The Society of Interventional Radiology

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SIR Learning Center

Extended care through advanced technology

Featured Activities

This month’s journal-based CME article is titled "Hemodialysis access maintenance in the Medicare population: An analysis of trends by provider specialty and site of service over a decade".

This clinical study evaluates annual national trends in hemodialysis access maintenance procedures in the Medicare population by specialty and setting.

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

FREE for SIR members
$20.00 nonmembers

After participating in this journal-based CME activity, learners should be able to

  • Based on the Medicare data, list the approximate percentage of Medicare fee-for-service spending attributable to patients with End Stage Renal Disease (ISRD).
  • Cite the trend the authors noted over the years with regard to specialties providing HD conduit maintenance services.
  • Describe the trend the authors noted over the years with regard to location and reimbursement for HD conduit procedures.

This program is designed to meet the educational needs of interventional radiologists, vascular surgeons, nephrologists, internists; nurses, techs, and trainees at all level with special interest in dialysis.

JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA

Authors
Osman Ahmed, MD
Ketan Patel, MD, MBA
Rana Rabei, BS
Mikin V. Patel, MD, MBA
Michael Ginsburg, MD
Bishir Clayton, BS
Bulent Arslan, MD

Department of Radiology, Section of Interventional Radiology, Rush University Medical Center, Chicago, IL

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR) - approved January 1, 2018. SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This month’s journal-based CME article is titled "A randomized trial of endovascular embolization treatment in pelvic congestion syndrome: Fibered platinum coils versus vascular plugs with one-year clinical outcomes".

This clinical study compares the safety, clinical efficacy and cost of vascular plugs (VPs) and fibered platinum coils (FPCs) for embolization in pelvic congestion syndrome (PCS).

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 60% or better on the post test. Participants will have three opportunities to score 60% or better.

After participating in this journal-based CME activity, learners should be able to

  • List the percentage of women that experience symptom relief (dysmenorrhea, dyspareunia and urinary urgency) at one year following embolization for pelvic congestion syndrome.
  • Cite the advantages and disadvantages of using VPs for pelvic congestion syndrome in the context of efficacy, safety procedural length and cost.
  • Describe the rate of complications, specifically device migration requiring retrieval (overall, FPCs and VPs)

This program is designed to meet the educational needs of interventional radiologists, gynecologists and internal medicine physicians; nurses, techs, and trainees at all level with special interest in pelvic congestion syndrome.

JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA

Authors
Miguel De Gregorio, MD, PhD
Jose Guirola, MD
Celia Lahuerta, MSc
Victoria Mayoral, MD, PhD
Maria Sanchez-Ballestin, MD
Sergio Sierre, MD

Hospital Clinico Universitario Lozano Blesa

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR) - approved December 1, 2018. SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This month’s journal-based CME article is titled "Endovascular Interventions for Femoropopliteal Peripheral Artery Disease: A Network Meta-Analysis of Current Technologies".

In this article, the authors utilize network meta-analysis (NMA) to determine the optimal endovascular strategy for the management of femoropopliteal peripheral artery disease (PAD) by combining data from 15 randomized controlled trials (RTC) and 10 prospective single-arm trials to compare five treatments: bare metal stents (BMS), polymer-covered stents, drug-eluting stents, drug-coated balloons (DCB) and percutaneous transluminal angioplasty (PTA).

To receive CME credit for this journal-based CME activity, participants must read the journal article and score 70% or better on the post test. Participants will have three opportunities to score 70% or better.

After participating in this journal-based CME activity, learners should be able to

  • List limitations of the existing body of literature that have been conducted to identify the best treatment option for femoropopliteal PAD.
  • Cite the reduction in target lesion revascularization (TLR) for the above listed options.
  • Describe the advantage of DCB when compared to BMS and PTA with regards to TLR.

This program is designed to meet the educational needs of interventional radiologists, vascular medicine, vascular surgeons, nurses, techs, and trainees at all level with special interest in PAD.

JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA

Authors
Michael R. Jaff, DO
Teresa Nelson, MS
Nicole Ferko, MSc
Melissa Martinson, PhD
Louise H. Anderson, PhD
Sarah Hollmann, M. Biotech

Newton-Wellesley Hospital, Newton, MA

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR) - approved November 1, 2017. SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

Managing acute arterial occlusion remains a challenge and in the correct setting, thrombolysis, PTA and stenting are excellent treatment options. Despite these advances, the morbidity, mortality, and limb loss rates from acute lower extremity ischemia remain high, and therefore, early diagnosis and rapid treatment are essential to salvage the extremity. The nuts and bolts of patient evaluation, understanding etiologies of and determining appropriate management will be reviewed here.

SIR members $25
Standard $100

Upon completion of this Webinar, participants should be able to:

  • Discuss pre-procedure patient evaluation and minimize potential complications.
  • Identify appropriate candidates and best treatment options based on presentation and anatomy.
  • Review technical pearls that can lead to improved clinical outcomes.

This enduring activity is designed to meet the educational needs of interventional radiologists and other physicians at all levels with special interest in acute arterial thrombosis. 

Coordinator
Mark J. Garcia, MD, FSIR, EnvoVascular Consultants 

Speakers
Parag J. Patel, MD, MS, Medical College of Wisconsin 
Derek Mittleider, MD, Vascular & Interventional Physicians, Spectrum Medical Group 
Daniel A. Leung, MD, FSIR, Christiana Care Healthy System
James F. Benenati, MD, FSIR, Baptist Cardiac & Vascular Institute

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This on-demand activity will use hepatic embolization as the basis for discussion; speakers will provide their approaches – bland embolization, TACE, DEB-TACE, and/or radioembolization in patients with a variety of primary and secondary malignancies. Patients will be followed from consult through procedure to follow up. 

SIR members $25
Standard $100

Upon completion of this enduring activity, the participant will be able to: 

  • Demonstrate the factors that must be considered in choosing the most appropriate embolic
  • Describe procedural techniques specific to bland-, chemo-, and radio-embolics
  • Explain potential advantages and disadvantages of available embolics vis-a-vis the treatment of patients with hepatic malignancies

This program is designed to meet the educational needs of interventional radiologists, diagnostic radiologists, and other physicians at all levels with special interest in embolization treatments.

Coordinators
Jafar Golzarian, MD, FSIR, University of Minnesota
Matthew S. Johnson, MD, FSIR

Speakers
Matthew S. Johnson, MD, FSIR
Gregory J. Nadolski, MD
Jafar Golzarian, MD, FSIR
Ron C. Gaba, MD, FSIR

The Society of Interventional Radiology (SIR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In many practices, there are no interventional radiologists who are specifically certified in pediatric interventional radiology yet many of these interventionalists perform procedures on children. The first part of this activity addresses general considerations in pediatric intervention that differ from adults. Other components of the activity focus on specific procedures and what aspects may be different in a pediatric population, specifically clinical management, venous and enteral access as well as biopsy and drainage.

Originally presented at SIR 2017 Annual Scientific Meeting in Washington, DC

Upon completion of this Webinar, participants should be able to:

  • Summarize similarities and differences between pediatric and adult patients
  • Explain how interventional oncology may benefit pediatric patients
  • Describe aspects of specific procedures in pediatric patients

This program is designed to meet the educational needs of interventional radiologist, IRs in training, nurses, techs and other physicians at all levels with special interest in treating children.

Coordinators:
Gail L. Peters, MD; Emory University
Karun Sharma, MD, PhD; Children's National Medical Center

Speakers:
Anne Gill, MD; Emory University Hospital
Lisa Kang, MD; UT Southwestern/Children's Health
Ranjith Vellody, MD; Children's National Medical Center

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program will be approved for a maximum of 1.50 self-assessment CME credits (SA-CME) by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME offered within this enduring material meet the ABR’s criteria for a self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This course will provide an up-to-date overview of the ever-expanding role of IR in the creation and maintenance of access for hemodialysis. While new technologies will be highlighted, well established approaches to de-clotting and PTA will also be covered. A peek into the underlying cellular pathology will give a glimpse into the future of this field of IR practice.

Originally presented at SIR 2017 Annual Scientific Meeting in Washington, DC

Upon completion of this Webinar, participants should be able to:

  • Distinguish the different tools to increase access patency and life
  • Explain how to create percutaneous dialysis access
  • Describe the use of drug coated balloons and Stent Grafts to reduce reintervention rate and improve access patency

This program is designed to meet the educational needs of interventional radiologists, in-training physicians, nurse practitioners, nurses, techs and other physicians at all levels with special interest in dialysis access and vascular surgery.

Coordinators:
Dheeraj K. Rajan, MD, FRCPC, FSIR; University of Toronto
Scott O. Trerotola, MD, FSIR; University of Pennsylvania Medical Center

Speakers:
Thomas M. Vesely, MD, FSIR; Vascular Access Services, LLC
Robert A. Morgan, MD, FSIR; St. George's Hospital
Gordon McLennan, MD, FSIR; Cleveland Clinic
Ziv J. Haskal, MD, FSIR; University of Virginia
Bart L. Dolmatch, MD, FSIR; PAMF
Sanjay Misra, MD, FSIR; Mayo Clinic
Alex Powell, MD, FSIR; Miami Cardiac and Vascular Institute

This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide medical education for physicians.

SIR designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program will be approved for a maximum of 1.50 self-assessment CME credits (SA-CME) by the Society of Interventional Radiology (SIR). SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME offered within this enduring material meet the ABR’s criteria for a self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

This on-demand activity is intended for SIR to provide a comprehensive overview of what's new in IR coding in 2017 and some common coding scenarios.

As a result of participating in this activity, the learner should be able to:

  • Describe the basics of the coding process and code valuation
  • Apply to clinical scenarios the new 2017 codes for Dialysis Access procedures
  • Apply to clinical scenarios new codes for angioplasty, and basics of the new moderate Sedation codes

This course is intended to meet the educational needs of interventional radiologists, IR clinical technologists, and administrators with an interest or responsibilities for accurate coding and practice reimbursement.

Faculty

Moderators 
Timothy L. Swan, MD, FSIR, FACR
Stephanie Dybul, MBA, RT(R)(VI), CIRCC

Speakers 
Katharine L. Krol, MD, FSIR
C. Matthew Haukins, MD
Waleska Pabon-Ramos, MD, MPH
Ammar Sarwar, MD

Faculty Disclosures

The faculty have no relevant financial relationships to disclose. 

CME Accreditation 
This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide medical education for physicians.

The Society of Interventional Radiology designates this live activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SAM Accreditation 
This program is approved for 1.0 self-assessment (SAM) credits by the Society of Interventional Radiology (SIR) – Approval Date: January 23, 2017. SIR is awarded Deemed Status by the American Board of Radiology (ABR). This educational activity meets the criteria for SA-CME toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.

  • SIRmeeting
  • SIR Connect
  • SIR DVL
  • SIR SA-CME
  • SIRCloud
  • APDIR

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