U NIVERSITY OF W ASHINGTON D EPARTMENT OF R EHABILITATION M EDICINER E HA BIL I TA TIOV OLUME I, I SSUE 3NME D IC INE NE W SL ETTE RS PRING 2008L ET TER FROM THE C HAIRMANThe University of Washington Department of Rehabilitation Medicinewas established in 1957 when Justus F. Lehmann, M.D., was recruitedfrom Ohio State University as its first Chairman. At the time, the Pacific Northwest had virtually no rehabilitation care for those withphysical disabilities. The department has come a long way since 1957.Peter Esselman, MDProfessor andChairmanAmong many other accomplishments too innumerable to list here, Dr.Lehmann established our Physical Medicine and Rehabilitation(PM&R) Residency Training Program. Today, our Residency Program stands as one of the top PM&R training programs in the country.Through 2007, the Department has trained over 312 physiatrists, including many leaders in the field.In this issue of the newsletter, we highlight our PM&R Training Program and welcome 10new residents to the program. Over the next four years, they will train with an outstanding academic faculty and see a diverse patient population at multiple training sites. Allthis while living in the great Pacific Northwest.You will also read a candid interview with our Residency Director, Dr. Terry Massagli anda profile of Karen Ennes, our Residency Program Coordinator. I personally thank them fortheir excellent leadership and dedication to the residency program. Details on new grantsawarded to our faculty members, and more about the successful 23rd annual Lehmann DaySymposium held on May 9th are also covered in this issue. Enjoy the newsletter!W ELCOME N EW R ESIDENTSA common sentiment in the UW Department of Rehabilitation Medicine is that we have anoutstanding group of residents.With that being said, we are pleased to announce the addition of 10 new residents to theUW Physical Medicine and Rehabilitation (PM&R) Residency Training Program. All of ourstudents are from the Midwest, south, or east coast. They are graduating from the University of Michigan, University of Chicago, Chicago Osteopathic, Des Moines Osteopathic,The Ohio State University, Medical College of Wisconsin, University of Texas MedicalBranch Galveston, University of South Florida, New York Osteopathic, and University ofPennsylvania. Their hobbies include scuba diving, playing violin in a rock band, playingharp, participating in sports, swing dancing, fishing, and for at least one student, parenting.Welcome to our new residents!CALENDAR June 20, 2008Senior Resident & FellowGraduation November 20-23, 20082008 Annual AAPM&RAssemblySan Diego, CA February 24-28, 20092009 AAP AnnualMeetingColorado Springs, COI NSIDE THIS ISSUE :I NTERVIEW WITHT ERRY M ASSAGLI2M EET K ARENE NNES3STRONG PRESENCEAAPMR MEETING3NEW GRANTS4F ACULTY AWARDS5AND HONORSW ELCOME N EWF ACULTY5L EHMANN D AY6

R EHABILITATION M EDICINE N EWSLETTERP AGE 2A F EWWORDS WITHT ERRY M ASSAGLI : R ESIDENCY P ROGRAM D IRECTORHow long have you been the UWPM&R Residency Program Director?Since 1992. I’ve moved through a whole generation of residents since then. They keep gettingyounger.Why do you do it?For the money and the glamour. No, seriously, I like hanging around smart young people. I’m hopingboth attributes will rub off on me. I enjoy being a teacher and mentor, developing life long relationships with the residents, and I get to boss faculty around—not that it works, mind you.In your opinion, what makes the UW PM&R program so strong?We have depth and breadth in clinical care, diverse training sites, strong academic and local clinical faculty, and fantasticresidents.What is most unique element to the program?Location, location, location. Close to Vancouver, Portland, mountains, water. Great culture and music scene.What sets this program apart from most similar programs?Compared to programs like RIC and Kessler, we are integrated into acute care hospitals at each of our 4 training sites.Compared to Mayo, we have a regional level 1 trauma system, so we see a lot of trauma. Compared to Baylor, well, weare in Seattle.What steps are we taking to improve/make it the best possible program?Program evaluation is the key to our success. We take an objective look at our program elements each year and developaction plans to address them. I have been privileged to have a great working relationship with 3 successive chairs, who allview(ed) the quality of our residency training program to be a priority of the department. This year, we are focusing onenhancing resident learning experiences. Residents have begun to write quarterly learning plans. We have done somefaculty development on improving clinical teaching. We are reorganizing our musculoskeletal rotations to give residentsmore direct patient care responsibilities.It's my understanding that the field of PM&R is becoming an increasingly competitive field. Has this influencedyou to change your minimum requirements for applicants?Only about 2.5% of US medical students apply in the field of PM&R each year. This really hasn’t changed much. We havealways tried to identify talented and successful students to select for interviews. We do match top students. Using theUSMLE scores as one measure of student competitiveness, our residents have scores more than 10 points higher than theaverage for PM&R programs. In fact their scores are in the range of students matching in the incredibly competitive fieldsof orthopedics, radiology and dermatology.What is the best part about being so involved with the residents?Watching them guzzle my home brewed beer each year at my Christmas party. And my husband eats the leftovers forlunch for several months.How do you fit it all in – clinics, professional organizations, teaching?My passion is education and care of the patient in front of me. That comes first. Everything else seems to get squeezed in.You make room for your priorities. To be a successful program director you have to be resilient and you have to havestrong time management skills.Do you have any hobbies that help you unwind?Work mirrors life. Running the residency and raising orchids require planning, reassessment, fertilizing, and weeding.Residents and Labrador Retrievers need consistency, fairness and room to run. But I do love my play time: scuba diving,traveling, playing bridge and trying out new red wines. Unfortunately, I’m terrible at bridge because it always seems tocoincide with trying out those wines

V OLUME I, I SSUE 3P AGE 3Meet Karen Ennes: Residency Program CoordinatorKaren Ennes has been the Program Coordinator for the UW Physical Medical and Rehabilitation (PM&R) Residency Training Program since July of 1998.Karen will tell you that her position is fairly cyclical. In the fall, she is responsible for coordinating the residency program interviews which start in Mid-November and end in late January. This is no easy task as this year alone the program received approximately 300 applications and interviewed 55 applicants. Once interviews are over, Karen then sits in on the Residency Training Committee meetings where the Committee reviews all applications and interview evaluations in order to create the rank list that is submitted in mid February. In thespring, after Match Day, she starts the long process of getting the new residents set up in theprogram as well as getting the senior residents ready to graduate.On a daily basis, Karen assists the residents in getting through the program and acts as theirresource. She also assists Dr. Terry Massagli, Residency Program Director, in making surethat the residents meet the program requirements and that it is all documented. Karen is alsothe contact person for most inquiries from inside and outside of the Rehab Department thathave to do with the Residency Program.Someone so involved with the Residency Program seems well qualified to answer the question, “What about the UW PM&R Residency Training Program is the biggest draw for applicants?”UW PM&RResidencyProgram QuickFacts:The first Physiatristsgraduated from ourprogram in:1963Total Traineesthrough 2007:312Hospitals andTraining Centers:UW Medical Center(UWMC)Harborview Medical Center(HMC)“Initially, I think it is our reputation. I hear that over and over again from applicants. We havetrained many of the leaders in the field, and many of our grads are singing our song out there.Veteran’s Affairs MedicalAnd on interview day, I think the applicants get a really good feeling for the program by meetCentering many of the attendings and the residents.”(VAMC)By the way, Karen had a baby right before interview season and has become even better atmulti-tasking than ever. “Let's just say I did a lot of interview coordination and typing withone hand while I balanced a baby on my lap.”Children’s Hospital andRegional Medical Center(CHRMC)Thank you Karen for all that you do!Strong Presence at AAP Annual ConferenceOnce again, the Department of Rehabilitation Medicine was strongly represented at this year’s Association of AcademicPhysiatrists (AAP) Annual Meeting held February 19 – 23 in Anaheim, CA. The AAP is an organization of faculty, researchers, and others interested in supporting academic medicine.Both Dr. Larry Robinson, Professor, and Dr. Terry Massagli, Professor, taught in the Program for Academic Leadership(PAL) course. The PAL provides research training, mentorship and career development support for those physiatristscommitted to developing productive careers in academic medicine.Dr. Janna Friedly, Assistant Professor, taught in the Rehabilitation Medicine Scientist Training Program (RMSTP) program. The RMSTP provides research training, mentorship and career development support for those physiatrists committed to pursuing and developing careers in academic medicine and research.Six of our PM&R residents had poster presentations: Drs. DJ Kennedy, Deborah Crane, Troy Henning, Benjamin Snyder,Tom McNalley and Steven Chan. One resident and two attendings gave oral papers and the two attendings received bestpaper awards.

R EHABILITATION M EDICINE N EWSLETTERP AGE 4Spotlight: New GrantsDawn Ehde, PhD, awarded grants from the nih and nmssThe National Institutes of Health (NIH) awarded Dawn Ehde, PhD, Principal Investigator, 2.36 million overfive years to study “The Efficacy of Telephone Delivered Cognitive Behavioral Therapy for Chronic Pain.”The randomized controlled trial will investigate whether and how cognitive behavior therapy, relative to a paineducation intervention, reduces pain and pain-related dysfunction in those with chronic pain secondary to a disability.The interventions will be administered via telephone to lessen access barriers to treatment to a sampleDr. Ehdeof adults with chronic pain and either acquired amputation, multiple sclerosis, or spinal cord injury. The studywill examine the effectiveness of the telephone delivered treatments as well as the potential mechanisms of the effects of cognitive behavior therapy for pain.Dr. Ehde was also the recipient of a 386,000 award over the next five years from the National Multiple Sclerosis Society(NMSS) to establish an MS Rehabilitation Research Postdoctoral Fellowship Program at the UW. The program’sobjective is to train fellows to be successful independent researchers in the field of multiple sclerosis rehabilitation research,with an emphasis on training researchers from rehabilitation psychology, neuropsychology, or a related behavioral science.DOD to fund 1.5 Million for TBI Clinical trials consortiumThe Department of Defense (DOD) is funding 1.5 million over 5 years for the PsychologicalHealth/Traumatic Brain Injury Clinical Trials Consortium. Nancy Temkin, PhD, Professor,Neurological Surgery, is the Principal Investigator (PI). Rehabilitation Medicine faculty members, Sureyya Dikmen, PhD, Professor, and Jay Uomoto, PhD, Clinical Associate Professor,are the Co-PI’s. Other UW faculty members named as investigators are: Kathy Bell, MD,Charles Bombardier, PhD, Peter Esselman, MD, Jesse Fann, PhD, and Janet Powell, PhD.The Network will evaluate treatments for post traumatic stress disorder and traumatic braininjury.Drs. Temkin & DikmenIn addition to the UW, other clinical trials sites include: Madigan Army Medical Center, Walter Reed Army Medical Center,Bethesda Naval Hospital, University of California San Diego, University of Cincinnati, University of Maryland, Dartmouth,Harvard, South Carolina, and Duke.NIDrr funds UW Advanced Rehabilitation research training ProgramThe National Institute on Disability and Rehabilitation Research (NIDRR) approved a 748,045grant over 5 years for University of Washington Advanced Rehabilitation Research Training(UW-ARRT). Debbie Kartin, PT, PhD, is the project director and Kurt Johnson, PhD, is theAssociate Project Director. Fifteen other Rehabilitation Medicine Faculty Members are alsonamed on the grant.Drs. Kartin & JohnsonThe primary goal of the UW-ARRT is to increase the number of successful independent rehabilitation researchers who understand their own area of focus, have a working knowledge of other related Rehabilitation Science fields, and have experience in interacting with experts who are knowledgeable in these other areas. The UW-ARRT provides advanced rehabilitation research training for 5-6 highly qualified postdoctoral trainees. UW-ARRT focuses on development of rehabilitationresearchers with emphasis on design and implementation of rehabilitation research, dissemination of research, and grant writing. The comprehensive training provides immersion in a mentored rehabilitation research experience and complementarydidactics.For more information on the UW-ARRT, please visit: habres.html

V OLUME I, I SSUE 3P AGE 5Janna friedlY, MD, chairs Ethics Discussion at HMCJanna Friedly, MD, Assistant Professor, and member of the Ethics Committee at Harborview Medical Center(HMC) recently chaired a discussion in April titled, “Whose Sperm/Ovum is it anyway? Ethical Decisionsinvolving Reproductive Rights and Surrogate Decision Making.”Ethics Forums are held the second Wednesday of each month, and provide an opportunity to present clinically relevant ethics topics to the HMC community (nurses, therapists, doctors, social workers, chaplains,etc). They often feature discussion of recent cases at HMC that were brought to the ethics committee for assistance orother times there is a speaker on a given topic. Dave Patterson, PhD, Professor, is co-chair of the committee.Drs. Krabak, Kaufman and Chen to Travel to china for 4 deserts race seriesIn June, Dr. Brian Krabak, Clinical Associate Professor, Dr. Marla Kaufman, Clinical AssistantProfessor and Dr. Allen Chen, Rehabilitation Resident, will travel to western China (aroundKashgar) as part of the medical team for the 4 Deserts Race Series: Gobi March. The Gobi March is aseven day, 150 mile ultra-running race through some of the harshest terrains on earth. The racehas attracted over 200 athletes from around the world. Dr. Krabak has been the Medical DirecDrs. Krabak & Kaufmantor since 2004. To follow the race and send emails, please visit: www.4deserts.comF ACULTY AWARDS AND HONORSJean Deitz, PhD, OTR, FAOTA, Professor, recently received two prestigious national awards. Dr. Deitzwas presented with the 2008 Meritorious Service Award by the American Occupational Therapy Foundation(AOTF) for her numerous contributions to the Foundation and to the occupational therapy profession. Sheserved on the AOTF’s Board of Directors for 7 years as Chair of the Research Advisory Council, and wasthe principal voice for scholarship and research and an articulate advocate for occupation, participation, andhealth. Dr. Deitz was also the recipient of the American Occupational Therapy Association (AOTA) RetiredEducator’s Award for her exceptional leadership and commitment to the advancement of occupational therapy education.Both awards were given at the AOTA Annual Conference in Long Beach, CA on April 12, 2008.Dr. Deitz was granted Honorary Membership by the American Academy of Orthotists and Prosthetists (AAOP) because ofher strong advocacy for P&O education and research. She has been instrumental in developing opportunities for prosthetists and orthotists in both the master’s and PhD programs in Rehabilitation Science at the UW. This award is intended torecognize individuals who have demonstrated a high level of knowledge and dedication to the P&O profession but are notcertified practitioners.Dr. Deitz will be retiring on June 30th, and will remain in the Department as Professor Emeritus teaching, advising, andadministrative work. A celebratory event will be scheduled for later. Stay tuned for more details.Welcome new facultyPlease extend a warm welcome to Sue Ewers, CPO/LPO. She has joined the Division of Prosthetics andOrthotics (P&O) as a teaching associate.Sue graduate from the UW P&O program in 1996, and completed her residency at Mary Free Bed Rehabilitation Hospital in Grand Rapids, Michigan. In 2003, she spent the year teaching in Phnom Penh,Cambodia, at The Cambodian School of Prosthetics and Orthotics. Before returning to the UW, she wasat the University of Oregon earning her MS in Human Physiology with a focus in Motion Analysis.Sue is an avid sailor and is glad to be back in Seattle where she can pursue sailing again, if we ever let her find the time!!

U NIVERSITY OF W ASHINGTOND EPARTMENT OF R EHABILITATIONM EDICINEWe are sending this electronic newsletter via a U of W Mailman List. Please let usknow if there are others who might be interested in receiving the newsletter or ifyou would like to have your name removed from the list.1959 NE Pacific StreetBox 356490Seattle, WA 98195If you have feedback on this edition of the newsletter or an item that you thinkshould be included in a future newsletter, please send an email to Randi 0Fax: 206-685-3244E-mail: [email protected] those of you interested in seeing past issues of our newsletters:V I S I T US O N T H E W E B !MAXIMIZING POTENTIAL ACROSS THELIFESPAN.HTTP: / / DEPTS. WASHINGTON. EDU/ REHAB/UW Dept of Rehab Medicine Banner Image by: Janet Schukar2008 MSK and Board Review courses a successThe 2008 Musculoskeletal and Sports Medicine Symposium organized by Dr. Mark Harrast, and the 25th Annual ReviewCourse in PM&R organized by Drs. Maria Reyes and Kevin Hakimi have both been deemed a success.The Musculoskeletal and Sports Medicine Symposium on the hip and pelvis in function and dysfunction brought internationally recognized experts to Seattle for a two-day presentation on April 12th and 13th at the UW. Guest Faculty included DianeLee, DSR, FCAMT, CGIMS, and Colleen Fitzgerald, MD. Many other noted UW Rehabilitation Medicine faculty membersgave presentations as well.The PM&R Board Review Course occurred April 14-20. This annual event is an excellent course for senior residents andrecent graduates in PM&R preparing for Board certification, physicians preparing for re-certification examinations, or for anyhealth care professional seeking to update their knowledge of PM&R.Details for the 2009 event will be announced. Continue to check our website, for moreinformation.2008 Lehmann Day symposiumThe Twenty-Third Annual Justus F. Lehmann Day Symposium, a program for residents, graduate students, faculty, and practitioners in the field of Physical Medicine & Rehabilitation(PM&R), occurred on Friday, May 9, 2008. Approximately 135 people attended the eventheld at the UW Center for Urban Horticulture.This year, keynote speaker, Sarah E. Shannon, PhD, RN gave a lecture entitled, “From Rightto-Die to Right-to-Live in the Courts and at the Bedside: What Happened?” Other UW facultypresented on topics including patient-provider communication, pediatric palliative care, poststroke rehabilitation and limb loss. Poster viewings occurred throughout the day.Each year, the UW Department of Rehabilitation Medicine sponsors the Symposium to honorJustus F. Lehmann, M.D., the founding chair of the Department. Dr. Lehmann was a leader inthe field of PM & R and helped to establish the first PM & R program between Vancouver, BC Justus F. Lehmann, M.D.and Denver, CO. He headed the department from 1957-1986.UW Dept of RehabilitationPlanning is already in the works for next year. Stay tuned for more details on our n/ce.htmlMedicine Chair,1957-1986

Branch Galveston, University of South Florida, New York Osteopathic, and University of Pennsylvania. Their hobbies include scuba diving, playing violin in a rock band, playing harp, participating in sports, swing dancing, fishing, and for at least one student, parenting. Welcome to our new residents!