The American Academy of Physical Medicine and Rehabilitation (AAPM&R) is the national medical specialty society in the United States for
physician
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s who specialize in
physical medicine and rehabilitation
Physical medicine and rehabilitation, also known as physiatry, is a branch of medicine that aims to enhance and restore functional ability and quality of life to people with physical impairments or disabilities. This can include conditions su ...
(PM&R). These physicians are called "physiatrists" or "rehabilitation physicians". Founded in 1938, AAPM&R also offers education,
advocates
An advocate is a professional in the field of law. Different countries' legal systems use the term with somewhat differing meanings. The broad equivalent in many English law–based jurisdictions could be a barrister or a solicitor. However, ...
for PM&R, and promotes PM&R research.
AAPM&R has more than 8,000 members representing a majority of the physiatrists in the United States and 37 countries. The organization is led by a board of governors which includes the president, past president, president-elect, vice president, secretary, treasurer, members-at-large and strategic co-ordinating committee chairs. The executive director is among the ''ex officio'' liaisons to the board.
History
PM&R began in the 1930s as a way to treat
musculoskeletal
The human musculoskeletal system (also known as the human locomotor system, and previously the activity system) is an organ system that gives humans the ability to move using their muscular and skeletal systems. The musculoskeletal system prov ...
and
neurological conditions. Of note, PM&R took a lead role after
World War II
World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...
when disabled veterans or soldiers with physical impairments returned home. The specialty quickly grew as it attempted to help veterans restore function and return to their daily lives. In addition, during the 1940s and early 1950s physiatrists played a pivotal role in the treatment of individuals with
poliomyelitis
Poliomyelitis, commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 70% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe sym ...
.
[Kottke, Frederic J. and Knapp, Miland E. "The Development of Physiatry Before 1950". Archives of Physical Medicine and Rehabilitation 69 (October 1988), 4-14.]
Then called the American Society of Physical Therapy Physicians, AAPM&R was founded in 1938 in
Chicago
(''City in a Garden''); I Will
, image_map =
, map_caption = Interactive Map of Chicago
, coordinates =
, coordinates_footnotes =
, subdivision_type = Country
, subdivision_name ...
at the annual meeting of the American Congress of Physical Medicine. Walter Zeiter, MD, was elected executive director (a position he held for 22 years) and John S. Coulter, MD, was elected as the first president. In 1939, the society was formalized in
New York City
New York, often called New York City or NYC, is the List of United States cities by population, most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the L ...
. The society had 40 charter members including the PM&R pioneer
Frank H. Krusen
Frank H. Krusen (June 26, 1898 – September 16, 1973) was an American physiatrist. He is regarded as a "founder" of the field of physical medicine and rehabilitation. He founded the first Department of Rehabilitation at Temple Hospital in 1928. Ph ...
, MD, who was AAPM&R president from 1941 to 1942. Membership was by invitation only and was limited to 100 doctors until 1944.
In 1944, the society’s name was changed to the American Society of Physical Medicine. In 1951, it became the American Society of Physical Medicine and Rehabilitation. The Academy's current name was adopted in 1955.
Membership
AAPM&R offers several membership categories depending upon an individual’s credentials. Physicians who are board-certified in PM&R (as determined by the
American Board of Physical Medicine and Rehabilitation The American Board of Physical Medicine and Rehabilitation (ABPMR) was established in 1947 as the certifying body for the field of physical medicine and rehabilitation under the American Board of Medical Specialties (ABMS). It is one of two certify ...
, a certifying board of the
American Board of Medical Specialties
Established in 1933, the American Board of Medical Specialties (ABMS) is a non-profit organization which represent 24 broad areas of specialty medicine. ABMS is the largest physician-led specialty certification organization in the United States ...
) are "Fellow" members. There are also categories for
residents, international physicians,
medical students
A medical school is a tertiary educational institution, or part of such an institution, that teaches medicine, and awards a professional degree for physicians. Such medical degrees include the Bachelor of Medicine, Bachelor of Surgery (MBBS, MB ...
and academic researchers.
AAPM&R’s membership reflects the diversity of the specialty of PM&R. Member physicians may treat
amputation
Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on indi ...
s,
pain
Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
(
neck
The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In ...
, nerve,
arthritic
Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In s ...
,
back
The human back, also called the dorsum, is the large posterior area of the human body, rising from the top of the buttocks to the back of the neck. It is the surface of the body opposite from the chest and the abdomen. The vertebral column runs ...
), injuries (
brain
A brain is an organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as vision. It is the most complex organ in a v ...
,
spinal cord
The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spi ...
,
sports-related), rehabilitation (
cardiac
The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to t ...
,
geriatric
Geriatrics, or geriatric medicine, is a medical specialty focused on providing care for the unique health needs of older adults. The term ''geriatrics'' originates from the Greek language, Greek γέρων ''geron'' meaning "old man", and ιατ ...
, pediatric) and more. Some physiatrists treat multiple conditions while others may focus on specific areas of interest. Physiatrists' practices also vary. While some practice in
hospital
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
s and rehabilitation centers, others work in private practices or with other types of physicians (for example,
orthopedic surgeons
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
,
family physicians
Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary ...
).
Recognizing the diversity of the specialty and its membership, the academy established member councils in 2009. The councils bring together clinical segments of the membership in communities: central nervous system rehabilitation, musculoskeletal medicine, medical rehabilitation, pain medicine/neuromuscular medicine and pediatric rehabilitation/
developmental disabilities
Developmental disability is a diverse group of chronic conditions, comprising mental or physical impairments that arise before adulthood. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, espe ...
.
Previous leadership
1938-1939: John S. Coulter, MD
1939-1940: F.H. Ewerhardt, MD
1940-1941: William Bierman, MD
1941-1942: Frank H Krusen, MD
1942-1943: K.G. Hansson, MD
1943-1944: William H. Schmidt, MD
1944-1946: Fred B. Moor, MD
1946-1947: William D. Paul, MD
1947-1948: Earl C. Elkins, MD
1948-1949: Arthur E. White, MD
1949-1950: Charles O. Molander
1950-1951: Miland E. Knapp, MD
1951-1952: Frances Baker, MD
1952-1953: Walter S. McClellan, MD
1953-1954: Donald L. Rose
1954-1955: Harold Dinken, MD
1955-1956: Ben L. Boynton
1956-1957: Murray B. Ferderber
1957-1958: George D. Wilson, MD
1958-1959: Louis B. Newman, MD
1959-1960: Clarence W. Dail, MD
1960-1961: Ray Piaskoski
1961-1962: Robery W. Boyle
1962-1963: Max K. Newman, MD
1963-1964: Morton Hoberman, MD
1964-1965: Herman L. Rudolph, MD
1965-1966: A.B.C. Knudson, MD
1966-1967: Michael M. Dacso, MD
1967-1968: Robert C. Darling, MD
1968-1969: G. Keith Stillwell, MD
1969-1970: Herman J. Bearzy, MD
1970-1971: Glenn Gullickson, Jr., MD
1971-1972: Arthur S. Abramson, MD
1972-1973: Justus F. Lehmann, MD
1973-1974: Leonard F. Bender, MD
1974-1975: Eugene Moskowitz, MD
1975-1976: Carl V. Granger, MD
1976-1977: Ernest W. Johnson, MD
1977-1978: Joseph Goodgold, MD
1978-1979: Frederic J. Kottke, MD
1979-1980: Joseph C. Honet, MD
1980-1981: William M. Fowler, Jr., MD
1981-1982: John F. Ditunno, Jr., MD
1982-1983: Murray M. Freed, MD
1983-1984: Arthur E. Grant, MD
1984-1985: George H. Kraft, MD
1985-1986: Myron M. LaBan, MD
1986-1987: Richard S. Materson, MD
1987-1988: Joachim L. Opitz, MD*
1988-1989: Barbara J. de Lateur, MD
1989-1990: Erwin G. Gonzalez, MD
1990-1991: James T. Demopoulos, MD
1991-1992: Ian C. MacLean, MD
1992-1993: Leon Reinstein, MD
1993-1994: Robert P. Christopher, MD
1994-1995: Martin Grabois, MD
1995-1996: Randall L. Braddom, MD, MS
1996-1997: James R. Swenson, MD
1997-1998: Barry S. Smith, MD
1998-1999: John L. Melvin, MD
1999-2000: Robert J. Weber, MD
2000-2001: Gail L. Gamble, MD
2001-2002: Thomas E. Strax, MD
2002-2003: Daniel Dumitru, MD, PhD
2003-2004: Claire V. Wolfe, MD
2004-2005: Bruce M. Gans, MD
2005-2006: Steve M. Gnatz, MD, MHA
2006-2007: Joel M. Press, MD
2007-2008: David X. Cifu, MD
2008-2009: William F. Micheo, MD
2009-2010: M. Elizabeth Sandel, MD
2010-2011: Michael F. Lupinacci, MD
2011-2012: David L. Bagnall, MD
2012-2013: Alberto Esquenazi, MD
2013-2014: Kurtis M. Hoppe, MD
2014-2015: Kathleen R. Bell, MD
2015-2016: Gregory M. Worsowicz, MD, MBA
2016-2017: Steve R. Geiringer, MD
2017-2018: Darryl L. Kaelin, MD
Education
Since 1939, the academy has held an Annual Assembly each fall.
As the largest meeting of physiatrists in the world, the assembly attracts nearly 2,000 attendees each year. The meeting offers an educational program with PM&R-specific workshops that offer
continuing medical education (CME) as well as a job fair and exhibit hall. In addition to the Annual Assembly, the Academy holds several other live courses and workshops covering musculoskeletal
ultrasound
Ultrasound is sound waves with frequency, frequencies higher than the upper audible limit of human hearing range, hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hea ...
, spinal procedures, coding and billing, and
spasticity
Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles ...
and
dystonia
Dystonia is a neurological hyperkinetic movement disorder in which sustained or repetitive muscle contractions result in twisting and repetitive movements or abnormal fixed postures. The movements may resemble a tremor. Dystonia is often inten ...
.
To help members obtain CME online, AAPM&R launched acadeME in 2008. The education portal allows physiatrists to access CME activities online. It includes courses, slide lectures, case studies, podcasts and self-study materials.
Advocacy
AAPM&R monitors federal
legislative
A legislature is an assembly with the authority to make laws for a political entity such as a country or city. They are often contrasted with the executive and judicial powers of government.
Laws enacted by legislatures are usually known as p ...
and
regulatory
Regulation is the management of complex systems according to a set of rules and trends. In systems theory, these types of rules exist in various fields of biology and society, but the term has slightly different meanings according to context. For ...
health policy and private sector market trends affecting both the
health care
Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
and insurance industries. The academy also seeks to position the specialty strategically in the quality environment;
advocates
An advocate is a professional in the field of law. Different countries' legal systems use the term with somewhat differing meanings. The broad equivalent in many English law–based jurisdictions could be a barrister or a solicitor. However, ...
for increased responsiveness of research to the rehabilitation needs of people with physical disabilities and the professionals who provide services to them; works to expand practice management services for members; and advocates on behalf of members' professional interests. The academy works in collaboration with other physicians' specialty organizations on a range of professional practice issues including practice management and administrative simplification. The academy has taken a lead role in advocating for the rehabilitation of wounded service men and women and disabled veterans returning from the
Iraq
Iraq,; ku, عێراق, translit=Êraq officially the Republic of Iraq, '; ku, کۆماری عێراق, translit=Komarî Êraq is a country in Western Asia. It is bordered by Turkey to Iraq–Turkey border, the north, Iran to Iran–Iraq ...
and
Afghanistan
Afghanistan, officially the Islamic Emirate of Afghanistan,; prs, امارت اسلامی افغانستان is a landlocked country located at the crossroads of Central Asia and South Asia. Referred to as the Heart of Asia, it is bordere ...
conflicts. Many returning veterans have severe disabilities such as
traumatic brain injury
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity (ranging from mild traumatic brain injury TBI/concussionto severe traumatic b ...
. The academy advocates for these individuals through alliances with the
United States Department of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers a ...
, participation in congressional symposiums, and meetings with staff.
The academy advocates for the needs of patients and physiatrists' ability to deliver the care they need. For example, iy works toward the long-term goal of passing legislation that will remove admissions quotas and return the physiatrist to the position of freely determining what type of rehabilitation is medically necessary for any given patient. In addition to its efforts as a national society, it places a priority on assisting physiatrists at the state level through grassroots advocacy on critical practice issues. The academy encourages members to be involved with their state PM&R societies to organize and develop a strong lobbying infrastructure. In addition, it co-ordinates member "Calls to Action" through its Advocacy Action Center.
Awards
The AAPM&R makes several awards to different doctors each year in different categories.
*The Frank H. Krusen, MD, Lifetime Achievement Award
*The Distinguished Clinician Award
*The Distinguished Member Award
*The Distinguished Public Service Award
*PASSOR Legacy Award and Lectureship
*Outstanding Council Service Awards
Publications
In 2009, the academy launched ''
PM&R'', a monthly, peer-reviewed, scientific journal. Published by
Elsevier
Elsevier () is a Dutch academic publishing company specializing in scientific, technical, and medical content. Its products include journals such as ''The Lancet'', ''Cell'', the ScienceDirect collection of electronic journals, '' Trends'', th ...
, it provides research and education directly related to PM&R topics and emphasizes principles of injury, function and rehabilitation.
''The Physiatrist'' is the official publication of AAPM&R. The print newsletter is distributed to all members ten times a year and includes updates on legislation, education, jobs and products or programs related to PM&R and the academy.
The e-newsletter, ''AAPM&R Connection'', was launched in 2008. It provides information to members.
See also
*
Performing Arts Medicine
References
External links
AAPM&R web site
{{DEFAULTSORT:American Academy Of Physical Medicine And Rehabilitation
Medical associations based in the United States
Medical and health professional associations in Chicago
Rehabilitation medicine organizations based in the United States