OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015)
BIOGRAPHICAL SKETCH
Provide the following information for the Senior/key personnel and other significant contributors.
Follow this format for each person. DO NOT EXCEED FIVE PAGES.
NAME: Ficke, James Robert
eRA COMMONS USER NAME (credential, e.g., agency login):jficke1
POSITION TITLE: Chairma
EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.)
INSTITUTION AND LOCATION | DEGREE (if applicable) | Completion Date MM/YYYY | FIELD OF STUDY |
United States Military Academy, West Point, NY | B.S. | 05/1983 | Systems Engineering/Chemistry |
Uniformed Services University of Health Sciences, MD | MD | 05/1987 | Medicine |
Madigan Army Medical Center, Tacoma, WA | | 06/1988 | Transitional Internship |
Tripler Army Medical Center, Honolulu, HI | | 06/1994 | Orthopaedic Surgery |
Klinikum Rechts der Isar, Munich, Germany | | 05/1993 | AO Fellowship |
Baylor University, Dallas TX (James Brodsky-Director) | | 05/2000 | Foot/Ankle Surgery |
A. Personal Statement
I currently am Professor, Orthopaedic Surgeon-in-Chief and Department Director, Johns Hopkins Hospital. I retired from 30 years Active Duty in the United States Army, where I led a Department of Orthopaedics and Rehabilitation at Brooke Army Medical Center, and was also the Senior Orthopaedic Advisor for the US Army Surgeon General. I have focused my career on research and clinical program development, and following transition to civilian leadership, I have continued to build programs as the Chair of the American Academy of Orthopaedic Surgeons Extremity War Injuries Project Team for over 10 years. This program has directly led to formation of the Congressionally Directed Peer-Reviewed Orthopaedic Research Program, now 5 years old and responsible for over $300 million dollars of basic, translational and clinical research, including 2 major Consortia Awards in Trauma (METRC) and Rehabilitation (BADER). I have little personal grant support, as I have deliberately chosen to direct this program. I have continued an active clinical practice focused on caring for patients with arthritis, and as such will contribute clinical perspective. I place the highest value on my commitment to bridging the clinician-scientist gap and enhancing meaningful education in research, and this effort led by Dr Xu Cao represents the strongest assemblage of like-minded people.
B. Positions and Honors
Positions and Employment
2013- present Professor and Chair, Department of Orthopaedic Surgery, Johns Hopkins School of Medicine
2007 – 2013 Chair, Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center
2006 – 2013 Orthopaedic Surgery Consultant to the Surgeon General, US Army
2004 – 2007 Chief Orthopaedic Surgery Service Brooke Army Medical Center, San Antonio, Texas
2004 – 2005 Deputy Commander Clinical Services 228th Combat Support Hospital, Mosul, Iraq
2004 – 2005 Orthopaedic Surgery Consultant, 44th Medical Command, Baghdad, Iraq, 2005
2001 – 2004 Assistant Chief, Orthopaedic Surgery Service, Brooke Army Medical Center
1998 – 2001 Chief, Foot and Ankle Section, Orthopaedic Surgery Service, Brooke Army Medical Center
1997 – 1998 Chief, Department of Surgery, Munson Army Community Hospital, Fort Leavenworth, KS
1994 – 1996 Staff Orthopaedic Surgeon, Irwin Army Hospital, Fort Riley, KS
Other Experience and Professional Memberships
2013- present Chair (2105) Leadership Development Committee, American Orthopaedic Association
2013- present Chair (2105) Central Program Committee, American Academy of Orthopaedic Surgeons
2009- 2015 Chair, Integration Panel, Peer-Reviewed Orthopaedic Research Program
2009- 2013 DoD Extremity Injury and Amputee Center Of Excellence Working Group
2008- 2011 Board of Directors, Extremity War Trauma Research Foundation
2007- 2012 DoD Joint Graduate Medical Education Selection Board- Chair 2008, 2010, 2012
2007- 2011 Executive Committee, DoD Military Amputee Research Program
2006- 2013 Board of Directors, Society of Military Orthopaedic Surgeons
2006- 2009 Membership Committee, American Orthopaedic Foot & Ankle Society
2006, 2007, 2009 Grant Reviewer, Orthopaedic Extremity Trauma Research Program
Honors
2013 Legion of Merit, US Army; Distinguished Member US Army Medical Regiment
2010 Colonel Brian Allgood Award- top award, Society of Military Orthopaedic Surgeons- career leadership
2010 MG Lewis A. Malogne Award for academic excellence, top Career award in US Army Medicine
2009 US Army Medical Research &Materiel CMD- Combat Casualty Care Research Award for Excellence
2006 US Army “A Designator” for Clinical Proficiency (Military Equivalent of rank of Professor)
2007 Order of St. Maurice – Legionaire #02018 (Lifetime contribution to the Infantry Corps)
2004 Order of Military Medical Merit # 6921 (Lifetime contribution to the Army Medical Department)
2003 Outstanding Outside Faculty Educator, Brooke Army Medical Center, Dept of Medicine
2001 Outstanding Outside Faculty Educator Brooke Army Medical Center, Dept of Medicine
1994 Outstanding Resident Educator Tripler Army Medical Center (presented by intern class)
C. Contribution to Science
- Preparedness of Orthopaedic Surgeons for Modern Battlefield Surgery
The education of our orthopaedic operative teams is of paramount importance to maximizing successful outcomes of treatment of battlefield injuries. Education begins with providing surgeons with the best predeployment training to augment their previous residency and fellowship training. In addition to medical, surgical and physical preparedness, mental preparedness is essential. By identifying deficiencies in preparedness, and understanding of injury patterns and demographics, training can be focused to optimize care.
- Kearney SP Bluman EM, Lonergan KT, Arrington ED, Ficke JR. Preparedness of Orthopaedic Surgeons for Modern Battlefield Surgery, Military Medicine, Sept 2012: 177(9): 1058-1064; PMID:23025135
- Patzkowski JC, Cross JD, Ficke JR, Wenke JC. The Changing Face of Army Disability: The Operation Enduring Freedom and Operation Iraqi Freedom Effect, J Am Acad Orthop Surg. 2012;20 Suppl 1:S23-30. PMID: 22865131.
- Ficke JR, Obremskey WT, Gaines RJ, Pasquina PF, Bosse MJ, Mamczak CN, O'Toole RV, Archer KR, Born CT, Fleming ME, Watson JT, Gordon WT, Stannard JP, Rispoli DM, Mackenzie EJ, Wenke JC, Hsu JR, Pollak AN, Andersen RC. Reprioritization Of Research For Combat Casualty Care. J Am Acad Orthop Surg. 2012;20 Suppl 1:S99-102. PMID: 22865148.
- Masini B, Waterman S, Wenke J, Owens B, Hsu J, Ficke J, “Resource Utilization and Disability Outcome Assessment of Combat Casualties From Operation Iraqi Freedom and Operation Enduring Freedom” in J Ortho Trauma 2009 Apr:23:261–266. PMID 19318869
- Complex Blast Injuries
My research interests include the study of the causes, prevention, protection, treatment, and long-term care options of warriors with multiple, complex injuries. Dismounted Complex Blast Injury (DCBI) is characterized by high-energy injuries to the bilateral lower extremities (usually proximal transfemoral amputations) and/or upper extremity (usually involving the non-dominant side), in addition to open pelvic injuries, genitourinary, and abdominal trauma. Initial resuscitation and multidisciplinary surgical management appear to be the keys to survival. Definitive treatment follows general principals of open wound management and includes decontamination through aggressive and frequent debridement, hemorrhage control, viable tissue preservation, and appropriate timing of wound closure. These devastating injuries are associated with paradoxically favorable survival rates, but associated injuries and higher amputation levels lead to more difficult reconstructive challenges.
- Ficke JR, Eastridge BJ, Butler FK, Alvarez J, Brown T, Pasquina PF, Stoneman P, Caravalho JC, Jr, Dismounted Complex Blast Injury: Report of the Army Dismounted Complex Blast Injury Task Force, J Trauma Acute Care Surg 2012 Dec; 73(6 Suppl 5): S520-534.
- Andersen RC, Fleming M, Forsberg JA, Gordon WT, Nanos GP, Charlton MT, Ficke JR, Dismounted Complex Blast Injury, J Surg Orthop Adv. 2012 Spring;21(1):2-7. PMID 22381504.
- Cross JD, Ficke JR, Hsu JR, Masini BD, Wenke JC. “Battlefield Orthopaedic Injuries Cause the Majority of Long Term Disabilities,” JAAOS. 2011. S1-S7. PMID 21304041.
- Cross JD, Johnson AE, Wenke JC, Bosse MJ, Ficke JR. “Mortality in Female War Veterans From Operations Enduring Freedom and Iraqi Freedom,” Clin Orth Rel Res. 2011 Jul; 469(7):1956-61. PMID 21390560
- Amputations and Limb Salvage
Major lower-limb trauma sustained on the battlefield results in substantial long-term disability. I have been a co-investigator in the Military Extremity Trauma Amputation/Limb Salvage (METALS) study. In a comparison of the outcomes of patients that underwent amputation to patients with limb salvage, we found that patients with an amputation had better scores in all Short Musculoskeletal Function Assessment domains compared with those whose limbs had been salvaged (p < 0.01). There were no significant differences between the groups with regard to the percentage of patients with depressive symptoms, pain interfering with daily activities (pain interference), or work/school status.
- Krueger CA, Wenke JC, Ficke JR; Ten years at war: Comprehensive analysis of Amputation Trends, J Trauma Acute Care Surg. 2012 Dec; 73(6 Suppl 5):S438-44. PMID 23192067
- Stinner DJ, Burns TC, Kirk KL, Scoville CR, Ficke J, Hsu JR. Prevalence of Delayed Amputations in Our Combat Wounded. Mil Med 2010. PMID 21265314.
- Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, Keeling JJ, Pasquina PF, Wain HJ, Carlini AR, MacKenzie EJ. The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013 Jan 16;95(2):138-45. doi: 10.2106/JBJS.K.00734. PMID: 23324961
- Stinner DJ, Burns T, Kirk K, Ficke J. “Return to Duty Rate of Amputee Soldiers in the Current Conflicts in Afghanistan and Iraq.” J Trauma. 2010 Jun;68(6):1476-9. PMID 20068483
- Mitchell SL, Hayda RA, Chen AT, Carlini AR, Ficke JR, MacKenzie EJ; METALS Study Group. The Military Extremity Trauma Amputation/Limb Salvage (METALS) Study: Outcomes of Amputation Versus Limb Salvage Following Major Upper Extremity Trauma. J Bone Joint Surg Am. 2019;
Complete List of Published Work in MyBibliography:
D. Research Support
Current: No active research support at this time.
Completed Research Support:
W81XWH-07-1-0243 (Schmidt, PI) 2007-2010
$4,666,367 DoD through University of Minnesota, Randomized Clinical Trial of Tissue Ultrafiltration and Pressure Monitoring for the Diagnosis and Prevention of Compartment Syndrome, BAMC protocol C.2008.191
Role: Principal Investigator on site.
W81XWH-06-0361 (MacKenzie, PI) 2005-2009
$1,169,339 Military Amputee Research Program grant (congressional funding) administered through
John Hopkins University, 2005-2009 METALS (Military Extremity Trauma Amputation and Limb Salvage Study) Multicenter study
Role: Co-investigator