2012 Annual Report
The Orthopaedic Trauma Association is the worldwide authoritative source for the optimum treatment and prevention of traumatic musculoskeletal injury.
FROM THE PRESIDENT Orthopaedic Trauma Association
Mission Statement The mission of the Orthopaedic Trauma Association (OTA) is to promote excellence in care for the injured patient, through provision of scientific forums and support of musculoskeletal research and education of Orthopaedic Surgeons and the public.
Vision Statement The OTA will be the authoritative source for the optimum treatment and prevention of musculoskeletal injury, will effectively communicate this information to the Orthopaedic and medical community and will seek to influence healthcare policy that affects care and prevention of injury.
Value Statement The OTA is adaptable, forwardthinking and fiscally responsible, and is composed of a diverse worldwide membership that provides care and improves the knowledge base for the treatment of injured patients. OTA members provide worldwide leadership through education, research and patient advocacy.
Robert A. Probe, MD, OTA President 2012-2013 Dear Colleagues, On behalf of the Board of Directors it is a pleasure to introduce the 2012 annual report of the Orthopaedic Trauma Association. Now over a quarter-century old, this organization’s mission to promote excellence in the care of the injured patient is as relevant today as it was when drafted. Throughout our twenty-eight-year history, this mission has been advanced through competitive funding of relevant research, the provision of a broad range of instructional programs and, perhaps most significantly, through the Association’s Annual Meeting. On all of these fronts, 2012 was another outstanding year in the organization’s history. Our research and education fund has grown to $6.6 million. This allowed for the distribution of over $500,000 to 27 competitively reviewed research projects in 2012. Pursuing our goal of educational programs, we enrolled just under 350 residents and fellows in our 2012 course. Our 28th Annual Meeting in Minneapolis was a resounding success with records in total attendance. While we are proud of building upon the accomplishments of previous years, we are also pleased to share with you the ways in which the Orthopaedic Trauma Association is preparing for the future. Analysis of American Healthcare by the Institute of Medicine and others has drawn attention to the fact we do not consistently produce value for the expended dollar. Wanting to take a leadership position in the design of a system that improves quality and lowers cost, the OTA chartered an Evidence-Based Quality, Value and Safety Committee. Charged with maintaining ready access to the literature’s best evidence, defining expert’s practice patterns, developing quality metrics and validating the value of our care, it is anticipated that this inchoate committee will be able to contribute in a meaningful way to the conversation. Also contributing to the quality movement is the establishment by the Fellowship Committee of enhanced accreditation standards for Orthopaedic Trauma Fellowships. Recognizing that our current fellows will be the generation that is charged with the execution of the quality movement, we wanted to be assured that OTA Fellows are being trained in the highest quality educational environments. Several other standing committees are also responding to a change. The Program Committee offered our inaugural course for Physician’s Assistants and Nurse Practitioners in conjunction with our Annual Meeting, the Education Committee is partnering with the AAOS to offer online education in the form of webinars and peer-reviewed technical video, and the Research Committee convened a summer “think-tank” to define the emerging areas of research need. The Disaster Preparedness Committee, under the leadership of Chris Born, continues collaborative efforts to improve disaster preparedness through co-branded education with AAOS and SOMOS, and continues efforts to establish pathways for civilians to be pre-credentialed for service alongside our military colleagues. As time’s shifting sands create the catalyst for altering strategies, our commitment to improving outcomes for injured patients remains steadfast. Just as constant is the creativity and energy provided by OTA’s membership and staff that makes this all possible. Congratulations to all who have contributed as we look forward to continuing these successes into 2013.
Robert Probe OTA President 2012-2013
OTA BOARD OF DIRECTORS Welcome 2013 OTA Board of Directors
Andrew H. Schmidt, MD
2013 COMMITTEE CHAIRS Theodore Miclau, III, MD Basic Science
James P. Stannard, MD
Ross K. Leighton, MD
Bylaws and Hearings
Craig S. Roberts, MD Classification & Outcomes
Christopher T. Born, MD
Theodore Miclau, III, MD 2nd President-Elect
Disaster Management & Preparedness
William M. Ricci, MD Education
William T. Obremskey, MD
Robert A. Probe, MD
Evidence-Based Quality, Value and Safety
Immediate Past President
Mark A. Lee, MD
Fellowship & Career Choices
Timothy J. Bray, MD
2nd Past President
Gregory J. Schmeling, MD
Fellowship Compliance Subcommittee
David J. Hak, MD, MBA Finance & Audit
Steven J. Morgan, MD
Heather A. Vallier, MD
Timothy J. Bray, MD David C. Teague, MD Governance
David J. Hak, MD Chief Financial Officer Finance and Audit Committee
Lisa K. Cannada, MD
Michael Suk, MD, JD Health Policy & Planning
William G. DeLong, Jr., MD International Relations
Clifford B. Jones, MD
Peter V. Giannoudis, MD International Membership Subcommittee
Douglas W. Lundy, MD
David C. Teague, MD
COL Romney C. Andersen, MD Military
J. Scott Broderick, MD Practice Management
Jeffrey M. Smith, MD Public Relations
Todd O. McKinley, MD Research
Thomas F. Higgins, MD
Annual Program Chair
Robert A. Probe, MD Nominating Committee
Roy Sanders, MD JOT Editor
ACKNOWLEDGEMENTS With Sincere Appreciation The OTA acknowledges the following individuals, who have completed their leadership position term in February 2013, for their outstanding contributions and dedication.
Board of Directors
STAFF Kathleen A. Caswell, CAE
Sharon M. Moore Society Manager
David C. Templeman, MD
OTA Presidential Line 2007 - 2013
James A. Goulet, MD
Diane Vetrovec Dobberstein
Program Committee Chair 2011 - 2012
Education and Research Manager
Paul M. Hiller
Darlene A. Meyer
Melanie L. Hopkins
Nirmal C.Â Tejwani, MD
Fellowship Program Coordinator
Membership 2011 - 2013
Education and Research Program Administrator
William R. Creevy, MD Practice Management 2007 - 2013
2013 Governance Structure Board of Directors Education Council Chair: 2nd President Elect (Ted Miclau) Co-Chairs: Dave Teague & Thomas Higgins
Research Council Chair: 1st President Elect (Ross Leighton) Co-Chairs: Dave Hak & Heather Vallier
Education Committee Fellowship Committee (Fellowship Compliance Subcommittee) Annual Mtg. Program (Basic Science) Disaster Management & Preparedness
Research Committee Classification & Outcomes Fund Development Evidence-Based Quality, Value and Safety
Nominating Committee Chair: Immediate Past President (a committee of the membership)
Finance & Audit Committee
Membership Services Council Chair: Immediate Past President (Bob Probe) Co-Chairs: Lisa Cannada & Doug Lundy Membership Health Policy International Relations (International Membership) Practice Mgmt. Military Public Relations
Executive Director Business Office Staff
Governance Council Chair: 2nd Past President (Tim Bray) Co-Chair: Dave Teague Bylaws Committee Governance Committee Past Presidents Liaisons
AAOS Society Relations Department Director
STRATEGIC PLANNING 2013 OTA Strategic Plan
Orthopaedic Trauma Association 6300 N. River Road, Suite 727 Rosemont, IL 60018-4226 USA Phone: (847) 698-1631 Fax: (847) 823-0536
E-mail: firstname.lastname@example.org Web: www.ota.org
FINANCIAL Financial Statements David J. Hak, MD 2012 Chief Financial Officer
Finance and Audit Committee
FINANCE and AUDIT 2012 COMMITTEE David J. Hak, CFO Chair Alan L. Jones, MD Past CFO Brendan M. Patterson, MD
STAFF Anna Greene, CPA, MBA Director, Financial Services AAOS Society Relations Barbara Shozda Manager, Financial Services Shari DuBrow Accounting Assistant
2012 Operating Income
2012 2011 Assets Cash and Cash Equivalents $2,416,244 $1,744,335 Investments 4,684,015 4,132,251 Net Accounts Receivable 163,309 166,605 Prepaid Expenses 46,917 45,013 Total Assets $7,310,485 $6,088,204 Liabilities Accounts Payable $602,722 $449,591 Deferred Income 102,337 36,859 Total Liabilities $705,059 $486,450 Fund Balance General Fund Balance $1,035,211 $757,684 Research and Education Fund 5,525,554 4,801,862 Memorial Traveling Fellowship Fund 11,140 11,640 OREF Endowment Fund 33,521 30,568 Total Fund Balances $6,605,426 $5,601,754 Total Liabilities and Fund Balances
Statement of Operations
2012 Operating Expenses
2012 2011 Operating Revenue Membership Dues $452,928 $407,388 Annual Meeting 1,501,236 1,406,430 Courses 678,681 666,389 Contributions 605,728 494,617 Investment income 573,126 49,665 Other 142,423 98,427 Total Revenue $3,954,122 $3,122,916 Operating Expenses Management and General $822,086 $793,815 * Annual Meeting 748,198 809,524 Courses 806,101 799,053 * Grants 574,066 489,262 Other - 180 Total Expenses $2,950,451 $2,891,834 Total Income/Loss $1,003,671 $231,082 * Increase in general management operating expense includes a shift of staff time allocation (from courses) to accurately represent current staffing/structure, and the addition .4 FTE.
ACKNOWLEDGEMENTS 2012 Donors The Orthopaedic Trauma Association gratefully acknowledges the following individuals for their generous financial support received through OTA and through OREF to fund OTA-reviewed research grants and educational programs.
Members Award ($1000 - $4,999) Peter Althausen, Timothy Bonatus, Tim Bray, Bruce Buhr, Lisa Cannada, Peter Cole, Curt Comstock, William Creevy, Gregory Della Rocca, William DeLong, James Goulet, David Hak, Steven Haman, Kyle Jeray, Alan Jones, Clifford Jones, Ross Leighton, Paul Levin, Douglas Lundy, Hal Martin, Simon Mears, Theodore Miclau III, Steven Morgan, Timothy O'Mara, Edward Perez, Andrew Pollak, Robert Probe, Matthew Rudloff, Thomas Russell, Andrew Schmidt, Brian Sears, Scott Smith, Rena Stewart, David Teague, David Templeman, Paul Tornetta III, Heather Vallier, J. Tracy Watson, David Weisman
Friends Award ($250 - $999) Mark Adams, A. Herbert Alexander, Daniel Altman, Jeffrey Anglen, Paul Appleton, Emil Azer, James Binski, Brett Bolhofner, Timothy Bonatus, Christopher Born, Christina Boulton, Julius Brecht, Bruce Buhr, Kathleen Caswell, Michael Chapman, William Craig III, Brett Crist, Carl DePaula, Mark Dodson, Christopher Doro, W. Andrew Eglseder, Thomas Einhorn, Janos Ertl, Darin Friess, Rajeev Garapati, Wilford Gibson, Stuart Gold, David Goodspeed, John Gorczyca, Thomas Goss, Andrew Green, Gerald Greenfield Jr., Jonathan Gross, Sigvard Hansen Jr., Roman Hayda, Darrell Hayes, David Helfet, Catherine Humphrey, Shepard Hurwitz, Utku Kandemir, Stephen Kates, Paul Lafferty, Gerald Lang, Richard Lange, Joshua Langford, Richard Laughlin, Mark Leberte, Dean Lorich, Steven Louis, Theodore Toan Le, Thaun Ly, John Lyden, Theodore Manson, Randall Marcus, Meir Marmor, R. Trigg McClellan, Saam Morshed, Jason Nascone, Brent Norris, William Obremskey, Mark Olson, Robert Oâ€™Toole, James Pape, Brendan Patterson, Michael Patzakis, Murat Pekmezci, Raymond Pensy, David Polonet, Michael Prayson, Matthew Putnam, Mark Reilly, Regis Renard, Craig Roberts, Gary Roberts, Jason Roberts, Edward Rodriguez, Melvin Rossenwasser, Thomas Russell, H. Claude Sagi, Bruce Sangeorzan, Andrew Saterbak, Gregory Schmeling, Robert Schultz, Marcus Sciadini, Karl Shively, Franklin D. Shuler, Robert Simpson Jr., Michael Sirkin, R. Malcolm Smith, Craig Smith, Wade Smith, James Stannard, Marc Swiontkowski, Lisa Taitsman, Jide Tinubu, Charles Versteeg Jr., Walter Virkus, David Volgas, Lawrence Webb, David Wellman, Matthew Weresh, Thomas Wuest, Edward Yang, Harris Yett, Lewis Zirkle, Robert Zura
Associates Award (up to $249) Gregory Altman, Jose Bernardo Toro Arbelaez, Yelena Bogdan, Matt Graves, Peter Krause, Brian Miller, Arvind Nana, Saqib Rehman, Jeff Schulman, John Scolaro, Debra Sietsema, Michael Swords, Nirmal Tejwani, Timothy Weber, Marc Zussman
2012 OREF/OTA Endowment Fund Contributors Clifford Jones, Joseph Cass, Fred Kolb, James Nepola, David Weisman, Bruce Ziran
ACKNOWLEDGEMENTS 2012 Donors, continued The Orthopaedic Trauma Association gratefully acknowledges the following foundations and companies for their generous financial support received through OTA and through OREF to fund OTA reviewed-research grants and educational programs.
2012 Foundation Donors - Research/Education Silver Award ($50,000 - $74,999)
2012 Corporate Donors - Research/Education Diamond Award ($150,000 and above)
Gold Award ($100,000 - $124,999)
Copper Award ($25,000 - $49,999)
ACKNOWLEDGEMENTS Center for Orthopaedic Trauma Advancement COTA is grateful for the financial support during 2012 from:
COTA supported fellowship programs for the 2012-2013 academic year as follows: Alleghany General Hospital, Drexel University – Daniel Altman, MD, Director Brigham and Women’s Hospital – Mark Vrahas, MD, Director Carolinas Medical Center – James Kellam, MD, Director Hospital for Special Surgery – David Helfet, MD, Director Regions/University of Minnesota – Peter Cole, MD, Director Reno Orthopaedics and Education Foundation – Timothy Bray, MD, Director Saint Louis University – J. Tracy Watson, MD, Director Tampa General Hospital – H. Claude Sagi, MD, Director University of Alabama at Birmingham – Rena Stewart, MD, Director University of California, San Francisco – Theodore Miclau, MD, Director University of Miami – Gregory Zych, MD, Director UMDNJ, University of New Jersey – Frank Liporace, MD, Director University of Texas Health Science Center – Milan Sen, MD, Director Univ. of Washington, Harborview Medical Center – David Barei, MD, Director University of Maryland – Peter O’Toole, MD, Director Vanderbilt University – William Obremskey, MD, Director Wake Forest University Health Sciences – Eben Carroll, MD, Director • •
17 Fellowship Grants accepted for 2012-2013 = $1,175,000 $28,230 additional funds for Orthopaedic Trauma Education 2011 •
COTA BOARD OF DIRECTORS Michael W. Chapman, MD Chair Mark W. Richardson, MD Vice Chair Brendan M. Patterson, MD President Maureen A. Finnegan, MD Secretary Alan L. Jones, MD Treasurer David C. Teague, MD Member-At-Large Nancy E. Franzon Executive Director
$236,000 for research conducted in 2011 and 2012
Medical Education $34,451 (2%)
Research $146,650 6%
Operating Expenses $79,057 3%
Fellowship Program Funding $2,123,712 (89%)
ACKNOWLEDGEMENTS 2012 Research Award Recipients (January 1, 2013 - December 31, 2013 Grant Cycle)
CLINICAL RESEARCH GRANTS (up to $40,000, 2-year grant cycle) Title
Grant Funded By
PI: Steven Olson, MD $75,000 Co-PI: Kyle Jeray, MD
Does Residual Displacement After a Pelvic Ring Injury Impact Clinical Outcome?
A Multi-Center Prospective Cohort Study of Sacral PI: Paul Tornetta, III, MD $80,000 Fractures Using Patient-Based and Objective Outcomes Co-PI: Julie Agel, MA������������������������ Locked Compression Plating versus Cable PI: � Aaron Nauth, MD $79,349 Plating Combined with Strut Allografts for Co-PI: Emil H. Schemitsch, MD Vancouver B1 Periprosthetic Femoral Fractures:��������������������������� A Randomized Controlled Trial
BASIC RESEARCH GRANTS (up to $50,000, up to 2-year grant cycle) A Comparison of Endothelial Progenitor Cell (EPC)–Based Gene Therapy versus Mesenchymal Stem Cell (MSC)–Based Gene Therapy for the Healing of Bone Defects
PI: Aaron Nauth, MD Co-PI: Emil H. Schemitsch, MD
Infection Prevention In Long Bone Fracture Osteomyelitis Model Treated With IM Nail
PI: Andrew H. Schmidt, MD Co-PI: Joan E. Bechtold, PhD
Discovering the Mechanism of Age-Associated Impaired Healing in the Presence of Sustained Inflammation
PI: Theodore Miclau, MD Co-PI: Ralph Marcucio, PhD
Simulation Approaches for Training in PI: Matt Karam, MD $50,000 Fluoroscopically Guided Articular Fracture Surgery Co-PI: Donald D. Anderson, PhD
TOTAL AWARDS: $434,262
$20,000 RESIDENT GRANT RECIPIENTS Cross-Cultural Adaptation and Validation of the American Academy of Orthopaedic Surgeons Foot and Ankle Outcomes Questionnaire in Mexican-Americans
PI: Ben S. Francisco, MD $20,000 Co-PI: Boris Zelle, MD
Covalently Linked Implant Coatings Containing Antibiotics and BMP-2 for Treatment of Open Fractures
PI: Jared Alan Niska, MD $20,000 Co-PI: Devon M. Jeffcoat, MD
Covalent Targeting Project
PI: Jose Manuel Mejia Oneto, MD, PhD Co-PI: Mark Lee, MD $20,000
Fibrin Accumulation Stimulates Heterotopic Ossification
PI: Megan E. Mignemi, MD $20,000 Co-PI: William T. Obremsky, MD
TOTAL AWARDS: $80,000 A second set of 2013 Resident Research Grants will be announced on March 23, 2013, for the June 1, 2013 - May 31, 2014 Grant Cycle.
ACKNOWLEDGEMENTS 2012 Bovill Award Edwin G. Bovill, Jr., MD, Award (The outstanding scientific paper from the 2012 Annual Meeting) Dedicated to Edwin G. Bovill, Jr., MD (1918 - 1986), Surgeon, traumatologist, educator, academician, and gentleman.
∆ Operative Versus Nonoperative Treatment of Acute Dislocations of the Acromioclavicular Joint: Results of a Multicenter Randomized, Prospective Clinical Trial Michael D. McKee, MD; Stéphane Pelet, MD, PhD, FRCSC; Milena R. Vicente, RN, CCRP; The Canadian Orthopaedic Trauma Society (COTS) Group; St. Michael’s Hospital, Toronto, Ontario, Canada
Ted Bovill once commented that in his mind “immortality is discovering and passing on to one’s colleagues and to humanity some new knowledge.” In his students and colleagues, Dr. Bovill lives on in the enhanced orthopaedic knowledge he imparted to them.
Edwin G. “Ted” Bovill, Jr.
Congratulations to COTS (the Canadian Orthopaedic Trauma Society) for this year's Bovill Award-winning paper, "Operative Versus Nonoperative Treatment of Acute Dislocations of the Acromioclavicular Joint: Results of a Multicenter Randomized, Prospective Clinical Trial."
OTA 2012 Memorial Award
The OTA offers a Memorial Award, to honor the memory of orthopaedic traumatologists, for their committment to education, research and patient care. Charles J. Jordan, MD, Resident Award Winner •Incidence of Posterior Wall Nonunion and Efficacy of Indomethacin Prophylaxis for Heterotopic Ossification After Operative Fixation of Acetabular Fractures: A Randomized Controlled Trial Charles J. Jordan, MD; Rafael Serrano-Riera, MD; H. Claude Sagi, MD; Orthopaedic Trauma Service, Florida Orthopaedic Institute, Tampa, Florida, USA OTA Memorial Award: Best Resident/Fellow Paper. Photographed: H. Claude Sagi and Charles J. Jordan. ∆ Denotes OTA Grant
ACKNOWLEDGEMENTS 2012 Awards, continued Highlight Papers from the 2012 OTA Annual Meeting Operative Treatment of Displaced Intra-Articular Calcaneal Fractures: Long-Term (10-20 Years) Results in 108 Fractures Using a Prognostic CT Classification Roy Sanders, MD; Zachary Vaupel, MD; Florida Orthopaedic Institute, Tampa, Florida, USA Core Muscle Size and Mortality Following Nonoperative Management of Pelvic Fractures William D. Scheidler, BS; Shaun P. Patel, BS; Sven A. Holcombe, BS; Stewart C. Wang, MD, PhD; James A. Goulet, MD; University of Michigan, Ann Arbor, Michigan, USA ∆ Can We Tell If the Syndesmosis is Reduced Using Fluoroscopy? Paul Tornetta III, MD; Scott Koenig, MD; Gabriel Merlin; Yelena Bogdan, MD; Boston University Medical Center, Boston, Massachusetts, USA A Comparison of More and Less Aggressive Bone Débridement Protocols for the Treatment of Open Supracondylar Femur Fractures William M. Ricci, MD1; Cory A. Collinge, MD2; Philipp N. Streubel, MD1; Christopher M. McAndrew, MD1; Michael J. Gardner, MD1; 1 Washington University School of Medicine, Saint Louis, Missouri, USA; 2 Harris Methodist Fort Worth Hospital, Fort Worth, Texas, USA The Cost Effectiveness and Utility of Trauma Center Care Following Major Lower Extremity Trauma Herman S. Johal, MD, MPH1; Ellen J. MacKenzie, PhD2; 1 University of Calgary, Health Sciences Centre, Calgary, Alberta, Canada; 2 Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Operating Room Efficiency: Benefits of an Orthopaedic Traumatologist at a Level II Trauma Center Peter L. Althausen, MD, MBA; Daniel John Coll, MHS, PA-C; Timothy J. O’Mara, MD; Timothy J. Bray, MD; Reno Orthopaedic Clinic, Reno, Nevada, USA A Comparison of Cemented and Uncemented Bipolar Hemiarthroplasty Complications in the Early Postoperative Period Ross K. Leighton, MD, FRCSC, FACS1,2; Uwe Dahn, MD1; Kelly Trask, BEng, MSc, CCRP2; 1 Dalhousie University, Halifax, Nova Scotia, Canada; 2 Capital District Health Authority, Halifax, Nova Scotia, Canada •Transiliac-Transsacral Screw Fixation in C-Type Pelvic Ring Injuries Reduces Postoperative Failure Gregory Y. Blaisdell, MD1; James C. Krieg, MD2; Milton L. Chip Routt Jr, MD2; 1 University of Washington Department of Orthopaedics and Sports Medicine, Seattle, Washington, USA; 2 Harborview Medical Center, Seattle, Washington, USA Is Closed Reduction and Percutaneous Fixation of Type 3 Posterior Ring Injuries as Accurate as Open Reduction and Internal Fixation? Adam Lindsay, MD1; Paul Tornetta, III, MD1; Amna Diwan, MD2; David C. Templeman, MD2; 1 Boston University Medical Center, Boston, Massachusetts, USA; 2 Hennepin County Medical Center, Minneapolis, Minnesota, USA • Denotes FDA has not cleared the drug and/or medical device for the use described in this presentation (i.e., the drug or medical device is being discussed for an "off-label" use).
∆ Denotes OTA Grant
ACKNOWLEDGEMENTS 2012 Awards, continued Highlight Papers from the 2012 OTA Annual Meeting, continued Prognostic Factors for Reoperation Following Plate Fixation of Fractures of the Midshaft Clavicle Laura A. Schemitsch; Emil H. Schemitsch, MD; Paul R. Kuzyk, MD; Michael D. McKee, MD; Milena R. Vicente, RN, CCRP; St. Michaelâ€™s Hospital, Toronto, Ontario, Canada The PROMIS Physical Function Computerized Adaptive Test Is as Reliable and Valid as the Short Musculoskeletal Function Assessment in the Orthopaedic Trauma Population With Less Ceiling Effect Man Hung, PhD; Thomas F. Higgins, MD; Charles L. Saltzman, MD; Ami R. Stuart, PhD; Shirley Hon; Stefan Rhodewalt; Ashley M. Woodbury, BS; Gregory M. Daub, BS; Erik N. Kubiak, MD; University of Utah Department of Orthopaedic Surgery, Salt Lake City, Utah, USA
Best Poster from the 2012 OTA Annual Meeting Presented at the 2013 AAOS Annual Meeting Preoperative Lactate Does Not Predict Pulmonary Complications in Multiple Trauma Patients With a Femoral Shaft Fracture Treated With Early Total Care Justin E. Richards, MD1; Sean M. Griffin, MD2; Daniel M. Koehler, BS1; Michael J. Bosse, MD2; William T. Obremskey, MD, MPH1; Jason M. Evans, MD1; 1 Vanderbilt University Medical Center, Nashville, Tennessee, USA; 2 Carolinas Medical Center, Charlotte, North Carolina, USA Best Poster recipients William Obremskey, Jason Evans, and Justin Richards (sincere congratulations also extended to those not photographed: Sean Griffin, Daniel Koehler, and Michael Bosse).
Best Basic Science Presentation from the 2012 OTA Annual Meeting Presented at the 2013 Orthopaedic Research Society Annual Meeting Inhibiting Macrophage Activation During Fracture Repair Improves Fracture Healing in Aged Mice Yan Yiu Yu, PhD; Theodore Miclau III, MD; Ralph S. Marcucio, PhD; Department of Orthopaedic Surgery, Orthopaedic Trauma Institute, University of California San Francisco, San Francisco, California, USA Best Basic Science Presentation recipients (left to right): Ralph Marcucio, Yan Yui Yu, and Theodore Miclau.
JOURNAL OF ORTHOPAEDIC TRAUMA The Official Journal of the Orthopaedic Trauma Association Roy Sanders, MD Editor-in-Chief The 2011 Thomson Reuters Impact Factor Ratings and Rankings were released in July of 2012. JOT improved significantly over 2010. In the Orthopaedic Category we raised our impact factor significantly to 2.135, which is a 19% increase over the 2010 report. We also moved up in our rankings. To #17 in 2011 vs. #24 in 2010; and in the Sports Science category, we moved to #19 vs. #35 in 2010. This year we added several features including Levels of Evidence. Dr. Slobogean from McMasters University is providing the assistance for this. We also added three new Section Editors this year, including Dr. John Mayberry for General Surgery, Dr. Claude Sagi for Pelvis, and Dr. Stephen Rammelt (Dresden) for Foot and Ankle. JOT increased the number of manuscripts received by 150 in 2012. This is despite the fact that we stopped accepting case reports. The number of technique papers submitted also increased slightly. Decisions regarding acceptances have become more stringent as well (a good thing). As the editorial board becomes more comfortable with their tasks, and as the quality of papers improves, we can afford to be more selective, which means that the scores should only increase over time. Manuscripts: Case Reports: Techniques:
2011 482 174 59 6
2012 631 5 3
Accept pending Reject/resubmit Reject
2011 14% 35% 51%
2012 10% 24% 66%
In order not to overburden the reviewers, 166/631 papers were sent out for initial screening by the section editors. Of those, 82 were rejected immediately, sparing the reviewers needless work. Of the 84 that were screened and found acceptable to be sent out for review, another 53 were subsequently rejected. Many of these were from Thailand, Pakistan, Uganda, and of course, several were from Texas (not kidding). Of the 631 papers, only 151 were ultimately published. Decision Summary
Country Submitted Published %
United States 259 96 37%
Country of Origin Published Manuscripts 2012 Others 440 55 12%
Australia Austria Canada China Germany Hungary India Israel Italy Japan
1 2 13 1 7 1 2 1 1 3
Korea The Netherlands Norway Spain Sweden Switzerland Taiwan Thailand Turkey United Kingdom
55 3 1 3 3 1 2 1 1 3 5
Our page budget is for 65 print pages and 25 online pages. Out of the 65 print pages, we use 7 for front matter (TOC, editorâ€™s page, editorial board page) and 2 for the OTA; this leaves 56 print pages for scientific content. As a result, we use some of the 25 online pages for additional material that we feel are not strong enough to publish in both media, but still accept for publication. As the company makes the transition to fully web-based, the iPad app, which is beautiful, will become more and more useful. A new feature this year is videos. Commentaries, techniques, surgical approaches, ROM, anything you can think of can be added to the journal and we welcome this for everyone to use. Hopefully, one day we can place round tables and panel discussions from OTA meetings in the journal, as this will capture international readers as well for the OTA. I look forward to any suggestions to improve the journal. Respectfully, Roy Sanders, MD, Editor-in-Chief
2012 COMMITTEE HIGHLIGHTS Classification & Outcomes
Craig S. Roberts, MD 2012 Chair
The Classification Committee has developed a new classification of open fractures, studied its reliability, and is in the process of validating the predictive value of the classification. Whereas the first publication in the Journal of Orthopaedic Trauma in 2010 focused on the process of the development of the classification, the second publication focuses on reliability. There is an additional manuscript about the predictability of the classification in peer review. The Committee has also been actively designing a multicenter study of the use of the open fracture classification in orthopaedic trauma practice. Ideally, such data and additional data potentially from an OTA-directed topic grant, might create the opportunity for a large OTA Federally funded study. In addition, the Committee has worked to get the word out about the classification through scientific presentations, OKO educational materials, exhibits, and clinical use. The Committee is confident that the proposed OTA Open Fracture Classification will become the new standard for the Andy Evans at the Classification & Outcomes Committee booth, classification of open fractures. OTA Annual Meeting October, 2012. • • • • • • • • •
OTA/AO adoption of unified name for the fracture classification New online OKO content which includes videos on OTA Open Fracture Classification Open Fracture Scientific Exhibit at the AAOS Annual Meeting (presented by Andy Evans) Open Fracture Scientific Exhibit at the OTA Annual Meeting (presented by Andy Evans) Design of multicenter study on the application of the proposed OTA Open Fracture Classification in routine trauma applications Update of OTA database so that it now includes the new OTA Open Fracture Classification Acceptance and publication of a reliability study of the OTA Open Fracture Classification OTA Database usage has increased and continues to be available to all members The MFA normative value project for pilon (43) fractures and proximal humerus (11) fractures is in progress and nearing completion.
CLASSIFICATION and OUTCOMES 2012 COMMITTEE Craig S. Roberts, MD Chair Gregory L. DeSilva, MD Douglas R. Dirschl, MD Andrew R. Evans, MD Clifford B. Jones, MD Douglas W. Lundy, MD Gregory A. Zych, MD Julie Agel, ATC Presidential Consultant James F. Kellam, MD Presidential Consultant J. Lawrence Marsh, MD Presidential Consultant
Open Fracture Work Group Andrew R. Evans, MD Milan K. Sen, MD Debra Sietsema, PhD, RN
2012 COMMITTEE HIGHLIGHTS Disaster Management and Preparedness Christopher T. Born, MD, FAAOS, FACS 2012 Chair Committee Highlights 2012 Disaster Management and Preparedness Christopher T. Born, MD Chair Michael J. Bosse, MD Christiaan N. Mamczak, DO Mark P. McAndrew, MD Mark W. Richardson, MD David C. Teague, MD Philip R. Wolinsky, MD
The Disaster Committee currently consists of seven OTA members who have been working cooperatively on several initiatives to increase orthopaedic preparedness for disaster response and surge capacity. An effort to create common licensing and credentialing pathways for volunteer surgeon responders has proven difficult to leverage. Possible legislative pathways closed down because of the 2012 election. This was compounded by Department of Health and Human Services/ National Disaster Medical System (NDMS) staff turnover in key positions related to disaster response. Nonetheless, with the election over and new appointees in place, the OTA along with representatives of the AAOS International Committee are in the process of revisiting possible legislative pathways as well as identifying NGOs with whom we might partner. Efforts will also be made in 2013 to reconnect with DHHS functionaries to revisit these issues and to support the Multi Specialty Expansion Teams promoted by Dr. Bruce Browner and the American College of Surgeons. Attempts to pilot a pre-credentialing pathway for orthopaedic trauma surgeons with the Department of Defense (DoD) surgeons has also proven to be a challenge. This initiative has been championed by General Kory Cornum at Keesler AFB in Biloxi, MS. Barriers to rolling this out have been staffing requirements for background checks, and obtaining a sponsoring agency, much like the Red Cross and its work has done for the Distinguished Visiting Scholars program in Landstuhl, Germany. The Red Cross will not underwrite a “carte blanche” program. AAOS and OTA are actively seeking other potential sponsoring partners and hope to meet with Red Cross representatives to see if there are any “work-arounds” on this. Trauma surgeons as well as pediatric and spine surgeons would be targeted for such a program. Dr. Mark McAndrew has volunteered to develop a “Disaster Response” lecture for the OTA online core curriculum “slide” program. A proposal has been approved by the Education Committee and work on this has begun. It was thought that this could be sent to all Orthopaedic Department Chairs and to OTA senior leadership members for use in their residency programs for disaster response training. Dr. Christiaan Mamczak has volunteered to develop an “in-house” departmental disaster response template for orthopaedic residency programs.
Christopher Born, MD, Co-Director and faculty, SOMOS/AAOS/OTA Disaster Response Course December, 2012
2012 COMMITTEE HIGHLIGHTS Disaster Management, continued The Disaster Response Course (DRC) developed by the Society of Military Orthopaedic Surgeons in conjunction with AAOS, OTA and POSNA, has been very successful. The first three programs were fully subscribed and to date, almost 180 surgeons have taken the course. There are now 130 surgeons listed in the AAOS responder database. The course scheduled for March, 2013 is full, with 75 surgeons having signed up for the program. Enrollees benefit from a full day of didactic instruction on personal preparedness, working and operating in an austere environment, as well as ethical and cultural considerations. The risks of doing this kind of work are discussed. These include liability considerations as well as health issues related to disease, fatigue, deconditioning of volunteers, and lack of familiarity of field work. The relationships between responder volunteers and local medical/governmental agencies, NGOs, the US military and DHHS are explored and explained. A half-day austere surgical environment cadaver skills lab follows the didactic program that covers principles of external fixation and amputation, basic flaps and vascular procedures.
Faculty members for the December 2012 SOMOS/AAOS/OTA Disaster Response Course.
2012 COMMITTEE HIGHLIGHTS Education William M. Ricci, MD 2012 Chair Committee Highlights
Education Subcommittee Michael T. Archdeacon, MD RCFC, Chair Kyle J. Jeray, MD RCFC, Co-Chair Matt L. Graves, MD Spring RCFC Chair Gregory J. Della Rocca, MD, PhD Spring RCFC Co-Chair Thomas F. Higgins, MD Resident Syllabus Update, Chair Christopher Finkemeier, MD RATTC, Chair Brett D. Crist, MD RATTC, Co-Chair Paul Tornetta, III, MD Trauma Fellows Course, Chair Daniel S. Horwitz, MD AAOS/OTA Course, Chair Steven J. Morgan, MD AAOS/OTA Course, Co-Chair Roy Sanders, MD JOT Editor
The OTA, in collaboration with the American Academy of Orthopaedic Surgeons (AAOS), initiated a project to increase orthopaedic trauma online educational resources, which will be made available via the AAOS OrthoPortal. This included the introduction of: • 2 webinars in 2012 (which were taped and will be available online), UpcoMiNg WebiNarS and a series of 6 webinars planned for 2013. The webinars are conducted live, allow for interactive questions and polling, and offer CME credits January 29th 7:30 PM (CST)
Proximal Humerus Fractures: Decision Making and Methods
Michael J. Gardner, MD,
Arthroplasty Options: Techniques and Evidence – Joshua Dines Surgical Approach, Reduction and Fixation – Michael J. Gardner, MD When and How to Use Structural Augmentation – Dean G. Lorich, MD, How to Avoid and Treat Intraarticular Implants – Michael D. McKee, MD Evaluation, Imaging and Decision-Making – John D. Wyrick, MD Surgical Approach, Reduction and Fixation – Michael J. Gardner, MD
March (day TBD)
Managing Challenging Hip Fractures
Tibial Shaft Fractures: The State of the Starting Robert F. Ostrum, MD Point, Nailing Extreme Proximal and Distal Fractures, and Basics of Open Fracture Management
September (day TBD)
November (day TBD)
Daniel S. Horwitz, MD
Surviving a Night on Call: The Current State of Orthopaedic Urgencies and Emergencies
Samir Mehta, MD
Periprosthetic Femoral Shaft and Supracondylar Fractures Femur Fractures - General Principles and Role for Locked Plates and Revision Arthroplasty?
Brett D. Crist, MD
Common Upper Extremity Fractures: The When and How of Surgical Management
For more details and updates,
contact OTA at (847) 698-1631 or visit the OTA website at http://www.ota.org.
Creation of an online video library also began in 2012, under the leadership of Robert F. Ostrum, MD, and will be available to OTA members in 2013
Video/audio recording of the Fall 2012 Comprehensive Fracture Course (available online early 2013)
Video/audio recording of the OTA Annual Meeting presentations (available early 2013 on the OTA website)
Minneapolis, Minnesota, USA
• The Residents Comprehensive Fracture Course (primarily for PGY 1- 3) was offered in the spring and fall of 2012, and the Residents Advanced Trauma Techniques Course (primarily for PGY 3 -5) was offered in winter of 2012. The courses continue to offer an exceptional educational value, and thanks to the support of industry, the Spring and Winter courses offered travel and tuition scholarships.
Photo ©Meet Minneapolis
Comprehensive Fracture Course for Residents PRELIMINARY PROGRAM October 3 - 6, 2012 Wednesday - Saturday
Minneapolis Convention Center Minneapolis, Minnesota, USA
Program Chairs: Michael T. Archdeacon, MD Kyle J. Jeray, MD
Comprehensive Fracture Course for Residents 2.0
THURSDAY - SATURDAY
William M. Ricci, MD Chair Paul J. Dougherty, MD Samir Mehta, MD Robert F. Ostrum, MD Marcus F. Sciadini, MD Paul Tornetta, III, MD Michael Beltran, MD ex-officio Resident Member
April 26-28, 2012
EDUCATION 2012 COMMITTEE
Preliminary Program April 26 - 28, 2012 Matt L. Graves, MD, Chair Gregory J. Della Rocca, MD, PhD, FACS, Co-Chair
Advanced Trauma Techniques Course for Residents An Intensive 2-day OTA Symposium for Senior Residents
January 13 - 14, 2012
Westin Lombard Yorktown Center Lombard, Illinois
The Peabody Hotel, Orlando, Florida, USA
The very successful modular course format first introduced at the Spring 2011 Course will be adopted for all 2013 resident courses. The benefits include a small-group, interactive learning environment with a high faculty-to-resident ratio, and includes rapid-fire mini lectures, extensive case discussions, video demonstrations, and hands-on skills labs. Kudos and sincere thanks to the 2012 Resident Course Chairs and Co-Chairs: Michael T. Archdeacon, MD; Brett D. Crist, MD; Gregory J. Della Rocca, MD; Christopher G. Finkemeier, MD; Matt L. Graves, MD; and Kyle J. Jeray, MD.
Generous scholarships available!
Christopher G. Finkemeier, MD & Brett D. Crist, MD
OTA Education Chair:
William M. Ricci, MD
2012 COMMITTEE HIGHLIGHTS Education, continued left photo: Brett Crist, MD (far left), 2012 Advanced Resident Course Co-Chair, working with residents on a hands-on skills exercise.
March 15 - 18, 2012 Hyatt Harborside, Boston, Massachusetts
Orthopaedic Trauma Fellows Course 2012
right photo: Joseph Hsu, MD (center) volunteers as a lab table instructor at the OTA 2012 Residents Comprehensive Fracture Course in Minneapolis.
The OTA Fellows Course was held in March under the leadership of Paul Tornetta, and offered 50 orthopaedic trauma fellows the opportunity to network with the 2012 Orthopaedic Fellowship Class and members of the OTA Board of Directors and leadership, while providing an advanced learning opportunity geared specifically to Fellows that included case-based discussion, a cadaveric lab session, and practice management presentations.
Orthopaedic Trauma Fellows Course
Trinity Church and John Hancock Tower photo courtesy of Greater Boston Convention & Visitors Bureau.
The 12th Annual AAOS/OTA Joint Trauma Update Course, chaired by Daniel S. Horwitz, MD and Steven J. Morgan, MD, was again highly rated and well attended, with 171 surgeons registered.
The OTA Board of Directors approved the development of the “Acute Orthopaedic Trauma Care Course: A Case-Based Discussion of Current Concepts in Acute Orthopedic Care” with the first course scheduled May 4, 2013 in Denver under the direction of Phil Wolinsky and Wade Smith.
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Ph aos.org one: (847)6 98-16 • Web: 31 www.o ta.org
Educational Resources Trauma & Fracture Care Residency Core Curriculum Lectures Version III
Version III of the OTA’s Trauma & Fracture Care Residency Core Curriculum Lectures was completed in December 2011. The update process for the core curriculum is continuous, and one-third of the lectures will be reviewed and updated for Version IV in 2013 under the leadership of Kenneth J. Koval, MD.
Be sure to visit the OTA website education search page to view additional resources including an EBM resources page, past resident course lectures, Annual Meeting abstracts, and more.
A sincere thank you to the many faculty members of the 2012 courses and webinars. Your contribution of time and expertise is what fuels the continued success of the OTA mission and educational advancements in our field.
2012 COMMITTEE HIGHLIGHTS Evidence-Based Value Quality and Safety William T. Obremskey, MD, MPH 2012 Chair Committee Highlights
EVIDENCE-BASED VALUE QUALITY AND SAFETY 2012-2013 COMMITTEE William T. Obremskey, MD Chair Jaimo Ahn, MD, PhD Bruce D. Browner, MD Cory A. Collinge, MD Arvind D. Nana, MD Steven A. Olson, MD H. Claude Sagi, MD Paul Tornetta, III, MD
Please visit the OTA Trauma EvidenceBased Medicine Resource List. http://www.ota.org/Education/EBM.html
The OTA Board of Directors transitioned the OTA EBM Project Team to the OTA Evidence-Based Value Quality and Safety Committee in 2012, recognizing the potential and need for continued focus in these areas. The Committee, chaired by William Obremskey, MD, is focusing on the following 2012 – 2013 priorities. 1. 2. 3. 4. 5. 6. 7. 8.
OTA survey of Antibiotic use for type I, II, IIA, IIIB fxs EBM committee develops practice pattern report and consensus recommendation for antibiotic use for Type I, II, IIIA, IIIB fxs BOD endorses antibiotic prophylaxis for Combat Injuries OTA survey of DVT prophylaxis in isolated and multiple trauma patients EBM committee develops practice pattern report and consensus recommendation for DVT prophylaxis in isolated and multiple trauma patients EBM Committee updates best articles from content experts in last 5 years for EBM resource on OTA Web site Continue collaboration with AAOS on increasing evidence based or clinical guidelines Investigate opportunities for collaboration with ACS, IHI, and/or AHRQ for clinical process improvement
2012 COMMITTEE HIGHLIGHTS Fellowship & Career Choices
Mark A. Lee, MD 2012 Chair
The OTA Board of Directors approved and adopted Fellowship Accreditation Requirements in 2012. Fellowship programs must meet these requirements by April 2013 in order to participate in the 2014 match (or be placed on a one-year probation grace period). The Fellowship Committee dedicated significant time in setting requirements that will promote high quality education standards and consistency for orthopaedic trauma fellowship training. Following are the essential requirements (a more detailed description can be found on the OTA website).
OTA Fellowship Accreditation
Pathways to orthopaedic trauma fellowship accreditation include: (1) OTA Fellowship Accreditation; OR (2) ACGME Accreditation
OTA Accreditation Standards • • • • • • • •
Institution is a State or ACS approved Level 1 or 2 Trauma Center Program case list demonstrating a minimum of 400 operative orthopaedic cases per trauma fellow Faculty-to-Fellow ratio of 2:1 for the first fellow; and 1:1 with each additional fellow Program Director, and at least one additional faculty member must be an OTA active member, or alternatively meet the same high standards of OTA Active Membership. Additional faculty members may be Active or Clinical Members. Each program must offer an education curriculum that includes regular educational conferences, pre- and post-operative conferences, as well as morbidity and mortality conferences and journal club. The curriculum must include advanced instruction in principles of orthopaedic trauma. Fellows should be encouraged to take an active part in ongoing or new basic science or clinical research. Each program must submit a call schedule, and a template of a daily schedule, demonstrating the fellow actively participates in trauma call and outpatient care. It is required that a faculty member be available at all times for both supervision and consultation. Each program agrees to administer an evaluation process upon completion of the fellowship year; and each Fellow will submit a case log upon completion of the program.
FELLOWSHIP 2012 COMMITTEE Mark A. Lee, MD Chair Cory A. Collinge, MD George J. Haidukewych, MD John M. Iaquinto, MD Frank A. Liporace, MD Toni M. McLaurin, MD Michael J. Prayson, MD Roy Sanders, MD Lisa A. Taitsman, MD J. Tracy Watson, MD Presidential Consultant
Fellowship Match Compliance Subcommittee Greg Schmeling, MD Chair Robert Brumback, MD Stephen A. Kottmeier, MD Clifford B. Jones, MD Animesh Agarwal, MD
Each graduating class will be announced at the OTA Annual Meeting, and diplomas will be awarded. (Graduation will require the Fellow has submitted their case log, passed ABOS Part 1, and completed the required evaluation process.) Fellowship Accreditation Implementation Timeline April 2012 – Fellowship Programs notified of new accreditation process/match requirements April 2013 – Fellowship Programs register for the 2014 match (for training beginning 2015), and must submit/meet all new program requirements. Programs who do not meet requirements will be notified they are not in compliance, and will be permitted to participate in the 2014 match, but will be on match probation. April 2014 – Any Fellowship Program not ACGME- or OTA-Accredited will not be permitted to register for the 2015 match (for training beginning 2016).
2012 COMMITTEE HIGHLIGHTS International Relations William G. DeLong, Jr., MD 2012 Chair Committee Highlights
The OTA shared a live broadcast from Italy (OTA’s 2011 Guest Nation) recognizing the Italian Society of Orthopaedics and Traumatology Hospitals INTERNATIONAL (OTODI) best poster awards. The OTODI award winners will be sponsored by OTODI RELATIONS to attend the OTA’s 2013 Annual Meeting. Participants were: Robert A. Probe, MD, OTA 2012 COMMITTEE President; Francesco Falez, MD, OTODI President; and Francesco Biggi, MD, OTODI Past President. William G. De Long, Jr., MD Chair The live broadcast also included the following periprosthetic talk from OTA’s general session Jeffrey O. Anglen, MD to the OTODI Conference: Periprosthetic Fracture Treatment: An Update (When and How Peter V. Giannoudis, MD to Fix the Fracture vs Implant Revision) on Hip and Knee – George J. Haidukewych, MD. Massimo Max Morandi, MD OTA welcomed SIGN Scholars Dr. Shahab ud Din from Lady Reading Hospital, Peshawar, Steven J. Morgan, MD Pakistan, and Dr. Luigi Andrew Sabal from the Southern Philippines Medical Center, Davao Saqib Rehman, MD City, Philippines. These two scholars were chosen from over 5,000 surgeons internationally and were fully sponsored by the OTA to attend the Annual Meeting and present their studies Andrew H. Schmidt, MD at the OTA International Forum. Wade R. Smith, MD Dave C. Templeman, MD OTA was proud to host Mexico as the 2nd Annual Guest Nation. Drs. Fryda Medina, Fernando de la Huerta and Graciela Gallardo Garcia, MD, represented Congreso Nacional de Lewis G. Zirkle, Jr., MD Ortopedia y Traumatologia and participated in the symposium: Comparing Trauma Systems from Two Nations: China and Mexico. Drs. Jiaying Xu, MD and Manyi Wang, MD represented China in this symposium. Ana Luisa Fajer, Cónsul of México in St. Paul, Minnesota, a representative of the Embassy of Mexico, was in attendance as well. China will be Guest Nation in 2013. OTA mentors are currently working with presenters for manuscript publication in the Journal of Orthopaedic Trauma. Since the Trauma Care Forum’s inception in 2009, two publications have come to fruition and eight are in process.
2012 Annual Meeting Attendee Demographics
International Reception – OTA Annual Meeting October, 2012 (L-R: Theodore Miclau, III, MD; Graciela Garcia, MD; Alberto Padilla, MD; Robert Probe, MD; Fryda Medina, MD; and Fernando de la Huerta, MD)
2012 COMMITTEE HIGHLIGHTS Membership
Nirmal C. Tejwani, MD 2012 Chair
Journal of Orthoaedic Trauma (JOT) Subscription
Deeply Discounted Registration for the OTA Annual Meeting & Educational Offerings
Increase Leadership and Professional Development
for on-line educational resources and educational events.
Unite with Colleagues to Form a Strong Voice on Advocacy Issues
Broaden your Professional Network Give Back to the Orthopaedic Trauma Community
Participate and Shape Research Studies
May 1st * NoveMber 1st
Who Should Join? Orthopaedic Trauma Surgeons: Academic, Community & Clinical
Apply on-line at: http://www.ota.org
The OTA Business Office welcome questions and is available to assist you via phone or e-mail. (847) 698-1631 or email@example.com
* Those who apply by the May 1 deadline receive pro-rated membership dues which will apply June – December.
(847) 698-1631 www.ota.org
Physician Assistants (PA’s) & Nurse Practitioners (NP’s)
PhD’s and Research Professionals Allied Health Professionals
OTA Membership Growth by Year
Richard E. Buckley, MD David W. Sanders, MD Michael S. Sirkin, MD Robert D. Zura, MD candidatE
Nirmal C. Tejwani, MD Chair
OTA Newsletter “FractureLines”
Trauma Registry Database
Opportunity to Conduct Research Surveys
Access the OTA Members Only Webpage
Serve on OTA Committees
Serve as Faculty at OTA Sponsored Courses
being part of the ortho trauma community = priceless!
General Orthopedic Surgeons in Community Practice Who Care for Trauma Victims
through Education and Research
MEMBERSHIP 2012 COMMITTEE
Eligibility to Apply for OTA Funded Research GrantsÊ
Residents, Fellows, Young Practitioners, Mid thru Senior Level Surgeons
orthopaedic trauma association 6300 N. River Road, Suite 727 Rosemont, IL 60018-4226
Strengthen your Practice Management Invest in your Career
Stay Up to Date With New Treatment Trends & Controversies
Membership categories are available for academic, clinical, general orthopaedists, residents & fellows, PA’s & NP’s, nurses, researchers, and allied health professionals Visit the OTA website for complete details regarding membership category qualifications.
Increase your Level of Expertise
The OTA offers an easy on-line membership application, with opportunities to join twice a year.
Why Join the OTA?
How to Apply
The Membership Committee implemented several new initiatives in 2012, contributing to another significant jump in overall membership numbers, which currently stands at 1,652. • Introduced a second membership application deadline, May 1st, giving new members an opportunity to become members mid-year and prior to the OTA Annual Meeting • Membership drive which included course and meeting presentations given by course chairs and current and former OTA Presidential line • “New Members Luncheon” at the OTA Annual Meeting that welcomed new members and addressed interest and questions of prospective applicants Visit www.ota.org • Creation of OTA Membership brochure to communicate the mission of the OTA and the many OTA membership benefits Promoting Excellence Education
Annual Meeting Resident and Fellow’s Courses Webinars On-line Educational Resources On-line Discussion Forum
OTA Funded Research Grants Multi-Center Studies Trauma Registry Database Fracture Compendium EBM Resource Web Page
Journal of Orthopaedic Trauma (JOT) FractureLines Newsletter Trauma Fellowship Match Mentor Program Resources for the Young Practitioner
International Members Committee (Ad Hoc Committee) Peter V. Giannoudis, MD Chair United Kingdom Ney Amaral, MD Brazil Guenter C. Lob, MD Germany Akira Oizumi, MD Japan Hans-Christoph Pape, MD Germany Thomas A. (Toney) Russell, MD China Focus
Top 20 Benefits of OTA Membership 1. Journal of Orthopaedic Trauma 2. Research Grant Funding 3. Highly Discounted Meeting Registration 4. TOTM – Tip of the Month 5. Website Job Postings Free to Members 6. Research Survey Distribution to Members and Posting on OTA website 7. OTA Fracture Lines Newsletter 8. Ortho Trauma Discussion Forum/Listserv 9. Trauma Fellowship Match 10. Residency Core Curriculum Lectures 11. Trauma Evidence-Based Resource List
12. 13. 14. 15. 16. 17. 18. 19. 20.
Online Resident Lectures OTA Education Search Page Coding Resource Page & Discussion List Trauma Resource Page with links to global trauma organizations Ability to interact and participate in multicenter studies with other members Involvement in Health Policy and Advocacy Complimentary Marketing Literature (posters, postcards, etc.) for Public Service Announcements Trauma Registry Access Webinars
2012 COMMITTEE HIGHLIGHTS Military COL Romney C. Andersen, MD 2012 Chair Committee Highlights •
MILITARY 2012 COMMITTEE
COL Romney C. Andersen, MD Chair (Army-Univ MD Med Ctr)
CDR Mark Fleming, DO (USN-Walter Reed) COL (Ret) Mark W. Richardson, MD (Air Force-York Hospital, York, PA) LCDR(S) Christopher S. Smith, MD (USN-Portsmouth) MAJ Daniel J. Stinner, MD (Army-BAMC) CDR Kevin M. Kuhn, MD (USN-San Diego) MAJ Eric J. Verwiebe, MD (Army-LRMC) CAPT William Todd, MD (USN-Hospital Ships)
The OTA Military Committee structure was revised in 2012 to achieve inclusive representation from key areas of the military. The Landstuhl Distinguished Visiting Scholars Program continues to attract OTA surgeons to fill rotations and the surgeons there have had great interactions with the scholars. The Military Committee continued working closely with the Disaster Preparedness Committee to find credentialing solutions with military facilities and hospital ships. Meeting plans are underway for 2013 with key organizations to continue this effort. The Extremity War Injuries Symposium continues to be held in Washington, DC, offering education on many topics related to the sequelae of combat injuries. The eighth iteration of the EWI Symposium, held in January 2013 highlighted post-traumatic arthritis as well as complex upper extremity injuries. Senior leaders of OTA, AAOS, ORS and SOMOS also had the opportunity to meet and discuss issues with the Surgeon General of the United States Army.
The AAOS/OTA Landstuhl Distinguished Visiting Scholars Program provides opportunities for experienced civilian traumatologists to assist the military surgeons at the Landstuhl Regional Medical Center (LRMC). The visiting scholars have the unique opportunity to see the processes by which the military is currently achieving an unprecedented reduction in combat mortality. Visiting scholars are surgeons with at least 10 years' experience, who have demonstrated excellence in teaching, and have substantial experience in civilian orthopaedic trauma clinical care. The OTA commends the following volunteers for their dedication and service to our wounded warriors in 2012.
2012 OTA/AAOS Landstuhl Distinguished Visiting Scholars Program Daniel S. Horwitz, MD – Salt Lake City, UT Jackson Lee, MD – Los Angeles, CA Mark McAndrew, MD – Springfield, IL Mitchel B. Harris, MD – Boston, MA James Dunwoody, MD – Toronto, Ontario, Canada Melvin P. Rosenwasser, MD – New York, NY Greg J. Della Rocca, MD, PhD – Columbia, MO Greg Della Rocca (left) OTA Distinguished Visiting Scholar with Major Eric Verwiebe (center), an OTA member serving a 3-year deployment at Landstuhl; and Lt. Cdr. Joseph Lynch (right), a shoulder and elbow surgeon on 6-month deployment.
2012 COMMITTEE HIGHLIGHTS Program, Annual Meeting
James A. Goulet, MD 2012 Chair
The 2012 OTA Annual Meeting had something for anyone involved in orthopaedic trauma care. The main symposia addressed topics with broad appeal including the latest information from the leaders of the largest international hip fracture registries, and a special session on how automotive design and safety features are leading to continuously improved survival rates and new challenges for orthopaedic traumatologists. New for this year, attendees had a choice throughout the meeting to attend podium presentations or concurrent minisymposia that covered a wide range of topics. Break-out sessions in the form of minisymposia, case presentations, and skills labs included general interests as well as more focused topics, which allowed for a high level of customization of the meeting experience.
New Annual Meeting Programs in 2012… • • • • • • •
James A. Goulet, MD Chair Thomas F. Higgins, MD Co-Chair Victor A. de Ridder, MD Michael J. Gardner, MD Pierre Guy, MD
Additional educational programs for researchers and research assistants Orthopaedic trauma nurses course Orthopaedic trauma physician assistant/nurse practitioner course An orthopaedic trauma boot camp for community physicians Electronic posters for viewing before and after the meeting Guided posters tour sessions New members/prospective members luncheon
Michael D. McKee, MD Theodore Miclau, III, MD Robert V. O'Toole, MD John T. Ruth, MD
Building on Success… • • • • •
PROGRAM 2012 COMMITTEE
119 scientific podium presentations of original research 31 hands-on skills labs, case discussions and minisymposia breakout sessions Pre-Meeting Courses: Basic Science Focus Forum, Young Practitioners Forum, Masters Coding Course, and International Orthopaedic Trauma Care Forum (Featuring Mexico as the OTA’s 2nd Guest Nation) AOA Own the Bone minisymposium An Annual Meeting smart phone app, designed to help plan your week and make all meeting details accessible online, in an easy-to-navigate format.
Program Basic Science Subcommittee Theodore Miclau, III, MD Chair Mohit Bhandari, MD Joseph Borrelli, Jr., MD Edward J. Harvey, MD Steven A. Olson, MD Emil H. Schemitsch, MD
Annual Meeting Comparables 2002 / 2007 / 2012
Attendees Abstract Submissions Podium Presentations Posters Breakouts Exhibiting Companies Exhibit Reps
644 420 73 96 22 37 282
1,030 602 84 (w/Basic Science) 180 23 54 619
1,194 719 119 (w/Basic Science) 192 31 65 618
2012 COMMITTEE HIGHLIGHTS Basic Science Theodore Miclau, III, MD 2012 Chair Basic Science Subcommittee of the Annual Meeting Program Committee For this year’s Annual Meeting, the Basic Science Committee: • Reviewed 108 Basic Science abstract submissions in conjunction with the Program Committee. • Developed the 10th Annual Basic Science Focus Forum (BSFF), which highlighted state-of-the-art basic research in clinically relevant topics through six symposia that preceded a total of 26 related basic science paper presentations. • Identified the top basic research papers that were offered fast-track submission to a special Basic Science edition of the Journal of Orthopaedic Trauma. • Worked with the Research Committee to develop a day-long Grant Writing Symposium that was offered prior to the Annual Meeting. The committee continued to partner with the Orthopaedic Research Society (ORS) to promote and develop translational research opportunities in orthopaedic trauma-related research by: • Co-branding a symposium with the ORS at the ORS Annual Meeting titled “Heterotopic Ossification in Orthopaedic Trauma.” • Exchanging the best trauma-related research posters between the ORS’s and OTA’s Annual Meetings. • Participating in the selection of the ORS’s trauma poster section. The Basic Science Committee was formalized by the OTA as a subcommittee of the Program Committee in 2013, and the following will be adopted: • A three-year term (renewable for one successive three-year term) was established for each of the six existing members. • The Research Committee chair (Todd McKinley) will become the seventh member of the committee as an ex-officio. • The Basic Science Committee chair will become an ex-officio member of the program committee. • Edward Harvey will become the committee chair in 2014.
OTA collaborates with ORS in teaching a Polytrauma Workshop at the ORS Annual Meeting, San Antonio. (L to R: Robert O'Toole, MD; Todd McKinley, MD; Adam Starr, MD; and Hans-Christoph Pape, MD.)
2012 ANNUAL MEETING
The new 2012 Orthopaedic Trauma Boot Camp was well attended, and highly rated by participants! The Course will be repeated at the 2013 Annual Meeting in Phoenix. Meeting participants take advantage of the new OTA New Members Luncheon.
Residents enjoy camaraderie and educational offerings at the Residents Reception!
(left to right) Bob Probe, 2012-2013 President, Andrew Schmidt, 2013-2014 President, Peter Cole, Annual Meeting Local Host, and James Goulet, OTA Annual Meeting Program Committee Chair, kick off the 2012 Annual Meeting!
OTA Annual Meeting participants benefited from over 200 poster presentations!Â (And new in 2012, guided poster tours were offered, as well as e-posters. Be sure to visit the 2012 Annual Meeting page to view any posters you missed at the meeting!)
2012 COMMITTEE HIGHLIGHTS Public Relations and Branding Jeffrey M. Smith, MD 2012 Chair Committee Highlights • 2012 Public Service Announcements PUBLIC RELATIONS and BRANDING 2012 COMMITTEE Jeffrey M. Smith, MD Chair Joseph R. Cass, MD Robert O. Crous, III, MD Joshua L. Gary, MD Alex Jahangir, MD Hasaan R. Mir, MD Max Morandi, MD
“A crash in California almost took her leg. A Bomb Blast in Iraq helped save it. Orthoinfo.org/Dominique.” The “Dominique” PSA, released spring 2012, emphasized the important relationship between civilian and military medicine.
- AAOS and OTA continued their distracted driving PSAs in 2012: “Behind the Wheel there is no such thing as a small distraction.” - AAOS and OTA partnered with the Auto Alliance on a distracted driving awareness booth at the 2012 Chicago Auto Show. - Key members of the OTA PR Committee met with the AAOS Communications Cabinet to build upon the success of the Academy’s A Nation in Motion Campaign that highlighted patient success stories. A trauma case story was chosen and a 2013 PSA is being developed for release at the AAOS AAOS, OTA and the Auto Alliance partnered Annual Meeting. on a distracted driving awareness booth at the 2012 Chicago Auto Show.
OTA joined the Trauma Prevention Coalition (TPC). The TPC seeks to “combine the resources of major professional organizations addressing the acute healthcare needs of the injured, promote collaborative efforts and develop effective strategies in injury/violence prevention while minimizing redundant and duplicative activities.”
The Emergency Department Guide for Acute Management of Pelvic and Acetabular Fractures poster guide was released at the Annual Meeting in 2012 as a tool to collaborate with ER Physicians, Trauma Surgeons and others in their community and referral areas to promote quality of care for patients. It was shared more than 70 times on Facebook and received over 60 likes. It was distributed at the Annual Meeting, mailed to members, and posted online for download.
OTA members assisted with the construction of a safe, accessible playground designed by children in one day at Telegraph Hill Neighborhood Center (Tel-Hi) on Tues., Feb. 7, 2012, in conjunction with the AAOS Annual Meeting.
Lisa Cannada transitioned the role of Newsletter Editor to Hassan Mir in Spring 2012. Three newsletters were released.
Website Development subcommittee initiated the process of overhauling the OTA Website. The NEW OTA website will be available Spring 2013.
2012 COMMITTEE HIGHLIGHTS Public Relations and Branding, continued •
Your Orthopaedic Connection was rebranded to OrthoInfo, Your Connection to Expert Orthopaedic Information. Articles are constantly being reviewed and edited. There are 60 trauma articles. •
Members in the News – Former OTA President Lawrence W. Bone was featured on MSNBC for his selflessness after joining the army 35 years into treating civilians.
Public Relations Subcommittee Christopher T. Born, MD Lisa K. Cannada, MD Brett D. Crist, MD Daniel Coll, MHS, PA-C Gregory J. Della Rocca, MD, PhD
Social Media Subcommittee continues to employ Facebook and Twitter to promote OTA Education, Courses, Deadlines and general society news.
Robert P. Dunbar, Jr., MD George M. Kontakis, MD Erika J. Mitchell, MD Alberto Padilla, MD Lori K. Reed, MD Edward K. Rodriguez, MD, PhD Alexandra Schwartz, MD Jason W. Stoneback, MD Lisa A. Taitsman, MD Richelle C. Takemoto, MD Philip R. Wolinsky, MD
OTA Facebook Post: Poster Guide for: Emergency Department Guide for Acute Management of Pelvic and Acetabular Fractures
2012 AAOS Playground Build, Telegraph Hill Neighborhood Center, San Francisco
PR Committee Members Jeff Smith, Alex Jahangir and Hasaan Mir join in the 2012 AAOS Playground Build.
2012 COMMITTEE HIGHLIGHTS Research Todd O. McKinley, MD 2012 Chair Committee Highlights OTA Research Grant Awards
RESEARCH 2012 COMMITTEE Todd O. McKinley, MD Chair Timothy Bhattacharyya, MD Brett D. Crist, MD Gregory J. Della Rocca, MD James J. Mason, PhD Bradley R. Merk, MD Saam Morshed, MD Brian H. Mullis, MD Steven A. Olson, MD George V. Russell, MD Walter W. Virkus, MD Robert D. Zura, MD
In 2012, the OTA Research Committee received and reviewed a total of 92 research grant applications for the January 1, 2013 research grant cycle. A total of $514,262 was awarded (grant awards noted on page 8). A second set of resident research grant applications will be awarded in March 2013.
Research Think Tank Meeting
The OTA Research Committee sponsored a Strategic Research Initiative Retreat in Chicago in September 2012. Participants both from within the OTA and outside of the OTA spent two days discussing topics pertinent to future research within the OTA concentrating on clinical, basic scientific, and economic issues. Twelve action items were put forth by the participants, highlighted by: • Pursuing standardization of research tools including metrics for clinical outcomes, clinical fracture healing models, macro and micro biomechanical testing models, and animal fracture healing models • Establishing clinical topic-based Research Consortiums within the OTA directed to investigate pertinent injury-related topics • Promoting inter-society collaborations with other pertinent professional societies (e.g., Orthopaedic Research Society; American Society of Biomechanics; Biomedical Engineering Society; etc.); with an invited society to participate at the OTA Annual Meeting or co-sponsoring other inter-society meetings • Establishing infrastructure to critically evaluate short- and long-term workforce needs/issues in Orthopaedic Trauma • Creating intermediate and longer term clinical and basic scientific goals via a living document instrumented by the OTA
OTA Grant Writing Workshop
The OTA Research Committee, in collaboration with the ORS, sponsored a Grant Writing Workshop at the 2012 Annual Meeting. The workshop was a tremendous success, with 25 attendees and an outstanding faculty consisting of both OTA and ORS members. The workshop was highlighted by the Keynote address speaker Dr. Regis O’Keefe from the University of Rochester in New York, depicting “Wins and Losses in Grant Writing” from his career as an internationally recognized grant writer and investigator. Participants had a morning of didactic instruction, followed by small group sessions reviewing both successful and unfunded grant samples, followed by a mock grant review session. Feedback from participants was tremendous and the Grant Writing Workshop will be held again at this year’s annual meeting.
Ten-Year Analysis of OTA’s Research Funding Program to be published in JBJS
Congratulations to the following OTA members and their colleagues on the JBJS publication acceptance of their ten-year OTA research funding study.
Why Join the OTA? • Education • Research • Member Services • Professional Development and Leadership Opportunities • Health Policy & Practice Management
FROM THE DIRECTOR Kathleen Caswell, CAE OTA Executive Director The accomplishments noted throughout this report are an amazing tribute of the talent and dedication of the OTA Membership. Congratulations and a sincere thank you to the many volunteers who contributed to a year of great innovation and advancement in orthopaedic trauma education and research! Sincere appreciation also is extended to the 2012 industry and individual donors; without their continued support, the OTA could not continue to provide the same high-quality education and research. Looking forward to 2013, before the 2012 Annual Report is even hot off the press, there are already many new and exciting initiatives well underway. Be sure to watch the OTA website and newsletter for updates, including next steps from the 2012 Research Think Tank, new and valuable resources from the Committees, enhanced online educational resources, and increased collaboration with organizations having similar stakes in the advancement of healthcare. And many thanks to my colleagues in the OTA Business Office for their dedication, great ideas, and strong work: Diane Vetrovec Dobberstein, Paul Hiller, Melanie Hopkins, Darlene Meyer, Sharon Moore, and Alivia Payton. I’m looking forward to working with this great team in supporting the OTA’s continued advancement of the mission!
What Does Your Membership Buy? • Discounted Annual
Meeting Registration* Member Savings: $ 600
• Journal of Orthopaedic Trauma (JOT) Value:
• Society Newsletter Value:
• Trauma Registry Database Value: $ 225 Total Value: $ 1,453*
Being a Part of the OTA Community . . . . . . . . . . . . Priceless * Total based on active membership dues of $600.
OTA Educational Offerings Advanced Trauma Techniques Course for Residents February 21 - 23, 2013
Los Angeles, California, USA
Specialty Day Meeting March 23, 2013
Chicago, Illinois, USA
OTA Spring Comprehensive Fracture Course for Residents 2.0 April 10 - 13, 2013
Lombard, Illinois, USA
Orthopaedic Trauma Fellows Course April 18 - 21, 2013
Boston, Massachusetts, USA
13th Annual AAOS/OTA Trauma Update Course: Current Management Concepts, Techniques & Practical Solutions April 25 - 27, 2013
La Jolla, California, USA
OTA Acute Orthopaedic Trauma Care Course May 4, 2013
Denver, Colorado, USA
OTA Comprehensive Fracture Course for Residents October 9 - 12, 2013
Fairmont Scottsdale Princess, Scottsdale, Arizona, USA
OTA 29th Annual Meeting and Pre-Meeting Courses: October 9 - 12, 2013
J W Marriott Desert Ridge, Phoenix Arizona, USA
2012 Orthopaedic Trauma Association Annual Report