PM&R Knowledge NOW Receives Enthusiastic Response from ...

the
PHYSIATRIST
PM&R Knowledge NOW Receives Enthusiastic
Response from PM&R Community
The latest initiative from the Academy–PM&R
Knowledge NOW–premiered this November at
the 2011 Annual Assembly to more than 2,300
members of the PM&R community. An effort that
has taken countless hours of planning and execution
by volunteers and staff, PM&R Knowledge NOW
received an enthusiastic response from physiatrists
who were impressed by the format, content, and
future plans for the resource.
Outlined as a current practicing curriculum,
PM&R Knowledge NOW is in the beginning
stages of becoming the specialty’s “go-to” resource.
currently featuring more than 60 clinical topics,
the virtual resource will double in content over
the next few years.
PM&R Knowledge NOW was made possible
through the diligent efforts of Academy volunteers
(please see the side bar). Keith M. Robinson, MD,
is one of many volunteers involved with the
initiative since day one – back in 2008.
As chair of the PM&R Knowledge NOW Initiative,
Dr. Robinson provided attendees of the 2011
Annual Assembly insight into the dynamic
resource by offering hands-on demonstrations
and answering questions.
“All who reviewed PM&R Knowledge
NOW were enthusiastic about the resource,
including members of the board of governors,
editorial board members, and steering committee
members,” stated Dr. Robinson. “Those who had
been involved with its inception commented on
its unlimited potential to take AAPM&R in the
Medicare pay cut averted;
Congress & the president
approve two-month patch
On December 23, President Obama signed the
Temporary Payroll Tax Cut Continuation Act of
2011 which extended the current SGR patch,
along with the payroll tax holiday and unemployment
compensation through February 29. The
two month SGR extension held the Medicare
physician payment rates at 2011 levels and
avoided a 27.4 percent cut due January 1.
In addition, the Centers for Medicare &
Medicaid Services (CMS) extended the annual
Medicare participation enrollment period
through Feb. 14. The previous deadline was
Dec. 31.
Check out www.pmrknowledgenow.org.
direction of new and interesting educational
product development, thus reinforcing that it was
a strong foundation for such future development.
We received a great response from resident
physicians, who were interested in how they could
potentially contribute as writers, and how this
would be used during their careers to support
life-long learning and ABPMR Maintenance of
Certification (MOC).
He continued, “For me and the staff involved,
while we realize that there is still much to develop
for PM&R Knowledge NOW, there is a sense that
we have a strong foundation on which to build
and make PM&R Knowledge NOW relevant to
practicing physiatrists.”
PM&R Knowledge NOW is being built in
phases. This allows the Academy to find the
appropriate physiatrists to generate content.
Members of the Academy can apply to be an
author or member of the editorial board for
PM&R Knowledge NOW. If you are interested in
applying, please visit www.pmrknowledgenow.org,
go to “Contributors/Acknowledgements” in the
top black bar, and scroll down to “Volunteer.”
You will find instructions on how to apply for all
PM&R Knowledge NOW volunteer positions.
PM&R Knowledge NOW is a ground-breaking
resource that is being developed by PM&R
physicians for PM&R physicians.
Visit www.pmrknowledgenow.org to view
the clinical content currently available and
to learn how you can get involved.
The effective date for any participation
status change during the extension, however,
remains January 1, and will be enforced for the
entire year. According to CMS, contractors will
accept and process any participation elections
or withdrawals made during the extended
enrollment period that are post-marked on
or before February 14.
Please log on to www.aapmr.org for information
on new developments around this issue.
Your Academy continues to focus on eliminating
the SGR and will keep members updated with
new developments.
December 2011/January 2012 | Vol. 27 Issue 10
Why would a physiatrist use
www.pmrknowledgenow.org?
1. To access clinical and practice resources
to support physicians in their practice.
2. Demonstrate to other health care professionals
why and when to utilize a physiatrist.
3. To assist in their preparation for the ABPMR
Primary Maintenance of Certification
(MOC) exam.
EDITORIAL BOARD MEMBERS
THANK YOU
Kevin Vincent, MD
Rina Bloch, MD
Christopher Visco, MD
Alexios Carayannopoulos, MD Faisel Zaman, MD
Segun Dawodu, MD
Mark Ellen, MD
STEERING COMMITTEE
Elie Elovic, MD
Matthew Bartels, MD
Marlis Gonzalez-Fernandez, MD Steven Flanagan, MD
Mitchell Freedman, MD Steven Geiringer, MD
Lawrence Horn, MD
R. Samuel Mayer, MD
Edward Hurvitz, MD
Scott Paul, MD
Shawn Jorgensen, MD Robert Rinaldi, MD
Chong Tae Kim, MD
Keith M. Robinson, MD
Jonathan Kirschner, MD Sunil Sabharwal, MD
Patrick Kortebein, MD Michael Saffir, MD
Charles Levy, MD
Andrew Sherman, MD
Chiawen Lucy Liang, MD Christopher Visco, MD
R. Samuel Mayer, MD Stuart Weinstein, MD
Mary McMahon, MD
Scott Paul, MD
K.Rao Poduri, MD
Sunil Sabharwal, MD
Deepthi Saxena, MD
Andrew Sherman, MD
Maurice Sholas, MD
Mary Catherine Spires, MD
Kathryn Stolp, MD
Dale Strasser, MD
Melissa Trovato, MD
®

from the editor
“Healers: Extraordinary Clinicians at Work”- A Book Report
Certainly the most remarkable book on the processes of health care that I’ve
read in the last several years is the recently published work by David Schenck
and Larry R. Churchill. 1 These Vanderbilt University academicians interviewed
50 clinicians from a variety of clinical backgrounds, 80% medical physicians
and 20% complementary and alternative medicine (CAM) practitioners
who were all seen by their colleagues as having unusual skills
in clinical patient care. Schenck and Churchill’s purpose was to
assess the techniques, attitudes, and behaviors that these clinicians
shared and which gave them that level of success. Unfortunately
none were physiatrists; after all we are, “medicine’s best kept
secret.” I suspect that physiatrists would simply mirror the attributes
already discovered among those successful healers. (I do believe
however that practitioners in our specialty share the described skills
more universally than many other specialties do.)
Schenck and Churchill describe specific behaviors and attitudes that the
studied clinicians all shared, and which were seen by patients as particularly
important in creating and sustaining the therapeutic relationship. Some are
pretty obvious, simple and widely recognized (#1. Do the little things, such as
when entering the exam room, introducing yourself, making eye contact and
shaking hands with all present, then sitting down and only then beginning the
interview.) Others are perhaps obvious but not always as easy to perform
(#4. Find something to like, to love.) It was reassuring to me that most of
these behaviors have become a routine part of my clinical practice, but I must
admit that some were learned only through the Darwinian experience of
finding that they simply worked better than what I had been doing before.
The book’s first chapter describes eight specific clinical behaviors and
attitudes in considerable detail, with quotes from clinicians on how each of
them became incorporated into their clinical routines. The second chapter
describes how these factors work together to form an effective clinical
structure that facilitates a healing environment. The fifth chapter describes
patient perceptions of what positive health care experiences had been and
some contrasts with negative ones. This was a fascinating chapter and one
that gave me pause as I reflected over my years of clinical patient care,
finding no dearth of regrettable “learning moments.” The sixth chapter is a
fascinating explication of the neurobiology of healing, delving into recent
from the president
In an Imaginary Cage
A funny thing happened about 80 years ago. Employers began offering
health insurance to their employees. Wage controls had restricted employers’
ability to compete for valuable employees through traditional wages,
so they innovated. Working within the governmental restrictions at
the time, they enticed employees by offering rudimentary health
care benefits.
It was a popular idea, and at the time achieved its intended
goal. It was so popular, that today the notion of employer-based
health care coverage is generally considered standard.
There are several things to recommend such a system.
It has been to this point voluntary by employers. It allows pooling
of many people, most of whom are generally healthy, thereby
decreasing the risk. It is veiled, as employees see it as a benefit
by generous employers rather than a cost replacing higher
employee wages. It reduces societal costs by reducing the percentage of
uninsured. And, it has seemed deceptively easy: a patient selects a physician
and when a health issue arises, the physician takes care of it.
State governments, in an effort to seek the ever-elusive notion of
equality have changed the playing field for insurance vendors and therefore
employers by legislating a growing list of coverage by employee-based
policies. The federal government has created a safety net for retired,
disabled, and indigent citizens in a grand attempt at covering that percentage
of the population who do not benefit from employee-based health care
coverage. But despite these best of intentions, the consequence has been
that health care coverage costs have grown out of control.
After four generations, we accept this as the only system, even with all
of its flaws. The discussion has not been about whether this 80-year-old
system should die a peaceful death, but rather how do we keep the
2 | DECEMBER/JANUARY 2012
neurologic, immunologic, physiologic and behavioral literature. There is
much discussion of what has been termed “the placebo response,” which
Schenck and Churchill prefer to term “the healing response,” as the authors
propose that it constitutes an important component of virtually every healing
interaction. This chapter also examines the literature of
experiments into distance healing, prayer, culture, and belief
and other potential impacts upon healing.
Recognizing that in order to be an effective healer, the
practitioner must know how to keep him/herself healthy and
whole, the seventh chapter is devoted to the strategies that
these interviewed practitioners have used to sustain physical
and emotional health over their careers and what they have
learned about self-care. The final chapter of the book is deeply
philosophical and examines the relationship between ethics,
morality, culture, and health policy in relationship to the healing environment.
This was for me the heaviest lifting chapter.
All of us live in a medical world in which patient satisfaction scores are
increasingly emphasized and, for many, even incorporated into reimbursement.
In my opinion, such scores are often a poor proxy for what truly forms
the ideal patient-physician relationship. The skills, attitudes, and behaviors
described in this book are the essence of what such scoring systems really
should be seeking. I have no doubt whatsoever that a health care system
focused on these elements would be more humane, more efficient, far less
costly, and a dramatically more rewarding experience for both patient and
practitioner.
This is a book that I truly wish I’d read at the forefront of my career. I am
certain that it would have made me a better clinician, a far more efficient
practitioner, and that my life in medicine would have been even more rewarding
that it has been. While it would make a fine graduation present to every
medical student, I doubt that there are any of us who will fail to find it useful,
sometimes humbling, and remarkably thought-provoking.
BRUCE E. BECKER, MD, MS
DAVID L. BAGNALL, MD
References:
1. Schenck, David and Churchill, Larry R., Healers: Extraordinary Clinicians at Work, Oxford
University Press, New York, NY, 2012, ISBN 978-0-19-973538-9.
80-year-old system alive. We are like grieving family members overseeing
an aging relative not long for this world, expecting that everything be done,
and trying to manufacture one more minute of breath.
Are we really limited to the current structure for providing health care?
Are our imaginations so restricted, so culturally attached to what
we have lived with that we cannot imagine something different?
Has the current system really provided patients with an incentive
to take better care of themselves, or for physicians to provide
better more efficient care for their patients? Is the current system
the most financially sound system we can imagine?
If we accept the current system as sacrosanct, we have
nothing else to do but continue to amplify the historical trends
of increasing regulation. This means carrying physicians’
responsibilities away from their patients and toward accrediting
administrations and payers; herding patients away from individual
responsibility and toward mandatory lifestyles; and shifting many health
care decisions away from individual choice and toward systemic choice.
There is absolutely no disagreement: the current system cannot sustain
itself financially. It is eating more than it harvests, and seemingly the only way
to stop that is to place it inside a cage…along with our patients and us.
We are in a true dilemma. We cannot completely divorce the political and
cultural perspective from the objective systemic needs. We have blamed the
government, insurance carriers, physicians, patients, employers and political
parties. But the problem really isn’t our ability to provide cost-effective health
care. We can do that. The problem is we do not have the ability to overcome
our cultural and political differences to see that goal achieved. We have
been unwilling, not unable, to make the difficult choices that would create a
much more equitable and financially sustainable health care system. But our
continued next page

PhyzForum – A Best Practice Tip on Starting
and Holding Discussions by E-Mail
Have you followed a discussion on and
watched the conversation suddenly switch to
a different topic midway through? Wonder how
that happened? Read on to learn more about why
this happens and how you can help keep discussions
on topic.
All discussions created in PhyzForum must have a topic header. When created in
PhyzForum, this is a mandatory field in order to start a discussion. When started
by e-mail, the subject line of your e-mail creates the topic header.
A disconcerting content segue can occur when an e-mail message is sent
as a reply to a discussion already in progress but in actuality starts a different
discussion. When you hit “Reply” rather than starting a new discussion topic, be
sure your content remains appropriate to the subject line. If not, start a “New”
e-mail. Don’t start a digression from the content topic.
To start a new discussion from e-mail, use the “new” mail option to send
an e-mail message the PhyzForum group you want to reach (see below for the
e-mail addresses of the public PhyzForum groups), and add a subject line that
summarizes your topic. PhyzForum will recognize the topic is new and will start
a new discussion.
PhyzForum Group E-Mail Address
Central Nervous System Rehabilitation cnscouncil@phyzforum.org
Medical Rehabilitation medrehabcouncil@phyzforum.org
Cancer Rehabilitation Forum cancerforum@phyzforum.org
Geriatric Rehabilitation Forum geriatricforum@phyzforum.org
Medical Leadership Forum medleadforum@phyzforum.org
Musculoskeletal Medicine mskcouncil@phyzforum.org
Pain Medicine / Neuromuscular Medicine paincouncil@phyzforum.org
Pediatric Rehabilitation / Developmental Disabilities pedscouncil@phyzforum.org
Residents Forum resident@phyzforum.org
Concussion / Mild TBI concussion@phyzforum.org
from the president In an Imaginary Cage continued
unwillingness is largely misguided rather than malevolent. How could
we expect to recognize the absurdity of the current system when we have
lived within its borders for our entire lives?
Assume a copper shortage. In an attempt to conserve rare copper, the
legislature mandates that all light switches be placed on outside walls, and
the citizenry nods their heads in grudging agreement. Over time, as the
mandate takes effect, the number of people visiting emergency rooms
increases because of falls at night in darkened rooms. What would be the
logical response? Increase the number of emergency rooms? Mandate
protective garments? Order that all furniture be placed along walls?
Or would the answer be to return to the notion of placing wall switches
next to doorways?
How to Start and Hold a Discussion by E-Mail
Required PhyzForum Settings
• Login in to PhyzForum – www.phyzforum.org
* If you belong to a private group on PhyzForum, please access your mailing lists to locate the e-mail address for your group.
Solidifying a strong foundation
for today’s practicing physiatrist
is a cornerstone of the American
Academy of Physical Medicine
and Rehabilitation. Read the
AAPM&R 2010–2011
Annual Report, Your Academy:
Advancing the Specialty, for an
overview of your Academy’s
• Confirm you are a member of the PhyzForum group –
https://www.phyzforum.org/Help/Pages/join_group.aspx
• Access your mailing list subscriptions and set your
subscription preference to “Immediate” –
https://www.phyzforum.org/Help/Pages/MailingLists.aspx
If you already belong to your PhyzForum group and you have an
“Immediate” subscription setting in your mailing list, start a new
discussion by e-mailing your topic to the e-mail address
listed below.
AAPM&R 2010–2011Annual Report Is Available Online
Solidifying the Foundation
2010-2011 AAPM&R ANNUAL REPORT:
Over the last few years the American Academy of Physical Medicine and
Rehabilitation (AAPM&R) has focused on solidifying a strong foundation
for the organization and its membership. Physical medicine and rehabilitation physicians
look to the Academy to educate them, represent them, and serve as a resource to help them navigate the
practice of the specialty in today’s health care environment.
The pages ahead will illustrate some of the ways the Academy has provided ample new opportunities
for the specialty and the membership.
Building on the momentum of prior successes coming from the dedication and hard work of member
volunteers, the Academy recognizes that there are numerous policy, quality, and practice management
areas that will become focal points in the future to best serve its members in a constantly evolving
health care system. Stay tuned for news on these developments.
page 2
major initiatives over the last 12–16 months. This is posted on the
Academy Web site at www.aapmr.org.
For the last three years, in an effort to keep costs down while making
the Annual Report accessible, the Academy has delivered this publication
electronically, posting it on the Academy Web site for easy access
and visibility.
On the home page, type “Annual Report” in the search box or click
on the “Membership” tab under “What’s New With Your Academy.”
Physiatrists treat a complex patient population. Our patients, perhaps more
frequently than other specialties, may be indigent, disabled, and elderly, and
therefore in need of societal subsidy. We must champion their dilemma.
Yet we are also largely uninformed. Perhaps we accept easily available but
limited information because we are busy living our lives. But that is no longer
enough. We owe it to our patients to question the status quo. I urge each of
us to explore the history of ideas and their unintended consequences that
have carried us to this place. We must educate ourselves thoroughly before
we can imagine creative solutions.
DECEMBER/JANUARY 2012 | 3

4 |
CDC Seeks TBI Fellow
The Center’s for Disease Control’s (CDC) National Center for Injury
Prevention and Control, Division of Injury Response (DIR) is in the process
of recruiting a senior service fellow to:
• Conduct cutting edge research on traumatic brain injury;
• Develop and foster relationships with existing and potential partners
within traumatic brain injury stakeholders groups;
• Respond to media and public requests for information;
• Prepare and deliver congressional testimony and briefings; and
• Serve as a liaison for policy activities related to traumatic brain injury.
To see more information or to apply, visit http://www.usajobs.gov/
GetJob/PrintPreview/303242300
DEPARTMENT OF PHYSICAL MEDICINE
& REHABILITATION AND PAIN MEDICINE
OCHSNER HEALTH SYSTEM IN BATON ROUGE is seeking an
additional PHYSIATRIST to join our expanding Department of Physical
Medicine & Rehabilitation and Pain Medicine. Candidates must be board
certified/board eligible in Physical Medicine & Rehabilitation. This is a
thriving outpatient practice with no inpatient responsibilities. Experience
in musculoskeletal medicine, pain management, electrodiagnostic studies,
and/or interventional pain procedures is preferred but not required.
The Greater Baton Rouge region is home to six Ochsner Health Centers
and Ochsner Medical Center Baton Rouge. More than 1,000 employees
serve our patients, including over 100 physicians and mid-level providers.
Ochsner Health System is a physician-led, non-profit, academic,
multi-specialty healthcare delivery system employing over 800 physicians.
The system includes 8 hospitals and 35 health centers. We offer a generous
and comprehensive benefits package. We also enjoy the advantage
of practicing in a favorable malpractice environment in Louisiana.
Please visit us at www.ochsner.org.
Baton Rouge represents the best of Louisiana’s vibrant culture.
The community provides numerous cultural, educational, historical, and
recreational activities and is known for friendly people and unique food.
The Baton Rouge metropolitan area has a population of 774,000 and is
home to Louisiana State and Southern Universities.
Please e-mail CV to: ochsnerphysiciancv@gmail.com
or call for information: (800) 488-2240. Ref. #APMRBR02.
Sorry, no J1 Visa opportunities available.
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DECEMBER/JANUARY 2012
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RFA for Point-of-Care
Applications of Ultrasound
Investigations
The Endowment for Education and Research (EER) of the American
Institute of Ultrasound in Medicine (AIUM) has issued a request for
applications (RFA) to investigate the reliability of various methods to
measure competence in one or more point-of-care applications of
ultrasound. Up to $50,000 has been allocated for one or more grants in
this area. Deadline for submission is March 1, 2012. The recipient does not
need to be a member of the AIUM. Information on this RFA and application
forms can be found on the AIUM Web site (http://www.aium.org/grants/
grants.aspx)
DEPARTMENT CHAIR
PHYSICAL MEDICINE & REHABILITATION
OCHSNER HEALTH SYSTEM in New Orleans is searching for a
board-certified CHAIR OF THE DEPARTMENT OF PHYSICAL MEDICINE
& REHABILITATION to lead our thriving, five physician department.
The department’s physicians are involved with outpatients, acute inpatient
consultations, and a 29-bed general inpatient rehabilitation unit which is
CARF certified and has CARF specialty certification for stroke treatment.
Along with clinical practice and leadership/administrative responsibilities,
the position involves teaching and clinical research. Prior leadership
experience is desirable but not required. Salary offered will be competitive
and commensurate with experience and training.
Ochsner Health System is a physician-led, non-profit, academic, multispecialty
healthcare delivery system dedicated to patient care, research,
and education. Ochsner employs over 800 physicians representing all major
medical specialties and sub-specialties. We conduct over 300
ongoing clinical research trials annually. We also enjoy the advantage
of practicing in a favorable malpractice environment in Louisiana.
For additional information, please visit our website at www.ochsner.org.
Interested physicians should send curriculum vitae for review to:
Joseph R. Dalovisio, MD, Associate Medical Director for Medical
Specialties. Email: ochsnerphysiciancv@gmail.com, Ref. # APMRC02.
Information: (800) 488-2240.
• Learn a new medical sub-specialty
• Achieve a firm understanding of key healthcare regulatory guidelines
• Play an integral role in a transformational, physician-led organization
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• Achieve flexibility by choosing to work in one of EHR’s office locations or in a home office
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strong clinical skills, multi-tasker, MD or DO
Learn why 700+ physicians work for EHR!
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councils’ corner
New Council Leaders Appointed
Each year, Council leaders are elected by a majority of present Council
members at the annual Council Business Meetings. Each Council hosted its
third annual business meeting at the AAPM&R 2011 Annual Assembly in
Orlando. Members gathered to meet Council leaders and discuss new
ideas for 2012. As part of these meetings, members also participated in
their first election:
Central Nervous System Rehabilitation Council
• Joel M. Stein, MD, was elected to serve as Chair-Elect.
• Steven M. Kirshblum, MD, was elected to serve
as Vice Chair of Education.
• Lisa A. Lombard, MD, was elected to serve
as Vice Chair of Communication
• Richard L. Harvey, MD, was elected to serve
as Member-at-Large for the Council Nominating Committee.
Pain Medicine/Neuromuscular Medicine Council
• Michael M. Saffir, MD, assumed the role of Chair.
• Deborah A. Venesy, MD, was elected to serve as Chair-Elect.
• Erik R. Ensrud, MD, was elected to serve as Vice Chair
of Communication.
• Shawn P. Jorgensen, MD, was elected to serve as Member-at-Large
for the Council Nominating Committee.
An Introduction to
Diagnostic and Interventional
Musculoskeletal Ultrasound
The following column was submitted by
JONATHAN FINNOFF, DO, on behalf
of the Musculoskeletal Medicine Council.
Musculoskeletal ultrasound is rapidly gaining
popularity within the physiatric community.
Recent advancements in ultrasound technology
have resulted in enhanced image resolution,
reduced equipment prices, and increased
equipment portability making musculoskeletal
(MSK) ultrasound an attractive and accessible
imaging modality to diagnose nerve, tendon,
ligament, muscle, and joint disorders, and to guide
interventional procedures. There are several
advantages of MSK ultrasound over other forms
of diagnostic imaging such as a lack of radiation
exposure to the patient or physician, ability to
perform real-time static and dynamic imaging,
excellent soft tissue resolution (spatial resolution
of less than 0.1 mm), lack of image distortion from
metal artifact, no known contra-indications to use,
and lower equipment and patient costs. Since
MSK ultrasound can be performed on site by the
physician evaluating the patient, the information
gained by the physician while performing the
history and physical examination can assist in
defining the clinical question that needs to be
answered with the diagnostic study, identifying the
region to be imaged, and determining if any
provocative/dynamic maneuvers are required to
enhance the sensitivity and specificity of the
Register for the February
Musculoskeletal Ultrasound Course:
Diagnostic and Interventional Musculoskeletal Ultrasound of the Lower Extremity
February 10-12, 2012 in Las Vegas, NV
Pediatric Rehabilitation/Developmental Disabilities Council
• Rita N. Ayyangar, MD, assumed the role of Chair.
• Robert J. Rinaldi, MD, was elected to serve as Chair-Elect.
• Maura M. McManus, MD, was elected to serve as Vice Chair
of Membership Development
• David W. Pruitt, MD, was elected to serve as Vice Chair of Education
• Maria A. Ocasio-Silva, MD, was elected to serve as
member-at-large for the Council Nominating Committee.
View the complete 2011-2012 Council Leadership Roster in the Member
Councils section of the Academy Web site.
Be a Part of Your
Clinical Home
sonographic evaluation. Musculoskeletal
ultrasound is an ideal imaging modality when the
patient has localized pain caused by superficially
located soft tissue and/or articular structures.
However, it is not the imaging modality of choice
for evaluating deep body regions, intraosseous
regions (e.g., bone marrow), or structures deep to
calcifications (e.g., deep to a tendon calcification),
pathologic processes located in central
intra-articular regions, or for poorly localized
pain. These limitations need to be considered
when choosing an appropriate diagnostic test
for your patients.
When imaging a structure, it is important to
understand its normal sonographic appearance
in order to identify pathologic abnormalities.
For instance, a normal tendon appears bright
or “hyperechoic,” with a relatively homogenous
echotexture and an organized fibrillar pattern
when imaged in a longitudinal plane. Tendinopathic
tendons appear dark or “hypoechoic,”
enlarged, heterogenous, and are frequently
accompanied by abnormal intra-tendinous
neovascularization on power-Doppler imaging.
Occasionally, after establishing the diagnosis,
an interventional procedure is indicated. Due to
the real-time imaging capabilities of MSK
ultrasound, and the ability to identify the
appropriate location where the needle should be
placed (i.e., the target and structures that should
be avoided, such as neurovascular structures,
during the procedure), MSK ultrasound is an
ideal imaging modality to guide interventional
procedures. For instance, when performing an
intra-articular hip injection using ultrasound
guidance, the physician performing the procedure
can first locate the femoral head-neck junction,
which is the target for an intra-articular hip
Joining a Member Council is FREE. Simply log on to your AAPM&R member
profile at www.aapmr.org and choose the Member Council(s) that are of
interest to you. Alternatively, you can visit PhyzForum (www.phyzforum.org)
and click “Join this Group” while you are within a particular group discussion
board. To volunteer your expertise, visit http://www.aapmr.org/members/
activities/GetInvolved/Pages/default.aspx
injection, by placing the transducer over the
anterior hip region in an anatomic sagittal oblique
orientation. The transducer can then be rotated
into an anatomic transverse plane orientation
and glided slightly medially to identify the
femoral neurovascular bundle. Based upon this
information, the optimal needle approach for the
intra-articular hip injection can be determined.
Then, using real-time ultrasound guidance, the
needle tip can be directed into the hip joint while
avoiding the femoral neurovascular bundle.
Musculoskeletal ultrasound can also be used
to guide advanced procedures such as lavage
and aspiration of calcific tendon deposits,
percutaneous needle tenotomies, and delivery
of biologic agents such as platelet rich plasma
and stem cells to enhance tissue healing and
promote tissue regeneration.
In summary, diagnostic and interventional MSK
ultrasound is an emerging, office-based imaging
modality that can be used by physiatrists to
improve their diagnostic and therapeutic capabilities.
For those of you interested in learning more
about musculoskeletal ultrasound, AAPM&R
currently offers an online basic musculoskeletal
ultrasound course that can be obtained at
AAPM&R’s acadeME web site. There are also
several hands-on courses offered by AAPM&R
including Diagnostic and Interventional Musculoskeletal
Ultrasound of the Lower Extremity on
February 10-12, 2012, in Las Vegas, NV, and
Hands-On Diagnostic Musculoskeletal
Ultrasound: In-Depth Introduction to Uses and
Techniques as a preconference course prior to the
AAPM&R 2012 Annual Assembly in Atlanta, GA.
Go to www.aapmr.org for details and register
or call (847)-737-6000.
DECEMBER/JANUARY 2012 | 5

moving advocacy through update moc
AAPM&R Offers New MOC Resource
Are you up to date on your ABPMR Maintenance of Certification (MOC)
requirements? Use the Academy’s New “Personal MOC Plan” on
the Academy’s Web site to find out where you stand.
After entering the most recent year you were certified or recertified by
ABPMR, the Personalized MOC Plan presents you with the ABPMR
requirements for each of the 10 years of your MOC cycle. There are also
suggestions from the Academy for where you should be as of the current
year to help guide you to stay on track to meet the requirements. There are
also handy links to the AAPM&R resources available to you to help you meet
each of the four parts of MOC.
To access this tool, go to www.aapmr.org and search for “MOC Plan.”
After reviewing their Personal MOC plan, Academy members can see a list
New 2012 Catalog Released
for acadeME
Keep a lookout in your mailboxes for the latest version of the acadeME
catalog. This handy reference was mailed in early January and provides a
detailed listing of all of the educational opportunities available to you via
acadeME, the Academy’s online learning portal which can be accessed at
www.me.aapmr.org.
The catalog lists all educational resources by clinical topic. In addition, a
separate section highlights the tools that meet the American Board of PMR
Maintenance of Certification requirements.
An electronic version of the catalog is also posted on the ME Web site.
#1 REHAB
HOSPITAL IN PA
AND TOP TEN
IN THE U.S.
Source: U.S.News & World Report
6 | DECEMBER/JANUARY 2012
of activities they have completed and/or reported through the Academy by
logging in to acadeME at www.me.aapmr.org and reviewing their transcript.
The new transcript clearly outlines the activities completed that meet each
part of MOC. Note: Non-AAPM&R CME Activities may not be captured on
a transcript if members did not enter them using the Online Portfolio.
MOC was developed by the American Board of Medical Specialties
(ABMS) to ensure a continuous cycle of lifelong learning for a physician’s
professional development throughout his or her medical career.
resource
catalog
2012
Key factors to our success include the Moss
Rehabilitation Research Institute, which
advances improvements in human function
and adaptation to disability. Additionally,
we’re often the first to utilize advanced
technologies in therapeutic applications like
the ReWalk-I . We are also proud to have one
of the most distinguished residency programs
in the nation that consistently produces leaders
in the field of physiatry. These factors and more
have contributed to our surpassing national
outcomes for most disabilities we treat.
At MossRehab, we push ourselves as hard as
our patients. Challenge Accepted.
To learn more about how we can help your patients,
please contact us by calling 1-800-CALL MOSS
or visiting MossRehab.com
Follow us on Facebook and Twitter
MOS-2740-11
©2011 AEHN
AEHN020_FNL_Physiatrist_Dec.indd 1 12/5/11 8:12 AM

New: Pain Pearls and Pain eJournal Club
The Academy is proud to offer two new educational
formats.
“How Do I Do It” Pain Pearls
Pain Pearls are Web-based case studies designed to provide clinicians with
the opportunity to benefit from expert opinion on the management of patient
cases that encompass diverse pain treatment challenges. Combined audio
and slides in each case presentation, along with a question and answer
section, allow for a comprehensive experience via a step-by-step approach to
best mirror diagnostic and pain management challenges. Below are the “How
Do I Do It” Pain Pearls coming to acadeME ® :
Management of Lumbar Herniated Nucleus Pulposis
Management of Discogenic Lumbar Pain
Access these new resources today through the acadeME ® Web site
at me.aapmr.org and earn 1 AMA PRA Category 1 Credit.
The Department of Physical Medicine and Rehabilitation of the
Johns Hopkins University School of Medicine is seeking a full-time
board-certified / board-qualified physiatrist for our growing department.
This extraordinary position offers ample opportunity for patient care,
teaching, and research in a collegial environment of the highest caliber.
Clinical and academic track appointments are available. Clinical
experience, enthusiasm, strong communication skills, and a
commitment to quality are necessary. Excellence in clinical teaching
and the ability to effectively relate to patients and their families is
expected. We offer competitive salary, performance-based supplement,
and outstanding benefits.
PM&R Inpatient/Outpatient Attending
Duties include: Attending Physiatrist for Comprehensive Integrated
Inpatient Rehabilitation Program, physiatric consultation on medical
and surgical patients, and participation in our active outpatient practice.
This position is located at the Johns Hopkins Bayview Medical Center,
a member of the Johns Hopkins Health System.
JOHNS HOPKINS IS AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
LEADERSHIP IN THE FUTURE OF HEALTHCARE.
Our patients benefit from a fully operational disease-based care delivery system - all our doctors work side by side with the world-class surgeons and medical specialists who share their subspecialty
interests. In this environment, there is an unparalleled opportunity for learning and professional growth.
The Department of Physical Medicine and Rehabilitation is seeking applications from board certified/board qualified physiatrists with interest in the following subspecialties;
Cardiac Rehabilitation
Responsibilities include integration of hospital consultation and outpatient services - working in
collaboration with the Heart and Vascular Institute, ranked #1 nationally in cardiovascular care for
17 years.
Cancer Rehabilitation
This position offers the opportunity to develop programming and direct rehabilitation services
for the Taussig Cancer Institute, ranked one of the top cancer hospitals in the country.
Musculoskeletal and General Rehabilitation
The position balances inpatient and outpatient practice with teaching and research responsibilities,
jointly sponsored by the Orthopedic and Rheumatologic Institute and the Neurological
Institute.Academic and career mentorship is centered within our highly-ranked Department of
PM&R.A variety of clinical opportunities is available to those with special training and qualifications,
including musculoskeletal medicine, trauma, sports, arthritis, amputee, hospital consults
and/or inpatient care. Opportunity exists for advanced training in musculoskeletal ultrasound.
Johns Hopkins Bayview Medical Center
Bayview PMR Inpatient-Outpatient Attending
advertisement
Cleveland Clinic offers a competitive salary and generous benefits package.
Pain eJournal Club: Registration for the Second Webinar
in a Four Part Series
These new and exciting learning activities allows clinicians to listen in on live,
30-minute webinars featuring well-known experts in the field of chronic pain
management who will be reviewing and discussing published articles or
guidelines in this area and their relevance to clinical behavior.
January 17, 2012 (To register go to www.me.aapmr.org.)
Intra-Discal Interventions Michael J. DePalma, MD (MODERATOR)
and Nikolai Bogduk, MD, PhD (EXPERT)
AAPM&R thanks Purdue Pharma for providing funding for these two
activities. Registration for all webinars is FREE. Visit the Pain Education
Web page on acadeME ® for more information.
We offer extraordinary opportunities in general PM&R, burn and wound
care, arthritis rehabilitation, chronic pain, and brain injury rehabilitation.
For further information contact:
Richard Zorowitz, MD
Associate Professor and Chair, Physical Medicine and Rehabilitation
Johns Hopkins Bayview Medical Center
4940 Eastern Avenue,
Building AA, Level 01, Room 1654
Baltimore, MD 21224
(410) 550-5299 – Office
(410) 550-1345 – Fax
(443) 632-4784 – Cell
rzorowi1@jhmi.edu – E-mail
Center for Neurological Restoration
This Center has successfully incorporated the talents of neurosurgeons, psychiatrists, neuropsychiatrists,
and researchers, offering the latest medical and surgical treatments.A physiatrist with a
career commitment in neurological rehabilitation will treat patients and align services throughout
the continuum of care.
Chronic Pain Management
The Center for Pain is seeking a physician specialist to diagnose and treat pain from medical,
behavioral, and rehabilitation perspectives.This is primarily a non-interventional position. Clinical
responsibilities may include the Chronic Pain Rehabilitation Program, the Neurological Institute’s
Pain Consultation Service, and the outpatient pain management clinic. Candidates should be certified
or seek certification/CAQ from the American Board of Pain Medicine, the American Board of
Psychiatry and Neurology or the American Board of Physical Medicine & Rehabilitation. Interest
in clinical work, teaching and research is essential. Opportunity for Center and program leadership
is available.
Interested candidates should apply online at www.clevelandclinic.org under Clinic Careers / Physician Opportunities.
Cleveland Clinic offers an integrated PM&R academic practice model connecting the main campus with 9 hospitals, 3 IRFs, 17 outpatient family health centers, skilled nursing facilities, and home care.
Cleveland is a big-league city with a small town lifestyle.A welcoming, culturally diverse population takes advantage of superb entertainment, sports, music, and outdoor resources in the region. It is a
wonderful place to raise a family and build a career. We are proud to be an equal opportunity employer. Smoke-free/ drug-free environment.
DECEMBER/JANUARY 2012 | 7

Time to Renew AAPM&R Dues for 2012
Your Academy values your membership and is keeping busy for you. Over
the past several years, your Academy has invested in the advancement of
the specialty of physical medicine and rehabilitation, promoted excellence in
physiatric practice, and advocated on public policy issues related to persons
with disabling conditions.
If you are paying with a credit card, the fastest way to renew is online.
Go to www.aapmr.org. All transactions are secure and payment receipts will
be provided automatically. Visa, MasterCard, and American Express cards are
accepted.
If you are unable to pay online, invoices were mailed to all Academy
members. You may return your invoice with payment in the enclosed
return envelope.
Carolinas Rehabilitation (CR) is expanding clinical and educational
programs. This growth presents an opportunity for qualified physiatrists
to join our established and dynamic academic practice. CR manages
172 acute rehabilitation beds and has established inpatient programs
in Stroke, Spinal Cord Injury, Traumatic Brain Injury, Pediatrics, Oncology,
Prosthetics/Orthotics and orthopedics, as well as an extensive network
of outpatient MSK clinics. Our main facility is located on the campus
of Carolinas Medical Center, an 874-bed acute care academic medical
center and the flagship of more than 30 affiliated hospitals in North and
South Carolina. Exceptional Physiatrists opportunities are now available
in the following areas:
8 | DECEMBER/JANUARY 2012
While renewing, make sure to update your member profile by:
1. Selecting the Member Council(s) that match your area of
care—It’s free!
2. Reviewing your contact information to ensure it’s accurate—a major
benefit of Academy membership is all the PM&R-related information
and news we share!
For more information or questions regarding payment of membership dues,
contact AAPM&R Customer Service at the Academy’s toll-free number (877)
AAPMR 99.
Carolinas Rehabilitation
GENERAL/NEUROREHABILITATION PHYSIATRISTS
Opportunities include inpatient, outpatient, consults, EMG, orthopedics,
prosthetics and orthotics. Ideal candidates should be enthusiastic about
research and resident education.
BRAIN INJURY FELLOW
We currently have an excellent opportunity for a one-year clinical brain
injury fellowship, beginning July 1, 2012, under the apprenticeship of an
experienced brain injury team at CR, one of 16 national Traumatic Brain
Injury model System sites. Extensive experience is available in acute
management, rehabilitation management and outpatient follow-up care.
PEDIATRIC REHABILITATION PHYSIATRISTS
Here is your opportunity to pursue your personal commitment to patient
Opportunities include inpatient and outpatient in an established
care as well as nurturing the next generation of stellar physiatrists.
pediatric rehabilitation program at Levine Children’s Hospital (LCH) We offer award winning facilities, excellent benefits and a quality of
a 234-bed facility, 20-bed PICU and Cardiac Intensive Care Unit, a life second to none. Carolinas HealthCare System, one of the nation’s
20-bed day Hospital and an 85-bed NICU. In addition, LCH has a
leading and most innovative healthcare organizations, provides a full
state of the art 13-bed Pediatric Rehabilitation unit.
spectrum of healthcare and wellness programs throughout North and
South Carolina. For more information or to submit a CV for consideration,
MUSCULOSKELETAL/SPORTS MEDICINE PHYSIATRISTS
please contact: Geri Deutschman, Physician Recruiter at
This highly visible position will be responsible for practice growth and
assisting in the oversight of a Charlotte-based MSK and Sports
Medicine program.
geri.deutschman@carolinashealthcare.org. EOE/AA
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2011 Assembly Breaks
Attendance Record
With more than 90 employers, the AAPM&R 2011 Job Fair had a record
number of employer and physician attendee participation. For close to
30 years now, AAPM&R has hosted the only live career event for the
specialty…and it continues to grow.
The AAPM&R 2011 Annual Assembly broke all registration records
– the meeting continues to be the largest annual gathering of
PM&R physicians in the world. This provided numerous networking
opportunities for members in between breaks from this year’s
top-notch education.
Mark Your Calendar for 2012
Building on the success of the 2011 meeting, you won’t want to miss the
AAPM&R 2012 Annual Assembly. Mark your calendars for November 15-18
at the Hilton/Marriott/World Congress Center in Atlanta, Georgia.
Over 90 medical students attended the Academy’s free program
introducing them to the specialty – the largest attendance in the
event’s five-year history. A new feature of this year’s program was
medical procedure demonstrations. The program was followed by
a Residency Fair that included over 16 PM&R residencies.
(L to R) Sam Wu, MD, MA, MPH, MBA; Michael Stubblefield, MD
and Bryan O’Young, MD, enjoy the President’s Reception
(Far Left) Captain Lewis Montalvan and his
service dog, Tuesday, after the opening Plenary
Session (Left) Capt. Mark Kelly at the opening
Plenary Session (Above) Gerard Francisco, MD
presents the Zeiter Lecture.
DVD Available of AAPM&R 2011
Annual Assembly Sessions
You can order the complete AAPMR 2011 Annual Meeting DVD
ROM, which contains audio recordings and presentations in PDF
format. The content has been organized to be searched by track,
course number, speaker and date. The set is $259. Go to
www.avmgonline.com and click on “Event Media” to find the
AAPM&R Annual Assembly.
Don’t Forget to Claim Your 2011 Annual Assembly CME
If you attended the 2011 AAPM&R Annual Assembly in Orlando this month, don’t forget that you have
one year to claim your CME credit. Visit www.me.aapmr.org and claim your credit for the meeting before
November 17, 2012.
DECEMBER/JANUARY 2012 | 9

The Physiatrist Advertising
Want More Job Opportunities?
Visit the AAPM&R Physiatrists’ Job Board at http://jobboard.aapmr.org to post your
resume, find new opportunities, and connect with employers.
Positions Available
EAST
Trumbull, Connecticut: We are located in Trumbull, CT with satellite offices in Fairfield,
Shelton and Stratford. Currently we have 8 orthopaedic surgeons, 1 physiatrist, 2
chiropractors, 1 podiatrist, 4 physician assistants and 2 athletic trainers. Seeking a
fellowship trained physiatrist to join our comprehensive musculoskeletal center located
one hour from New York City. With a reputation for excellence in patient care, our group
covers professional Athletes including Division 1 college athletes as well as many local
high schools. The primary emphasis of this position would be spinal intervention, pain
management and electrodiagnosis. Experience in intraoperative spinal cord monitoring
would confer advantage. Comprehensive salary and benefit package includes profit
sharing. Please email C.V. and references to Kelly M. Poulin, Practice Administrator-The
Orthopaedic & Sports Medicine Center. kpoulin@osmcenter.com 203-268-2882x3314
Hartford, Connecticut: Mount Sinai Rehabilitation Hospital-Outstanding opportunity for
a full-time BC/BQ physiatrist to join a dynamic, growing PM&R practice affiliated with a
major hospital system and a 60-bed acute rehab hospital located in Hartford, Connecticut.
Having recently added an interventionalist, we are once again looking to expand with
the addition of our fifth physiatrist. The ideal candidate will have an interest in both
inpatient rehabilitation and outpatient care with an opportunity for inpatient acute care
consultations as well. Excellent compensation and benefits offered. Our hospital system
completed a major expansion that includes a new ED and patient care tower that houses
the Connecticut Joint Replacement Institute, the 7th largest such program in the nation.
Mount Sinai Rehabilitation Hospital is the only freestanding acute rehab hospital in CT
and the largest provider of stroke/BI acute rehab in the state. The Mandell MS Center,
housed within our rehab hospital is one of the nation’s most comprehensive programs
dedicated to the treatment and research of multiple sclerosis. Newer initiatives moving
forward include the creation of a comprehensive interdisciplinary spine program. If you
are an energetic, talented physiatrist interested in an excellent career opportunity located
in beautiful New England, please contact Christine Bourbeau, Director of Physician
Recruitment, at 860.714.1090, or fax/email a letter of interest and CV to 860.714.8894.
Email address: cbourbea@stfranciscare.org- Visit The Rehabilitation Hospital of
Connecticut website www.rehabct.com-EEO/AA - M/F/D/V, pre-employment
drug testing
Portsmouth, New Hampshire: Motivated in-patient/out-patient Physiatrist to join
group of six physiatrists in New Hampshire beautiful seacoast. Please submit resumes
to Dawn O’Keefe, Seacoast Area Physiatry. dokeefe@sphysiatry.com.
New Jersey: We are seeking a physiatrist to join our growing out-patient musculoskeletal
group practice with three offices in Central New Jersey. The candidate will evaluate and
treat a variety of musculoskeletal and neurological conditions. Must be proficient in
performing electrodiagnostic studies. Contact Serge Menken at cepbl@hotmail.com
or by calling 732-226-6603.
The University of Colorado School of Medicine, Department of Physical
Medicine and Rehabilitation is seeking a full-time board-certified/boardeligible
physiatrist for a general rehabilitation position at the Assistant or
Associate Professor level. This individual will thrive in a team
environment, relate effectively with colleagues and patients, and possess
strong teaching skills and research interests. Clinical responsibilities
include general inpatient services (12 bed acute rehabilitation unit and
inpatient consults), consultation services at long-term acute care facilities,
and general outpatient clinics. Teaching responsibilities include
participating in the education of Physical Medicine and Rehabilitation
residents, medical students, and allied health care professionals.
Research responsibilities include active pursuit and participation in
research activities as well as mentoring residents and other faculty in
research endeavors.
Salary and benefits will be commensurate with the level of expertise and
academic credentials. Review of applications will commence
immediately, and will continue until the position is filled.
The University of Colorado offers a full benefits package. Information on
University benefits programs, including eligibility, is located at
www.cu.edu/pbs/.
All applications must be submitted through Jobs at CU,
https://www.jobsatcu.com/applicants/jsp/shared/Welcome_css.jsp
Posting number 814620.
For further information please contact:
Audrey Thornburg
audrey.thornburg@ucdenver.edu
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10 | DECEMBER/JANUARY 2012
Brick, New Jersey: STAFF PHYSIATRY POSITION: Inpatient & Outpatient-Shore
Rehabilitation Institute (SRI) is an acute inpatient rehabilitation hospital compromised
of 40 acute inpatient rehabilitation beds and a comprehensive Outpatient Physical,
Occupational and Speech Therapy. SRI is seeking a full-time Physiatrist to join an
established Physiatry group. Responsibilities include inpatient management, outpatients
and consultation services at Ocean Medical Center. EMG and Botox experience is a plus.
-Compensation based on experience- Full-time benefit package including health, dental,
vision, life, disability, paid vacation and a 401K with employer contributions with match.
Please contact: Donna McCourt- p. 732.836.4530 f. 732.836.4531 email: dmccourt@
meridianhealth.com
Morristown, New Jersey: Leading PM&R practice in Morristown, New Jersey seeks
experienced physiatrist for full-time position. Responsibilities include acute care and
subacute consultations, inpatient rehab, outpatient and electrodiagnosis. Base salary and
benefits plus performance based bonus. Email CV to jledzian@armnj.net
New York: Pain Therapy Medical Care is Now Hiring!!! paintherapycare.com- Please
forward CV via email for consideration and put PM&R position in the subject line at
Pain1800@gmail.com & call 718-924-4755 to schedule an interview. We are seeking
a full time Physiatrist to join a private interventional pain management practice.
The practice is located mainly in Brooklyn NY with satellite offices in Bronx, and consists
of 1 Interventional Pain Medicine Physician and Nurse Practioner. Work side by side
with a highly trained and qualified physician from one of the top programs in NY. The
Physiatrist will be expected to preform patient evaluation and management, Basic injections
and EMGs. Computer / EMR skills is a plus. Must be licensed to work in NY. Spanish is
a big plus-interventional pain management training is possible for the write candidate-The
Physiatrist will be expected to preform patient evaluation and management, Basic injections
and EMGs. Please forward CV via email for consideration and put PM&R position in the
subject line at Pain1800@gmail.com & call 718-924-4755 to schedule an interview
New York, New York: Physiatrist - New York City. Prestigious Orthopedic practice on
Park Avenue seeking full-time Board Eligible/Certified Physiatrist trained in epidural
injections and preferably EMGS. Existing patient base will have right candidate busy
from first day. Full time package includes excellent benefits. Please forward resume for
immediate consideration to comanhattano@aol.com
New York, New York: Excellent opportunity for board certified or board eligible
Physiatrist in a very busy, well established Manhattan orthopedic practice. Our practice is
situated in a highly desirable, exciting and sophisticated location. Fellowship training in
pain management would be desirable. We offer an excellent financial package and earning
potential for the right candidate. If you are interested in a strong growth practice in one
of Manhattan’s most culturally exciting neighborhoods please send your CV to Richard
Gross, MBA -Manager via fax at 212-265-9718 or e-mail at riversideortho@hotmail.com.
Hershey, Pennsylvania: The Penn State Hershey Medical Center is seeking a board
certified or board eligible physiatrist to join our group of six physiatrists. The position
includes inpatient rehabilitation as well as a mix of inpatient consults, outpatient consults,
procedures, EMGs and/or pain management depending on your interests. The Hershey
Medical Center is a 500 bed tertiary care teaching hospital and level 1 trauma center
with 700 physicians and growing. Hershey is a suburban community of 20,000 in a
metropolitan area of 400,000 in one of the fastest growing regions in the state. It is
approximately twelve miles from Harrisburg, the state capital and largest employer in the
Commonwealth. Interested applicants should send resume to attention of Dr. Brenda
Mallory at wspickler@hmc.psu.edu, or by telephone at: 717-531-4263. Job Requisition
#28108. Penn State is committed to affirmative action, equal opportunity, and the diversity
of its workforce. EOE-AA-M/F/H/V
Philadelphia, Pennsylvania: Shriners Hospitals, Philadelphia, has a need for a pediatric
physiatrist. Shriners Hospitals for Children-Philadelphia is client- and family-centered
and endorses the World Health Organization’s framework. The pediatric physiatrist
would be a pivotal member of the medical staff to assist with the delivery of medical and
rehabilitation care to meet the rehabilitation and habilitation needs of children and youth
and their families. Contact Randal Betz MD Shriners Hospitals- email rbetz@shrinenet.
org- office 215 430 4026
Providence, Rhode Island: Well established busy outpatient physiatrist practice looking
for a second BC/BE physiatrist. Qualified candidates should be proficient in interventional
spine and general outpatient rehabilitation including pain management. Rhode Island is
a well kept secret in beautiful New England, on the water, one hour from Boston and 3
hours from NYC. This opening offers a generous salary with benefits, profit sharing and
rapid partnership track. This is a turnkey opportunity where you can develop and shape
your activities to your own interests. There is also a potential academic appointment at
Brown University. Come join our multi-disciplined rehabilitation program. For more
information please visit us at www.jrmd.net, email us at Info@jrmd.net and/or call us
at 401-453-5030.
West Springfield, USA: Private Practice Opportunity. Large private practice physiatry
group seeks associate for unique opportunity. Position may include general physiatry,
EMG, inpatient related and/or sports medicine depending on candidate’s interests.
Training in interventional procedures is available. We will help you grow professionally
and reach your potential. Our practice is well established in a very collegial medical
community and offers a rich lifestyle. We have eight (8) offices in a beautiful region of
southern New England within easy reach of Boston, New York, Providence, beaches and
skiing. Our offices are located in college towns and small cities with many cultural and
recreational activities. Competitive salary, benefits, bonus, and partnership potential.
Contact Geoff Elia, Chief Of Operations at gfelia@cox.net or 413-785-1153 x6910.
Roanoke, Virginia: Carilion Clinic is seeking a Medical Director for its 34-bed Inpatient
Rehab Facility. BC/5+ yrs experience required. Join a multi-specialty group of 3 physiatrists
on the campus of Carilion Roanoke Memorial Hospital/Virginia Tech Carilion School
of Medicine, working in an interdisciplinary model with orthopedics and neurosurgery,
providing treatment of stroke, spinal cord injury, brain injury, and other general rehab
diagnosis along with consults and follow up. CRMH is a 791-bed teaching/tertiary referral
center with Level I Trauma, serving over 1 million throughout southwest Virginia. For
confidential consideration, contact Penny Daniel, Physician Recruiter, Carilion Clinic,
padaniel@carilionclinic.org or 540-224-5373.

MIDWEST
Kent, Ohio: Seeking a BE/BC physiatrist with a strong interest in outpatient musculoskeletal
medicine to be part of a busy multispecialty, rapidly growing group in Northeastern Ohio.
The ideal candidate would be an energetic team player with excellent interpersonal skills that
is looking for a long term commitment. Competitive salary and bonus, with partnership track
available. Contact Bina Mehta at bmehtamd@aol.com or 330-819-6917
Menasha, Wisconsin: Affinity Medical Group, an integrated health care organization, is seeking
a BC/BE Physiatrist to join our Neuroscience Department at our clinic location in Menasha,
Wisconsin. Practice with our neurologists and neurological surgeon, along with a team of nurses,
physical therapists, occupational therapists, speech therapists, dietitians and psychologists to
help our patients enjoy the highest possible level of function and quality of life. Benefit from
an industry leading salary and benefits package. The Fox Cities (Appleton, Neenah/Menasha,
Oshkosh) offer a unique quality of family oriented living, all-season recreation, a nationally
acclaimed educational system, and a host of cultural opportunties. For more information,
please contact: Sara Roth, Affinity Physician Recruitment; Phone: 920-727-4348;
Fax: 920-727-4350; E-mail: sroth@affinityhealth.org Visit our website at:
www.affinityhealth.org Not a J-1 opportunity.
Oshkosh, Wisconsin: Pain Management Practice in East Central Wisconsin is looking to
hire a musculoskeletal physiatrist interested in EMG, Botox and joint injections. This is a
small independent physician group that enjoys a collaborative relationship with the hospital
administration. Practice is integrated with newly developed spine and brain center. There is
opportunity for a medical directorship of the chronic rehabilitative pain program incorporating
PT, OT and pain psychology. Beautiful lakefront community is a great place to raise a family,
with excellent public/private schools schools, dining, and cultural activities. Base salary plus
production bonus, top notch retirement plan and typical benefits plus no call. For information
please contact Sherry Lynch, Executive Director at: sherrylynch@new.rr.com, or call 920-223-
1941. Our website is foxvalleypain.net. Pain Management Practice in East Central Wisconsin is
looking to hire a musculoskeletal physiatrist interested in EMG, Botox and joint injections. This
is a small independent physician group that enjoys a collaborative relationship with the hospital
administration. Practice is integrated with newly developed spine and brain center. There is
opportunity for a medical directorship of the chronic rehabilitative pain program incorporating
PT, OT and pain psychology. Beautiful lakefront community is a great place
to raise a family, with excellent public/private schools schools, dining, and cultural activities.
Base salary plus production bonus, top notch retirement plan and typical benefits plus no call.
For information please contact Sherry Lynch, Executive Director at: sherrylynch@new.rr.com,
or call 920-223-1941. Our website is foxvalleypain.net.
WEST
Portland, Oregon: Northwest Permanente, P.C. is a self-governed, multi-specialty group of
approximately 1100 physicians and surgeons providing the professional services for 470,000
members of Kaiser Permanente in Oregon and Washington. We are currently seeking a Board
Certified or Eligible Physiatrist to join a department of nine physicians at our medical offices in
the Portland metropolitan area. The primary focus of the practice is the provision of physical
medicine and electrodiagnosis services in an outpatient setting. Our practice deals with a wide
range of musculoskeletal problems, EMG’s, and sports medicine. Experience and interest in
doing lumbar epidural injections would be a plus. In addition to outpatient responsibilities, the
practice also entails inpatient consultation and electrodiagnosis for Kaiser Sunnyside Medical
Center. Among the many systems which support our daily practice is an award-winning
Windows-based electronic medical record system which allows for easy access to all pertinent
patient clinical data. Physicians with Northwest Permanente, P.C., enjoy a four day work week
to promote work life balance. They also receive competitive salaries and an extensive benefit
package which includes medical, dental, disability and life insurance; generous retirement plans;
vacation, sabbatical and educational leave; and professional liability coverage. Physicians are
also eligible for Senior Physician and Shareholder standing after approximately three years
with the group (must be Board Certified by this time). Applications are being accepted at:
http://physiciancareers.kp.org/nw/. You may also contact Shana Klemchuk at 800 813 3763
for additional information and/or questions.
Salt Lake City, Utah: UNIVERSITY HEALTH CARE- Physical Medicine and Rehabilitation-
The Division of Physical Medicine and Rehabilitation at the University of Utah is offering an
excellent opportunity for those interested in a clinical, teaching and research career at a rapidly
growing academic health system. This position will coordinate and perform PM&R consults
with all acute care service lines within a tertiary care academic medical center consisting of 450
acute beds. Additional responsibilities include a general outpatient practice. University of Utah
Rehabilitation serves patients from a multi-state region and is located in beautiful Salt Lake
City at the foot of the spectacular Wasatch Mountains. Salt Lake City boasts internationally
renowned cultural venues as well as collegiate and professional sports teams. Outdoor recreational
opportunities are unparalleled. Applicants should have strong interpersonal skills. Salary is
competitive and benefits are excellent. Candidates need to be board certified/board eligible.
Please apply for this position at: http://utah.peopleadmin.com/postings/9476 The University
of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based
upon race, national origin, color, religion, sex, age, sexual orientation, gender identity/expression,
disability, or status as a Protected Veteran. Upon request, reasonable accommodations in
the application process will be provided to individuals with disabilities. To inquire about the
University’s nondiscrimination policy or to request disability accommodation, please contact:
Director, Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Circle, Rm.
135, (801)581-8365. The University of Utah values candidates who have experience working
in settings with students from diverse backgrounds, and possess a demonstrated commitment
to improving access to higher education for historically underrepresented students.
Everett/Puyallup, Washington: The UBC staff physician has medical responsibilities within
a specialized interdisciplinary pain clinic for patients with chronic pain. The physician works
in one of UBC’s three locations (Everett, Puyallup and Redmond) and may travel to provide
coverage in other locations on an as needed basis. The staff physician has the opportunity to
grow and develop the medical treatment aspects of United Backcare, Inc. including adding
services earlier in the acute pain continuum. Research, education and community involvement
are additional opportunities. The Staff Physician is responsible for directing and coordinating
a goal-oriented, interdisciplinary team effort amongst clinicians with expertise in various painrelated
disciplines (e.g., Physical therapists, occupational therapists, psychologists, vocational
rehabilitation counselors). The physician’s role involves contact with clients from the initial
evaluation through treatment and discharge planning. Immediate opening for 2 full-time
Physiatrists, to participate in growth of interdisciplinary rehabilitation company. UBC is an
interdisciplinary rehabilitation company that provides comprehensive, goal-oriented,
non-interventional, rehabilitation, medical rehabilitation and related services to individuals
and groups. Services focus on the individual and stakeholders’ needs. They are provided by
qualified professionals including Physiatrists, psychologists, physical therapists, occupational
therapists, biofeedback therapists (nurses), and vocational counselors. Programs include:
Chronic Pain Management, Opioid Elimination, Work Hardening, Work Conditioning,
Medical Consultations, and Behavioral Health Services, several with CARF accreditation.
Send cover letter with CV to: Dr. R. Neiders -- rneiders@ubcinc.org 425-644-4100
UBC, Inc. Redmond, WA.
Seattle, Washington: REHAB-HOSPITALIST SERVICES, PER DIEM. Inpatient BC
Physiatrist needed for a per diem position in our CARF Accredited hospital-based Inpatient
Rehabilitation Unit at Virginia Mason Medical Center. Our Inpatient Rehabilitation program
is in the top 10% for patient outcomes compared to over 800 facilities nationwide. Our 18
bed unit admits over 400 patients annually. The ideal physician for this per diem position
would have flexible availability and would be available 5 to 7 days at a time with 10 to 12 hour
shifts with on call responsibility. Opportunity for per diem position to become permanent.
Responsibilities include: -Complete consult assessment on acute care patient’s general medical
condition, psychosocial status, and vocational history to determine if patient meets Inpatient
Rehabilitation admission criteria. -Liaison with the referring physician for collaboration
of general medical management as indicated by patient condition. -Admit patients to the
rehabilitation unit. -Provide daily medical management of all Inpatient Rehabilitation patients
-Monitor patient’s progress toward the achievement of rehab goals, need for continued therapy,
and rehab potential. -Conduct interdisciplinary team conferences and direct the interdisciplinary
team in the establishment of a treatment plan for the patient that includes goals and estimated
length of stay. -Provide clinical advice and expertise to staff with patient care. -Offer consultative
services for rehabilitation patient care. -Regularly round with members of staff who are involved
in patient care. For more information please contact: Doug Lewis, Physician Recruiter, Virginia
Mason Medical Center- doug.lewis@vmmc.org -Tel: (206) 341-1232 www.virginiamason.org
Laramie, Wyoming: Large stable western practice serving the state of Wyoming looking for
a PM&R physician to join another PM&R physician to provide excellent care to patients.
Great opportunity if you love the outdoors and wish to earn top tier revenues. Group and
ancillaries wholly owned by physicians in the group. Contact Trent Kaufman at TKAUF1207@
BRESNAN.NET or 1-800-446-5684
SOUTH
Birmingham, Alabama: The University of Alabama at Birmingham (UAB) Department of
Pediatrics, Division of Pediatric Rehabilitation Medicine (PRM) is seeking a board certified/
board eligible pediatric physiatrist to join a dynamic academic work environment with
opportunity for inpatient and outpatient practice in close collaboration with other pediatric
medical and surgical subspecialists. The position will provide appointments in the Departments
of Pediatrics and Physical Medicine and Rehabilitation (PM&R) and offer ample opportunity
for training of medical students and residents. As well, the UAB Division of PRM offers 1 and
2 year ACGME accredited PRM fellowship training tracks. Children’s of Alabama, the primary
practice location for pediatric services at UAB, is one of the ten busiest children’s hospitals
in the country and the UAB Departments of Pediatrics and PM&R are consistently among
the top NIH funded departments in their respective areas nationally. UAB’s family friendly
policies and resources support faculty in achieving a balance between work and family/personal
commitments. For more information please contact: Drew Davis, MD-Division Director and
Fellowship Director-ddavis@peds.uab.edu or 205-558-2929
Altamonte Springs, Florida: The Spine Center Altamonte has a multi-disciplinary program
with services offered in spinal care, sports rehabilitation, physical therapy, pain medicine,
imaging and research. Our facility is an affiliate of Florida Hospital Altamonte and we extend
the hospital’s holistic approach to healing by placing an emphasis on conservative care offering
both surgical and non-surgical options. The physiatrist/PM&R physician who joins our team
of highly accomplished specialists will be responsible for performing the following duties:
Out-patient evaluations- In-patient consultations- Injections- EMGs. We seek to identify a
qualified physiatrist who has completed both a Pain Fellowship and PM&R Residency to help
fulfill our goal of providing comprehensive care to our patients. Contact Jason Newmyer at
jason.newmyer@flhosp.org or 407.303.2614.
Melbourne, Florida: Full Time position for interventional and office based physician in Florida
specializing in pain management! Located on the East Coast of Florida, The B.A.C.K. Center
specializes in neck and spine injuries and illnesses. The candidate will be a BC/BE physiatrist,
have excellent communication skills and a dedication to quality patient care. Competitive salary
and benefit package available. If interested please contact Charles Sorrento, B.A.C.K. Center
CEO, at csorrento@thebackcenter.net. S. Farhan Zaidi, MD will be attending the AAPM&R
Annual Assembly in Orlando November 17-20, 2011. If you would like to meet and discuss
potential employment during the conferences, Please call Dr. Zaidi at 917-536-8972.
West Palm Beach, Florida: Brain injury fellow trained physiatrist to join physiatrists group
in West Palm Beach, Fl. 50 beds lisc and Carf certified institute in St Mary’s Medical Center
a 500 beds level1 trauma hospital providing comprehensive Brain Trauma , Spinal Cord and
Stroke care to adults and pediatric population. Inquires to Claude Oster DO, Med. Dir., Rehab
Services. e-mail coster@compuserve.com-tel. 561 882-6032
Atlanta, Georgia: Choice Care Occupational Medicine and Orthopaedics, a chain of innovative
and growing occupational clinics in metro Atlanta area is seeking a PM&R physician with an
interest/proficiency in spinal blocks. We have a built in referral system for cervical, lumbar,
SI joint blocks. This is an office based practice with no call or hospital work. Great group and
work environment, competitive salary and uncapped productivity bonus. CV to ishakhan@
bellsouth.net or fax to 404 352 7999, website www.choicecare.net.
Stockbridge, Georgia: INTERVENTIONAL PAIN IN ATLANTA, GEORGIA- Metro Atlanta
Area Practice- Expanding well-established 100% pain practice- 5 Offices and 1 Accredited-ASC-
Busy and growing interventional pain practice- Excellent compensation package and benefits-
Partnership track- Pain Fellowship Required- For More Information Contact: Lindsey Mathes,
MSN, RN - Practice Administrator-Office: (770) 771-6580 Fax or Email CV to: (770) 771-6589
or georgiapaincare@gmail.com Visit us on the web at: www.GeorgiaPainCare.com
Frisco, Texas: Baylor Health Care System/Health Texas Provider Network in Dallas/Ft.Worth,
Texas is currently looking for a Physiatrist to work in a new suburban hospital setting in one
of the fastest growing areas in the US. We offer a 1st year salary guarantee. This is a very busy
clinically focused inpatient position with an established colleague, shared call, malpractice
insurance with 1M - 3M limits and no tail coverage required. Development of general outpatient
physiatry practice will follow. Please send your CV to: Kristen.Chapman@BaylorHealth.edu or
call (972) 860-8506 for more information.
DECEMBER/JANUARY 2012 | 11

Georgia World Congress Center
Atlanta, Georgia
Call for
Proposals
Submit Your Research for the AAPM&R 2012 Annual Assembly
November 15-18
Georgia World Congress Center
Atlanta, Georgia
Call for
Abstracts
12 | DECEMBER/JANUARY 2012
Abstracts
Your Academy invites you to submit your clinical
and basic science research findings to be
considered for inclusion in the AAPM&R 2012
Annual Assembly, November 15-18, 2012,
in Atlanta, GA. Each abstract will be evaluated
based on the components of the structured abstract. All abstracts selected
for inclusion in the scientific paper and poster presentations during the
Annual Assembly will also be published and distributed as a Web link and
CD-ROM in conjunction with PM&R, the Academy’s official scientific journal.
How to submit your abstracts
AAPM&R will accept abstract submissions for the 2012 Annual Assembly
online only. To submit your abstract, follow these steps:
1. Access the submission Web site at aapmr2012.abstractcentral.com
2. If you created a User Name and Password on last year’s submission
site, or if you received a login and password via e-mail, you may log in
with the same credentials.
The President’s Citation Award has been announced for
the highest-rated abstract submitted for the AAPM&R
2011 Annual Assembly.
Your Academy presents the annual President’s Citation Award to recognize
outstanding research in the field of PM&R. All abstracts and papers
submitted to the Academy’s Annual Assembly are eligible to win. The
winning author receives complimentary registration to the following year’s
Annual Assembly.
Finalists were chosen based on the highest scores received during the
abstract review process prior to the Assembly. The finalists were notified
before the meeting, and primary authors were recognized onsite with ribbons
on their registration badges. Final scoring by members of the AAPM&R
Research Committee was completed after the finalists’ presentations.
Winning abstract: “Acetylcholinesterase Inhibition Improves Outcomes of
Cortical Brain Injury in Rats” Lead author: Oscar Scremin, MD, PhD
If you cannot remember your login and password from last year, please
create a new account. If this is your initial visit to this abstract submission
site, you MUST first choose “Create an Account” from the side menu.
3. You will be prompted to fill out a financial disclosure form when you
first log in. All presenting authors must provide a financial disclosure to
be accepted for presentation.
4. Please read the instructions page carefully before beginning the
submission process.
5. Follow each of the steps carefully to submit the abstract proposal.
All abstract submissions are due Friday, March 9, 2012, at midnight
(CST). Visit the Academy Web site (www.aapmr.org ) for more information
about abstract submission procedures and important presentation
policies. Need technical assistance? Call (888) 503-1050 or
e-mail ts.acsupport@thomson.com.
The online submission process is the only way to submit a session proposal
for consideration. If you have questions, please contact info@aapmr.org.
Scremin Awarded 2011 President’s Citation Award
Seeking a Fellowship Trained
Orthopaedic Physiatrist
OA Centers for Orthopaedics seeks a Physiatrist with spine
sub-specialty expertise.
This is an excellent opportunity to become part of the largest orthopaedic
group in Maine and one of the most experienced groups in New England.
Portland is a very desirable small coastal city with excellent schools,
recreational, cultural and social opportunities. Only 90 miles from Boston.
The 19 physicians and surgeons of OA are sub-specialty
fellowship trained, board certified and nationally recognized.
Please contact: Linda Ruterbories
OA Centers for Orthopaedics
33 Sewall Street
Portland, ME 04102
(207) 828-2126
Don’t miss your chance to compete for this award in 2012 – the Call
for Abstracts for next year’s meeting appears above.
UNIVERSITY of WASHINGTON • DEPARTMENT of REHABILITATION MEDICINE
Save the Date
March 25 - 31, 2012
29th Annual Review Course in
Physical Medicine & Rehabilitation
Hotel Deca - 4507 Brooklyn Ave NE - Seattle, WA 98105
Online brochure and registration information available
December 2011 at http://uwcme.org
advertisement
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2011-2012 RPC Leaders Announced
The Resident Physician Council (RPC) comprises all AAPM&R resident
members, helping them prepare to provide optimal physiatric services to
patients and the specialty. The RPC Board’s mission is to assume an active role
in the function of the Academy – specifically in the areas of membership,
medical education, physiatric practice, health care legislation, and awareness
– while building an active resident community within the Academy. The mission
also includes the enhancement of communication between PM&R residents,
the Academy Board of Governors, and other members of the Academy.
We are proud to announce the 2011-2012 RPC Board:
Executive Committee
President: Sunjay Mathur, MD (PGY3 – RIC)
Past President: David Brooks, MD, MBA, MPH (PGY4 – UPENN)
Vice President: Salar Deldar, MD (PGY3 – Stanford)
Secretary: Melissa Blum, DO (PGY3 – RIC)
Governing Council, Liaisons, Members-at-Large
Membership: Andrew Gordon, MD (PGY2 – John Hopkins);
Chrissa McClellan, PT, MD (PGY2 – MU)
Medical Education: Ashlee Goldsmith, MD (PGY3 – Jefferson);
Gwen Lacerda, MD (PGY2 – UMDNJ/Kessler)
Quality, Practice & Policy: Amy Yin (PGY2 – Harvard/Spaulding)
Public & Professional Awareness: Felicia Skelton, MD (PGY2 – UWA)
Bylaws: Berdale Colorado, DO (PGY3 – MCW)
Nominating: Hamilton Chen, MD (PGY3 UIC); Henry Lee, DO (PGY3 – UM)
Residency Program Liaison: Elizabeth Nguyen, MD (PGY3 – NYPCU)
AMA-RFS Delegate: Matthew Grierson, MD (PGY3 – UWA)
AAPM&R Staff Liaison to RPC: Katrina Holland
MEMBERS OF THE 2011-2012 RPC BOARD, (L to R), ASHLEE GOLDSMITH, MD;
MATTHEW GRIERSON, MD; SALAR DELDAR, MD; SUNJAY MATHUR, MD; DAVID
BROOKS, MD, MBA, MPH; HAMILTON CHEN, MD; AND ELIZABETH NGUYEN, MD
Want More Resident News? Check out the latest issue of the Academy’s online newsletter, the PM&R Resident.
Visit the Resident members section of www.aapmr.org to find the latest news for PM&R residents.
Important Coding Changes Effective January 1, 2012
The following article will further bundle EMGs and NCS as mandated
was submitted by by CMS for 2013. AAPM&R and the other Additionally, the following guidelines apply to
Joseph P. Zuhosky, specialty societies worked diligently on behalf of the use of these codes:
MD, who serves as their memberships to preserve and assign the 95885 and 95886 are reported once per
the Academy’s appropriate values for these codes relative to extremity and can be reported together up to a
RUC Advisor.
other physician services across the spectrum of combined total of four units of service per patient
In early 2010, the clinical medicine. The three new codes that when all four extremities are tested.
Center for Medicare became effective January 1, 2012, do not include When needle electromyography is performed
and Medicaid Services any pre- or post-procedure time, but continue to without nerve conduction studies on 4 or less
(CMS) requested that have relative work values similar to existing EMG muscles in a limb, code 95870 remains
specialty societies codes. The current nerve conduction study codes appropriate. When 5 or more muscles are tested
work to reduce the (95900–95904) will continue to be billed as in a limb without nerve conduction studies, the
duplication of pre- and post-procedure time that currently in the coming year. The new add on current codes 95860, 95861, 95863 and 95864
occurs when billing electromyography (EMG) codes that become effective on January 1st, are appropriate depending on the number of
studies and nerve conduction studies (NCS) on 2012 are:
limbs examined.
the same day. Since that time, the American
Use 95885 when 4 or fewer muscles are
Academy of Physical Medicine and Rehabilitation * 95885: Needle electromyography, each
tested in an extremity and nerve conduction
(AAPM&R) along with the American Academy of extremity, with related paraspinal areas, when studies are performed on the same day. When
Neurology (AAN) and the American Association of performed, done with nerve conduction, amplitude testing 5 or more muscles in an extremity and
Neuromuscular and Electrodiagnostic Medicine and latency/velocity study; limited (list separately nerve conduction studies are performed the same
(AANEM) have been working to create viable CPT in addition to the code for primary procedure). day, the use of 95886 is appropriate.
codes that would adequately address this request.
In summary, use EMG codes 95860-95864
AAPM&R, and any specialty societies that work * 95886: Needle electromyography, each
95885958
and 95867-95870 when no NCS (95900with
CPT, do so under very strict confidentiality extremity, with related paraspinal areas, when 95904) are performed on the same day.
agreements. Although these changes have been performed, done with nerve conduction, amplitude Codes 95885, 95886, 95887 are used for EMG
in the works since 2010, it is only until recently and latency/velocity study; complete, five or more services when NCS (95900-95904) are done
that the Academy is able to announce and alert its muscles studied, innervated by three or more jointly on the same day.
membership to these notable CPT changes. nerves or four or more spinal levels (list separately
The option presented to the CPT Editorial in addition to the code for primary procedure).
Panel by AAPM&R, AAN, and AANEM is that of
three new EMG codes that will be billed as “add * 95887: Needle electromyography, non-extremity
on codes” to nerve conduction studies. It is (cranial nerve supplied or axial) muscle(s) done
important to clarify that this is just a first step, or with nerve conduction, amplitude and latency/
rather an interim step, that the specialty societies velocity study; (list separately in addition to the
have taken before developing a new code set that code for primary procedure).
DECEMBER/JANUARY 2012 | 13

New! Seventh Edition Self-Directed Physiatric Study Reference –
Now Available for Purchase
The AAPM&R Self-Directed Physiatric Education Program Study
Reference is a reference compendium designed for practicing physiatrists
to provide an in-depth review of the latest information on a variety of
relevant, PM&R-specific topics. This edition includes the PM&R Medical
Education Supplements based on crosscutting PM&R topics published
with PM&R, the Academy’s scientific journal, in 2010 and 2011. You can
either purchase the entire edition or each supplement individually:
• 2011 Concussion and Mild Traumatic Brain Injury:
Current and Future Concepts
• 2011 A Framework for Rehabilitation Focused Biologics
AAPMR - The Physiatrist Ad - 2012
4.25” x 5” BW
Relaxed lifestyle, rewarding environment,
and an opportunity of a lifetime.
Quarter page
This is a unique opportunity for you to join a
well-established and expanding physiatric group.
You will be an integral part of a highly successful
and progressive practice.
Due to continued growth, we are looking for
an individual who has a strong interest in both
outpatient and inpatient care.
Our large outpatient practice is primarily
Musculoskeletal Medicine, Non-Surgical Spine
Care, Pain Management, Electrodiagnosis, and
Industrial Medicine.
This includes a state-of-the-art Spine Center
within the practice with provides the continuum
of conservative spine care in one setting.
Our inpatient services are provided in
contemporary acute, subacute, and long term
acute care rehabilitation settings.
A significant support staff including Physician
Assistants dedicated to PM&R will assist you in
14 | DECEMBER/JANUARY 2012
practicing exclusively Physiatric Medicine.
• 2010 Neural Plasticity: Developing
a Physiologic Approach to Neurologic
Recovery
• 2010 Fatigue: A New Frontier
You can purchase a copy of the
Seventh Edition, by going to acadeME
(www.me.aapmr.org) or contacting the
Academy office at (847) 737-6000
for an order form.
Our practice is located in one of “The Top
Places to Live” with close access to Philadelphia,
Baltimore, New York and Washington, D.C. This
convenient location is also close to many scenic
recreational destinations which makes for a high
quality, low cost of living, and relaxed lifestyle.
To learn more about this unique opportunity
forward your C.V. to:
GENERAL PHYSIATRIST NEEDED: Well-established practice with an
immediate opening for a Physiatrist to join our dynamic team where
you will be supported by four very experienced PA’s. Grow within our
established referral base with a sixteen year reputation as the best
PM&R practice in the Upstate area. We provide a full spectrum of PM&R
services including pain management/musculoskeletal medicine clinic,
hospital rehabilitation and consultations, and state of the art sub-acute
rehab programs.
Competitive salary, relocation allowance and full benefit package
including malpractice, health and disability insurance, 401K, CME,
productivity incentive, etc. Job can be tailored to accommodate your
preference for both outpatient and inpatient practice. We have on site
billing and an educated, supportive office staff to make your transition a
smooth one. Ideal candidate is a team player with a positive attitude and
a good work ethic. Fast track to partnership for appropriate candidate.
Be a part of the “Best Kept Secret of the South”. Greenville SC is a
beautiful, dynamic, fast growing multicultural city with a rich heritage
of Southern hospitality, with almost half a million people in the metro
area. Nestled at the foothills of the beautiful Blue Ridge Mountains enjoy
pristine lakes and forested trails. Greenville has been ranked No 4 in
the “Best places to Live in the US” by Relocate America and others.
Please send CV with references via e-mail to sbrabham07@gmail.com
or via fax at 864-627-4035.
Timothy S. Reed, MHA, CMPE
Practice Administrator
PRISM
175 Lancaster Boulevard
P.O. Box 2028
Mechanicsburg, PA 17055
Fax 717.790.8504
tsreed@prismdrs.com
Carolina Medical Rehabilitation
advertisement
PHYSIATRIC SELF-DIRECTED STUDY 7TH
Physicians of Rehabilitation,
Industrial & Spine Medicine P.C.
The Center for Spine & Pain Care
A Spectrum of Medical Services
to Restore the Quality of Life:
• Physical Medicine
• Rehabilitation
• Electrodiagnosis
Michael F. Lupinacci, MD
William A. Rollé, Jr., MD
William A. Pomilla, MD
175 Lancaster Boulevard
Mechanicsburg, PA 17055
Bloom Building, Suite 106
4310 Londonderry Road
Harrisburg, PA 17109
Phone 717 691-3755
EDITION
2010-2011

Easy to use on either hand,
C-TRAC provides traction to
the Carpal Ligament.
2011 CORPORATE SUPPORT RECOGNITION LISTING
Acorda Therapeutics, Inc.
Advanced Pain Centers
Advanced Spine and Pain
Allard USA, Inc.
Allergan, Inc.*
The AltieriGroup
Amgen, Inc.*
Anatomical Concepts, Inc.
Arnot Health
Athens Orthopedic Clinic
AVANIR Pharmaceuticals, Inc.
Blythdale Children’s Hospital
Cadwell Laboratories
Capitol Spine & Pain Centers
CareFusion – Nicolet
Carilion Clinic
Carolinas Rehabilitation
Catskill Physical Medicine
and Pain Management
Cedars-Sinai Medical Center
Choice Care Occupational
Medicine & Orthopaedics
Commission on Accreditation
of Rehabilitation Facilities (CARF)
Covidien
Department of Veterans Affairs (HRRO)
ECU Brody School of Medicine
ElectraMed Corporation
Endo Pharmaceuticals, Inc.*
Esaote
Farr Healthcare, Inc.
Ferring Pharmaceuticals
Florida Hospital Physician Recruitment
Florida Society of Physical Medicine
& Rehabilitation
GE Healthcare
Geisinger Health System
Genzyme, Inc.*
Good Shepherd Rehabilitation Network
Greenville Hospital System
Gundersen Lutheran Health System
Hartford Orthopedic Medicine
IPSEN*
Janssen Pharmaceuticals, Inc.
Johns Hopkins Medical Institute
Kaiser Permanente Colorado
Kessler Institute for Rehabilitation
Lilly USA, LLC*
Loyola University Medical Center
Marianjoy Rehabilitation Hospital
Marshfield Clinic
Mayo Clinic Health System – Eau Claire
Mayo Clinic of Rochester
The Medicus Firm
Medtronic, Inc.*
Merz Pharmaceuticals, LLC*
Michigan Sports & Spine Center, PC
Millennium Laboratories
MossRehab
National Rehabilitation Hospital
NeuroSpine Institute
New England Physician Center
Oakland Physical Medicine, PC
Ochsner Health System
OrthoCarolina
Orthopedic Associates of Port Huron
Orthopedic & Fracture Clinic
The Ottawa Hospital
Rehabilitation Centre
Parkway Neuroscience
and Spine Institute
Pfizer, Inc.*
Pinnacle Health Group
Pioneer Spine & Sports Physicians
Providence Health & Services
Purdue Pharma, LP*
Rehabilitation Associates
of the Main Line, PC
Rehabilitation Institute of Chicago
Rehabilitation Institute of Michigan
Rehabilitation Medicine Specialists
Rush University
Saint Francis Hospital
and Medical Center
Serola Biomechanics, Inc.
SonoSite, Inc.
Spaulding Rehabilitation Hospital
and Network
Sports Medicine Institute
Taylor Acute Rehabilitation Center
Terason
Texas Orthopedic Specialists, PA
TIRR Memorial Hermann
Treloar & Heisel, Inc.
United Backcare, Inc.
University of California, San Diego,
Department of Orthopaedic
Surgery
University of Kentucky, Department
of PM&R
University of Pittsburg Medical Center
(UPMC)
Valley Orthopedic Associates
Wake Forest Baptist Medical Center
*Industry Relations Council Member
The First FDA-Cleared Class 1 Traction Device
for Treating Carpal Tunnel Syndrome
• The NEW tool for treating CTS conservatively by
providing traction to the Carpal Ligament.
• 70% of patients surveyed didn’t need surgery
after 4 weeks of using C-TRAC.
• Visit our website for links to the research and
abstract published in the Journal of Hand Therapy
and Pubmed.com.
• C-TRAC is used for 5 minutes, 3 times a day
for 6 weeks.
Carpal Doctors, LLC
www.carpaldoctors.com • 866-401-1213
Average Pain, Tingling and
Numbness Levels VAS
9
8
7
6
5
4
3
2
1
0 Evaluation 1 2 3 4
Average Weekly
Pain Level 8.53 4.89 2.68 1.47 1.05
Average Weekly
Tingling Level 8.16 3.84 2.63 1.37 0.95
Average Weekly
Numbness Level 8.47 4.16 2.63 1.58 0.95
Weeks
Graph from the study published
in the Journal of Hand Therapy.
DECEMBER/JANUARY 2012 | 15

Published 10 times a year as a service to the
members of the American Academy of Physical
Medicine and Rehabilitation.
PRESIDENT, AAPM&R
David L. Bagnall, MD
EXECUTIVE DIRECTOR
Thomas E. Stautzenbach, MA, MBA, CAE
EDITOR-IN-CHIEF, THE PHYSIATRIST
Bruce E. Becker, MD, MS
CONTACT
The Physiatrist: submissions@aapmr.org
Subscription rate for members is $20, which is included
in the dues. Send address changes to The Physiatrist,
9700 W. Bryn Mawr Ave., Suite 200, Rosemont, IL 60018-5701
or info@aapmr.org. Or update your member profile
online at www.aapmr.org.
David L. Bagnall, MD, was installed as
president of AAPM&R at the 2011 Annual
Business Meeting held during the AAPM&R
Annual Assembly in Orlando, Florida. His term is
for one year.
Alberto Esquenazi, MD, assumed the position
of president-elect, which is also a one-year term.
Each year Academy officers and members-atlarge
to the board of governors are elected at the
Annual Business Meeting. Here are the results of
this year’s election.
Kurtis M. Hoppe, MD, was elected to serve
as vice president for one year, and David G.
Welch, MD, was elected to a two-year term as
treasurer. Two open member-at-large positions
on the board of governors were filled.
Heikki Uustal, MD, and Sam Wu, MD, MA,
MPH, MBA, were elected to these positions in
two-year terms.
2011-2012 AAPM&R
Board of Governors
David L. Bagnall, MD PRESIDENT
Alberto Esquenazi, MD PRESIDENT ELECT
Kurtis M. Hoppe, MD VICE PRESIDENT
Michael F. Lupinacci, MD PAST PRESIDENT
Kathleen R. Bell, MD SECRETARY
David G. Welch, MD TREASURER
Michael W. O’Dell, MD MEMBER-AT-LARGE
Heikki Uustal, MD MEMBER-AT-LARGE
Sam S. Wu, MD, MA, MPH, MBA MEMBER-AT-LARGE
Strategic Coordinating Committee Chairs
Medical Education
Michelle S. Gittler, MD
Public and Professional Awareness
Stuart J. Glassman, MD
Membership
Ai Mukai, MD
Quality, Practice, Policy, and Research
Gregory M. Worsowicz, MD, MBA
Ex-Officio Liaisons to the Board of Governors
AAPM&R Executive Director
Thomas Stautzenbach, MA, MBA, CAE
American Medical Association Delegate
Leon Reinstein, MD
Editor-in-Chief, PM&R
Stuart M. Weinstein, MD
RPC Liaison
Sunjay N. Mathur, MD
Physicians Adding Quality to Life®
Dr. Bagnall Assumes Presidency of AAPM&R
OUTGOING PRESIDENT MICHAEL LUPINACCI, MD,
CONGRATULATES DR. BAGNALL.
In this issue
Physicians Adding Quality to Life®
Academy Offers New MOC Resource
Read about it on page 6.
NON-PROFIT
ORGANIZATION
US POSTAGE
PAID
PERMIT NO 6585
CHICAGO IL
60601
Nominate and Participate
The board elections you see here began over a
year ago with the annual nomination process.
As part of its annual call for future leaders, the
Academy is seeking members with leadership
skills and encourages you to consider these
opportunities. Send us your recommendations for
these AAPM&R Board of Governors positions:*
• Vice-President (two years previous service
on the board required)
• Secretary
• Treasurer
• Member-at-Large
The general membership also elects:
• Nominating Committee: Member
There are other ways to get involved. Click here
for the Volunteer Match Tool.
Do you have someone to nominate? Go to the
Academy Web site and Search for “Nominations.”
Nominations are due February 29, 2012,
at Noon (CST), so give your input today!
* Not all positions open each year. Your Academy is
continually collecting the names of potential leaders
for all elected positions regardless of current terms.
All recommendations submitted will be kept on file and
reviewed as positions open. Elections for open positions
will be held at the AAPM&R 2012 Annual Assembly.
Questions? E-mail info@aapmr.org or call (847) 737-6000.
New Pain Education From AAPM&R
Details on page 7.
95900
Important Coding Changes for 2012
Full Description on page 13.