Interventional Pain Procedures and Timing with COVID Vaccination

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Program

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Faculty will discuss these topics, followed by a Q&A:

  • Immunosuppressive effects of steroids
  • Mechanism of action of mRNA vaccines related to novel coronavirus
  • Theoretical role of steroids in immunosuppression in mRNA vaccine immunogenicity
  • Recommendations for timing of elective steroid interventional pain procedures related to COVID-19 vaccination

 


Faculty

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View faculty disclosure

Planning Committee

Andrea Chadwick, MD, MS
Ameet Nagpal, MD, MS


Faculty
Chadwick_Andrea

Andrea Chadwick, MD, MS, completed her residency in anesthesiology at the University of California Los Angeles (UCLA), then trained in pain medicine at the same institution. Concurrently with fellowship training, Dr. Nicol conferred a master’s of science in clinical research through the UCLA Department of Biomathematics. Currently, she is an assistant professor at the University of Kansas School of Medicine in Lawrence where her clinical responsibilities include chronic pain and her research interests include fibromyalgia, centralized pain syndromes, and mechanisms of the chronification of pain. 


Dr. Haewon Lee

Haewon Jennifer Lee, MD, is a board-certified physical medicine and rehabilitation physician who specializes in nonsurgical treatment for neck and back pain. Her practice focuses on helping people return to the activities they enjoy and improving their quality of life. Beyond spine health, she evaluates and treats many other joint and musculoskeletal conditions, including injuries and conditions of the shoulder, hip, knee, elbow, and sacroiliac joint. Dr. Lee completed a fellowship in interventional spine and musculoskeletal medicine at Hospital of the University of Pennsylvania, where she also completed residency training and was chief resident. She earned her medical degree from Rutgers New Jersey Medical School.


Dr. Zachary McCormick

Zachary McCormick, MD, is a board-certified specialist in both pain medicine and physical medicine and rehabilitation (PM&R). He focuses on the diagnosis and treatment of spine and musculoskeletal pain conditions, with an emphasis on improving function and quality of life. He has expertise in the care of neck and back problems, including disc herniations, spinal stenosis, and degenerative conditions of the cervical, thoracic and lumbar spine. His philosophy is grounded in a multimodal, comprehensive approach that is customized to each individual patient to help achieve his or her specific goals. He received his MD at the University of Pennsylvania and completed a PM&R residency and fellowship at Northwestern University (The Rehabilitation Institute of Chicago). Following training, he served as a faculty member at the University of California San Francisco. Dr. McCormick currently serves as an associate professor of PM&R, chief of the Spine and Musculoskeletal Rehabilitation Section, director of the Interventional Spine and Musculoskeletal Medicine Fellowship, and director of Clinical Spine Research.


Dr. Ameet Nagpal

Ameet Nagpal, MD, MS, is division chief of pain medicine at UT Health San Antonio's Joe R. & Theresa Lozano Long School of Medicine, medical director of UT Health Pain Consultants, and an associate professor/clinical in the department of anesthesiology. He is board certified in physical medicine & rehabilitation and pain medicine. He has a Masters of Science in Physiology & Biophysics and a Masters in Education in Healthcare Curriculum & Instruction. His clinical and research interests include abuse-deterrent opioid therapy, neuromodulation, and interventional treatment for chronic pelvic pain.


CME-CPD

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    Educational objectives

    After participating in this educational activity, participants should be able to:

    • Discuss the basic science data associated with immunosuppressive effects of steroids.
    • Explain the basic mechanism of action of mRNA vaccines, specifically related to the novel coronavirus.
    • Describe the theoretical role in immunosuppression that steroids may play in mRNA vaccine immunogenicity.
    • Outline recommendations on the timing of elective steroid interventional pain procedures and administration of the COVID-19 vaccination.

    Target audience

    This webinar is designed for the physician learner wanting to gain an understanding of the immunosuppressive role of steroids and how this may affect COVID-19 mRNA vaccine immunogenicity.  This webinar will also provide the learner with evidence-based recommendations on the timing of interventional steroid pain injections in patients undergoing COVID-19 vaccination.


    Accreditation and credit designation statements

    Total Credits: 1.00
    • Physicians: The American Society of Regional Anesthesia and Pain Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

    The American Society of Regional Anesthesia and Pain Medicine designates this internet live activity (“course”) for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    • PAs (Physicians Assistants): AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1.00 hours of Category 1 credit for completing this program.
    • Nurse Practitioners: The American Association of Nurse Practitioners (AANP) accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. This activity has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.™
    • Registered Nurses: Regulations dictate that only physicians may earn CME credits, however, many state Boards of Registered Nursing accept AMA PRA Category 1 Credits™ from organizations accredited by the ACCME. Attendees are responsible for confirming their specific board’s acceptance of ASRA-provided credits. This activity has been approved for a maximum of 1.00 AMA PRA Category 1 Credits.™
    The American Board of Anesthesiology® MOCA®
    This activity contributes to the CME requirements for Part II: Lifelong Learning and Self-Assessment of the American Board of Anesthesiology’s (ABA) redesigned Maintenance of Certification in Anesthesiology Program® (MOCA®), known as MOCA 2.0.™ Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements. Maintenance of Certification in Anesthesiology Program ® and MOCA® are registered certification marks of The American Board of Anesthesiology.® 

    ASRA is an ABA-approved provider and, as a service to ASRA members and participants, CME credits are reported to the ABA. Participants must include their correctly formatted ABA ID number (34567890) during the online evaluation and credit claim process available at the conclusion of the activity. Once the online evaluation and credit claim process is closed, certificates will be issued and credits reported to the ABA. After this time, participants may request their CME certificate by contacting asrameetings@asra.com, but ASRA will no longer report credits to the ABA, which will then be the individual participant’s responsibility.

    International credits
    Royal College of Physicians and Surgeons of Canada: The Royal College of Physicians and Surgeons of Canada has agreements based on the mutual recognition of credit points with the American Medical Association for live and web-based (synchronous or asynchronous) educational events.  You may submit your CME certificate directly for credit recognition of this accredited group learning activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada. For more information, visit: www.royalcollege.ca 

    European Accreditation Council for Continuing Medical Education (UEMS-EACCME): The UEMS-EACCME has agreements based on the mutual recognition of credit points with the American Medical Association for live and e-learning educational events.  Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS): www.uems.eu

    Commercial support disclosure 
    No industry support has been received for this educational activity.

    Disclosure and resolution of personal conflicts of interest
    View faculty disclosure. In accordance with the ACCME’s Standards for Commercial Support and related policies, ASRA is committed to ensuring balance, independence, objectivity, and scientific rigor in its CME/CPD activities. Those in control of the educational content disclose all relevant relationships (financial or other) with any commercial interest that they or their spouse/partner have had within the past 12 months. If an individual refuses to disclose, they are disqualified from participating. Disclosure information is evaluated and conflicts of interest resolved. Disclosure is made to participants prior to the activity. Participants are asked to evaluate the objectivity and independence. Off-label or investigational use of a therapeutic product is also disclosed. 

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