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team > Dr David Vivian
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.: Dr David Vivian
Musculoskeletal Physician
MBBS FAFMM GDMM MM(Pain Medicine)
Dr David Vivian is past-president and a Fellow of the Australasian Faculty of Musculoskeletal Medicine (AFMM), and past-president of the Australian Association of Musculoskeletal Medicine (AAMM). He has over 25 years experience in pain assessment and management. Dr Vivian is co-author of the NHMRC Guidelines on Acute Musculoskeletal Pain released in 2004. He has a major interest in musculoskeletal pain research. He has a special interest in the diagnosis and management of complex and difficult pain problems and regularly presents lectures around Australia on the topics of neuropathic and spinal pain: particularly related to the evidence-based management of acute back pain in general practice (for example, GPCE 2006 and 2007). He was an initiator and then a medical participant in the National Musculoskeletal Medicine Initiative, which showed that evidence-based medical management of acute musculoskeletal problems resulted not only in superior short and long term outcomes, but also in lowered cost of treatment.
Qualifications:
- Bachelor of Medicine and Surgery (MBBS)
- University of Melbourne, 1976
- Graduate Diploma Musculoskeletal Medicine (GDMM)
- Flinders University, 1994
- Fellowship Australasian Faculty Musculoskeletal Medicine, 1999 (FAFMM)
- Master of Medicine (Pain Management) (MM (Pain Management))
- Sydney University, 1999.
Additional post-graduate education:
- Diploma in Orthopaedic Medicine in London, 1980
- Course in physical medicine at the Coppleston Postgraduate Medical Institute, Sydney University, 1981
- Completed requirements for the Licentiate in Musculoskeletal Medicine of the Australian Association of Musculoskeletal Medicine, 1981
- Accredited as a Master of Spinal Needle Techniques, by objective examination, under the auspices of the International Spinal Injection Society (ISIS), 1998.
Over many years, Dr Vivian has attended numerous cadaver course in needle intervention; combined use of anatomical dissection with placement of needles under fluoroscopic vision.
Clinical experience:
- 1979-1980: Orthopaedic medicine, in London
- 1981-present: Musculoskeletal medicine, on a referral basis (secondary and tertiary). Currently the practice is one third tertiary referral.
- 1982 - 2005: Senior Partner, Brighton Spinal & Sports Medicine Clinic
- 1987 - 2004: Director, Brighton Pain Management Program
- 1988 - present: Senior Partner, Metro Spinal Clinic (formerly Metropolitan Spinal Clinic)
- 1997 - 2004: Director, Metropolitan Spinal Rehabilitation Program
- 1997 – 2002: Musculoskeletal Medical Officer, for the National Musculoskeletal Health Initiative
- 1998-2002: Member of Victorian Medical Workcare Panels in the discipline of Musculoskeletal Medicine
- 1999-2001: Faculty, Master of Medicine, Pain Management, University of Sydney
- 2001:
Faculty, Master of Medicine, Pain Management, University of Newcastle
- 1999-2002: Consultant, Barbara Walker Centre for Pain Management, St. Vincent ’s Hospital, Melbourne
Elected positions:
- Committee, Australian Association Musculoskeletal Medicine, 1983-1995
- Secretary, Australian Association Musculoskeletal Medicine, 1985-1988
- President, Australian Association Musculoskeletal Medicine, 1988-1991
- Vice-President, Australian Association Musculoskeletal Medicine, 1991-1993
- Treasurer, Australasian Faculty Musculoskeletal Medicine, 1997-2003.
- Vice-President, Australian Faculty Musculoskeletal Medicine, 2003-2004
- President, Australasian Faculty Musculoskeletal Medicine, 2005-7.
Research experience:
- Precision injection of the shoulder joint in clinical practice, 1998-present
- Accuracy of epidural injections – a self-audit and practice-audit, 2003 – present
- Incidence of intra-vascular injection in medial branch blocks and epidural infiltration, 2003- present
- Radiation exposure in spinal needle intervention, 2002 – present.
Current associations:
- Australian Association Musculoskeletal Medicine (AAMM), 1980-present
- Australian Medical Association (AMA), 1984-present
- International Association for the Study of Pain (IASP), 1990-present
- Australian Faculty of Musculoskeletal Medicine (AFMM), 1995-present
- International Spinal Injection Society (ISIS), 1996-present
- Australian Pain Society, 1997-present.
Teaching and speaking experience:
- Casual lecturer in musculoskeletal medicine to the RACGPs, 1981-present
- Plenary speaker at numerous Annual Scientific Meetings of the Australian Association Musculoskeletal Medicine, 1982-1997
- Invited speaker at the College of Sports Medicine annual scientific Meetings, 1990 and 1999.
- Speaker at the satellite meeting for the IASP meeting in Perth , 1990
- Lecturer to Registrars in the orthopaedic training program of the Royal Australasian College of Surgeons, 1992-1993.
- GPCE Conference, Melbourne, November 2006 - Management of back pain
- 27th Annual Scientific Meeting of the Australian Pain Society - “The Torture of Pain” : Breakfast Session presenter: Topic - The differential diagnosis and management of low back pain, Adelaide April 2007
- Pain Management Series - Assessment & Management of Low Back Pain, Gosford, May 2007
Dr Vivian has given numerous lectures to RACGP, Divisions of General Practice, Physiotherapy and other bodies over the years. As a guide, the lectures given in 1999 were:
- RACGP trainees: “Management of Back Problems In General Practice – Latest Evidence”
- Physiotherapy Masters programme: “Interventional Medical Management of Back Pain”
- Physiotherapy Pain Group : “Medical Management of Back Pain”
Different Divisions of General Practice:
- “Acute Pain Management In General Practice”
- “Physical Medicine in the Management of Chronic Pain”
- “Physical Medicine in the Management of Acute Pain”
- Merck, Sharp, Dome series: “The Role of Musculoskeletal Medicine in Acute Pain Management
| YEAR |
ORGANISATION |
VENUE |
TOPIC |
| 1980-85 |
RACGP |
Trawalla |
Courses in musculoskeletal medicine |
| 1984 |
AAMM |
Melbourne |
Post Conferences |
| 1985 |
AAMM |
Adelaide |
Back Pain in Pregnancy |
| 1988 |
AAMM |
Melbourne |
Seminars on back and neck pain |
| 1990 |
AAMM |
Melbourne |
Needle intervention for Back Disorders |
| 1990 |
AAMM |
Melbourne |
Convenor hypothetical on back pain |
| 1990 |
AAMM |
Melbourne |
Teacher: advanced back pain seminars |
| 1990 |
AAMM |
Melbourne |
Organiser: seminar on pain biology |
| 1990 |
AAMM |
|
Syllabus of musculoskeletal medicine |
| 1991 |
AAMM |
Adelaide |
Cervical Radiofrequency Denervation |
| 1991 |
Sports Physicians Conf |
Melbourne |
Back pain |
| 1992-3 |
RACS (orthopaedic) |
Melbourne |
Back pain |
| 1993 |
NZAMM |
Rotorua |
Lumbar Radiofrequency Denervation |
| 1995 |
International Dental |
Melbourne |
Management of spinal pain in dentists |
| 1997 |
AAMM |
Melbourne |
Examination: low back pain patient |
| 1997 |
AAMM |
Melbourne |
Conference Co-ordinator |
| 1998 |
Sports Physicians |
Adelaide |
Pain Management |
| 1998 |
ACSP |
|
Pain Management |
| 2000 |
AFMM & FACOM |
Sydney |
Chymopapain and epidural injection for
radicular pain |
| 2002 |
NZAMM |
Auckland |
Key note speaker on Lumbar Pain |
| 2003 |
RANZCR |
Melbourne |
Key Note speaker and demonstrator to Asia-Pacific radiology meeting |
| 2003 |
NZAMM |
Queenstown |
Invited speaker on muscle pain |
| 2003 |
AAMM |
Sydney |
Invited speaker |
| 2004 |
Private |
Melbourne |
Cadaver Workshops |
| 2004 |
ISIS |
Hawaii |
Conference and workshops (spinal pain) |
| 2005 |
Private |
Melbourne |
Cadaver Workshops |
| 2005 |
AFMM |
Newcastle |
Four day academic and cadaver workshop |
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Dr Vivian has written teaching guidelines for the RACGP. Since 1981, he has regularly, at least on an annual basis, conducted lectures for the Family Medicine Training Programme, and the College of GP ’s. Topics include: The Management of Spinal Pain Problems (cervical, thoracic and lumbar), and Management of Shoulder Disorders.
Dr Vivian also regularly lectures to Post-Graduate Physiotherapy training courses, Nursing Groups, and have in the past lectured the undergraduate Health Sciences students. He has conducted many pre- and post-conference courses over the last 20 years.
Publications:
- Management of Zygapophyseal Joint Pain By Radiofrequency Denervation, Bulletin AAMM, July 90
- The Cervical Spine: Function and Dysfunction. Bulletin AAMM, June 1986.
- The Cervical Spine: Traction.
- Shoulder Pain. Bulletin AAMM, September, 1985.
- The Slump Test. Bulletin AAMM, January, 1988.
- Epidural Injections. Bulletin AAMM, March, 1990.
- Osteoporosis. Bulletin AAMM, March, 1993.
- The Use of MRI. Bulletin AAMM, April, 1994.
- Clinical Practice guidelines fro Chronic Knee Pain, 1999-2002.
- Co-author – NHMRC guidelines for the management of chronic anterior knee pain, 2003.
- Co-author of the LowBackPain™ - CD-Rom: A Clinical Guide to Low Back Pain - educational textbook.
- Co-author lowbackpain.tv video series
- White papers for AFMM on fibromyalgia, neurogenic pain, validity, reliability and cervical epidural injection.
- Selected articles written in the book:"Encyclopaedia of Pain" (pub Elsevier): 2005/6
Books Written:
- The Back Book, 1986.
- Common Lower Back Problems in Sport, 1991, for the Australian Sports Medicine Federation.
Clinical Practice :
Last Updated April 2008 |
