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FIPP Bulletin - World Institute of Pain - SLIDELEGEND.COM
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Information Bulletin (2018 Edition – for use with 2018 FIPP Examinations)
Members of the Board of Examination Chair (2015-2018) Peter Staats, MD, MBA, DABIPP FIPP New Jersey, USA
Liaison to WIP Kris C. P. Vissers, MD, PhD, FIPP
Nijmegen, Netherlands Fabricio Dias Assis, MD, FIPP Campinas, Brazil
P. Prithvi Raj, MD, DABIPP, FIPP Cincinnati, OH, USA
EXAMINERS Mert Akbas – TURKEY Abddelmuhsen Al Sahhaf – KUWAIT Susan Anderson – USA Fabricio Assis - BRAZIL Mahammad Ather – UK Diego Beltrutti – ITALY Meir Bennun – ISRAEL Ramsin Benyamin – USA Philippe Berenger – USA
Alan Berkman - CANADA Anuj Bhatia - CANADA Hemmo Bosscher – USA Mark Boswell – USA Lora Brown – USA Allen Burton – USA Alex Cahana – USA Aaron Calodney – USA Kenneth Chapman – USA Jianguo Cheng - USA
Nicholas Chua - SINGAPORE Manuel Cifrian Perez - SPAIN A.R. Cooper- UK Peter Courtney – AUSTRALIA Gautam Das – USA Beja Joseph Daneshfar – USA Sukdeb Datta – USA Miles Day - USA Javier De Andres - SPAIN Timothy Deer – USA
Richard Derby – USA Neels De Villiers – SOUTH AFRICA Teresa Dews – USA Sudhir Diwan – USA Dennis Dobritt – USA Elmer Dunbar – USA Richard Epter- USA Serdar Erdine - TURKEY Lorand Eross, HUNGARY Miron Fayngersh – USA Tacson Fernandez – USA Gertrude Filippini-de Moor NETHERLANDS Philip Finch - AUSTRALIA Juan Carlos Flores – ARGENTINA Ira Fox- USA Michael Frey – USA Charles Gauci – UK Ludger Gerdesmeyer – GERMANY Michael Gofeld, USA Willy Halim NETHERLANDS Michael Hammer- USA Hans Hansen – USA Jon-Paul Harmer – USA Michael Hartmann SWITZERLAND Craig Hartrick – USA *Samuel Hassenbusch – USA Salim Hayek – USA James Heavner- USA Dominic Hegarty - IRELAND Standiford Helm – USA Kok-Yuen Ho - SINGAPORE Frank Huygen NETHERLANDS Eduardo Ibarra- PUERTO RICO Robert Ickx - NETHERLANDS Magdi Iskander – EGYPT Subhash Jain – USA Benjamin Johnson – USA Rafael Justiz – USA Leonardo Kapural – USA Grigory Kizelshteyn – USA David Kloth – USA Edvin Koshi - CANADA Mehran Kouchek - IRAN
Daniel Le – USA Marion Lee – USA Sang Chul Lee – SOUTH KOREA Liong Liem - BELGIUM Sean Lin - TAIWAN Glenn Lipton – USA Steve Litman – USA John Loeser – USA Leland Lou – USA Marc Maes - BELGIUM Osama Malak-- USA Pierluigi Manchiaro - ITALY Laxmaiah Manchikanti – USA Philippe Mavrocordatos SWITZERLAND Patrick McGowan – UK Nagy Mekhail – USA Marcello Meli - SPAIN Renier Mendez – PUERTO RICO Jeffrey Meyer - USA Jee Y Moon – SOUTH KOREA Heinrich Moser – NETHERLANDS Samer Narouze – USA Mohamed Abd El Rauf Abd El Nasr - EGYPT John Nelson - USA *David Niv – ISRAEL Carl Noe – USA Charles Oliveira - BRAZIL Einar Ottestad - USA Nuri Suleyman Ozyalcin – TURKEY Umeshraya Pai - USA Mahdi Panahkhahi AUSTRALIA Nileskumar Patel – USA Vikram Patel – USA Jordi Perez-Martinez CANADA Carmen Pichot- SPAIN Ricardo Plancarte – MEXICO John Prunskis- USA Shaym Purswani – USA Martine Puylaert – BELGIUM Gabor Racz - USA Tibor Racz – USA Prithvi Raj - USA Robert Rapcan – CZECH REP.
James Rathmell – USA Richard Rauck – USA Enrique Reig – SPAIN Jose Rodriguez – PUERTO RICO Olav Rohof – NETHERLANDS Ricardo Ruiz-Lopez – SPAIN Matthew Rupert – USA Jamil Sabit - PAKISTAN Sherif Salama – USA Richard Sawyer – UK Cristy Mark Schade- USA David Schultz – USA Rinoo Shah – USA Jehad Shaikhani NETHERLANDS Hariharan Shankar - USA Vijay Singh – USA Menno Sluijter – SWITZERLAND Judson Somerville – USA Micha Sommer NETHERLANDS Peter Staats – USA Michael Stanton-Hicks – USA Monique Steegers NETHERLANDS Agnes Stogicza - USA Milan Stojanovic - USA Raj Sundaraj– AUSTRALIA Pankaj Surange - INDIA Gul Talu - TURKEY Murray Taverner – AUSTRALIA Alexandre Teixeira – PORTUGAL Subodha Thanthulage - UK Simon Thomson- UK Tariq Tramboo - INDIA Andrea Trescot – USA Jose Trevino – USA Ricardo Vallejo- USA Sandra van den Heuvel NETHERLANDS Maarten van Eerd NETHERLANDS Maarten van Kleef – NETHERLANDS Jan Van Zundert – BELGIUM Kenneth Varley – USA Giustino Varrassi – ITALY 3
Giambattista Villa - ITALY Kris Vissers - NETHERLANDS Christopher Wells – UK Michael Whitworth – USA
Eric Wilson – SOUTH AFRICA Alex Sow Nam Yeo – SINGAPORE
Alp Yentur - Turkey * Deceased
In order to be eligible for the Certification Examination in Interventional Pain Medicine, you must meet the following requirements: Requirement 1 Licensure All licenses you hold to practice medicine must be valid, unrestricted, and current at the time of the examination. Each applicant must hold a license issued by (a) one of the states of the United States of America or (b) its equivalent in the applicant’s country, state, province, parish, county, or other governmental unit within the applicant’s country. Requirement 2 Accreditation Council on Graduate Medical Education (ACGME) Approved Residency You must have satisfactorily completed a four-year ACGME-accredited residency training program or its equivalent that included pain management. Applicants must submit a chronological list of all completed ACGME training or equivalent (see Page 2 of the application). Requirement 3 American Board of Medical Specialties (ABMS) Board Certification or Equivalent You must demonstrate compliance with either Alternative A or Alternative B, as follow: Alternative A: You must be currently certified by a board accredited by the American Board of Medical Specialties. or Alternative B: You must be currently certified by a board in your country of residence that certifies you to be a pain physician. 1. You must submit documentation of identifiable training in pain management in an ACGMEaccredited training program or equivalent. This identifiable training must be equivalent in scope, content, and duration to that received in one of the ACGME-accredited training programs of a board accredited by ABMS. 2. The documentation of your training in pain management must include a letter or form signed by the program director of the ACGME-accredited training program you attended that describes your training. The documentation must describe the scope, content, and duration of training in neuroanatomy, neurophysiology, neuropathology, pharmacology, psychopathology, physical modalities, and surgical modalities relevant to the field of pain medicine. 5
Whether the U.S. Drug Enforcement Administration or your national, state, provincial, or territorial controlled substances authorization has ever been denied, revoked, suspended, restricted, voluntarily surrendered or not renewed. 6
The World Institute of Pain (WIP) was founded in 1994. It is incorporated in the State of California as a nonprofit corporation and operates as an autonomous entity, independent from any other association, society, or academy. This independence permits WIP to maintain integrity concerning its policy-making on matters related to certification. The World Institute of Pain and its Board of Examination administers a psychometricallydeveloped and practice-related Interventional Examination in the field of Pain Medicine to qualified candidates. Physicians who have successfully completed the credentialing process and examination will be issued certificates of diploma in the field of Interventional Pain Medicine and designated as Fellows in the Interventional Techniques. A list of physicians certified will be available to medical organizations and other groups in the general public. Mission The mission of the World Institute of Pain – Board of Examination is to protect and inform the public by improving the quality and availability of Interventional Techniques in Pain Medicine. Goals and Objectives The following are the goals and objectives of the World Institute of Pain – Board of Examination 1. To evaluate candidates who voluntarily appear for examination and to certify as Fellows in Interventional Techniques those who are qualified. Objectives to meet this goal include: • Determination of whether candidates have received adequate preparation in accordance with the educational standards established by the World Institute of Pain. • Creation, maintenance and administration of comprehensive examinations to evaluate the knowledge and experience of such candidates. • Issuance of certificates to those candidates found qualified under the stated requirements of the World Institute of Pain. 2. To maintain and improve the quality of graduate medical education in the field of Pain Medicine by collaborating with related organizations. Objectives to meet this goal include: • Maintenance of a registry for public information about the certification status of physicians certified in interventional techniques. • Provision of information to the public and concerned entities about the rationale for certification in interventional examinations. • Facilitation of discussion with the public, professional organizations, health care agencies and regulatory bodies regarding education, evaluation and certification of Pain Medicine specialists in interventional techniques. INSTRUCTIONS PLEASE READ ALL INSTRUCTIONS CAREFULLY BEFORE ENTERING ANY INFORMATION ON THE APPLICATION. Applicants bear the sole responsibility for meeting all eligibility criteria, application deadlines, and submission requirements, as delineated in both the application and the Bulletin of Information. 8
Only applications that are received by the deadline and that are legible, clear, complete, and accurate will be reviewed by the Credentials Committee. This committee determines each applicant’s eligibility for certification. Incomplete applications will not be reviewed. Once all information has been received at the World Institute of Pain office, it will be sent for review. Any delay may jeopardize the timely review of the application for the current certification cycle. Applications should be submitted using the online eFIPP system, http://bit.ly/fippapp. After initial review of application materials, each candidate will receive a notice from the World Institute of Pain office indicating that the materials appear complete and will be forwarded to the Credentials Committee or that the materials are incomplete and require additional information. Note: It is the responsibility of the applicant to notify the World Institute of Pain office immediately of any change in mailing address that takes effect during the certification process. Notification should be sent to: Board of Examination, World Institute of Pain, 150 Kimel Park Drive, Suite 100A, Winston Salem, NC 27103, USA ([email protected]). Your acknowledgment and your examination results will be sent to the mailing address you indicate on the application form. If you rotate among clinics or hospitals, or if you have more than one office, please provide the telephone number where you will be most likely to receive a timely message. If possible, include the name of a contact person if you are not readily available. Application Fee The application fee of $2,500.00 must accompany all submitted materials. Payment must be in U.S. dollars via credit card, bank wire transfer, or in the form of a money order or cashiers check payable to the World Institute of Pain. Failure to submit the fee in the correct form will result in the rejection of your application. Applications will not be reviewed until payment in full has been received. Refunds/Cancellations/Rescheduling No refunds of the $2,500.00 application fee will be made, except when the Board of Examination determines that an applicant is not eligible to take the FIPP Examination. In this case, your application fee will be refunded less a $250.00 administrative fee. If an applicant is unable to attend an exam after applying, they must notify the Certification Program Manager ([email protected]) AS SOON AS POSSIBLE, but no later than the application deadline for the exam in question (usually 4-6 weeks prior to the exam). The application fee will not be refunded, but the applicant will be allowed to participate in a later FIPP Examination, subject to an additional $100 rescheduling fee. All applicants MUST attend an exam within 2 years or 4 examinations (whichever is greater) of their original application; after this point the application fee will be forfeited and a new application must be submitted. The Purpose of Certification WIP Board of Examination is committed to the certification of qualified physicians who perform interventional techniques in the field of Pain Medicine. The certification process employs 9
practice-based requirements against which members of the profession are assessed. The objectives of the WIP Board of Examination Certification Program in Interventional Techniques are as follows: • To establish the knowledge and skills domains of the practice of Pain Medicine for certification. • To assess the knowledge and application of interventional techniques of Pain Medicine physicians in a psychometrically valid manner. • To encourage professional growth in the practice of interventional techniques. • To formally recognize individuals who meet the requirements set forth by WIP Board of Examination. • To serve the public by encouraging quality patient care in the practice of Pain Medicine. Pain Medicine has emerged as a separate and distinguishable specialty that is characterized by a distinct body of knowledge and a well-defined scope of practice and is based on an infrastructure of scientific research and education. Competence in the practice of Pain Medicine requires advanced training in interventional techniques, experience, and knowledge. The interventional techniques are unique procedures performed by pain physicians, and appropriate examination and certification are designed to accurately reflect the quality of care given to pain patients. The WIP Board of Examination FIPP certification program has been designed to help recognize practitioners’ knowledge and skill in this field; however, certification by WIP cannot and is not intended to serve as a guarantee of competence. Scope of Certification The World Institute of Pain and its Board of Examination have developed the eligibility requirements and examination materials for the Examination in Interventional Techniques based on its review of the current state of medical and scientific knowledge about the treatment of pain, as documented in medical literature. The WIP Board of Examination and its Examination Council have developed this certification program, which it believes recognizes currently accepted levels of knowledge and expertise in interventional techniques in order to improve patient care. New developments are included in the examination only after practitioners of interventional pain management techniques have accepted them. Periodic reviews are conducted to ensure that the examination continues to reflect actual practice conditions. WIP Board of Examination welcomes comments from the public and the profession designed to assist in improving this program. Test Development and Administration WIP Board of Examination retains Dr. Gerald A. Rosen of New York, NY to provide assistance in the development and analysis of the FIPP certification examination. Dr. Rosen specializes in the design, development, implementation, and analyses of professional certification programs.
ABOUT THE EXAMINATION The Examination in Interventional Techniques is administered only in English (except for part 2B). It consists of three (3) parts. Part 1 is the Theoretical examination. Part 2A is the Practical Examination and Part 2B is the Oral Examination. For the Practical and Oral Examinations, 10
candidates are evaluated by two examiners from a pool of about 30 examiners. Candidates may not be evaluated by examiners who are well-known to the candidate. PART 1 – THEORETICAL EXAMINATION The examination consists of 100 four-option multiple-choice questions. Examinees have two hours to respond. The questions cover the following topics: THEORETICAL EXAMINATION CONTENT OUTLINE 1. GENERAL KNOWLEDGE Knowledge of the organization of a pain polyclinic Knowledge of pain classification and data management Knowledge of the ethical and legal aspects of pain therapy Knowledge of patient safety during the procedures (interventional procedures and radiation safety) Knowledge of the relevant anatomy, physiology and pharmacology 2. CANCER PAIN Excellent knowledge of the different pain syndromes due to cancer Excellent knowledge of the guidelines for the treatment of cancer pain Practical knowledge of taking the history and physical examination of the cancer patient Competence in clinical reasoning and making a differential diagnosis and a treatment plan Excellent theoretical and practical knowledge of the pharmacological and interventional therapeutic pain modalities Knowledge of palliative care Knowledge of cancer palliative care at home 3. CHRONIC PAIN Excellent knowledge of the different chronic pain syndromes Excellent knowledge of the guidelines for the treatment of chronic pain Practical knowledge of taking the history and physical examination of the patient with chronic pain Competence in clinical reasoning and making a differential diagnosis and a treatment plan Excellent theoretical and practical knowledge of the pharmacological and interventional therapeutic pain modalities Knowledge of alternative treatment modalities (rehabilitation, neurosurgery,
neurology, psychological interventions and physical therapy) Knowledge about the organization of a multidisciplinary pain treatment 4. HEAD & NECK PROCEDURES Trigeminal ganglion block and neurolysis Cervical (C3-7) facet block Cervical PRF-DRG (dorsal root ganglion) Sphenopalatine ganglion block and neurolysis Stellate ganglion block Cervical epidural block Brachial plexus block DCS placement 5. CHEST/THORAX PROCEDURES Intercostal nerve block Thoracic sleeve root RF/PRF DRG blocks Suprascapular nerve block T2, 3 sympathetic block (including RFTC) T2, 3 neurolytic lesioning Thoracic facet/RFTC and injections Thoracic epidural block DCS placement 6. LUMBAR/ABDOMINAL PROCEDURES Lumbar sleeve root (P)RF-DRG lumbar L1/S1 Splanchnic nerve block Celiac ganglion block Lumbar sympathetic block Lumbar sympathetic neurolytic lesioning Lumbar facet injections Intraarticular injections Median branch block and neurolysis Lumbar discography Intra discal electro thermocoagulation Vertebroplasty DCS placement Lumbar epidural block 7. PELVIC PROCEDURES Sacral sleeve root injection (P)RF DRG S1 11
Hypogastric plexus block and neurolysis Ganglion of Impar block Sacroiliac joint injection Caudal neuroplasty 8. UPPER-EXTREMITY PROCEDURES Brachial plexus block 9. LOWER-EXTREMITY PROCEDURES Sciatic nerve blocks
Piriformis muscle injection 10. AUGMENTATION TECHNIQUES Occipital stimulation Cervical stimulation Thoraco abdominal stimulation Sacral stimulation 11. IMPLANTABLE DEVICES Intrathecal Implantation 12. RADIATION SAFETY
PART 2A - PRACTICAL EXAMINATION In Part 2A, each examinee is required to perform four (4) procedures on a cadaver in one (1) hour in the presence of two (2) examiners. The candidate will have fifteen (15) minutes in which to perform each procedure, with the assistance of a C-Arm, for a total of one (1) hour. Two examiners, with the assistance of a C-Arm, evaluate the techniques performed by the examinee on the cadaver. Examinees are assigned one (1) procedure from each region, for a total of four (4) procedures. The expectation of WIP and the BOE is that FIPP-certified physicians are capable of performing the vast majority of these procedures, even if they do not perform all of them routinely. Applicants are strongly advised to consider whether their scope of practice encompasses these procedures before applying. •
Head and neck 1) Sphenopalatine Ganglion Block 2) Stellate Ganglion Block 3) Trigeminal Ganglion Block 4) Midline Interlaminar Cervical Epidural Block 5) Cervical Facet Block • Thorax 1) T2, 3 Sympathetic Block 2) Splanchnic Nerve Block 3) Thoracic Spinal Cord Lead Placement 4) Thoracic Facet Block 5) Intercostal Nerve Block • Lumbar 1) Lumbar Sympathetic Block 2) Lumbar Selective Nerve Root Block 3) Lumbar Discography Procedure 4) Lumbar Facet Block 5) Lumbar Communicating Ramus • Pelvic 1) Hypogastric Plexus Block 2) Caudal Neuroplasty 3) Sacral Nerve Root Block 4) Sacroiliac Joint Injection 5) RF-Sacroiliac Joint Each examiner awards a score for each procedure performed.
Note: During this part of the examination, the examinee will have at his/her disposal a fresh cadaver, necessary instruments, C-Arm and a radiology technician. 12
The WIP Board of Examination FIPP Certification Examination will be administered at locations announced on the WIP webpage (http://worldinstituteofpain.org). The organization reserves the right to change the examination site, city and date based on logistical or other concerns. Nondiscrimination Policy WIP does not discriminate against any person on the basis of age, gender, sexual orientation, race, religion, national origin, medical condition, physical disability, or marital status. Applying to Take the Examination You must complete the online application form available at http://bit.ly/fippapp and submit all required documentation to apply for the examination. It is very important that your application form be completed carefully and accurately. The information you provide in the application and any accompanying required documents will be used by the WIP Board of Examination to determine your eligibility to sit for the examination. Identification of Examinees During Scoring 13
During the post-examination evaluation of examinee scores on the three parts of the FIPP examination and any subsequent discussions regarding the scores of individual examinees, all candidates are identified by number only. No names accompany these numbers. Examination Scoring The final score for the examination is a criterion-referenced, weighted composite score. The examination components are weighted as follows: practical/cadaver = 60%; oral = 20%; written = 20%. The Practical/Cadaver and oral portions are each evaluated by the examiners using a four-point scale with 1 = Unacceptable, below basic competence, potentially harmful; 2 = Unacceptable, below basic competence, not harmful; 3 = Acceptable, basic competence; 4 = Acceptable, exceeds basic competence. The FIPP is a pass/fail determination and the final score is based on an evaluation of performance on all three components of the examination. Examination and Scoring Report Approximately eight (8) weeks after the administration of the examination, your examination results will be mailed to you. Results will be sent to you by mail only and will not be released via telephone, facsimile, or by electronic communication devices. Passing candidates will receive a letter informing them that they have passed the examination. The examination is designed to assess knowledge associated with the minimal professional competency required for safe and effective practice. It is not intended to distinguish among scores at or above the passing point; therefore, WIP will not report numeric scores to passing candidates. WIP will send failing candidates notice of their score, the minimum passing score and a diagnostic report showing performance on each of the three parts of the examination. WIP does not limit the number of times candidates may apply for and take the examination. However, a candidate who fails the examination three (3) times is required to complete a minimum of one (1) additional year of practice before being eligible to reapply for the examination. A new application form and all applicable fees and required documentation must be submitted each time reexamination is requested. Note: All answer sheets and scoring documents will be destroyed six (6) months after the administration of the examination. Appeals A candidate who fails the examination and wishes to challenge the results may request that the examination be re-scored by hand to verify reported scores. A request must be submitted in writing within twenty (20) calendar days of the postmark on the score report along with a check for $50.00 (USD) payable to World Institute of Pain to cover the cost of hand scoring the examination. Results of hand scoring will be considered the final examination result. WIP offers no further appeal. Certification Candidates who pass the examination will receive a certificate suitable for framing and may identify themselves as Fellow of Interventional Pain Practice (FIPP). Each candidate who passes the examination shall be required to sign a license to use any name or acronym for the certification offered by the WIP and agrees not to use the certification in such a manner as to bring the WIP or its Board of Examination into disrepute (including the failure to maintain competent practice) and not to make any statement regarding the certification that the WIP or its Board of Examination may consider misleading or unauthorized. The certificate remains the property of WIP and must be surrendered to WIP in the case of termination of certification. 14
Re-certification Certificates awarded by WIP and its Board of Examination are time-limited. WIP and its Board of Examination are in the process of establishing a re-certification policy. The WIP Board of Examination has this requirement to ensure that its certificants continue to meet the knowledge and skill required of a Pain Medicine physician board-certified in interventional techniques. Examination Preparation 1. You should review the examination outline in this Bulletin of Information. 2. Answer the sample questions in this Bulletin of Information to familiarize yourself with the nature and format of the questions that will appear on the examination. 3. Refer to the list of references at the end of this Bulletin of Information. Registration for the Examination The WIP Board of Examination Credentials Committee reviews all applications submitted for the examination. The review process takes approximately four (4) weeks. The review process does not start until ALL required materials are received from the applicant. If your application is approved, you will receive an e-mail confirming your eligibility, and containing specific information about the date, time, and location of the examination. EACH CANDIDATE IS REQUIRED TO PRESENT PHOTO IDENTIFICATION AT THE REGISTRATION DESK ON THE DAY OF THE EXAMINATION. The Board of Examination independently verifies the information submitted in applications. State agencies or other licensing bodies sometimes take time to respond to verification requests. The Board of Examination is not responsible if these agencies do not reply in a timely fashion. Taking the Examination Strict security measures are maintained throughout all phases of examination development and administration. All candidates will be required to present some form of photo identification in order to enter the testing center. Trained proctors will supervise the administration of the examination, maintaining the strictest security throughout the testing period. Irregularities observed during the testing period, including but not limited to, creating a disturbance, giving or receiving unauthorized information or aid to or from other persons, or attempting to remove test materials or notes from the testing room. Any of these may be sufficient cause to terminate examinee participation in the examination administration or to invalidate scores. Irregularities may also be evidenced by subsequent statistical analysis of testing materials. 15
The Board of Examination reserves the right to investigate each incident of suspected misconduct or irregularity. Test Site Regulations 1. All examinees must present some form of photo identification (e.g., passport or driver’s license) at the test site in order to be allowed to take the examination. No exceptions to this requirement will be made. 2. Examinees must arrive at the test site approximately forty-five (45) minutes prior to the scheduled testing start time. Late arrivals will not be admitted to the test site. 3. The use of cellular phones, pagers and other electronic devices is NOT permitted. 4. Devices with memory capabilities, books, paper, and notes are not permitted in the testing room. 5. Food (including candy and gum), beverages and tobacco products are not permitted in the testing room. 6. Unauthorized visitors are not allowed at the test site. Observers approved by the Board of Examination Executive Board may, however, be present during the testing session. 7. Examinees may leave the testing room to use the restroom, but will not receive any additional or compensating time to complete the examination. Determination of Passing Score The passing score is based on an expected level of knowledge; it is not related to the distribution of scores obtained during a particular administration. At any given administration of the FIPP, an examinee has the same chance of passing the examination regardless of whether the group taking the examination at that time tends to have relatively high or low scores. EXAMPLES OF MULTIPLE CHOICE QUESTIONS 1.
A 45-year-old patient with a history of chronic low back, left hip and left thigh pain whose status is post multiple lumbar laminectomy received a differential epidural block of 3% 2chloroprocaine. Some pain resumed with return of full sensation and motor function in the lower extremities; all pain returned with return of sympathetic function. The pain was transmitted via which fibers? A. A alpha B. A delta C. C 16
Examination of a patient with neck and shoulder pain reveals referred pain in the lateral aspect of the forearm, with weakness and dysfunction of the biceps and brachioradialis, and hypoesthesia in the lateral aspect of the forearm and thumb. The patient MOST likely has a lesion of which nerve root? A. C4 B. C5 C. C6 D. C7
Which of the following statements regarding the anatomy of the superior hypogastric plexus is NOT true? A. It lies anterior to L5 vertebra 17
It lies just inferior to the aortic bifurcation It lies right of midline It branches left and right and descends to form the inferior hypogastric plexus
All of the following are indications for a stellate ganglion block EXCEPT: A. reflex sympathetic dystrophy. B. acute herpes zoster (ophthalmic division). C. hyperhidrosis. D. pancreatitis.
Cell bodies of preganglionic fibers of the lumbar sympathetic chain arise at which of the following sites? A. T5-T9 B. T11-L2 18
L3-L5 S1-S4
A lateral femoral cutaneous block is indicated for which of the following conditions? A. Meralgia paresthetica B. Femoral neuralgia C. Saphenous neuralgia D. Groin pain
1. Correct answer is C 2. Correct answer is B 3. Correct answer is D 19
4. Correct answer is C 5. Correct answer is C 6. Correct answer is A 7. Correct answer is A 8. Correct answer is D 9. Correct answer is B 10. Correct answer is C 11. Correct answer is D 12. Correct answer is B 13. Correct answer is C 14. Correct answer is D 15. Correct answer is B 16. Correct answer is A 17. Correct answer is B 18. Correct answer is A 19. Correct answer is C 20. Correct answer is D 21. Correct answer is D 22. Correct answer is C 23. Correct answer is C REFERENCES The following is a list of references that may be helpful in reviewing for the examination. This listing is intended for use as a study aid only. The WIP – Board of Examination does not intend the list to imply endorsement of these specific references, nor are the examination questions taken from these sources. 1.
Bonica, J.J. (Ed). (2009). The Management of Pain (4th ed.). Philadelphia: Lea & Febiger. 20
Charlton, J. (2005). Core Curriculum for Professional Education in Pain (3rd ed.). Seattle: IASP Press.
FIPP REGISTRATION INFORMATION Address FIPP Examination application and information requests to: D. Mark Tolliver, MA Certification Program Manager 145 Kimel Park Drive, Suite 208 Winston Salem, NC 27103 USA Phone: 336-760-2939 - Fax: 336-760-5770 E-mail: [email protected] To apply for the FIPP Examination online, please visit: http://www.worldinstituteofpain.org/FIPP/ExamApp/ Peter Staats, MD, MBA, FIPP, Chair - Board of Examination Frank Huygen, MD, PhD, FIPP – BOE Vice-Chair for FIPP Craig Hartrick, MD, FIPP, President of WIP
2018 FIPP EXAMINATION SCHEDULE 19 February 2018 7 May 2018 Late August 2018
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