
Full-Time Student Member **
Full-Time Student with 1 year Membership**
Full-Time Student Non-Member **
Friday, Saturday, Sunday
One Day Only
Early Bird to 4/11/14 Advanced to 7/11/14 Regular to 9/17/14
Onsite 2014
$429
$654
$599
$79
$149
$119
$299
$799
$1024
$999
$209
$279
$249
$409
$499
$724
$699
$109
$179
$149
$329
$599
$824
$799
$159
$229
$199
$359
* Employees of Academy’s Pain Management Facilities Members may register at Member rate.
** Must provide proof of student or resident status, by fax at the time of registration. Fax to 209-533-9750
4.
5.
6.
Group Registration Subtotal $_______________
Register 3 or more from the same business
All registered attendees must register at the same time with the same form of payment.
Note: Pre-meeting sessions are additional. Group registrations available through September 5, 2014
Quantity______ @ $399 each
Guest Registration (one guest per registered attendee)
Allows entrance to Exhibit Hall and Academy noncatered academic sessions.
Guests may not attend symposia or plenary sessions. Only one guest per registered attendee.
Guest Registration Subtotal $_______________
Quantity______ @ $299 each
Payment information
PAYMENT TOTAL $_______________
Enclosed is my check or money order payable to the American Academy of Pain Management (US funds only) or,
Please charge to
Visa
MasterCard
Discover
Amex
Credit Card # _____________________________________________ Expiration Date (MM/YY)_____________Verification Number______________
Billing Address (required)________________________________________________________________________________
City ___________________________________________ State _________________________ Zip ____________________
7.
SIGN AND RETURN
Should you need to cancel, you must notify the Academy in writing before June 7, 2014 in order to receive a refund.
All cancellations are subject to a $50 processing fee. Refunds will not be issued after June 7, 2014.
Signature ____________________________________________________________________________
RETURN FORM TO: American Academy of Pain Management, 975 Morning Star Drive, Suite A,
Sonora, CA 95370, Phone 209-533-9744, Fax 209-533-9750
OR register online: www.aapainmanage.org
or by phone: (209) 533-9744
Date_______________________
american academy of pain management
25th annual clinical meeting
September 18-21, 2014
JW Marriott desert ridge, phoenix, arizona
Register online at www.aapainmanage.org
7
American Academy of Pain Management
975 Morning Star Drive #A, Sonora CA 95370
NONPROFIT ORG
US POSTAGE
PAID
HAYWARD CA
PERMIT #3335
Annual Clinical Meeting
EXPLORE THE SCIENCE, PRACTICE THE ART
OF INTEGRATive PAIN MANAGEMENT
September 18-21, 2014
JW Marriott desert ridge
phoenix, arizona
FIRST-CLASS MAIL
US POSTAGE
PAID
HAYWARD CA
PERMIT #3335
See inside
for information
on more than
41 educational
events.
Don’t miss the
early registration
discounts!
REGISTER AT
aapainmanage.org
or give us a call
(209) 533-9744
FIRST-CLASS MAIL
US POSTAGE
PAID
HAYWARD CA
PERMIT #3335
MEETING
HIGHLIGHTS
Preconference
Sessions
The Pain Game
Poster Sessions
Check out our preconference
courses led by experts in the
field.
Test your knowledge, compete
with your peers and have a lot
of fun at our second annual
Pain Game.
President’s
Welcome Reception
Mobile
Meeting App
Credentialing
Exam
Network with your peers and
exhibitors at the official kick off
of the 25th Annual Conference
in the Exhibit Hall.
Exhibitor Hosted
Cocktail Party
Enjoy cocktails and and hors
d’oeuvres while mingling and
networking in the Exhibit Hall.
Download the 2014 mobile
meeting app and plan what
you want to see, find where
you want to go, and share your
favorite sessions to your social
networks. Available soon for
free download on your iPhone,
iPad, Blackberry, or Android.
Present your research or
discover new scientific breakthroughs in pain management
at the 2014 Poster Sessions.
Gain a professional edge
and become a Credentialed
Member. The Annual Clinical
Meeting can serve as a study
aid for the credentialing exam.
Apply now if you would like
to take the exam. The exam
will be offered Sunday
afternoon.
EXPLORE
THE SCIENCE,
PRACTICE
THE ART
EXPLORE
THE SCIENCE,
PRACTICE
THE ART
FIRST-CLASS MAIL
US POSTAGE
PAID
HAYWARD CA
PERMIT #3335
FIRST-CLASS MAIL
US POSTAGE
PAID
HAYWARD CA
PERMIT #3335