CURRICULUM VITAE PERSONAL DATA: Date of Birth: September 22, 1959 Place of Birth: Orange County, California Marital Status: Married: Terry C. Vallin, M.D., Pediatrician Children: Two daughters born: 10/28/90 6/21/96 One son, born: 10/4/97 Address: Home: 85 Brandon Trail Bozeman, MT 59715 406-586-6867 Office: Bridger Orthopedic & Sports Medicine 1450 Ellis Street, Suite 201 Bozeman, MT 59715 (406) 587-0122 (406) 587-5548 (fax number) www/bridgerorthopedic.com EDUCATION: Servite High School 1977 Anaheim, California B.A. Biology 1981 The Colorado College Colorado Springs, Colorado M.D. California College of Medicine 1986 University of California, Irvine Surgical Internship July 1986-June 1987 Kaiser Permanente Medical Center Oakland, California Residency in Physical Medicine and 1988-1991 Rehabilitation Stanford University Stanford, California PRACTICE EXPERIENCE: Emergency Room Technician 1980-1981 Palm Harbor General Hospital Garden Grove, California Laboratory Instructor 1985 Gross Anatomy Course California College of Medicine University of California, Irvine
-2- Emergency Room Physician 1987-1989 Valley Emergency Physicians Oakland, California Urgent Care/Industrial Medicine Physician 1989-1990 San Jose Medical Group, Inc. San Jose, California Chief Resident 1990-1991 Division of Physical Medicine & Rehabilitation Dept. of Functional Restoration Stanford University Medical Center Private Practice 1991-1996 Physical Medicine & Rehabilitation Santa Rosa, California Assistant Medical Director 1992-1996 North Coast Rehabilitation Center Santa Rosa, California Private Practice Physical Medicine & Rehabilitation Bozeman, Montana 1996-present Physician/Director of Rehabilitation 1996-1998 Services, Mountain View Care Center Bozeman, Montana Medical Consultant 1996-1997 Montana State Compensation Insurance Fund Bridger Orthopedic & Sports Medicine- partner Bozeman, Montana 2000-present LICENSURE/CERTIFICATION: Montana Medical License 8070 Issued July 19, 1996 California Medical License Issued July 1987 Drug Enforcement Agency G060678 BV2503957 Qualified Medical Evaluator (QME) 1994-1996 In Physical Medicine & Rehabilitation
-3- Agreed Medical Evaluator (AME) 1994-1996 In Physical Medicine & Rehabilitation Fluoroscopy Licensure Permit #RHC 138236 1994-1996 Certified Independent Medical Examiner License #98-01244 (C.I.M.E.) (Expires October 6, 2003) BOARD CERTIFICATION: American Board of Physical Medicine May 1992 and Rehabilitation American Board of Independent Medical October 1998 Examiners (C.I.M.E.) American Board of Physical Medicine & September 2000 Rehabilitation; Sub-specialty in Pain Medicine (10 year certificate: exp.9/2010). Recertified: (9/20/2009 expires 9/2020) AWARDS AND HONORS: Presidents Honor List, Fullerton College 1978 Kappa Sigma Scholarship Leadership Award 1980 Blue Key Honor Society, Colorado College 1981 Palm Harbor Guild Scholarship Recipient 1982 COMMITTEES: Chairperson, Medical Records/Utilization 1994-1996 Review Committee, North Coast Rehabilitation Center. Member, Pain Management Committee 1995-1996 Santa Rosa Hospital Bozeman Deaconess Hospital Committee Chairperson, Physical Rehabilitation 1997-present MEMBERSHIP IN SCIENTIFIC/MEDICAL SOCIETIES: American Medical Association 1982-present Northern California Society of Physical Medicine 1988-1996 and Rehabilitation
-4- American Academy of Physical Medicine and Rehabilitation American Congress of Physical Medicine and Rehabilitation 1989-present 1989-present Sonoma County Medical Association 1990-1996 American Association of Electrodiagnostic Medicine Fellow, Physiatric Association of Spine, Sports & Occupational Rehabilitation (SOAR) Montana Medical Association National Spinal Cord Injury Association Fellow, American Academy of Disability Evaluating Physicians 1994-present 1995-present 1997-present 1997-present 1998-present President Gallatin County Medical Society 1999 International Spinal Injection Society (ISIS) 1999-present CONTINUING MEDICAL EDUCATION: An Intensive Review of the Speciality of Pain Medicine: A Pain Board Oriented Review Course (CD ROM). July-September 2009 International Spine Intervention Society, Phase II Cervical Bio-Skills Lab, Phoenix, Arizona, February, 2009 Second Annual Montana Pain Initiative Conference. Pain Management Policy & Practice: A Balanced Approach Missoula, MT September 2008 Principles & Practice of Pain Medicine Harvard Medical School Boston, MA June 2007 Utah Medical Insurance Association (UMEA) 2006 Risk Management Workshop, Bozeman, Montana, October 2006
-5- Basic to Advanced Radiofrequency Lesioning For Chronic Spinal pain. Barrow Neurological Institute, Phoenix AZ October 15-16, 2005 Society for Pain Practice Management. Programming for Success, Huntington Beach, CA. November 2004 Emergent Concepts in the Diagnosis and Treatment Of Pain: An Intensive & Comprehensive Review. American Academy of Physical Medicine & Rehabilitation. New Orleans, LA. April 28 th May 2 nd, 2004 American Academy of Pain Medicine 19 th Annual meeting, New Orleans, LA February 18-23, 2003 Super EMG (EMG Review Course) February 2001 Ohio State University, Kauai, Hawaii American Academy of Disability April 2001 Evaluating Physicians Medical/Legal Aspects of Soft Tissue Injuries: The Invisible Injury Industry, Alberta Canada Montana Medical Association August 1999 121 st Annual Meeting Helena, MT Practical Electromyography: Ohio State July 1999 University Medical Center for Continuing Medical Education, Dana Point, CA Pain Management for the Practicing July 1999 Physician: Society for Pain Practice Management Cambridge, MA Stanford University Medical Center/Oratec March 1999 Spine CATH course: Technique for Percutaneous ElectroThermal Treatment of Discogenic Pain (IDET) Stanford, CA American Academy of Pain Medicine February 1999 Hands-on Cadaver Course/Interventional Pain Management Techniques (Radiofrequency lesioning, cervicothoracic & lumbosacral spine.) Palm Springs, CA
-6- Impairment & Disability Evaluations Course October 1998 Advanced Topics Pittsburgh, PA Impairment & Disability Evaluations October 1998 Course-Fundamentals Pittsburgh, PA Interventional Pain Management Techniques August 1998 Anchorage, Alaska Electromyography and Clinical March 1998 Neurophysiology: A High Intensity Review Chicago, Illinois Wilderness & Travel Medicine February 1998 Big Sky, Montana PASSOR Hands-on Cadaver Course March 1997 La Jolla, CA Disability Evaluation Certification Program October 1996 Home Study PASSOR Hands-on Cadaver Course May 1996 Stanford, CA PUBLICATIONS: Articles Kingrey, W.S. and Vallin, J.A. The Development of Chronic Mechanical Hyperalgesia, Autonomy and Collateral Sprouting Following Sciatic Nerve Section in Rat. Journal of Pain 38: PP. 321-332 (1989) Vallin, J.A., and Kingery, W.S. Adjacent Neuropathic Hyperalgesia in Rats. A model for Sympathetic Independent Pain. Submitted to Neuroscience Letters Abstract Vallin, J.A., and Kingery, W.S. The sympathetic Modulation of Adjacent Neuropathic Hyperalgesia in Rats. Arch Phys Med Rehabilitation 1990; 71:817
-7- Presentations Sympathetic Modulation of Adjacent Neuropathic Hyperalgesia in Rats (poster) Presented at the annual meeting of the American Academy of Physical Medicine and Rehabilitation, Phoenix, AZ October 1990 Myofascial Pain and Dysfunction North Coast Rehabilitation Center, California July 1992 Neurogenic Bowel and Bladder Management North Coast Rehabilitation Center, California November 1995 Non-surgical Management of Acute Low Back Pain MSU Student Health Center April 1997 Chronic Regional Pain Syndrome Bozeman Deaconess Hospital Physician s noon conference, Montana November 1997 Mild Traumatic Brain Injury Bozeman Deaconess Hospital Physicians noon conference, Montana May 1997 Electrodiagnosis of Carpal Tunnel Syndrome and Common Upper Extremity Entrapment Neuropathies Bozeman Deaconess Hospital Physicians noon conference, Montana May 1998 Intradiscal Electrothermal Therapy (IDET) in the Management of Chronic Discogenic Low Back Pain Radiofrequency Neuroablation (RFA) in the Management of Mechanical Neck and Low Back Pain Bozeman Deaconess Hospital Spine Care Symposium, Montana March 2000 Intradiscal Electrothermal Therapy (IDET) Blue Cross, Blue Shield of Montana Board of Directors Advisory Meeting Helena, Montana March 2000 Concussion in Sports Bozeman, Montana October 2001
-8- Common Upper Extremity Entrapment Neuropathies Big Sky Resort October 2001 Updated 10/19/09