PM&R Summer 2018 Bulletin by CUPMR

PM&R

Annual

Bulletin 2017-2018

COLORADO

PM&R

When saying yes opens amazing options December 1997, I had a visit from Mike Blei, MD and Richard Krugman, MD, Dean of University of Colorado School of Medicine. They were there to ask me to serve as the interim chair of the Department of Physical Medicine & Rehabilitation. I was in a private practice group at The Childrenâ&#x20AC;&#x2122;s Hospital and a member of the clinical faculty. I had never thought of becoming an academic chair. After some persuasion, I agreed to serve during the search. The Department was quite small with 11 MD faculty. Mike led the 8-bed inpatient unit at University Hospital. The 2-room clinic was in the old osteopathic hospital 2 block away and the administrative office were in a bank building off campus. The strength of the Department was the faculty and the support staff. The University was planning a move to Fitzsimmons. The PT Program had developed a strategic plan to regain its national prominence and the VA had a large stable faculty and was the base of the residency. This was an opportunity re-build a with a supportive Dean. Hence, I submitted my application for the chair position. It has been an amazing 21 years. There have been many challenges and many more opportunities. The growth of all the programs within the Department has been amazing. All of them are now nationally recognized which has allowed us to continue to recruit the most accomplished and outstanding faculty. The strength of the Department.

Thank you,

Dennis Matthews, MD

Physical Medicine & Rehabilitation

Contents

2018 Annual Bulletin | 1

Dr. Dennis Matthews’ Celebration Over 200 people gathered on the evening of October 13th, 2017 at The Brown Palace Hotel to celebrate the distinguished career of their friend and colleague, Dr. Dennis Matthews. Dr. Matthews was honored by Drs. Akuthota, Apkon, Chang, Laker, and Oleszek. Dr. Apkon is the Rehabilitation Department Director of Seattle Children’s Hospital and previously worked with Dr. Matthews at Children’s Hospital Colorado. Dr. Frank Chang is the Medical Director for the Center of Gait and Movement Analysis at Children’s Hospital Colorado. He has known Dr. Matthews professionally for over two decades. Dr. Scott Laker and Dr. Joyce Oleszek were both residents in the University of Colorado Physical Medicine and Rehabilitation program under the direction of Dr. Matthews. Dr. Matthews is a proud grandfather to three grandchildren. At the reception, guests were delighted with two Irish jigs performed by Dr. Matthew’s granddaughters, Kaelina (age 10) and Marin (age 7). Dr. Matthews’ youngest grandson, Greyson, helped Helen Matthews, Dr. Matthew’s wife, unveil the portrait she painted in honor of Dr. Matthews’ retirement. The department congratulates Dr. Matthews on a job well done.

Venu Akuthota, MD Named as New Chair Excerpted from Dean’s Weekly Message by John Reilly, MD, Dean of SOM I am pleased to announce that Venu Akuthota, MD, has been named chair of the Department of Physical Medicine and Rehabilitation effective January 1. Venu, who has been with the School of Medicine since 2002, is vice chair and professor of the department and medical director of the Spine Center at the University of Colorado Hospital. He has also served as the department’s residency program director. Venu succeeds Dennis Matthews, MD, who became chair in December 1996 and who has had a distinguished and pioneering career. Dennis is well-regarded for his insight and care for patients with pediatric muscle disease and cerebral palsy. Venu brings exceptional talent and experience to this leadership role. He is author of more than 90 publications, author/editor of two textbooks, and has spoken and chaired national and regional conferences. He is a founding senior editor of the PM&R journal and has held leadership positions in the North American Spine Society and Musculoskeletal Council Chair for the American Academy of PM&R. Our School has been fortunate to have high-quality, stable leadership in the Department of Physical Medicine and Rehabilitation and I am confident that Venu will continue to help our department excel. The selection of Venu was the culmination of a national search process that was led by Evalina Burger, MD, professor of orthopedics, and staffed by Carolyn Goble, office manager for the Dean’s Office. Thanks to them and all members of the search committee for their time and dedication in conducting this successful search. 2 | Physical Medicine & Rehabilitation

Welcome from the New Chair We have discovered the next miracle in medicine — and it is you. The fields of Rehabilitation believe in using your whole body to improve your human performance. The Department of Physical Medicine and Rehabilitation at the University of Colorado (which we affectionately call “CU PM&R”) is at the forefront of using team science, regenerative medicine, and exercise treatments. It is uniquely situated in the state-of-the-art CU Anschutz Medical Campus, the first campus in the nation to be built from ground up to bring research, education, and patient care into one visionary collaboration. Like the Rocky Mountains that provide backdrop to our institutions, CU PM&R is on the rise! We combine the disciplines of rehabilitation medicine, physical therapy, psychology, speech/language therapy, and rehabilitation sciences into a singular department. The following video stories reinforce the mission of the department: “Growing the Value of Rehab.” The stories of CU PM&R are countless, but here are a few. Joyce Olsezek, MD, a pediatric rehabilitation medicine physician at Children’s Hospital Colorado, made an emotional appearance on The Dr. Oz Show describing medical miracles. She was part of the CHCO team that rehabilitated a severely brain injured high schooler to later walk across the stage at his high school graduation. The miracle of rehabilitation was clearly evident with this story. Our partners at UCHealth launched the “Live Extraordinary” campaign. One of the patient stories, available at https://www.youtube.com/watch?v=FGi3hjG2GsM, involved the rehabilitation of an individual who suffered Locked-In Syndrome. William Niehaus, MD, describes how this patient was able to walk with his daughter at her wedding. The efforts of physical therapists, psychologists, occupational therapists, speech therapists, and rehabilitation physicians provided the substrate for that walk down the aisle. Mike Bade, DPT, PhD, Assistant Professor of Physical Medicine & Rehabilitation and faculty member of the Physical Therapy Program, has been instrumental in changing the lives of patient who do not adequately recover from major knee surgeries. He is part of the team of researchers at CU Restore, a research group led by Jennifer Lapsley-Stevens, PT, PhD, who have been able to use individualized data to prescribe and direct exercise programs which get the disabled back to a high quality of life. Watch the success story in this video. As a new department chair, I have had an opportunity to do a deep scan of CU PM&R. It has flourished to #5 in NIH funding for PM&R departments across the country; houses a PT Program and PM&R residency program ranked in the top 15; some of the most experienced and largest cadres of physiatrists in pediatric rehabilitation medicine, pain medicine, sports medicine through a growing clinical footprint; and a remarkable, state of the art medical campus. CU PM&R supports faculty, research and education in the best of all worlds at our core affiliate hospitals and Craig Hospital, representing university tertiary care, a safety net/Level 1 trauma hospitals, world-class specialty hospitals and thriving, independent rehabilitation facilities. We will use the escalator that Dr. Matthews built to get to the next levelUniversity of Colorado PM&R will emerge as one of the very best Departments of PM&R in the world. Sincerely,

Venu Akuthota, MD Professor and Chair | Department of Physical Medicine and Rehabilitation University of Colorado School of Medicine venu.akuthota@ucdenver.edu | Cell: (303) 725-7317 | http://medschool.ucdenver.edu/pmr 2018 Annual Bulletin | 3

Introducing...

COLORADO

PM&R ...the new PM&R supporting graphic. We have created this graphic with the vision of being able to represent the department with its overall reach to the medical community and with Colorado. The aspen grove represents the wellrooted one organism ethos of the department.

4 | Physical Medicine & Rehabilitation

PM&R SCHOLARSHIP & DISSEMINATION This past year CU Physical Medicine & Rehabilitation had a renewed focus on social media. CU PM&R faculty and staff found news ways to connect and communicate with a broader audience by using Twitter to share information about department studies and recent publications. Several faculty members are particularly active on Twitter: Dr. Lisa Brenner (@LisaABrenner), Dr. William Niehaus (@NHausMD) and PT Jason Falvey (@JRayFalvey). CU Physical Medicine @CUPhysMed New Study: Dr. @LisaABrenner recently received an award from @CDPHE to investigate the effiacy of yoga in promoting psychological health in veterans with mild TBI. Learn more: http://www.ucdenver.edu/academics/colleges/medicalschool/ departments/pmr/Research/Pages/yoga.aspx ...

Twitter.com/CUPhysMed Facebook.com/cupmr

Scholarship & Dissemination

“It was exciting for the department to have two twitter accounts recognized as top influencers during the 2018 AAP meeting! If you ever want to review the conference conversations on social media just search for the hashtag #Physiatry18 on Twitter.” – William Niehaus @NHausMD, Social Media Editor, PM&R Journal

2018 Annual Bulletin | 5

Residency Program Updates By William Sullivan, MD The PM&R Residency Program saw a change in leadership with Dr. William Sullivan stepping into the role of Program Director in December 2017. Dr. Sullivan’s goals are to continue to recruit exceptional resident candidates, and assist faculty in resident education to groom the next leaders in PM&R. He successfully led his first recruitment season at the end of 2017 and recruited a fabulous group. Dr. Sullivan is an associate professor with the department and also the Chief of PM&R Service at the Eastern Colorado Health Care System/Denver VA. Since being hired as faculty in 2004, he has held various leadership roles in medical student, resident, and fellow education. He serves on the Board of the North American Spine Society, culminating with leadership as President of NASS in 2019. He also serves as Medical Editor of the NASS publication SpineLine. He is a graduate of Emory University School of Medicine and completed residency at Northwestern University/Rehabilitation Institute of Chicago. Our recent graduates of the CU PM&R residency are representing the program well. We are proud of their hard work.

2017 Graduates Aliea Herbert, MD - Cancer Rehabilitation Fellow - MD Anderson Cancer Center, Houston, TX Christopher McMullen, MD - Sports Medicine Fellow – University of Washington PM&R Sports Medicine Fellowship, Seattle, WA Adele Meron, MD - Pain Medicine Fellow - University of Colorado Pain Medicine Fellowship, Denver, CO Carmen Wong, MD - Sports Medicine Fellow - St. Francis/VCU Sports Medicine Fellowship, Richmond, VA

2018 Graduates Stephanie Cowherd, MD - Spinal Cord Injury Fellow - Craig Hospital, Denver, CO Matthew Gnirke, MD - Sports Medicine and Ultrasound Fellow - Bodor Clinic, Napa Valley, CA Julie Hastings, MD - Physician with Pelvic Pain and Gynecologic Surgery Group, St. Joseph’s Dignity Health Center, Phoenix, AZ Michael Lersten, MD - Spine Fellow - Stanford Medicine, Stanford, CA

6 | Physical Medicine & Rehabilitation

We are excited to welcome the incoming class of 2018 starting in July!

Samiran Bhattacharya, MD Johns Hopkins University School of Medicine

Matthew Harmon, MD Howard University College of Medicine

Amy Chambliss, MD George Washington University School of Medicine (combined Peds/PM&R)

Joseph Shivers, MD Columbia University College of Physicians and Surgeons

2018 Annual Bulletin | 7

Jacob Jeffers, MD Wayne State University School of Medicine

Vera Staley, MD University of Colorado School of Medicine

Welome to our new VA Hospital, housing both our Spinal Cord Injury and PM&R units.

8 TopDocs 5280 Magazine has nominated a few of our esteemed colleagues as part of their Top Docs list. Join us in congratulating them for this honor. Venu Akuthota, MD Michael Blei, MD Michael Dichiaro, MD Dennis J. Matthews, MD Joyce Oleszek, MD Pamela Wilson, MD Craig Hospital Faculty and Staff Mark Johansen, MD Alan Weintraub, MD 8 | Physical Medicine & Rehabilitation

31st Annual Gersten Day Rehabilitation Scientific Symposium

June 15, 2018

Fulginiti

Pavilion - Gossard Forum

Anschutz

Campus

#GerstenDay2018 7:40

Welcome Breakfast and Opening Remarks Venu Akuthota, MD, Professor & Chair Lisa Brenner, PhD, Professor & Director of Research

PAIN MEDICINE FELLOWS (cont’d)

10:30

“Pain Satisfaction in Breast Surgery Patients”

10:50

“Utility of MRI Results in Physician Decision Making Prior to Initial Lumbar Spinal Injection”

Adele Meron, MD

PM&R RESIDENTS

8:00 8:40

“Overuse Injuries in Extra-scholastic High School Athletes & The Lessons Learned Studying Them”

SCI FELLOW

Stephanie Cowherd Ryder, MD & Matthew Gnirke, MD

“Prevalence of Hypermobility Spectrum Disorder Among Female Patients Presenting with Chronic Myofascial Pelvic Pain”

11:10

“The Effect of Mindfulness-Based Interventions on the Default Mode Network and Related Brain Regions: A Systematic Review and Meta-Analysis”

REHABILITATION SCIENCE PhD CANDIDATE

Michael Lersten, MD

9:20

“Cerebral Palsy All Grown Up 2.0: What Adult Outcomes Can Teach Us About Pediatric Management”

Sruthi Thomas, MD

Break

11:30

10:10

“Visual, Vestibular, and Oculomotor Symptoms in Parkinson’s Disease: Are they related to Fatigue”

Jean Marie Berliner, PT, DPT, NCS

Break/Lunch with celebratory dessert for our K12 winners Dawn Magnusson, PT, PhD and Andrew Kittelson, PT, DPT, PhD!

LUNCH

PAIN MEDICINE FELLOWS

9:50

“Long-term Follow-up of Patients with Ventilator Dependent High Tetraplegia Managed with Diaphragmatic Pacing Systems”

David Coons, MD

Julie Hastings, MD

9:00

Lauren McLaughlin, MD

WITH

TED

(FACULTY TED-STYLE PRESENTATIONS)

“The Use of Oral Alendronate for Pediatric CRPS”

Jeremy Chastain, MD

“An Analysis of Seasonal Variation in Patient Satisfaction Score Among Chronic Pain Patients”

Luke Johnson, MD

12:20 12:40

“Counting Zzzzs: Why Assessing Sleep is a Clinical Research Priority”

Sarra Nazem, PhD

“A Partnership with Bifidobacteria: Could a Microbe be the First Disease Modifier for Osteoarthritis?”

Michael Zuscik, PhD

2018 Annual Bulletin | 9

Colorado Rehabilitation Services

Volunteer Partnership Clinic By William Niehaus, MD Our mission: We strive to provide outstanding rehabilitative care that maximizes independence, wellness, and community participation for uninsured people with catastrophic injuries (Brain Injury, Stroke, Spinal Cord Injury, and Amputation). Thanks to the efforts of an angel donation, our supporters, partners, and volunteers, the Colorado Rehabilitation Services Volunteer Partnership Clinic was able to open and start serving patients on April 2, 2017. Since opening, many of our patients have had successful outcomes. One individual who suffered from a stroke rejoined the workforce and was able to buy into Medicaid services as a result. Another patient has vastly improved diabetes control and been provided an appropriate prosthesis for a lower limb amputation. This has resolved issues with skin integrity and allowed him to walk. We were also able to coordinate an esophageal reconstructive procedure for an individual with a cervical spinal cord injury. Following this procedure, this patient is now eating food for the first time in over a year. Our volunteers and board members have presented at the 2017 American Spinal Cord Injury Conference and the 2018 Brain Injury Summit. Thanks to our volunteers and collaborations with the University Of Colorado School Of Medicine, Craig Hospital, Hanger Prosthetics, and the Lanig Family Fund we can further provide outstanding rehabilitative care as outlined in our mission. Please refer to our website for more information about our clinic: www.coloradoRSVPclinic.org.

10 | Physical Medicine & Rehabilitation

Dr. Oleszek Featured on the Dr. Oz Show By Joyce Oleszek, MD Dr. Joyce Oleszek and her patient, Gore Otteson, were featured on The Dr. Oz Show segment, “Faithful Fridays: Miraculous Medical Recoveries Only God Can Explain”, on Friday, February 10th, 2017. This was a segment in which doctors told stories of their patients who defied the odds and made miraculous recoveries after sustaining devastating injuries. I was asked to tell my perspective on Gore’s recovery, along with his parents, Amy and Dave Otteson. Gore was 21 months old when he wandered away from his cabin in Gunnison, CO. After a frantic search for 30 minutes, he was found face down in an irrigation ditch - cold, pale, pulseless and apneic. Gore’s family members, including his grandfather who is a retired orthopedic surgeon, began CPR immediately, and called 911, but his chances of surviving seemed hopeless. Resuscitation efforts continued in the ambulance and at Gunnison Valley Hospital, and a rhythm was finally restored, however, it was estimated that he had been without a pulse for up to 55 minutes. He was airlifted to Children’s Hospital Colorado and prognosis was grave, with a GCS of 3, only involuntary posturing movements, and an EEG showing minimal brain activity. In the PICU, his parents were told that he had a 1 percent chance of regaining any meaningful brain function. Donor Alliance was called. Gore was placed in hypothermia per the Therapeutic Hypothermia After Pediatric Cardiac Arrest study protocol. The study had closed and results were not yet known, but it was decided to follow the protocol as a last resort, even though hypothermia for pediatric brain injury was a highly controversial subject. This treatment involved constant temperature monitoring and cooling blankets to keep his temperature at 33.0°C for 48 hours. Upon being slowly rewarmed, he began to open his eyes and make purposeful movements including reaching for his endotracheal tube. A brain MRI was performed at 72 hours post-injury, and to everyone’s amazement, was completely normal. At that point, he had lost all his developmental skills. He had no head control or ability to roll over. He was transferred to the Inpatient Rehabilitation Unit where he received comprehensive therapies for three weeks. He made tremendous progress, and 27 days after he was found in the irrigation ditch, he was discharged from the hospital, walking and playing like a typical toddler. Today, Gore is an 8 y/o boy who is thriving at school and loves to play baseball. Recent neuropsychological testing was only significant for dyslexia. Dr. Oz asked me how this experience changed how I practice medicine. My motto has become, “never say never” because I’ve witnessed the impossible. I tell my families that I’ve seen children make recoveries that aren’t expected, and there is always hope. In my 16 years of practice, I’ve seen many remarkable recoveries, often for reasons we can’t fully medically explain.

2018 Annual Bulletin | 11

A Letter From The

Physical Therapy Program Director 2017 marked the University of Colorado Physical Therapy Program’s 70th year of innovation and excellence in education, research and patient care. In this edition of the PT Program’s newsletter we celebrate this milestone and look ahead to the next 70 years and beyond. As you read on, you will meet several of our students—the future of physical therapy—and learn more about their experiences in the Program. Working alongside and guiding these students is our distinguished faculty. In addition to mentorship, faculty conduct studies that help improve our understanding of human movement, physical function and disability across the lifespan. This year we welcomed new faculty members as well as new administrative staff. Andrew Kittelson, PT, PhD joined the faculty as the newest member of the research team; Joe Palmer, PT, DPT joined the faculty as Assistant Director of Clinical Education. New members of the administrative team include Nicolas Alvarez, Natalie Belva, Melissa Ishida and Angie Vondra. At our annual graduation in December the Program conferred 70 DPT degrees and one MS degree. These 71 individuals join a notable group of practitioners, researchers and educators as alumni. One of these distinguished alumni, Joel Larmore, PT (Class of 1970), the outgoing president of the CU Physical Therapy Scholarship and Endowment Advisory Board, is profiled in this edition of the newsletter. On behalf of the PT Program, I thank Mr. Larmore for giving generously of his time to the Board and for supporting the Program. Because of his and the Board’s efforts, the scholarship and endowment fund has grown by more than 200 percent since 2015. Thank you for the role you have played in shaping the first 70 years of the CU PT Program. We look forward to your continued engagement as we move into the next 70 years and beyond.

Sincerely,

Margaret Schenkman, PT, PhD, FAPTA PT Program Director Associate Dean for Physical Therapy Education

12 | Physical Medicine & Rehabilitation

Meet a PM&R Researcher:

Meredith Mealer, rn, phd MEET A PM&R RESEARCHER TACKLING A HEALTHCARE PROBLEM HIDING IN PLAIN SIGHT Meredith Mealer, RN, PhD and her research team are working on individual and organizational strategies to improve clinician resilience and mitigate symptoms of workplace stress, burnout syndrome and psychological distress that results from working in an acute care environment. Mealer’s research made the seminal observation that critical care nurses have significantly higher rates of psychological distress, including burnout syndrome, posttraumatic stress disorder (PTSD), anxiety and depression. The triggers of clinician distress are multifactorial but include the complexity and demands of patient-focused care, unpredictable changes in daily work routines, unrealistic expectations from patients and family members, and common encounters with traumatic and ethical issues. The high prevalence of psychological distress coupled with limited availability of resources to improve clinician wellbeing highlighted the need for innovative efforts to improve the individual clinician’s ability to cope and adapt to the work environment in a positive way. Based on this need, Mealer and her team have developed a number of interventions to improve clinician resilience and have found that highly resilient clinicians are less likely to develop symptoms of PTSD, anxiety, depression and burnout syndrome. Currently, Mealer is PI on a funded NIH grant to explore whether mindfulness based cognitive therapy (MBCT) can improve resilience and reduce symptoms of burnout syndrome in critical care nurses. MBCT, originally developed to prevent depression relapse, is an 8-week course that uses mindfulness and cognitive behavioral skills to help individuals become aware and interrupt negative thoughts and feelings that are activated by stress. In addition, Mealer is working on innovative technologies and written exposure therapy resilience interventions to build cognitive flexibility and reframing in healthcare providers. Her expertise in clinician wellbeing and resilience has enabled her to impact national policy on the development of resilience by serving as the co-Chair for the American Association of Nurses (ANA’s) Special Issues Committee on Moral Resilience and as the Director of Research for the Clinician Wellbeing Collaboration at the American Thoracic Society.

2018 Annual Bulletin | 13

Research with an Immediate Impact Jennifer Stevens-Lapsley, PT, PhD and her colleagues are working alongside clinicians to change how home health physical therapy is provided to deconditioned adults following inpatient hospitalization. Her research is part of CU Restore, a collaborative team of researchers jointly led by StevensLapsley and Cory Christiansen, PT, PhD. CU Restore is committed to optimizing movement and quality-of-life in older adults through innovative research and educational excellence. Generally, higher intensity resistance training is preferred to lower intensity approaches for older adults. First, it is more likely to result in meaningful, lasting gains in muscle strength and endurance that directly correlate to improvements in activities of daily living. These important changes occur more quickly with higher intensity approaches, making them more resource-efficient and cost-effective. However, through their preliminary research, Stevens-Lapsley and her colleagues have found that home health therapy is traditionally delivered at very low exercise intensities. There are few guidelines in place for therapists to follow when treating this population, and therapists are uncertain how to progress patients and exercise them at intensities that will promote recovery without causing harm. Accordingly, Stevens-Lapsley’s team designed a trial that increases exercise intensity. To make sure that the research yields practical guidance for home health practitioners, it is being implemented within home health agencies rather than in a lab. This also ensures that the interventions work physiologically and fit within current Medicare billing guidelines. “It can take 17 years to go from clinical research findings in published form to actually impacting clinical practice,” explains Stevens-Lapsley. “We really want to have a more immediate impact by translating our work into clinical practice faster.” Beyond home health care, Stevens-Lapsley’s team, which consists of other PT Program faculty as well as students and fellows, has taken their research into skilled nursing facilities to train staff to increase the intensity of rehabilitation safely so that patients might be discharged more quickly. They also work with Innovage, an organization that provides customized health care and social engagement to older adults to help them stay independent and in their homes, to implement higher intensity rehabilitation for the populations they serve.

To make sure that the research yields practical guidance for home health practitioners, it is being implemented within home health agencies rather than in a lab. This also ensures that the interventions work physiologically and fit within current Medicare billing guidelines.

Stevens-Lapsley admits that clinicians are sometimes skeptical because of safety concerns. Yet, once they begin working with her team they are often shocked at how well patients respond to increased intensities. “After they see the results, they’re quickly convinced that what we’re doing is really pushing the envelope appropriately,” says Stevens-Lapsley. The research is funded in part through grants awarded by the National Institute of Health, National Institute on Aging, the National Institute on Nursing and Research, and the Veteran’s Administration.

14 | Physical Medicine & Rehabilitation

2018 Annual Bulletin | 15

Clinical Education:

Learning in the Context of Practice By Jenny Rodriguez, PT, DPT, DCE The University of Colorado’s DPT Program prepares graduates to be competent physical therapists. To that end, the Program includes a robust clinical education (CE) component designed to provide both breadth and depth of experiences. 2017 has been another eventful and productive year for the CE Team. The following are a few highlights from the past year as well as goals for 2018 and beyond.

CE CURRICULUM UPDATE The CE yearlong internship experience offers students the unique opportunity to develop competence and confidence in their clinical skills both before and after graduation with ongoing guidance and mentoring from experienced clinicians to provide a more seamless transition from student to new professional. Preliminary feedback from our first group of interns was positive. We are working to provide interns and mentors with additional guidance and support during the post-graduation phase of the experience and are gradually developing a consistent cohort of clinical education sites. The CE Team is completing detailed analyses from focus groups and interviews that will guide future planning.

CLINICAL FACULTY DEVELOPMENT The CE Team provides professional development for clinical instructors (CIs) to enhance clinical teaching and clinical skills. This includes content-specific update courses, training for specific clinical education experiences (such as ICE and CE III/Internship), as well as the APTA CI Credentialing Courses. Several CIs attended the following courses offered during 2017, in the Denver area and rural CO:

• 3 Basic Level Clinical Instructor Credentialing Courses (in collaboration with Regis University) • 1 Advanced Clinical Instructor Credentialing Course • 1 Update Course on Electro-therapy and physical agents • 1 Update Course on Clinical Practice Guidelines for the Lumbar Spine

SCHOLARLY ACTIVITY IN 2017 The PT Program continues to builds its reputation as a leader in clinical education, and members of the CE Team presented at local, regional, and national conferences on various topics including academic-clinical partnerships; application of acute care competencies in clinical education; using formative feedback; a toolkit for the Collaborative CE Model; and using clinical narratives during clinical experiences. Additionally, CE Team research was published in the Journal of Physical Therapy Education: Covington K, Myers K, Rodriguez J. Exploring DPT Students’ Perceptions of Team Function in a Collaborative Integrated Clinical Education Experience. Journal of Physical Therapy Education, 2017;31(3):37-44.

16 | Physical Medicine & Rehabilitation

GOALS FOR 2018 AND BEYOND During the fall of 2017, the CE Team held our annual strategic planning meeting and 2018 promises to be another busy and productive year. We remain committed to building a culture of excellence in all aspects of our CE Program and recommendations from the following three national initiatives will provide the Team with guidelines in this pursuit for excellence:

1) Physical Therapist Education for the 21st Century (PTE-21): A National Study of Innovation and Excellence in Academic and Clinical Education 2) Clinical Education Summit (ACAPT) Working Groups 3) Best Practices for Physical Therapist Clinical Education (APTA HOD)

The Team will also focus on re-convening the CE Advisory Committee to assess the new curriculum, including the internship. We aim to increase the number of clinical sites offering the yearlong internship and internship-residency, streamline the clinical instructor trainings into a user-friendly format, and develop clear benchmarks and standards for the CE Program. Moreover, we will be busy preparing for accreditation review that will take place during the 2019-2020 academic year. We hope that 2017 was a good year for all and look forward to working together in 2018 and beyond. We are grateful for the support from our many clinical partners.

2018 Annual Bulletin | 17

Leadership & Award Highlights 2017-2018 Heather Baer, MD, Associate Professor and Associate Residency Program Director. Member, Milestones 2.0 Task Force. Member, Academy of Medical Educators. Member, AAP Education Committee. Co-chair, AAP Subcommittee on Entrustable Professional Activities; Chair, Clinical Competency Committee. Amy Winter Bodkin, PT, PhD, PCS, Associate Professor. Chair, Guideline Development Group for Instrumented Gait Analysis Clinical Practice Guideline. Academy of Pediatric Physical Therapy, American Physical Therapy Association. Rachel Brakke-Holman, MD, Assistant Professor and Fellow Program Director. Vice Chair, Program Planning Committee and rising Chair, American Academy of Physical Medicine and Rehabilitation. Lisa Brenner, PhD, Professor and Director of Research. 2018 Roger G. Barker Distinguished Research Contribution Award Recipient. James Carollo, PhD, Associate Professor. J.T. Tai Endowed Chair for the Center for Gait and Movement Analysis Inaugural Chair. Elected 2019 Program Chair, 2019 Gait and Clinical Movement Analysis Society (GCMAS) Annual Meeting. Lisa Dannemiller, PT, DSc, PCS, Assistant Professor. Dehaven Award for Extraordinary Service, Academy of Pediatric Physical Therapy. Patricia Heyn, PhD, Associate Professor. National Advisory Board on Medical Rehabilitation Research (NABMRR) reviewer appointment for Function, Integration, and Rehabilitation Sciences (FIRS) Subcommittee, Eunice KennedyShriver, NIH National Institutes of Child Health and Human Development, Bethesda, MD. Cynthia Johnson Armstrong, PT, DPT, Senior Instructor. Director, APTA Board of Directors. Elizabeth Knight, MD, Assistant Professor. 2017 Resident Research Mentor Award. Scott Laker, MD, Associate Professor and Associate Residency Program Director. Childrenâ&#x20AC;&#x2122;s Hospital Colorado 5-Star Provider. Jerome Gersten, MD Role Model Award, Department of Physical Medicine and Rehabilitation, University of Colorado. Board Member, Quality, Practice, Policy and Research Committee, Vice Chair, Program Planning Committee and rising Chair, American Academy of Physical Medicine and Rehabilitation. Amy McDevitt, PT, DPT, OCS, FAAOMPT, Assistant Professor. University of Newcastle, Australia Higher Degree Research Scholarship. Winner of the First Place Platform Presentation in category Best 5X5 Upper Extremity. Meredith Mealer, RN, PhD, Associate Professor and Research Integrity Officer. Co-Chair Special Issues Committee on Moral Resilience, Association of Nurses. Director of Research for the Clinical Wellbeing Collaboration, American Thoracic Society. Paul Mintken, PhD, Professor. Keynote Speaker, American Academy of Orthopedic Manual Physical Therapists. Outstanding Physical Therapist for the State of Colorado awarded by the Colorado Chapter of the American Physical Therapy Association. Nathaniel Mohatt, PhD, Assistant Professor. Co-Chair, Indigenous Interest Group, Society of Community Research and Action. Co-Editor, Community and Indigenous Psychology special issue, the American Journal of Community Psychology. 18 | Physical Medicine & Rehabilitation

Leslie Morse, DO, Associate Clinical Professor. Resident Research Mentor Award, Department of Physical Medicine and Rehabilitation, University of Colorado. Sarra Nazem, PhD, Assistant Professor. Associate Editor, Journal of Clinical Psychology. William Niehaus, MD, Assistant Professor. Top 5 Video, UCHealth. Social Media Editor, PM&R Journal. Joyce Oleszek, MD, Associate Professor. Denver’s Top Docs, 5280 Magazine. 5-Star Excellence Patient Family Experience Award, Children’s Hospital Colorado. Aaron Powell, MD, Instructor. CHCO Mile Above Peer Award: Relationship, Children’s Hospital Colorado. CHCO Mile Above Peer Award: Professionalism, Children’s Hospital Colorado. CHCO Mile Above Peer Award: Communication, Children’s Hospital Colorado. Deborah Saint-Phard, MD, Associate Professor. Larry Ellis Award for Lifetime Accomplishment in Women’s Sports Medicine and Princeton Track and Field, Princeton University. Eric Spier, MD, Assistant Clinical Professor. Golden Goniometer Teaching Award, Department of Physical Medicine and Rehabilitation, University of Colorado. William Sullivan, MD, Associate Professor and Residency Program Director. Board of Directors and rising President, North American Spine Society.

Dennis J. Matthews MD Excellence in Physical Medicine and Rehabilitation Fund The Department of Physical Medicine and Rehabilitation, CU School of Medicine marked it 70th year by creating the Dennis J. Matthews MD Excellence in Physical Medicine and Rehabilitation Fund. This endowed fund supports the areas that are most important to both our outgoing Chair, Dr. Matthews, and our incoming Chair, Dr. Akuthota, along with the continued growth of Physical Medicine and Rehabilitation. This includes the annual Dennis J. Matthews MD Lecture Series in PM&R as well as funding to enhance Resident Education and the continued excellence for the department Dr. Matthews led as chair since 1997. Dr. Matthews has given unselfishly to the field of Physical Medicine and Rehabilitation over his many years through his many achievements, including serving as Chairman for the American Board of PM&R, editor of the pediatric rehabilitation sections of the most well-known textbook in PM&R, and training and mentoring hundreds of residents and fellows with a commitment and passion that is second to none. As Dr. Matthews approached his retirement in 2017, we were honored to establish this fund as an acknowledgement to his many contributions and talents, while ensuring the legacy of his efforts and impact is supported for years to come.

Contributions to the fund may be made at https://giving.cu.edu/fund/dennis-j-matthewsexcellence-physical-medicine-rehabilitation-fund 2018 Annual Bulletin | 19

Selected Faculty Publications 2017-2018 Akuthota V, Marshall B, Mintken PE, Schenkman M, Kumbhare D. Second-Order Peer Reviews of Clinically Relevant Articles for the Physiatrist: “Early Physical Therapy Vs Usual Care in Patients with Recent-Onset Low Back Pain” (Fritz JM, Magel JS, McFadden M, et al, JAMA 2015): “Physical Therapy May Not Help Acute Lower Back Pain Sufferers”. Am J Phys Med Rehabil. 2017 Sep; 96(9):682-685. PMID: 28081028. Brenner LA, Forster JE, Hoffberg AS, Matarazzo BB, Hostetter TA, Signoracci G, Simpson GK. Window to Hope: A Randomized Controlled Trial of a Psychological Intervention for the Treatment of Hopelessness Among Veterans With Moderate to Severe Traumatic Brain Injury. J Head Trauma Rehabil. 2017 Oct 27. PMID: 29084101. Carry PM, Gala R, Worster K, Kanai S, Miller NH, James D, Provance AJ, Carollo JJ. Postural Stability And Kinetic Change In Subjects With Patellofemoral Pain After A Nine-Week Hip And Core Strengthening Intervention. Int J Sports Phys Ther. 2017 Jun; 12(3):314-323. PMID: 28593085. Valvano J, Hogy S, Worster K, Ma J, Denniston N, Winders P, Rapport MJ, Pan Z, Carollo JJ. Analysis of Reachto-Grasp by School-Aged Children with Down Syndrome Elucidates Limitations in Upper Extremity Motor Control. Phys Occup Ther Pediatr. 2017 Nov; 37(4):374-388. PMID: 28157417. Christiansen C, Moore C, Schenkman M, Kluger B, Kohrt W, Delitto A, Berman B, Hall D, Josbeno D, Poon C, Robichaud J, Wellington T, Jain S, Comella C, Corcos D, Melanson E. Factors Associated With Ambulatory Activity in De Novo Parkinson Disease. J Neurol Phys Ther. 2017 Apr; 41(2):93-100. PMID: 28263256. Friedrich J, Brakke R, Akuthota V, Sullivan W. Reliability and Practicality of the Core Score: Four Dynamic Core Stability Tests Performed in a Physician Office Setting. Clin J Sport Med. 2017 Jul; 27(4):409-414. PMID: 28653966. Magnusson DM, Minkovitz CS, Kuhlthau KA, Caballero TM, Mistry KB. Beliefs Regarding Development and Early Intervention Among Low-Income African American and Hispanic Mothers. Pediatrics. 2017 Nov; 140(5). PMID: 29038343. Yasar E, Adigüzel E, Arslan M, Matthews DJ. Basics of bone metabolism and osteoporosis in common pediatric neuromuscular disabilities. Eur J Paediatr Neurol. 2018 Jan; 22(1):17-26. PMID: 28830650. (Epub August 2017). Mealer M, Hodapp R, Conrad D, Dimidjian S, Rothbaum BO, Moss M. Designing a Resilience Program for Critical Care Nurses. AACN Adv Crit Care. 2017; 28(4):359-365. PMID: 29212643. Meron A, Saint-Phard D. Track and Field Throwing Sports: Injuries and Prevention. Curr Sports Med Rep. 2017 Nov/ Dec; 16(6):391-396. PMID: 29135636. Schenkman M, Moore CG, Kohrt WM, Hall DA, Delitto A, Comella CL, Josbeno DA, Christiansen CL, Berman BD, Kluger BM, Melanson EL, Jain S, Robichaud JA, Poon C, Corcos DM. Effect of High-Intensity Treadmill Exercise on Motor Symptoms in Patients With De Novo Parkinson Disease: A Phase 2 Randomized Clinical Trial. JAMA Neurol. 2018 Feb 01; 75(2):219-226. PMID: 29228079. Loyd BJ, Jennings JM, Falvey JR, Kim RH, Dennis DA, Stevens-Lapsley JE. Magnitude of Deformity Correction May Influence Recovery of Quadriceps Strength After Total Knee Arthroplasty. J Arthroplasty. 2017 Sep; 32(9):2730-2737. PMID: 28559195.

20 | Physical Medicine & Rehabilitation

$ 4.5 million

209

in funding for sponsored projects in fiscal year 2018

#14

ranked

#15

ranked

8 Top Docs

Physical Therapy School, 2016-2017**

Residency Program, 2017*

By The

Numbers

5280 Magazine Top Docs: Venu Akuthota, MD; Michael Blei, MD; Michael Dichiaro, MD; Mark Johansen, MD; Dennis J. Matthews, MD; Joyce Oleszek, MD; Alan Weintraub, MD; Pamela Wilson, MD.

*Doximity Report Ranking **US News and World Report Ranking 2018 Annual Bulletin | 21

Faculty and Staff

core hospitals

Blue Ridge NIH Ranking

Department of Physical Medicine & Rehabilitation University of Colorado School of Medicine 12631 East 17th Avenue AO1, Mail Stop F493 Aurora, CO 80045

PM&R RESEARCH BROWN BAG SERIES September 28, 2018. Please RSVP to CUPMR.Research@ucdenver.edu. PHYSICAL THERAPY COMMENCEMENT AND CONVOCATION Saturday, December 15th, 2018. The Colorado Convention Center 700 14th Street, Denver, CO 80202, at 2 PM.

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