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RFC Newsletter Issue #3
     
     
   
     Table of Contents
                     
  • Physiatry Rising: On Engaging the Next Generation of Physiatrists
  • Social Media in Healthcare
  • Getting Started with Prospective Research Studies During Training
  • Fellowship Spotlight: Sports Medicine 
  • Founding the First PM&R Interest Group at the Johns Hopkins School of Medicine 
  • Advocacy in Residency Training 101: On Getting Involved
  • AAP 2017 Annual Meeting is in Las Vegas on February 7-11
   

   

Physiatry Rising: On engaging the Next Generation of Physiatrists 

                       

Johns Hopkins PM&R Interest group downtown sailing event

One of the quintessential rituals of medical school is the clinical rotation. Medical students have the opportunity to spend between 4 -12 week blocks with various departments and clinical specialties as a way of introduction to the respective fields, and to build basic foundational knowledge and competencies.

For most medical schools clinical rotations happen between the 3rd and 4th years, while other schools start clinical clerkships in the 2nd year. Breadth rather than depth is usually the object of the clerkships. The classical clinical rotations include Internal Medicine, Pediatrics, Obstetrics and Gynecology, Surgery, Psychiatry and Neurology.

The choice to focus on these core rotations is historical, although this means that 88% of all medical students get through medical school without ever getting any exposure to disability management, the evolution of physical impairments that develop as a result of chronic disease vs. aging, or the associated loss of functionality with major injury or trauma. Yet, it is these very skills coupled with team leadership that future physicians need to succeed in an environment that will place a high premium on value-based outcomes with function at its core. These are the skills that physiatry imbues in a physician. Nonetheless few medical schools require Physiatry aka Physical Medicine & Rehabilitation as a core clerkship.

A recent study showed that of the 131-plus medical schools in the United States, only 12% require a PM&R rotation. PM&R clubs and interest groups exist at only 48% of medical schools. Since very few students get any formal brush with the speciality throughout their training, many do not consider this as a possible career.

This is an under-service to the 56.7 million people living with disabilities in the United States, a number which continues to grow, in part due to casualties of recent wars in Iraq and Afghanistan.

For every 5 people in the US, 1 has a disability and in order to be able to serve and meet this population’s medical needs, more physiatrists are needed.

As Chair of the Resident and Fellow Council of the Association of Academic Physiatrists, I’m working together with other sister organizations to formulate a national strategy and campaign to increase the number of medical student interest groups across the country to close to 100% in the next 5–10 years. Major changes in the medical school curriculum with recognition of disability management and focus on PM&R as a core clerkship would augur well for raising awareness about this impactful and life-affirming specialty.

We are also working on creating a national database that will catalog all PM&R interests groups in all medical schools in the United States.

This year, I spearheaded formation of the first ever medical student PM&R interest group in the 123 year history of Johns Hopkins University School of Medicine.

Hopkins PM&R Interest Group getting ready to sail

Rather than wait till the end of the 3rd year clerkships for a post-hoc introduction to the field, a team including 2 senior medical students, myself and others, organized a table at the student fair, the very first day of medical school. We introduced the specialty to the new students on a seminal day in what will hopefully be a lifelong medical journey. Reaching students at this nascent phase of training is thought to influence subsequent specialty choices 3–4 years later. There is a lot of excitement about the Hopkins PM&R interest group.

Getting out on the water

With the full support of the department’s new chair, Dr. Pablo Celnik, we hope the momentum we have started this year will carry on and spread to other institutions.

As the competitiveness of the specialty continues to rise each year and as more medical students gain awareness through creation of more interest groups, as well as transformations in the medical curriculum to address physical/cognitive impairments and disability, physiatry will gain recognition for its important role in the health economy. With aging of the population, the rise in chronic disease, chronic pain, neuromuscular and musculoskeletal conditions, post-war traumatic and dysvascular populations, demand for physiatry will continue to increase. Certainly a commensurate rise in supply will take strategic and conscientious planning, as well as more education to erase the blind nescience that exists about the specialty.

Charles A. Odonkor, MD (middle) with medical student mentees and PMR Interest group student leaders, Anne Kuwabara (left) and Stanley Guillaume (right)

See link: https://goo.gl/photos/AHwebgmsq4MR9Ddd9 for more pictures of our recent events

 

     

With warm regards,

Charles A. Odonkor, MD, MA

2016-2017 AAP RFC Chair

     
   

Social Media in Healthcare: The Importance of Utilizing Social Media to Advance Healthcare

     

Facebook, Twitter, Blogs, Ratings. What do all of these have in common? Our patients are using them! It is estimated that 7 out of 10 Internet users are actively searching for information related to healthcare which is the third most popular activity only after email use and search engines (1). Some estimate that over 40% of consumers get their medical information from social media (2). These are astonishing figures that go to show how much social media is currently impacting healthcare.

There are a variety of reasons all physicians should consider leveraging social media as a way to engage patients. For one, it is happening anyway. An ever-growing number of patients are looking to physician-rating sites as a way to choose providers. This is occurring many times, unbeknownst to the physicians and can include negative ratings, some of which can be totally untrue. I can remember on two separate occasions, incidentally coming across negative reviews for physicians I knew personally while using Google search to find addresses. Both posts included specific names of these physicians. I was shocked, even a little disturbed that literally anyone could write almost anything on these websites, true or not! I remember feeling a heightened level of vulnerability at the thought of someone being able to write uncontested reviews of me as a healthcare provider, but this illustrates the importance of maintaining an online presence in a time where online content is being created about me (and you) anyway.

Source: ReconArt

The second reason for leveraging social media in Healthcare is that it is where our patients are. It is estimated that the average American spends 3–4 hours per day on social media websites and as stated previously, many are scouring various websites for medical advice (3). We, as healthcare providers, should be taking command of that content to ensure our communities are equipped with the safest and most reliable information related to health.

Lastly, social media can play a huge role in addressing the numerous deficiencies of our current health care system. With less actual time to spend with patients but more information to cipher through /disseminate, we as healthcare providers, must find more innovative ways to reach our patients. Utilizing social media outlets is one way. In fact, this is already being done. Whether it is creating challenges for shared workouts recorded on wearable devices like Fitbit and Nike Plus, or it is creating blogs for medical information like KevinMD, efforts are being made to utilize social media as a vehicle for addressing the complexities of our current healthcare system.

Even with all of the previously listed benefits of utilizing social media in healthcare, many are still apprehensive. Many voice concerns over the possibility for patients to self-diagnose, thus potentially delaying urgent medical treatment. Others cite increases in the amount of false information being generated and promoted through social media. But the reality is that both of these claims are exactly why we, as physicians, need to be the driving force behind this transition to online content. Social media is here to stay so we must resolve to raise the standard for medical content!

CJ Plummer II, MD
University of Texas Health Science Center in San Antonio, PGY-3
AAP RFC Social Media Ambassador

References:
1. Parks, Troy. “Physician Behind KevinMD Reveals How to Leverage Social Media.” Accessed on September 1, 2016. 
Link 
2. Honigman, Brian. “24 Outstanding Statistics and Figures on How Social Media has Impacted the Healthcare Industry.” Accessed on September 1, 2016.Link
3. MarketingChart Staff. “Social Networking Eats Up 3+ Hours Per Day for the Average American User.” Accessed on September 1, 2016. 
Link


 

     
     

Getting started with prospective research studies during residency training

   
 


Q&A with resident and researcher Ajax Yang

Research can be a daunting task to add onto a busy residency or fellowship training schedule. Cases, retrospective studies, and review articles use existing data and require little to no involvement of an institutional review board (IRB), and thus can yield a manuscript faster than prospective studies. However, with early planning and design, serving as an investigator on prospective trials is certainly possible during training. I sat down with Ajax Yang, MD, who recently launched an IRB-approved trial to study the effects of cryotherapy versus lidocaine on neuroma-associated pain, to discuss starting a study as a resident.

Dr. Yang preparing for injection

GM: How did you become involved in research at Mount Sinai?

AY: The thought of conducting scholarly activities while juggling clinical and personal responsibilities during residency, on the surface, can be intimidating, let alone running IRB-approved prospective studies. However, in reality, anyone with a genuine curiosity can transform what traditionally is seen as an arduous activity into something that is extremely rewarding and invigorating.

I am fortunate that my mentors are very knowledgeable and encouraging, and my wife is very understanding and supportive. My advice to anyone interested in conducting research during residency is to speak to faculty and peers. It is also helpful to stay open-minded to the type of research to gain experience case reports and review articles are a great entry point into the research process, and one can readily apply his/her experiences to another project.

GM: How should one approach the design of a prospective study?

AY: Identify what question you want to answer. Pilot studies commonly evaluate the safety and tolerability of a treatment and are faster and easier to complete than trials testing efficacy (which require enough subjects for sufficient statistical power). Minimize the sample size (N) by minimizing the number of test variables and thus the number of control groups. The study duration and costs are both functions of your sample size (N), and they increase with N.

GM: Speaking of costs, how is the study funded?

AY: It actually is unfunded; our department provides the lidocaine and supplies and a device company supplies the cryotherapy needles. So, you do not always need a grant to get started. Though if I did have funding, I would try to cover patient travel expenses a known recruitment booster in the New York City area.

GM: How much time do you commit to research projects?

AY: It is difficult to estimate. Depending on the demand of each rotation, I try to designate two hours every day during which I am reading or writing. I often think about research projects while commuting or exercising; this step helps later when putting ideas on paper. Some days, I can sit in front of my computer for hours unable to come up with cohesive thoughts. It is for all the times that I struggle with writing that make the days when my ideas flow, and I type away effortlessly that much sweeter.

GM: How many people are on your project team?

AY: Two people currently. The frequency of study visits per week is low enough that the principal investigator and I can handle the procedures and data collection during each study visit. I recommend collaboration with peers if you are just starting out and unsure how much responsibility you are able to take on.

GM: How are you recruiting subjects?

AY: Word of mouth I advertise the study to my colleagues in rehabilitation and other departments, because they are most likely to know potential subjects. I use paper flyers and electronic brochures to be included in emails and electronic newsletters (e.g. New York Spinal Cord Injury Association). Listing the study on ClinicalTrials.gov (an FDA requirement) not only increases study visibility to potential subjects but also facilitates networking with other investigators nationwide who share similar interests.

GM: Finally, how long do you expect the whole study to run?

AY: We are on target for the goal of 23 subjects completing the study by 2017, so I am optimistic about finishing a manuscript by the end of the 2018 academic year.


Dr. Yang and Dr. Marzloff are PGY-3 residents in the Department of Rehabilitation Medicine at Icahn School of Medicine at Mount Sinai. 
Dr. Yang is an investigator on the following studies:

1.       “Compare Ultrasound Assisted Cold Therapy and Lidocaine Injection to Treat Morton’s Neuroma” https://clinicaltrials.gov/ct2/show/NCT02838758

2.      “Injecting Botulinum Toxin A Underneath the Skin to Treat Spinal Cord Pain in Patients With Spinal Cord Injury”https://clinicaltrials.gov/ct2/show/NCT02736890


 


 


   

Physical Medicine and Rehabilitation Fellowship Spotlight: Sports Medicine 

     

Sports Medicine is one of the sub-specialty areas in physiatry with fellowship training programs offered throughout the United States.

I connected with Dr. Prakash Jayabalan MD, PhD who recently completed his Sports Medicine fellowship at the Rehabilitation Institute of Chicago (RIC) in Chicago, IL to discuss his experiences.

Dr. Adam Susmarski (AS): What attracted you to pursue a Sports Medicine fellowship?

Dr. Prakash Jayabalan (PJ): In residency I realized I most enjoyed finding ways to keep people active despite their injuries or disabilities since exercise is truly our best medicine. I also had enjoyed team coverage, procedures and managing sports injuries including concussion and pursuing fellowship seemed the ideal way to improve my knowledge and skills in these areas. In addition I really love musculoskeletal research and fellowship also allowed me to find novel research avenues.

AS: What are the aspects of fellowship that applicants should carefully consider when making their rank order list?

PJ: It is important to think about what your goals are in pursuing fellowship. Some fellowships tend to be more academic and are more suited for someone who wants to be in that type of practice post-fellowship. If a particular fellowship has a certain strength then it is important to think about whether that is a fundamental goal of yours. Other aspects that are vital are the mentorship that you are likely to receive during the fellowship, as well as the didactics and support you will receive during the year. Ultimately you are not only learning to be a good fellow but also transitioning to becoming an attending so you need to make sure that there are skills that you are going to be able to refine during the year.
 Geography or location of the fellowship may be a focus to some particularly if you have a significant other or family traveling with you. On the other hand, it is only one year of training and it will fly by! Finally it is important to consider whether you want to do a PM&R, pediatric or family medicine sports medicine fellowship as each option has its own focus and this is important to consider in your decision making.

AS: How did you choose which fellowship was the “best fit” for you?

PJ: The fellowship at RIC was ideal for me since I knew I would be able to improve my procedural skills, gain primary sports coverage experience and improve my sports medicine knowledge base. In addition as the year progresses fellows are provided some flexibility to focus on particular interests they may have in sports medicine. The level of mentorship and teaching from leaders in the field was also pivotal in my decision. The vast majority of prior fellows have gone into academic practice which was always my goal and therefore I knew the fellowship would also provide me plenty of academic opportunities. Another bonus was the idea of having a co-fellow as I liked the idea of us working as a team and many fellowships do not have this capability.

AS: What has been your favorite experience as a fellow?

PJ: One of the best experiences I had in fellowship was leading my own station at the finish line tent of the Chicago Marathon. This is a huge event for which the entire city comes together and having that responsibility to lead the treatment team managing injuries to the elite athletes as well as the regular runner in a mass sporting event such as this was incredibly exciting and an experience I will never forget.

AS: Now that you are approaching completion of fellowship what is some advice you have for residents applying for fellowship?

PJ: Getting a sports medicine fellowship is competitive and it is all the more important to get involved in sports medicine pursuits as early as you can in residency. For example, getting involved in volunteer team coverage opportunities in your residency, organizing sports electives, presenting at national meetings and ideally performing some musculoskeletal related research are all great for your application. Impressing on your sports elective and getting strong letters are also equally as important.
 
 Once you are a fellow, the year goes by extremely quick so enjoy every moment!



Adam Susmarski, DO
LCDR, MC, USN
Academic Chief Resident
University of Pittsburgh

Prakash Jayabalan MD, PhD
Rehabilitation Institute of Chicago
Northwestern University


This article was published in Physiatry in Motion, October 25th, 2016

 

     
    Founding the First PM&R Interest Group at the Johns Hopkins School of Medicine 
     

by Stanley Guillaume, Anne Kuwabara, & Samiran Bhattacharya

Stanley Guillaume (left), Charles Odonkor (middle) and Anne Kuwabara (right) at the the PM&R Happy Hour

I. OUR MEDICAL SCHOOL EXPERIENCE

Atthe Johns Hopkins School of Medicine (JHUSOM), the field of Physical Medicine & Rehabilitation (PM&R) seldom appears on the radar of medical students exploring specialties. If you survey the group of students that comprise the medical school, “Have you considered applying into PM&R?” you will often be surprised by the number of people who respond, “What is PM&R?” Unsurprisingly, with such obscurity there is a notable paucity in the number of students who apply into PM&R from JHUSOM. We believe that a lack of early exposure to the field of PM&R is one of the prime reasons so few students consider the field, let alone apply into it. In the past, PM&R was a required elective for medical students during their fourth year.

This elective garnered very little popularity as fourth-year students were not enthused with a mandatory elective after the majority had already decided on a specialty (or in some cases had already matched into a program).

Currently, PM&R is no longer a part of the required rotational curriculum at JHUSOM, but rather an optional elective. We are confident that the field has a great wealth of education to share to all medical students. Furthermore, we feel that with earlier exposure many medical students will appreciate PM&R to a much greater degree and revere its focus on the patient beyond a medical condition, the vast opportunities for procedures, and an emphasis on longitudinal patient care. This was our call to action! This year, we have embraced the challenge of turning the tides.

II. LEADERSHIP TEAM:

Stanley Guillaume, Hopkins PMR Interest Group Co-President

a. Stanley Guillaume:

Medicine came onto my radar in 2010, after an earthquake destroyed Port-au-Prince, Haiti, where I grew up in my early years and my extended family lives. In a country where safety is ignored and preventable injuries abound due to lack of policy implementation, I really became interested in getting involved with medicine related to injuries, primarily to the musculoskeletal system. As a 3rd year student on rotations, I couldn’t find a rotation that tailored to those interests until I met Dr. Charles Odonkor, a Johns Hopkins senior resident in Physical Medicine and Rehabilitation (PM&R), who also happens to be the Chair of the Association of Academic Physiatrists (AAP) Resident Fellow Council. PM&R was a mystery to me until I finally did an elective rotation in March 2016, and finally I felt at home! Working with patients with debilitating injuries and traumatic brain injuries truly excited me most, and the longitudinal relationships I was able to build with them thrilled me even more. The result: currently pursuing my Masters in Public Health year with research in Injury Prevention and Policy Implementation. I am excited for this group, because I discovered this field very late in my medical school training, and that should not be the case for any medical student. Together with co-officers Samiran and Anne, we have big plans set for the future of this group!

Samiran Bhattacharya, Hopkins PMR Interest Group Vice-President

b. Samiran Bhattacharya:

I believe helping improve a patient’s quality of life is one of the most meaningful things a physician can do. I originally pursued a career in medicine because I wanted to form strong therapeutic relationships with my patients, and to help my patients discover and tap into their hidden strengths. After graduating from Johns Hopkins School of Medicine, I began an emergency medicine residency at the University of Maryland. I loved my co-residents and faculty mentors, however after completing my intern year I felt that my values and aspirations aligned more closely with the field of Physical Medicine and Rehabilitation. I was lucky to meet with Dr. Pablo Celnik, Director of PM&R at Johns Hopkins, and began working as his research coordinator in the human brain physiology and stimulation lab. I was also fortunate to meet Anne Kuwabara through a mutual friend, and share the same dream of starting a PM&R interest group at Johns Hopkins. I hope to share the rewarding and exciting opportunities prevalent in PM&R with other medical students, and look forward to sharpening my skills in medical education while teaching and mentoring.

Anne Kuwabara, Hopkins PMR Interest Group Co-President

c. Anne Kuwabara:

My initial interest in the field began with the rehabilitation of my grandfather, after sustaining a spinal cord injury, and my mother, after cancer treatment. During college, I studied to become a cancer exercise trainer. It was rewarding to help others visualize goals, overcome challenges and cultivate the mental and physical strength to improve their quality of life. Through my medical school education, I discovered that PM&R aligned with my mission and values. During my sub-internship, Dr. Charles Odonkor was fortuitously the resident on service. Serving as the Resident Fellow Council Chair of the Association of Academic Physiatrists (AAP), Charles was motivated and prepared to engage medical students toward the field. We discussed the need for a PM&R interest group at Hopkins to raise more awareness about this field at our institution. As PM&R has been such a meaningful and rewarding experience to me, I was overjoyed by the opportunity to collaborate with Charles to form the first PM&R interest group at Johns Hopkins School of Medicine to recruit other medical students and give the field the recognition it deserves.

III. CONCEPTUALIZATION

Together, we made this goal a reality. Our first meeting was in July 2016. We conceptualized our mission statement, logo, and motto to symbolize the spirit of the field and our organization. We discussed methods to effectively spread awareness of our group at school and attain new and veteran student interest. With a strong leadership team and the support of the Johns Hopkins PM&R Department, the Johns Hopkins Medical Student Senate and AAP, we were able to make our organization a key fixture of the student body. We continue to work towards our mission through weekly leadership meetings, conference calls and a constantly growing bank of educational and fun opportunities for the school of medicine.

IV. EXECUTION

PMR Student Interest Group at the Student fair on Day 1 of Medical School

a. New Student Group Fair

On August 11th, we began fulfilling our mission during the Incoming Student’s Fair for the first-year students. Alongside our banner, we set up a table with information about our group, the Johns Hopkins PM&R Department, and the AAP regarding research and clinical opportunities. We gauged interest by having students sign up to receive our group e-mails and express their interest in our future events using an online survey tool. We were thrilled to have over 30 students sign up in less than an hour. We also distributed Johns Hopkins PM&R Department bags and protein bars to symbolize our commitment to health and well-being (and also to capitalize on a universal appeal to food and free merchandise).

Through this event, we increased exposure towards new students right from Day 1 of medical school, when most have not yet differentiated into a specific field. Many students reported that our table was the most prominent at the event and appeared well-established. However before this event, PM&R was rarely ever brought to students’ attention. Some students were not even aware of the field upon graduation from Hopkins. With the help of our committed leadership, residents, and faculty, we are shifting this paradigm.

Hopkins PM&R Interest group at the downtown adaptive sailing loading dock

b. Adaptive Sailing

With the support of Dr. Albert Recio at Kennedy Krieger Institute and Ms. Lynn Handy at the Downtown Sailing Center, we hosted an adaptive sailing experience for a group of interested students on September 10th, 2016. This event doubled as a volunteer training opportunity so students could later return to help patients with disabilities sail freely and independently using specially adapted boats. Ms. Handy began with an introduction about the program and how to set up and navigate the dinghies. The students then had hands on experience setting up and sailing in the dinghies in Baltimore’s Inner Harbor. Our students were able to experience the same enjoyment we try to share with our patients as they sail in the Patapsco River, deterring focus from their disabilities.

Students enjoy time on the water learning about the benefits of adaptive sailing for patients

After the event, we held a debriefing session at a nearby restaurant. Veteran students exclaimed, “No other group has done something like this!” New students also interjected that “this was such an amazing event!” We seek to continue receiving this powerful feedback by proactively increasing our presence on campus.

c. Future Events

During the upcoming year, we will offer an engaging and comprehensive PM&R immersion. On September 23rd, 2016 we hosted a happy hour to allow students connect with faculty and residents in the department.

Dr. Pablo Celnik welcomes medical students to the first social event of the year

A cross-section of medical students socializing and learning about Physical Medicine and Rehabilitation

On November 12th, 2016 we will put on a workshop on hippotherapy at the Maryland Therapeutic Riding Center, catering towards patients suffering from cerebral palsy. On January 14th, 2017 we are hosting a multi-school PM&R Fair that will showcase the many aspects of the field and highlights of the department through interactive demonstrations, lectures, and small group discussions. During our events, we plan to recruit younger students for leadership positions so we can have a seamless transition and maintain sustainability of our organization for the future.

V. ACKNOWLEDGEMENTS

We are grateful to have the support and guidance from Dr. Pablo Celnik, Dr. Robert Mayer, Dr. Marlis Gonzalez-Fernandez, Dr. Albert Recio, Dr. Levan Atanelov, Dr. Dorianne Feldman and Dr. Charles A. Odonkor, for helping to make our dream a reality. We look forward to sharing our passion and inspiring future generations of physiatrists at the Johns Hopkins School of Medicine.


 

 

     
   

 Advocacy in Residency Training 101: On Getting Involved

                       

Are you concerned about current ACGME training requirements vis-à-vis your preparedness to face an uncertain future? Are you bothered that the electronic health record consumes majority of your day preventing you from providing quality patient care? Is your residency learning experience being diminished by mindless paper work? If you answered affirmative to these questions, you may want to consider becoming an advocate on these and other issues currently influencing the practice of medicine in the United States.

As residents with limited time often working at the very front lines of medicine, we deal with the inefficiencies of a broken health system on a regular basis. Since implementation of the Affordable Care Act, several policy changes are already impacting a rapidly evolving healthcare landscape and raise questions about how trainees could get involved in helping shape that change and the ultimate future of medicine. The untenable rise in healthcare costs, the difficulties of navigating bureaucratic hurdles in often labyrinthine care systems, among a host of other detractors, all bear witness to misaligned priorities. With an increasing focus on function and value-based outcomes, now is the perfect time for residents in physiatry training to become engaged in advocacy. Below are some simple steps on how to get involved:

1. Identify a problem that you’re passionate about which lends itself to advocacy (example access to affordable healthy food choices, economic prostheses for patients with amputations, injustice in insurance coverage).

2. Define the scope. Do you want to get involved at the local or national level? This helps direct where and how you expend your efforts

3. Identify strategic partners who are working on similar issues. State Medical Societies, National Physiatry Organizations like the AAP and AAPMR often have leadership roles for trainees and provide a great platform to learn about ongoing efforts and where you fit in.

4. Leverage your expertise as a physician in training. This is the only time in your career where you will have the advantage of looking at issues true the lens of a trainee, and this gives you a unique voice. Legislators are thrilled to hear from those working in the trenches and you have a unique opportunity to create an impact. Sometimes, advocacy can be as simple as a phone call or e-mail to your State Senator or Representative versus signing on to important petitions, which impact your experience of medicine.

On a personal level, the AAP has provided excellent opportunities for me to get involved in reviewing and drafting health policy legislature as part of its Health Policy Committee. On September 22, 2016, I was fortunate to join the AAP Board of trustees on a visit to Capitol Hill. It was an immersive and eye-opening experience that allowed me to advocate for more graduate medical education (GME) residency training spots and research funding for our field. Our specialty needs your energy, talents and passion, to help increase the visibility and role of physiatry in a new world of value-based healthcare.

 


       
       The AAP 2017 Annual Meeting is in Las Vegas on February 7-11, 2017
     

 

94% of past attendees would recommend the AAP Annual Meeting to their colleagues and AAP 2017 Las Vegas is no different. Physicians, residents, and other PM&R professionals from around the globe are making plans to attend the 2017 AAP Annual Meeting in Las Vegas, February 7-11, 2017 - don't miss out on the 'can't miss' physiatry event of 2017!

AAP 2017 registration prices are discounted for a limited time only!

 

 

 
Registration includes ALL educational and networking events including the President's Welcome Reception, two Poster Gallery Receptions, the Resident/Fellow Trivia & Networking Night and complimentary breakfast, lunch, and coffee breaks throughout the meeting.
 
Registration prices will increase after November 3, 2016.
 

 

 
 

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