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ISPRM Board of Governors Meeting

Saturday, 13 June 2009 at 13.30 hrs Istanbul, Turkey Fevzi Cakmak Hall

AGENDA & BOOK OF REPORTS

1. ISPRM Meetings taking place during the ISPRM World Congress 2. ISPRM Board of Governors after the 2008 Board Meeting 3. Agenda ISPRM Board of Governors Meeting, Thursday, September 30. 4. Reports by the President's Cabinet Members 5. Reports by the Executive Board Members 6. Report by the Executive Director 7. Reports of the ISPRM Committees 8. Reports of the ISPRM Liaison Officers 9. Reports of the ISPRM World Congresses 10. Minutes of the Board of Governors Meeting 2008 ­ Part 1 11. Minutes of the Board of Governors Meeting 2008 ­ Part 2 12. Finances 13. Minimum Curriculum for Residency Program (ISPRM Education Committee) 14. Bylaws - Edition 2008 15. Policies and Procedures - Edition 2008 16. Developing the International Society of Physical and Rehabilitation Medicine Page 4 Page 5 Page 11 Page 13 Page 16 Page 35 Page 39 Page 60 Page 71 Page 72 Page 76 Page 79 Page 88 Page 99 Page 104 Page 118

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ISPRM MEETINGS TAKING PLACE DURING THE ISPRM WORLD CONGRESS

In blue: Harbiye Cultural Center (located near ICEC Congress Centre) In green: ICEC-Dolmabahce Rooms A&B

Saturday, June 13 09.00 -11.00 ISPRM President's Cabinet Meeting (on invitation only) - Fevzi Cakmak Hall 11.00 -13.00 ISPRM Executive Committee Meeting (on invitation only) - Fevzi Cakmak Hall 13.00 -13.30 Light lunch 13.30 -17.00 ISPRM Board of Governors Meeting 1 - Inonu Hall 19.00 Official Opening of the Congress. - ICEC Congress Centrer

Sunday, June 14 09.00 -11.00 ISPRM Congress Committee - Fevzi Cakmak Hall 10.30 -12.00 Developing ISPRM - Hall VI (Dolmabahce Rooms A&B) 13.00 -15.00 ISPRM/WHO Partnership - Hall VI (Dolmabahce Rooms A&B) 15.00 -16.15 Current state of the application of the ICF - Hall VI (Dolmabahce Rooms A&B) 16.30 -17.30 ISPRM Task Force for the ICF - Hall VI (Dolmabahce Rooms A&B) 17.30 -19.00 ISPRM Membership Committee - Fevzi Cakmak Hall Monday, June 15 09.00 -10.30 ISPRM Finance Committee - Fevzi Cakmak Hall Tuesday, June 16 Harbiye Cultural Center (located near ICEC Congress Centre) 13.30 ­ 17.00 ISPRM Board of Governors Meeting 2 - Inonu Hall 17.45 - 18.30 Award Giving Ceremony & Sydney Licht Lecture ­ Hall 1 (ICEC)

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ISPRM BOARD OF GOVERNORS 2008 ­ 2010

Elected during the Board of Governors Meeting in 2008 in Brugge

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ISPRM BOARD 2008 - 2010

PRESIDENT'S CABINET President Past President President-Elect Vice President Secretary Treasurer Ad Hoc Asssistants Assistant Secretary Assistant Treasurer Joel DeLisa Chang-il Park Gerold Stucki Marta Imamura Jorge Lains Martin Grabois [email protected] [email protected] [email protected]; [email protected] [email protected]; Marta Imamura [email protected] [email protected]; [email protected]; [email protected]

Marco Franceschini John Olver

[email protected] [email protected]

Honorary Presidents & Council of Presidents Linamara Battistella John Melvin

chair

[email protected]; [email protected]; [email protected]; [email protected] [email protected]

EXECUTIVE COMMITTEE

Regional Vice Presidents

Europe Caribbean, Latin, Central America Africa & Middle East Asia & Pasific North America & Canada Pedro Cantista Juan Manuel Guzman Gonzalez Nachum Soroker Leonard SW Li Walter Frontera [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]

Representatives of the Members

Active Individual Members Mark Young Maria Amparo Martinez Assucena Active National Societies Members Gulseren Akyuz Alessandro Giustini [email protected]; [email protected] [email protected]; [email protected] [email protected] [email protected]

Representatives of the ISPRM World Congresses

2009 - Turkey 2011 - Puerto Rico 2013 - China Onder Kayhan Veronica Rodriguez Jianan Li [email protected] [email protected] [email protected]; [email protected]

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Members Representing Active National Societies Members

Country Society Representative Email Representative

Argentina TBD Australasia Andrew Cole Austria Wicker Anton Bangladesh Mohd. Taslim Uddin Belgium Martine De Muynck Brazil Claudia Fonseca Pereira Canada Colleen O'Connell China CARM Xiaojie Li China CSPMR Wu Zong Yao Chinese Taipei - Taiwan Simon Fuk-Tan Tang Colombia Jorge Eduardo Gutierrez Godoy Cyprus Savvas Apollon Chronis Germany Christoph Gutenbrunner Hong Kong Hobby Cheung Iran Torkan Farzaneh Israel Tzaki Siev-Ner Italy Raffaele Gimigliano Japan Masami Akai Korea Tai Ryoon Han Mexico Elva García Salazar Mongolia Avirmed Baljinnyam Peru Javier Vasquez Meneses Philippines Reynaldo Rey Mathias Poland Andrzej Kwolek Portugal Fernando Almeida Puerto Rico Maricarmen Cruz Romania Liviu Pop Saudi Arabia Maher Saad Al Jadid Serbia Milica Lazovic Singapore Peter Lim Slovenia Klemen Grabljevec Spain Helena Bascuñana Srpska (part of Bosnia Herzegovina) Natasa Tomic Switzerland Rolf Frischknecht The Netherlands Daan Wever Tunesia Catherine Dziri Turkey Dilsad Sindel Uruguay Hugo Nunez Bernadet USA William Micheo Venezuela Joyce Bolanos de Rodriguez 39 countries in good standing for 2007 (and/or 2008)

[email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected]; christoph.gutenbru [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

Members Representing Active Individual Members

Abdullah Eyadeh Alberto Esquenazi Andrew Haig Anthony Ward Areerat Suppittitada Bryan O'Young Calogero Foti Catarina Branco Crt Marincek David Cassius David Fletzer Eli Isakov Franco Cirillo Franco Franchignoni Frank Bonner Gordana Devecerski Gunes Yavuzer Guy Vanderstraeten Hugh Dickson Iuly Treger Jifang Qiu Jose Jimenez Juan Lacuague Keng He Kong Marcelo Riberto Mark Lissens Matilde Sposito Meeta D. Peer Mihai Berteanu Montserrat Bernabeu Nicholas Walsh Nicolas Christodoulou Peter KW Lee Sae-il Chun Thomas Bochdansky Tiebin Yan Veronika Fialka-Moser Zaliha Omar [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

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ISPRM Committees

Audit & Finance Martin Grabois Linamara Battistella Masami Akai Jorge Lains Jianan Li John Olver David Fletzer Awards Chang-il Park Linamara Battistella Gunnar Grimby Veronika Fialka-Moser Jose Jimenez John Melvin By-laws John Melvin Leonard S.W. Li Jianan Li Jose Jimenez Franco Franchignoni Mark Lissens Anthony Ward Congress Guy Vanderstraeten Veronika Fialka-Moser Dilsad Sindel Deog Young Kim Jorge Lains Gulseren Akyuz Marta Imamura Veronica Rodriguez de la Cruz Educational Marta Imamura Masami Akai David Cassius Alain Delarque Franco Franchignoni Henry Lew Seong Woong Kang Nachum Soroker William Micheo Simon Fuk-Tan Tang Bryan O'Young Juan Lacuague Torkan Farzaneh Andrew Cole Gunes Yavuzer Jean-Michel Viton Li Xiaojie Int. Education and Development Fund Chang-il Park Joel Delisa Gerold Stucki Marta Imamura Nicolas Christodoulou

Int. Exchange Experts Mark Young Bryan O'Young Charles Knoll Hugo Nunez Bernadet Peter Lee Iuly Treger Calogero Foti Meeta D. Peer Torkan Farzaneh Amparo Martinez Elena Plukhin [email protected]; [email protected] [email protected] ck[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] ex-officio [email protected] chair

chair

[email protected]; [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

chair

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[email protected] [email protected] [email protected]; [email protected] [email protected] [email protected]

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Membership Christoph Gutenbrunner Masami Akai Jose Jimenez Gulseren Akyuz Amparo Martinez John Olver Marco Franceschini Veronica Rodriguez Nominating Chang-il Park Linamara Battistella Gulseren Akyuz Maria Amparo Martinez Assucena Anthony Ward Joel DeLisa Gerold Stucki Nobu Ishigami Publications Committee Walter Frontera Website Nachum Soroker Leonard SW Li Marta Imamura Mark Young Andrew Haig Deog Young Kim Yaron Sacher News & Views Nicholas Christodoulou Leonard SW Li Jorge Lains Jianan Li Journal Franco Franchignoni Stefano Negrini Walter Frontera Gunnar Grimby Sponsorship Jorge Lains Mark Lissens Martin Grabois John Melvin Jianan Li Gülseren Akyuz Christoph Gutenbrunner Mihai Berteanu Chang-il Park Thomas Bochdansky WHO Gerold Stucki John Melvin Mathilde Sposito Pedro Cantista Juan Mauel Guzman Gonzalez Nachum Soroker Leonard SW Li Walter Frontera chair [email protected] [email protected] [email protected]; [email protected]; [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] chair [email protected] [email protected] [email protected] [email protected] chair [email protected] [email protected] [email protected] [email protected]; [email protected] chair [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]; [email protected] chair [email protected] chair chair [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]

[email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected]

Chair

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ISPRM Liaison

AMLAR Bone and Joint Eur. Society and the EUMS Matilde Sposito Nic Walsh Henk Stam Chritoph Gutenbrunner José Jimenez Amiram Catz Michael Priebe Nicholas Christodoulou John Melvin Matin Grabois Andrew Haig [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]; [email protected]; [email protected] [email protected]

Historian of the Society Int. Spinal Core Data Set

Mediterranean Forum Osteoporosis Foundation Rehabilitation International Subsaharan Africa

ISPRM ORGANISATIONAL STRUCTURE TASK FORCE

John Melvin Gerold Stucki Alessandro Giustini Jose Jimenez Matin Grabois Jorge Lains Nobu Ishigami Jianan Li Hugo Nunez Bernadet Gulseren Akyuz Chang-il Park Chair [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]; [email protected]; [email protected] [email protected] [email protected] [email protected]; [email protected] [email protected] [email protected] [email protected]

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ISPRM Board of Governors Meeting

Saturday, 13 June 2009 at 13.30 hrs Istanbul, Turkey Fevzi Cakmak Hall

1. Executive Board reports

1.1. Welcome & last minute information by the President 1.2. Approval of Minutes of the 2008 Meeting (Brugge) 1.3. Approval of the Agenda of this meeting 1.4. Report of the President 1.5. Report of the Past President 1.6. Report of the President-Elect 1.7. Report of the Vice President 1.8. Report of the Secretary 1.9. Report of the Treasurer 1.10. Report of the Honorary President & Council 1.11. Report of the Regional Vice Presidents 1.11.1. Africa & Middle East 1.11.2. Asia & Pacific 1.11.3. Europe 1.11.4. Central & South America 1.11.5. North America & Canada 1.12. Report of the Representatives 1.12.1. Representative of National Societies 1.12.2. Representative of Individual Members Joel DeLisa Joel DeLisa Joel DeLisa Joel DeLisa Chang-il Park Gerold Stucki Marta Imamura Jorge Lains Martin Grabois Linamara Battistella Nachum Soroker Leonard Li Pedro Cantista Juan Manuel Guzman Gonzalez Walter Frontera Gulseren Akyuz & Alessandro Giustini Mark Young & Amparo Martinez

2. Report by the Executive Director 3. Committee Reports

3.1. Audit and Finance Committee 3.2. Award Committee 3.3. Bylaws Committee 3.4. Congress Committee 3.5. Educational Committee 3.6. International Education and Development Fund 3.7. International Exchange Experts 3.8. Membership Committee 3.9. Nominating Committee 3.10. Publications Committee 3.10.1. Website 3.10.2. New & Views 3.10.3. Journal 3.11. Sponsorship Committee 3.12. WHO Committee

Werner Van Cleemputte

Martin Grabois Chang-il Park John Melvin Guy Vanderstraeten Marta Imamura Chang-il Park Mark Young Christoph Gutenbrunner Chang-il Park Walter Frontera Nachum Soroker Nicolas Christodoulou Franco Franchignoni Jorge Lains John Melvin & Gerold Stucki

4. Liaison Officers' Reports

4.1. 4.2. 4.3. 4.4. AMLAR Bone and Joint European Federation, Board and Union (EUMS) Historian of the Society (new appointment) Matilde Sposito Nicolas Walsh Christoph Guttenbrunner & Henk Stam William Peek & José Jimenez

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4.5. 4.6. 4.7. 4.8. 4.9.

Intern. Spinal Cord Injury Data Set Mediterranean Forum NOF Rehabilitation International Subsaharan Africa

Amiram Catz & Michael Priebe Nicolas Christodoulou John Melvin Martin Grabois Andrew Haig

BREAK at 15.30 hrs

5. Official Journals of the ISPRM 6. Registration of the ISPRM

6.1. as a non profit organisation ? 6.2. of the name and the logo 6.3. responsibilities of the board members

Franco Franchignoni Jorge Lains

7. ISPRM Congresses

7.1. 7.2. 7.3. 7.4. 7.5. 7.6. 7.7. The 2009 Congress in Istanbul Gulseren Akyuz The 2011 Congress in Puerto Rico Veronica Rodriguez The 2013 Congress in Beijing Jianan Li Publication of abstracts of the ISPRM World Congresses Joel DeLisa Congress profit split and implementation in the bylaws Jorge Lains World Congress contract policy Joel DeLisa Venue selection for the 2015 congress Werner Van Cleemputte 7.7.1. Presentation of the candidates (in alphabetical order): 10 minutes each 7.7.1.1. Berlin, Germany 7.7.1.2. Cancun, Mexico 7.7.1.3. Ljubljana, Slovenia 7.7.2. Voting 7.7.3. Presentation of the winning candidate 7.8. Future of the ISPRM World Congresses Gerold Stucki 7.9. Involvement of the Central Office in the ISPRM World Congress Gerold Stucki

8. Other congresses

8.1. National Societies 8.2. AMLAR ­ by Jorge E. Gutierrez 8.3. Collaboration with other congresses and societies as there are: PAHO, European Federation, Amer. Academy, Japanese Congress, South East Asian Congress, Austral-Asian, Mediterranean Congress, Cono Sur (South America) and others.

9. Other Business

9.1. Foundation (M. Grabois) 9.2. Executive Committee review of membership, officers, and their terms 9.3. ISPRM Interim Board Meeting 2010 & Following 9.4. Collaboration with physiotherapy societies Martin Grabois Martin Grabois Jorge Lains

9.5. New honorary members of the Italian Society of Physical and Rehabilitation Medicine (SIMFER)

End of the Meeting ­ 17.30 hrs

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Report of the President

Joel A. DeLisa

ISPRM continues to grow and mature. I had specific charges to each committee, and established two new task forces-- Organizational Structure Task Force (John Melvin, Chair) and Central Office (Christoph Guttenbrunner, Chair). I am impressed by the amount of dedicated hard work these individuals and their committee/task force members have accomplished. Our website is up and functioning--a specific thanks to Nachum Soroker and Leonard Li, as well as the other committee members. We proved that we could carry on important business by email in between meeting with our selection of Limassol, Cyprus as the host for the Interim meeting in 2010. With respect to the website, we still need to resolve the update responsibility and the missing photos/permission to display issues. I must thank Marta Imamura and her Education Committee for their energy and productivity. They produced a draft minimum curriculum for Acquired Brain Injury and Spinal Cord Injury. They have drafted minimum curriculum on Research. ISPRM needs to develop an approval process for these types of important documents. I have agreed that they will be published in News and Views but marked `draft', as well as requesting member feedback. I have suggested that the articles be submitted for peer review and publication to The Journal of Rehabilitation. Another option is to have the Publications Committee serve as the approving body. If this option is selected, they would need the ability to have ad hoc members depending on the "white paper" content. The Education Committee has also contributed evidence based alerts which has been vetted by the Publications Committee and posted on our website. The Education Committee has raised the issue of special interest groups. They have developed draft criteria. I have placed this on the President's Council agenda for discussion of the concept, and implementation issues. We added a second official DRJ for 2009. We need to decide whether we have one or more official journals as this has financial implications to the Society. We also need to develop a policy on how to deal with journals that want closer collaboration. We have asked the Sponsorship Committee (Jorge Lains, Chair) to re-evaluate our fee structure and suggest modifications, as well as develop a plan to increase the number of sponsors and the revenue from them. The Congress Committee had made recommendations for additional criteria and content for our Congresses from 2015 and beyond. These were incorporated into our request for applications to host the 2015 meeting. These are: 1. The Conference is sponsored/supervised/implemented by an established professional/academic or clinical entity. 2. The program, venue and infrastructure are supported by a committed staff. 3. Plans for the Conference are completed at least four (4) months prior to the event. 4. The costs and or losses of the Conference are backed by an organization with sufficient resources for the commitment. 5. ISPRM assumes no financial responsibility, other than to communicate, regarding the Conference through News & Views. I have also asked the Congress Committee to develop criteria for officially endorsed pre and post conferences. We are developing a contract with China with respect to the 6th World Congress (2015). A number of legal issues have arisen which we are working on: 1. Should we trademark our logo? 2. No one has legal signature authority for our Society. Currently our Secretary signs our documents, such as Journal contracts, for the Society. The current Belgian incorporation structure does not allow Werner to sign for us. We need to find out what it takes and how much it will cost to have our Executive Director have signature authority. We have asked the Office Task Force Chair, Christoph Guttenbrunner, and our Treasurer, Marty Grabois to evaluate and make recommendations with respect to this issue. 3. Currently ISPRM has no one on retainer to provide us with legal advice. We try to obtain pro bono advice when needed. Should we have someone on retainer? Can we afford it? 4. We do not have Officers and Directors Liability Insurance. Is it necessary in Europe? And if so, what is the cost? William Peek has resigned as the Society Historian. Jose Jiminez has been appointed as our new historian. Communications is always key in the Society. The President's Cabinet can make decisions between meetings. These need to be affirmed or modified at the next face to face meeting by the Executive Committee. The Board of Governors receives reports, approves officers, meeting sites, by-law changes, dues/fees increases, assessment etc. I am anxious to see Professor Melvin's Organizational Task Force recommendations. I want to thank John Melvin for the help and advice he has provided during the first year of my presidency.

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Report of the Immediate Past President

Chang-il Park See committee reports

Report of the President-Elect

Gerold Stucki See WHO Committee

Report of the Vice President

Marta Imamura

Since the last Board of Governors meeting held in Bruges, Belgium, on May 2008, our main task was to follow the actions at the President's Cabinet and also of the Regional Vice-Presidents, especially in Latin America. We have participated of most Regional Congresses held last year, except in the Middle East and Africa: Asia Oceania: Nanjing, China; Europe: Bruges, Belgium; USA: San Diego, and Latin America: Punta del Este, Uruguay. We also participated in the strategic plans for the future development of the ISPRM and emphasized the importance of the active networking, especially in the areas of education and improvement of our clinical research capacity.

Report of the Secretary

Jorge Lains

Since my nomination as ISPRM Secretary in Brugge, I had the friendly, unique and always available help of Prof. Leonard Lee, Past-secretary. My thanks! I also would like to emphasize the permanent availability of Mr. Werner Van Cleemputte. Several are the tasks where the Secretary has been involved. The most relevant to be reported: 1. Interim ISPRM Meeting The BOG approved the voting process by internet, "option A" where the Secretary and the Central Office became responsible for directly collect the votes and to announce the final result. Both had the responsibility to keep in secret each and every vote. The President Cabinet approved the Call for submission of proposal to hold 2010 Interim Board Meeting. The voting process occurred nice and smoothly and in accordance with the schedule. The winner was the Mediterranean Forum PRM Congress, to be held in Limassol, Cyprus, September 29 ­ October 2, 2010. 2. Legal Issues During the last year several legal issues were raised. · Legal designation of Central Office ­ our legal current registration status in Belgium is being clarified · Logo/trademark: ISPRM Logo isn't protected by copyright. This is expensive and probably not enough efficacious to protect our Logo. · Signature authority: The ISPRM contracts must be signed. Who has signature authority for ISPRM - President, Executive Director, Treasurer, Secretary? Some items may/should require two signatures. · Directors' and Officers' insurance: who is responsible for any payment if ISPRM can't do it? It is necessary an insurance to protect and prevent from possible compensations. · Legal retainer: we should have someone on legal retainer. 3. World Congress The Requirements for application to hold the ISPRM World Congress were prepared by the Congress Committee and published in the N&V issue (in attach). As Prof. Jose Jimenez mentioned, "this is a change/amendment of the Policies and Procedure X, titled World Congress." The Congress Committee is working on a proposal to update Policies and Procedures X, Paragraphs 5. Financial Responsibilities and 6. Disposition of Final Balance.

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The Paragraph 5.2 of the Requirements for application to hold the ISPRM World Congress states that "a contract must be drawn up between ISPRM and the National Society and signed not less than 4 years before the congress by the President, Treasurer and Executive Director of ISPRM on the one hand and by the Chairman of the LOC and the President of the local hosting National Society on the other hand". When China was voted to host the 2013 ISPRM World Congress the requirements to host a ISPRM World Congress were different from those that were updated and approved by the Congress Committee, published in the News and Views. So, it will most important that the contract to be signed by between ISPRM and the Chinese colleagues is the result of a dialogue and consensus". I am certain that we can arrive to a consensus about the contract with our colleagues from China, but we need a contract for all future Congresses. On the other hand, the ISPRM Congresses are the resource where we can increase our incomes and membership. We can't continue increasing the fees of our membership. We need to assure that the ISPRM Congresses progressively become an "ISPRM organization". The Central Office can and should play a central role in these World Congresses. 4. Membership The Italian colleagues had the idea of the "combined membership". In the near future, all nations should choose this option for ISPRM membership. In 2009 up until the present, we have combined membership from Australia, Columbia, France, Portugal and Thailand and the Chinese Societies. Probably Hong Kong and Belgian Societies will also choose the combined membership. We must continue pushing forward and hard our colleagues representing the National Societies to opt for the "Italian Model". 5. Official Journals Disability and Rehabilitation Journal and Journal of Rehabilitation Medicine ISPRM arrive to an agreement and signed contracts with both our official Journals, thanks the efforts of Prof. Leonard Lee and the good will of the Journals. Both are available through our website for all the ISPRM members in good standing, due to the excellent work done by Prof. Nachum Soroker and the Website subcommittee. Website 1) Updates The website became the most important link between the ISPRM members and an unique tool to access to relevant information. One major advantage of being an ISPRM member in good standing is the ability to get free access to the electronic version of the Disability and Rehabilitation Journal and Journal of Rehabilitation Medicine. Updating the website is a huge task and need a lot of time available for doing it. This task is being done by Prof. Nachum Soroker and the Website subcommittee but is too time consuming. 2) Photos After Seoul it was decided to have photos from real patients. Some questions appear about possible legal issues on using these photos. The possibility for using them depends on the country and, in accordance with a friend lawyer, at least in Portugal we only need a written consent. 3) History The Society has Active File recording past and future history of the International Society of Physical and Rehabilitation Medicine. This file has the following chapters: (1) Creation of the ISPRM. (2) History of the International Federation of Physical Medicine and Rehabilitation. (3) History of the International Rehabilitation Medicine Association. (4) Subsequent Chapters to be written every two years with a summary of the activities of the ISPRM during each period and (5) Honours and Awards The Historians were Dr. José Jimenez (1999 ­ 2004); Dr. William Peek (2004 ­ 2009). Dr. Peek asked for his resignation during January 2009. The new ISPRM historian is Dr. José Jimenez. He worked a lot writing the Archives and History of ISPRM in a single file and presenting important suggestions. It is on discussion the decision to present ISPRM History in one file or in several, as it can be seen in the ISPRM website. 7. Physiotherapy and ISPRM On April 2009, ISPRM received an email form Raija Kuisma, research officer for the UK Chartered Society of Physiotherapy Special Interest Group of Physiotherapists Working Internationally and the President of the European Network of Physiotherapy in Higher Education. Dr. Raija Kuisma was asking for collaboration with ISPRM. We emphasized our availability to change ideas and look for points of common interest and collaboration. We also suggested a meeting during the ISPRM Congress, in Istanbul. 8. Sponsorship fees ISPRM needs to find new and betters ways for funding. Fees must be established for advertising, in particular in the website and/or in the N&V. Comment This report is a very brief and short summary of the actions and tasks that were or are being taken, involving the secretary. The enormous amount of information and tasks performed each and every day by several members of different Committees, e.g. the Publication Committee, the Website Sub-Committee and the Secretary need to be review. ISPRM is growing and needs a professional structure. The World Congresses should become the most important opportunity to further develop our Society. ISPRM must give a step forward and become the "Congress Organizer" 6.

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Report of the Treasurer

Martin Grabois

I enclose the financial reports for the meetings at the ISPRM Congress. This includes the report with the following attachments: 1. Financial Audit Committee Report (June 2009) 2. Terms of Reference Finance and Audit Committee 3. 2006 Audit and Management Letter Updated Grid 4. Audit and Finance Committee Charges Updated Grid The following attachments need to be added: 1. Final 2008 Financials 2. 2009 Budget 3. Proposed 2010 Budget 4. 2009 1st Quarter Financials 5. 2008 Audit The agenda for the Finance/Treasurer's report for the meeting should be as follows: 1. Report of Treasurer (informational) 2. Audit and Finance Grid Update (informational) 3. Finance/Audit Committee June 2009 Grid (informational) 4. Terms of Reference (action item) 5. 2008 Budget (informational) 6. 2008 Audit (action item) 7. 2009 Budget (informational) 8. 2009 1st Quarter Financials (informational)

Report of the Honorary President and Council of Presidents

Linamara Battistella

Report of the RVP Africa & Middle East

Nachum Soroker

The following extract from my report for the Brugge Interim Meeting of the ISPRM BOG in 2008 will serve as an introduction for the current report in which I will concentrate on the status, purposes and intended further development of the ISPRM website. Optimal use of the new website depends on the active involvement throughout the year of various ISPRM officers, as will be explained. From the 2008 report: As we all know, in many countries of the Africa & Middle East region there are no national PRM societies and PRM is not considered a distinct medical specialty. In addition, the infrastructure of rehabilitation services is very poor in most of these countries. As I have reported to the board in the Seoul meeting, part of the people from this region who were once ISPRM members (76 in total; from - Israel, Kuwait, Iran, Egypt, Tunisia, UAE, Saudi Arabia, Lebanon, Qatar, Pakistan, and Libya ­ in descending order), did not renew their membership in recent years. We can hope that this situation will change when the new ISPRM website becomes functional and loaded with attractive educational materials for members only and the advantages of becoming an ISPRM member become more visible and clear to individual rehab people in all countries. Since that report, the new ISPRM website became functional due to the dedicated work of the members of the original taskforce created in the Seoul meeting (Leonard Li, Mark Young, Marta Imamura, Andy Haig, Jorge Lains and myself), followed by the current members of the ISPRM Website Sub-Committee (same persons except Jorge Lains, with the addition since the Brugge meeting of Deog Young Kim from Korea and Yaron Sacher from Israel). Throughout that period there is constant exchange of ideas with Walter Frontera, Chair of the ISPRM Publications Committee and Marta Imamura, in her position as Chair of the ISPRM Education Committee. The central office is becoming more involved with routine website maintenance work including members' list updating and periodic uploading of notes and new issues of News and Views.

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It is certainly too early to assess whether our original expectations from the new website (to serve as a central means for disseminating state-of-the-art P&RM knowledge throughout the world) are likely to materialize or not. Past and current efforts to develop the ISPRM Website are guided by the idea that the website is no less important than the ISPRM World Congresses for the fulfillment of ISPRM mission, and actually may have greater chances to penetrate into regions of the world, especially in Africa, that so far were largely disconnected from the mainstream rehab profession. Exposure, through the ISPRM website, of interested medical personnel in developing countries to rich didactic materials and clinical guidelines, as well as to sources of help in developed countries, is expected to become a leading force in the advancement of P&RM in Africa and the Middle East among other regions of the world. The following report refers to work done with the ISPRM Website from Mid 2008 to Mid 2009. All feedback, suggestions and comments from the members of the ISPRM BOG (please address comments to [email protected] ) are most welcome. We hope to have fruitful discussions in Istanbul with members of the Publication and Education Committees on further developments of the website. Introductory remarks: The new ISPRM website is on air since mid July, 2008. The website uses Daronet (Israel) technology, providing advanced development tools for independent application by the website sub-committee. A satellite site (ROUThost, Houston Tx) is linked to the ISPRM website and serves for holding educational and other large size materials. Routine website maintenance work (keeping members' registry updated, uploading of N&V issues, etc) as well as development work (creating new libraries, uploading educational materials, formation of discussion forums, etc) is done through the website back office, by a limited number of persons who received the formal tuition from Daronet either in Israel or in Belgium. A huge amount of information has already been uploaded and hundreds of internal and external links have been created. Yet, to fulfill the website mission and our original intentions and expectations, much work has yet to be done. Basic website statistics (further data in the Appendix): January 11-17, 2009 Average daily visits 344 Total daily file downloads 199 Unique IPs (week) 1210 Current website status and things-to-do: Things-to-do (maintenance and development work) marked in italics. A. Upper Bar items: 1. About us: Functional and updated. 2. Joining the ISPRM: Functional and updated. The note on registration fees will need updating upon change. 3. Coming world congress: Functional and updated. Content needs replacement every 2 years. 4. Members only: Functional and updated. 5. Contact us: Functional and updated. B. Homepage items: 1. Composite (4 part) picture: The picture elements now displayed clearly pertain to the content world of P&RM. Prof DeLisa asked to replace some of the 4 picture elements so that not only Caucasian patients/therapists are shown. Prof Park and others sent pictures taken in their hospitals with living patients clearly identifiable. This raised the issue of having to obtain a legal permit from patients to use their pictures in the website homepage. The legal aspect has to be cleared. 2. Central message: The message currently displayed relates to the new website and its mission and goals. The content will be revised during the Istanbul meeting. 3. Added items: Three items (message & picture) are currently displayed: - Message from Prof DeLisa on the forthcoming ISPRM Congress (upper). - Message on the forthcoming ISPRM World Congress (middle). - Message from Prof Park on website (lower). · The upper and middle items will be replaced after the Istanbul Congress. · The Lower item will be replaced by another Presidential note upon Prof DeLisa's decision. · Additional new items will be placed when appropriate (announcement of the elected venue of the 2010 interim board meeting; announcement of new website developments with significant benefit to members, etc). 4. Ticker: Five items are currently (May 27, 2009) active: - 1. Note on new evidence-based rehab alerts. - 2. Note on the forthcoming online journal club. - 3. Note on benefits to ISPRM members incl. access to official journals.

May 17-23, 2009 368 234 1264

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- 4. Call for submission of proposals to host the 2015 ISPRM Congress. - 5. Note on the forthcoming meeting of the BOG. · Items #1-3 will be revised by January 2010. · Item #4 will be inactivated after the hosting country is selected. · Item #5 will be inactivated after the Istanbul meeting. 5. Sponsors' corner: Only one sponsor's logo (Allergan) is displayed presently. The Sponsorship Committee / Central Office will inform on any new ISPRM sponsor, so that the appropriate logo can be placed. We recommend that towards the event of a new ISPRM World Congress, when many companies are addressed and recruited for sponsorship, these same companies will be asked to provide continuous sponsorship for ISPRM activities. C. Left Bar items: 1. Logout: Functional. 2. Who is the ISPRM: The library contains 3 folders: 1. Mission. Functional and updated. 2. By Laws and Policies. 3 items functional and updated. a. ISPRM BL ed. 2007. b. ISPRM P&P ed. 2007. c. ISPRM Interim Board Meeting ­ Rules and Regulations (2008). Updating and uploading of new materials will be done upon demand of the By-Laws Committee and/or President Cabinet. 3. Archives and History. There are currently 7different items in this library. Item #5 ­ ISPRM - is updated only until mid 2008. The approved minutes of the 2008 Interim Board Meeting, including the updated list of BOG members and the BOG discussion summaries should be prepared in the exact format of the previous documentation and uploaded to the website. 3. Why join the ISPRM: Functional and updated. 4. Executives and Committees: The library contains 6 folders: 1. President Cabinet. Functional and updated. 2. Executive Committee. Functional and updated. 3. Board of Governors. A new item ­ updated list of members of the BOG and committees - was added to the existing gallery of pictures and affiliations. The list (excel file) was prepared by Werner and sent to NS by October 6, 2008. A few items in the list need updating. The picture gallery also needs to be completed by missing pictures of 9 BOG members. 4. Board of Governors ­ Discussion Forum. Functional and updated. This first BOG forum was created for the event of the election of the venue of the 2010 interim board meeting. Following the conclusion of the e-voting on November 30, 2008 and the election of the venue (Limassol), the discussion forum can be used now for other purposes. A new item placed in January 2009 calls for suggestions/comments from BOG members on that. 5. Regional Vice Presidents. The 5 folders of this library are functional and updated. Some links to regional and national societies should be created. Regional VPs need to review the materials and see what has to be updated. 6. Committees. This library contains 13 folders for the different ISPRM committees. Committee chairs will be asked to check if the info is complete and updated. 5. Members only: Functional and updated. 6. Scientific Congresses and Meetings: The library contains 9 different folders. 1. Coming ISPRM World Congress. Functional and updated. Content to be replaced after the Istanbul meeting in June 2009. 2. 2009 Meeting of the ISPRM BOG. Functional and updated. Content to be replaced after the Istanbul meeting in June 2009. 3. Future ISPRM World Congresses (2011, 2013). Created in January 2009. Purpose ­ to hold information on the future world congresses already decided. This directory should be filled with info pertinent to the San Juan (2011) and Beijing (2013) congresses. Links should be created to the relevant websites. 4. Past ISPRM World Congresses. A brief account and some photos appear in each of the 4 folders (for ISPRM World Congresses I-IV. As these are very important landmarks in ISPRM evolution, there is place for enlarging the coverage of the past congresses, with references probably to accounts made for past issues of News and Views. 5. Conferences Endorsed by the ISPRM. This folder has to be reviewed and updated. Clear criteria for ISPRM endorsement are lacking. 6. Other Scientific Meetings. This folder has to be reviewed and updated periodically. 7. ISPRM Interim Board Meeting. This new folder is functional and updated.

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Following the e-voting of November 30, 2008 and the election of Limassol as the venue for the next (2010) interim board meeting, the directory is now kept to serve future actions related to interim BOG meetings. A note on that was introduced. The info related to the activity that preceded the election of the 2010 venue was left in place as an example. This folder will be updated every 2 years. 8. ISPRM World Congress 2015. Information relevant for candidates to host the 2015 World Congress was placed in this new sub-directory. Further info will be placed when available. Mandatory review ­ following the election of the venue in June 2009. 7. Education: The Education library contains at the present 6 different folders. 1. Educational Materials for the General Public. The folder has only a few phrases (on what is P&RM). The Education Committee is asked to look for appropriate materials that can be accessed by linking, with information relevant to the general public. It will be good if appropriate material is placed also in the website (not through linking to other sites). 2. Discussion Forums for ISPRM Members. Discussion forums have been opened in April 2009 to enable complementary offline discussion following the online sessions dedicated to guidelines formation. Unfortunately people don't tend to use these forums. For discussion: Opening SIG educational forums. Such forums when coordinated by responsible people can be very useful for allocation of PRM specialists sharing the same scientific interests, facilitating multi-center joint research, sharing opinions and providing advice on clinical issues (including problematic cases), etc. We can do it in no time and it will be available to all ISPRM members with no technical barriers. There is no limit to the number of SIG forums we can open, and these may be dedicated to broad or to more restricted issues. Headings like: Stroke Rehab, Cognitive Rehab, Brain Plasticity, Pain Management, LBP, FIM, ICF, etc, may all be used. Time will show what is continuously alive and attractive and what is not (then closed). It is important I think to nominate an authoritative person to coordinate the activity of each such SIG. I suggest that in the beginning, until experience is gathered, all educational SIGs will be for PRM clinicians and scientists (MDs and allied professions) - not for the wide public (this can be added later, in a Q&A format). I suggest to announce every new SIG - when ready to be activated in the website - through mail campaigns to ISPRM members, and in addition through the national and regional organizations to all their members, so as to reach as many as possible of the international PRM community (PRM doctors and allied professions). This is likely to attract new people to the ISPRM and increase membership, which is very important. 3. Educational materials for ISPRM Members. This folder contains educational materials classified in a systematic manner, including a new library created in may 2009 for ISPRM Educational Reviews and Monographs. · The exact mechanism of educational material selection, approval and uploading, using temporary hosting in the website and final placement in the ROUThost server, has to be discussed further. · Transfer of heavy files to ROUThost has begun with placement of various articles in PDF format in special ROUThost libraries for the purposes of Guidelines' formation (linked from the JC library). · Links to external sources ­ The first link was established in Jannuary 2009 (to the ICF-oriented site of the Swiss Paraplegic Society). Further links to be created. · It will be good to create a form to be sent to copyright holders of published articles that are of special interest, so that such articles can be uploaded to the website in pdf format. 4. Student Educational Exchange. This folder connects to the original website constructed by Mark Young. MY reviews the contents of his site and the need to keep the separate site. 5. Journal Club. A new format was given to this folder. We expect to get from Marta Imamura the list of webpages where the records of past meetings are held, so that through appropriate linking these meetings can be viewed offline. Recently, with the work on guidelines formation links were created to the libraries in ROUThost where we hold the relevant literature for this work. 6. Evidence Based Rehab Alerts. A new library created in 2009 to hold alerts on evidence-based work relevant to P&RM. Updates are received now on a monthly basis. 8. Publications: This library contains currently 3 folders. 1. News and Views. All items of 2002 to 2009 are placed here. We intend to transfer all issues except those of the current year to ROUThost. New issues of N&V are uploaded regularly by the central office and a mail campaign is sent to all ISPRM members to announce that. 2. ISPRM Official Journals. Links to the 2 official journals ­ JRM and D&R - are functional for members only. 3. Other Publications. No items there. 9. Resources: Many useful external links have already been created. As the number of valuable resources is expected to increase, it will be useful to organize the resources in some meaningful categorical manner, providing a one-phrase explanation on the content of each resource. 10. Subscribe: Functional and updated. 11. Support Global Rehabilitation: Functional. It might be good to review the exposition of the matter in this page, especially if it fails to recruit support.

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Routine maintenance and updating work: The main aspects of routine maintenance work are: 1. Keeping the back-office registry of (1) ISPRM members and (2) members of the BOG and committees - always updated. This is crucial for the smooth operation of BOG discussion forums, educational SIG forums, mail campaigns, etc. 2. Helping members having difficulties accessing members-only zones who approach the central office via contact us. 3. Updating the contents of the JC folder in strict accordance with the format set for this folder and creating the appropriate links to externally placed records of past JC meetings and relevant articles in ROUThost. 4. Uploading of approved minutes of ISPRM board meetings into the Archives and History folder, in consultation with the ISPRM historian, and editing the material in the back office to correspond in style to the format of the existing older files. 5. Keeping always updated the lists of members of the BOG and committees and their related info (pictures, email addresses) available in the Executives and Committees folder. Taking care to complete missing elements in these lists. 6. Uploading new issues of N&Vs. 7. Sending mail campaigns from the website to announce new JC meetings, new issues of N&Vs, and other things of importance. 8. Keeping the calendar of scientific events updated (as in N&Vs). Issues and ideas that need to be discussed further in Istanbul: Various issues related to development of new website activities and further tuning of current operations have been mentioned above. Here is a list of other issues necessitating further discussion: 1. Walter Frontera's suggestion for a 3 step process to be followed for each submission to the website: 1) All submissions including news, articles and other educational material will be submitted to the Chair of the Website Subcommittee; 2) The Chair of the Website Subcommittee will discuss the submission with the Chair of the Publications Committee; 3) If approved, the new information will be posted on the website". NS comment: Is this 3stage procedure necessary for educational material already checked and approved by Marta and Walter? 2. Walter Frontera (Workplan, 2.10.08): The responsibilities of the Website sub-committee are: To contribute to the design of the website. To review its content on a regular basis and identify outdated material. To solicit and review new material submitted for publication. To upload materials approved for publication. NS comment: It should be the responsibility of committee chair persons, regional VPs and other ISPRM officers to perform a periodic review of the contents under their direct responsibility. The website SC will help the responsible officers to perform the necessary changes in the website. Saying that, the website chair will yet approach ISPRM officers whose materials seem to be outdated with a request for review and updating. 3. Making use of the website mail-campaign capability to enhance the participation in ISPRM life of members and registered visitors who are not (yet) members; to ask ISPRM officers to review their personal data, etc. 4. In-depth discussion should be continued with Marta Imamura concerning developments of new educational operations, in accord with the content of the Workplan for the Education Committee (October 7, 2008). Among these issues: a. How the website can help with the World Action Plan on Initial Education in PRM (WAPIE.PRM), aimed to be an international expansion of the European work plan for initial PRM education, with 3 main objectives: (1) to present handicap and the ICF to the medical trainees of all the medical schools during their undergraduate program; (2) to facilitate access to the best level of education in PRM for the PRM trainees during their postgraduate teaching and training programs; (3) to facilitate access to research and research activities to the PRM trainees. The revised objectives have been defined as follows: (1) create an undergraduate and postgraduate minimum curricula endorsed by ISPRM that could be used in an international level; (2) facilitate access to the best level of education in PRM for the PRM trainees during their postgraduate teaching and training programs; (3) facilitate access to research and research activities to the PRM trainees. A survey of existing PRM programs is ongoing. b. Publication of monographs and other educational materials in the website. Clearance of copyright issues. Prof. Gunnar Grimby, JRM Chief Editor has agreed to publish a series of educational articles, filling the gap between textbooks and scientific papers, starting in 2008. Dr Stefano Negrini also agreed to publish an educational article for EJPRM. c. How the website can help achieve the goal of facilitating trainees getting access to PRM research activities. d. How the website can help create and make known a list of training opportunities in P&RM endorsed by the ISPRM. The European colleagues have already provided a list with 70 training sites. The committee is still working in the other regions.

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Appendix: Essential statistics of the ISPRM Website during the week of May 17-23, 2009. Domain Name: isprm.org

Statistics Hits Total Hits Total Cached Hits Average Hits Per Day Average Hits Per Hour Average Hits Per Visitor Average Data Transferred per Hit Visitors Total Visitors Average Visitors Per Day Average Time Spent Average PageViews per visitor Average Downloads per visitor Average Data Transferred per Visitor Uniq IPs Total Uniq IPs Visitors Who Visit Once Visitors Who Visit more than Once PageViews and Downloads Total PageViews Average PageViews Per Day Total File Downloads Average File Downloads Per Day Total Images Average Images Per Day Total failed requests Total Incomplete File downloads requests Number of visitors bookmarked your web site Bandwidth Total Data Transferred Average Data Transferred per Day 43954 1365 6279 261 17.0 25.5 KB 2582 368 294 Seconds 3.35 0.63 433.6 KB 1264 952 312 8662 1237 1639 234 23967 3423 0 277 523 1.07 GB 156.18 MB

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Report of the RVP Asia Pacific

Leonard SW Li

Report from Region Vice-President (Asia and Oceania): Leonard S.W. Li First of all, I would like to express my gratitude to Prof. Walter Frontera who drafted up the "Terms of Reference for the Role of Regional Vice-President", which was further enhanced by Prof DeLisa and Prof. Haim Ring. This helped me a lot when taking up this position to avoid wandering the exact charges for the position. Liaison with Regional and National Societies The Asia-Oceanian Society of Physical and Rehabilitation Medicine (AOSPRM) is the newly established PRM Society in the Asian and Oceanian region. The first regional conference was held in April 2008 in Nanjing, China with about 800 attendees including 60 invited speakers from various parts of the world. It was a success and will be continued as a biannual event. The 2nd regional conference for AOSPRM has been scheduled to be held in Taipei on April 30 ­ May 3. The expected attendees will be around 1,000. Prior to the existence of AOSPRM, there were lesser scale of academic and training exchange such as the joint conference between Japan and Korea, and the PMR conference within the countries of ASEAN (Association of South East Asian nations). With the establishment of AOSPRM, the PMR specialists within this region have communicated more closely and frequently for further promotion of PMR Specialty. As AOSPRM is relatively green when compared with those regional PRM societies outside Asia-Oceania, there is a lot of work to catch up to strengthen the structure and academic activities of the Society. Close linkage with ISPRM and other regional societies is one of the approaches that AOSPRM is adopting for the Society to grow in a faster pace. With the good will and initiation from Prof. Alessadro Giustini, inter-regional collaboration has been discussed and Asia-European sessions or workshops will be established in the coming biannual regional meetings to facilitate the academic exchange between the 2 regions. Team work is one of the emphases in our region. In last one year, I have been liaising closely with Prof. Tairyoon Han, current President of AOSPRM for the work in our region. The following views are put forward by the AOSPRM: 1. Relationship between ISPRM and AOSPRM ISPRM and AOSPRM are 2 organizations with different administration and financial support. However, it was misunderstood by some physiatrists outside Asian and Oceanian region that AOSPRM was a regional branch of ISPRM. Probably, the support from the ISPRM President cabinet towards the 1st Regional Conference, and facilitation of the Retreat of ISPRM President cabinet after the Nanjing conference might give the false impression that ISPRM and AOSPRM were one organization. This actually reflected the views of some physiatrists in our region at the time of establishing the AOSPRM that there should be a close relationship between the regional and international PRM societies. 2. Relationship between Regional Vice-President (Asia & Oceania) of ISPRM and President of AOSPRM With our past year experience, the close collaboration between these 2 positions is important to achieve promotion of the Specialty within the region and linking up with international community. A proposal, supported by all Council members of AOSPRM, is to have the Past President of AOSPRM to be nominated to take up the position of Regional Vice-President (Asia and Oceania) of ISPRM. If this mode of practice is also agreeable by the Board of ISPRM, it is expected to start in the next election for ISPRM office-bearers. National Societies and ISPRM Membership There are 20 countries or special administrative regions in AOSPRM. With these 20 members, only 15 have the national PRM associations, within which only India has not been the national member of ISPRM. It reflects that there are still needs for the Specialty of PRM to develop and grow in countries within our region. In last one year, I visited and attended conferences in Asian countries including Malaysia, Iran, Japan, China, Taiwan and Philippines. Some issues were discussed with various national members: 1. New dues structure of ISPRM, which was still not fully understood by some countries. 2. New website, the functions of which are still not known by many members. Further promotion on these aspects needs to be done. 3. Possibility for collaboration between national and international websites and journal clubs, which needs further evaluation before coming into practice. Participation in WHO activities Two activities related to WHO projects that I have participated in last 1 year were 1. Asia-Pacific Consultative Meeting for WHO "Book on Disability and Rehabilitation" After this consultative meeting which was held in June 2008, I perceived that there should be an urgent needs for ISPRM, as an international society of PRM specialists, to provide definition for some common terms related to PRM such as "medical rehabilitation", "rehabilitation and physical medicine", "rehabilitation specialist".....etc. These common terms should be readily available for quoting from the ISPRM website for "public and general education".

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2. Participation in the "WHO SCI book" A project was initiated by the DAR section of WHO and International Spinal Injury Society to publish a "WHO SCI book". As introduced through Prof. John Melvin, I participated in this project, which was led by Prof. J.E. Bickenbach in Switzerland. An international survey was performed in my participated chapter. The survey could be done extensively only through the good networking of ISPRM. I would express my sincere thanks to those ISPRM members and Regional VicePresidents participated. The main objective that I bring up this piece of work is to comment that the networking of ISPRM is one of the important assets in promoting the Specialty, research work and rehabilitation services globally. More cohesive networking for international work and participation is another important direction for ISPRM to grow. Post-earthquake rehabilitation in China Involvement in regional rehabilitation service is outside the terms of reference for the work of a Regional Vice-President, but it does reflect the importance of ISPRM as an organization with experts of PRM in any regional humanitarian work related to rehabilitation.. During the 1st AOCPRM in Nanjing last year, some members of President Cabinet led by Prof J. DeLisa had a meeting with the semi-government officials in Chinese Association of Rehabilitation Medicine to discuss the potential needs of postearthquake rehabilitation in Sichuan. Further follow-up after this meeting were as follows: 1. A study trip to USA by the staff and architect of a Sichuan Hospital Through Prof. Jianan Li and me linking up with the Faculty Student International Exchange Committee of ISPRM (Operation Global Goniometry), Dr. Mark Young and Dr. Bryan O'Young assisted a team of physiatrists, administrators and architect from a hospital in Sichuan to visit several Medical Rehabilitation Centers in USA. The purpose of visit was to facilitate them to acquire ideas to build a new rehabilitation department partly for the post-earthquake service and partly for long-term development of hospital rehabilitation services within Sichuan province. 2. Training of rehabilitation professionals for CBR (Community-based Rehabilitation) services in Sichuan and other part of China The WHO collaborating centre for rehabilitation of Hong Kong Society for Rehabilitation, which is a non-academic charity organization in Hong Kong, is applying a funding for providing rehabilitation services and training in the community level in Sichuan and other less well developed part of China. The Chinese Association of Rehabilitation Medicine through Prof Jianan Li and Hong Kong Association of Rehabilitation Medicine through me have pledged support to develop this coming service. Once the funding is confirmed, physiatrists other than those in China and Hong Kong will be invited to assist. I will link up with the Faculty Student International Exchange Committee of ISPRM (Operation Global Goniometry) for volunteers from ISPRM to participate in these series of training workshops when the logistics of the project is confirmed and preceded.

Report of the RVP Europe

Pedro Cantista

In this document I will refer the most relevant facts concerning Europe's activity in the field of PRM that occurred after the date of my last report, written in the14th September 2008, which may be consulted in our website - www.isprm.org As ISPRM members already know from our previous reports the cooperation of European countries within our specialty lies essentially on the work of three main PRM Organizations: - The European Academy of PRM - The Union Européènne des Médecins Spécialistes -UEMS (PRM Section and Board) - The European Society of Physical and Rehabilitation Medicine - ESPRM. Besides these institutions a lot of work is also produced by two other Regional PRM Associations: - The Mediterranean Forum of PRM - www.mfprm.org and more recently - The Baltic & North Sea Forum of PRM - www.baltic-forum-prm.com Finally the National Societies and the National Boards deserve a special reference here, regarding their special role in PRM education, research, professional practice and organizing activities. In our area of the ISPRM website you may link with all these European Organizations and National Societies and you also may find the names of their delegates as well as their addresses and contacts. In an overall perspective we may say that the will to cooperate with ISPRM is increasing within European PRM organizations. One sign of this is the fact that the French Society SOFMER will become an ISPRM member choosing for the combined membership modality. The SOFMER has around 400members. Now it is the time to establish better channels of communication between Europe and other international PRM bodies once a lot of work is already beeing done.

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Next I will very shortly synthesize the activities and orientations defined in the last meetings of European organizations. The main issues that concern to PRM in Europe are those discussed during the General Assembly of the UEMS PRM Section and Board and in the ESPRM meetings. Thus I will include in this report a short overview of the agendas of those meetings so that ISPRM Members may have an idea of what's going on in Europe, the problems we discuss at present time, our goals, strategies and achievements.

SECTION OF PHYSICAL AND REHABILITATION MEDICINE OF THE EUROPEAN UNION OF MEDICAL SPECIALISTS (UEMS) GENERAL ASSEMBLY IN CAMBRIDGE ­ U.K. MARCH 19 TO 21, 2009 Our hosts at this meeting were Prof. Anthony Ward and Dr. Vera Neumann, who are the British delegates in the UEMS PRM Section & Board. The meeting was held at the "Clare College". It was be chaired by Pr. Alain Delarque, President of the PRM Section. The Secretary General of the UEMS PRM Section & Board is currently Prof. Nicolas Christodoulou. We were honoured by the presence of the Secretary General of the UEMS, Dr. Bernard Maillet. We had also with us the Editors in Chief of 5 Journals of our speciality. They presented us the activities of their journals and we discussed with them ways for closer co-operation with the Section and Board. Following the several addresses given by the Heads of the Section, Board and Committees, we had the presentation of the new delegates. The workshops of the Board (education) chaired by Pr. Franco Franchignoni, of the Clinical Affairs Committee chaired by Dr. Georges De Korvin and the Professional Practice Committee chaired by Pr. Christoph Gutenbrunner prepared a lot of dossiers discussed and voted at the end of the General Assembly. The main topics of our work in this European PRM Body that may give an idea of the projects that are going on at this time: PARTICIPANTS: All National Delegates of countries, which are members or associated members of UEMS and Experts for the Board. MEETINGS: Joint meeting UEMS PRM Section & Board Executive Committee UEMS PRM Section & Board General Assembly (Plenary Session): - President's address (Alain Delarque) - Presentation of new countries and new delegates. - Secretary's report & validation of Riga minutes (N. Christodoulou). - Treasurer's report (Martinus Terburg) - President's of the Board address and report (Franco Franchignoni) - Clinical Affairs committee report (Georges De Korvin) - Professional Practice committee report (Christoph Gutenbrunner) - Presentation of the European PRM Journals by the Editors in Chief. Workshops of the Board and Committees: I. Board 1) Board `Common rules of procedures' Presentation, discussion and validation of the new version and short report of Board Executive Committee meeting in Athens, January 9-10, 2009 (F. Franchignoni, N. Christodoulou, S. Moslavac). 2) Board Certification of PRM Specialists Board Certification by Examination: results 2008 (X. Michail) [Next Board Examination: November 28th, 2009]; Board Certification by Equivalence and of Trainers (G. Vanderstraeten). 3) Board Certification of Training Sites (C. Marincek). 4) Board Re-Certification and CME/CPD committee for accreditation of scientific events (N. Christodoulou). 5) Updating of the documents related to the activity of our National Managers (F. Dincer). 6) Updating of the proposals from the working group on Education on the following subjects: 1. Organisation of a curriculum for undergraduate education in PRM, based on ICF and other recent proposals (G. Vanderstraeten); 2. World Action Plan for Initial Education in PRM (WAPIE): initiatives of our Board 1- Organisation of teaching programs for trainees (European Congresses, Schools of Marseille, Copenhagen, Syracuse,..), papers published and in press re Board activity (J-M. Viton); 3. World Action Plan for Initial Education in PRM (WAPIE): initiatives of our Board 2- E-learning initiatives, including E-book (F. Franchignoni). 7) The activity of the Question Bank Group (J-M. Viton, S. Muñoz Lasa). 8) Board databases and S&B website: news (S. Moslavac). 9) CESMA activities and UEMS PRM Board position (X. Michail, J-M. Viton, G. Vanderstraeten). 10) Miscellaneous (including ISPRM Congress Istanbul 2009 & European Congress PRM 2010 in Venice & budget 2009).

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II. Clinical Affairs Committee: - Accreditation of PRM Programs - Summary of the Pilot Phase - Submissions (A. Juocevicius) - The Jury's comments (M. Quittan) - Proposals for a new procedure - General proposals by G. de Korvin An example: PRM program after ACL reconstruction Issued by SYFMER for its negotiations which the National Health Insurance Demonstration of the new Internet tools Webpages on www.euro-prm.org · Clinical Affairs Committee · Accreditation of PRM Programmes of Care · Accredited programmes from the Pilot Phase · New accredited programmes (example) · Suggested topics · Registration and Payment · Application Form (download) · Jury's forum The New Submission Form (details) The Peer Review Process (updated rules) Number of reviewers/submissions Decision to validate Criteria for acceptance Criteria for refusal Time frames Survey about National Guidelines First synthesis issued by L. Kullmann. Cooperation with ESPRM Call for a volunteer to take up this survey Communication In Journals Paper about the Action Plan: EJPRM... Reference Paper about the New Accreditation procedure: to propose to the 3 European Journals In congresses ISPRM, Istanbul 15/06/2009 : Quality of Care Session with 3 topics : · UEMS PRM Accreditation of Programmes of Care · National Guidelines for PRM Practice · Programmes of PRM Care : an example SOFMER congress, Lyon, October 15-17, 2009 Direct contacts PRM programmes issued by the SYFMER Others III. Professional Practice Committee: 1. Definition and description of the Field of Competence (FOC) in Physical and Rehabilitation Medicine (PRM) 1.1. Overview (completed tasks, work in progress) (Christoph Gutenbrunner) 1.2. Validation Process Position Papers (update, if necessary)(Christoph Gutenbrunner) 1.3. Template for position papers (Christoph Gutenbrunner) 1.4. Core position paper "FOC in PRM" (Christoph Gutenbrunner & Alain Delarque) 1.5. Position paper "PRM in Acute Hospitals" (Anthony Ward) 1.6. Position paper "Team work in PRM" (Vera Neumann) 1.7. Balneology in PRM (Pedro Cantista & Tamas Bender) 1.8. Manual medicine in PRM (Ulrich Smolenski & Jiri Votava) 1.9. PRM in musculo-skeletal health conditions (Daniel Übelhardt et alii) 1.10. Alternative and complementary medicine and PRM (Alexandras Krisciunas) 1.11. Future topics and sessions in national, European and international conferences (Christoph Gutenbrunner)

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2.

Other aspects of current interest in the FOC in PRM 2.1. Definitions acute and post-acute rehabilitation and development of an ICF-based health care matrix (Christoph Gutenbrunner & Gerold Stucki) 2.2. Relation to "Neuro-Rehabilitation" (Anthony Ward) Publication of the activities of the Professional Practice Committee (general aspects) 3.1. Scientific Publication of "professional" topics (Christoph Gutenbrunner) 3.2. Official Journal of the Committee and Section (What are the requirements of the Professional Practice Committee?) (Alain Delarque & Christoph Gutenbrunner) 3.3. New White Book (Alain Delarque) Matters arising Working plan of the Committee

3.

4. 5.

Next General Assemblies: - Vilnius: 3-5 Sept. 2009. - Sweden: Spring 2010. - Marseille: Fall 2010.

EUROPEAN SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE THE EXECUTIVE COMMITTEE MEET IN CAMBRIDGE ON THE 18TH OF MARCH 2009.

President Alessandro Giustini (Italy) During this meeting: - We discussed and approved the minutes from our previous Meeting in Riga - We referred the new contacts with National Societies - We had the treasurer's report ­ Christoph Gutenbrünner - We discuss the new ESPRM Website, Newsletters, Journals - We looked for better definition on aims and activities of ESPRM, UEMS Committees (Guidelines), to avoid misunderstanding, overlapping and wasting of time - We referred cooperation and joint meetings with EDF in Bruxelles, New Technology and Robotic, ISPRM Istanbul, AOSPRM - Taipei , WFNR - Vienna , Four Alpine Nations. - We worked on the preparation of next 2010 ESPRM Congres in Venice (Giustini) www.cesprm2010.eu - And also already on the 2012 ESPRM Congress in Thessaloniki (Michail Xanthi ) - Clinical Governance on Rehabilitation (Good Clinical Practice, Guidelines, Risk Management, Staff Management, Consumers Involvement, Health Technology Assessment ) based on ICF Evidence ­ - We listened for the report of Evidence PRM perspectives - Italian Task Force (Giustini and Zampolini) - And also from the report of a Project on "Stroke PRM activity in Europe" (Zampolini and Moslavac) - project from Marco Franceschini- [email protected] - Finally we decide to implement a project proposed by Pedro Cantista concerning the development of "The - Epidemiology of the Function" - Next meetings : - Executive Committee will meet during the ISPRM Congress in Istanbul - 15th of June, 8.30-10.00 Individual Members Assembly, also in the same place and in the same day - 10.30-12.30 a.m.

BALTIC & NORTH SEA FORUM ON PHYSICAL AND REHABILITATION MEDICINE

www.baltic-forum-prm.com See Report from Christoph Gutenbrunner (from News and Views) On September 7, 2008 the "Baltic & North Sea Forum on Physical and Rehabilitation Medicine" has been formally founded. The forum aims at the promotion of communication, education and science in the Field of Physical and Rehabilitation Medicine and related fields in the countries with borders to the Baltic Sea and the North Sea. This purpose can be reached by organisation of congresses, symposia, seminars and workshops, communication via internet (webpage, e- mails), newsletters, journals and others, support of the exchange of scientist in the region and promotion of young scientists, support for cooperative scientific projects in the region scientific advice to governmental and non-governmental organisations in the field of physical and Rehabilitation Medicine and related fields, scientific support for organisation of people with disabilities and/or chronic diseases, and other activities. The Executive Committee has been elected as follows: Christoph Gutenbrunner (Germany, President), Aivars Vetra (Latvia; President elect), Anthony Ward (United Kingdom, Board Member), Kristian Borg (Sweden, Board Member), Alvydas Jouceviciuos (Lithuanuia, Secretary) and Varje Tuulik (Estonia, Treasurer).

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MEDITERRANEAN FORUM OF PHYSICAL & REHABILITATION MEDICINE

President: Nicolas Christodoulou www.mfprm.org Please allow me to remember all ISPRM members that the next Congress of the Mediterranean Forum of PRM will take place in Limassol - Cyprus from 29 September till 2 October 2010. I also remind you that it has been decided that this Congress will host the Interim ISPRM Board Meeting in 2010. 8th Mediterrannean Congress of Physical and Rehabilitation Medicine, Limassol 29/9 ­ 2/10 2010.

OTHER EVENTS

``Rehabilitating Torture Survivors" an RCT International Conference, Dec 3-5, 2008, in Copenhagen, Denmark. The Rehabilitation & Research Centre for Torture Victims (RCT) in Copenhagen is one of the world's oldest institutions of its kind. During recent years, its focus has changed from being mainly a treatment clinic into being a global knowledge and research center with government support. To that end, we have produced a field manual for rehabilitation of TOV survivors that is freely downloadable in English from our home page (www.rct.dk). Contact: Bengt H Sjölund - E-mail: [email protected] European Disability Forum meeting in Bruxelles 4 February 2009 / NewTechnologies Meeting in Zurich 13 February The 4th International State-of-the-Art Congress `Rehabilitation: Mobility, Exercise & Sport' held at the VU University in Amsterdam, The Netherlands, from April 7 ­ 9, 2009. www.move.vu.nl/links/rehabmove2009 Congress organization:Lucas van der Woude, VU, Faculty of Human Movement Sciences

ISPRM EUROPE REGIONAL VICE-PRESIDENT "ACTION PLAN"

For the next two years we would like to point synthetically these 10 major goals: 1) Improve the communication among ISPRM regional areas 2) Improve cooperation between them by implementation of common projects of education, research, guidelines, clinical practice, international humanitarian interventions and aid 3) One good example of a common international project could be the ESPRM aim in developing the "Epidemiology of Function" based on the ICF Model 4) Establish a coherent network of scientific journals representing different levels of the PRM network organizations 5) Develop exchange of young trainees and by this mean improve cooperation 6) Develop the different websites trying to make them efficient tools of communication, education, regional interaction and global knowledge 7) Take profit of the progresses achieved with the Bone and Joint Campaign and try to get to Rehabilitation a follow up of this Network of Organizations 8) Try to establish international coherent principles of PRM philosophy, methodology and interventions which could be based on the principles published on the European White Book of PRM 9) Try to establish a coherent Congress Calendar in order to allow a reasonable international timetable avoiding meetings "overbooking" 10) Develop an international Multimedia programs like videoconferences, DVD's editions, virtual reality and use these new technologies as tools for better learning, public intervention, patients education, social intervention

Report of the RVP Central & South America

Juan Manuel Guzman Gonzales

Physical Medicine and Rehabilitation in Latin America and Caribbean is becoming quite strong with outstanding support of the Physical Medicine and Rehabilitation Societies from the different countries. The International Association who leads all the countries in rehabilitation field is AMLAR (Latin American Medical Association of Rehabilitation), and it is divided in three regions: North Region: Cuba, El Salvador, Guatemala, Haití, Honduras, Nicaragua, México, República Dominicana. Central Region: Colombia, Costa Rica, Guyana, Jamaica, Panamá, Puerto Rico, Trinidad y Tobago, y Venezuela. South Region: Argentina, Bolivia, Brasil, Chile, Ecuador, Paraguay, Perú & Uruguay.

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The countries with National Society of Physical Medicine and Rehabilitation are: COUNTRY SOCIETY & ASSOCIATION Bolivia Brazil Chile Colombia Costa Rica Cuba Dominican Republic Ecuador El Salvador Guatemala Guyana Haiti Honduras Jamaica México Nicaragua Panamá Paraguay Perú Puerto Rico Trinidad y Tobago Uruguay Venezuela Sociedad Uruguaya de de Medicina Física y Rehabilitación Sociedad Venezolana de Medicina Física y Rehabilitación Sociedad Mexicana de Medicina Física y Rehabilitación, A. C. Asociación Nicaragüense de Medicina Física y Rehabilitación Sociedad Panameña de Medicina Física y Rehabilitación Sociedad Paraguaya de Medicina Física y Rehabilitación Sociedad de Medicina Física y Rehabilitación de Perú Asociación Médica de Puerto Rico. Sección Medicina Física y Rehabilitación Sociedad Hondureña de de Medicina Física y Rehabilitación Sociedad Boliviana de Medicina Física y Rehabilitación Associaçao Brasileira de Medicina Física e Reabilitcção Sociedad Chilena de Medicina Física y Rehabilitación Asociación Colombiana de Medicina Física y Rehabilitación Asociación Costarricense de Medicina Física y Rehabilitación Sociedad Cubana de Medicina Física y Rehabilitación Sociedad Dominicana de Fisitatría Sociedad Ecuatoriana de Medicina Física y Rehabilitación Asociación Salvadoreña de Medicina de Rehabilitación Asociacion Guatemalteca de Rehabilitacion

WEB or MAIL

[email protected] http://www.fisiatria.org.br http://www.schmfyr.cl http://ascmfr.homestead.com & [email protected] [email protected] http://rehabilitacion.sld.cu & [email protected] http://www.fisiatriard.com [email protected] www.semefir.com & [email protected] www.medicosdeelsalvador.com/asociacion/as mer

[email protected] & [email protected] www.socmedfisyrh.org.mx & [email protected] [email protected] [email protected] [email protected] http://somefirep.es.tl [email protected]

http://www.surmefi.org.uy http:www.svmfyr.com

Only 4 of 24 Societies have Journal, one of them; Brazil has 4 journals and 20 has none COUNTRY Argentina Brazil JOURNAL Revista Argentina de Rehabilitación Medicina de Reabilitação Acta Fisiátrica Revista Medicina Física e Reabilitação Jornal do Fisiatra Colombia México Revista Colombiana de medicina física y rehabilitacion Revista Mexicana de Medicina Física y Rehabilitación WEB www.samfyr.org/revista_argentina2.php?id=12 [email protected] www.actafisiatrica.org.br www.spmfr.org.br/revista.asp www.fisiatria.org.br/ ascmfr.homestead.com/publicaciones.html#anchor_15 www.medigraphic.com/espanol/e-htms/e-fisica/em-mf.htm

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We celebrate the Latin American Congress every two years in different countries of the Region, the last one was held at Punta del este, Uruguay, 27- 30, Octuber 2008. The Congress was honored with the presence of distinguished physiatrists coming from around the world, leaded by Dr. Marta Imamura Vice-President of the ISPRM, Dr. Juan Manuel Guzman AMLAR past president, and Regional Vice President for Latin America of the ISPRM, as well as the presidents of the Latin American Societies, among other well known international speakers. The lectures and the workshops were terrific experience, and a large number of papers were giving, making the event in a big success. The general assembly was held on October 29, presided by the former Board of AMLAR Directors: Dr. Juan Manuel Guzmán González (México) - President Dr. Hugo Núñez Bernadet (Uruguay) - Vice-President Dr. Ignacio Devesa Gutiérrez (México) - Treasurer Dra. Ma. Elva García Salazar (México) - General Secretary Dr. Arturo Saviñon (Dominican Republic) - North Representing Dr. Carlos Rangel (Colombia) - Central Representing Dr. Gustavo W Bocca (Ecuador) - South Representing The representatives of the Latin American Societies of PM&R participants were: Country Argentina Bolivia Brasil Chile Colombia. Costa Rica Cuba. Ecuador Honduras. México. Panamá Puerto Rico Dominican Republic Uruguay Venezuela. Representatives Dra. Myrtha Vitale Dr. Juan C. Medrano B. Dra. Martha Imamura Dr. Carlo Paolinelli Grunert Dr. Salomon Abuchaibe Dra. Paula Valverde Cuevillas Dr. Jorge Luis González Roig Dr. Fredy Avilés Toledo Dra. Sonia Flores Elvir. Dra. Susana González Ramíez Dra. Doris Franco S. Dr. Miguel Berrios García Dr. Arturo Saviñon Castillo . Dr. Hugo Nuñez Bernadet Dr . Luis Parada

In agreement to the current bylaws the candidatures of the countries that they requested to be the organizer for the Congress in 2012, were three: Bolivia, Chile and Dominican Republic. The elected country for secret voting was: Dominican Republic who will organize the Congress XXV AMLAR in Santo Domingo. After the congratulations for all the attendants to the winner for such nomination, the Board of AMLAR was elected, and the current one is integrated by: Dr. Hugo Núñez Bernadet (Uruguay) ­ President Dr. Salomón Abuchaibe (Colombia)- Vice-President Dra. Raquel Lateulade (Uruguay)-General Secretary Dra. Verónica Franco (Uruguay)- Treasurer Dra. Elva García Salazar (México)- North Representing Dra. Joyce Bolaños (Venezuela)- Central Representing Dr. Carlo Paolinelli (Chile)- South Representing

The General Assembly conclusions were: 1. To develop an Information System for the Rehabilitation Hospitals and Services. 2. To standardize the rehabilitation approach for people with disability with 3. guidelines (Evidence Based Medicine ). 4. To design the profile of the Physiatrist, according our current needs. 5. To integrate a confidential mailing list by Country. 6. To develop the Board Certification System in every country.

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7. Update the AMLAR By-Law 8. To include subjects such as Disability and Rehabilitation in the curriculum of the 9. Lawyers, Architects, Physicians, etc. 10. To continue the promotion of the ICF, around Latin American Countries 11. To design the kind of model we want to have for the future. During the closing ceremony it was organized a honoring post-mortem to outstanding Physiatrists: Haim Ring from Uruguay, and Florencio Saez Jr, from Puerto Rico. ACTIVITIES IN DIFFERENT COUNTRIES: Colombia: *The Colombian Association of Physical Medicine and Rehabilitation (ASCMF&R) organized the 24th edition of their biannual Congress last August 13-17, 2008 in Medellin, Colombia. The president was Dra. Luz Helena Lugo. The Congress was honored with the presence of Dr. Marta Imamura Vice-President of the ISPRM, Dr. Juan Manuel Guzman, past president of AMLAR and Regional Vice President for Latin America of the ISPRM, and Dr. Luis Parada president of the Venezuelan Society of PM&R, among other well known international speakers. Dr. Jorge E. Gutierrez, was elected as new president of the ASCMF&R for the 2008-2010 term. A delegation of Colombian physiatrists will attend the pre-conference on Rehabilitation Medicine in Developing Regions in Turkey. Colombian PM&R residents from the Universidad del Valle participated as presenters in previous versions of the ISPRM Journal Club. The Colombian Association of PM&R participates actively in the bid for the 2010 board of governor's interim meeting of the ISPRM. The Electrodiagnostic Chapter of the Colombian Association of PM&R organized the 11th edition of their annual meeting last May 1-3, 2009 in Cali, Colombia. The meeting was honored with the presence of Dr. Jun Kimura from Japan and Dr Joao Nobrega From Brasil, among other national speakers. The Colombian Association of PM&R will host in 2010 the XXIV Meeting of the Latin American Association of Rehabilitation Medicine (AMLAR), a conference endorsed by the ISPRM. Information available soon in the website http://amlar2010.org Honduras: Sociedad Hondureña de Medicina Física y Rehabilitación Physiatrists from Tegucigalpa and San Pedro Sula, are preparing the first Central American Rehabilitation Congress, with international speakers, which will be held at Hotel Copantl, San Pedro, Sula, Honduras. 29 July -1 August, 2009. México: The Mexican Society of Physical Medicine and Rehabilitation organized the a Successful 20th National Congress of Physical Medicine and Rehabilitation, November 12 al 15, 2008, at Monterrey, N.L. with International speakers such us: Albert Esquenazi, Jun Kimura, Nathaniel Mayer , Juan Manuel Guzman G, Jorge Gutiérrez, Luis Parada, Joyce Bolaños, Flavia Bayron, Marizabel La Puerta, Elva García, Ma. De la Luz Montes, among others. And more than 1000 attendants. The President of the Congress was Dra. Lucia Allen Hermosillo, and Irene Rodriguez, General Secretary. In order to increase the collaboration in between EUA and Latin American and Caribbean countries, Dr. Alberto Ezquenazi, William Micheo and Juan Manuel Guzmán G., organize a very interesting symposium about the different rehabilitation training programs throughout Latin America, which will be held at the Annual Assembly of the American Academy of Physical Medicine and Rehabilitation - Course # F330 (Duration: 60 minutes) Date and time Friday Oct 23, 2009 at 2:30 PM - Austin Convention Center This course will compare the different rehabilitation training programs throughout Latin America. Educational Objectives: 1. Describe some of the rehabilitation training programs available in Latin America. 2. Compare and contrast the educational training programs in Latin America. 3. Determine the pros/cons of the different educational models available throughout Latin America. Audience: Physiatrists and residents from Spanish speaking countries Course level: basic to intermediate Language: Spanish Faculty: Dr. Ignacio Devesa (México) email: [email protected] Dr. Verónica Rodríguez (Puerto Rico) [email protected] Dr. Jorge Gutiérrez (Colombia) email: [email protected] Dr. Joyce Bolaños (Venezuela) email: [email protected] Dr. William Micheo email: [email protected] Moderators: Dr. Alberto Esquenazi (USA) [email protected] Dr. Juan Manuel Guzmán González (México) [email protected]

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Program: 2:30-2:35 min Introduction Esquenazi 2:35-2:45 Dr. Ignacio Devesa (México) 2:45-2:55 Dr. Jorge Gutiérrez (Colombia) 2:55-3:05 Dr. Joyce Bolaños (Venezuela) 3:05-3:15 Dr. Verónica Rodríguez (Puerto Rico) 3:15-3:25 Panel discussion including Dr. Micheo and Guzman Gonzalez 3:25-3:30 Q&A and close of program Venezuela: Dr. Luis Parada, current President of the Venezuelan Society of Physical and Rehabilitation Medicine, organized the first week of May, 2009, a successful Sport and Rehabilitation Meeting in Caracas, with international guess speakers from Mexico and Puerto Rico. They are well prepared to receive physiatrist from Latin American Countries for: III Congreso Regional y Andino de Medicina Física y Rehabilitación XI Congreso de la Sociedad Venezolana de Medicina Física y Rehabilitación "Una Formula Conjunta en Rehabilitación Médica" 21 Julio al 24 Julio de 2009, Caracas, Venezuela. ICF Promoting - Latin American and Caribbean Network for the promotion of the ICF. WHO Collaborating Centre for the FIC in Mexico (CEMECE) After launching ICF in may 2001, several Latin American countries started to work in order to accomplish the resolution 54.21 Initial efforts were focused on the development of training materials, on the development of a"training of trainers" strategy and on the searching and analyses of International experiences related to the ICF implementation. Supported by the National Institute of Mental Health, Pan American Health Organization and the national Ministry of Health, in February 2003 Mexico was the venue for the annual meeting of the ICF Iberoamerican Network. In this meeting, advances on the implementation of ICF were presented and discussed. Additionally, a Program of Work, focused on training, diffusion, research and application was established One year after, in November 2004, another meeting was held in Washington to do follow-up of the advances on the planned activities, to share national experiences and to strengthen the communication between the stakeholders and to keep the network alive. · Several centers and national networks have been created to be responsibles for spreading, training and exchanging experiences among different countries. · Material for training and to apply the ICF was developed. · ICF has been included in the program of training for Physical Medicine and Rehabilitation physicians and in other programs of medical specialization of some Latin American universities Where has ICF been applied? 1. Population surveys: Nicaragua 2003, Chile 2004, México 2002, Panamá 2006 2. Disability people certification: Argentina, Nicaragua and Panamá 3. Disability people register: Colombia and México 4. Clinical settings: Venezuela and Cuba 5. Occupational health: Colombia, Uruguay and México In April 2008, Mexico was the venue for the meeting of the Latin American and Caribbean Network for the promotion of the ICF. The main activities in this meeting were the presentation of national reports about ICF implementation, the analyses and discussion of a paper about disability in the region, a presentation of a model for training and a review of the emergent demands in the field of ICF implementation. The terms of reference for the organization, functioning and work of the network are currently being reviewed. Training: · Basic courses in the use of the ICF for personnel of different disciplines and of the main institutions of the federal government in the country (Mexico) · Basic course for the handling of the ICF to the personnel of the National Council for people with disability (CONADIS). (Mexico) · Basic course to personnel of the Ministry of Health of Guatemala in 2005 · Basic and advanced courses to personnel of the Ministry of Health of Argentina in 2005 and 2007. · Basic course to the team of the ministry of Health and the Bank of Social Benefits in Uruguay in 2007. · Courses advanced in the use of the ICF for doctors, and another personnel in Cuba, Ministry of Health and CITED. (Centre for elderly people ) (2006, 2007 and 2008) · Course advanced in the use of the ICF for statistic and rehabilitation personnel of the Ministry of Health of Panama in 2007 and 2008)

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Countries of the Network · Argentina · Brasil (WHO Collaborating Centre for the FIC in Portuguese) · Colombia · Cuba · Chile · México · Venezuela With the invaluable support of Pan American Health Organization To attain a higher involvement of the countries with the network, a 2009 meeting in Brasil, has been planned. The objectives of this meeting are to learn of the successful experiences in the region, to review the collaborative strategies between countries and to identify the needs for training and coaching. The development of international courses for ICF trainers is being discussed. There is a chance of start with this course in 2009 in Mexico. Future Activities · To continue with the ICF Dissemination and Training Programmes in the countries of the region that have already begun with the implementation of ICF · To start the development of diffusion and training programmes in the countries of the region that have not still begun with the implementation of ICF · To obtain the license for printing ICF books and for reproducing cds. To increase the resources for distributing books and cds in the region · To continue with the development of instruments for different applications of ICF · To strength the "Training of Trainers" strategy Conclusions: · It is necessary to learn from successful experiences from other countries · It is important to attain closer links between national efforts and international initiatives · It is necessary to maintain an active network of collaboration between countries The CEMECE confirms its commitment to offer training and coaching related to the utilization of international health classifications in the region and to encourage the activities of the network to obtain more and better evidences to apply the ICF. Dra. Patricia Nilda Soliz [email protected] is the physician in charge of this training program. Website: http://cemece.salud.gob.mx/index.html BOOKS PUBLISHED: It is quite interesting to state that the scientific community in Latin America, is publishing the experiences in books of recognized quality, in this report we present three of them. 1. Medicina de Rehabilitación - Author: Dr. Sergio Lianza, Brasil.- Language: Portugués - 2nd Edicao 2001, Editorial: Guanabara Koogan -E-mail: [email protected] 2. Rehabilitación en salud, 2nd Edition, Agosto 2008, Lenguaje: Español - Editorial Universidad de Antioquía, Colombia Author: Fabio Salinas Durán, Luz Helena Lugo Agudelo, Ricardo Restrepo Arbeláez 3, Neurofisiología Clínica, Principios Básicos e Aplicacoes - Author: Luiz Carlos - Language: Portugués - 2nd Edicao 2009 Editorial: Ateneo, Rio de Janeiro, Brazil

Report of the RVP North America & Canada

Walter Frontera

American Academy of Physical Medicine and Rehabilitation (AAPM&R) The American Academy of Physical Medicine and Rehabilitation will be officially represented at the World Congress of ISPRM by Dr. William Micheo, President of the AAPM&R and Mr. Thomas Stautzenbach, Executive Director. The Editorin-Chief of the Academy's new Journal (PM&R), Dr. Stuart Weinstein, will be participating in the "Editors Summit" during the Congress. The next meeting of the AAPM&R will take place on October 22-25, 2009 in the city of Austin, Texas. The AAPM&R will offer discounted registration to members of ISPRM and of the Latin American Medical Rehabilitation Association. The meeting will feature an educational session in Spanish on the topic of Education in Physical Medicine and Rehabilitation in Latin America. An international poster session is also planned for the meeting. More information at: www.aapmr.org

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Association of Academic Physiatrists (AAP) The Association of Academic Physiatrists will be presenting a scientific session at the World Congress of ISPRM on the topic of "Innovations and Breakthroughs in Education, Research, and Leadership in Physical and Rehabilitation Medicine" on Monday, June 15. The Editor-in-Chief of the American Journal of Physical Medicine and Rehabilitation (AJPM&R), Dr. Walter Frontera, will Chair the Editor's Summit during the Congress. The American Journal of Physical Medicine and Rehabilitation and the European Journal of Physical Medicine and Rehabilitation have exchanged commentaries on stroke rehabilitation as part of the Euro-American Focus. More information at www.physiatry.org Canada- Canadian Association of Physical Medicine and Rehabilitation (AAPM&R) The CAPM&R represents and promotes the interests of the specialty of physiatry in Canada by providing and maintaining a national forum and network. It advances and increases awareness of the specialty through strategic alliances and partnerships, public policy and, most importantly, professional and practice development. CAPM&R represents over 200 physiatrists and has membership from all of Canada's 10 provinces. The Annual Meeting of CAPM&R is the central event for the organization, and took place in Banff, Alberta in 2009. The meeting was attended by over 150 full members and residents with a thematic focus on Collaborative Care. In addition to Special Interest Group Meetings representing the various sub-disciplines of physiatry, the participants attended symposia on a number of cutting edge areas including: neural plasticity following CNS injury, functional electrical stimulation and the concept of physician learning and change in clinical practice. Next year's annual meeting will be held in Winnipeg Manitoba, May 26 ­ 29, 2010. More information at: http://capmr.ca/

Report of the Representatives of National Societies

Gulseren Akyuz & Alessandro Giustini

The most important Goals for ISPRM could be resumed: - to facilitate international exchange regarding different aspects of rehab. clinical activities and research, including disseminating information about rehabilitation related funding, multicentre trials, international projects, meetings and congresses; - supporting concretely as possible these activities and providing means to facilitate clinical, scientific activities and communications; - to organise the International congress of PRM and other scientific events, to support other initiatives and co-operation in the fields of PRM. Furthermore, by a close co-operation with National, regional and Continental PRM Societies and other scientific Associations and Bodies, to provide information to governments about the contents and evidence based efficacy of P&RM, aiming to influence national governments for a strong enrichment of our Discipline, as a fundamental part of empowerment of Disabled Peoples Rights and Health Services following WHO-ICF indications. Probably you can agree with me on the fundamental relevance, of information and communication to be able to reach these Goals: to have a better shared knowledge, to share problems, solutions, experiences and criticisms at national and international level. This communication must be timely, openly produced by ISPRM and attended by everyone. Contents of this communications are based on different scientific activities (ISPRM, National Societies, individual Members, any other Research and clinical Centres and Hospital etc.) and supported also by PRM Journals diffusion. But the role and validity of this communication is based on the role of ISRM as world responsible , as guarantee and "sign" for the value of contents. In fact in these years more and more the Health decisions (in a scientific, political, social, Ethic point of view) arrive from the "global world level". WHO, Unicef, ILO, World Development Bank, U.N. Are defining many points very important for Peoples (not only disabled) and for their rights, and in the same time very important for PRM. So all financial international and national decisions (for supporting researches, interventions, services etc.) follow these indications. Unfortunately National Societies (even if very big and strong) and Continental Organizations (in Europe and other regions really very useful) cannot cover alone as necessary this World Level. Only ISPRM has the possibility to be as a sort of Global source (accordingly together all other levels), a unique world body representing all rehabilitation problems and solutions (towards professionals, patients, people and Governmental and NonGovernmental Organisations). The most important task for ISPRM future is this on my opinion. Next Congresses could be a "World Conference" on Quality of life (covering scientific and communication aspects) as for example for AIDS, Cancer, environment.. But also ISPRM and Central Office must be able to support day by day these activities together with the National Societies in particular. They are the basis and also the target for this ISPRM actions : on the contrary nothing could be useful.

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At first one of the most important points will be to know the real situations in different countries to prepare and guide our activities on scientific, clinical but also legal, management and financial fields, to define all together most important problems and perspectives. So I suggest to discuss this idea during the next Board Meeting in Istanbul, to know the opinions and to involve National Societies in the followings activities.

Report of the Representative of Individual Members

Mark Young & Amparo Martinez Assucena (report)

Proposed Guidelines The Representatives of Individual Members' Committee activities will be focused on: optimizing membership interests within the ISPRM, facilitating active membership participation within ISPRM and working on increasing membership numbers. The activities of the committee will bear relevance to several target populations: 1. Individual members of ISPRM. among them: a. National Representatives b. Members Representing Active National Societies Members 2. Presidents of National Societies (NS) and related representatives To provide ongoing communication, discussion and dialogue to: 1. Individual members about a. Scientific, educational, management activities or others related to the specialty b. Upcoming ISPRM Congress activity (during the planning and programming stages) c. Board of Governors meetings news and developments 2. Presidents of National Societies and relevant representatives about the following matters: A combined membership dues structure to those national societies with more than 500 members Financial benefit for the society Benefit of two international journals via internet for affiliated individual members. To disseminate information about additional tangible benefits including: Global participation in the "Rehabilitation Community" of Professionals Exchange possibilities for trainees and professionals in concert with the ISPRM Exchange Committee Participation in international research programs Participation in an international network in education; Accessibility to relevant information in other societies. 3. To propose honoring individual members who have contributed to the enhancement of membership matters within ISPRM. We want to support any activity that honors our colleague Haim Ring, who was a preeminent active individual member. For the above described purposes it is necessary to have the names of individual names, their e-mail and whose NS they belong. The Executive Director could provide this information. "Relevant representatives" could be: Representatives of other scientific societies among whose members there are PRM physicians. There can be "specific societies", such as Neurorehab, Biomechanics, Pediatrics; local PRM societies within the national one. The National Representatives and Representatives of Individual Members could provide this information, and also about the Presidents of National Societies. The NS with more than 500 members are: Chinese Taipei, Japan, Korea, Poland, Spain, Turkey, USA.

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Report of the Executive Director

Werner Van Cleemputte

We experience that a large number of countries are still hesitating for the combined membership and postpone their decision on this issue until next year (after experiencing which other countries really do adhere to the combined membership) This is surely a point to focus on again during the upcoming Board of Governors Meeting in Istanbul Membership We ended 2008 with in total 2507 individual members. Including in these members are 1980 members of the societies that have chosen for the combined membership. So we have 527 individual members (not belonging to a society) in good standing. For the statistics 2006 627 individual 2007 564 2008 527 2009 508

1191 combined 1755 1980 1546

1818 total individual members 2319 2507 2054

47 national societies 35 national societies 33 national societies 23 national societies 13 combined (Italy not incl) 10 not combined

The above figures for 2009 show the situation until June 1st (payments received). With the new members registering in Istanbul and the Italian Society we will go over 3000 members. National societies that made their choice for combined membership for 2009 are: Columbia, Portugal, Thailand, Australia, France, Greece, Uruguay, China (two societies) Mexico, Hong Kong, Venezuela and The Netherlands. National societies should be more encouraged for combined membership as this can increase our membership numbers dramatically (national society as well as individual). It is important to see that individual membership goes up year by year and this mainly thanks to the combined membership On the other hand we experience a dropdown from national society membership and individuals not coming through a society. The problem with national societies is that it is difficult by them to make decisions as this has to come in their boards first to be approved. This is time consuming and a burden for us in the Central Office as we continuously need to chase after these societies and their dues. 2008 was in that aspect a very difficult year with regard to national society membership as a lot of national societies hesitated long before making their decision on the application of the combined dues structure for their members or not. The dues structure was not always well understood from national society representatives. We had a lot of intensive email exchanges with national societies on this issue. Also due to the change in dues, a large number of national societies still need to discuss and re-discuss this issue. Delegates representing national societies should come to the Board of governors meetings with a mandate from their national society so that decisions can be made faster and easier. The above means that we now have 5x more individual members than a few years ago and also that the workload for the Central Office with regard to membership has now increased dramatically. If the Istanbul congress should have offered the proposal combined congress registration fee (congress registration including ISPRM membership) we really should have had a dramatic increase in our membership for 2009. I would personally like to encourage our Regional Vice Presidents to try to involve the national societies of their region into the ISPRM. Finances The total budget of the year 2008 was an income of 60.226,91 Euro and 63.936,73 Euro expenses resulting in a negative balance of 3709.82 Euro over the whole year 2008. This mainly through the fact that apart from membership fees and interests we did not have any other income (congress, sponsors) Despite a negative balance in 2008, the finances of the ISPRM remain healthy. There is for the moment a positive balance of about 140.000 Euro on the daily and saving accounts of the ISPRM. Apart from that there is an amount of 137.630,36 Euro in the Trust Fund

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Website We made an agreement with an external company to upload the data that are to be placed on the ISPRM website. News & Views We always could have the N&V being spread in time However we experience that not a lot of our members go to the website in order to read the N&V (pity for the hard work all parties do on this newsletter). We therefore investigate for the moment if we can have the N&V on the website as well as distributed via an html format in the body of the email. Journals We followed the discussion on the Disability and Rehabilitation issue by the side line through all the emails that passed on this subject. We also had permanent contact with the JRM. Agneta transmitted the content of the journal on a monthly basis for publication in the News é Views The 2009 Congress Although the congress is not organised by the Central Office we daily receive emails from members or potential congress participants with particular requests on congress matters. A stronger engagement of the Central Office in the congress is therefore mandatory for future. WHO Our WHO representatives John Melvin and Gerold Stucki were permanently informed on WHO matters from the moment we received information. NOF We had exchanges with the different Osteoporosis Societies and John Melvin as liaison. Unfortunately we had to announce the cancellation of the 2008 World Congress on Osteoporosis due to the political troubles in Bangkok. History We liaised with Wim Peek & José Jimenez with regard to the take over of the activities of Wim Peek as historian of the ISPRM by José Jimenez Workload at the Central Office Please find hereunder the email I sent to Christoph Gutenbrunner with regard to the evaluation of the Central Office and the activities for future. Dear Christoph, According to the phone conversation we had last week, you asked me to bring up some thoughts about the ISPRM for futue Let me however first explain how it all was arranged in the past. During the 2000 baord meeting in Athnes the selection of the Central Office was made by the ISPRM Board between two candidates, being Medicongress and the AAPM&R. Reason, the offer of the AAPM&R seemed to be 6x more expenive than ours was. We agreed after a meeting with John Melvin to help the ISPRM and to let the ISPRM grow so that we could grow together with the society in a way that the rates charged by Medicongress should for the first years be fixed at a lump sum of 30.000 Euro. This amount includes all costs for running the Office, staff, printing, computers, internet etc, etc... So the amount included nearly everything and the ISPRM was sure not having additional costs for his activities. As said before this was made in order to help the ISPRM establish and grow. Meanwhile the ISPRM has grown in a fantastic way, also through the efforts of everybody involved. The future also looks promissing with some strong personalities within the board who will (I am convinced) bring the ISPRM on track for being the major specialty in the PM&R Specialty. Let it be clear that from my point of view, my believe in the ISPRM and engagement are still the same as it was from the beginning of our collaboration in 2009. Over the last year some issues went difficult and this started with the fact that the payment for the Central Office did not follow the workload that increased dramatically. This was partly through the increase of membership. I can honestly inform that this was thanks to my efforts in order to get the combined membership for national societies on track, resulting in now having nearly 3000 individual members instead of 5-600 the years before.

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Also the work for the website was a dramatic issue. I received hundreds and hundreds of emails on this issue in which a large number of persons were involved. To keep a long story short, I was forced to do additonal activities for the website without being paid for that neither. Although we proposed our proper web design company for doing the job. Here the ISPRM did not want to pay for the additional services for uploading the website (what we did not do in the past). On the other hand I do not want to reinvent the wheel for making all updates on a webiste if we have ourselves this service in house. We do not do it for our congresses (all done by the Create boys). So this ended up with some people making opposition against me in person what I really did not appreciate because we remain being a commercial company that needs to get paid for what we do and we offered already that much for free in the past. As I said over the phone, one cannot drive a Mercedes if he only has the budget for a Golf. And this is what is happening with the SPRM towards the Central Office for the moment. As you are now also in a more management function instead of a medical function, I would kindly like to ask you to make a calculation of what your secretariat in the hospital costs. From my calculation, the 35.000 Euro as we are paid now, equals a secretary for 4 months and the costs of the office for that period of time. This does not even include the costs for my activities (I work approx 16 to 20 hours a week for the ISPRM). So you may understand that this should be adapted seriously in future. Although I do not want to get the last penny out of the ISPRM and will remain flexible for sure. However for keeping the Central Office on track we should at least go for a fee of 50.000 Euro minimum and a 60.000 Euro a year should be more realistic amount. I am willing to remain fixed to a flat fee. instead of working for a rate per hour (this might easily result in a going over budget). This fee however does not include the work for the website which is now already done by Createe and they will charge a fee per hour they work on it. What for future now ? From my point of view, the ISPRM should take more responsibility on its congresses. This is now a well accepted income of approx 30.000 Euro every two years but the whole congress is however completely in the hands of the local organisers on which the ISPRM does not have any survey. We only put our name and logo on the congress and that's it. Up to now we were lucky that each of the congresses always were experienced as highly scientifically and with a very positive organisation (and financial balance). Let us hope that this will remain the case for future as well. From my 20 years experience in congress business, I know that for the majority of the societies, the income of the congress is the major income for the society If the ISPRM could have a congress every year we could have o a steady income from the congress o establish the name of the ISPRM worldwide o establish a scientific high level for our conference o have a permanent liaison with sponsors that will result also in a full sponsorship of the society and not only of the congress o have it far more easier to collect membership dues o has income from congress registrations to cover the costs of the Central Office This does however not mean that the local organisers should be excluded - not at all - they can put emphasis on local and social organisational aspects of the congress, the general organisation, the contracting of the local suppliers, printing, mailings etc etc. There are numerous issues on which they can be active for the congress. I have lists of what could be done by the Central Office and what by the local organisers available. In order to have a continuing contact with our members we also should have the registration for our congresses centralised in our Central Office. This offers us major advantages not at least that we have a survey on the money flow of the congress. Through our software we can now easily merge membership with congress registration and even the access to the ISPRM website. We all have that technology in house and I informed already on it by other occasions (f;e. with the website issues). We now need to bring the database on the ISPRM website back to zero (manually for each member) for access for our members so that those renewing in 2009 will have access again. This is all possible and can be automatically effected through software if this is linked to our programme. But... it was decided that the website database was to be constructed by another party and we now have two different databases that cannot be linked.

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As I told you over the phone, our ISPRM congresses are now in competition with the ISPRM membership. The more members register for the congress (at reduced member fees), the less income the congress has. So the congresses do not encourage participants to register as ISPRM members on the contrary. I proposed a combined fee for the Istanbul congress that was immediately cancelled by the local organisers. I can also confirm that if we can make a combination of congress registration together with membership administration, the general costs for the Central Office will of course raise but will decrease on the membership issue. I also feel that during the last two 2 years, I am degenerated into an administrator only. For years I have been an advisor for the different presidents and committees, now I am only asked for doing the administration. I have a lot of advocacy from my 16 years in medical industry and 20 years in congress organisation and I am contracted by different organisations as a respected external advisor. This is my role within the ISPRM and for the administration I have my fully experienced staff. A last issue that I would like to raise is that the number of emails received should be decreased. I need to read and archive all emails received over here at the Central Office and most board members make it a habit to send cc's to a huge number of persons that then reply as well to all addresses.. So for future, I would propose the following · A yearly ISPRM world congress · Registration for the congress and abstract handling through the Central Office · Further development of the website with integration of the database · Ask the Central Office for advice on all kind of business, congress issues, website etc. before decisions are taken. · Reduce the number of emails

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Committee Reports

Report of the Audit & Finances Committee

Martin Grabois See report of the Treasurer

Report of the Awards Committee

Chang-il Park

The award recipients for 2009 are as follows: · Award of Sidney Licht Lecturship: Dr. Gulseren Akyuz · Herman J Flax Achievement Award: Dr. Naoichl Chino · Individual Honor Role Membership: Dr. Martin Grabois The committee has decided to make an Award or Lectureship in honor of the late Dr. Heim Ring. Further discussion and final approval will be held at the Board of Governors Meeting in Istanbul in June of 2009.

Report of the Bylaws Committee

John Melvin

I. Introduction This report of the International Society of Physical and Rehabilitation Medicine (ISPRM) By-Laws Committee (Committee) includes a number of proposed revisions to the latest editions of the By-Laws and Policies and Procedures. These are entitled (1) ISPRM By-Laws, Edition 2007 and (2) ISPRM Policies and Procedures, Edition 2007. The Committee presented all of these revisions to the Board of Governors (Board) of the ISPRM at its June 3, 2008 meeting in Brugge. The Board had the opportunity to discuss these proposals at its June 3d, 2008 meeting and through subsequent emails. The Board has not submitted any substantive comments to the Committee regarding them. Therefore, the Committee now presents these proposed revisions to the Board for its formal vote of approval. The Committee has not received any additional requests to prepare amendments to the By-Laws or Policies and Procedures. However, through correspondence it is aware that the Secretary may have other proposals for the Board's consideration. The President-Elect, President and the Organizational Structure Task Force have been reviewing proposals for facilitating the development of the ISPRM. The Committee is prepared to convert these to specific revisions to the By-Laws and Policies and Procedures when the Board provides the instructions to do so. II. Revisions Submitted for Board Approval The By-Laws Committee developed the following proposed language for amendments to the By-Laws and Policies and Procedures after reviewing the minutes of the June 10, 2007 President's Cabinet, Executive Committee and Board Meetings. A. Assistant Secretary/Assistant Treasurer The consensus of the June 2007 Board discussion was in support of permitting the President after ratification by the Executive Committee to appoint an Assistant Secretary and Assistant Treasurer who would be members of the Executive Committee. These proposed amendments also remove from the By-Laws the terms of office and methods of selecting the members of the Executive Committee. These details will now appear only in the Policies and Procedures. This is in response to requests by Board Members to limit the redundancy between the By-Laws and Policies and Procedures, and to assure their consistency with each other B. Additional Executive Committee Member-at-Large Positions The Committee after input from the President and President-Elect agreed that the Active National Societies and the Active Individual Members should each have two Member-at-Large positions on the Executive Committee. This increased number of members on the Executive Committee will facilitate having equitable geographic representation.

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C. Congress President Membership on the Executive Committee It is important that the activities of the International Congresses be coordinated with those of the ISPRM. To facilitate communication between the Congresses and the ISPRM, the Committee recommends that the Presidents of the Congresses become ex-officio members of the Executive Committee and Board when their Congresses appoint them. D. Suggested Amendments to Implement these Proposals To implement these proposed changes to the Executive Committee, the Committee submits the following language to revise the By-Laws and Policies and Procedures. 1. Proposed Amendments to the By-Laws, Section V. Executive Committee 1. The Executive Committee shall be formed by the following Officers and Ex-officio Members. President - President-Elect - Vice-President - Immediate Past-President ­ Secretary - Assistant Secretary ­ Treasurer Assistant Treasurer - Regional Vice-Presidents - Two Members at Large representing Active National Societies - Two Members at Large representing Active Individual Members - Executive Director (ex-officio) - Presidents of all upcoming Congresses (ex-officio) 2. Proposed Amendments to the Policies and Procedures, Section IV. Executive Committee The Executive Committee will consist of the President, President-Elect, Vice-President, Immediate Past President, Secretary, Assistant Secretary, Treasurer, Assistant Treasurer, Regional Vice-Presidents, Members at Large, the Executive Director and the Presidents of all upcoming Congresses. (Ex-officio Members of the Executive Committee, the Assistant Secretary and Assistant Treasurer shall not have voting privileges.) 1. 2. Qualifications (no changes) Terms and Methods of Selection a. President, one two year term, automatic succession from President-Elect b. President-Elect, one two year term, automatic succession from Vice-President c. Vice-President, one two year term, elected by Board of Governors d. Immediate Past President, one two year term, automatic succession from President e. Secretary, two year term, maximum of two additional terms, elected by the Board of Governors f. Assistant Secretary, two year term, maximum of two additional terms, appointed by President after ratification by the Executive Committee g. Treasurer, two year term, maximum of two additional terms, elected by the Board of Governors h. Assistant Treasurer, two year term, maximum of two additional terms, appointed by the President after ratification of the Executive Committee i. Regional Vice-Presidents, two year term, maximum of one additional term, elected by the Board of Governors j. Two Members at Large representing Active National Societies, two year term, maximum of one additional term, elected by the Board of Governors k. Two Members at Large representing Individual Active Members, two year term, maximum of one additional term, elected by the Board of Governors l. Executive Director, ex-officio m. Presidents of all upcoming Congresses upon their appointment, ex-officio

These revisions to the Policies and Procedures limit elected members of the Executive Committee to two terms with the exception of the Secretary and Treasurer, who may be elected for a total of three terms. The Assistant Secretary and Assistant Treasurer may be appointed for up to three terms. Members of the Executive Committee recommended these changes. E. Coordination of Publications The Board of Governors at its 2007 Seoul meeting supported the suggestion that a Publications Committee be formed with responsibilities for the News and Views, Website and Journal(s). The Executive Editor of the News and Views, the Website Liaison Officer and Journal Contact Members would be members of the Committee. The Chair of this Committee would assume responsibilities currently assigned to the Secretary for these functions. The By-Laws Committee proposes the following language as revisions to Article XII. of the Policies and Procedures. It also supports adopting the following Operational Guidelines for the Publications Committee. 1. Proposed Amendments to the Policies and Procedures, Section IV. Executive Committee 3. Duties and responsibilities of the Secretary (f) Delete: the production of a News Letter with the special assistance of an editor to be appointed by the President's Cabinet.

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2. Proposed Amendments to the Policies and Procedures, Section XII. Publications 1. News & Views (electronic journal): N&V shall be distributed to the membership on a monthly basis. The production of the N&V will be the responsibility of the appointed by the Executive Committee Editor in close liaison with the Secretary and with the assistance of the Executive Director. The newsletter is to be distributed via website, and/or direct mailing to all paid-up members. Journal: Journal(s) shall be selected and approved by the Board of Governors following recommendations of the task appointed by the President for this purpose. The Journal(s) shall become the Official Publication(s) of the International Society. The journal(s) shall (a) be free standing from the Society but shall offer a reduced subscription rate to the Society membership, (b) collect subscription fees independently from the International Society, and (c) provide space in each issue for news and/or any other information about the International Society. If feasible, selected papers presented at the World Congress shall be published in the journal(s). Website: A web site is to be established and updated on a routine basis every three months. The updating of the website shall be the responsibility of the Executive Director but the Secretary, "News &Views" Editor, other members of the Executive Committee, the Board of Governors and membership at large shall be responsible for providing the material for publication. The website should publish the in force By-Laws and Policies and Procedures, the approved minutes of the Board of Governors. In addition the web site should consist of information about the society, membership applications, world congress information and registration, calendar of events, exchange of experts directory, membership directory, newsletter, etc. The President with the approval of the Executive Committee shall appoint a Chair and members of a Publications Committee. The Committee shall assume the oversight of these publications. Members of the Publications Committee will include those assigned to coordinate the activities of each of these methods of communication. The number of Committee Members can vary depending upon the needs of the Committee.

2.

3.

4.

3. Proposed Amendments to the Policies and Procedures, APPENDIX No. III OPERATIONAL GUIDELINES OF THE COMMITTEES OF THE ISPRM Publications Committee: Goals: a. To liaise with the Chief Editor(s) and Editorial Board(s) of the Official Journal(s) of the Society. b. To provide material for the "News & Views" electronic journal publications. c. To oversee and coordinate the operations of the ISPRM publications including the Newsletter, Journal(s) and Website. The Committee will consist of one chair and members individually responsible for the Newsletter, Journal(s) and Website. There should be sufficient members to represent different countries and regions of the World. The chair will be held by the Editor of the electronic publication of the Society "News & Views". The Committee will maintain close co-operation with the Regional Vice Presidents in order to collect material from their Regions' countries, having to do with activities of national PRM societies and/or other scientific activities and works. The Committee members must try to find and encourage colleagues from their countries or regions to send news for activities or views for the future of PRM, to the Editorial Board of the electronic journal. The Committee will co-operate with the Secretary and Executive Director for publicizing Society's documents. The Chair will prepare and submit an annual report regarding the Committee's activities to the Executive Committee and/or Board. F. Procedures for Forming Committees The Board of Governors at its 2007 Seoul Meeting agreed that the process of forming committees was too cumbersome and restrictive. The By-Laws Committee recommends the Board approve using the following principles regarding forming committees when writing changes to the By-Laws and Policies and Procedures. 1. The By-Laws and Policies and Procedures will be revised to have the six members other than the Chair of the Nominating Committee selected by the Executive Committee rather than the Board of Governors. 2. All other committees will have no limits on the number of members they may have. 3. The Chairs of the Nominating, Awards and Finance, Audit and Investment Committees will continue to be the PastPresident, Past-President and Treasurer respectively. 4. The President will appoint after approval by the Executive Committee the chairs of all other committees and task forces. 5. The President will appoint after approval by the Executive Committee the members of all committees or task forces.

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G. Revision of the By-Laws and Policies and Procedures The Board of Governors expressed concern that revision of the By-Laws and Policies and Procedures takes too long because they require a vote of the Board at its annual meetings. One alternative is to provide for an e-mail vote of the Board on these revisions, provided that it receives 90 days notice of the proposed changes. The Board in Seoul directed that the By-Laws Committee propose the percent of Board Members who would need to respond for such a vote to be valid. The Committee proposes that it be 40%. A comparison of the current amendment procedures of the By-Laws and Policies and Procedures reveals that they are not consistent with each other. The following is proposed language to correct this. 1. Proposed Amendment to the By-Laws, Section XV. Amendments of the By-Laws 1. Notice to amend or alter these By-Laws may be submitted by any Active Individual Member or Active National Society Member to the Secretary and Executive Director of the Society. The Presidents Cabinet after studying the proposal shall decide within 2 months whether or not it supports the proposed changes. It shall inform the submitter accordingly. If the President's Cabinet supports the proposal, it shall be presented to the Board of Governors either through an email ballot or at its next scheduled meeting. Members of the Board of Governors will be given 90 days to complete their e-mail ballots. They may correspond with each other prior to their final ballots. If a proposed change is placed on the agenda of a regular Board Meeting, it must be distributed at least 90 days before the meeting. For a proposal to be approved by e-mail ballot, it must be approved by a majority of those voting. For a vote to be valid, at least 40% of the Board of Governors must vote. A proposal presented at a meeting of the Board of Governors shall require a second and simple majority for passage. The Board must notify the total membership of the approved changes not later than 3 months after their approval. 4. If the President's Cabinet does not support the proposal, the Active Member can request the Executive Director to include the submitted proposal on the Agenda of the next scheduled meeting of the Board of Governors provided that the motion is seconded. The approval of such a motion would require a 2/3 majority. If this motion is passed, the Board must notify the total membership of the approved changes not later than 3 months after their approval.

2.

3.

2. Proposed Amendments to the Policies and Procedures, Section XVI. Amendments to the Policies and Procedures 1. Notice to amend or alter these Policies and Procedures may be submitted at any time by any Active Individual Member or Active National Society Member to the Secretary and Executive Director of the Society. The President's Cabinet after studying the proposal will decide within 2 months whether or not they support the proposed changes and inform the submitter accordingly. If the President's Cabinet supports the proposal, it shall be presented to the Board of Governors either through an email ballot or at its next scheduled meeting. Members of the Board of Governors will be given 90 days to complete their e-mail ballots. They may correspond with each other prior to their final ballots. If a proposed change is placed on the agenda of a regular Board Meeting, it must be distributed at least 90 days before the meeting. For a proposal to be approved by e-mail ballot, it must be approved by a majority of those voting. To be valid, at least 40% of the Board of Governors must vote. A proposal presented at a meeting of the Board of Governors shall require a second and simple majority for passage. The Board must notify the total membership of the approved changes not later than 3 months after their approval 4. If the President's Cabinet does not support the proposal, the Active Member can request the Executive Director to include the submitted proposal on the Agenda of the next scheduled meeting of the Board of Governors provided that the motion is seconded. The approval of such a motion would require a 2/3 majority. If the motion is passed, the Board must notify the total membership of the approved changes not later than 3 months after their approval.

2.

3.

Conclusion The Committee respectfully submits these proposals to the Board for its vote. It will revise the language of the By-Laws and Policies and Procedures to reflect any of these proposals the Board does not approve.

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Report of the Congress Committee

Guy Vanderstraeten

The Congress Committee had a number of activities during the past three years. It has been evaluating the European Congress in 2008 in Brugge, Belgium as a frame that also could be used for future ISPRM congresses. The set-up of the Scientific Committee and programme was evaluated as very fruitful and could be implemented in the upcoming ISPRM congresses. The committee has also been working on the requirements for upcoming congresses in order to fine-tune the procedure for submitting a bid for the 2015 ISPRM World Congress. Four candidates showed interest in organising the congress · Berlin, Germany · Cancun, Mexico · Ljubljana, Slovenia · Toronto Canada The Canadian Society however decided to withdraw the bid so there are now three candidates remaining from which the ISPRM Board of Governors Members can vote during the upcoming ISPRM Board meeting in Istanbul. The Congress Committee also made a basic proposal for the contract between the ISPRM and the organisers of the future congresses. This contract is to be evaluated by the President's Cabinet and the Executive Board for further evaluation. The Congress Committee also advises that future ISPRM congresses should be organised by the ISPRM with for ruse a lot of input by the local organisers. This might result in congresses that are reaching the same scientific and organisational high standards as well as the income from the congress can bring the ISPRM in a more stable financial situation.

Report of the Educational Committee

Marta Imamura

Committee Members: William Micheo (Puerto Rico, USA), Nachum Soroker (Israel), Alain Delarque (France), Andrew Cole (Australia), Franco Franchignoni (Italy), Gerald E. Francisco (USA), David A. Cassius (USA), Bryan O' Young (USA), Henry L. Lew (USA), Simon Tang (Chinese Taipei), Gunes Yavuzer (Turkey), Farzan Torkan (Iran), Seong Woong Kang (Korea), Xiaojie Li (China), Jean Michel Viton (France), Juan Lacuague (Uruguay).

1. World Action Plan on Initial Education in PRM (WAPIE.PRM)

The first immediate action of the educational committee was the creation of the World Action Plan on Initial Education in PRM (WAPIE.PRM). It was presented at the last Board of Governors meeting held in Seoul on June 14th, 2007 by Prof. Alain Delarque, President of the Physical and Rehabilitation Medicine Section, EUMS (www.euro-prm.org), as part of the report of the education committee. The "World Action Plan for Initial Education" (WAPIE.PRM) is originally an international expansion of the European work plan for initial education in Physical and Rehabilitation Medicine and has three main objectives: 1. to present handicap and the ICF to the medical trainees of all the medical schools during their undergraduate program, 2. to facilitate access to the best level of education in PRM for the PRM trainees during their postgraduate teaching and training programs, 3. to facilitate access to research and research activities to the PRM trainees. The "World Action Plan for Initial Education in PRM" (WAPIE.PRM) and the role of the Regional and National Societies in its development was presented to the European delegates during the last meeting of the UEMS, PRM Section and Board in Bucharest, September 13-15, 2007 by Prof. Alain Delarque, and at the 68th American Academy of Physical Medicine and Rehabilitation in Boston, September 27th, 2007. Both follow-up meetings shared similar agenda and continued the discussion started in Seoul. It was presented also at the European Congress of Physical Medicine and Rehabilitation in Brugge, June 2008 and will be presented at the AMLAR 2008, in Punta del Este, Uruguay. The "World Action Plan for Initial Education" (WAPIE.PRM) has been adopted in Bucharest, September 2007, by the delegates of the European Union of Medical Specialists (UEMS) Physical and Rehabilitation Medicine (PRM) Section and Board. European PRM Section and Board will spread the information to all European trainees. For research, the European PRM Section and Board activities in the field of "WAPIE.PRM" will have, during national and European PRM congresses, sessions dedicated to trainees (either free or with very low fees for trainees) with teaching programs helping trainees for research activities. For example French and Portuguese National PRM congresses will be free for trainees with devoted sessions on research. These national European PRM scientific societies (French, Portuguese) propose free registration to

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PRM trainees in 2008. Contact representatives from Europe for the ISPRM WAPIE taskforce are: Pr Alain Delarque (France); Pr Jean-Michel Viton (France) and Pr Franco Franchignoni (Italy). During the meeting in Boston, it was discussed that the first objective should be expanded to a more general presentation of the specialty to the undergraduate students. The proposed objectives of the WAPIE.PRM are as follows: 1. create an undergraduate and postgraduate minimum curricula endorsed by ISPRM that could be used at an international level. 2. facilitate access to the best level of education in PRM for the PRM trainees during their postgraduate teaching and training programs. 3. facilitate access to research and research activities to the PRM trainees. The Asian Oceania Society of Physical and Rehabilitation Medicine also discussed the educational issues during the 1st Asian Oceania Conference of Physical and Rehabilitation Medicine held on May 16-19th 2008 in Nanjing, China. The European Society of Physical and Rehabilitation Medicine held a special session on the WAPIE.PRM, in Brugge, Belgium, June, 2008. The Latin American National Societies also addressed the academic issues during their Regional meeting at AMLAR 2008, held in Punta Del Este, in Uruguay, October 28th and the Residents Meeting on November 30th, 2008. The residents from Latin American National Societies presented their residency program and worked on the design of a multicenter survey on cerebral palsy in Latin American countries as well as a dataset for ICF in this population. The members of the education committee have encouraged other National and Regional Societies to further discuss the role of their National and Regional Societies in the development of the WAPIE.PRM and update the committee with reports of the discussions held at the National and Regional levels. The current activities of the "World Action Plan for Initial Education" (WAPIE.PRM) are: 1. Perform a survey to identify all existing Physical and Rehabilitation Medicine programs offered at medical schools, residency or postgraduate teaching and training programs. The final goal is to create an undergraduate and postgraduate minimum curricula endorsed by ISPRM that could be used at an international level. Prof. Gutenbrunner will discuss PRM in undergraduate education - basic principles and the Hanover model and The White Book on PRM in Europe - implications for postgraduate training. Samuel Meyer (Vice Chair, Education Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Residency Program Director, Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine is presenting the six-step approach to curriculum development for the teaching of Physical and Rehabilitation Medicine to medical students to be employed in some of the USA School of Medicine. For 2008, the education committee was charged to produce the minimum curriculum to be used during the residency programs (trainees in PRM) for acquired brain injury ­ ABI and spinal cord injury - SCI. All members of the education committee were asked to submit the curriculum used in their countries, or at a regional level. The committee received the curriculum on the two topics from: · Australia: by Andrew Cole on July 8th 2008 · USA: by Gerard Francisco on May 10th 2008, by Bryan O´Young on August 28th 2008, Henry Lew on October 25th 2008 · Seoul: by Seong Woong Kang on October 16th 2008 · Europe: by Gunes Yavuzer on December 4th 2008 · China: by Xiaojie Li on December 5th 2008 · Japan: Masami Akai on December 22nd 2008 · Iran: by Farzan Torkan on December 27th 2008 Other well recognized PRM specialists sent the curriculum used at their Departments: · Christina Moran de Britto (Residency Program Coordinator, University of São Paulo School of Medicine, São Paulo, Brazil). · Ralph Buschbacher (Director of the Department of Physical Medicine and Rehabilitation of the University of Indiana, USA ) on June 10th 2008 · Andrea Furlan (Toronto Rehabilitation Institute, Member of the Editorial Board of the Cochrane Back Review Group) on December 4th 2008 · Michael Y Lee (Professor and Chair, Residency Program Director and Medical Director of the Department of Physical Medicine and Rehabilitation of the University North Carolina School of Medicine ­ CH, USA) on December 11th 2008. Most curricula outline the general concepts and topics that should be covered during the acquired brain injury and spinal cord injury rotations (USA, Brazil, China, Korea, Japan, and Iran). The most detailed and comprehensive curriculum is described by the Australasian Faculty of Rehabilitation Medicine ­ Spinal Injury & TBI Modules in terms of tasks, knowledge and suggested learning resources. The curricula used in the University of Toronto and in the United States also address skills and attitudes that should be obtained after the completion of both programs. The curriculum submitted by Prof.

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Michael Lee suggests the duration of 4 months for the SCI program. For advanced four-year training programs, six-month duration for both ABI and SCI are recommended. Drafts of the minimum curriculum on acquired brain injury - ABI (appendix 1) and spinal cord injury ­ SCI (appendix 2) were published on the 2009 February issue of the N&V. The education committee welcomed suggestions and feedback from all ISPRM members via e-mail or to the Central Office. The committee is now working on the curricula for Clinical Research Experience (draft is presented as appendix 3), stroke, and musculoskeletal diseases. 2. Facilitate access to the best level of education in PRM for the PRM trainees during their postgraduate teaching and training programs. A very important achievement was the free access to the e-version of the Journal of Rehabilitation Medicine (JRM) to all ISPRM individual members in good standing, which started in January 2008 and will include all previous issues of the Journal. In 2005 the impact factor of the JRM was 1.799, with total cite of 455, immediacy index: 0.169, articles: 59 and cited half-life: 2.8. In 2007, the impact factor was 1.95. The importance of this achievement is that it will encourage more Societies to follow the Italian model which will facilitate the access to the education material at the members-only area of the website. Our goal is to advertise the free access to the e-Journal of Rehabilitation Medicine to all ISPRM affiliated National Societies and encourage the young members of ISPRM to be involved as soon as possible as becoming members of their National Societies. Also, we have been working to involve the scientific chairperson of each National and Regional Society in the advertisement process. Prof. Gunnar Grimby, Chief Editor of the "Journal of Rehabilitation Medicine", one of our official journals, has agreed in Seoul to publish a series of educational articles, filling the gap between textbooks and scientific papers, starting in 2008 (see item 6, page 7 below). Dr Stefano Negrini also agreed to publish an educational article for Europa Medicophysica (EMP). These articles can be downloaded free on the website, under the members-only session. Three national European PRM scientific societies will propose free registration to PRM trainees in 2008. The AAPM&R and the AAP already provides its residents members with a lower registration fee. A survey on Education programs, didactic resources and teaching strategies in PR&M was distributed during the academic discussion meeting in Seoul. The education committee has not received any replies from the survey until May 18th, 2009. Clinical Updates on-line Course: The Education committee has also invited well known speakers to deliver on-line lectures on major topics in Physical and Rehabilitation Medicine: September 23rd 2008, GMT -3, 4:00pm-5pm Carpal Tunnel Syndrome and other Focal Neuropathies Ralph Buschbacher, MD - Director of the Department of Physical Medicine and Rehabilitation of the University of Indiana, USA September 30th 2008 GMT -3: 4pm-5pm Upper Extremity Rehabilitation Techniques Nathan D. Prahlow, MD - Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, USA. All lectures are recorded and available at the website www.isprm.org Five lectures from the Association of Academic Physiatrists AAP 2009 Annual Meeting to be held in Colorado Springs from February 24 to 28th 2009 were recorded to be broadcasted to all registered residents and available via video streaming at www.isprm.org 3. Facilitate access to research and research activities to the PRM trainees: In order to train leaders in clinical research in Physical and Rehabilitation Medicine, the education committee is currently providing an intensive training course on Clinical Trials in 2008. The 2008 intensive Clinical Trials Course is offered by a special program developed by the Scholars in Clinical Science Program from Harvard Medical School and faculty members from Harvard Medical School. The course aims to provide the participants with a theoretical understanding of the issues involved in the design, conduct, analysis, interpretation and report of clinical trials. The participants are being trained to develop skills to scrutinize information, to critically analyze and carry out research, and to communicate effectively. Our goal is to train the highest number of physiatrists to perform good quality clinical research, to increase the chances of successful grant applications and publication in high impact peer-reviewed journals and develop large clinical research centers for multicenter trials. Other similar clinical research courses are offered in Boston by the Harvard School of Public Health ­ Clinical Effectiveness program http://www.hsph.harvard.edu/academics/clinical-effectiveness/overview/ (45 days ­ average of US$ 15,000 ­ clinical effectiveness program or 1-year course (masters in public health in clinical effectiveness: US$60,000) or by the Scholars in Clinical Science Program from Harvard Medical School (NIH-funded program); and also by the Department of Health Policy, Management and Evaluation at University of Toronto www.home.utoronto.ca (one year: CND$14,252.82 to 18,452.82 for international applicants). The Clinical Trials Course 2008 was offered by teleconference from March 13th to October 16th 2008, with 24 weekly lectures of two-hour duration followed by a live four-day intensive course which was be held in São Paulo, Brazil on

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October 23rd to 26th 2008. Thirteen PRM doctors from Brazil, one from Korea and one from USA took the course. The Clinical Trials Course 2009 will occur from March 19th to October 25th. For the 2009 version, CME credits will be provided. The members-only session of the www.isprm.org website is providing an on-line Journal Club to teach ISPRM members to critically appraise scientific publications on diagnostic testing, cohort studies, randomized controlled trials, systematic reviews, meta-analyses and clinical guidelines focused on evidence based information. The first activities were performed on September 2nd and 4th and will continue every first Tuesday of the month at GMT -3: 4pm-5:30pm. As by October 7th, there are 160 participants from all over the World registered for the Journal Club at [email protected] September 2nd, 2008: Lecture "Don't waste your precious time reading useless articles: tips on how to read the scientific literature". Andrea D. Furlan, MD PhD. Toronto Rehabilitation Institute, Member of the Editorial Board of the Cochrane Back Review Group. GMT - 3: 16h00 to 17h30 September 4th, 2008: Lecture "What makes a great paper? Tips to get your research published in high-impact journals". Caren Solomon, Deputy Editor, New England Journal of Medicine September 4th 2008, GMT - 3: 18h30 to 21h00 (lecture from the Clinical Trials Course 2008, by invitation only) October 7th, 2008: Preyde M. Effectiveness of massage therapy for subacute low-back pain: a randomized controlled trial. CMAJ. 2000 Jun 27;162(13):1815-20. Free download at http://www.cmaj.ca/cgi/content/full/162/13/1815. Presented by Daniel Pimentel, MD. Resident, Physical Medicine and Rehabilitation Program, Hospital das Clinicas, University of Sao Paulo School of Medicine. November 4th, 2008: Slot KB, Berge E, Dorman P, et al. Impact of functional status at six months on long term survival in patients with ischaemic stroke: prospective cohort studies. Free download at: http://www.bmj.com/cgi/content/full/336/7640/376. Presented by Dr. Malcom Carvalho Botteon, Resident of Physical Medicine and Rehabilitation at the University of Sao Paulo School of Medicine. April 7th, 2009: Perez C et al. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Free download at: http://www.hqlo.com/content/pdf/1477-7525-5-66.pdf. Presented by Dr. Javier Mauricio Moreno, MD, Resident of Physical Medicine and Rehabilitation at the University del Valle, Cali ­ Colombia. May 5th, 2009: Consensus Meeting for the guideline on therapeutic exercises. Are therapeutic exercises beneficial to patients with major depression, depression in the elderly, women with post partum depression and in Alzheimer Disease? Presented by Marta Imamura, Brazil. As of May 5th, 2009, the JC will start a series of consensus meetings which will generate the Guidelines for the ISPRM Clinical Updates in Physical and Rehabilitation Medicine. The main goal is to provide the Education Committee with education materials such as the monographs to fill the gap between the textbooks and the specific papers published in the literature on the main topics of our specialty. These guidelines will aim not only the specialist but also other physicians in general and the public. For that reason the guidelines will try to answer structured relevant clinical questions of diseases that are most prevalent in the International arena. Answers to the clinical questions will be based on the scientific evidence of higher quality scientific papers (level of evidence A or B) and not only on expert's personal opinion (level D of scientific clinical evidence). In a second phase, we will use the AGREE instrument to evaluate the quality of the guidelines and submit for publication. Calendar for the Journal Club in 2009: April 7, May 5, June 2, July 7, August 4, September 1, October 6, November 3, December 1. Published papers in the field of Physical and Rehabilitation Medicine will be presented and critically appraised by specialists and residents and comments will be posted in the ISPRM website. All journal club activities are recorded and available at the website www.isprm.org In order to promote and facilitate the networking among the PRM residents, the ISPRM Education Committee also created the PRM Residents Network, a forum for continuous discussion and networking. As of May 18th 2009, there were already 106 residents registered. Multicenter studies, data collection and poll of different PRM topics are also available.

2. Create a list of ISPRM scientific publications: JRM, Journal of Disability and Rehabilitation, ISPRM website (www.isprm.org , members-only session).

Is already available at the members-only session of the www.isprm.org website.

3. Create a list of training opportunities in physical medicine and rehabilitation endorsed by ISPRM: members will be encouraged to submit information about training programs at their Universities to the Education Committee, which will evaluate them and provide the programs details within the website.

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The European colleagues have already provided a list with 70 training sites recognized by the European PRM-Board. The committee is still working in the other regions: Asia Oceania, Middle East, North America and Latin America. The committee is currently working on the creation of the rules and regulations for a training site to the recognized by ISPRM.

4. Keep and update the calendar of scientific meetings around the world.

Werner will provide the calendar and keep it updated in the website.

5. Keep constant communication with the scientific chairpersons of each National Society and major Regional Societies affiliated to ISPRM.

Three European National Societies and AMLAR as of 2008 will provide a space in the scientific program of their Congresses for a discussion on the academic issues. The Asian Oceania Society of Physical and Rehabilitation Medicine also discussed the educational issues during the 1st Asian Oceania Conference of Physical and Rehabilitation Medicine held on May 16-19th 2008 in Nanjing, China. The Latin American National Societies also addressed the educational issues at the AMLAR 2008, held in Punta Del Este, Uruguay, on October 28th, 2008 at the Panel Discussion Session chaired by Juan Lacuague (Uruguay) Education in Rehabilitation: the WAPIE.PRM; and at the Residents Meeting held on October 30th, 2008. We are also in contact with the scientific chairpersons to help supply us with potential names of speakers and authors of the monographs, perform the survey on education programs in their countries and be the contact person for the research capacity expansion plan. We are requesting that all ISPRM National Societies representatives as well as to the scientific chairpersons to advertise to their trainees about the JRM opportunity so that more young specialists can be involved with ISPRM.

6. Provide ISPRM members with four biannual comprehensive monographs on general topics in physical and rehabilitation medicine. Create a standardized format for publication of the monograph.

Initially this was thought to be the most difficult task, because, as discussed with Prof. Delisa in Seoul, there was no incentive for the authors to devote time and efforts to produce the monographs. During the meeting in Seoul, however, Prof. Gunnar Grimby, Chief Editor of the "Journal of Rehabilitation Medicine" has agreed to publish early an educational article, filling the gap between textbooks (sometimes not update information) and scientific papers (too specific). The first one will be published in 2009. This opportunity was created by Prof. Alain Delarque, current President of the Physical and Rehabilitation Medicine Section (EUMS). The idea is to provide the benefit of a publication in our official journal as the result of writing the monographs to ISPRM. For the ISPRM members those publications will contribute to provide the best level of education in the various major topics of our specialty and make them widely available (one of the means to achieve goal 2 of the WAPIE.PRM). The main goal of the monographs, as stated above is to produce an educational and scientific material that will fill the gap between the textbooks and the scientific papers. We named the monographs as Clinical Updates in Physical and Rehabilitation Medicine. The education committee has received eight monographs on Clinical Updates in Physical and Rehabilitation Medicine by October 15th 2007, and another monograph in January 2008. One of the eight monographs was already selected by the editorial board of the JRM and will be published on the 2009 January issue as an ISPRM Education Review. All other monographs were then submitted to the Publication Committee for evaluation and peerreview for the publication in the website. Six were selected and will be available at the website. These publications will contribute to provide the best level of education in the various major topics of our specialty. The next step will be to gather all clinical updates of a specific major topic as an ISPRM education and scientific committee publication, with a main editor for each major topic as an Updated Review and offer it free of charge to our members. The ISPRM Education Committee will follow the suggested criteria for the submission of the ISPRM Educational Reviews to be submitted to the JRM: Rules and Regulations for Publication of ISPRM Educational Reviews in JRM By Grunner Grimby, Editor in Chief JRM: "The Journal of Rehabilitation Medicine is prepared to print one Educational review submitted from ISPRM each year. The manuscripts will be sent for peer review and decision on publication is made by the Editor after appropriate revision. ISPRM can send more than one manuscript for consideration and discussion with the Editor, as the choice of the manuscript to be printed also will be made so that different topics will be covered. The length of the manuscript should not correspond to more than 9 printed pages, including reference list (which may be rather long if appropriate), tables and figures. There will be no page charge. The authors may keep the copyright if they want and sign a License to Publish with JRM. "Authors are also requested to submit six multiple choice questions with five alternatives, only one being the correct one. The Editors of JRM will also peer-review the multiple choice questions. For the JRM, authors should follow the instruction for publication of review papers at http://www.medicaljournals.se/jrm. The publication (under the leadership of Walter Frontera) and the website committee (under the leadership of Nachum Soroker) were asked to provide the education committee with the rules, regulations and format for the publication of the monographs in the website.

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7. Plan and develop the members-only area within the world wide website. The education committee will provide ideas for the scientific content and assist in adding or deleting linkages to the homepage. International representation within this task will help ensure global interest and will be the most important tool for education dissemination.

Members-only area of the website was professionally create in 2005 and offered ISPRM members in good standing with: 1. News: articles, publications and papers of general interest, with the photo ID, summary of the paper and in some cases the pdf of the paper. When it is not allowed (due to copyright problems with the journal) we added the link to the Journal. 2. A list of all the PRM scientific upcoming events with the link to the website of the event 3. Congress: a) a gallery photo with all the photos of the 2005 Congress to be downloaded for free b) Database with the pdfs of the powerpoint of the lectures presented at the 3rd World Congress, which were donated by the lecturer to ISPRM for free. Members can download the pdf of the lectures for free c) pdfs of the powerpoints of the workshops presented at the 2005 World Congress, also a kind donation of the lecturers d) pdfs of the lectures presented at National Society Congress sponsored by ISPRM. e) Book of abstracts of all the previous World Congresses (obs: because the amount of data is very heavy, we used to update the lectures every three months, so that members could access the website many times to download the files, it changed dynamically). f) powerpoint slides from lectures delivered at the 4th World Congress of the ISPRM and National Congresses held in 2007. 4. Evidence based rehabilitation: it brings the updated summary and conclusions of over 100 systematic reviews from the Cochrane Collaboration database in the main topics of rehabilitation medicine; over ten other sources of information on Evidence Based Medicine, including a word and a pdf free version of the Consort statement and flow-chart for randomized controlled trials and of the TRENT statement for non-randomized controlled trials; access to more than 20 journals related to our field; access to some databases of scientific articles, including Pubmed, Embase and Lilacs. Our goal is to offer ISPRM members in good standing with the most updated scientific and educational information in the field of Physical and Rehabilitation Medicine.

8. Maintain a close and integrative cooperative work with the education exchange committee chaired by Mark Young.

A common area under "Education" was developed in the website. The education exchange committee has contacted members from Russia who already affiliated to ISPRM and is looking forward exchange programs to enhance the Rehabilitation Medicine capacity in Russia.

9. Evaluate the concept and necessary criteria for the development of special interest groups of different topics in Physical and Rehabilitation Medicine.

Concept: The ISPRM Special Interest Groups (SIGs) will be introduced to facilitate ISPRM members with specific interests to discuss specific issues in depth. Special interest groups should be associated with the major clinical and educational areas of Physical and Rehabilitation Medicine. The Education Committee suggests the following SIGs: 1. East Meets West in PRM 2. Musculoskeletal rehabilitation and sports medicine 3. Neurologic rehabilitation 4. Pediatric rehabilitation 5. Electrodiagnostic and neuromuscular medicine 6. Medical rehabilitation 7. Academic leaders such as training program directors and department chairs. Necessary criteria: The ISPRM members in good standing can form a SIG. The application form should contain the name of the proposed SIG (as suggested above), the names and signatures of the founding members and a clear description of the objectives and of the proposed activities and the scientific focus of its membership. All SIG members should be members of the ISPRM. Any ISPRM member can join any SIG and may belong to more than one SIG. SIGs must submit an annual report to the Secretary of ISPRM describing: meetings held within that year, publications, list of members and main accomplishments. SIGs may offer suggestions to the ISPRM Education Committee and to the Scientific Organizers of National and World Congresses. SIGs may elect their own officers using the principle of one vote per member. The first official SIG meetings will be scheduled at the 5th World Congress of the ISPRM to be held in Istanbul, Turkey, on June 13-17th. The dates and meeting rooms are already requested and will be informed in due time.

Report of the Int. Education and Development Fund

Chang-il Park

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Report of the Faculty-Student Educational Exchange Committee

Mark A. Young

Charge to the Committee: The charge of the Faculty-Student Exchange Committee is to serve as a central clearing house for international educational and humanitarian exchange opportunities in Physical & Rehabilitation Medicine. Background: The Faculty-Student Exchange Committee of the ISPRM was established in 2002 due to the recognition of then President John Melvin (USA) and President-elect Haim Ring (Israel) that promoting international education was a logical extension of the ISPRM's mission to spread rehabilitation expertise internationally. With the encouragement of the ISPRM Board, the new committee was appointed with physiatrists Peter Disler (Australia), Luigi Tessio (Italy) and Mark Young (USA) as its founding leaders. The committee was inspired by luminaries within the specialty who envisioned a global educational agenda including Dr. Herman Flax, Dr. Mathew Lee and many of the current senior members of the ISPRM. The Faculty-Student Exchange Committee serves primarily as a central clearing house for international educational and humanitarian opportunities in Physical & Rehabilitation Medicine by placing medical students, residents, faculty physicians and allied rehabilitation professionals in global voluntary didactic and public service rotations. The committee tracks the progress and outcomes of these rotations as well as the successes of its other educational initiatives. To coordinate its initiatives, the Faculty-Student Exchange Committee interfaces with other educational rehabilitation organizations and relevant ISPRM committees and shares information about global PRM educational opportunities with ISPRM membership.(Please see the committee website for more information, http://isprm-edu.org/, or refer to the `specific activities' listed in the appended `Promoting Global Physical & Rehabilitation Medicine Educational Exchange: ISPRM Faculty-Student Exchange Committee' (NEWS LETTER NO.2 ­ 2007, Journal of Rehabilitation Medicine). Chairperson: Mark Young MD, MBA, FACP Co-Chairperson: Bryan O'Young MD Membership of the Committee: Current: Mark Young (Chair: USA), Bryan O'Young (Co-chair, USA), Torkhan Farzaneh (Iran), Iuly Treger (Israel), Calogero Foti (Italy), Peter Lee (Korea), Amparo M. Assucena (Spain), Charles Knoll (USA), Meeta Peer (USA), Elenha Polukhin (USA) Hugo Nunez Bernadet (Uruguay) Past: Peter Disler (Australia), Christina Moran de Brito (Brazil), Jianan Li (China), Iuly Treger (Israel), Alessandro Giustini (Italy), Haim Ring (Mentor: Israel), Onder Kayhan (Turkey), David Cassius (USA) Activities of the Year: Since the last annual report to the ISPRM Governing Board at its annual meeting in Brugges, Belgium on June 5th, 2008, the ISPRM Exchange Committee has continued its primary mission of placing rehabilitationists in didactic rotations as well as serving as an information resource and diplomatic channel for advocating educational and humanitarian opportunities in Physical & Rehabilitation Medicine globally. The committee processed 18 inquiries from prospective international rotators during the past year (70 since committee inception). (Please see attached list of Rotation Sponsoring Institutions). Aside from committee placements, many national societies have advanced international educational exchange by independently coordinating placements as well as by hosting foreign physiatrists to present to their society, at meetings and at training institutions. In an effort to fully reflect the extent of international educational exchange as well as to acknowledge individual society participation, the committee kindly requests that it be notified of educational exchange activities independently conducted by national societies and by individual institutions. This information can be forwarded to the committee chair at [email protected] This will help to capture information for the ISPRM Exchange Committee central data registry so that all members of the ISPRM can keep informed. In May of 2008, China suffered a series of devastating earthquakes resulting in over 370,000 injuries. The Chinese government saw the urgent need for rehabilitation services. ISPRM members Jianan Li and Leonard Li advocated initially for a Chinese team to learn from the leading US institutions and committee members Mark Young and Bryan O'Young coordinated the visit with the generous support of leading USA rehabilitation institutions. In December, the committee hosted a seven-member medical, architectural and educational planning delegation from China comprised of key rehabilitation and government planning officials. (Please note attached ACKNOWLEDGEMENTS). Bryan O'Young accompanied the delegation to several prominent USA rehabilitation institutions and `centers of excellence' (please see ACKNOWLEDGEMENTS) in order to: 1) gain better understanding of rehabilitation facility function and design to inform construction of treatment facilities, including a dedicated rehabilitation hospital near Chengdu, for victims of the 2008 Sichuan Earthquake and future disasters in western China, and to 2) appreciate the various rehabilitation educational models in the United States in order to improve existing Chinese models.

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During the visit, members of the Exchange Committee also shared their experience with organizing the rehabilitation response to Hurricane Katrina, the devastating hurricane which struck the US Gulf Coast in August, 2005. Planning recommendations included assembling rehabilitation disaster response teams comprised of volunteer physiatrists and other rehabilitation professionals. (Additional information is available through the AAPM&R medical education website, `academe': "Rehabilitations Service Care Contributions in Natural and Man Made Disaster" initially presented by Dr. Mark Young; http://me.e-aapmr.org/SlideLectures.aspx . ISPRM member James Gosney (USA) later presented on the unified rehabilitation response to Hurricane Katrina, named `Operation Functional Recovery', earlier this week at the `First World Conference on Medical Rehabilitation in Rural and Developing Regions', sponsored by the International Rehabilitation Forum, in Kayseri, Turkey). ISPRM member Bryan O'Young presented at the Chinese Medical Doctor's Association Rehabilitation Medicine Conference in Beijing on new advancements in pain management and also lectured at the Peking First Hospital in Beijing on the universal principles of rehabilitation medicine in May of 2009. ISPRM members John Melvin (USA) and Mark Young presented at the international rehabilitation-themed Biennial Alumni PM&R Symposium at the Johns Hopkins University Hospital in Baltimore, Maryland USA on June 5, 2009. In support of its ongoing primary mission of placing rehabilitationists in global didactic rotations, the Exchange Committee is currently implementing a recognition program to duly acknowledge the sponsorship contribution of volunteer faculty and host institutions. (Please note ACKNOWLEDGEMENTS). The committee has also developed a proposal (please see attached) to create an award in memory of the late Haim Ring (Israel) for his years of service as mentor to the committee. (Dr. Ring passed away in August 2008). Agenda for the Coming Year - Continue placement of rehabilitationists in global didactic and humanitarian rotations - Continue support of China's rehabilitation development initiative by providing additional planning, training and education resources based on the Hurricane Katrina Operation `Functional Recovery' experience - Publish `Operation Functional Recovery' experience in a peer-reviewed rehabilitation or disaster management journal - Continue implementation of a sponsoring faculty and host institution `recognition program' - Expand recognition of international educational exchange by tracking individual society efforts to independently coordinate placements as well as hosting of foreign physiatrists at educational forums - Create an ISPRM Central Registry Database which will be linked to the committee web site www.isprm-edu.org SELECTED VISITATION & DIDACTIC ROTATION PLACEMENTS (2006-2009) USA (originating) Placements 1. Dr. Nina Choi, University of MD Sinai Hospital resident placed in one month rotation in Korea with Dr. Peter Lee, Dr. Kwon and Dr. Cheung-il Park. Dr. Kim, Yun-Hee et al 2. MS Brett Gerstman, UMDNJ student (currently PM&R Resident at NYU) placed in month rotation in Uruguay with mentors Hugo Nunez Bernadett and Juan Luis Lacuague 3. Dr. Ileana Howard, PM&R resident at Univerity of Washington visited PRM Department, Hospital de la Esperança, Barcelona, Spain 4. MS Drew Morchawer, Tulane student (currently PM&R Resident at UT-Southwestern) placed in month rotation in Israel with mentors Rafi Heruti, Iuly Treger and Haim Ring 5. MS Nhat Tran, Boston University student (currently PM&R Resident at Tufts) placed in rotation in Viet Nam 6. Dr. Ken Vitale, NYU/Hospital for Joint Disease visited Tokyo Bay Hospital, Japan International (originating) Placements 1. Dr. Zhen Chen from China visited Baltimore, Maryland 2. Dr Luisa Gagean from Lisbon, Portugal visited the Loewenstein Hospital Rehabilitation Center (Tel Aviv, Israel; Dr. Nachum Soroker) 3. Dr. Ghatak from Calcutta, India visited Baltimore, MD 4. Dr. Luong Khanh, Physiatrist from Bach Mai Rehabilitation Center (Vietnam) rotated at the Chaim Sheba Rehabilitation Hospital (Tel Hashomer, Israel; Dr. Jeff Shames) 5. MS Aliza Livshitz, student from the Technion University (Haifa, Israel) visited MN 6. Dr. Renee Maschke, SCI Physiatrist from Italy visited NY 7. MS Suchita Mehta, student from Bombay, India to visit NY (NYCPM) 8. Dr. David Sareceni, resident from Rome, Italy visited NY, NJ, MD 9. Dr. Oral et. al. visited NYU 10. Dr. Marcello Solli, resident from Vergata University, Rome visited NY/MD 11. Dr. Takirbashev from Krgyzstan (Russia) visited University of MN (Russian American Medical Association; Dr. Elena Polukhin) 12. Dr. Wafaa Al Yazeedi from Qatar visited the University of MN

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Recent International Visitation: New York University-Rusk Institute Aydan Oral, MD, Professor of Physical Medicine and Rehabilitation Chair, Department of Physical Medicine and Rehabilitation Istanbul University Istanbul Faculty of Medicine, stanbul, Turkey Dilsad Sindel, MD, President, Turkish Society of Physical Medicine and Rehabilitation Professor of Physical Medicine and Rehabilitation Department of Physical Medicine and Rehabilitation Istanbul University Istanbul Faculty of Medicine, stanbul, Turkey Demirhan Diracoglu, MD , Chief of the Residents Department of Physical Medicine and Rehabilitation Istanbul University Istanbul Faculty of Medicine, stanbul, Turkey Sansin Tuzun, MD, Professor of Physical Medicine and Rehabilitation Department of Physical Medicine and Rehabilitation Istanbul University Cerrahpasa Faculty of Medicine, stanbul, Turkey Banu Kuran, MD, Vice- President, Turkish Society of Physical Medicine and Rehabilitation Associate Professor of Physical Medicine and Rehabilitation Sisli Etfal Training Hospital, stanbul, Turkey Chinese Delegates - Kui Liu, Director, Ministry of Health, China - Xiangtian Wu, Senior Officer, Ministry of Health, China - Professor Wei Zhang, Deputy President, West China Hospital of Sichuan University - Professor Chengqi He, Director, West China Hospital of Sichuan University - Professor Xiaoyong Qiu, Senior Architect, China Southwest Architectural Design and Research Institute - Haiyong Chen, Engineer, West China Hospital of Sichuan University - Hongchen He, Secretary, West China Hospital of Sichuan University Chinese Delegation (Institution ((USA)); Host) - Baylor College of Medicine; Dr. Martin Grabois (offer of support) - Jefferson Magee Hospital; Dr. John Melvin - Johns Hopkins University Hospital; Dr. Jeffrey Palmer, Dr Richard Zorowitz, Dr. Sam Mayer - Kessler Rehabilitation; Dr. Joel Delisa, Dr. Bruce Gans - Maryland Rehabilitation Center, TheWorkforce & Technology Center, State of MD; Office of Dr. Mark Young - MetroHealth Rehabilitation Institute of Ohio; Dr. John Clark, Dr. Brendan Patterson (offer of support) - National Institutes of Health; Dr. Leighton Chan, Dr Li Li - New York College of Podiatric Medicine; Dr. Howard Rusk Jr, Dr. Stanley Kornhauser - Rusk Institute; Dr. Steven Flanagan; Dr. Mathew Lee - Rusk Without Walls (dinner); Dr. Mathew Lee, Dr. Bryan O'Young - University of Pennsylvania; Dr. Richard Salcido, Dr. Sam Wu Rotation Sponsoring Institutions - Hospital for Joint Disease, New York University - Hospital for Special Surgery, New York University - Johns Hopkins Hospital - Kernan's Hospital, University of Maryland - Kessler Neuromuscular Program, UMDNJ Hospital (Newark); Dr. John Bach - Maryland Rehabilitation Center, TheWorkforce & Technology Center, State of MD - Moss Rehabilitation Research Institute - Mount Sinai School of Medicine, New York University - New York College of Podiatric Medicine - Parker Jewish Institute for Health Care& Rehabilitation, North Shore-LIJ Health System - Rusk Institute, New York University - Sinai Hospital of Baltimore - Thomas Jefferson University - University of Pennsylvania

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National Physiatrist Organizations Many national physiatrist organizations deserve acknowledgement for independently promoting international educational exchange by hosting foreign physiatrists during the past year. Colombia, China, Iran, Israel, and Italy are recognized and thanked. Special notice and gratitude to the Iranian Society of PM&R for hosting the following lecturers: - Dr. Jeffrey Basford; Mayo Clinic, USA - Dr. Leonard Li; Hong Kong Association of Rehabilitation Medicine, Hong Kong - Hasan Monfared; University of Alberta Hospital Multidisciplinary Pain Centre, Canada - Ali Nemat; Keck School of Medicine of USC, USA - Mehrsheed Sinaki; Mayo Clinic, USA

Report of the Membership Committee

Christoph Gutenbrunner

Members: Christoph Gutenbrunner (Chair), Masami Akai, Gulseren Akyuz, Jose Jimenez, Ampara Matinez, John Oliver, Haim Ring (), Marco Franceschini, Veronica Rodriguez de la Cruz The Committee worked with e-mail discussions and exchange of opinion. A face-to-face-meeting will be held in Istanbul at the occasion of the ISPRM World Congress. The final decisions and recommendations to the Board of Governors will be made there. The work of the committee started from the definition of tasks, being · to clarify the present status and of types of memberships of the ISPRM, · to analyse possible problems and · to make proposals for a future structure of membership. According to the "Bylaws" of the ISPRM (Edition 2007) types of Memberships are defined as follows: 1. There are the following classes of membership: National Societies, Individual and Corporate. 2. Within the National Societies class are Active and Associate Members. 3. Within the Individual class are Active, Honour Role, Honorary, Associate and Emeritus Members. 4. Representation on the Board, right to vote and hold office is open only to Active National Societies, Active Individual Members and Honour Role Members 5. All classes are required to pay an annual subscription, unless otherwise stated in the Policies and Procedures, as approved by the Board of Governors. Any of these classes that have not paid the annual subscription for two consecutive years will have their membership suspended and shall forfeit all rights of membership until the suspension is removed through the payment of dues. Additional information is given in the "Policies and procedures" (Edition 2007) In order to start the discussion about the issues of membership rule the following hypothesis were formulated: 1. National Societies are well represented in the ISPRM as they sent delegates to the Board of governors with full right to vote. The two types (active and associate) are clearly defined in the Policies and Procedures. 2. Individual Members are represented in the bodies of the ISPRM only by the members at large. They have no right to vote (even not the member at large for individual members). This is not a democratic procedure and gives no motivation to become an individual member. Such a motivation at present will only be induced by receiving information (News and Views, Access to Journals), reduced Congress fees and the right to be voted (Executive Committee etc). The subtypes "Active, "Associate" and "Emeritus are clearly defined in the Policies and Procedures", however, the difference between "Honour Role" and "Honorary" is not obvious. 3. Corporate Members are defined as corporations, for profit or non-profit. However, further specification is needed. According to the mail of Jose Jimenez there might be different kinds of Corporate Members that have to be handled in a different way. They may are: a. Companies b. Hospitals, Rehab Centres c. Organizations of people with disabilities d. Other NGO´s e. Others Proposed solutions were: 1. National Societies: keep it as it is. Some specification should be made about the role of the Regional Societies (American, European, Asian-oceanian, African) and may be for "sub-regional" (Mediterranean, Baltic & North Sea, and others). This should be done within the discussion about new concepts for the organization of the World Congresses.

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2.

3.

Individual Members a. Strengthen the position of individual members by i. Giving direct information from the Executive Committee and the Regional Vice Presidents ii. Giving them the right to vote for their representatives to the Board of governors To reach these goals a biennial Individual Membership Assembly should be established and introduced into the Bylaws b. Defining only one type of honorary membership, e.g. outstanding contribution to care of people with disabilities, structures of rehab systems, design of rehab programs, development of PRM as a specialty and development of the ISPRM Corporate Members: The rules for corporate Membership should be specified within certain classes of Corporate Membership. None of them should have right to vote. a. Companies. Specific amount of money (minimum has to be defined) has to be paid at annual basis. No advertisement but logo on webpage b. Hospitals, Rehab Centres. Same as companies but lower minimum fee c. Organizations of people with disabilities. Here we need more detailed discussions. May be we should allow them to send a delegate with out right to vote into the Board of Govenors. A minimum fee should be defined. d. Other NGO´s. same as c e. Others. We have to think if there may be other types of corporate members

These proposals were followed by a controversial discussion especially about the proposal to cerate an "Individual Membership Assembly". Additionally some misunderstandings or misinterpretations of the Bylaws were claimed. These important arguments were given: "Tasks of the Committee: I believe that rather than clarify the present status we should try to understand the present definitions of the different memberships of ISPRM. Then, we can analyze and decide if changes are necessary to strengthen our Society and how these changes would alter the structure and organization of the ISPRM. Please take a look at the enclosed two graphs describing the present governance of the ISPRM and its Membership categories. However, the best way to understand the definitions rights and obligation of the different Memberships is by reading the existing By-Laws and Policies and Procedures. Status and Types of Memberships: Your number 4, stating "Representation on the Board, right to vote and hold office is open only to Active National Societies, Active Individual Members and Honour Role Members", in my opinion is not quite correct and possibly misleading. The By-Laws and Policies and Procedures clearly indicate that to hold office, which means to be eligible to be elected to the Executive Committee and therefore also to the Board of Governors (BOG) is exclusively right of the Active Individual Members (AIM) and Honour Role Members (HRM). To be represented in the BOG is a common right for the Active National Societies (ANS), AIM and HRM. In reference to the AIM and HRM representation in the BOG, the Nominating Committee selects and prepares a list of candidates (equal number to that of the National Societies) and they are elected by the BOG. It is obvious that they must be AIM or HRM. The ANS have the right to designate their representative in the BOG. Analysis and Problems: In number 2 there are some incorrect and/or incomplete statements as follows: "Individual Members are represented in the bodies of the ISPRM only by the members at large. They have no right vote (even not the member at large for individual members." This is not a correct interpretation of the By-Laws and Policies and Procedures, therefore with all due respect a misleading statement. Assuming that bodies means governance, we must not forget that the members of Executive Committee must be AIM and HRM, selected by the Nominating Committee and elected by the BOG. The ANS are, in fact, the only active membership category that only has members at large in the Executive Committee. All members of the Executive Committee have the right to vote at the Committee level and also as members of the BOG. "The difference between Honour Role and Honorary is not obvious." I cannot agree with this statement. The 2007 edition of the Policies and Procedures II.2, states Individual Honour Role Membership shall be granted by the Board of Governors to any Active [Individual] Member following a recommendation of the Awards Committee as a mark of respect in recognition of distinguished contributions. On the other hand, the same Policies and Procedures in the same paragraph states: Individual Honorary Membership shall be granted by the Board of Governors upon recommendation of the Executive Committee to any person who has made outstanding contribution to the management and care of people with impairments The difference, I think, is clear: HRM is an award of ISPRM given to a physician who is an AIM and carries the same rights and duties as IAM. Honorary Member is an honour given to any person and carries no rights, privileges or duties. Corporate Membership is very vaguely defined in the By-Laws and Policies Procedures. In previous e-mails I listed a series of persons or corporations that could be included in this category. In previous e-mails I also suggested the possibility of deleting this category of membership.

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Proposals: Active Individual Members: I find it difficult to make any comments regarding the AIM and HRM because as I have written in previous paragraphs some of the premises used to justify the proposals for change have conceptual errors or misunderstandings: namely to assume that Active Individual Members are not adequately represented in the bodies I assume means governance- of ISPRM. The reality is that AIM and HRM, in fact, govern the Society. The Active National Societies is the only Active Membership group having only members at large in the Executive Committee. I detect some degree of unhappiness (mistrust?) as to how the Representatives of the Active Individual Members and Honour Role Members are presently selected by the Nominating Committee to be elected members of BOG. While I will be prepared to study and consider alternatives to improve the present selection I do not think that it will be wise and feasible to have these representatives directly elected by the AIM and HRM. On June 23 and 27, 2008 I wrote e-mails addressed to the Membership Committee with my concerns and objections about this alternative as well as to the creation to the again recommended Assembly. Up to the present time I have not had any response to my concerns. With the information available I cannot support these proposals. National Societies: The Membership Committee has no mandate regarding Regional Societies. The Regional Societies by definition cannot become members of the ISPRM. From the very beginning the ISPRM has developed and maintained a continuing relationship with Regional Societies by creating Liaison Officers with many of them. The Liaison Officers are selected according to procedure and approved by the BOG. There are no reasons supporting a change in the present system. Corporate Membership: It is very vaguely defined and since the creation of the ISPRM we have only had two enquiries. This membership was created hoping to attract some regular donors and sympathizers who perhaps could also provide some input. After 8 years with practically no demand I think that this membership category should be deleted and we should consider the feasibility of creating an alterative membership for Friends and Supporters of our Mission and Objectives. This is just one idea. (Jose Jimenez, Professor Emeritus University of Toronto, Honour Role Member of ISPRM). Another approach, to find a new concept for membership was a systematic approach initiated by the president elect Professor Gerold Stucki, Munich). This was done on the basis of the analysis of the role of the ISPRM as NGO in relation to WHO and the UN. The role of NGO requires definite democratic procedures and transparency and optimally is in line with WHO´s regional structure. To solve some problem with the given structure the following scenarios were developed (Per M von Groote, Jan D Reinhardt, Christoph Gutenbrunner, Joel DeLisa, John L Melvin, Jerome E Bickenbach, Gerold Stucki): "This first scenario is designed to serve ISPRM in a transition phase between the present and the three-level, best case, scenario described below. National and regional societies are automatically represented in the Assembly of Delegates and eligible to vote. Each national society can send one representative to the Assembly of Delegates and each regional society can send two representatives. This is to ensure that the few regional societies gain more leverage in terms of voting in relation to a potentially large number of national societies. Whoever is present at the Assembly can vote. The individual members, however, vote on representatives to the Assembly of Dele-gates then eligible to vote. Their number is not to exceed those of the national and regional representatives. No more than five individual representatives are to be from one single country. Their eligibility to hold office should by then have been reviewed in the membership application process by the Secretary as in the old system. The dotted line in figure 2 indicates that the individual members form a kind of virtual assembly. This is a first reference to the lowest level of the three-level scenarios, to be described next. The Assembly of Delegates nominates and elects all candidates to hold office, be they the presidential candidate, the treasurer or other executive committee or presidential cabinet members. The legitimacy and accountability of the elected is thus assured. The nominees are reviewed and approved by the Nomination Committee. The ISPRM Regional Vice Presidents appointed by the regional societies ascend to the Executive Committee after approval by the Assembly of Delegates. This approval process replaces the electoral process of the Regional Vice Presidents to the current Board of Governors, because the Regional Vice Presidents are already elected officials of their regional societies. This mechanism allows ISPRM to adhere to WHO's requirements of the integration of regional organizational structures. The two-level scenario is complemented in this case by a third and lowest level, best designed to incorporate all requirements derived from ISPRM world societal mandate and an envisioned membership growth: One representative of every national and two of every regional society jointly form the Assembly of National and Regional societies. On the same level all individual members form the Assembly of Individual Members. Both chambers would be chaired by members of the Council of Presidents. These bodies are virtual assemblies in so far as they only meet on special occasions. Elections could be administered by the central office by the means of an electronic and postal ballot system. A scheduled meeting, however, could be devised in order for individual members to put questions to the President's Cabinet and discuss policies and procedures. Such a meeting could be convened at a scientific PRM congress. In this scenario both chambers together form a General Assembly, which jointly elects the President Elect. The chambers each elect 15 representatives to the Assembly of Delegates, one level above. On one hand, the limit to 15 candidates for each chamber is to ensure that the governing Assembly of Delegates is still manageable when ISPRM's membership grows.

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Imagine 60 member countries and, respectively, 60 individual member representatives voting on a policy item - one on an agenda of 20! On the other hand, a certain number of delegates is needed to fully reflect ISPRM's global diversity in member-ship. The special representation of the regional societies by means of 2 representatives sent to the Assembly of Delegates is not incorporated in the three-level scenario. However, the Regional Vice Presidents are still sent to the Executive Committee after approval of the Assembly of Delegates. As do their colleagues on the Nomination Committee, the Assembly chairs screen and approve nominations to the Assembly of Delegates one level above outside of the executive structure. Such a more inclusive three-level system toward the incorporation of a broad based and global membership, equipped with the power to vote on issues and people, enhances the stability of ISPRM's internal and external policy. On one hand, the more veto players are in place the less likely it is that radical shifts in the direction of ISPRM's policies occur. On the other hand, a less accountable leadership can be pioneers in erecting struc-tures not yet in place. This is especially needed in countries where there are no PRM societies. In the long run, however, policy structures need to incorporate pluralism and democratic parity to uphold sustainable policies. The success of external activities lies in dependable policies born out of accountable organizational structures and procedures." These scenarios will be discussed in the above mentioned face-to-face-meeting in Istanbul. The following topics will be discussed: 1. Discussion of the agenda, if necessary modification of the agenda 2. goals and strategy of the committee 3. Clarifying present rule of membership according to the Bylaw of the ISPRM 4. Proposals to change membership rules a. General discussion b. Individual members c. Society members d. Other kinds of members e. Relation to regional societies 5. Support for members with low income (e.g. from developing countries) 6. Miscellaneous 7. Working plan The Results will be presented in the second Board of Govenors Meeting at the occasion of the World congress.

Report of the Nominating Committee

Chang-il Park

No specific issues to mention

Report of the Publications Committee

Walter Frontera

I. The mission, goals, and composition of the Publications Committee and its sub-committees are as follows

The President of ISPRM with the approval of the Executive Committee shall appoint a Chair and members of a Publications Committee. The Committee shall assume oversight of the official publications of ISPRM. A. Goals: a. To oversee and coordinate the operations of the ISPRM publications including the Newsletter, Website, and Journal(s). b. To suggest content for the "News & Views" electronic newsletter and website c. To liaise with the Chief Editor(s) and Editorial Board(s) of the Official Journal(s) of the Society. B. Structure and organization The Committee will have one chair and be divided into 3 sub-committees, each with a chair. Each sub-committee will have responsibility for one of the 3 important publications of the Society; Newsletter, Website, and Journal(s). Each subcommittee will have sufficient members to represent different countries and regions of the World. The Committee will maintain close cooperation with the Regional Vice Presidents in order to collect material from their Regions. The Chair will prepare and submit an annual report regarding the Committee's activities to the Executive Committee and/or Board.

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C. Membership Members of the Publications Committee will include those assigned to coordinate the activities of each of the three methods of communication. The number of Committee Members can vary depending upon the needs of the Committee. The Committee members must try to find and encourage colleagues from their countries or regions to send information of activities to the Newsletter and website. The sub-committees will co-operate with the Secretary General and the Executive Director of ISPRM to disseminate information about the ISPRM The members of the sub-committees are: 1. Website Nachum Soroker - Chair Andrew Haig Marta Imamura Deog Young Kim Leonard SW Li Yaron Sachar Mark Young 2. News & Views Nicholas Christodoulou ­ Chair Jorge Lains Jianan Li Leonard Li Anton Wicker 3. Journal Franco Franchignoni ­ Chair Walter Frontera Gunnar Grimby Stefano Negrini

D. Website A website is to be established and updated on a regular basis. The updating of the website shall be the responsibility of the Executive Director. Those responsible for submitting information for the website include: the Chair and members of the subcommittee responsible for the website, the Secretary General, the Regional Vice-presidents, the Editor of News & Views, members of the Executive Committee and Board of Governors, and membership at large. The material will include information about the organization such as the By-Laws, Policies and Procedures, minutes of meetings, membership applications, information about educational activities such as the world congress, calendar of events, directory of experts, the newsletter, and others. The responsibilities of the Website sub-committee are: To contribute to the design of the website To review its content on a regular basis and identify outdated material To solicit and review new material submitted for publication To upload materials approved for publication E. News and View (N&V) The N&V newsletter will contain news from all regions represented in ISPRM and articles of interest to the membership. N&V shall be distributed to the membership on a monthly basis. The production of the N&V will be the responsibility of the Chair of the N&V sub-committee. The Chair will be appointed by the President with the approval of the Executive Committee. The newsletter is to be distributed via direct emailing to all individual members and posted on the website. The members of the N&V sub-committee will serve on the editorial board of the newsletter together with other appointed members. The responsibilities of the News and Views sub-committee are: To design the sections of the newsletter To solicit, review, and edit material for publication To suggest a strategy to stimulate more articles from different regions to be submitted. To liaise with the Website sub-committee for posting the newsletter on the website The Editorial Board of N&V will be: Nicholas Christodoulou ­ Chair Linamara Battistella, Joel A. DeLisa, Christoph Gutenbrunner, Martin Grabois, Andy Haig, Jorge Lains, Leonard Li, Jianan Li, Stefano Negrini, Chang Il-Park, Haim Ring, Anton Wicker, Mark Young F. Journal The official Journal(s) of ISPRM shall be selected and approved by the Board of Governors following the recommendation of the Publications Committee. The designated Journal(s) shall become the Official Publications(s) of ISPRM. The journal(s) shall (a) be free standing from the Society, (b) offer a reduced subscription rate to ISPRM members, (c) provide space in each issue for news and /or any other information about ISPRM. If feasible, selected papers presented at the World Congress shall be published in the journal(s). The responsibilities of the Journal sub-committee are: To discuss the terms of contract with the official journal (s) To choosing appropriate articles or educational materials to be printed in the space allocated by the journal to ISPRM.

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II. Accomplishments The membership of the sub-committees was completed. The following summarizes the work of the sub-committees so far A. Website A new website was launched thanks to the work of sub-committee. The process to submit and post material on the website was reviewed and approved. In collaboration with the Education Committee several educational documents were reviewed and posted in the members-only section of the website. Literature updates prepared by the Chilean Society for PRM are also posted on a monthly basis. The sub-committee is developing the concept of a subcontract to accomplish the function of updating the website. The concept will include the tasks assigned to the Central Office and/or the subcommittee. B. News and Views The subcommittee, together with the Central Office continues to publish N&V. Discussions about the possibility of changing the format of the publication continue. C. Journal A new contract (2009-2012) was negotiated with the Journal of Rehabilitation Medicine for electronic access based on a fee for a certain number of members. To assess the use by members, the number of visits will be counted and a member satisfaction survey will be conducted in 2009. A similar agreement for the year 2009 was negotiated with the journal Disability and Rehabilitation. The official journals wish to publish research articles. It is unclear from the current agreement to what extent will the official journals publish educational materials, newsletters, position statements, and other similar (non-research) documents. The subcommittee is developing guidelines criteria for official associations between ISPRM and scientific journals. There needs to be a decision regarding the publication of the abstracts presented at the World Congress. The subcommittee is suggesting that the abstracts should be published (perhaps electronically) in the official journal of ISPRM. If the organizing committee of the Congress a book of proceedings, this should be done separately. If the decision is to publish the proceedings, this should be done free of charge for the authors and the authors should receive a free copy or a copy at a discounted rate.

Report of the Sponsorship Committee

Jorge Lains

The Sponsorship Committee didn't succeed on its main task, namely to get funding for ISPRM. Although the world economical situation isn't the best we must work harder on this issue. I believe that there are several companies that are available for funding ISPRM, the main difficulty being to reach them and the exact person. There was only a company that showed some interest for advertising on our website, until now without any result: Merz Pharmaceuticals, owner of a neurotoxin. The Sponsorship Committee approved and published in the website the operational guidelines (objectives and rules): The Sponsorship Committee is responsible for assure and centralize funding from private and non-private organizations, institutions and companies, in accordance with the ISPRM regulations and By-Laws and the President's Cabinet. The Sponsorship Committee works in close co-operation with the Audit and Finance Committee and the President's Cabinet and must: 1. Study the means and ways to improve returns and create recommendations about funding. 2. Propose, every two years, the fee of the Support Opportunities, in the ISPRM publications, events, website and others. 3. Integrate, interface and network with other ISPRM Committees and members, in the issues related to financial support. 4. Track the individual endeavors of this Committee. 5. Submit a biannual report about the Committee's activities.

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Report of the WHO Committee

Gerold Stucki (report) & John Melvin

The liaison work with WHO has been intensified over the last years. ISPRM is systematically pursuing its activities according to the ISPRM-WHO work plan. In addition ISPRM is actively involved in the newly founded professional organizations network of DAR. To reflect and expand ISPRM´s understanding of its role in the context of international organizations, a number of discussion papers have been written and will be published in the Journal of Rehabilitation Medicine, ISPRM official journal (series "International policy perspectives in rehabilitation"). The last paper of the series summarizes ISPRM´s current and future policy agenda. All articles will be made available by the Journal of Rehabilitation Medicine as open access. It is also planned to attach the pdf-files in the upcoming ISPRM Newsletter. Below please find the preliminary abstracts of the series as they have been submitted to the ISPRM congress in Istanbul.

International Policy Perspectives in Rehabilitation. Part I: International NGOs in the emerging world society - the example of ISPRM.

Jan D. Reinhardt, Per M. von Groote, Joel DeLisa, John L. Melvin, Jerome E. Bickenbach, Gerold Stucki The paper depicts a complex, sometimes contradictory and confusing world societal situation within which nongovernmental organizations (NGOs) such as ISPRM have to operate. In particular, as an international organization in official relation to WHO, ISPRM is confronted with a variety of responsibilities but also by a world political mandate. The accompanying rights need to be played out in relation to its own internal member organization and external allies. The theory of the world society and the current situation are reviewed. The role of international NGOs within the world health polity, rehabilitation and Physical and Rehabilitation Medicine (PRM) is highlighted, whilst special emphasis is placed on NGOs in official relation to WHO. Functions, dysfunctions and challenges of international NGOs are discussed. Against this background, key approaches to enhance ISPRM's political role are analyzed. These include transparent and accountable development of the organization, the differentiation between internal and external policy relations, the harmonization of organizational structures and procedures, the consequential use of political structures available to influence WHO's agenda, and the identification of other policy players of major relevance to PRM in order to build strategic alliances with external partners and to enhance ISPRM's membership base.

International Policy Perspectives in Rehabilitation. Part II: A policy process and policy tools for international NGOs in the health sector using ISPRM as the case in point.

Jan D. Reinhardt, Per M. von Groote, Joel DeLisa, John L. Melvin, Jerome E. Bickenbach, Gerold Stucki The politics of international non-governmental organizations (NGOs) such as the International Society of Physical and Rehabilitation Medicine (ISPRM) serves the function of selecting and attaining particular socially valued goals. The selection and attainment of goals as the primary function of political action can be structured along a policy process or cycle comprising the stages of strategic goal setting and planning of strategic pathways, agenda setting, resource mobilization, implementation, evaluation and innovation. At the various stages of this policy process different policy tools or instruments, which can be used to influence citizen and organizational behaviour in the light of defined goals, can be applied. The objective of the paper is to introduce and describe policy tools of potential relevance to ISPRM with regard to different policy functions and stages of the policy process.

International Policy Perspectives in Rehabilitation. Part III: Organizational structures suited to ISPRM's evolving role as an international NGO in official relation with WHO.

Per M von Groote, Jan D Reinhardt, Christoph Gutenbrunner, Joel DeLisa, John Melvin, Jerome E Bickenbach, Gerold Stucki International nongovernmental organizations (NGO) in official relation to the World Health Organization (WHO) face organizational challenges against the backdrop of legitimate representation of their membership and accountable procedures within the organization. Moreover, challenges arise in the light of such an international NGO's civil societal mandate to help reach the health-for-all goals as defined by WHO and facilitate the implementation of the UN Convention on the Rights of Persons with Disability. The objective of this discussion paper is to examine how such an international NGO using ISPRM as a case in point can address these challenges. The specific aims are to analyze ISPRM's structures and procedures of internal organs and external relations and to develop solutions. These possible solutions will be presented as internal organizational scenarios and a yearly schedule of meetings closely aligned to that of WHO to facilitate an efficient internal and external interaction.

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International Policy Perspectives in Rehabilitation. Part IV: The Policy Agenda of ISPRM

Gerold Stucki, Per M. von Groote, Joel DeLisa, Marta Imamura, John L. Melvin, Andrew J. Haig, Jan D. Reinhardt The paper suggests a comprehensive policy agenda and first steps to be undertaken by the International Society of Physical and Rehabilitation Medicine (ISPRM) in order to realize its humanitarian, professional and scientific mandates. The general aims of ISPRM as formulated in its guiding documents, the relations to the World Health Organization (WHO) and the United Nations system, and demands of ISPRM's constituency herein form the basis. Agenda items encompass contributions to the establishment of rehabilitation services worldwide and the development of rapid rehabilitation disaster response, the enhancement of research capacity in Physical and Rehabilitation Medicine (PRM), and the development of PRM societies. ISPRM's possible input in general curricula in disability and rehabilitation, and in fighting discrimination against people experiencing disability are discussed. Moreover, the implementation of the International Classification of Functioning, Disability and Health (ICF) in medicine, contributions to WHO guidelines relevant to disability and rehabilitation, the provision of a conceptual description of the rehabilitation strategy and the outline of a rehabilitation services matrix are seen as important agenda items of ISPRM's external policy. With regard to its constituency and internal policy, a definition of the field of competence and a conceptual description of PRM as well as the development of a consistent and comprehensive congress topic list and congress structure seem crucial items. The proposed agenda items serve as a basis for future discussions.

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Liaison Officers' Reports

Report of the AMLAR Liaison Officer

Matilde Sposito

During the last term as Liaison Officer for the AMLAR the following activities were done: 1- Participation in the Latin-American Consensus for Children's Spasticity Treatment done in Patagonia - Argentina from 4 to 7 September, 2008. Around 100 Latin-American medical doctors (physiatrists, neurologists and neuropediatrics) were present at this meeting. And we had the opportunity to talk about the AMLAR and ISPRM Congresses at Punta Del Leste and Istanbul respectively. 2- Participation at the XXIII Congress from the Latin-American Medical Rehabilitation Association ­ AMLAR, XIII South Cone Physical Medicine and Rehabilitation Journey and XI Meeting from the Latin-American Paraplegic Society at Punta Del Leste ­ Uruguay from 27 to 30 October, 2008. It was a very well organized congress, directed by Dr. Hugo Núñez Bernadet, and we had the chance to contact colleagues from al Latin-American countries. It was also a great opportunity to exchange ideas and update our colleagues regarding the directives from ISPRM and the Istanbul Congress. 3- Participation at the I Congress of Pharmacological Interventions in Rehabilitation on the 13th February 2009, promoted to the Colombian Physical and Rehabilitation Medical Society at Barranquilla - Colombia. During this meeting we could talk with our colleagues from the Colombian Medical Society which are going to take care of the next term from AMLAR. This board is organizing the next congress from AMLAR that is going to take place at Cartagena ­ Colombia in 2010. It is important to remember that they are taking in to account the dates of other congresses in order not to overlap events. One should note that AMLAR is organizing itself very efficiently. The last Congress, done in Uruguay, was a success and I am confident that our Colombian colleagues are going to form an excellent board and organize an excellent congress despite all the sponsorship difficulties we all have been handling nowadays. AMLAR has a website (www.amlar.org) and trough it we can see all the promotional material from the 5th Word Congress of ISPRM Congress and also access a link to the ISPRM website. Another concern of AMLAR is to publicize the scientific production of Latino-America in different and important journals. For this to occur Dr. Hugo Núñez Bernadet is negotiating with Prof Walter Frontera. Nowadays "Medicina de Reabilitação" a Brazilian Journal index in LILACS (ISSN 0103-5894 / No. SECS (Bireme) 6701) is the official AMLAR journal.

Report of the Bone and Joint Decade Liaison Officer

Nicolas E. Walsh

Report of the European Society and UEMS Liaison Officer

Christoph Gutenbrunner (report) & Henk Stam

The UEMS-PRM-Section and Board represent the specialty of Physical and Rehabilitation Medicine in the European Union for Medical specialists (UEMS). Its work is based on a biannual meeting of its general assembly that consist of delegates of the national PRM bodies of the member states. The presidents of the section and board as well as the chairmen of the committees are at present: · President of the section: Professor Alain Delarque (France) · President of the board: Professor Franco Franchignoni (Italy) · Secretary of section and board: Professor Nicolas Christodolou (Cyprus) · Chairman of the clinical affairs committee: Professor Georges de Korvin (France) · Chairman of the professional practice committee: Professor Christoph Gutenbrunner (Germany). As a "professional" organisation the main targets of the UEMS section and board are to develop and unify education and training within the specialty, to improve quality of care and to define and develop the field of competence of PRM specialists in Europe. One of the milestones was the publication of the White Book on Physical and Rehabilitation Medicine in Europe in 2006/2007) that in the meantime has been translated into 8 European languages.

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Recent activities are: · European Board for Physical and Rehabilitation Medicine: continuously improve the European Board curriculum for the European Certificate for PRM, accreditation of trainers and training sites, develop a strategy to implement PRM in undergraduate training, accreditation of PRM events within the European CME/CPD system · Clinical Affairs Committee: defining criteria for quality management for PRM facilities, developing a European accreditation system for PRM programs · Professional Practice Committee: Defining the field of competence in PRM, publishing a series of position and discussion papers e.g. on team work in PRM, PRM in acute settings, PRM in postacute and community based rehabilitation, and the role of PRM specialists in specific health conditions. PRM section and board are now preparing to publish e-books on the main topics education, quality of care and field of competence. The first chapters will be published in 2010 UEMS section and board are closely cooperating with the other European bodies in PRM (European Society for Physical and Rehabilitation Medicine, European Academy for Rehabilitation Medicine) and other regional and international organisations (e.g. Asian-Oceanian Society for Physical and Rehabilitation Medicine, International Society for Physical and Rehabilitation Medicine) For further information please check: www.euro-prm.org

Report of the Historian of the ISPRM

José Jimenez

Having been appointed to this position in early April 2009, I would like to recognize Dr. William Peek, my predecessor, for his efforts in maintaining up to date the evolution and doings of our Society. The tasks I have performed since my appointment, after consultation with our President, are the result of reviewing the seven different files and documents available in the Central Office as well as the Website, and they can be summarized as follows: · To integrate the seven different files available in the Central Office pertinent to "History" in a single but cumulative file under the name "Archives and History of ISPRM" and to ensure that the Website has the same information. This file, in accordance with By-Law XIV, has to be updated every two years. While performing this process some editing has been necessary. Emphasis must be given in the future to ensure that the website has the same information as the Central Office ­also in accordance with the same By-Law XIV. · To ensure that the reporting periods will be submitted as stipulated every 2 years, in both Central Office and Website to maintain uniformity (at present the reporting seems to be different, two years in the Central Office and four on the Website). If it is felt that any changes are needed, an amendment to the By-Law XIV would be necessary. · To ensure that the beginning and the end of the 2-year-reporting period occurs at the time of the interim meeting(s), that is when a new Board of Governors and Executive Committee are elected. The report of a completed 2-year period should be submitted at the next business meeting of the Board of Governors that is, the period ending in Bruges in June 2008 is being reported in 2009 at the Istanbul meeting. · To ensure that the Website and Central Office have the same information. Present regulations state that updating the Website is the responsibility of the Secretary and Executive Director. If it is felt that this responsibility requires changes an amendment to the By-law XIV is necessary. Presently the indexation of Central Office File (chapters) and the Website (sections) is different. In an attempt to facilitate the periodical updating of the single but cumulative for "Archives and History of ISPRM" in the Central Office and the Website, the indexation has been unified using only "Sections" in both Central Office and Website as follows: Section I. The Process of Integration (1988-1999). Section II. The History of the International Federation of Physical and Rehabilitation Medicine (1948-1999). Section III. The History of the International Rehabilitation Medical Association (1968-1999). Section IV. The History of the International Society of Physical and Rehabilitation Medicine (1999-...) Appendix I. Past-Presidents Appendix II. Awards and Recognitions The reason for giving the title of appendixes to the lists of Past- Presidents' and Awards and Recognitions has been done in order to avoid interfering with the numbering of the pages of Section IV. The sections I, II and III are finished and closed while IV, and the Appendixes' are open, active and therefore cumulative.

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Section IV has to be updated every 2 years. The subheadings of this section are the corresponding 2-year-period of every Executive except for the second one that was 2001-2002). The creation of an Appendix I to list all Past-Presidents would require having a separate line for Past-Presidents in the left margin index of the Website page for Archives and History Appendix I has to be updated every 2 years at the time of the Interim meeting when the new officers and Board of Governors are elected. The listing of Past-Presidents has been done using former and present societies' headings in a chronological order. Appendix II has to be also updated every two years, at the time of the World Congress when the Awards and Recognitions are granted. The listing of the awards has also been done using former and present societies' headings. Finally I would like to inform you that the new single file for "Archives and History of ISPRM" is now available at the Central Office including the meeting in Bruges. Once again I would like to thank Dr. William Peek for his work during the last 4 years.

Report of the Intl. SCI data Set project Liaison Officers

Amiram Catz (report) & Michael Priebe

The current status of the development of the various modules is updated as follows: 1. Core Data Set ­ finalized and on both ASIA and ISCoS web sites with training. 2. Lower Urinary Tract Basic ­ finalized and on both ASIA and ISCoS web sites with training. 3. Urodynamic Basic ­ finalized and on both ASIA and ISCoS web sites with training. 4. Urinary Tract Imaging Basic ­ finalized and on website. 5. Pain Basic ­ finalized and on website with training. 6. Bowel Basic ­ finalized, not yet on website. 7. Bowel Extended ­ finalized, not yet on website. 8. Male Sexual Function ­ in progress. 9. Female Sexual Function ­ in progress. 10. QoL ­ in progress. 11. Activity/Participation ­ in progress. 12. Non-traumatic SCL ­ in progress. 13. Cardiovascular ­ in progress. 14. Skin - sudomotor- thermoregulation ­ in progress. 15. Prevention ­ work has started. 16. Spine Surgery ­ work has started. 17. Spine Injury Basic ­ work has started. 18. Respiration ­ work has started. We recommend that ISPRM continues to endorse the SCI data set, and follow-up the development of this project. We would be grateful if ISPRM updates us about the modules that have already been endorsed by ISPRM.

Report of the Liaison Officer to the Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM)

Nicolas Christodoulou

1. The 2008 (7th) Mediterranean PRM Congress was held in Portorose of Slovenia from Sept. 18 to 21. It was coorganised by the Slovenian Society of PRM and the Mediterranean Forum for PRM and kindly supported by the Slovenian National Institute for Rehabilitation Medicine and its director Mr. Robert Cugelj. The patronage of the event was highly appreciated by the Ministress of health of the Republic of Slovenia Mrs. Zofija Mazej Kukovic. The organizers and participants received the greeting letter from the President of the Republic of Slovenia Mr. Danilo Trk. The congress venue was selected carefully by the organising committee and decided to be in the Convention center of the Grand Hotel Bernardin in Portoroz, which offered the possibility of scientific meetings, participants accomodation and exhibition on outstanding level. The congress was chaired by professor Crt Marincek and international Organising Committee was lead by Klemen Grabljevec, president of Slovenian Society for PRM. The Scientific Committee consisted of panel of distinguished international experts and lead by prof. Helena Burger mainly evaluated all the submitted abstracts and coordinated the scientific programme and the invited lecturers. The technical part of organisation was perfectly run by the «Cankarjev dom» congress agency directed by Mrs. Alenka Kregar. The MFPRM Board has supervised the congress from the first preparations untill the last ceremony and the cooperation with the organising comittee was excellent. Just two days before

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the congress came the news that prof. Haim Ring from Israel, the honorary Board member and one of the founding members of the MFPRM, died after short and progressive illness. The event was strongly marked by that sudden loss and prof. Ring memory was honoured by a minute of silence and a comemorative session of a MFPRM Board. According to the relevant decision of the MFPRM General Assembly, the Forum inaugurated during the Gala dinner Dr. Franco Cirillo as an honorary Board member and has given him the first special MFPRM AWARD, for his contribution to the young members, by operating the Euro-Mediterranean PRM School in Syracuse of Sicily, every year since 2005. The congress allover hosted 610 participants from 42 countries and besides the participants from member countries of the Mediterrannean Forum, participants also came from: Australia, Austria, Belgium, Canada, China, Czech Republic, Finland, Germany, Hungary, Iceland, I.R. Iran, Japan, Lithuania, Netherlands, Poland, Puerto Rico, Russia, Sweden, United Kingdom and USA. The scientific part of congress consisted of seven plenary lectures, nine workshops, 45 invited lectures, 152 oral presentations and 158 poster presentations. The MFPRM organized during the Congress two interactive sessions, both coordinated by president Nicolas Christodoulou and Klemen Grabljevec. The Mediterranean colleagues had the opportunity to present what is happening in their country and to take back home useful ideas from what is happening in the rest Mediterranean countries. The two sessions were: 1. "Towards the implementation of a minimum network of Rehabilitation Services in the Mediterranean Countries" and 2. "Education and Research in the Mediterranean Countries". Both sessions were of outstanding importance for networking as well as for experience and opinion cross-over between the countries representatives. The responses and evaluations from the participants and exhibitors during the congress and long after, were generally highly ranked, allowing the conclusion that the 7th Mediterrannean congress in Portorose was succesfully organised both for the scientific and social events on the demanded level, with many satisfied participants. 2. MFPRM General Assembly: It has taken place during the Portorose Congress, on the 19.09.2008. They were present participants from 17 Mediterranean countries. The president referred to all the efforts done for the promotion of the Forum. Now the Forum has 423 individual members coming from 25 different countries and relevant national PRM Societies. Despite the fact that no membership fees are paid by the members, the benefits for each member are significant. A lot of thousands of money are spent for the operation of the Euro-Mediterranean PRM School and other educational events, for the operation of the Forum Board, for the participation to our congresses of members coming from poor Mediterranean countries, for the presence of the Forum in the member countries with problems in the implementation of Rehabilitation Services etc. The MFPRM Action Plan was discussed and voted. In relation to the Plan, the Board has defined the several activities and working groups in the following committees: 1. Communication & Information Committee (website, journals, news-letters), 2. Scientific Events Committee, 3. Research Projects Committee, 4. Committee for Conducts with Disabled People Associations, 5. International Activities Co-operation Committee, 6. Mediterranean Clinical Guidelines Committee, 7. Educational Activities Committee: Euro-Mediterranean PRM School in Syracuse of Sicily (in October), b. European School of Marseille for PRM in Marseille (in July), c. other Mediterranean PRM School (in April), d. Participation to the WAPIE (World Action Plan for the Initial Education in PRM). The new Board members elected for 2008-2010 are: Pr. Nicolas Christodoulou (president), Dr Jorge Lains and Pr. Xanthi Michail (vice-presidents), Pr. Gulseren Akyuz (secretary), Dr. Amparo Martinez Assucena (treasurer) Dr Klemen Grabljevec (deputy treasurer), Dr Francesca Gimigliano (deputy secretary) and Dr. Franco Cirillo (honorary member). 3. 4th Euro­Mediterranean PRM School in Syracuse, 20-24.10.2008: The General Director of the School Dr. Franco Cirillo suggested, during the MFPRM last General Assembly, changing the name of the School for the memory of Prof. Haim Ring. The change of the School name to "Haim Ring Euro-Mediterranean PRM School" was accepted unanimously. The School programme covered topics of PRM connected with neurological rehabilitation, prosthesis and orthosis, psychological support in rehabilitation, biometrics and miscellanea. Forty one young colleagues, members of the Forum, from Italy, Tunisia, Algeria, Israel, Malta, Portugal, Montenegro, Greece, Bosnia, Slovenia, Turkey and Spain met in the centre of the Mediterranean, in Syracuse of Sicily, for a week and were trained both theoretically and practically. They paid only their flying ticket, the rest of expenses being in charge of the local authorities. Dr. Franco Cirillo made all the possible preparations for the best function of the School. According to the questionnaires filled at the end by the attendants, the School was very successful and all the participants benefit a lot. Besides the scientific benefit, a friendship between the colleagues from the Mediterranean countries started, which will help for better understanding of different cultural approaches in this sensitive area of the world. The scientific Board of the School consisted of the president of the MFPRM Nicolas Christodoulou, the president of the Italian Society of PRM Raffaele Gimigliano, of Alessandro Giustini and of Marco Franceschini. The Faculty, representing the spirit of the Euro-Mediterranean cooperation consisted, besides the scientific board members, by V. Perciavalle, H. Cerrel-Bazo, R. Saggini, C. Marincek, F. Scirpo, R. Casale, M. Cioni, A. Puglisi, P. Galasso and A. Pagliaccia, Besides the immediate positive feedback, provided by the students, numerous consistent reports flow in, on the students being in touch and making plans for the future. The organizers supported by Salvatore Baio representing the regional academic institutions are already working on the next course to take place this year in Syracuse (19 ­ 23.10.2009). 4. "The 2010 (8th) Mediterranean PRM Congress": It is planned to take place in 2010, from September 29 to October 2, in Limassol at the Grand Resort Hotel. President of the congress will be Prof. Nicolas Christodoulou ([email protected]). People from all countries are allowed to enter Cyprus without any restriction, except visa for some countries. On the 30.11.2008, following an electronic voting procedure among its members, the ISPRM decided to organize its Interim Board meetings in 2010 during this congress. The involvement of the ISPRM will encourage colleagues from all over the world to participate, exchanging with the Mediterranean colleagues their knowledge and experiences in the field of their work. The 8th Mediterranean PRM Congress will host as well the 2nd Congress of Greek-Cypriot days of

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PRM. The unique combination of all modern facilities and the Mediterranean charm give the perfect settings for a truly successful and at the same time pleasant event. The Congress will cover various topics of Physical and Rehabilitation Medicine and will enlighten the participants with all the new topics available in our field of work. More details can be found at the congress website (www.medcongress.prm10.org). 5. "9th Mediterranean PRM Congress in 2012": During the last MFPRM General Assembly in Portorose there was a debate of two candidates from Napoli of Italy and from Alexandria of Egypt. The Council members decided by majority vote that the 2012 congress will take place in Napoli (Sorrento). The congress president will be Prof. Raffaele Gimigliano. 6. The official journal of MFPRM and the European White Book o.f PRM: The official journal of our Society has changed its name. From "Europa Medicophysica" it is now called "European Journal of Physical and Rehabilitation Medicine". Despite this change, it continues using as a subtitle "Mediterranean Journal of Physical and Rehabilitation Medicine". There is a provision for special low subscription fees for the MFPRM members. Also, sending works for publication to the journal, according to the "notice to authors" and other information, one can find at the web site www.minervamedica.it 7. Visits of the MFPRM President to several member countries: The president has visited on November 2008 Amman of Jordan, where he met the president of the National Physical Medicine and Rehabilitation Society during the national congress and the 3rd Pan Arab Congress of Physical Medicine and Rehabilitation. He has given a lecture and they discussed problems of the specialty in the country concerning the Rehabilitation Services and how the MFPRM could help both the society and the colleagues. For similar purposes and scientific events he visited on September 2008 Portorose of Slovenia, on October 2008 Syracuse of Italy, on January Alexandria of Egypt, on February 2009 Athens of Greece, and on May 2009 Subotica of Serbia. It is planned to visit Istanbul of Turkey on June 2009, re-visit Alexandria on September 2009 and Damascus of Syria on October 2009.

Report of the Liaison Officer to the Osteoporosis Societies

John Melvin

Report of the Rehabilitation International Liaison Committee

Martin Grabois

Rehabilitation International continues to play a significant role in the implementation of the United Nations Convention on People with Disabilities. The organization has established a Foundation to help with fund raising. The next meeting is in Dubai, November 2009. I continue to recommend a stronger liaison between our two organizations but have not found the opportunity to make it happen

Report of the Subsaharian Africa Officer

Andrew Haig

Five journals jointly release article showing that Africans and penguins have equal access to Rehabilitation Medicine physicians. Tens of thousands of physicians specializing in Physical Medicine and Rehabilitation improve the lives of people with disabilities on other continents. With only 6 doctors for 780 million people, subSaharan Africa suffers a huge burden from untreated disability. Ann Arbor, Mich. ­ Physical Medicine and Rehabilitation has had a significant and proven impact in the lives of people with disabilities and on the healthcare system as a whole. Everywhere but in Africa. Around the world improvements in the care of people with problems ranging from stroke to spinal cord injuries, amputations, childhood disabilities, and back pain are lead by physicians trained in the specialty of Physical Medicine and Rehabilitation.

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When an exhaustive review found only 6 Physical Medicine and Rehabilitation specialists in all of subSaharan Africa, with no training programs, professional standards or scientific publications, the authors wrote the results as an ironic parody of an earlier `white paper' characterizing the specialty in Europe. "The Practice of Physical Medicine and Rehabilitation in subSaharan Africa and Antarctica: A White Paper or a Black Mark?" draws parallels between rehabilitation medicine services for Antarctica's 4000 affluent scientists and those for 750 million African men, women, and children. One graph comparing the number of specialists per 10 million persons on the two continents was completely blank. Another split figure showed two groups: African amputees who had no prosthetic limbs playing soccer and penguins with both legs intact, noting the statistically equal chance that either group would meet a rehabilitation specialist. Shocked at the findings, editors of many of the largest journals in the field worked together in an effort to `surround Africa with the facts'. Most scientific journals will not consider work that has been accepted in another journal. In a radical break from this tradition, the editors agreed to simultaneously publish the work in journals representing the rest of the world. May and June editions of The Journal of Rehabilitation Medicine, Disability and Rehabilitation, The European Journal of PRM, PM&R, and the Chinese Journal of Rehabilitation Medicine will contain the article. A more serious discussion section in the paper argued that the untreated disability suffered by an estimated 1 in 10 Africans is a huge unrecognized drain on the local economies. It concluded that ignorance, prejudice, and misguided international policy - not poverty alone - have lead to the failure. Responsibility for change was placed on the African ministries of health. The political will to change, the authors claimed, will evolve as "pride, shame, or the will to do what is right" compels many leaders who hide their disability to speak out. "It's easier to count dead bodies than to measure the hundreds of ways living with an untreated disability ruins society", says Andrew Haig, M.D., professor in the department of Physical Medicine and Rehabilitation at the University of Michigan Medical School, and president of the International Rehabilitation Forum, the organization that commissioned the study. "So health policy people don't understand what an important investment medical rehabilitation is. African governments typically hand responsibility for rehabilitation to local community organizers or social ministries, when everywhere else in the world the work is done on specialized hospital wards with teams of clinicians lead by expert doctors." The publication is the work of a committee on rehabilitation in Africa convened by the International Rehabilitation Forum, a not-for-profit organization supported by over 25 major academic medical rehabilitation departments. Its mission is to use creative leadership to build sustainable medical rehabilitation around the world. Co-authors include premedical student Jonathan Im, Ghanaian physician Adodeji Adewole M.D., Africa rehabilitation expert and University of Michigan professor Virginia Nelson, and the only Physical Medicine and Rehabilitation specialist known to have practiced in Antarctica, Dr. Brian Krabak of the University of Washington. The results of the study will be presented at the First World Conference on Medical Rehabilitation in Rural and Developing Regions, June 9-12, in Kaiseri, Turkey. More information: Corrie Feldkamp, [email protected] ­ Phone 734-764-2220 - Dr. Haig 734-763-4200 www.rehabforum.org - http://www2.med.umich.edu/healthcenters/provider_profile.cfm?individual_id=47041 http://www.leeds.ac.uk/medicine/rehabmed/PDF%20papers/White%20book.pdf

Report of the ISPRM Organisational Structure Task Force

John Melvin

Introduction The President of the International Society of Physical and Rehabilitation Medicine (ISPRM) appointed the Organizational Structure Task Force (Task Force) during an informal retreat of the Executive Committee in May 2008. The primary charge to the Task Force was "to provide recommendations...regarding an organizational structure...that best facilitates (the ISPRM) achieving its mission and goals, and results in efficient operations. Although the Task Force suggestions were to be in the context of the overall ISPRM mission and goals, the President expected it to submit specific and operational recommendations. This Executive Committee discussion and the Board of Governors Meeting in Brugge motivated a number of Executive Committee Members and committee chairs to initiate discussions on how the ISPRM might achieve its maximal potential. These discussions led to the writing of a number of papers addressing how to approach the further development of the ISPRM. As Chair of the Task Force, I delayed having it propose specific recommendations until the suggestions of the ISPRM leadership became available. They are now available in papers the ISPRM will distribute at the 5th ISPRM World Congress. In this report, the Chair of the Task Force presents a number of proposals intended to improve the operational

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processes of the ISPRM. The Task Force itself has not had the opportunity to discuss them. The purpose of presenting them at this time is to begin discussions regarding their adoption during the meetings of the ISPRM governing groups. Those reviewing this report should consider its suggestions as transitional. The leadership's vision outlined in the papers will require many incremental changes for their implementation. This report identifies some of high priority and provides suggestions to achieve them. Issues Related to Timely Organizational Decisions All of the Presidents of the ISPRM and its Executive Director have been frustrated by the ISPRM's difficulties in arriving at timely decisions for its operations. One major factor is that the governing groups empowered to make decisions meet at most once annually. Another is that many members of the Executive Committee and President's Cabinet are intermittent in their responses to emails asking for their votes on issues requiring timely action. An additional contributing factor is the absence of clear or consistent guidelines on which issues the By-Laws and Policies and Procedures reserve exclusively for the Board of Directors, and which issues and under what conditions these documents delegate decision making powers to the Executive Committee, President's Cabinet and President. Finally, the Board of Governors has so many members that during its meetings it has had difficulty in successfully addressing all of the issues brought before it. The Chair of the Task Force suggests the following as decisions the governing groups of the ISPRM might make to address these issues. Decision 1: the ISPRM adopt e-mail or web-based voting as procedures all of its governing bodies and committees use between their formal meetings. The By-Laws Committee as already submitted proposals to the Board of Governors to use electronic voting for revisions to the By-Laws and Policies and Procedures, so this concept is not new to the ISPRM. The President during the last year has informally used electronic votes for President's Cabinet and Executive Committee decisions. The advantage of this approach is that it permits the ISPRM leadership to make operational decisions more quickly than waiting for formal meetings which occur usually annually. The implementation of electronic voting will require identifying for each group the minimum number of votes needed for the vote to be valid, the plurality needed for a decision and the time available to voters for their vote to be valid. Decision 2: the ISPRM adopt procedures for electronic voting. The following are suggestions for the governing groups to consider. Board of Governors Number of votes needed: More than 40% of members (approx 38) Plurality needed Majority Time for response 90 days Executive Committee Number of votes needed At least 40% of voting members (6) Plurality needed Majority Time for response 30 days President's Cabinet Number of votes needed At least 60% of members (3) Plurality needed Majority Time for response 15 days Decision 3: the ISPRM adopt procedures clarifying when each of its governing bodies has decision making authority. The By-Laws are clear that the Executive Committee has the authority to implement operational decisions between formal meetings of the Board of Governors. They also specify the President's Cabinet can give decision making authority to the President between meetings of the Executive Committee. The ISPRM will need to clarify when the Executive Committee, President's Cabinet and President have the authority to act independently if electronic voting extends to the Executive Committee and President's Cabinet. The identification of these authorities will need to consider situations when one of the governing bodies fails to generate enough votes to make a valid decision. The following are suggestions for the governing groups to consider. Board of Governors: the Board of Governors will delegate all of its authority between its formal meetings to the Executive Committee, with the exception of revisions to the By-Laws and Policies and Procedures.

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Executive Committee: the Executive Committee will be responsible for all ISPRM operational decisions as delegated to it by the Board of Governors, except for times when the Executive Committee is unable to respond quickly enough to be timely. The President may determine to refer an issue to the President's Cabinet rather than the Executive Committee if the issue requires a response prior to the 30 days. Also, the President may refer an issue to the President's Cabinet if the Executive Committee fails to provide the needed number of votes within 30 days for a decision. President's Cabinet: the President's Cabinet will be responsible for those ISPRM operational decisions that the President refers to it, either because the ISPRM must complete these decisions within 30 days, or the Executive Committee failed to provide a valid vote. President: the President may make operational decisions without a formal vote of the President's Cabinet if the ISPRM must complete the decision before 15 days or the President's Cabinet failed to provide a valid vote. In such situations, the President must seek the advice of as many members of the President's Cabinet as possible before making such decisions. If the President must make decisions before a formal vote of the President's Cabinet or the Executive Committee, he/she must prepare a report to these governing groups outlining the circumstances and the decisions. Decision 4: the ISPRM revise its By-Laws to reflect more accurately the role and functions of the Board of Governors. The Board of Governors is composed of members of the Executive Committee and two equal groups of delegates that represent either active national society members or the aggregate of individual members. It meets annually, and delegates the operational authority to manage the ISPRM to the Executive Committee between its meetings. Therefore, it is not significantly involved in the day to day governance of the ISPRM. Instead, it makes strategic decisions such as revising the By-Laws and Policies and Procedures, selecting the sites of international congresses, and electing the officers responsible for the ISPRM operations. Decision 4.1: the ISPRM change the name of the Board of Governors to the Assembly of Delegates. These functions of the Board of Governors suggest that this alternative name might better reflect how it selects its members and how it functions. It emphasizes that the members of the Assembly of Delegates are representatives of constituencies with responsibilities to those constituencies. It also conveys that the processes of selecting delegates should involve constituents in the selection of their delegates. Decision 4.2: the ISPRM revise its By-Laws to define the functions of the Assembly of Delegates to strategic areas such as approving the By-Laws (or Constitution if the leadership prefers this term), selecting sites of world congresses, approving strategic plans, approving collaborative agreements with the WHO and electing members of the Executive and Nominating Committees For the Assembly of Delegates to be an effective deliberative body, it will need to limit the issues it addresses at its meetings. As the governing body closest to the membership, it should use its limited time to provide broad guidance to the Executive Committee and Executive Office on the framework within which they operate the ISPRM. Final Comments The Chair of the Task Force presents this report as a framework with which to begin discussions about changes that the ISPRM might adopt to reflect parts of the vision in the series of papers: "Developing the ISPRM". Preparing this report and discussing it will take considerable time, yet it only addresses a limited number of the issues raised in the papers. They provide an inspiring vision; now the detailed efforts needed to reach the vision must begin.

Report of the ISPRM Central Office Task Force

Christoph Gutenbrunner

Members Christoph Gutenbrunner (Chair),Leonhard Li, Martin Grabois, Guy Vanderstraeten, Anthony Ward Tasks [as given by the president (June 6 2008 Board of Governors meeting)] · Strengthen this critical support element · Access it more efficiently Contracts · Contract for the Delivery of Services between Medicongress and ISPRM (Sept 30, 2000) o Run the central office o Offer logistic and secretarial support

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·

o Develop web page o Arrange financial management o communicate with members o give professional advice for congresses o set-up professional collaboration with industry in order to get financial support o planning meetings of Exec. Board, GA and Scientific Committee o be contact address o arrange contracts with publishers, related societies and congresses Management Contract between ISPRM and Medicongress (May 26, 2004) o be contact address o ensure legal registration procedures o run the central office o maintain bank account o send quarterly secretary report to secretary general (...) o offer logistic and secretarial report o update and develop web site o invoice and collect membership fees and arrange membership management o communicate with members o set-up professional collaboration with industry in order to get financial support o prepare and plan meetings of Exec. Board, GA and Scientific Committee o monthly "News and Vies" o assist committee chairpersons o redirect correspondence o facilitate communication with related societies and organisations

Audit report on management services (May 2007) · Overall opinion of audit: "good" (most points between "good" and "satisfactory") · Website ­ contract with publishers "not satisfactory" · Some recommendations (mostly referring to some details of work) Intermediate points of discussion · To be "accurately" and "timely" are major problems of present central office · Problem to put the "right things" to the website · No quarterly reports · Questions put by Leonard Li o To enhance efficiency some restructuring of the office work is needed (Werner is implying that this is a question of amount of money paid) o ISPRM has to think about three points How much ISPRM can afford to hire Executive Officer What are our options Will an increase of payment improve efficiency Working Plan (Chairman's Proposal) Working plan part I (June 24, 2008) 1. Gather information about existing situation a. Search for documents (available now, see above) b. investigate practical work that has been done (Werner needs to send his experience) c. gather experiences of the work by members of the presidents cabinet (table) 2. Compile the wishes of most important players and objective requirements (together with 2c) 3. prepare draft for proposal for now task list Steps to be done (Chairman's proposal) · gather information about work that has been done and nature of problems using a questionnaire (referring to points 2b, 2c and 3 of working plan)

Tasks from contract

Judge experiences of last two years1

Please give comment and proposal for improvement

1. 2. 3.

1

be contact address ensure legal registration procedures run the central office

1="very good", 2="good" 3="satisfactory", 4="poor", 5="unsatisfactory", 6="unacceptable"

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4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

maintain bank account send quarterly secretary report to secretary general (...) offer logistic and secretarial report update and develop web site invoice and collect membership fees and arrange membership management communicate with members set-up professional collaboration with industry in order to get financial support prepare and plan meetings of Exec. Board, GA and Scientific Committee monthly "News and Views" assist committee chairpersons redirect correspondence facilitate communication with related societies and organisations

Additional tasks that should be included: 16. 17.

comment

Information In September the above mentioned questionnaire has been sent to the members of the Presidents Cabinet and to the Regional Vice Presidents of the ISPRM. Additionally a telephone conversation with Werner Van Cleemputte has been held followed by a comment from him. Only two filled-in questionnaires have been returned up to now. Weaknesses of the work of the Office especially were seen in: · The legal basis (contract) · The communication with and assistance to the bodies of ISPRM · The process of designing and update of the website · The set-up of collaboration with industry (however, it is questioned if this in fact is a task of the office) Werner Van Cleemputte gave his view about the development of the office since 2000 especially stating that · The tasks of the office increased dramatically due to the development of ISPRM · The process of set-up of the website was very complicated due to many different proposals and the necessity of setting-up a good design · For both reasons a gap between payment and tasks occurred (for good service he will need about 50.000 to 60.000 Euros, website not included) · The congress organisation should be improved in order to get more money for the ISPRM and office (e.g. yearly congresses, combined membership and congress registration, abstract handling by central office) · The central office should be involved more into the business (not only serve as administrator). Conclusion and proposal Summarizing the obtained information the following actions are proposed to the Presidents cabinet: 1. Clearly define the tasks of the office (or update the list of tasks) 2. Asking for a new offer (may be in a competitive way) 3. negotiate about a new contract (including calculation the amount of work and costs) 4. establish an annual evaluation of the work done The (interim) results of the Task forces should be discussed with the Presidents cabinet as soon as possible (in Istanbul at the latest). Pleas let me know if you want the task force to come-up with a new proposal to define the tasks of the central office.

Comments by the Executive Director.

I fully agree that the support of the website was only affected by the Central Office. However from the moment it was agreed that we also were getting paid for this maintenance, we supported and still support the website on a cost per hour. The work on the website was not agreed in the contract and in the past we only transmitted the changes that were to be made to the webmaster. It goes without saying that if we have to do the work ourselves, we have to spend more time on it and need assistance of web designers as well. In 2007, we made a proposal for developing the new website by the Central Office itself as well as the website support. This offer was however not accepted during the Seoul Board Meeting and an external company was

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engaged to develop the ISPRM website. The fact that the software of the website does not match with our membership administration software (where I worried about before the new site was constructed) results in the fact that we need to do a double job for the moment. We have to maintain the 3000 individual members in our database as well as a second time in the website system. We have to do the input of all new members as well as all membership renewals manually in the website software. This means a lot of double work, double time as well as frustration as it were not getting paid for. It should also be clear that the number of members in the ISPRM increased from 450 to nearly 3000 at this moment. Needless to say that this has increased the daily activity in the Central Office dramatically as all members need to receive certificates, contact the Central Office with all kind of questions etc.... This is surely the case since 2004 when the combined membership was started. Can you please explain what the communication weakness and the assistance with the bodies of the ISPRM means? I do not see any problem over there and we answer all questions and emails we receive immediately. The set-up of collaboration with the industry is a point of the sponsorship committee. The activities of this committee are rather limited as I do not see a lot of contacts between the members of that committee and the industry particularly. We have set-up the administration of the sponsorship possibilities in a very professional way and have distributed them towards the members of the committee for their contacts with sponsors. I also would like to point out that we have made since 2003 a financial and an administrative quarterly report (see audit). So please delete that issue from the report. Nearly all medical societies live partly from membership but mostly from the income from their congresses. However the ISPRM has its world congress but hardly has any organisational or scientific input, neither financial income from the congress. Our main business is congress organisation and we have all experience and advocacy in house for a perfect combination Central Office with congress organisation. Now we receive daily several emails with regard to the Istanbul Congress (not at least from board members) with requests on the congress, the registration, the hotels etc. etc.. It is very frustrating that we cannot help them and need to ask for information from the congress organisers as well in order to help them with all requests. This is also double work that is not included in our normal Central Office activities. Conclusion. I have the impression that one is looking for clues as the report is based on the impression of two persons only. The ISPRM wants with its Central Office to drive a full option Mercedes-Benz but only has the financial means for the purchase of a Volkswagen. The expectations might (and should) be high but with what the ISPRM receives in return for the limited amount they pay now, the Central Office offers a perfect job in return. There have been some discussions with regard to the website indeed but they were solved from the moment the ISPRM agrees to pay for the hours we work on it. However the membership management via the website should be still solved. With the amounts paid up till now to the Central Office, costs for our secretaries can be covered but the Executive Director is working for free for all these years. However he is the piano player and as you know "don't shoot the piano player".

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Congresses

Report of the 5th World Congress of the ISPRM

Gülseren Akyuz

The 5th World Congress of the International Society of the ISPRM will be held in two separate buildings, which are Istanbul Congress and Exhibition Center and Harbiye Cultural Center because of the very strong and busy scientific content. 72 sessions will be held in 8 meeting rooms and also 12 educational course, 19 workshop and 6 best practice session is organized for our distinguished participants. As of June 1st, we have over 1300 registered delegates from 97 different countries. Beside this strong scientific program we prepared very exciting social programs. Presidential Dinner will be held on June 14th as a Bosphorus Cruise and the Gala Dinner will be organized in Esma Sultan Mansion on June 15th. We hope that all of our guests will remember the 5th World Congress with good memories.

Report of the 6th World Congress of the ISPRM

Veronica Rodrigues

All the committees involved in the organization of ISPRM 2011 are working hard to offer a well balanced program between the opportunities to update our knowledge and time to enjoy the social activities. The educational program is oriented in important tracks for the care of the population that needs rehabilitation combined with research in our field and hands on experiences that are so well received by our members. Our social activities will be an opportunity to share with all the participants representing the countries member of ISPRM. Come to Puerto Rico in 2011 and ... Share the path towards a better future with Rehabilitation.

Report of the 7th World Congress of the ISPRM

Jianan Li

Website: established (http://www.isprm2013.org) but need to be improved gradually. Congress venue: Beijing International Convention Center Congress date: June 16-20, 2013 Promotion in Istanbul: A booth for promotion will be set up. The 2nd promotion (1st call for abstracts) will be on the interim board meeting of ISPRM in 2010, the 3rd promotion (2nd call for abstracts) will be in Puerto Rico 2011 and the 4th promotion ((Final call for abstracts)) will be the interim board meeting of ISPRM in 2012. Sponsorship promotion: under going. Congress secretariat: Chinese Medical Association Proposed committees: Patrons: Mayor of Beijing; Minister of Health, China Honorary President of Congress: Names will be decided by 2012 Chairperson of the Congress: Jianan Li Chairpersons of the Local Organizing Committee: Shuqiang Xu and Ling Li Chairpersons of the Scientific Committee: Leonard Li, Zongyao Wu and one person assigned by the ISPRM President's Cabinet. Chairpersons of the Abstract Committee: Teibin Yan and Xiaoling Huang Advisory Board: to be decided by 2011. The candidates will be most famous international experts and prominent Chinese experts.

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Minutes of the Board of Governors Meeting 2008 ­ Part 1

Date: Tuesday, June 3, 2008 Place: Provinciale Hof, Brugge, Belgium In collaboration with the European Congress on PM&R (chair Prof. Guy Vanderstraeten)

Present:

Chang-il Park Linamara Battistella Joel DeLisa Gerold Stucki Leonard SW Li Martin Grabois Jorge Lains John Olver Haim Ring John Melvin Christoph Gutenbrunner Joyce Bolanos de Rodriguez Andrew Haig Alessandro Giustini Jianan Li Gulseren Akyuz Society Representatives Andrew Cole Guy Vanderstraeten Xiaojie Li Wu Zong Yao Simon Fuk-Tan Tang Gijan Forogh Tai Ryoon Han Juan Manuel Guzman Gonzalez Ronaldo Ryas-Matias Pedro Cantista Miguel Berdoz Milica Lazovic Klemen Grabljevic Amparo Martinez Assucena Rolf Frischknecht Daan Wever Dilsad Sindel William Micheo Joyce Balanos de Rodriguez Individual Members Representatives Anthony Ward Catarina Branco David Cassius Gordana Devecerski Jose Jimenez Mark Lissens Mark Young Marta Imamura Observers Elena Ilieva Aydan Oral Deog Young Kim Thomas E. Stautzenbach David Cifu President Past President President-Elect Vice President Secretary Treasurer Assistant Secretary Assistant Treasurer Honorary President Council of Presidents RVP Europe RVP Caribbean, Latin, Central America RVP North America & Canada Representative of Active Individual Members Representative Active National Societies Members Representative Active National Societies Members Country Australasia Belgium China CARM China CSPMR Chinese Taipei - Taiwan Iran Korea Mexico Philippines Portugal Puerto Rico Serbia Slovenia Spain Switzerland The Netherlands Turkey USA Venezuela (see also RVP Latin America Matilde Sposito Nicolas Christodoulou Onder Kayhan Thomas Bochdanski Tiebin Yan Veronica Rodriguez Walter Frontera Mark Young Bulgaria Turkey Korea USA (Exec. Dir. AAPM&R) USA (President AAPM&R)

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Welcome by the President Chang-il Park Report by the president see book of reports Thanks for the collaboration during the two years of my Presidency. Thanks to Leonard Li for his hard work as well as for the website task force. The President request to keep presentations short and focus on important items only as the text is already published in the book of reports. Minutes of the 2007 Meeting in Seoul approved no corrections Agenda: issues to be added and afterwards agenda was approved · Proposal of the Nominating Committee · Committee members and chairs (Friday meeting) · Explanation of the retreat in China · JRM · Website Report by the Past President Linamara Battistella We participated in many meetings and observed persons that can be important for the ISPRM in Mexico, Latin America, Turkey etc. We should further collaborate with Rehabilitation International, Handicap International and other patient societies. Report by the President-Elect Joel DeLisa Special thanks to Jianan Li and Leonard Li for the retreat. The ISPRM gets better each year but it could be time to reorganise the ISPRM more efficiently. A task force has been set up under the leadership of John Melvin that will bring a report within 6 months. We looked into the relationship with regard to organising the congresses. On Friday we will look into the committees and expect that they work intensively. Report by the Vice President Gerold Stucki Thanks all the persons involved and thanks to the regional groups. Thanks for the good work with the JRM and the representation of Matilde Sposito within the WHO Report of the Secretary Leonard Li Disability and Rehabilitation · Collaboration with the Disability and Rehabilitation Journal. They were requested to have by at least the end of this year a similar deal as we have with the JRM (electronic access for our members). No response was received on several emails. We should decide that the D&R will loose its status of Official Journal of the ISPRM if by the end of the year our members cannot have electronic access to the JRM · Anthony. Ward: if the D&R will come with a proposal will we be prepared to negotiate or will it be all or nothing? · Joel DeLisa: at this stage it will be all or nothing. We need to look at a short term and long term solution. · Motion and voting: accepted Journal of Rehabilitation · 9.000 Euro was the deal we made for this year. We have to discuss with them for the upcoming years now. · We will have to agree on additional payments for the coming few years. Final decision will have to be taken by the financial and Publication Committee and agreed by the President's Cabinet. · Anthony Ward: negotiation should be made with the JRM on offering f.e. a free booth. · Motion and voting: accepted Website · A presentation of the new website was made by Leonard Li. (90% is finished) · Please forward comments, suggestions to me within one week. · Chairs of each committee and RVP's should help to update the website · Restricted area for members only with education, members' forum, minutes, congresses etc. · Progress: o Training workshop during this ECPRM congress o End of June the website should be on-line. o All Board members should forward their picture for the website. Report of the Treasurer Martin Grabois · Refers to the book of reports page 7 and details on financials on the back · The charges the Finance Committee had as of last year have all been finished except of development of Policies and Procedures. · There is a 35.000 Euro income from the Korean Congress. · The Central Office expense of 2006 was split and part of 2006 was paid in 2007 therefore there is a higher amount for the costs of the Central Office in 2007. · The investment policy is conservative (all in the bank). The Finance Committee will come back with a recommendation.

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· · · · · · · · ·

The total financial result is very positive. The Audit was positive Financial reports should be sent to the finance committee members and President's Cabinet. Committee defined rules and action items and all have been completed Issues in the management will be abstracted and will address. An internal audit will take place in 2007 Dues Structure is in the book. If you still have questions please come up to Werner There is a significant number of national societies that pick-up the new combined model. But we encourage the representatives of the national societies to finalise the choice of dues for 2007 as we still have a number of national societies that did not respond until now.

Report of the Honorary President and Council of Presidents Haim Ring There is always something you can do for the organisation and we wish the new presidency all the best. Report of the Regional Vice Presidents Africa & Middle East Can unfortunately not be present. See reporting the book Report of the Regional Vice Presidents Asia & Pacific Can unfortunately not be present. See reporting the book Nachum Soroker

Satochi Miyano

Report of the Regional Vice Presidents Europe Christoph Gutenbrunner Explains the activities of PM&R in Europe Tasks of the RVP · To communicate ISPRM activities within their region · To encourage national societies to become members · To communicate activities in the region · To link activities of ISPRM with the different PRM bodies in the region · To foster regional communication · To strengthen activities in the ISPRM Some big countries are still missing but we had last year 20 national societies members of the ISPRM Report of the Regional Vice Presidents Central & South America Joyce Bolanos See report in the book. Juan Manuel Guzman explains the congress that took place in Mexico and Peru as well as focus on the AMLAR congress in November next in Uruguay. We have been working in exchange programmes with different countries. Also rehabilitation services have been developed in 3 levels. Report of the Regional Vice Presidents North America Andrew Haig North America is a bit different as we only have 2 national societies. It more has to do with getting the individuals involved. The Canadian Society meeting has been twice on the same dates as our ISPRM meetings. I worked with the AAPRM&R trying to get courses on international rehabilitation and we were successful. The process now is trying to have the AAPM&R getting the Italian model. I tried to get the issue working on developing world rehabilitation (no Africans are members of the ISPRM) We developed a think tank called: Intern. Rehabilitation Forum and we have 22 universities members We worked with the Government of Liberia to develop a national rehab plan and have chosen Ghana as a platform for working on rehabilitation services working with health care workers, politicians etc, The group had a grant of 10.000 Euro from SpineWeek in order to train the first specialist from Ghana in Spine surgery . We have good news expecting from the Gates Foundation in the upcoming weeks. Report of the Representatives of National Societies Gulseren Akyuz & Jianan Li The most difficult issue is that we do not know what to do with this function and we hope that there will come a job description and the way we need to communicate with the national societies (with changing leadership). May we ask the English native speakers to speak slower and more clear so that also non-native speakers will well understand. Report of the Representatives of Individual Members Alessandro Giustini We have the same problems as our position is only a theoretical position. This needs could be solved and you can find some proposals within the "Book of Reports". At the Istanbul congress we should have a solution after the input from the taks force Jose Jimenez: what is the job of the representative in the committee ? Report by the Executive Director Werner Van Cleemputte I can talk for hours on the Central Office but I will keep it short and all is in the book of reports

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Committee Report Audit and Finance Committee Nothing special to mention Committee Report Award Committee No awards to be distributed

Martin Grabois

Linamara Battistella

Committee Report Bylaws Committee John Melvin The report is in the book and there are no special actions to be taken by this Board. The committee would like to ask the members to read the report and to send in suggestions. Two items are not in the written report · Members at large: The committee has revised its opinion and believes that there should be two members in each of these categories. This has to do with providing sufficient positions also related to a geographic split · The committee changed the bylaws to include 5 years before the congress, the president of the congress will become a member of the Executive Committee. Input can be given to the committee by email. Committee Report Congress Committee Guy Vanderstraeten This is the first European Congress new style and the result is that we have more than 1100 participants coming from 63 countries. Also 965 abstracts were received and the presentations were officially published by the JRM. Proceedings are presented by the European Journal (Europa Medicophysica). We thank the different societies and especially the ISPRM for their support. Committee Report Educational Committee Marta Imamura See the report in the book and we will upload all the materials on the website. The committee received 8 monographs and this comes to the fact that they will be published in the JRM Committee Report International Education and Development Fund Linamara Battistella We need to find out which country can host our financial resourses and if a foundation should be created and in which country it should be established Committee Report Faculty Student Educational Exchange Committee Mark Young See the book of reports where you can find a summery of our activities as well as some statistics. We want to encourage our member nations to continue hosting international positions. Committee Report Journal and New & Views Nicolas Christodoulou It is the last time that this committee appears as it will be replaced by the publications committee. We have succeeded to publish the N&V on a monthly basis. The committee ends but has been successful. Committee Report Membership Committee See book of reports Veronica Rodriguez

Committee Report Sponsorship Committee Mark Lissens I hope that our website task force will be successful in putting a counter on the website so that this can be used to convince sponsors. We work closely together with the organisers of the Istanbul ISPRM World Congress to have a sponsorship council being installed in order to convince industry to sponsors the society and the website. Report of the AMLAR Liaison Officer See book of reports Report of the Bone and Joint Decade Liaison Officer Not present. See report in the book of reports. Joyce Bolanos de Rodriguez

Nicolas E. Walsh

Report of the UEMS Liaison officer Daniel Wever & Christoph Gutenbrunner I have nothing to add to the report Dr. Gutenbrunner gave on the PRM activities within Europe Report of the Historician of the ISPRM Not present. See report in the book of reports. Report of the Intl. SCI data Set project Liaison Officers Not present. See report in the book of reports William J. Peek

Amiram Catz & Michael Priebe

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Report of the Rehabilitation International Liaison Committee Martin Grabois It is not a medical organisation with only 2MD's in the board and limited medical involvement. It has to do with people with disabilities. In this case the ISPRM is the organisation with the medical impact. The United Nations passed a convention on people with disabilities and 20 countries ratified the report and signed so that it becomes a rule. Rehab Int. is taking this as a new goal. Report of the Liaison Officer to the Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM) Nicolas Christodoulou We will have the 7th congress in Portorose (Slovenia) in September and we all invite you over there. Our official journal "Europa Medicophysica" has changed name to "European Journal of PRM" The Summer School for trainees in Syracuse continues. Last year we had 40 trainees for one week. In October is the next edition. Free participation for trainees (supported by the Italian Society) except airline ticket. Report of the Liaison Officer to the National Osteoporosis Society Nothing particular to report Report of the Website Liaison Officer See report by the Secretary Leonard Li John Melvin

Andrew Haig

Report of the WHO Liaison Officers Gerold Stucki See report, there is one motion that ISPRM should become a partner in the report called "International perspectives in Spinal Cord injury." There is the world report on disability and rehabilitation which has been called for by the Resolution. ISPRM is involved in this report. Some of you are involved as others or in advisory board or in regional consultations. Based on this first report there has been the initiative to have a more specific report outlining also what it means from rehabilitation and medical perspectives. This report is called "International Perspectives of Spinal Cord Injury". The partners are all our other health professional societies like the World Federation of Physical and Occupational Therapy. ISCOS, the Spinal Cord Int Society (not in official relation with WHO). WHO will only develop this report if the ISPRM is involved in that report as the pre-eminent society Motion: Does ISPRM want to be involved in that report? Motion accepted Committee Report Nominating Committee Linamara Battistella We have received suggestions from more than 60 members. So it is a difficult tasks to have the right persons in the right positions. The Nominating Committee presents the following persons for the different functions that are vacant in the President's Cabinet: · Marta Imamura, Vice President · Jorge Lains, Secretary · Martin Grabois Treasurer · Franco Franchignoni, Assistant Secretary · John Olver, Assistant Treasurer The idea is that the assistants will become the next secretary and/or treasurer. The Nominating Committee reported to the Exec Com meeting this morning who agreed on Jose Jimenez: Assistants were created to be appointed for two years. Chang-il Park: The Exec. Com also discussed this issue and the new President agreed on these positions. Andy Haig: I am on the Nominating Committee and it is the first time I see this list. We should put individual members for consideration as well. We need their feedback. Joel DeLisa: we need to see the whole slade of everyone before we can vote. This is a complicated process. During the retreat in China we went to different issues (diversity, geography). We should improve this process in future. The assistants can be appointed by me (they do indeed not to be elected). Nominations from the floor can also still be made. Proposals for the Executive Committee · Pedro Cantista, RVP Europe · Juan Mauel Guzman Gonzalez, RVP Caribbean, Latin, Central America · Leonard SW Li, RVP Asia & Pacific · Walter Frontera , RVP North America & Canada · Maria Amparo Martinez Assucena, Representative Active Individual Members · Alessandro Giustini, Representative Active National Societies Members · Gulseren Akyuz, Representative Active National Societies Members · Onder Kayhan, representative of the 5th World Congress in Istanbul · Veronica Rodriguez de la Cruz, representative of the 6th World Congress in Puerto Rico · Jianan Li, representative of the 7th World Congress in China Individual members can propose themselves as a candidate for different positions.

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Martine Grabois: In order to be nominated the national orgnisation has to belong or the individual has to belong to the ISPRM. We pick an equal number of individual members as the number of national societies (in good standing) and they have to be in good standing. On Friday we should vote on this. Nicolas Christodoulou: the procedure by the Nomination Committee should be more democratic. They can propose two or three persons for a position that are the best. Now we only can say yes or no on the proposal. The decision is now not taken by the board of governors. Chang-il Park: we will discuss this with the bylaws and nominating committee. Christoph Gutenbrunner: individual members' position should be strengthen maybe through a short assembly of individual members where they could make proposals for the functions. Linamara: we had a lot of ideas but during the selection process it is not easy to fill all positions with the perfect persons. Alessandro Giustini: my proposal in the book says for the Istanbul Congress is the same as what Christoph is mentioning on individual members. Democracy is very well but not in a scientific society. We need to measure the engagement of the candidates. The Retreat Task Force will consider your proposals for a more democratic voting in future Haim Ring: society and individual members should be in good standing but according to the list a lot of candidates did not pay some for several years. Veronica Rodrigues we should move on the proposals made and I put a motion on the proposals made. Jianan Li: it will be easier to have a short introduction of the nominees so that we know why these persons are proposed for these positions. We do not know the persons we vote for. Chang-il Park: this is now difficult to explain as 60 proposals were made and a lot of time was spent on discussion and afterwards the decision was taken. The curriculum can be forwarded to you. Veronica Rodrigues: can the candidates make a brief presentation of themselves now. Chang-il Park: the Ex Com discussed the positions and candidates already in detail. We should now follow the bylaws and should vote. We had many suggestions for a democratic procedure and this will be implemented in the bylaws for next elections. Gijan Forough (Iran): Is it possible to have another candidate as RVP for Middle East due to communication problems in Middle East. Activity in Middle East is very poor. I suggest Dr. Torkan as RVP for Middle East. Chang-il Park: You can recommend another person and we need to decide by voting. Haim Ring: I do not see what the problem is because we receive emails from Iran every week and the Mediterranean Congress is an ideal occasion to meet Onder Kayhan: we have to follow the bylaws. Gijan Forough I recommend Dr. Torkan as RVP Anthony Ward: Do we know that Dr. Torkan herself is willing to take the position. Werner: Dr. Torkan has expressed her willingness to be part of the board by email and I forwarded this email to Linamara. Dr. Torkan is in good standing. Chang-il Park:: we will now need to vote Mark Lissens: if we do this voting we have to vote for all positions proposed for the board Joel DeLisa: if we do this we should vote each position therefore I would recommend that we first approve the entire slate of nominees and put this position aside. John Melvin: when there is a proposal for different candidates for the one position it is the same as saying I would like to split of this position fro mall the rest. So there are now two proposals on the floor: one is the nomination committee proposal with the exception of the position of the RVP for Middle East. The other is the RVP for the Middle East. Andy Haig: the bylaws say that the nominating committee should do the nominations according to the wording. Martin Grabois: by tradition this has never been the case, we always accepted nominations from the floor. Chang-il Park: modified motion by John Melvin. The slate except the RVP position for Middle East will be voted first. The election of the RVP will be made separately. Nicolas Christodoulou: the person we will vote on is not present so we do not know that she is a candidate. Mark Lissens: Several persons have put their candidacy. The position of the RVP for Middle East was already forwarded so if we vote we need to consider candidates for all positions. Linamara should than present the motivation of each candidate Chang-il Park: The motion by John Melvin is presented and seconded. Voting: all nominees are approved except the RVP for Middle East and Africa Anthony Ward: we should ask for abstentions and we should need to re-examine this way of doing this nomination. We did not have the name list in advance, we did not see any CV's of the candidates. This is not the way you run an international society. I personally think we should look into this in detail for future. Pedro Cantista: Thanks for voting. We can always improve bylaws. I succeed Christoph and I ask the president if he agrees with this position. We will work together Chang-il Park: The voting for the position of RVP is made after a motion and seconded. Martin Grabois. Do we need a motion seconded for a nomination. John Mevlin If nominations from the floor are made the chair is required to consider them Alessandro Giustini: Democracy is based on speaking. I agree if both RVP candidates could work together as this will be fruitful for the ISPRM as everybody understands the political problems in this region. Andrew Cole The cv's of both candidates should be presented for the board for voting on Friday by secret ballot Onder Kayhan: we need a third candidate and I can propose a Turkish friend of mine.

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Gerold Stucki: the democracy of the procedure: there were suggestions we have a Nomination Committee that came forward with a proposal after a huge work. We have the option to have other nominations and the normal democratic procedure is to vote on these candidates. Andrew Cole I have put a motion that we should receive the CV's of the candidates and should vote on Friday. Linamara: Both have a excellent cv with a lot of papers published and a very good position within their national society. The CV's cannot obtained for Friday. We suggest that Dr. Torkan comes within the Education Committee and after she becomes more known by the society she can be more integrated in other functions. Joel DeLisa: the motion on the table for making the voting on Friday should first be voted on. Chang-il Park: we will vote on the two candidates as we do not have the time. So please write the name of your preference on the paper distributed by Werner. The names are Dr. Torkan and Dr. Soroker. The voting will be passed by a majority. BREAK Chang-il Park: Result of the voting: Dr. Soroker has been elected as RVP for Middle East and Africa. The positions within the different committees will be filled in on Friday Journal of Rehabilitation Medicine Gunner Grimby Gunner gives a presentation on the Journal (no profit organisation, ISPRM official journal, high impact factor). · Editorial Board: 38 members from 22 countries. · Editorial Committee: 10 members from 7 countires. · Two reviewers for each manuscript · 65% rejection rate, Average review time 4-5 weeks · 395 reviews during 2006/07 · Increase in papers on Stroke, brain injuries · 2007 we had 390 papers submitted in 2007 and expect more than 500 papers for 2008 · 10 issues of 96 pages foreseen for 2008 · Significant increase from manuscripts from USA and Austalasia The collaboration with ISPRM was very positive. ISPRM World Congresses Istanbul 2009 Gulseren Akyuz Onder Kayhan will be the congress president Dilsad Sindel is the president of the Turkish Society and vice president of the congress Aydan Oral will be the chair of the Scientific Committee Gulseren Akyuz is the secretary general of the congress. We expect having a further increase in the number of participants also coming from countries that did not participate in our congresses up to now. Registration fees will be low for countries having per capita only 3.000 US$ which is important for Latin America. We can have simultaneous translation for some sessions. Sponsors do not show so much interest in the congress but as we are also practising in rheumatology the local pharma industry especially supports us. With international companies we have difficulties. We sent the announcement of the congress to 17 magazines for making publicity. We will increase the numbers and the budget Scientific outline has been explained as well as the congress venue by Aydan Oral An on-line programme planner will be available on the website. Of course the social programme will bring you a great time. ISPRM World Congresses Puerto Rico 2011 Veronica Rodrigues & William Micheo We are advancing well William Micheo gives a brief comment on the outline of the scientific content that will also be developed in collaboration with different societies like the AAPM&R ISPRM World Congresses China 2013 Jianan Li We just finished the Asia Oceanian congress and learned a lot from this congress in the preparation of the 2013 ISPSM World congress. Chang-il Park presents the organisers of the Korea Congress for any help to the upcoming congresses. Foundation Martin Grabois I proposed having a foundation. We have an education fund that is coming from the previous international foundation. As now anybody wants to give a donation to our organisation we have a mechanism to do that. Therefore I would consider John looking after an appropriate setting Word of thanks by Chang-il Park, hand-over of the Presidential Medal and photo time.

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Minutes of the Board of Governors Meeting 2008 ­ Part 2

Date: Friday, June 6, 2008 Place: Provinciale Hof, Brugge, Belgium In collaboration with the European Congress on PM&R (chair Prof. Guy Vanderstraeten)

Present

Joel DeLisa Chang-il Park Gerold Stucki Marta Imamura Martin Grabois Franco Franchignoni John Olver Linamara Battistella John Melvin Pedro Cantista Juan Mauel Guzman Gonzalez Leonard SW Li Walter Frontera Maria Amparo Martinez Assucena Alessandro Giustini Gulseren Akyuz Society Representatives Andrew Cole Li Xiaojie Wu Zong Yao Simon Fuk-Tan Tang Ronaldo Ray-Matias Renato Nunes Peter KW Lee Milica Lazovic Klemen Grabljevic Rolf Frischknecht Daan Wever Dilsad Sindel Members Representing Active Individual Members Anthony Ward Crt Marincek David Cassius Gordana Devecerski Gunes Yavuzer Jose Jimenez Qiu Jifang Mark Lissens William Peek Observers Deog Young Kim Thomas E. Stautzenbach Aydan Oral Viton Jean-Michel President Past President President-Elect Vice President Treasurer Assistant Secretary Assistant Treasurer Honorary President & Chair Council of Presidents Honorary President RVP Europe RVP Caribbean, Latin, Central America RVP Asia & Pacific RVP North America & Canada Representative Active Individual Members Representative Active National Societies Members Representative Active National Societies Members Country Australasia China CARM China CSPMR Chinese Taipei - Taiwan Philipines Portugal Korea Serbia Slovenia Switzerland The Netherlands Turkey

Matilde Sposito Mihail Berteanu Nicolas Christodoulou Thomas Bochdanski Tiebin Yan Veronica Rodriguez Veronika Fialka Moser Joyce Bolanos de Rodriguez

Korea Exec Director AAPM&R ISPRM 2009 UEMS PRM Board

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Welcome by the President and request to report briefly The new officers were presented by the President, Professor DeLisa. The agenda was distributed and approved. Professor DeLisa thanked Chang-il Park for the excellent job he did as President. Professor Delisa indicated he was honored to serve as President for the next 2 years. He also indicated that he wanted to run this meeting in a democratic fashion, but will use a firm hand to keep things moving and complete tasks timely. He will involve very much the President Elect and Vice President in almost all issues and correspondence, He wants an inclusive leadership group that builds institutional memory. His charge and vision is to continue on the good work that has been previously done, and add value products and efficiency to the ISPRM so that more physiatrists and societies want to become members. He will try to be fair in all decisions and suspects he will not always please everybody. He wants to continuously improve efficiency and communications of our society, but he realizes that you never can communicate enough. The new board has been selected and he made a strong appeal to have the BOD present at all meetings, especially the members of the Presidents Cabinet. We have established the committees, but I am asking people that want to be on a committee to notify me as we can add other people. However, I will evaluate the work that has been done by these committees annually. If an individual has not participated in the committee work, we will remove them. Our philosophy is to award performance. I will charge each appointed committee chair to review the assigned committee duties that exist in both the ISPRM Bylaws and its policies and procedures. Please indicate to me in writing any additions or deletions. I need these suggested changes within the next two months. I also request that each committee chair prepare a working plan and send that plan to me within the next 3 months. I expect a committee progress report by the end of this year. Additional Committee Charges: Joel DeLisa 1. Audit and Finance ­ review the management letter. Please develop a set of recommendations to bring us into compliance. One of the issues to be addressed is whether ISPRM should become a not for profit organization in Belgium. Our investment policy has been very conservative. The finance and audit committee will re-evaluate our investment allocation strategy and make a recommendation. 2. Nomination and Awards Committee ­ If you are a member of this committee you are not eligible for an elected position or an award. This committee is charged with developing criteria/qualifictions for the Regional Vice President and the Vice President position. 3. Congress Committee ­ Charged to establish rules with respect to the rights and obligation of the ISPRM and those of the host country. These rules will apply to Congresses after the 2013 (China) Congress. During the Nanjing Board Retreat a draft set of rules was developed. We will charge Professor Guy Vanderstraetten (chair) to modify this draft and propose new guidelines for a vote no later than the Istanbul Congress meeting (2009). It is my hope that the ISPRM can eventually have an annual Congress. I would like to see these be associated with regional societies. I have charged the Congress committee to analyze the concept of an annual congress tied to regions on an annual rotating basis. We currently have six regions. I would like the committee to decide if 6 are best, or should we reduce to 3 such as: 1) Asia-Oceania 2) The Americas 3) Europe-Middle East and Africa. The committee is free to recommend other combination of regions, or recommend against progressing to an annual Congress. 4. Education Committee ­ Charged to evaluate the concept of special interest groups, including the criteria necessary to be appointed a special interest group and their rights with respect to program time, etc. This committee is also charged with developing a uniform curriculum that can be adopted throughout the world in the area/topic of the committee's choice (CVA, SCI, TBI, etc.). This should be a generalized curriculum that could be modified to address local needs/concerns. The curriculum should list didactic topics, workshops, and address areas such as knowledge, skills, attitudes, etc, as well as how to objectively evaluate clinical competency. 5. Membership Committee ­ Needs to examine our membership categories, and suggest ways to increase membership. It is charged to evaluate the concept of developing a membership brochure that lists the benefits of the membership classes. 6. Publications Committee ­ This is a new committee with Walter Frontera as overall chair. It will have 3 subcommittees: 1) Website 2) Journal 3) News and Views The charges to this new committee will be developed and submitted to the President's Council for approval.

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7.

8.

Website - An enormous amount of work has been done by the Website Committee especially Leonard S.W. Li and Nachum Soroker. It is our goal to have our new website operational by the end of June 2008. Professor DeLisa hopes that our members will be able to pay their dues electronically through this website. The Journal contract with the Journal of Rehabilitation Medicine is in negotiations. Leonard Li is leading this effort, but it will need input and consensus from both the Journal Committee and the Audit and Finance Committees before presentation to the President's Cabinet for approval.

9.

Sponsorship Committee ­ The charges to this committee need to be developed and submitted to the President's Cabinet for approval. With the completion of our new website, sponsorship opportunities should be pursued. 10. WHO ­ This will become a committee and its charges will need to be developed and submitted to the President's Cabinet for approval. The Regional Vice Presidents will become members of the committee.

I have established two additional task forces: 1) Reorganization with Dr. Melvin as chair. The committee members are: 1. John Melvin (Chair the committee) 2. Gerold Stucki 3. Alessandro Giustini 4. Jose Jimenez 5. Martin Grabois 6. Haim Ring 7. Jorge Lains 8. Nobu Ishigami 9. Jianan Li 10. Hugo Nunez 11. Gulseren Akyuz 12. Chang-il Park The Organization Structure Task Force is charged to provide recommendations to the President and Executive Committee regarding an organizational structure of the ISPRM that best facilitates achieving its mission and goals, and results in efficient operations. To accomplish its review the Task Force will consider the roles of the ISPRM globally, and in relationship to regional societies, national societies and individual members. It also will make recommendations regarding organizational structure that facilitates efficiency and timeliness of ISPRM activities and communications. 2) Central Office ­ How to strengthen this critical support element and to access it more efficiently: Christoph Gutenbrunner (chair) ­ other committee members are Leonard Li, Martin Grabois, Guy Vanderstraeten, and Anthony Ward. Committee Composition: Joel DeLisa The International Education and Development Fund composition is prescribed in our policies and procedures. Its composition is: Chang-il Park ­ Chair Joel DeLisa Gerold Stucki Marta Imamura (2006-2010) Daan Wever's term has expired. Nicolas Christoulou was nominated and elected to the position. 2001 Interim Meeting Joel DeLisa Unfortunately the announcement requesting countries/regional societies to apply as the interim meeting host was sent only recently and it did not have a return cut off date. We did not follow our own rules, and this resulted in anger and confusion. Taiwan had turned in a completed application. The European Congress submitted an application five days ago. Nicolas Christoulou moved to postpone the decision until the Istanbul Congress (June 2009). This motion passed (19 yes, 16 no and one abstention). It was stated that this we must follow the rules in the future and an unfortunate situation like this must never happen again. WHO Gerold Stucki WHO is extremely important. We have to define our work plan towards the DAR team. WHO is not interested in our scientific activities. Our representatives need to be present during their meetings, and when we are called to contribute. So we must collaborate with them and have more presence as a team including

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RVP's or designee at the May Headquarter meeting. Our experts should be sent to the special meetings. We need to develop a pro-active strategy. What do we want from WHO? This is why we are developing an agenda called the "international perspectives in PRM" in which we will outline all the work (position statement, policy and academic or discussion level). The group is challenged to be more active in the N&V and through manuscripts that outline the issues in our official journal-the JRM. We do not have ISPRM funding and hence we pay our expenses. So we count of people that are living in the Geneva area, and people that live in the region of the regional WHO offices. The key word is on how to develop this collaboration further and to respond to acute and raising topics. We need to monitor all current activities. In nearly all issues there is something relevant for a rehab perspective. In addition we need to design a task force to a specific issue that can request the input with respect to rehabilitation. Martin Grabois: Rehab International has not been involved in WHO and we look to Gerold to get the two organizations more involved in WHO. Gerold Stucki: One of the major points proposed by John Melvin was that the DAR team can reach out more through their stakeholders. We now have stakeholder groups and one is the Professional Organizations involving ISPRM, ISPO, the World Federation of Occupation Therapy, Physiotherapy, etc. Other stakeholders are the patient organizations. The most important one is the DPI (Disabled People International). WHO always wants to work with the umbrella organizations first. Awards & President's Medal Joel DeLisa I feel uncomfortable that I could not offer a medal/plaque recognition to Chang-il Park upon the completion of his term as President. I would like to ask the Awards Committee to evaluate and propose an award mechanism for the immediate past President. Also, the Presidents metal that I received upon taking office says "International Rehabilitation Medicine Association". The awards need to recommend/design an ISPRM medal. Also, we need to add Dr. Park's name to the current President's metal. Disaster Response Joel DeLisa Can we as an organization help when a major disaster happens? Leonard Li explained what happened after the earthquake in China. Different medical groups helped. Some have disaster plans (experts, dialysis, etc.). ISPRM should also have a role in China with respect to this disaster. We can have a direct approach to countries through our members, and a more systematic one could be worked through our RVP's. Jose Jimenez: Stated that the ISPRM has to look how to link to the international organizations that are working in the field. Jianan Li: Reported that the earthquake apart from the high number of dead persons, there were approximately 300,000 persons injured of which approximately 1,000 had spine and brain injuries. The ISPRM can send an official letter to the government of the country that experienced the disaster, informing then that we are willing to help. Also, the RVP should have a wide link to the country with the disaster and should send a letter as well. We have contacts in all countries due to our national society members, who could become involved as well. The help should have three aspects; expertise, donations and a long term rehabilitation support. It was agreed that Dr. DeLisa will ask the Presidents Cabinet to help him with a letter of support from ISPRM that we can send to the Chinese authorities. Disability Day (Worldwide) Joel DeLisa Dr. DeLisa raised the issue of ISPRM working for a world wide disability day that could be authorized by some organization such as WHO. He wasn't sure what to call it since he didn't want the name to have a negative commutation. Dr. DeLisa charged Werner to ask the Regional Vice President to report of whether countries in their regions have such a day and what it is called, as well as whether their region would support this initiative. Approving Standards, Guidelines, etc. Joel DeLisa Should ISPRM have a mechanism to endorse/adopt standards and guidelines as an organization? This concept was unanimously approved. Dr. DeLisa asked for volunteers for an ad hoc committee to study this issue, as well as someone to chair the committee. Election of individual members to the Board. Joel DeLisa Unfortunately, this list was not prepared by the nomination committee. Also, Werner was unable to prepare a slate and to verify individuals eligibility (members in good standing) since the Tuesday (June 3rd) Board meeting. To be eligible, individuals have had to pay their dues in 2007. There are 38 national societies, so we need 38 individual members. Dr. Stucki read the previous list of 37 names. These members who are eligible for election were nominated and unanimously approved.

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It was reaffirmed that members at large represent individual members and that have had to have paid their dues (the previous year 2007). Catherine Branco, Andy Haig and Jifang Qui were each elected as individual members. Other Business Mihai Berteanu: Two years ago in Hannover during the UEMS meeting we discussed the possibility to put up the disability decade like there was the Bone and Joint Decade. It had some support during the UEMS meeting and has been discussed within the ISPRM, but nothing came out up to now. Gerold Stucki: we had discussed this within the DAR team of the WHO but they were not interested in the concept although they would support disability days. Anthony Ward: one of the reasons we were not keen in the UEMS is that this is a large and complex issue with a lot of preparatory work to organize. Also it came too close to the Decade of Bone and Joint. No decision was made with respect to this issue. The meeting was adjourned.

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FINANCES

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Terms of Reference, Finance and Audit Committee ISPRM

The purpose of the Committee is to assist the Board of Governors fulfil its responsibilities through the review and reporting on the ISPRM's financial position and financial management. OBJECTIVES 1. To consider and recommend to the Board of Governors the annual operating and capital budget of the ISPRM. 2. To monitor the ISPRM's performance on a 12 monthly basis including (a) Operational Management Reports including Key Performance Indicators (b) Profit and loss (c) Cashflow (d) Balance sheet (e) Internal and external audit (alternating annually) and recommend appropriate action to the Board of Management. 3. To monitor and recommend to the Board of Governors the appropriate capital structure including subscription categories, banking relationships and investment strategies. 4. To ensure effective Key Performance Indicators are in place for the ISPRM administration and the performance variation is carefully monitored 5. To review the efficiency of performance (e.g. subscription income, profits from ASM etc, Journal subscriptions, IT contracts etc.) and recommend savings and improvement strategies 6. To review ongoing financial management including reporting, policies and procedures. CHAIRPERSON The Chairperson shall be the Treasurer of the ISPRM and will be appointed bi annually by the Board of Governors MEMBERSHIP Up to five Board Members (including Treasurer, Assistant Treasurer etc. -- to be completed) Co-opted members as required QUORUM A quorum consists of at least three members of the Board of Governors MEETING TIME FRAME The Finance Committee will meet annually at Scientific Meetings or Interim Scientific Meetings of ISPRM in association with Board of Governor's Meetings REPORTING STRUCTURE The Finance Committee reports to the Board of Governors through the Treasurer or nominated deputy. MINUTES Minutes of all meetings must be approved by the Treasurer and circulated to all members of the Committee and to the Board of Governors PERFORMANCE INDICATORS - Maintenance of the financial viability of the Group - Successful external financial audit - Timely and accurate financial reporting - Efficient management of capital including annual review of capital expenditure

Ratified by

..................................................................Date: ........................

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MEMORANDUM TO :

John Olver, M.D. Werner VanCleemputte, ISPRM Executive Director Martin Grabois, M.D. Finance/Audit Committee

FROM SUBJECT

: :

The ISPRM Finance/Audit Committee met in Brugge in association with the ISPRM Board meeting on Monday, June 2, 2008. The items discussed or reviewed with action taken are as follows: 1. Financial reports were presented and discussed. It was recommended to implement the policy that quarterly the Executive Director will submit the financials to the treasurer to make modifications as needed, and the Executive will send them these reports on a regular basis to the Finance Committee and the President's Cabinet. 2. Current investment policy was reviewed and recommendation made that it be reviewed with recommendations for modification by the Committee by the next Board of Directors meeting. 3. Dues structure was reviewed. It was decided not to recommend any adjustments at this time. We will continue to encourage individual and national societies to pay their delinquent dues and emphasize the joint national-individual membership category. It was further recommended that when policy and procedures are developed for the Committee, dues reminder time frames should be delineated. 4. Internal Audit is due for 2007 in 2008 and will be carried out by the Executive Director, Treasurer and Assistant Treasurer. 5. External Audit for 2006 was reviewed. The financial component of the audit was reviewed. All deficits have been or will be dealt with within one month with sending quarterly reports and spread sheets to be dealt with as soon as possible. A discussion was held on the management issues noted in the audit that have not been addressed. It was decided at the assembly meeting to refer the delineation and proposed actions to address on these issues to the Finance and Audit Committee. At the Executive Committee and Assembly meeting on Monday, June 3, 2008, these items were discussed and reviewed. At the Assembly meeting on June 6, 2008, the following charges were given to the Committee: Routine 1. Monitor financial structure of the organization. 2. Develop annual budgets 3. Recommendation for dues modification 4. Perform internal audit every other year (due 2008 for 2007) 5. Supervise external audit every other year (due 2009 for 2008) For 2008-2009 1. Review and make recommendations for modification of investment policy 2. Finalize 2006 external audit 3. Review management recommendations in 2006 external audit and make recommendations to modify management policy and procedures 4. Develop policies and procedures for Committee 5. In association with the Executive Director delineate members who can vote at each meeting before the meeting ­ President's Cabinet, Executive Committee and Assembly 6. Develop concept of Foundation

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ISPRM Audit and Finance Committee Charges (Update 1/09)

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ISPRM Education Committee Minimum Curriculum for Residency Program

Acquired Brain Injury (ABI) · Spinal Cord Injury (SCI) · Clinical Research Experience

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ISPRM Education Committee

Minimum Curriculum for Residency Program

Acquired Brain Injury (ABI)

Competence: The ability to evaluate and manage impairment and disability related to traumatic brain injury At the end of the ABI program, residents should be able to: · Perform comprehensive patient assessment to identify impairments, disabilities and handicaps resulting from ABI · Evaluate the potential for rehabilitation · Formulate a rehabilitation management plan specifying necessary modalities of assessment and treatment as a result of the consultation with the patient, family and interdisciplinary team · Review and co-ordinate patient management, involving the patient and family, in a regular basis · Communicate effectively with team members, patient, family and other medical practitioners and agencies involved in the patient's care · Counsel and educate the patient and family with regard to the effects and consequences of ABI Knowledge: · Relevant neuroanatomy and neurophysiology of the central nervous system: the lobes of the brain brainstem cerebellar nuclei cerebrospinal fluid dynamics · Pathophysiology of ABI primary traumatic brain damage secondary brain damage focal injury diffuse axonal injury intra-cerebral hemorrhage encephalitis · Epidemiology of ABI etiology: traumatic, motor vehicle accidents, assault, falls, others incidence mortality and morbidity costs long-term outcomes · Neurological evaluation: understand the significance of the following clinical observations in the management and outcome of ABI Glasgow Coma Scale (GCS) duration of coma intracranial pressure (ICP) brainstem signs (pupillary reflexes) autonomic disturbances post-traumatic amnesia · Post traumatic amnesia definition and methods of measurement significance with regard to rehabilitation management and outcome clinical management · Dysfunction related to TBI physical -weakness, incoordination, spasticity, contractures -balance and gait -sensory impairment -cranial nerve lesions -swallowing and nutrition -bowel and bladder cognitive -arousal -attention

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-memory -learning -executive function -perception, praxis -language and communication

behavior

·

·

·

·

·

·

· ·

-disinhibition -adynamia and inertia -aggression -psychosis integrative functions -mobility -self-care -domestic/community activities daily living (ADLs) -sexuality -leisure -vocational effects on family system Rational use of clinical diagnostic assessment tools Blood tests Skull x-rays CT scan Magnetic resonance imaging Single photon emitted computed tomography Somatosensory, visual and brainstem evoked potentials, magnetic motor potentials Recognition of minor brain injury recognition diagnosis and management of "post-concussive syndrome" Outline intensive care unit strategies for acute management of traumatic brain injury (TBI) principles of early retrieval and the difficulty of retrieval from rural areas acute monitoring, including cerebral perfusion and jugular venous SaO2 the role of diagnostic investigations in management and prognosis: CT, MRI, EPs, EEG ventilatory support intracranial pressure monitoring role of pharmacotherapy including prophylactic anti-convulsants surgical interventions including indications for ICP monitoring and craniotomy Understand the mechanisms of functional recovery resolution of temporary factors: cerebral edema, focal haematoma, hypoxia, raised intra-cranial pressure modification of neural connection and synaptic function, redundancy and functional substitution Management of common medical complications associated with ABI autonomic dysfunction syndrome post traumatic epilepsy dysphagia hypertonicity and movement disorders post traumatic hydrocephalus and V-P shunting heterotopic ossification visual disturbances central hypertension SIADH / diabetes insipidus / pituitary dysfunction aspiration pneumonia deep vein thrombosis Assessment of rehabilitation potential following ABI: pre-injury factors: age, psychosocial status, intellectual function, drug and alcohol use injury factors: - location and severity of injury - other significant injuries post-injury factors: duration of coma and PTA, raised intra-cranial pressure, hypoxia, hypotension Overview of neuropsychological assessment Assessment and management of disability resulting from ABI consistent team approach and roles of members of a typical ABI rehabilitation team comatose and minimally responsive patients -diagnosis and prognosis of coma, persistent vegetative state, locked-in state and brain death: ethical and legal issues pertaining to medical care and life support

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-tracheostomy care -swallowing and nutrition -gastrostomy care -bowel and bladder function -maintenance of skin, muscle length and joints -assessment of neurological recovery -role of sensory stimulation programs neuropsychological evaluation, psychometric testing and cognitive remediation behavioral disorders, including aggression, and principles of behavioral management the use of pharmacotherapy in the management of -coma -cognitive impairment -emotional and behavioral disturbance mobility and balance including the prescription of orthotics and walking aids psychiatric and psychological disorders including mood/emotional disturbances communication disorders family functioning and adjustment interpersonal relationships substance and alcohol abuse · Understand the approaches employed to achieve community reintegration after ABI interdisciplinary discharge planning case management retraining domestic and community activities of daily living leisure activities fitness for driving and driver re-training vocational rehabilitation family/social education and adjustment practical issues pertaining to: -accommodation -guardianship and financial management -attendant care -community support services · Outcome measures of impairment, disability and handicap following ABI global measures e.g. - Glasgow Outcome Scale - FIM - Rappaport Disability Rating Scale - Ranchos Los Amigos Scale - SF 36 specific measures of cognitive, behavioral and affective disturbance, including -WAIS -Wechsler Memory Scale -COWAT -Complex Figure of Rey -Beck Depression Inventory -Agitated Behavior Scale · Long-term outcome following ABI, especially the impact of ABI on vocation and employment interpersonal relationships leisure and recreational activities · Bioethical issues that arise after ABI · Medico legal assessment and reporting nature and degree of disability resulting from ABI patient's future needs with regard to medical and rehabilitation management, attendant care, housing, assistive devices and life expectance Skills: · Gather the data necessary for diagnosis and treatment of a patient with an acquired brain injury. · Perform a relevant physical examination with special emphasis on the mental status and neurological examination. · Perform diagnostic and therapeutic procedures as required such as intra articular injection, botulinum toxin injection, catheterization of the bladder and debridement of wounds.

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· · · · · · · · · ·

Formulate a comprehensive medical, functional and psychosocial problem list outlining an appropriate plan of management and outlining the impairments, disabilities and handicaps of the patient. Write reports with a clear diagnosis and plan. Prepare and maintain complete and informative clinical records including consultation reports and medico legal reports. Write prescriptions for equipment, exercise, modalities and outpatient therapy. Assume a leadership role in the rehabilitation team and effectively lead team and family conference. Communicate and work effectively with patients, their families, members of the rehabilitation team and referring physicians. Educate effectively other diverse individuals in the consequences of brain injury. Set appropriate quantifiable rehabilitation goals through collaboration with all concerned particularly the patient. Apply bioethics principles in clinical practice. Accurately assess own professional and personal strengths and weaknesses as relates to this field of acquired brain injury.

Attitudes: · Demonstrate the desire to reduce handicap caused by brain injury, related cognitive and behavior changes. · A non-judgmental, supportive approach to antisocial behavior caused by brain injury · A special sensitivity to the effects of brain injury, related changes on the patient's family and social system. · Willingness to work in transdisciplinary rehabilitation teams. Clinical Responsibilities: · Day-to-day management of head injury patients · Attendance at weekly team meeting progress rounds. · Attendance at head injury consults. · Attendance at head injury outpatient clinic. Suggested duration for ABI program: 4 months for the three-year training programs and 6 months for the four-year training programs. Suggested Learning Resources: Texts: · Brain Injury Rehabilitation: Clinical Considerations. Edited by A.M.J. Finlayson and S.H. Garner. Baltimore: Williams & Wilkins, 1994. · Community Integration following TBI. Kreutzer and Wehmann. Baltimore: Brookes, 1990. · Medico-legal Assessment of Head Injury by David S. Bell and Thomas. Springfield, 1992. · Neuropsychology: A Clinical Approach by Walsh. Churchill Livingstone, 3rd Edition, 1994 · Recovery After Traumatic Brain Injury. Edited by B. Uzzell and H. Stonnington. Lawrence Erlbaum Associates, 1996. · Rehabilitation of the Adult and Child with TBI by Rosenthal, Griffith Bond and Miller. Philadelphia: Davis 1989. · Traumatic Brain Injury - Services, Treatments and Outcome. Edited by M.A. Chamberlain, V. Neumann and A. Tennant. Chapman and Hall Medical, London, 1995. · Brain Injury Medicine: Principles and Practice, Ed. Zasler ND, Katz DI, Zafonte RD. Demos Medical, 2007. Journals: Archives of Physical Medicine and Rehabilitation, including 1998 Study Guide Vol. 79 No 3 Supp. 1. March 1998. Brain Injury Journal of Head Trauma Rehabilitation Suggested future clinical trials: · Conduct medication trials to enhance cognition and attention in TBI or to treat emotional and behavioral problems related to TBI. · Develop information systems and technology, such as telemedicine, to facilitate transfer of patients to facilities that match their unique combination of needs and to deliver care most cost effectively. · Apply computer simulation and virtual reality technology to assessment and psychotherapy for disorders such as PTSD or for adaptive skills such as activities of daily living and driving performance. · Develop accurate and efficient screening batteries for cognitive, auditory, and visual impairment and developing rehabilitation programs for these disabilities. · Investigate cost-effective ways to identify and treat comorbid conditions such as TBI with SCI. · Develop standardized treatment protocols for posttraumatic pain, notably headache and post amputation pain. · Study factors influencing metabolic and body composition changes after TBI, such as pituitary dysfunction and alterations in mobility and lifestyle. · Investigate cost-effective models for prosthetic fitting and training.

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ISPRM Education Committee

Minimum Curriculum for Residency Program

Spinal Cord Injury (SCI)

Competence: The ability to evaluate and manage impairment, disability and handicap resulting from spinal cord injury and other non traumatic spinal cord impairments At the end of the SCI program, residents should be able to: · perform comprehensive assessment of a patient with stable spinal cord injury or disease, identifying all medical complications and functional losses, and the potential for rehabilitation · formulate a plan of management which specifies necessary medical, physical and functional rehabilitation goals and treatments in in-patient, out-patient and community settings · review and co-ordinate the rehabilitation management including communication with the patient, family, rehabilitation team and other health professionals, in a regular basis Knowledge: · anatomy of the spinal column and spinal cord, including blood supply and topography of nerve pathways within the spinal cord · physiology of the spinal cord autonomic nervous system micturition erection, seminal emission and ejaculation bowel function heart rate and blood pressure regulation · physiology of bone metabolism · epidemiology of SCI and disease etiology: trauma, myelopathy, syringomyelia, arachnoiditis, spinal dysraphism, vascular disease including arterial venous malformation, spinal cord tumor, extra dural cord compression, transverse myelitis and multiple sclerosis and infections (including viral, bacterial and tuberculosis) incidence and prevalence mortality and morbidity costs long-term outcomes · first aid and retrieval of SCI patient · pathophysiology of SCI "spinal shock" concussion, contusion and laceration secondary injuries new developments in the physiology of spinal cord regeneration clinical assessment of recent SCI neurological level and degree of impairment following injury (ASIA classification) incomplete spinal cord syndromes identification of associated injuries · radiological investigations in acute SCI XR CT MRI · initial management of SCI assessment of spinal stability and canal compromise principles of operative and non-operative surgical management early medical care -respiratory insufficiency including indications for mechanical ventilation -orthostatic hypotension -urinary retention -gastro-intestinal dysfunction -neurogenic bowel -pressure area care -temperature control -deep venous thrombosis (DVT)/pulmonary embolism (PE) prophylaxis

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- positioning for prevention of contractures · assessment and management of permanent dysfunction resulting from SCI assessment of pre-injury personality, lifestyle, social support and economic circumstances level of injury, functional ability and expected level of independence neurogenic bladder -suprasacral, infrasacral and mixed types of impairment -urodynamic assessment -methods of bladder management * clean intermittent self-catheterization * reflex voiding and bladder training * supra-pubic catheter/in-dwelling urethral catheter -drug management -urinary prophylaxis -renal and bladder calculi -urinary tract infection -surgical interventions * external sphincterotomy * urethral stent * augmentation cystoplasty * urinary diversion -long term renal tract monitoring neurogenic bowel -dietary and drug management -bowel routine -hemorrhoids respiratory function in tetraplegia pressure area care -risk factors of pressure ulceration -international classification -prevention: pressure relief of critical areas -management of skin breakdown (including nutrition and support review, equipment, surgical options) types of pain and management following SCI management of spasticity: physical, pharmacological and surgical treatments (benefits, side effects and potential complications) autonomic dysfunction (including autonomic dysreflexia and orthostatic hypotension) -pathophysiology -symptoms and signs -causes -management heterotopic ossification -prevention -management osteoporosis -prevention -management physical therapy -limb ROM and strengthening -sitting balance, transfers, standing and gait -hydrotherapy and fitness hand therapy and splinting adaptive techniques and assistive devices for ADL seating and wheelchair prescription principles of spinal, upper limb and lower limb orthotics -resting splints -short and long opponens splints -flexor-hinge orthosis -writing splints -mobile arm supports -gait orthoses, including HKAFO's and KAFO's basic principles of functional electrical stimulation -phrenic nerve pacemaker -sacral anterior root stimulator -Cleveland UL neuroprosthesis -FES gait and exercise programs

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· · · ·

sexual function and sexuality fertility, reproduction and pregnancy psychological issues -psychological reactions to disablement -theories of adjustment to disability -impact on family -psychological and management strategies to promote independence computer support for recreation, vocation and environmental control driving assessment, modifications and retraining home modification and equipment vocational rehabilitation leisure and sports activities post-discharge/community care -principles of community care -patient support organizations -community support services medical and rehabilitation management of late stage complications including syringomyelia, upper limb overuse syndromes, hypertension, diabetes, cardiac disease, fractures and joint dislocation late-stage surgical interventions to improve functional performance reconstruction of the tetraplegic hand and UL, emphasizing tendon transfer techniques, tenodesis and arthrodesis medico-legal evaluation and report-writing: provides appropriate information detailing the nature and degree of disability resulting from SCI, including associated injuries, significant complications, and future needs with regard to rehabilitation management, nursing and attendant care, home modifications and equipment.

Skills: · Demonstrate proficiency in completing a relevant and organized medical and functional history from a patient with spinal cord impairment. · Demonstrate proficiency in completing a physical examination and a function examination of the neurological system, with emphasis on the performance of an ASIA assessment, Ashworth assessment of spasticity and FIM. · Demonstrate proficiency in performing a regional musculoskeletal examination with emphasis on structure and alignment, signs of inflammation, joint range of motion and stability. · Demonstrate ability in selecting, justifying, prescribing and interpreting appropriate investigations including laboratory tests, radiological workup, urodynamics, renal and abdominal ultrasound, cystostomy, duplex Doppler and lung scans, DEXA bone density, electrodiagnostics and psychometric testing. · Perform diagnostic and therapeutic procedures as required including the technique of joint aspirations and injections, male and female catheterization of the urinary bladder, intracavernosal injection and superficial surgical debridement of ulcers. · Demonstrate proficiency in managing daily medical and rehabilitation issues for persons with spinal cord impairment. Assume a leadership role in the rehabilitation team and effectively lead team and family conference. · Select and prescribe appropriate assistive devices including ambulation aids, wheelchairs/seating, orthoses, environmental control units and vehicle and home modifications. · Select and prescribe appropriate drug therapy. · Demonstrate knowledge of surgical options available based on an understanding of the neurophysiology and biomechanics of the neurological and musculoskeletal systems respectively including: sphincterotomy, ileal conduit, continent ileocystoplasty, pressure sore resections and flaps, tendon transfers, electrical pacing (phrenic nerve, spinal cord and deep brain stimulators), tenotomies and tendon lengthening, syringomyelia shunting. Attitudes: · Demonstrate reliable and conscientious professional conduct in all aspects of patient care. · Recognize the importance of a multi-disciplinary team in the effective management of patients. · Recognize the principles and effects of a balanced lifestyle on one's practice and ability to provide optimal care for patients. Suggested duration for SCI program: 4 months for the three-year training programs and 6 months for the four-year training programs. Suggested Reading Resources Core Texts: ABC of Spinal Cord Injury, David Grundy and Andrew Swain. 4th edition. BMJ Publishing, 2002. Physical Medicine & Rehabilitation. Principles and Practice. In: Delisa JA, Gans BM, Walsh NE, eds. 4th ed. Lippincott Williams & Wilkins, 2005

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Physical Medicine & Rehabilitation. In: Braddom RL, ed. 2nd ed. Saunders, 2000. Relevant chapters: SCI, bladder, bowel, pressure ulcer, spasticity, pain, psychology, sexuality, orthotics, etc. SCIRE website: http://www.icord.org/scire Comprehensive Texts: Spinal Cord Medicine: Principles and Practice. by Vernon W Lin, Diana D Cardenas, Nancy C Cutter, Margaret C Hammond, Laurie B.Lindblom, Inder Perkash, Robert Waters, Robert M Woolsey: Demos Medical 2003 OR Spinal Cord Medicine by Steven Kirshblum, Denise Campagnolo, Joel A. DeLisa: Lippincott Williams and Wilkins. 2002 (The above 2 textbooks are very useful comprehensive SCI references) Diseases of the Spine and Spinal Cord. TN Byrne, EC Benzel and SG Waxman. Oxford University Press (January, 2000) Core Journals: Journal Rehabilitation Medicine Archives of Physical Medicine and Rehabilitation Journal of Spinal Cord Medicine Spinal Cord (Formerly Paraplegia) Additional Useful Journals Spine: State of the Art Reviews Topics in Spinal Cord Injury Rehabilitation Spinal Cord Injury Rehabilitation Pain Physical Medicine and Rehabilitation Clinics of North America Physical Medicine and Rehabilitation: State of the Art Reviews SCI Nursing Spine Useful links: International Spinal Cord Society (ISCoS) http://www.iscos.org.uk Suggested Learning Resources: Specialist Textbooks · These are suggested for a much greater detail of understanding of specific aspects of SCI medicine: · The Child With a Spinal Cord Injury. American Academy Orthopaedic Surgeons. Shriners Hospitals for Crippled Children Symposium (Corporate Author), Randal R. Betz & M. J. Mulcahey Editors. 1996 · Spinal Cord Injury Pain: Assessment, Mechanisms, Management. Progress in Pain Research and Management, Vol. 23, edited by K. J. Burchiel and R. P. Yezierski, Seattle:IASP Press, 2002 · Spinal Cord Injuries: Psychological, Social and Vocational Adjustment by Trieschmann. (New York: Demos, 2nd edition, 1988). · American Psychological Association's Handbook of Rehabilitation Psychology. R.Frank & T. Elliott Eds. 2000 · Management of High Quadriplegia, editors: Gale G. Whiteneck et al. Demos, 1989. (Comprehensive neurologic rehabilitation; v. 1) · Spinal Cord Injury: Medical Management & Rehabilitation. G Yarkony (Ed). Rehabilitation Institute of Chicago Procedure Manual. Aspen Publishers, Gaithersburg, Maryland. 1994. · Spinal Cord Injury: Clinical Outcomes from the Model Systems, edited by Samuel L. Stover, Joel A. Delisa, Gale G. Whiteneck. Aspen, 1995 · Myofascial Pain and Dysfunction: the Trigger Point Manual, Janet G. Travell and David G. Simons. Williams & Wilkins, 1983. · Myofascial Pain and Dysfunction: the Trigger Point Manual, vol. 2 The lower extremities. Williams & Wilkins, 1992.

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ISPRM Education Committee

Minimum Curriculum for Residency Program

Clinical Research Experience

Competence: assure that the PRM resident has been introduced to the scope of research and the knowledge, skills and attitudes required for the understanding of the design, conduction, analysis and interpretation of clinical trials. Even if one decides not to have research as part of their practice, minimum goals of the overall research exposure is critical for clinical practice and therefore should comprise: · Develop the necessary knowledge and skills required to critically appraise published research in PRM. · Understand the concept of evidence-based medicine · Understand the limitations of current clinical studies and impact in clinical practice · Demonstrate diagnostic and therapeutic skills for ethical and effective research · Access and apply relevant information to clinical practice. Knowledge: · Demonstrate a working familiarity with the fundamentals of clinical trials designs, including randomized controlled trials cohort studies, cross sectional studies, case controlled studies, observational studies, case series and case reports. Being able to identify main characteristics of each design and potential drawbacks. · Understand the importance of study population and the issue of external generalizability and its implication to clinical guidelines · Understand and be able to explain the distinction between random allocation and randomization and the implications of each. · Understand the limitations of clinical research such as difficulties in recruitment and adherence and potential effects on study results. · Generate research questions having gained experience in hypothesis generation. · Understand the practice of critical appraisal of the literature, including the levels of evidence that is affording by different types of studies. · Demonstrate a working familiarity with the common statistical tests and be able to describe an approach to acquiring knowledge or information about any statistical tests · Understand the statistical language such as p-value and confidence interval. · Explain the importance of medical and research ethics. Skills: · Acquire skills relevant to the specific area(s) of research, as well as general skills relating to be clinical and research aspects of the chosen field of study. · Being able to present research results in any formal setting and defend such a presentation and discussion. · Understand the components of and develop at least a single research grant application. · Have an understanding of the sources of research funds available within the scope of the side to or related research. · Write a report, related to research, suitable for publication in a peer reviewed journal. Attitudes: · Demonstrate behavior consistent with an understanding of the need to re-examine accepted beliefs through a spirit of inquiry. · Demonstrate behavior consistent with an understanding of the importance of absolute objectivity and honesty in the conduct and a reporting and research. · Demonstrate behavior consistent with ethical conduct, related to research. · Demonstrate the importance of working in a multi-disciplinary research team, as appropriate. · Demonstrate understanding and behavior consistent with acceptance of the need for continuing health education. · Demonstrate a commitment to the application of exemplary bioethical standards to clinical practice and research in such areas as truth-telling, consent, advanced directives, confidentiality, end-of-life issues, conflict of interest, resource allocation, and research ethics. · Continually evaluate one's abilities, knowledge and skills, and know the limitations of professional competence. · Analyze and know how to deal with unprofessional behaviors in clinical practice, taking into account local regulations.

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Responsibilities: · Attendance at weekly long distance learning course. · Participate in the web based discussion forum and poll. · Attendance to monthly Journal Club activities. · Produce a clinical update review or case report study. Suggested duration for the Clinical Research Experience program: 24 lectures (2 hours) delivered during a 7-month long distance learning ­ once a week from March to October, July and August ­ summer or winter holidays as applied) Suggested Learning Resources: Foundations of Clinical Research: Applications to Practice (3rd Edition) (Foundations of Clinical Research) by Leslie Gross Portney, Mary P. Watkins. Pearson Prentice Hall. Clinical Epidemiology: How to Do Clinical Practice Research (third edition) by R.Brian Haynes, David L Sackett, Gordon H Guyatt, Peter Tugwell. Lippincott Williams & Wilkins. Clinical Epidemiology: The Study of the Outcome of Illness (third edition) by Noel S. Weiss. Oxford University Press.

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BYLAWS

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INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE (ISPRM)

BY-LAWS, Edition 2007

I. Mission The mission of the International Society of Physical and Rehabilitation Medicine, hereinafter referred to as the Society, is 1. To be the pre-eminent scientific and educational international society for practitioners in the fields of Physical and Rehabilitation Medicine. 2. To improve the knowledge, skills and attitudes of physicians in the understanding of the pathodynamics and management of impairments and disabilities. 3. To help to improve the quality of life of people with impairments and disabilities 4. To provide a mechanism to facilitate physical and rehabilitation medicine input to International Health Organizations.

II. Goals

The Goals of the Society are: 1. To influence rehabilitation policies and activities of international organizations interested in the analysis of functional capacity and improvement of the individual quality of life. 2. To help national professional organizations to influence national and local governments on issues related to the field of physical and rehabilitation medicine. 3. To encourage and support the development of a comprehensive medical Specialist in Physical and Rehabilitation Medicine. 4. To develop appropriate models for physician training and, therefore, involvement and participation in the physical and rehabilitation medicine process ensuring that their level of training is optimal for the required community needs. 5. To encourage a wide interest of physical and rehabilitation medicine in all physicians. 6. To provide means to facilitate research activities and communication at the international level. 7. To provide a mechanism to facilitate international exchange regarding different aspects of rehabilitation including disseminating information regarding rehabilitation-related meetings. III. Membership There are the following classes of membership: National Societies, Individual and Corporate. Within the National Societies class are Active and Associate Members. Within the Individual class are Active, Honour Role, Honorary, Associate and Emeritus Members. Representation on the Board, right to vote and hold office is open only to Active National Societies, Active Individual Members and Honour Role Members. 5. All classes are required to pay an annual subscription, unless otherwise stated in the Policies and Procedures, as approved by the Board of Governors. Any of these classes that have not paid the annual subscription for two consecutive years will have their membership suspended and shall forfeit all rights of membership until the suspension is removed through the payment of dues. IV. Board of Governors 1. The Board of Governors shall be presided over by the President of the Society and shall oversee the general running of the Society. The composition of the Board of Governors will be according to number 2 of this By-Law. 2. Composition of the Board of Governors a) All members (Officers) of the Executive Committee of the Society as described below. b) One representative from each National Society. c) Representatives from the Individual Active Members, equal in number to 2.b). 1. 2. 3. 4.

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3. The Board of Governors will meet at least once every two years coincidental with the International Congress. The quorum shall be the President or his delegate and at least ten per cent of the remaining Board. 4. The Board of Governors is to delegate to the Executive Committee at the end of each meeting such powers as may be required for the conduct of business arising before the next scheduled meeting.

V. Executive Committee 1. The executive Committee shall be formed by the following Officers:

President: Term two years, automatic succession from President-Elect. President- Elect: Term two years, automatic succession from Vice-President. Vice-President: Term two years, elected by Board of Governors. Past-President: Term two years, automatic succession from President. Secretary: Term two years, elected by Board of Governors, maximum renewal, twice. Treasurer: Term two years, elected by Board of Governors, maximum renewal, twice. Regional Vice-Presidents: Term two years, elected by Board of Governors, maximum renewal, twice. Two Members at large (one representing Active National Societies and one representing Active Individual members): Term two years, elected by Board of Governors, maximum renewal, twice. Executive Director (ex-officio) 2. In the event the President is unable to complete his or her term of office, the president elect will assume the office. 3. In the event an Officer is unable to complete his or her term of office, the President of the Executive Committee will appoint a replacement to be approved by the Board of Governors at its next meeting. 4. The members of the Executive Committee shall be elected and/or appointed as outlined in the Policies and Procedures. 5. The Executive Committee shall meet at least once per year.

VI. President's Cabinet

The President's Cabinet will consist of the President, Past-President, President-Elect, Secretary and Treasurer. The Cabinet will be in a position to act on issues that need immediate attention and to give the authority to the President to act as determined by the Cabinet until the next meeting of the Executive Committee and/or the Board of Governors. The President's Cabinet shall meet at least once per year and in addition it can meet formally or informally (telephone, e-mail, etc) as often as necessary.

VII. Council of Presidents

The Council of Presidents shall be formed by all Past-Presidents of the Society. In addition the past Presidents of two founding organizations (IFPMR and IRMA) shall be also invited to join this Council. The Chair of the Council will be automatically occupied by the immediate Past-President of the ISPRM for a two years term and it will be recognized as Honorary President and Honorary Chairman of the Council of Presidents. This Council shall act only a consultative capacity and does not have any executive and/or administrative role in the affairs of the ISPRM. (Approved on September 30, 2004)

VIII. World Congress

1. A world congress shall be held every two years after the first one is held in 2001. Applications to hold the Congress will follow the process described in the Policies and Procedures.

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2. The Board of Governors following recommendation of the Executive Committee and according to the regulations established in the Policies and Procedures shall approve the site and timing of the Congress. IX. Committees 1. There will be a Nominating Committee to be chaired by the Past-President and comprised of six additional members to be selected by the Board of Governors following recommendation of the Executive Committee. These members are each to represent a different Country. This Committee is to nominate the candidates for the offices of Vice-President, Secretary, Treasurer, Regional Vice-Presidents and Members at large. The term of the Committee members is two years. 2. The Executive Committee will recommend to the Board of Governors the creation of Committees and Task Forces as it sees fit to further the missions and objectives of the Society. The terms of reference and composition of each Committee shall be approved by the Executive Committee and the Board and thereafter will be integrated in the Policies and Procedures. X. Affiliations The Society shall apply to become affiliated with World Health Organization and other international organizations as determined by the Board of Governors. XI. International Educational and Development Fund The ISPRM International Education and Development Fund is created in accordance with the agreement outlined in the Charter Document. The operation of this Fund is described in the Policies and Procedures. XII. Official Language 1. The official language of all materials of the Society shall be English. 2. The official language at all Congresses shall be English. XIII. General Business 1. The accounting and fiscal year of the Society shall be the calendar year or as determined and or required by the laws and regulation of the country where the Society is officially registered. 2. Income and property of the Society shall be applied solely towards the promotion of the mission of the Society. No portion thereof shall be paid or transferred in any way to the financial advantage of any member of the Society. 3. The Society accounts shall be audited as recommended by the Executive Committee and approved by the Board of Governors. XIV. History and Archives The Society will have an Active File recording past and future history of the International Society of Physical and Rehabilitation Medicine. This file shall have the following chapters: (1) Creation of the ISPRM. (2) History of the International Federation of Physical Medicine and Rehabilitation. (3) History of the International Rehabilitation Medicine Association. (4) Subsequent Chapters to be written every two years with a summary of the activities of the ISPRM during each period and (5) Honours and Awards (this chapter must include the names of those who were honoured by the IFPMR and IRMA prior to the creation of the ISPRM). A Historian will be appointed every two years by the President's Cabinet for this purpose; however, maintenance of this File will be the responsibility of the Secretary of the Society assisted by the Executive Director.

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XV. Amendments of the By-Laws 1. Notice to amend or alter these By-Laws must be sent by the secretary to the Board of Governors at least three months prior to its scheduled meeting. 2. Changes must be made in the form of a motion, seconded and passed by a majority of the Board of Governors representing a quorum. 3. The Board of Governors must notify the total membership of approved changes to the By-Laws no later than 6 months from the date of their approval. 4. There must be a mandatory review of the BY-Laws at least every four years or earlier if deemed necessary.

XVI. Dissolution of the Society 1. The Society may at any time be dissolved if so recommended by the Executive Committee and approved by the Board of Governors and notification to the total membership. 2. Upon dissolution of the Society and/or the winding up of its affairs whether voluntary or involuntary, the assets of the Society, after all debts have been satisfied, shall be distributed exclusively to charitable, religious, scientific, literary or educational organizations.

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Policies and Procedures

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INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE (ISPRM) POLICIES AND PROCEDURES, Edition 2007

I. · Strategies to Accomplish Goals Maintaining co-operation and collaboration with WHO and its agencies in the postulation of principles and policies regarding: (a) delivery of rehabilitation service throughout the world; and (b) educational processes of Physical and Rehabilitation Medicine. Co-operating and maintaining close liaison with other international societies having the common objective of improving the quality of life of people with impairments and disabilities. Organizing International Congresses every two years. Maintaining close communication with the membership. Administering and operating the Society through effective management and access to resources. Membership

· · · II.

There shall be three categories of membership: National Society, Individual and Corporate Membership. Applications will be submitted to the Executive Director for processing. 1. National Societies

Application to become a National Society member must include a copy of the By-Laws and membership list of that Society. The Board of Governors upon recommendation of the Executive Committee shall grant final membership approval. Dues for each category will be reviewed bi-annually by the Finance, Audit and Investment Committees. Individual and National Society membership consist of active and associate. Active National Society Membership shall be open to established National Societies of Physical and Rehabilitation Medicine - recognized as such in their own country - and whose membership is primarily composed of qualified physicians dedicated to the care of people with impairments and disabilities and the practice of Physical and Rehabilitation Medicine. There shall be one society representing each country. The Board of Governors following the advice of the Executive Committee has the power of granting active membership to more than one National Society from any country. Each National Society Active Member shall be entitled to nominate one representative to the Board with the right to vote. Members of each National Society are eligible to be elected to the Board; however they will not be eligible to hold office in the Executive Committee unless they are also Active Individual Members of the International Society. Dues will be paid annually. If dues are not paid for two consecutive years, membership will be suspended. Suspended members cannot have representation on the Board and have no right to vote Associate National Society Membership shall be open to any National Society of health professionals related to the field of Physical and Rehabilitation Medicine. Associate National Societies members are entitled to attend all meetings and activities of the Society but shall not have the right to have representation on the Board of Governors or to hold office. Dues will be paid annually. If dues are not paid for two consecutive years, membership will be suspended 2. · Individual Active Individual Membership shall be open to all physicians and surgeons qualified to practise in their own country, or retired from practice 5 years or less, who are interested in and/or concerned with the care of people with impairments and disabilities. Active members are entitled to nominate their representatives to the Board of Governors who will have the right to vote and hold office. Active Individual Members are eligible to be elected or appointed to any position of the Board and/or Executive Committee. Dues will be paid annually. If dues are not paid for two consecutive years, membership will be suspended. Suspended members cannot have representation on the Board and have no right to vote.

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·

Individual Honour Role Membership shall be granted by the Board of Governors to any Active Member following a recommendation of the Awards Committee, as a mark of respect in recognition of distinguished contributions to the field of Physical Medicine and Rehabilitation. The number presented in any year shall not exceed three. Honour Role Members have the same privileges as Active Members in good standing. They are entitled to attend meetings, vote, hold office and participate in any of the activities of the ISPRM. Dues will be waived.

·

Individual Emeritus Membership shall be granted by the Board of Governors upon recommendation of the Executive Committee to any Individual Active Member who has been a member of the Society for at least ten years, is retired from full time professional activity and requested emeritus status. Dues will not be required. Individual Associate Membership shall be open to individuals with a degree/diploma in a health care profession/discipline with primary interest in Physical and Rehabilitation Medicine and management of disabled people. Individual Associate members are entitled to attend all meetings and activities of the Society but cannot become a member of the Board, vote or hold office. Dues will be paid annually. If dues are not paid for two consecutive years, membership will be suspended. Member will forfeit all rights of membership until the suspension is removed through the payment of dues. Individual Honorary Membership shall be granted to any person by the Board of Governors upon recommendation of the Executive Committee to any person who has made outstanding contributions to the management and care of people with impairments and disabilities. Honorary Members shall be entitled to attend all meetings and activities of the Society but shall not have the right to vote or to hold office. Dues will not be required.

Corporate Membership.

·

·

3.

This Membership shall be open to corporations, for profit or non-profit, who are interested in furthering the mission and goals of the Society and are prepared to make contributions towards these goals. Members shall be entitled to attend all meetings and activities of the Society but shall not have the right to vote or hold office. Dues will be paid annually. If dues are not paid for two consecutive years, membership will be suspended.

III. Board of Governors

1. Composition: The Board of Governors shall consist of

· · · · All members of the Executive Committee. One representative from each Active Member National Society. Representatives from the Individual Active Members equal in number to the representatives from the Active National Societies. Executive Director (Ex Officio).

2. Responsibilities of the Board of Governors · · · · · To elect the Vice-President, Regional Vice Presidents, Secretary, Treasurer and Members at Large. To formulate rules and regulations for the efficient administration of ISPRM and achievement of its stated goals and objectives. To decide the location of the Secretariat. To determine the annual membership fee in each class and category. To delegate to the Executive Committee at the end of each meeting such powers as it may require for the conduct of business arising before the next proposed meeting.

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· · · · · · · ·

To maintain close contact with and provide input to the Executive Committee in between International Congresses. To approve an annual budget at the time of each annual meeting, so that the ISPRM can operate and conduct its business. To receive a yearly report from the Secretary in accordance with the duties and responsibilities described for this position. To receive a yearly statement from the Treasurer as chairman of the Audit and Finance Committee following the operational guidelines approved for this Committee. To ensure that the activities of ISPRM are known to the membership. To review applications and make decision as to the site of the next ISPRM Congress. To elect the President of the next ISPRM Congress following the recommendation made by the National Society sponsoring this event. To delegate to a National Organizing Committee the organization of the ISPRM Congress.

3. Election of Board of Governors · The President-Elect shall become the President. The President shall hold office until the next biannual election and shall also be the chair of the Board of Governors. If the President is unable to assume or to continue as the President, the President Elect shall fill the vacancy. Immediate Past President: automatic succession from President President Elect: automatic succession from Vice-President. Vice President: the Nominating Committee shall nominate The Vice-President. The nominee must have a Medical Degree, be a PM&R specialist with 10 years experience, be in "good standing of practice" in his/her own country and professional organizations; have demonstrated involvement with national and international organizations and be a member of the ISPRM. The nominee could be up to 5 years after retirement of actively practising but she/he must be actively participating in organizational activities in P&RM in his or her own country. The nomination must be submitted up to three months prior to the upcoming ISPRM Congress, accepted by the Executive Committee and approved by the Board of Governors. The first Vice-President elected following this procedure will take place in 2004 and this person will become President in 2008. Secretary, Treasurer, Regional Vice Presidents, Members at Large (Active National Societies and Active Individual Members), will be nominated by the Nominating Committee, approved by the Executive Committee and elected by the Board. Representatives of National Societies will be nominated individually by each National Society six months or earlier prior to the upcoming biannual election. The term will 2 years. The National Society can appoint an alternate.

· · ·

·

·

4. Delegation of Responsibilities. The Board will delegate to the Executive Committee at the end of each meeting such powers as may be required for the conduction of business arising before the next scheduled meeting.

IV. Executive Committee

The Executive Committee will consist of the President, Immediate Past President, President Elect, secretary, treasurer, regional vice presidents and members at large. The Presidents of upcoming Congresses will be exofficio members of the Executive Committee and Board of Governors for a period of four years prior to their Congresses. They will not have voting privileges. 1. Qualifications: To be a member of the Executive Committee shall be necessary (a) to have a Medical Doctor degree with a PM&R specialist title or equivalent; (b) to have at least 10 years of PM&R practice or national equivalent; (c) to be an active and participating member in national and international PM&R or related organizations; (d) to be actively practising and/or participating in organizational activities in his/her own country and (e) to be an Active Member of the ISPRM (individually or through his/her National Society).

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2. Terms of Office of Executive Committee President, two-year term, automatic succession from President Elect. Immediate Past President, two-year term, automatic succession from President. President Elect, two-year single term. Vice-President, two-year single term. Secretary, two-year term, elective renewal with a maximum of two terms. Treasurer, two-year term, elective renewal with a maximum of two terms. Regional Vice Presidents, two-year term, elective renewal with a maximum of two terms Member at Large representing Active National Society, two-year term, elective renewal with a maximum of two terms. Member at Large representing Individual Active Members, two-year term, elective renewal with a maximum of two times. 3. Duties and responsibilities of the Secretary: The Secretary with the help and assistance of the Executive Director will be responsible for : (a) keeping up to date the book of minutes of the Board of the Directors, Executive Committee and President's Cabinet; (b) ensuring that annual membership fees, correspondence and general communications with all members are maintained regularly and periodically as established by By-Laws; (c) screening membership applications prior to presentation to the President's Cabinet, Executive Committee and Board of Governors for approval; (d)screening grant applications to the International Educational and Development Fund; (e) screening application to hold a World Congress; (f) the production of a News Letter with the special assistance of an editor to be appointed by the President's Cabinet, and (g) any other administrative activity in the routine operation of the Society. 4. Duties and responsibilities of the Treasurer The Treasurer with the help and assistance of the Executive Director will be responsible for (a) the preparation of budget estimates every second year and the interim annual budget, if indicated; (b) annual Account Balance of the assets and funds of the Society with clear indication of income and expenses as compared to the Budget Estimates; (c) making recommendations regarding any other financially related issues. 5. Duties of the Executive Director The Executive Director is the responsible for the overall efficient operation of the business of the International Society in accordance with the contractual agreement. He/she is responsible to the Board and its President. However, he/she is expected to relate closely and to preliminarily report to the Secretary and Treasurer in all matters for which these two Officers are responsible as described in number 3 and 4 of this Policy and Procedure. It is also expected that he/she will help in the production but not necessarily in the writing of the News Letter.

V. President's Cabinet

The President's Cabinet will consist of President, Past President, President Elect, Vice President, Secretary and Treasurer. The cabinet will be in a position to act on issues that need immediate attention and give the authority to the President to act as determined by the cabinet. VI. Standing Committees 1. Nominating Committee: To be chaired by the Immediate Past President and comprised of six additional members to be selected by the Board of Governors. These members are to each represent a different country. The Committee is to nominate the candidates for the office of Vice-President, Secretary, Treasurer, Regional Vice-Presidents, Representatives of Societies and Members at Large,, and Chairmen and members of the three remaining standing Committees . The term of committee members is two years.

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2. Awards Committee: To be chaired by the Past President and comprised of six additional members to be nominated by the Nominating Committee, approved by the Executive Committee and elected by the Board of Governors. This committee is responsible for (a) preparation of the criteria to establish the awards/prizes; (b) nomination of the candidates to receive prices and awards at the World Congress, to be presented to the Board for approval, and (c) making recommendations to the Board as to the type of award (plaques, cash, etc.). The term of the committee members is two years. 3. Finance, Audit and Investment Committee: To be chaired by the Treasurer and comprised of six additional members to be nominated by Nominating Committee, approved by the Executive Committee and elected by the Board of Governors. The committee is to supervise and make recommendations about the financial affairs of the Society to be approved by the Executive Committee and Board of Governors. The committee is to propose the dues structure for each membership category and present their recommendations to the Board of Governors on bi-annual basis. The term of the committee members is two years with a maximum of two additional terms. 4. By-Laws Committee: Chair and six additional members to be to be nominated by Nominating Committee, approved by the Executive Committee and elected by the Board of Governors. This Committee is to recommend to the Board of Governors new By-Laws and/or revision of existing ones as well as changes in the Policies and Procedures. The term of the committee members is two years with a maximum of two additional terms.

VII. Other Committees The Board of Governors directly and/or following recommendations by the Executive Committee has the prerogative of appointing additional standing, ad hoc committees and task forces and their chairpersons. These committees and task forces must be assigned specific mandates to assist the Board in conducting the business of the Society. The term of these committees and task forces shall have a minimum of two-year term renewable as necessary. VIII. Committees Operational Procedures All Committees of the Society must have Operational Guidelines. These Guidelines must be developed by each Committee and submitted within three months of its creation and/or operation to the President's Cabinet for preliminary approval and later on to the first available meeting of the Board of Governors for ratification. The Secretary and Executive Director will ensure that the Operational Guidelines of all Committees are filed under Appendix number III, to be attached to the Policies and Procedures. IX. Council of Presidents The Council of Presidents will be chaired by the immediate Past-President of the ISPRM for a two years term. This Council shall act only in a consultative capacity and does not have any executive and/or administrative role in the affairs of the ISPRM. X. World Congress 1. Frequency: Every two years beginning 2001. 2. Application Process: Call for applications to be announced six years prior to date of Congress. Only an Active National Society or Active Individual Members can make applications in good standing. The application must be fully sponsored by a National Society in either instance. The application must consist of suggested site, date, sponsorship and financial outline as well as nomination of the Congress President and members of the Organizing Committee. The application(s) will be reviewed first by the Executive Committee and then presented to the Board of Governors for approval.

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3. Accessibility Requirement: All facilities to be used as part of the World Congress must be wheelchair, motorized scooters, etc. accessible. 4. General Responsibilities: Congress President and Organizing Committee are responsible for the organization of the Congress. They shall report to the Executive Committee and to the Board of Governors periodically, at least annually with the ongoing planning and arrangements of the congress for review, advice and guidance. To facilitate communication the President of the incoming Congress should be an ex-officio member of the Executive Committee and Board of Governors for a period of four years prior to the Congress. 5. Financial Responsibilities: An initial contribution to the expenses for the preparation of the World Congress will be made by the International Society to the Organizing Committee four years prior to the date of the Congress. The amount is to be determined by the Board of Governors four years prior to the date of the Congress. In addition, the Board of Governors may advance monies interest-free to the Organizing Committee through the sponsoring National Society. This advance interest-free loan must be returned to the International Society at the end of the Congress. 5. Disposition of final balance: All monies collected by the Congress Organizing Committee for the purpose of the Congress to include registration, sponsorship, exhibits, etc. shall be used for the purpose of the Congress. Final positive balance from the Congress is to be distributed seventy percent to the Organizing Committee and/or sponsoring National Society and thirty percent to the International Society of Physical and Rehabilitation Medicine. The ISPMR shall not have any financial responsibility for any negative balances from the Congress. An annual and final accounting statement is to be submitted to the Board of Governors at the next annual meeting following the World Congress.

6. Additional organizational suggestions: See Appendix No. II attached to the Policies and Procedures. XI Administration of the International Educational and Development Fund This Fund will be administered following the directions specified in the Appendix No. I attached to the Policies and Procedures. XII. Publications 1. Newsletter: A newsletter shall be distributed to the membership on a quarterly basis. The production of the newsletter will be the responsibility of the Secretary with the assistance of the Executive Director. If deemed necessary an Editor could be appointed by the Executive Committee to work in close liaison with the Secretary for this purpose. The newsletter is to be distributed via website, and/or direct mailing to all paid-up members. 2. Journal: A journal shall be selected and approved by the Board of Governors following recommendations of the task appointed by the President for this purpose. This Journal shall become the Official Publication of the International Society. The journal shall (a) be free standing from the Society but shall offer a reduced subscription rate to the Society membership, (b) collect subscription fees independently from the International Society, and (c) provide space in each issue for the newsletter and/or any other information about the International Society. If feasible, selected papers presented at the World Congress shall be published in the journal. 3. Website: A web site is to be established and updated on a routine basis every three months. The updating of the website shall be the responsibility of the Executive Director but the Secretary, Newsletter Editor, other members of the Executive Committee, the Board of Governors and membership at large shall be responsible for providing the material for publication. The website should publish the in force By-Laws and Policies and Procedures, the approved minutes of the Board of Governors. In addition the web site should consist of information about the society, membership applications, world congress information and registration, calendar of events, exchange of expert's directory, membership directory, newsletter, etc.

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XIII. Affiliations Affiliation with international societies such as the WHO, CIOMS, etc., shall be recommended by the Executive Committee to the Board for approval. Maintenance of membership affiliation shall be the responsibility of the Secretary with the assistance of the Executive Director. XIV. Regional Societies

XV. Endorsement/Sponsorship Request for endorsement and/or sponsorship of a National or Regional Organization will be reviewed by the President and Executive Committee who will recommend to the Board of Governors the type of endorsement or sponsorship to be given to such an Organization. XVI. Amendments to the Policies and Procedures Any amendments to the Polices and Procedures may be submitted at any time by any Active Member (National Society or Individual) to the President's Cabinet through the Secretary and/or Executive Director. Within four months the President's Cabinet must inform the member(s) whether or not this proposal and, therefore, included in the Agenda of the next meeting of the Board of Governors. Should the President's Cabinet reject the proposed amendment, the active Member can submit it as a motion to the Board of Governors three months prior to its next scheduled meeting.

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APPENDIX NO. I RULES OF THE ADMINISTRATION OF ISPRM INTERNATIONAL EDUCATION AND DEVELOPMENT FUND Article I - NAME · The name of the trust fund shall be ISPRM International Educational and Development Fund (IEDF).

Article II - PURPOSE · · · To promote and advance education and research in Physical and Rehabilitation Medicine at an International level; To promote and assist the development of physical and rehabilitation medicine services and projects for people with disabilities at the international, regional or national level; and To assist in the development of professional organizations and activities that are related to physical and rehabilitation medicine on the international, regional or national level.

Article III - OWNERSHIP The assets of ISPRM International Education and Development Fund are a part of the assets of the ISPRM, but they are a separate endowment to be used solely for the above-described purpose of education and development according to the rules and regulations described below. Article IV - INVESTMENT AND UTILIZATION · Investment. The capital available for the ISPRM International Education and Development Fund shall be invested by the Executive Director of the ISPRM under the supervision of its Treasurer and with the approval of the Executive Committee and Board of Governors. Utilization. During the first 4 years disbursement from the ISPRM International Education and Development Fund shall be limited to the interest on the capital. This policy should be reviewed by the Trustees by the end of 2004 and new recommendations should be presented to and decided upon by the Executive Committee and Board of Governors during 2005.

·

Article V - USE OF THE PROCEEDINGS The funds could be used as follows, depending on the availability of the resources and priority of the project(s) and / or prizes. · · · · · To support large-scale educational projects that are likely to have important long-term effects such as "White Paper on Education"; Funding for these shall not exceed US$50,000 in total; To create a prize for a paper written by a resident to be presented at the congress of the ISPRM (US$ 1,000, once every two years); To create a prize for a paper written by a rehabilitation specialist from a developing country to be presented at the congress of the ISPRM (US$ 1,500, once every two years). To provide travelling support for one or two specialists from developing countries to the Congress of the ISPRM or to other Regional or International meetings (US$ 2,000 per case). To provide one or two scholarships or grants per year to specialist physicians from developing countries for a short period of training (up to 2 weeks) in more developed countries. This application must clearly state the goal of the visit, the support of the local centre or organization for this visit and the acceptance of the applicant by the host centre (US$ 2,500, per scholarship); To support the creation and maintenance of a data-base available on the web page or CD ROM of experts, individual and centres, of different aspects of the discipline. (US $1,500 per year).

·

Article VI - APPLICATIONS

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Applications for a grant, scholarship, project, etc. are to be made to the Executive Director and/or Secretary of the International Society of Physical and Rehabilitation Medicine, who after appropriate acknowledgment and registration will forward them to the Trustees for action. Applications should be received during the first 4 months of the fiscal year of the ISPRM (January 1st to April 30th). Article VII - TRUSTEES · · · · · The Trustees of the ISPRM International Education and Development Fund shall be five members, as follows: Past-President of the ISPRM, who shall act as Chair; President of the ISPRM; President Elect of the ISPRM; and Two active members proposed by the Nominating Committee and elected by the Board of Governors; these two members must have an internationally recognized reputation in the different aspects of Physical and Rehabilitation Medicine. In the first election these two persons should be selected from the members of the International Task Force. The two active members will normally have a four year membership; however, at the time of the first election one of the two will be only elected for a two year period, so that, one of the two members will be elected every two years.

Article VIII - GOVERNANCE · At the end of the fiscal year the Treasurer shall inform the Trustees of the amount of money available for disbursement in the following year, so that the Trustees can evaluate the applications and make recommendations (by vote) to the Executive Committee and Board of Governors for granting the prices and awards. The Chairman of the Trustees shall be responsible for coordinating the recommendations of the Trustees regarding all applications, so that the Executive Committee could receive these recommendations within four months. The Trustees could decide not to recommend the granting of any funds in any given year. The Executive Committee of the ISPRM can overrule any of the recommendations of the Trustees by the majority vote of 75%. The Trustees should make recommendations to the Executive Committee as to how to increase the capital of the fund and undertake methods to accomplish this task. These "Rules of Administration" should be reviewed by the Trustees of the IEDF every 3-4 years and, if necessary, revisions and/or new recommendations should be submitted to the Executive Committee. The Executive Committee could approve the recommendations by a simple majority or overrule them by 75% majority. The Trustees should be responsible for the publicity of the ISPRM International Educational and Development Fund using the website of the Society, the Journal and by any other means possible.

· · · ·

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APPENDIX NO. II CONTENT AND STRUCTURE OF INTERNATIONAL CONGRESS OF SCIENTIFIC SESSIONS OF AN INTERNATIONAL CONGRESS. The detailed content of the International Congress will be the responsibility of the National Organizing Committee for that event. This Organizing Committee could delegate this task to a Program Committee. The President and the Secretary of the International Congress shall be ex-officio members of these Committees. The National Organizing Committee or the Program Committee must ensure time allocation for meetings of the different Committees of the Organization (Executive Committee, Board of Governors, etc.) or for any other business meetings arranged by the Executive or Board of Governors. Agenda preparation and notification to members shall be the responsibility of the Secretary of the International Society or Secretary of specific Committee. Notwithstanding the responsibility of the National Organizing or Programme Committee for the development of the Scientific Programme, the following guidelines must be followed in this process: · To ensure that the content is international and to maintain high academic standards, at least four of the followings modules must be used: o Free papers of 10 minutes presentation and 5 minutes discussion. o Plenary Sessions or key-note speeches of 40 minutes presentation and 15 minutes discussion. o Symposium-Seminars of a minimum of 3 and a maximum of 5 speakers of 30 minutes presentation with 8-10 minutes discussion per speaker. o Focus Courses (3-4 hours) o Poster presentations of one day duration with a scheduled time of 5-10 minutes presentation. o Workshops o Breakfast discussion of a concrete subject While it is impossible to control the subject matter of free papers and posters presentations, every effort should be made to ensure that with the remaining modules the programme covers: (a) different aspects of medical (diagnosis and therapeutics)and research (basic sciences and technology) issues; (b) education methodology and content of curriculum in under-and-postgraduate students; (c) trends of health care delivery and possible implications in the treatment of disabilities and impairment; (d). trends in legislation in different parts of the world regarding education and practice of medicine and more specifically of our specialty. The official language of any International Congress shall be English as well as any other language selected by the National Organizing Committee, providing that simultaneous English translation is available. Speakers must submit a text in English and any other language designated by the National Organizing Committee. The official languages shall be listed in alphabetical order of the English version. The printed documents of an International Congress shall be published in English and any other language which the National Organizing Committee may designate.

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APPENDIX No. III

OPERATIONAL GUIDELINES OF THE COMMITTEES OF THE ISPRM BY-LAWS COMMITTEE

To ensure that the By-Laws and Policies and Procedures of the ISPRM are congruent with the aims, goals and transactions approved by of the Board, as they are the operational basis of the Society. To ensure that the By-Laws and Policies and Procedures do not have contradictory statement that could facilitate operational confusion. To ensure that meetings are conducted in accordance with approved regulations. To participate in the review of existing rules and regulations at the request of the Executive Committee and/or Board. To propose changes of existing procedures in an attempt to improve the operation of the Society. To submit an annual report to the Executive Committee and/or Board. NOMINATING COMMITTEE

1) The Board of Governors will hold the elections of the International Society of Physical and Rehabilitation Medicine (ISPRM) at its meetings between the biennial ISPRM Congresses. 2) The positions to be filled by election are as follows. a. Executive Committee i. Vice President ii. Secretary iii. Treasurer iv. Vice President for Asia & Pacific v. Vice President for Central and South America vi. Vice President for Europe vii. Vice President for Middle East & Africa viii. Vice President for North America ix. Member at Large representing Active National Society Members x. Member at Large representing Active Individual Members b. Other Board Members i. M embers at Large Representing Active National Society Members (one for each) ii. Members at Large Representing Active Individual Members c. ISPRM Education and Development i. Board of Director Member (four year term) 3) Within 30 days after each election the new Chair of the Nominating Committee will submit to the Executive Committee a list of proposed Nominating Committee members. a. This list will include at least six members in addition to the Chair. b. Each member of the Nominating Committee other than the Chair will be from a different country. 4) The Executive Committee will complete final approval of the Nominating Committee members within 3 months after receiving the Nominating Committee Chair's recommendations. 5) The Executive Committee will complete its approval of the slate of nominees within 30 days after receiving it from the Nominating Committee. 6) The President will assure that the slate as approved by the Executive Committee is received by the Executive Director at least 30 days before the scheduled election. 7) The Nominating Committee will submit any proposed changes to its policies and procedures at least 30 days before the Board of Governors meeting during the Congress following the elections.

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8) The Nominating Committee through News& Views and the Central Office will solicit nominations prior to 12 months, 9 months and 6 months before the dates of the elections. 9) The Nominating Committee will submit its complete slate to the Executive Committee at least 90 days before the dates of the elections. 10) Nominations should be through written letters that address the various criteria that will be used by the Nominating Committee in its selections. 11) The Nominating Committee will use the following criteria in its selection of candidates. a. Previous accomplishments within ISPRM. b. Previous accomplishments within IRMA or IFPM&R c. Other accomplishments within PM&R nationally and internationally. d. Lectures given at ISPRM and ISPRM endorsed Congresses. e. Regularity of attendance at Congresses associated with ISPRM Board Meetings. f. Commitment to assume the responsibilities for which nominated. g. Commitment to attend the Board meeting at which the election takes place. h. Commitment to attend Board meetings during their tenure on the Board. i. Paid up individual membership. j. Gender.

MEMBERSHIP COMMITTEE Goal: To study the means and ways to improve the membership in all categories.

This Committee will consist of 1 chair and 6 members representing different countries. To review membership definitions and to ensure that each category understand its rights and duties. To explore alternative ways and means to reach our goal in each category. This process may lead to making recommendations that may affect5 existing policies and procedures. To present by December 15, 2004 a preliminary report to the Executive Committee, Executive Director and the ByLaws Committee. The Chairman of the By-Laws Committee could decide if the document should be distributed to other Committees that in his/her judgment could be affected by the recommendations/ suggestions made in this document so that input to this preliminary report could be received from different sources. The deliberations of the Membership Committee will be done via e-mail primarily. It is contemplated that the chairperson will establish a date line to receive answers/comment/suggestions from any of the Committee members. If these answers are not received within the established time framework, the chairperson will understand that no answer means acceptance of the proposal. AUDIT AND FINANCIAL COMMITTEE The Audit and Financial Committee will: (1) Implement a yearly budget to be approved by the Executive Committee and the Board of Governors. (2) Produce a budget and operational funds and balance statements in acceptable accounting formats.

(3) Review financial reports on a quarterly basis. (4) Meet yearly and provide a report to the Executive Committee and the Board including minutes and phone conferences calls as necessary.

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AWARDS COMMITTEE Introduction The International Society of Physical and Rehabilitation Medicine may recognize members at its biennial congresses through awarding the Sidney Licht Lectureship Award and the Herman Flax Lifetime Achievement Award. Sidney Licht Lectureship Award The Sidney Licht Lectureship Award was established by the International Rehabilitation Medicine Association in honour of Sidney Licht, its founding father and a tireless advocate for the expansion of rehabilitation medicine. The ISPRM continues this award to honour physiatrists who have made consistent contributions to the advancement of international physical and rehabilitation medicine. Those receiving the award will be respected and admired by their peers for their outstanding accomplishments in advancing the care of those with disabilities internationally, and for their leadership within the ISPRM. The ISPRM when selecting individuals for this award includes among the criteria recognition that the awardees have substantive information to share with their colleagues through the lectureships. The award is limited to one every two years, and need not be given at every congress. Herman Flax Lifetime Achievement Award The Herman Flax Lifetime Achievement Award was established by the International Rehabilitation Medicine Association in honor of Herman Flax who provided outstanding leadership to IRMA and his specialty throughout his long career as an academic physiatrist. The ISPRM continues this award to honour individuals with a lifetime of outstanding and unique contributions to the care of individuals with disability and the specialty of physical and rehabilitation medicine. Individuals receiving this award will have made contributions in the areas of patient care, research, education, administration and advocacy including advancing the ISPRM. This award is the ISPRM's highest honour. It is limited to one every two years, and need not be given at every congress.

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Developing the International Society of Physical and Rehabilitation Medicine (ISPRM)

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