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Activity Description

Lumbar spinal stenosis (LSS) is a prevalent degenerative condition that impacts a large patient population and has posed unique challenges for clinicians tasked with treating patients seeking relief.  Currently employed common and conservative relief methods pose limitations and offer suboptimal results in various patient subsets, especially when considering the negative effects of opioid dependence and addiction.

This activity evaluates the promising strategy of the reimbursable MILD procedure for treating LSS patients minimally invasively, which restores mobility and reduces pain, while offering a low risk of major complications. The leading experts examine optimal strategies to identify and treat LSS through didactic lectures, discussions, and a compendium of case reviews in order to ensure successful adoption and implementation of the MILD procedure within daily practice.

Cardiac Rhythm Management

Access Webcast

Webcast

Click on the session title listed below to view each presentation.

For those wishing to obtain your continuing medical education certification, access Earn CME Credit Tab at the conclusion of the webcast; select the appropriate answer to each posttest question, and successfully obtain the passing score as designated at the top of the test.

tmb vertos 2019 dr Deer pres

Lumbar Spinal Stenosis and Treatment Options
Timothy Deer, MD, DABPM, FIPP

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tmb vertos 2019 dr Golovac pres

Typical Lumbar Spinal Stenosis Patients and Differentiating Symptom Types
Stanley Golovac, MD

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tmb vertos 2019 dr Jassal pres

Confirming Symptoms with an MRI
Navdeep Jassal, MD

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tmb vertos 2019 npc Comer pres

Integrating Lumbar Spinal Stenosis ID and Efficient Patient Management into your Practice’s Routine
Ashley Comer, APRN, NP-C

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tmb vertos 2019 FAQ

FAQ with MILD Providers

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Cardiac Rhythm Management

Commercial Supporter

This activity is supported by an educational grant from Vertos Medical

Joint-Providers

MediaSphere Medical, LLC and Ciné-Med

 

Faculty

Faculty

tmb vertos 2019 npc Comer port

Ashley Comer, APRN, NP-C
The Spine & Nerve Center of the Virginias

tmb vertos 2019 dr Deer port

Timothy Deer, MD, DABPM, FIPP
President & CEO, The Spine & Nerve Center of the Virginias
Clinical Professor of Anesthesia & Pain Medicine at the West
Virginia School of Medicine
Past President, International Neuromodulation Society
Chairman, The American Society of Pain & Neuroscience

tmb vertos 2019 dr Golovac port

Stanley Golovac, MD
Santiago University of Technology School of Medicine
University of Miami JMH Anesthesiology
Board Certified in Anesthesiology & Pain Medicine

tmb vertos 2019 dr Jassal port

Navdeep Jassal, MD
Double Board Certified in Interventional Pain Medicine & Physical Medicine and Rehabilitation
Spine & Pain Institute of Florida

 

CME Information

CME Released: 10/22/2019; Valid for credit through 10/22/2020

Target Audience

This activity is intended to meet the educational needs of physicians and allied healthcare professionals managing patients with lumbar spinal stenosis.

Activity Goal

This activity is designed to address the following ABMS/IOM competencies: Patient Care, Medical Knowledge, and Practice-Based Learning.

Learning Objectives

Upon completion of this activity, participants will be able to:

  • Evaluate common symptoms of lumbar spinal stenosis (LSS) and optimal processes for identification.
  • Review new LSS treatment algorithm, including categories of treatment available and a new treatment modality.
  • Assess how to practically incorporate the LSS treatment algorithm, including best practices to ensure all LSS patients are appropriately and routinely evaluated, educated, and treated.
  • Understand the safety and efficacy of the MILD procedural approach, including clinical study results, practice guidelines, and patient identification criteria.
  • Implement strategies for integrating LSS ID and efficient patient management into a clinical practice routine.

Accreditation Statement

Jointly Accredited Provider TM This activity has been planned and implemented by Ciné-Med and MediaSphere Medical. Ciné-Med is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Ciné-Med designates this enduring activity for a maximum of 1 AMA PRA Category 1Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Ciné-Med provides 1 Contact Hour for Nurses.

Disclosure Policy

MediaSphere Medical and Ciné-Med adheres to accreditation requirements regarding industry support of continuing medical education. Disclosure of the planning committee and faculty’s commercial relationships are made known during faculty presentations. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

All MediaSphere Medical and Ciné-Med employees in control of content have indicated that they have no relevant financial relationships to disclose.

It is the policy of MediaSphere Medical and Ciné-Med to ensure balance, independent objectivity, and scientific rigor in all its supported educational programs. All faculty members participating in educational activities are required to disclose to the program audience any real of apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners. Faculty disclosures will be made available at the outset of the faculty introductory slides.

Non Endorsement Statement

MediaSphere Medical and Ciné-Med verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. This activity is designed to be completed within the time designated on the title page; physicians and nurses should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™ or Contact Hours, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and faculty disclosures.
  2. Review the educational presentations
  3. Select the appropriate answer to each posttest question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

Provider Contact Information

For technical support or CME/CE questions regarding this activity, please email us at This email address is being protected from spambots. You need JavaScript enabled to view it..

Hardware/Software Requirements:

  • A computer with an Internet connection.
  • Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser.
  • Adobe Flash Player and/or an HTML5 capable browser may be required for video or audio playback.
  • Occasionally other additional software may be required such as PowerPoint or Adobe Acrobat Reader.

MediaSphere protects the privacy of personal and other information regarding participants, educational partners, and joint sponsors. MediaSphere and our joint sponsors will not release personally identifiable information to a third party without the individual’s consent, except such information as is required for reporting purposes to the appropriate accrediting agency. MediaSphere maintains physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

Copyright © 2018 by MediaSphere Medical. All rights reserved. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, without first obtaining permission from MediaSphere Medical

 

CME/CE Test

CME/CE Test
  1. Rationale and Best Practices for Lumbar Spinal Stenosis
    Identifying and Treating Patients with the MILD Procedure
  2. Please enter your information, and complete the following CME/CEU post test and evaluation form. Upon successful completion, your submission will be reviewed and you will receive notification shortly regarding the status of your certificate. You must achieve a minimum score of 70% to earn credit for this activity.

  3. First Name: *  
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  4. Last Name: *  
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  5. Primary Email Address: *  
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  6. Confirm Your Email: *  
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  7. Degree: *  
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  8. Institution: *  
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  9. Mailing Address:*  
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  10. City: *  
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  11. State: *  
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  12. 1. The aging effects of disc degeneration, bone overgrowth, and ligament thickening all can contribute to narrowing of the spinal canal.
  13. Select one*  


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  14. 2. Which of the following are common symptoms of spinal canal narrowing and canal triangulation which cause compression?
  15. Select one*  




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  16. 3. The following are common relief methods to manage Lumbar Spinal Stenosis (LSS).
  17. Select one*  




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  18. 4. In the new LSS treatment algorithm, minimally invasive lumbar decompression (MILD) is recommended as the next step when conservative care is no longer effective.
  19. Select one*  


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  20. 5. MILD is an outpatient procedure performed with a local anesthetic, under monitored anesthesia care sedation, which is typically performed in 30-45 minutes, affords minimal recovery, and is reimbursable nationwide by Medicare.
  21. Select one*  


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  22. 6. Which of the following statement(s) is accurate surrounding the safety summary of the MILD procedure?
  23. Select one*  




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  24. 7. A LSS Consensus Group, comprised of nationally recognized spine experts, evaluated all available peer-reviewed literature to develop the MIST Guidelines (Minimally Invasive Spine Treatment), which provides a consensus-driven, order sequence of treatment for LSS. Which of the following takeaways from the MIST guidelines are accurate?
  25. Select one*  





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  26. 8. Conservative therapy limitations for treating LSS present patients with a choice of managing their pain with short-terms efficacy treatments with a desire to avoid/unable to have open surgery, placing them in a “holding pattern” between conservative care and open surgery.
  27. Select one*  


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  28. 9. The MILD procedure option can help a broad spectrum of patients, which include patients with comorbidities and non-surgical candidates who suffer mild-to- severe stenosis.
  29. Select One*  


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  30. 10. MILD candidate range is broad and can help patients with health issues and comorbidities. Which of the following diagnostic approaches should be employed to confirm candidates?
  31. Select One*  






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  32. 11. What are key strategies to successfully integrate LSS ID and efficient patient management into a practice’s routine?
  33. Select One*  




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  34. Although optional, we respectfully request that you complete the activity evaluation form, since your feedback assists in the development of future educational activities.

  35. Background

    Please rate each question using a scale of 1 to 5 (1 = Beginner, 5 = Advanced)


  36. I would consider my level of expertise in the subject matter prior to the webcast as:
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  37. I would consider my level of expertise in the subject matter after the activity
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  38. Considering my experience and background, the material presented was:
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  39. Extent to which activity met the identified objectives
    Please rate each question using a scale of 1 to 5 (1 = Not Met, 5 = Completely Met)

  40. Evaluate common symptoms of Lumbar spinal stenosis (LSS) and optimal processes for identification.
    Invalid Input Please Select one

  41. Review new LSS treatment algorithm, including categories of treatment available and new treatment modality.
    Invalid Input Please Select one

  42. Assess how to practically incorporate the LSS treatment algorithm, including best practices to ensure all LSS patients are appropriately and routinely evaluated, educated, and treated.
    Invalid Input Please Select one

  43. Examine the safety and efficacy of the MILD procedural approach, including clinical study results, practice guidelines, and patient identification criteria.
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  44. Discuss strategies for integrating LSS ID and efficient patient management into a clinical practice routine.
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  45. Information Presented
    Please evaluate the information that was presented by answering Yes, No, Maybe or Not Applicable

  46. Reinforced my current practice/treatment habits:
    Invalid Input Please Select one

  47. Will improve my practice/patient outcomes:
    Invalid Input Please Select one

  48. Enhanced my current knowledge base:
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  49. Provided new ideas or information that I expect to use:
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  50. Information gained from this activity will result in making a change in your practice:
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  51. Future activities on this subject matter is important to my practice:
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  52. Addressed a professional practice gap:
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  53. Was free of commercial bias/influence:
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  54. What barriers do you anticipate in incorporating best practices learned in this activity into clinical activities or quality improvement initiatives at your institution?
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  55. What mechanisms can you identify to overcome these barriers?
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  56. (*) Required Fields
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Cardiac Rhythm Management