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United States Bone and Joint Decade 2002-2011. What is the BJD, and why do we need a “Decade”? Where are we now? Where are we going? What should we be?. Why the Decade?. Musculoskeletal conditions - Under-recognized - Under-appreciated - Under-funded

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United States Bone and Joint Decade

2002-2011



Why the decade
Why the Decade?

  • Musculoskeletal conditions

    - Under-recognized

    - Under-appreciated

    - Under-funded

  • Affect one in seven Americans

  • Cost around $300 billion a year

  • Research around 2% of NIH budget


War on Cancer

1973-1983


President Bush Senior signs declaration July 17, 1990


Osteoporosis fracture incidence heart attack stroke breast cancer

513,000

Heart Attack

Osteoporosis Fracture Incidence > Heart Attack + Stroke + Breast Cancer

2,000,000

2,000,000

*

1,500,000

1,500,000

1,500,000

250,000 forearm

1,000,000

250,000

hip

250,000 other sites

§

250,000 other sites

500,000

750,000 vertebral

228,000

184,300

750,000 vertebral

0

Osteoporoticfractures

Breast Cancer

Osteoporoticfractures

Stroke


Bone and joint decade endorsements
Bone and Joint Decade Endorsements

60 countries (2006)

United Nations

Pope John Paul II

U.S. Presidential Proclamation

NOW, THEREFORE, I, GEORGE W. BUSH, President of the United States of America, by virtue of the authority vested in me by the Constitution and laws of the United States, do hereby proclaim the years 2002-2011, as National Bone and Joint Decade. I call upon the people of the United States to observe the decade with appropriate programs and activities; and I call upon the medical community to pursue research in this important area.

Dr. BrundtlandDirector General, WHO


What are the goals of the bone and joint decade
What are the goals of the Bone and Joint Decade?

  • Increase awareness

  • Empowering the public and patients(Prevention education)

  • Increase research

  • Improve diagnosis and treatment


The usbjd today
The USBJD Today

  • 100 healthcare professional, patient and public organizations

  • All 125 U.S. medical schools + colleges of medicine

  • Federal government + all 50 states

  • ~20 Corporations


Guiding principles
Guiding Principles

  • The BJD aims to raise profile of musculoskeletal conditions for the benefit of all, including our

  • participating organizations and the general public

  • We want to maximize cooperation and partnership opportunities

  • The goal is to add value, not duplicate effort

  • We seek collaborative activities that benefit all (advocacy, communications, public education, research and professional education)


Advocacy
Advocacy

  • Washington, DC, Capitol Hill Meetings > Meeting July 2004 on osteoporosis> Meeting July 2005 on FOP (childhood)

  • Support for the Arthritis Prevention, Control and Cure Act of 2004

  • Input on Medical Innovations to FDA

  • Annual state initiatives


Communications
Communications

  • National Action Week - October 12-20(Same dates, every year)

    • Nationwide media campaign

    • State and local resolutions campaign

    • Local community awareness campaign

    • Nationwide program launches / expansion

  • Web site, Newsletter, eBroadcasts


  • Awareness

    TIME

    Bones…It’s Your Decade!

    What does the Future Hold and Are We Ready for It?

    J. Bone Joint Surg. 84:133 (2002)


    Public education and prevention
    Public Education and Prevention

    • PB&J – High School Education Program

    • Fit to a T - Osteoporosis public education program

    • Road safety initiatives with the American Automobile Association


    Public education
    Public Education

    • PB&J – Protect Your Bones and Joints

    • High School Education Program

    • Highlights trauma (road safety and sports), arthritis, and osteoporosis

    • 15 schools to date (>1,500 students)

    • Media covered

    • Anatomical models

    • Outcomes measured


    Public education1
    Public Education

    • Bone health and osteoporosis public education program

    • Public libraries, National Network of Libraries of Medicine, Churches, Corporations

    • Kansas KS, San Antonio TX, San Diego, Anaheim, Thousand Oaks/Newbury Park CA, Seattle WA, Flint MI, Rochester & Ithica, NY, Los Alamos NM, Chicago, IL, Milwaukee, WI , Hagerstown, MD

    • Hallmark Cards, LaSalle Bank


    Public education2
    Public Education

    • Road safety initiatives with the American Automobile Association

    • First non healthcare organization to officially join USBJD network

    • 44 million members

    • Survey of healthcare professionals on seniors and road safety

    • Disseminating road safety patient education tools to USBJD participating organizations and their members


    Research
    Research

    National Institutes of Health - USBJD meeting outcomes

    • Increase awareness

    • Musculoskeletal education at undergraduate level (Project 100)

    • Lack of pipeline of young investigators(Young Investigator Initiative)


    Research1
    Research

    • Leverage actions of participating organizations to increase public awareness, education, respond to opportunities, ex. SG report

    • Improve sharing of knowledge of research by individual organizations & seek out opportunities for more multi-discipline and inter-institute collaboration


    Research2
    Research

    Musculoskeletal Education – Project 100

    • 100% of medical schools to offer formalized musculoskeletal education

    • 2003 – USBJD multidisciplinary meeting with Association of American Medical Colleges (AAMC)

    • 2004 – AAMC sets up expert panel to study undergraduate musculoskeletal learning objectives

    • 2005 - AAMC releases recommendations to medical schools on musculoskeletal curriculum learning objectives


    Research3
    Research

    Musculoskeletal Education – Project 100

    • 125 medical schools endorsed goals of the Decade

    • Next steps: Educator network and resources, awareness at AAMC regional meetings, incentives to schools to adopt AAMC recommendations /develop courses, curriculum content

    • Publication of Musculoskeletal Medicine (AAOS, AAFP, AAP) – adopted/being tested by ~20 schools.


    Research4
    Research

    Musculoskeletal Education – Project 100

    • National Board of Medical Examiners (NBME)

    • October 2003-2005 – Question-writing task force develops musculoskeletal questions for databank

    • USBJD to sponsor/underwrite development of musculoskeletal health subject examination

    • May 2006 meeting to select questions

    • Next steps: Beta-testing of subject examination


    Research and young investigators
    Research and Young Investigators


    Young investigators
    Young Investigators

    • Few funded clinical research grants in MSK diseases held by Young Investigators (Assistant Professor level)

    • Perceived lack of mentoring – grant-writing skills – early career development

    • Subcommittee of USBJD Research Committee organized Young Investigators Initiative

    • Program of two weekend long workshops, 12 months apart, faculty mentor until funded - Multidisciplinary


    Young investigators1
    Young Investigators

    • More than 140 applications – multi-disciplinary

    • 47 selected for program so far

      Outcome measures:

      No. of young investigators that attend workshop and:1. Obtain peer-reviewed funding2. Increased number of grant applications3. Remain academic medicine for 5 years / are promoted


    Mscus
    MSCUS

    Musculoskeletal Conditions in the United States

    • Used to determine burden of musculoskeletal conditions (U.S. & WHO)

    • Used to develop case statement for Decade

    • Used for advocacy efforts

    • Used to support research grants

    • Multi-disciplinary project well suited as Decade effort


    Good Moves for Life

    BJD Global Network Meeting USA 2009

    Opportunity for U.S. to showcase musculoskeletal health


    Good Moves for Life

    www.usbjd.org


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