North American Neuromodulation Society Educational Curriculum for Intrathecal Drug Delivery Systems Implantation and Management


Gassan Chaiban, Department of Pain Medicine, The Ochsner Health System, New Orleans, LA, USA.
Rany T. Abdallah, Center for Interventional Pain and Spine, Milford, DE, USA.
Alaa Abd-Elsayed, Department of Anesthesiology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
Hemant Kalia, Rochester Regional HealthFollow
Mark Malinowski, Department of Interventional and Surgical Pain Management, OhioHealth Physician Group, Columbus, OH, USA.
Anuj Bhatia, Department of Anesthesia and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Adam Burkey, Anesis Spine & Pain Care, Renton, WA, USA.
Alexios Carayannopoulos, Department of Physical Medicine and Rehabilitation, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Sandy Christiansen, Department of Anesthesiology, Oregon Health & Science University, Portland, OR, USA.
Jay Karri, Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA.
Eric Lee, Mililani Pain Center, Mililani, HI, USA.
Tariq Malik, Department of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, IL, USA.
Kate Meacham, Department of Anesthesiology, Center for Advanced Medicine Pain Management Center, Washington University School of Medicine, St Louis, MO, USA.
Vwaire J. Orhurhu, Department of Anesthesiology, University of Pittsburgh Medical Center, Williamsport, PA, USA.
Jeffrey S. Raskin, Department of Pediatric Neurosurgery, Riley Hospital for Children, Indiana University Health, Indianapolis, IN, USA.
Eellan Sivanesan, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
Reda Tolba, Department of Anesthesia, Anesthesiology Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, Abu Dhabi, United Arab Emirates.
Ahmed M. Raslan, Department of Neurological Surgery, Oregon Health & Science University, Portland, OR, USA.


Spine & Pain Medicine

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Objectives: Intrathecal drug delivery systems (IDDSs) are used for the treatment of pain and spasticity. A wide range of educational criteria exist for these devices. The North American Neuromodulation Society (NANS) Education Committee developed a comprehensive IDDS curriculum to function as a standard for physician graduate education and assessment through training and into practice.

Material and methods: A multidisciplinary and diverse task force gathered by the NANS Education Committee met in person and virtually over several sessions and developed an IDDS curriculum modeling their previous work on spinal cord stimulation and following the Accreditation Council for Graduate Medical Education (ACGME) Milestones. There were iterative revisions and adaptations to the curriculum, and the final version was approved by the NANS Board of Directors.

Results: The curriculum was developed with distinction between implanting physicians and managing physician and physicians who perform both tasks. There is a lateral temporal progression from early learner to practitioner, with advanced learner in the middle. In addition, there is a modular vertical organization that divides the curriculum into the six educational competencies outlined by the ACGME.

Conclusion: A comprehensive, modular, graduated, and segmented educational curriculum for IDDSs was developed by NANS. We propose the curriculum to be the standard for guidance and assessment of trainees and physicians pursuing training in implanting or managing IDDSs.

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Record updated with published article citation 2023-08-15 LB.

Published online ahead of print 2022-01-14.

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