AAPM&R's 2018 Annual Report

TOGETHER

WE MAKE PHYSIATRY

STRONGER

Erik Shaw, DO, FAAPMR Frederick Bagares, DO, FAAPMR Gene Tekmyster, DO, FAAPMR Heidi Prather, DO, FAAPMR
Jill R. Meilahn, DO, FAAPMR Jonathan Finnoff, DO, FAAPMR Michael M. Green, DO, FAAPMR Michael W. Molter, DO, FAAPMR
Rishi R. Bakshi, DO, FAAPMR Rita G. Hamilton, DO, FAAPMR Ross Zafonte, DO, FAAPMR Santhosh A. Thomas, DO, MBA, FAAPMR
Scott I. Horn, DO, FAAPMR Todd Lefkowitz, DO, FAAPMR Alyssa C. Mixon, DO Andrew J. Patton, DO A shley G. Wong, DO Bran Don T. Money, DO
Calvin Chen, DO Caroline P. Brennick, DO Charles D. Kenyon, DO David H. Sherwood, DO Dickran V. Altounian, DO Frank M. Nguyen, DO
Genevieve C. Jacobs, DO Ian C. Miller, DO Jacob D. Christiansen, DO Jeffrey M. Touma, DO Karthik V.K. Sabapathy, DO Marc P. Gruner, DO, MBA, RMSK
Nathaniel V. Zuziak, DO Nirvi V. Shah, DO Oksana Zhivotenko, DO Paul R. Bruhnding, DO Rachael N. Brashears, DO Rachel Retallick, DO Rohit Navlani, DO

AAPM&R is 9,000+ physiatrist membersDorin Z. Deitch, DO, MBA Filip Cheng, DO, MS David Rippe, MD, FAAPMR David Cheng, MD, FAAPMR David Zucker, MD, FAAPMR David T. Burke, MD, FAAPMR

Deborah A. Bergfeld, MD, FAAPMR Deborah A. Crane, MD, FAAPMR Deborah A. Venesy, MD, FAAPMR Deepthi S. Cull, MD, FAAPMR Dennis Matthews, MD, FAAPMR

working together to advance the specialty.Diane Braza, MD, FAAPMR Edward C. Burnetta, MD, FAAPMR Elena J. Jelsing, MD, FAAPMR E lliot J. Roth, MD, FAAPMR Eric M. Wisotzky, MD, FAAPMR Eric T. Spier, MD, FAAPMR
Erik R. Ensrud, MD, FAAPMR Evan R. Peck, MD, FAAPMR Faisel Zaman, MD, FAAPMR Flora M. Hammond, MD, FAAPMR Frank Pidcock, MD, FAAPMR Hans L. Carlson, MD, FAAPMR
Heakyung Kim, MD, FAAPMR Henry S. York, MD, FAAPMR Isabel C. Borras-Fernandez, MD, FAAPMR James D. Crew, MD, FAAPMR James J. Miller, MD, FAAPMR

Read this Report to Membership to learnJennifer Baima, MD, FAAPMR Jennifer M. Zumsteg, MD, FAAPMR John C. Cianca, MD, FAAPMR John J. Lee, MD, FAAPMR John Lesher, MD, FAAPMR John S. Harrell, MD, FAAPMR
Joline E. Brandenburg, MD, FAAPMR Jonathan H. Whiteson, MD, FAAPMR Jonathan Halperin, MD, FAAPMR Jonathan Kirschner, MD, FAAPMR Jose Mena, MD, FAAPMR

how our efforts advanced in 2018 andJoseph E. Burris, MD, FAAPMR Joseph H. Feinberg, MD, FAAPMR Justin M. Burton, MD, FAAPMR Kanakadurg R., Poduri MD, FAAPMR Karen P. Barr, MD, FAAPMR Katharine E. Alter, MD, FAAPMR
Katherine Dec, MD, FAAPMR Kathleen Boncimino, MD, MPH, FAAPMR Kelley C. Crozier, MD, MBA, FAAPMR Keneshia M. Kirksey, MD, FAAPMR Kerrie M. Reed, MD, FAAPMR

what’s to come in 2019 and beyond.Kevin Fitzpatrick, MD, FAAPMR Kevin R. Vincent, MD, PhD, FAAPMR Kim D.D. Barker, MD, FAAPMR Kimberly Hartman, MD, FAAPMR Kristin A. Wong, MD, FAAPMR Lisa A. Lombard, MD, FAAPMR
Lydia L. McNeary, MD, FAAPMR Marcia A. Bockbrader, MD, PhD, FAAPMR Maria A. Dajoyag-Mejia, MD, PT, FAAPMR Marika J. Hess, MD, FAAPMR Marilyn S. Pacheco, MD, FAAPMR
Mark A. Harrast, MD, FAAPMR Mark Huang, MD, FAAPMR Mark Ellen, MD, FAAPMR Marlis Gonzalez-Fernandez, MD, PhD, FAAPMR Mary Catherine, Spires, MD, FAAPMR Matthew J. McLaughlin, MD, FAAPMR
Matthew P. Mayer, MD, FAAPMR Megan E. Clark, MD, FAAPMR Meilani H. Mapa, MD, FAAPMR M elissa K. Trovato, MD, FAAPMR Michael D. Stubblefield, MD, FAAPMR Michael Hatzakis, MD, FAAPMR

www.aapmr.org/2018reportMichael K. Mallow, MD, FAAPMR Michael Munin, MD, FAAPMR Michael T. Andary, MD, FAAPMR Michele L. Arnold, MD, FAAPMR Michelle S. Gittler, MD, FAAPMR Monica E. Rho, MD, FAAPMR
Monica Verduzco-Gutierrez, MD, FAAPMR Mooyeon Oh-Park, MD, FAAPMR Neil Segal, MD, FAAPMR Ninad S. Karandikar, MD, MBBS, FAAPMR Nitin B. Jain, MD, MSPH, FAAPMR N neka L. Ifejika, MD, MPH, FAAPMR
Patricia T. Tan, MD, FAAPMR Paul B. Gerrard, MD, FAAPMR Peter A. Dawson, MD, FAAPMR Peter C. Esselman, MD, FAAPMR Prakash S. Jayabalan, MD, PhD, FAAPMR Prathap J. Joseph, MD, FAAPMR
R. Samuel Mayer, MD, FAAPMR Rachel A. Brakke, MD, FAAPMR Reza Farid, MD, FAAPMR Richard G. Chang, MD, MPH, FAAPMR Richard Zorowitz, MD, FAAPMR Rina Bloch, MD, FAAPMR Robert A. Lavin, MD, FAAPMR
Robert J. Rinaldi, MD, FAAPMR Sabrina Paganoni, MD, PhD, FAAPMR Saloni Sharma, MD, FAAPMR Sam S. Wu, MD, MA, MPH, MBA, FAAPMR Sarah K. Hwang, MD, FAAPMR Sarah M. Eickmeyer, MD, FAAPMR
Sayed Wahezi, MD, FAAPMR Scott RS . tLeavkeeRr, .MGDe,irFinAgwAewPr,MwMR.Daa, FpSAemgAruP.onMrTgR./D2a0Swt1e8ovrdeeunp, oRMr.DtF,laJnD| a, gMAaBnmA, eM, rFDiAc,aAFnAPMAAPcRaMdRSehmaSywtunoafPrP.t JhJo.yrGsgilecanasssl meMnae,ndM, iMDci,DnF,eAFaAAnPAdMPRMReRhSahbSeuilribythal atRido. rLnae2vN0ion1r,8iM, MRDeD, pF, AFoAArtAPtMPoMRMReSmiSnbudesharusnhPLiapenedHitu, bMbDe,llM, MBAD1,, FAAPMR
Steve J. Wisniewski, MD, FAAPMR FAAPMR
Thiru M. Annaswamy, MD, MA, FAAPMR Thomas K. Watanabe, MD, FAAPMR Thomas Nabity, MD, FAAPMR Valerie A. Jones, MD, FAAPMR Vikki A. Stefans, MD, FAAPMR William A. Adair, III, MD, FAAPMR
William M. Jones, MD, FAAPMR Jeff Oken, MD, FAAPMR Joseph E. Hornyak IV, MD, PhD, FAAPMRL arry Frank, MD, FAAPMR Deepthi S. Cull, MD, FAAPMR Will Anderson, MD, FAAPMR Barry S. Smith, MD, FAAPMR
Kathleen R. Bell, MD, FAAPMR Kurtis M. Hoppe, MD, FAAPMR Michael F. Lupinacci, MD, FAAPMR Idris Amin, MD, FAAPMR Andrew B. Collins, MD, FAAPMR Carlo J.E. Milani, MD, MBA, FAAPMR

TOGE

WE MAKE P

STRO

2 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

ETHER The United States health care Physiatry is the last best hope
PHYSIATRY system is in a state of disruption. for saving a medical system
collapsing under the weight
O NGER The individual practitioner is feeling of its own well-intended but
the compounding effects of change. misguided and convoluted 50+
year-old architecture. When
The specialty of Physical Medicine we do it well and when we do
and Rehabilitation is at a crossroads. it right, we [physiatry] deliver
the “triple aim” like no other
Exciting opportunities are available for specialty or group. Physiatry—
PM&R to make a positive impact on or a physiatric approach—could
health care and the patients we serve. (and will need to) be invaluable
in guiding our entire health
system back on the arduous
journey to accountable,
accessible, and affordable
health care.

— Insights from the 2018
AAPM&R Member Survey

www.aapmr.org/2018report | American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership 3

TOGETHER

The future for our specialty AAPM&R firmly believes that physiatry is
is very bright. We just need stronger when we work together.
to take a more active role
as leaders in health care to Together, AAPM&R is an organization advancing more than 9,000 practicing and
assure our vision of health in-training physiatrists and the care they offer to a diverse patient population.
care and how we treat
patients is protected. Together, AAPM&R has the power, creativity, and influence to
advance the specialty in the future of health care.
— Insights from the 2018
AAPM&R Member Survey Together, AAPM&R can advance the vision defined by
physiatrists for the specialty and make it a reality.

4 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Together, the specialty of PM&R boldly discussed its future. Together, we The Vision
envisioned new practice models and areas of opportunity to expand the impact for Physiatry
of our care. Now, it is time to advance; to transition from conversation to action.
Physiatrists are the essential medical
From the individual physiatrist in practice to the collaborative work of experts in value-based evaluation,
thousands of members within the Academy, action must occur at each level diagnosis, and management of
within our specialty for it to advance and for the vision to become a reality. The neuromusculoskeletal and
success of one depends on the success of the other. We must work together. disabling conditions.

AAPM&R is taking action. As the premier medical society for the specialty, Physiatrists are indispensable
AAPM&R will lead physiatry’s impact throughout health care and be the voice leaders in directing rehabilitation
for the specialty. To do this, we aligned our member engagement opportunities and recovery, and in preventing
and our infrastructure to support the vision, new practice models, and the
needs of the specialty. Our members need a strong voice to advocate for injury and disease.
reimbursement and policy revitalization. Our members need an organization
that boldly positions physiatry with key stakeholders as a recognized leader Physiatrists are vital in optimizing
and an invaluable part of health care solutions. Our members need support in outcomes and function early
developing their practice teams, inclusive of advanced practice providers to
meet anticipated workforce limitations. Our members need an organization and throughout the continuum
to transform residency training and provide clinical and leadership education of patient care.
focused on thriving in new health care models.
5
AAPM&R is transforming so that, together,
we can make the new vision a reality.

TOGETHER

Together, Let’s Transform PM&R Practice Models

The vision represents a transformation for the specialty, no matter the clinical or practice
setting. Based on member input, the Academy identified 2 Practice Areas to kick-off our
transformational efforts: Musculoskeletal Care and Acute/Post-Acute Care.

Expert physicians in each Practice Area collaborated to define an envisioned future aligned to the specialty vision and
develop an actionable strategic plan.

Musculoskeletal Care

The Envisioned Future: Physiatry is primary care’s frontline partner for all non-emergent
Musculoskeletal (MSK) Care.

Read the full envisioned future statement at www.aapmr.org/pmrbold.

What will this look like in practice? How will the Academy be prioritizing and supporting this?

The Academy will advance the adoption of 3 identified Our prioritized objectives in Musculoskeletal Care where we are
models of care that offer strong future alignment focusing member efforts and resources to support them are:
and value to the primary care partnership:
= Create curriculum and resources to prepare
= Model 1: Integrate physiatrists into primary physiatrists to embrace, lead, and practice
care, multi-specialty practices as the trusted, in the new musculoskeletal models.
first-line partner for MSK Care.
= Set a standard for training (in residency, fellowship, and
= Model 2: Establish comprehensive musculoskeletal, in practice) that will advance the knowledge and skills
physiatrists-led practices. of physiatrists to meet the needs of these models.

= Model 3: Establish stand-alone spine and/or pain = Document and demonstrate the value
physiatric practices to align with primary care. of physiatry to primary care.

= Actively promote the specialty to primary care to
generate demand for physiatrists as valuable partners.

6 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Acute/Post-Acute Care A BOLD Directive

The Envisioned Future: The physiatrist is the recognized In 2018, the Board of Governors created
leader across the Acute and Post-Acute Care continuum the PM&R Bold Steering Committee.
with expertise in managing utilization of resources to This committee will collaborate with
achieve maximal patient outcomes. the Board of Governors, Strategic
Coordinating Committees, and other
Read the full envisioned future statement at www.aapmr.org/pmrbold. volunteer groups across the Academy
to meet the defined objectives in
What will this look like in practice? How will the Academy be each Practice Area strategic plan.
prioritizing and supporting this?
The Academy will advance the adoption Strategic planning
of 3 identified models—that overlap Our prioritized objectives in Acute is also underway for
or can be integrated—to ensure and Post-Acute Care settings are: Cancer Rehabilitation
appropriate physiatric care early and Medicine and Pediatric
across the continuum of patient care. = Establish PM&R as a critical and Rehabilitation Medicine.
valued specialty in different Acute/
= Model 1: Establish physiatric leaders Post-Acute Care settings. 7
in different settings across Post-
Acute Care including but not = Highlight attractive opportunities
limited to inpatient rehabilitation, for physiatrists across the Post-
skilled nursing facilities, and long- Acute Care continuum.
term acute care hospitals.
= Expand physiatrists’ reach, impact,
= Model 2: Integrate physiatrists in and leadership opportunities
inpatient acute care settings to through work with Advanced
provide early functional evaluation Practice Providers (APPs).
and recommendations.
= Address educational needs for
= Model 3: Establish physiatrists in-training physiatrists including
as critical leaders in managing greater exposure across the
patient transitions across care continuum, and support
the continuum of care. the educational needs of the
physiatrist in practice.

TOGETHER

Together, Let’s Make the New Vision a Reality

AAPM&R is making transformational changes to our education and networking opportunities—all
designed to encourage collaboration, exchange of ideas, and the advancement of skills so that
together, we can make the new vision a reality.

Together, Let’s Advance Community Member Communities can be:

In October 2018, the Academy announced the development of Member Communities.  Clinically focused (i.e., stroke,
Member Communities are self-identified, organically established communities offering sports medicine, etc.)
opportunities for members to connect with each other, share experiences, collaborate, and
advance the future of the specialty together! Applications are currently being accepted.  Practice focused (i.e., inpatient
rehabilitation, etc.)
Visit www.aapmr.org/membercommunities to learn more or check out the Member
Communities now available on www.phyzforum.org.  Identity focused (i.e., African
American physiatrists, LatinX in
Physiatry, women physiatrists, etc.)

Expanded Opportunities for Communities to Connect and Grow Together

 In-person and Online  Share Perspectives and Subject-Matter Expertise

= NEW! A designated community = NEW! An opportunity to submit a proposal for a Community Day session
on PhyzForum, including a blog as part of the Annual Assembly’s program (beginning in 2019).
and a mobile app for instant
access to discussions with peers. = NEW! Highlight your community’s subject-matter expertise
and topics relevant to you in a NEW e-newsletter focused on
= The opportunity to continue recognizing the work of your Member Communities.
gathering in a dedicated space
at the Annual Assembly. = NEW! One representative from each Member Community will be
invited to participate in an event hosted by AAPM&R to discuss
challenging questions currently facing the specialty. 

8 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Together, Let’s Boldly Collaborate Your experience as an
Academy member matters.
In 2018, the Academy launched its first 2 Learning Collaboratives at the 2018 Your collaboration with
Annual Assembly. Learning Collaboratives at their core are communities formed peers matters. And your
with a very specific intent: creating space for physiatrists to learn from one voice within our specialty
another as we work toward the common goal of advancing the specialty’s vision. matters. AAPM&R firmly
The Academy will act as the facilitator, providing space, both in-person and believes that engagement
online, but the engagement is member-to-member. More Learning Collaboratives and collaboration among
are coming in 2019, so plan to get involved to learn and grow together. Academy members is critical
to the success of the newly-
Learn more at www.aapmr.org/pmrbold. defined vision and the
advancement of physiatry as a
It’s not too late to join a Learning Collaborative! The Learning Collaborative whole. YOU MATTER.
communities recently launched on PhyzForum and are your “home-base” for
discussions with your peers, notes from the in-person learning collaboratives, and — Michelle Gittler, MD, FAAPMR,
more. Login today at www.phyzforum.org and get involved. AAPM&R Board of Governors
President-Elect
The first 2 Learning Collaboratives are focused on:

Musculoskeletal Care Practice Area

In the future…physiatry is primary care’s frontline partner
for all non-emergent Musculoskeletal Care.

Acute/Post-Acute Care Practice Area

In the future…the physiatrist is the recognized leader across the
Acute and Post-Acute Care continuum with expertise in managing
utilization of resources to achieve maximal patient outcomes.

www.aapmr.org/2018report | American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership 9

TOGETHER

It’s really important that the Together, Let’s Assemble to
specialty remains unified. Innovate Physiatry
Although we’ve developed to
the place where we have all The AAPM&R Annual Assembly is the largest
these different areas of particular annual gathering of physiatrists in the world!
interest, we were all trained to
take care of an entire patient. So, The AAPM&R Annual Assembly is where your Academy gathers together,
coming to the Academy allows collaborates together, and advances together. There is power, momentum,
you to experience different areas and impact in numbers, which was evident during the 2018 Annual Assembly
of interest, whether it’s TBI or in Orlando, Florida. More than 4,000 attendees, including 3,000 clinicians,
spinal cord injury or sports or experienced a week of innovative education and energizing networking!
the administrative aspect or
leadership aspect. That way, 50+ 95+ 95% 94%
you may learn about things that
you may want to grow into in Hours of Education Rated Speakers Recommend a
your career or to study or share Networking Sessions as Excellent Peer Attend
information and network.

— 2018 Annual Assembly Attendee

10

Together, Let’s Unite PM&R Through Our 2019 Plenary Speakers
Evidence & Best Practices
Bonnie St. John
For 2019, we will continue to innovate the Annual Assembly experience Paralympic Ski Medalist, Fortune
by offering additional Learning Collaboratives, a dedicated Community 500 Business Consultant, Rhodes
Day featuring sessions and networking opportunities generated by Scholar, Former White House
the Member Communities, free lunch, and much more! Join us for the Official and Best-Selling Author
2019 Annual Assembly in San Antonio, TX, November 14-17 as we unite Camara Phyllis Jones
the specialty for a week of collaboration, education, and fun! President Emeritus of the American
Public Health Association and
Now Available! 2018 Annual Assembly Rewind Senior Fellow at the Satcher
Health Leadership Institute,
More than 100 session recordings with supporting slides Morehouse School of Medicine
from #AAPMR2018 are now available in digital format! David B. Nash
Visit www.me.aapmr.org for details. Founding Dean and the Dr.
Raymond C. and Doris N.
Grandon Professor of Health
Policy at the Jefferson College
of Population Health (JCPH)

11

TOGETHER

Together, Let’s Influence Physiatry’s Value in Medicine

From the individual physiatrist to the combined influence of 9,000 physicians, advocacy in all
forms must occur to protect and advance physiatry. The following are strategic efforts, structural
changes, and advancements in educational offerings that AAPM&R is making to advance
physiatry’s value in medicine. AAPM&R is making big moves for YOU!

 Advocating for CMS to Reform Its the House of Medicine and also gives our forming a Specialty Brand Expansion
Definitions of a Rehabilitation Physician specialty a voice in deliberations about the Committee to plan and coordinate
and Director of Rehabilitation in valuation of codes presented to the RUC. initiatives to fulfill these goals.
Inpatient Rehabilitation Settings
 Developing a New Leadership Institute  Expanding the Influence of Our GME
Members raised concerns regarding Committee
current system interpretations of the The AAPM&R Leadership Institute will better
qualifications for Directors of Rehabilitation equip physiatrists to step into leadership Collaborating with PM&R academic training
and Rehabilitation Physicians in Inpatient roles and new opportunities by providing programs from across the country, the
Rehabilitation Facilities (IRFs), as defined training that includes personal readiness, AAPM&R GME Committee is working
by the Centers for Medicare and Medicaid communication skills, business management/ to define future training requirements,
Services (CMS). These definitions have administration, and environment/politics. address GME funding challenges, and
implications for our training programs, The Leadership Institute will launch in 2019 strategize future workforce needs. Many
reimbursement, and physiatry’s position with in-person education and certificate of these efforts align directly to the
of leadership within IRFs. Member input is options coming in 2020. strategic plan objectives outlined for the
directing the position we plan to take to Musculoskeletal Care and Acute/Post-
CMS and advocate for reform.  Advancing the Identity and Value of Acute Care Practice Areas (See pages 6-7).
the Specialty to External Audiences
 Aggressively Pursuing a Seat on the
American Medical Association RVS In its updated strategic plan, the
Update Committee (RUC) Academy has goals related to advancing
awareness, appreciation, and value of
As of 2018, we have finally surpassed the specialty with key stakeholders
requirements needed to pursue a RUC outside of PM&R, all of which was
Seat—we’re going for it! Holding a RUC prioritized based on member input.
Seat will promote the visibility of PM&R in To support these efforts, AAPM&R is

12 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Advocacy Impacts Made in 2018 [My biggest concern when I
Through a Unified Voice look at the future of my practice
is] our identity as a specialty
AAPM&R is a member of more than 25 coalitions. Those important that has so much to offer to our
relationships combined with the individual and group efforts of our patients. I am concerned about
volunteer members resulted in many advocacy wins in 2018! the little knowledge about our
value in patient management.
 Successfully advocated for CMS to:  Collaborated with other medical Of course, it is our individual
specialties to achieve the responsibility to let our
= Approve several changes to E/M reversal of the Anthem Modifier colleagues know how we can
documentation requirements 25 Reduction Policy. help manage patients, but
effective in 2019. it probably requires an effort
 Inspired 43 Senators to vow to at all levels.
= Not implement a 50% payment stop the movement of H.R. 620:
reduction for procedures billed The ADA Education and Reform — Insights from the 2018
on the same day as office Act of 2017, which would have AAPM&R Member Survey
and outpatient E/M visits. weakened rights under title III of the
Americans with Disabilities Act.
 Developed and published an updated
position statement on opioid  Helped the Michigan Academy of
prescribing. Plus, we offered in-depth PM&R rally opposition to a BCBS
training to more than 75 clinicians this Blue Care Network decision to stop
fall in New York City through a brand- covering hyaluronic acid injections—
new opioid/pain management course. leading to a reversal of the decision.

 Successfully advocated on behalf  Directed grassroot efforts that led
of AAPM&R members to have the to Congress repealing therapy
American Board of PM&R accelerate caps for Medicare beneficiaries.
reforms to MOC® requirements.

13

TOGETHER

Together, Let’s Exemplify the Value of Physiatry

As the Academy helps With the AAPM&R Registry, DATA
physiatrists pursue BOLD you can compare your patient
new practice models and outcomes, professional TREATMENTS & OUTCOMES
opportunities in health performance and care
care, one thing has become processes against other Treatment: Physical Therapy; Imaging; PROMIS-29: Physical Function; Anxiety;
abundantly clear: data is clinicians across the country. Injections; Counseling/Education; Depression; Fatigue; Sleep; Work and
vital to demonstrating value. A vehicle for gathering and Medication Management Social Activities; Pain Interference
For years, the Academy has storing data—the AAPM&R
focused on helping physiatrists Registry is a starting point Visual Analogue Scale ... Plus more as the Registry expands
hone their clinical and practice for much bigger things for Patient Satisfaction
skills; this will continue to be our specialty, including Return to Work
a focus for the Academy in in-depth research!
helping our members advance. CHARACTERISTICS
However, all of health care— Using data you already input
from payers to institutions to into your EHR, the AAPM&R Medical Record Number Level of Education
researchers—demands data Registry follows individual Name of Physician Employment Status
to validate impact of care. patients longitudinally and the Name of Hospital/Facility Unemployment Details (retired,
collective data has the ability ICD-10 Diagnosis homemaker, disability)
The lack of data available for to advance the understanding Comorbidities Insurance/Payer Information
the specialty could cripple of the patient population while Smoking Status Lawsuit or Disability Claim Status
its position in medicine. demonstrating the quality and Opioid Use Worker’s Compensation Claim
AAPM&R refuses to let that value of treatments. More than Blood Thinner Medication Status Motor Vehicle Accident
happen and has made a 450,000 patient visit records Duration of Symptoms
significant investment in already exist in the AAPM&R History of Lumbar Surgery ... Plus more as the Registry expands
developing a qualified clinical Registry! As participation in
data registry for physiatry— the Registry grows as well as DEMOGRAPHICS
the AAPM&R Registry. the data collected, the Registry
will be able to measure the Patient Study ID Gender
continuum of care from initial First Name Height
patient contact, through Middle Initial Weight
intervention and follow up. Last Name Ethnicity
Date of Birth Race

14 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Your participation in the AAPM&R Registry is critical to the AAPM&R is arming members
success of this endeavor and requires minimal investment with not only with data, but with
significant returns for you and the specialty! education and training to set
physiatric practice apart in
 Centralizes the specialty’s data. competitive landscapes.

AAPM&R is the primary medical society for PM&R and establishing it as • NEW! WATCHmē® video
the central location for all data now means that it can become the go-to collection featuring 30-50-minute
for telling the story of PM&R in the future. expert demonstrations

 Spans across Physiatry. • NEW! Navigating Early-Career Decisions
for Success in Physiatry Practice
The AAPM&R Registry offers spine, stroke, acquired brain injury, spinal Course—offered 2 times in 2019!
cord injury, cerebral palsy, and multiple sclerosis measures, along with
MIPS-specific measures to meet reporting requirements. • NEW! International Certificate
of Achievement in PM&R to help
 Automates data entry. members in the international
community advance their skills!
AAPM&R offers automated data entry options to sync with EHRs,
giving you and your practice more efficient options.

 Meets CMS quality reporting mandates.

The AAPM&R Registry received Qualified Clinical Data Registry (QCDR)
status from the Centers for Medicare & Medicaid Services (CMS),
which means you automatically fulfill your reporting requirements by
participating in the AAPM&R Registry.

 Meets the ABPMR MOC® Part IV requirement. STEP stands for Skills, Training, Evaluation
and Performance. Launched in 2017, the
Meet the American Board of Physical Medicine and Rehabilitation STEP Ultrasound Certificate Program
Maintenance of Certification® (MOC®) Part IV requirement by teaches and assesses MSK and neurologic
participating in the AAPM&R Registry. ultrasound skills using a progressive,
competency-based curriculum.
 Costs significantly less.

Participation in the AAPM&R Registry costs 70% less than In 2019 and beyond, AAPM&R will be
participation in other registries. expanding the STEP Certificate Program
into new areas, including Spasticity,
$$$$ Leadership, and Concussion.

Learn more and complete an interest form by visiting www.aapmr.org/registry.

Learn more at www.aapmr.org/step. 15

TOGETHER

Together, Let’s Be Leaders in Advancing Women Represented in
Diversity and Inclusion in Medicine Physiatry and the Academy*

As AAPM&R leads the advancement of physiatry’s impact throughout IN PHYSIATRY
health care, we will model inclusion and embrace diverse backgrounds
and perspectives of those with whom we work and serve. 35% of physiatrists
39% of physiatrists
The Academy is especially committed to creating space for
the difficult conversations, hearing the voices least heard, and in-training
promoting policy and initiatives that support diversity and inclusion.
IN THE ACADEMY
Without a doubt, physiatry is diverse— The Academy must actively evaluate
from the way it is practiced clinically, to its role in facilitating and advancing the 36% of AAPM&R
the individual physicians, to the patient individual perspectives within our specialty. members
populations that physiatrists serve. For This is critical, because as the Academy
years the Academy has worked diligently takes action to make the newly-defined 37% have expressed interest
to embrace this diversity, and be inclusive vision a reality, we need all perspectives, in volunteering
in our efforts to engage members and all voices, and all members engaged
advance the specialty. As an example, the and empowered within our organization. 38% of AAPM&R
AAPM&R member profile features 20 clinical Together, we make physiatry stronger. Only committee members
practice areas and 16 variations of practice together will we transform the specialty.
settings to help the Academy understand 25% of AAPM&R committee
the diverse ways physiatrists practice so we The demographic data the Academy collects chairs (2018-2019)
can better serve your needs. However, we is currently limited; it depends on self-
also understand that embracing the power reporting by members. The most robust, self- 38% of AAPM&R Board of Governors
of diversity and inclusion requires us to push identified data is gender, yet we know this members (2018-2019)
beyond clinical and practice definitions. is only a single variable in our much broader
commitment to diversity and inclusion. For 50% of AAPM&R
instance, we have statistics on the gender Leadership Fellows
of our Academy volunteers and leadership.
35% of PM&R Journal
editorial Board

AT THE ANNUAL ASSEMBLY

50% of Plenary
speakers

31% of Annual Assembly
Faculty

26% of Award
nominees

27% of Award
recipients

*Based on 2018 self-reported demographic data,
unless otherwise noted above in parenthesis.

16 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Every voice and every In 2018, the Academy engaged Alexis S. Definition of
Terry, MBA, CDP, CAE, Senior Director, Terms—Our
perspective matter as we work Diversity and Inclusion, with the American Perspective
Society of Association Executives to help
together to advance the specialty the Board of Governors continue the The following terms can be defined
advancement of diversity and inclusion in and interpreted in many different ways.
and fulfill our vision. Further the Academy and the specialty as a whole. To ensure transparency and clarity of
Member data, processes, and training were understanding, below is how we have
advancing our commitment to evaluated to determine bias and areas defined them.
of opportunity for change. The Board
diversity and inclusion not only was introduced to 4 different paradigms Diversity
for how one approaches diversity and
aligns to our core values as an inclusion—all correct, although held and Diversity refers to the composition of
prioritized differently across individual a group of people from any number of
organization, but our core values members. These steps provided an demographic backgrounds, identities
opportunity to pause and self-reflect (innate and selected), and the collective
as a specialty. We are thrilled to on the Academy and its operations. strength of their experiences, beliefs,
values, skills, and perspectives.
see where these endeavors take To be truly impactful, AAPM&R is
committed to build upon and enhance our Inclusion
us in 2019 and beyond. inclusive culture. We must understand and
respect multiple paradigms, while also Inclusion is the act of establishing
— Deborah Venesy, MD, FAAPMR, Chair of prioritizing where we want to focus as an philosophies, policies, practices,
the Diversity and Inclusion Task Force Academy. To do this, there is additional and procedures to ensure individual
information we must define and collect in voices are heard and there is
While this type of data—insights into order to comprehensively reflect our values equal access to opportunities,
proportion and representation—is important, and the full scope of our commitment. information, and resources.
it cannot be our only means for evaluating
and improving upon our diversity and The Board of Governors affirmed that Equitable Environment
inclusion efforts. With the extreme diversity diversity and inclusion for the Academy
of our specialty (clinical, practice and and the specialty must be broadly focused. An equitable environment challenges
personal demographics), “proportionate” Our efforts must embrace and advance intentional and unintentional forms of
metrics are not the optimal measurement. physiatrists of all backgrounds—no matter bias, harassment and discrimination
Not only do just 31% of our members the race, color, creed, religion, national and promotes alternative actions.
self-report race/ethnicity, there are other origin, sex, sexual orientation, disability, Because an environment can be
equally important data points about which age, marital status, status regarding welcoming and inequitable, attention
we currently do not know the appropriate public assistance, veteran or military will be paid to recognizing and
means to ask. This simply indicates how eliminating barriers to full participation
deep we must go to fulfill our comprehensive at individual and systemic levels.
commitment to embrace diversity and
inclusion in the Academy. Statistics alone
do not get at the root of the issue.

TOGETHER

status, and/or any other legally-protected Our initial step in this endeavor is this To help fulfill these goals, the Board of
status. Our efforts must support balanced report to you. Our efforts will continue Governors approved the creation of the
opportunities and be inclusive of everyone. into 2019 and beyond, including articles in Inclusion and Engagement Strategic
The culture of the Academy is how we The Physiatrist and other communications Coordinating Committee, along with the
facilitate and uplift all the voices within we will send to you throughout the year. newly formed Diversity and Inclusion
our specialty. But where do we start? Committee. Led by Carla P. Watson, MD,
Goal: Developing Physiatric Leaders FAAPMR, the Diversity and Inclusion
The vision defines how we must committee will be completing the
position all physiatrists in order to be AAPM&R encourages a culture of strategic plan—identifying the specific
successful in the future of medicine. empowerment that helps members actions and next steps to achieve
and staff shift from diversity and goals. The committee will oversee its
 Physiatrists are the essential inclusion problem identifiers to implementation and determine what data
medical experts owners and enablers of change. needs to be gathered and what processes
need to be overhauled to support
 Physiatrists are indispensable leaders The AAPM&R Leadership Institute will implementation and accountability.
teach physiatrists to be active and
 Physiatrists are vital vital leaders in their practice, in their The Academy is currently accepting
communities, and in the Academy. applications for this committee.
In the fall of 2018, the Board of Governors We will arm physiatrists with the If you are interested, please visit
approved a strategic plan that outlines tools needed to be successful in the www.aapmr.org/volunteerism.
3 diversity and inclusion goals that future of health care and empower
correlate to the vision for the specialty. them to be owners of change.
Each goal aims to advance, empower, and
strengthen our specialty at the individual Goal: Equitable Environment
and organizational level with the ultimate
impact on the culture of our specialty. AAPM&R will draw upon existing Together as an Academy, let us embrace
diversity in the specialty to narrow/ this core value and not only portray
Goal: Top Level Commitment close demographic and skills gaps in our a diverse and inclusive specialty, but
and Accountability volunteer leaders and staff applicant pools. become leaders in medicine working to
advance the skills, dreams, and careers
The AAPM&R Board of Governor’s The recently-announced AAPM&R Member of all who wish to practice physiatry.
commitment to diversity and inclusion Communities are designed to promote the
starts with transparency about what we are visibility and voices of the least heard and
working on, and why we are working on create space for difficult conversations that
it. The Board of Governors will engage its cultivate both a welcoming and equitable
members to work together to demonstrate environment for all.
leadership in diversity and inclusion.

18 American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership | www.aapmr.org/2018report

Together, Let’s Continue Advancing Check out the brand-new
Our Mission Volunteer Center on PhyzForum!

The support of more than 9,000 practicing and in-training physiatrists In 2019, get involved with your Academy. Start
means the Academy can invest in strategic efforts to support the a new AAPM&R Member Community, submit
specialty, like the AAPM&R Registry. To view financial and member a 2019 Annual Assembly session proposal,
data, visit www.aapmr.org/2018report. While the financial support is nominate a peer (or yourself!) for the AAPM&R
necessary, so too is the time, energy, and expertise of our members. Leadership Program—opportunities abound!

Your engagement is critical to the success of the It lists current opportunities to get involved and
Academy and our efforts to make the vision a reality provides an easy way for you to tell AAPM&R
and is the only way AAPM&R can have an impact on how you want to get involved. Check out the
patient care, reimbursement, and all the other areas of “Volunteer” tab on www.phyzforum.org.
concern voiced to us by our members. YOU are critical
to the success of the Academy.

TOGETHER 19

WE MAKE PHYSIATRY

STRONGER

www.aapmr.org/2018report | American Academy of Physical Medicine and Rehabilitation 2018 Report to Membership

Stay Connected Year-Round Thank you to the nearly 600+ Academy
volunteers who supported our efforts in 2018!
On Email—Make sure your subscription
settings are up-to-date. Log in to your member Conference calls, in-person meetings, and
profile on www.aapmr.org to confirm. countless emails resulted in all that you
have been reading about in this report!
On PhyzForum—Your Online Member Community

NEW! The PhyzForum app is now available!
Learn more at www.phyzforum.org.

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Questions? Call us at (877) 227-6799 or email [email protected].

Vivian C. Roy, MD, FAAPMR Sun G. Chung, MD, PhD Darryl L. Kaelin, MD, FAAPMR Earl J Craig, MD, FAAPMR Amir R. Rizkala, MD
A my L. Tenaglia, MD Benjamin D. Washburn, MD Brian T. Higdon, MD Brittany L. Bickelhaupt, MD Caroline J. Lee, MD
Carter W. Kittleson, MD Christopher A. Johns, MD David K. Jacobs, MD Esther D. Yoon, MD Gregory R. Franklin, MD Ishan Roy, MD, PhD
Jacob M. Kneeman, MD James L. Morgan, MD James T. Pastrnak, MD Jennifer F. Russo, MD Jose L. Rios Russo, MD Julie E. Witkowski, MD
Justin M. Bishop, MD, MBA, MS Laura A. Prince, MD Mahmut T. Kaner, MD Mary E. Lynch, MD Matthew T. Haas, MD Meagan J. Wettengel, MD
Michael F. Sookochoff, MD Moorice A. Caparo, MD Morgan L. Drake, MD Natalie M. Sajkowicz, MD Neil R. Batta, MD Sharlene S. Su, MD Sudeep K. Mehta, MD
Vinay P. Vanodia, MD Zachary P. Fallon, MD David G. Welch, MD, FAAPMR Didem Inanoglu, MD, FAAPMR Glenna Tolbert, MD, FAAPMR Jeffrey Radecki, MD, FAAPMR
J iaxin Tran, MD, FAAPMR Kate Temme, MD, FAAPMR Michael Saffir, MD, FAAPMR Raj Mitra, MD, FAAPMR Saloni Sharma, MD, FAAPMR Scott Campea, MD, FAAPMR
Sunil Sabharwal, MD, FAAPMR Thomas Hudgins, MD, FAAPMR Virtaj Singh, MD, FAAPMR Ann Hulme, MD Cindy Pham, MD Hanna Oh, MD Kyle Stoffers, MD Mazen Zein, MD
Melissa Lau, MD Myriam Lacerte, MD Rohini Rao, MD Shelly Hsieh, MD Yen Nguyen, MD A nton N. Dietzen, MD, DC Gregory M. Worsowicz, MD, MBA, FAAPMR
Mehul J. Desai, MD, MPH, FAAPMR Maurice G. Sholas, MD, PhD, FAAPMR Azlan Tariq, DO Amish M. Patel, DO David E. Reece, DO, FAAPMR, FAAPMR Scott J. Primack, DO, FAAPMR
Alexios G. Carayannopoulos, DO, MPH, FAAPMR Annie D. Purcell, DO, FAAPMR Ari C. Greis, DO, FAAPMR Clarice N. Sinn, DO, FAAPMR Corinne M. Layne Stuart, DO, FAAPMR
Kevin W. Gates, DOL indsey Migliore, DO Matthew L. Marrington, DO G. Sunny Sharma MD Richard J. Lawley MD Andrew H. Gordon, MD PhD Keith J. Foster, MD, MBA CPE, FAAPMR
Andrea Cheville, MD, FAAPMR Gerardo Miranda-Comas, MD, FAAPMR Naomi Lynn Gerber, MD, FAAPMR Natasa Miljkovic, MD, FAAPMR Samuel Bierner, MD, FAAPMR Linda E. Krach, MD, FAAPMR
Gwendolyn A. Sowa, MD, PhD, FAAPMR Amy J. Houtrow, MD PhD, MPH, FAAPMR S tuart M. Weinstein, MD, FAAPMR Adam Soll, MD, FAAPMR Lisa U. Pascual, MD, FAAPMR Michael R.
Yochelson, MD, MBA, FAAPMR Anand B. Joshi, MD, MHA, FAAPMR James T. McDeavitt, MD, FAAPMR Mark E. Huang, MD, FAAPMR Lauren E. Elson, MD, FAAPMR Louise Z. Spierre, MD, FAAPMR
Gregory B. Park, MD, FAAPMR Brett A. Gerstman, MD, FAAPMR Diane Mortimer, MD, FAAPMR Matthew D. Adamkin, MD, FAAPMR Sandra L. Hearn, MD, FAAPMR Vishwa S. Raj, MD, FAAPMR
Jeffery S. Johns, MD, FAAPMR Matthew J. Grierson, MD, FAAPMR Adam C. Carter, MD, FAAPMR Alan K. Novick, MD, FAAPMR Alfred C. Gellhorn, MD, FAAPMR Ameet S. Nagpal, MD, MEd, FAAPMR
Amit Sinha Sinha, MD, FAAPMR Amy J. Wilson, MD, FAAPMR Andre Panagos, MD, FAAPMR Andrew Friedman, MD, FAAPMR Andrew L. Sherman, MD, FAAPMR Anjali Shah, MD, FAAPMR
Anna-Christina Bevelaqua, MD, FAAPMR Anne M. Hudak, MD, FAAPMR Anthony A. Lee, MD, FAAPMR Anthony Chiodo, MD, FAAPMR Armando S. Miciano, Jr., MD, FAAPMR Arthur De Luigi, MD, FAAPMR
Atul T. Patel, MD, MHSA, FAAPMR Aurora C. Wong, MD, FAAPMR Barbara Bates, MD, MBA, FAAPMR Benton T. Giap, MD, FAAPMR Brenda S. Waller, MD, FAAPMR Brian D. Greenwald, MD, FAAPMR
Bruce Pomeranz, MD, FAAPMR Carl D. Gelfius, MD, FAAPMR Carmen Terzic, MD, FAAPMR Carol B. Vandenakker Albanese, MD, FAAPMR Carol Y. Crooks, MD, FAAPMR Charles E. Levy, MD, FAAPMR
Charles M. Dillard, MD, FAAPMR Charlotte H. Smith, MD, FAAPMR Cheri A. Blauwet, MD, FAAPMR Chiawen Lucy Liang, MD, FAAPMR Chong-Tae Kim, MD, FAAPMR Christian M. Custodio, MD, FAAPMR
Christopher J. Garrison, MD, FAAPMR Christopher J. Standaert, MD, FAAPMR Christopher J. Visco, MD, FAAPMR Cindy B. Ivanhoe, MD, FAAPMR Craig DiTommaso, MD, FAAPMR Daniel Herman, MD, FAAPMR
KevinDNav. iHd2aBk0iemrbi,rMaAyDme, reF, ArMicADaP,nMFAARcAaPMdMeicRmheyllDoeafAvP.idhMyCcsFhicaearnlla, MnMeeD,dM, iFcDAi,nAFeAPaMAnPRdMRRDehaavMibadirlcJit.aEHt.iaDounuset2re0dine18,nM,RMDeD,pF,oCArItAMtPEoM, MFRAeAmDPbMaevRrisdhRi Apipmleir|ya, AMw.DNw,oMwleS.as,,aFMpADmArP.oMArRgrs/h2i0aD1aS8v.riEedtpeRos.arGmt a,tMerD, Jr., MD, PhD, FAAPMR Emerald Lin, MD, FAAPMR
Caitlin D. Jackson, MD Chelsea D. Frost, MD, MS
Donald Kasitinon, MD Grenville R.J. Fernandes, MD Jared B. Gilman, MD Jasmine H. Harris, MD Michael R. Rozak, MD Nicholas A. Horan, MD Susan H. Onami, MD Thomas P. Hordt, MD
Amber N. Clark, MD Stephanie Tow, MD D.J. Kennedy, MD, FAAPMR Heather K. Vincent, PhD, MS