Dr. Spiel is widely recognized as an expert in numerous treatment modalities and has lectured both throughout the country and abroad. He credits the numerous physicians worldwide that he has studied with as providing the necessary scaffold to build his current diverse skill set. Only by cross training with multiple specialties can any one physician bridge the necessary knowledge required to effectively treat the complexities of the human condition. The American Board of Interventional Pain Physicians examines and certifies appropriate applicants as diplomats in interventional pain procedures. Dr. Spiel was the first among the few radiologist/interventional pain specialists on the list to be certified by this prestigious board.