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PHYSIATRIST & SPORTS MEDICINE SPECIALIST Angela M. Tripp, MD, MS To provide better service for employers and improve care for their employees, BarnesCare has expanded its medical staff to include a physician who is board-certified in both physical medicine and rehabilitation and sports medicine. Dr. Tripp s extensive experience as a musculoskeletal and rehabilitation physician enables her to: Bring over 25 years of sports medicine experience to her work in diagnosing and treating workplace injuries. Provide comprehensive non-surgical musculoskeletal and concussion specialty services. Offer diagnostic ultrasound imaging at the time of visit. Provide diagnostic and therapeutic injections, including all peripheral joints, trigger points, soft tissues and the carpal tunnel. Be an excellent resource for clients and employees in preventing workplace injuries. Ultimately provide better, more timely and more comprehensive care for BarnesCare clients. Help BarnesCare clients better control costs by utilizing appropriate non-surgical interventions when possible, but also by making surgical referrals on a definitive and timely basis. See injured patients quicker, at BarnesCare clinics, minimizing days missed and improving return-to-work times. ANGELA M. TRIPP, MD, MS began her career as a certified athletic trainer, evaluating and rehabilitating all ages and levels of athletes. She earned her bachelor s degree at Southern Illinois University-Carbondale. Later she received a master s degree in physician assistant studies at Arizona School of Health Sciences and became a board-certified physician assistant, specializing in orthopedic surgery. Dr. Tripp went on to achieve her medical degree from Saba University and completed her internship and residency training in St. Louis at Barnes-Jewish Hospital/Washington University in the physical medicine and rehabilitation program. Among other achievements and service, she was elected by her peers and faculty to serve as chief resident and was honored two consecutive years as Resident of the Year. After her residency training, Dr. Tripp completed an accredited sports medicine fellowship, gaining additional training in diagnostic and interventional ultrasound, workplace injuries, concussion management, non-surgical spine care, sports medicine and general musculoskeletal injuries and rehabilitation. To make an appointment, call 314.993.9549. 5000 Manchester Avenue St. Louis, MO 63110

PHYSIATRY Physical Medicine and Rehabilitation The non-surgical approach to injuries that affect movement, function and quality of life Physical medicine and rehabilitation (PM&R), also called physiatry, is the branch of medicine emphasizing the prevention, diagnosis and treatment of nerve, muscle, bone and brain disorders that may produce temporary or permanent impairment. PM&R is one of 24 medical specialties certified by the American Board of Medical Specialties. Physiatrists, or physical medicine and rehabilitation (PM&R) physicians, are medical doctors who have completed training in the medical specialty of PM&R. They treat injuries or illnesses that affect movement, function and quality of life with the aim of enhancing performance and function as much as possible. The role of a PM&R physician includes treating any disability resulting from injury or medical illness, from sore shoulders to spinal cord or brain injuries. Physiatrists take the time needed to accurately pinpoint the source of a problem. They then design a treatment plan that can be carried out with the help of the rehabilitation team. They may also provide therapeutic and diagnostic interventions, such as injections, nerve blocks or electromyogram (EMG)/nerve conduction studies. They can order or perform additional diagnostic imaging or laboratory evaluations and provide prescriptions for medications, braces, prosthetics and durable medical equipment. By making accurate diagnoses and providing an appropriate treatment plan, PM&R physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat all types of musculoskeletal diagnoses, neurodegenerative disorders and catastrophic injuries throughout a person s lifetime. PHYSIATRISTS CAN: Restore maximum function lost through injury, illness or disabling conditions Treat the whole person, not just the problem area Lead a team of medical professionals Provide non-surgical treatments Diagnose and treat pain BarnesCare is pleased to introduce physiatry and sports medicine to its comprehensive menu of work-related injury treatment services with the addition of Angela M. Tripp, MD, MS. I am very excited and honored to join BarnesCare and combine my sports medicine and rehabilitation experience to serve the outstanding employers and employees of the St. Louis region. ANGELA M. TRIPP, MD, MS To make an appointment, call 314.993.9549. 5000 Manchester Avenue St. Louis, MO 63110

Curriculum Vitae Angela M. Tripp, MD, MS Education and Training A.C.G.M.E Accredited Sports Medicine Fellowship, Aug. 2013 Aug. 2014, Swedish Medical Center, Seattle, WA See Appendix, p. 6, for details Internship and Residency Training, July 2009 July 2013 Physical Medicine and Rehabilitation Washington University / Barnes Jewish Hospital, St. Louis, MO Doctor of Medicine, May 2005 - May 2009 Saba University School of Medicine, Devens, MA, Saba, Netherlands-Antilles Master of Science, Physician Assistant Studies, August 1998 - August 2000 Arizona School of Health Sciences, Phoenix, AZ Bachelor of Science, Major: Athletic Training, Minor: Psychology Southern Illinois University, June 1983 May 1987, Carbondale, IL Over 2,400 sports medicine clinical hours with NCAA Division 1 athletes Professional Experience Non-surgical Musculoskeletal and Sports Medicine Specialist BarnesCare - Physical Medicine and Rehabilitation/Sports Medicine Division BJC Corporate Health Services St. Louis, MO, 2014 - present Physician Assistant in Orthopedic Surgery Vincent J. Russo, MD, Scottsdale, AZ, September 2000 April 2005 Primary responsibilities: Independent clinic schedule for new, follow up, pre-op/post-op patients First-assisted on several hundred orthopedic surgery cases per year Provided joint injections, bracing, splinting, home exercise programs Educated and instructed patients in home care of orthopedic injuries Participated in all hospital coverage, including consults and trauma call Covered the practice when Dr. Russo was on vacation Orthopedic Clinical Assistant & Athletic Trainer Texas Orthopedics, Austin, TX, August 1995 July 1998 Carolyn Hyde, MD, Fellowship trained in Sports Medicine; Barbara Bergin, MD Primary responsibilities: Interviewed, examined, and presented patients to Dr. Hyde and Dr. Bergin Authored patient education literature Instructed patients in home exercises, acute injury care, and post-op care Wrote detailed physical therapy orders and followed up with therapists Assisted with sports coverage

Professional Experience continued CV Angela Tripp, p. 2 Certified Athletic Trainer HealthSouth/Concordia University, Austin, TX, August 1993 - July 1995 Primary Responsibilities: Provided medical coverage for NCAA Division II athletes and preseason physicals Communicated directly with team orthopedic surgeon and coaches Provided onsite and outpatient rehabilitation of all athletic injuries Certified Athletic Trainer Stephen F. Austin High School, Austin, TX, August 1989 June 1993 Primary responsibilities: Provided medical coverage for 36 interscholastic teams Recruited, supervised and instructed student athletic trainers Evaluated, managed and rehabilitated all injuries Provided athletic medical coverage for two middle schools Certified Athletic Trainer and Faculty Member Bates College, Lewiston, ME, August 1987 - July 1989 Primary responsibilities: Provided medical coverage and rehabilitation for 21 intercollegiate teams Supervised and mentored 20 collegiate student athletic trainers Evaluated and treated Health Center referrals of the general student body Taught Sports Medicine, First Aid, and CPR courses Assisted with over 600 annual preparticipation physical examinations Honors and Awards Resident of the Year, Washington University PM&R Program, 2012-13, PGY-4 Chief Resident, Washington University PM&R Program, 2012-13, PGY-4 Resident of the Year, Washington University PM&R Program, 2011-12, PGY-3 First Place Award, Resident Research/Case Presentation Central Society of PM&R Annual Meeting, St. Louis, MO, March 2012, PGY-3 Teaching Resident of the Year, Washington University PM&R Program, 2010-11, PGY-2 Certifications and Licensures Board Certified, American Board of Physical Medicine and Rehabilitation (ABPMR), 2014-2024 Board Certified, ABPMR Sports Medicine subspecialty, American Board of Family, 2014-2024 Medicine Sports Medicine Certificate of Added Qualification State of Missouri Physician/Surgeon License, November 2014 - present State of Washington Physician/Surgeon License, April 2013 - present National Commission on Certification of Physician Assistants, 2000 2011 Drug Enforcement Agency Registration, 2000 - present National Athletic Trainers Association Certification, 1987 2006

Physician Professional Appointments and Affiliations CV Angela Tripp, p.3 American Academy of Physical Medicine and Rehabilitation American Medical Society for Sports Medicine American College of Occupational and Environmental Medicine International Spine Intervention Society Association of Academic Physiatrists Panel Physician, Optimal Work Comp Solutions Plus, December 2014- present Medical Staff Leadership Committee, The Rehab. Institute of St. Louis (TRISL), May 2012 - June 2013 Education Committee, Washington University PM&R Program, May 2012 - June 2013 2013 Steinberg Lecture, PM&R, Washington University, initiated/organized Faculty/Resident Education Series, PM&R Consult Service, December 2012 - April 2013 Fellowship Workshop for Residents, March 2013, initiated/organized Patient Satisfaction Committee, TRISL, July 2011 - June 2012 Regional Managing Editor, Rehab In Review publication, Emory University, May 2011 - June 2012 Assistant Team Physician, area high school football, soccer, lacrosse, Supervising Attending Heidi Prather, DO, spring and fall 2012 Quality Council, TRISL, July - June 2011 Chair, Physician Operations Committee, TRISL, February 2011 - June 2013 Central Society of Physical Medicine and Rehabilitation, 2011-2013 Admissions Committee, Washington University PM&R Residency Program, 2010 2013 Quality Improvement Projects, TRISL, January 2010 - June 2013 St. Louis Society of Physical Medicine and Rehabilitation, 2009 2013 Publications, Posters, and Presentations Sports-Health.com Treating Acute Sports and Exercise Injuries in the First 24-72 Hours, June 2014 Washington University Residents Day Poster Symposium: A Case Presentation of Epidural Gout and Paraplegia, May 2012 A Case Report of Transthyretin Familial Amyloid Polyneuropathy Mistaken for CIDP, May 2012 BarnesCare Medical Staff and Optimal Work Comp Solutions Medical Panel Introduction to Musculoskeletal Ultrasound, January 2015 Resident Seminar Series: Common Pain Syndromes in Older Adults, March 2013 Review of Lower Extremity Anatomy and Spasticity, January 2013 Review of Upper Extremity Anatomy and Spasticity, December 2012 Recruiting the PM&R Resident to Washington University, October 2012 Evaluation of the Foot and Common Injuries, February 2011 Myofascial Pain: An Introduction to Trigger Points, June 2011 The Rotator Cuff: Anatomy, Pathology, Diagnosis, Treatment, Rehabilitation, June 2010 Cancer Rehabilitation, May 2010

Presentations continued CV Angela Tripp, p. 4 Neuro-Rehabilitation Clinical Case Conference Series: Epidural Gout Causing Spinal Cord Compression, August 2011 A Case Presentation of Akinetic Mutism, December 2010 EMG Case Didactic Series: Carpal Tunnel Syndrome, September 2011 Pediatric Didactic Series: Congenital Limb Deficiencies, May 2011 Musculoskeletal Didactic Series: Conservative Management of Common Foot and Ankle Disorders, June 2012 An Overview of Common Knee Pathology, Radiology, Treatment, and Rehabilitation, March 2011 Knee Cases and Hands-On Knee Evaluation Session, March 2011 Musculoskeletal Case Didactic Series: PRP Injection for Partial Patellar Tendon Tear in a High School Athlete, March 2012 The Division of Geriatrics and Nutritional Science and the Harvey A. Friedman Center for Aging Seminar Series: Role of Trunk Muscles in Balance and Mobility in Older Adults, December 2010 Rehab in Review Summaries: Spine and Axial Skeleton Injuries in the NFL, August 2012 Predisposing Factors for Postoperative Delirium after Hip Fracture Repair in Individuals with and without Dementia, January 2012 Ongoing Positive Effect of Platelet-Rich Plasma versus Corticosteroid Injection in Lateral Epicondylitis, June 2011, Published Lace-up Ankle Braces Decrease the Incidence of Ankle Injuries in Interscholastic Basketball, Sept. 2011 A Proximal Strengthening Program Improves Pain, Function, and Biomechanics in Women with Patellofemoral Pain Syndrome, January 2011 Most Recent Continuing Medical Education International Spine Intervention Society Lumbar Procedures Skills Lab, Memphis, TN, October 2014 International Spine Intervention Society Clinical Anatomy, Spine Imaging, Chicago, IL, October 2014 Low Back Pain Practice Improvement Project, AAPMR, June-August, 2014 Integrating the Neurologic/Orthopedic Management of Dizziness and Vertigo, Seattle, WA, April 2014 The Athlete s Symposium, Jefferson Healthcare, Port Townsend, WA, April 2014 University of Washington PM&R Board Review, Seattle, WA, March 2014 Diagnostic and Interventional Musculoskeletal Ultrasound of the Lower Extremity, AAPMR, Tampa, FL, March 2014 Introduction to Diagnostic and Interventional Ultrasound Applications, AAPMR, Washington, D.C., October 2013 American Academy of Physical Medicine and Rehabilitation Assembly, Nov. 2012, Oct. 2013

Most Recent Continuing Medical Education continued CV Angela Tripp, p. 5 Swedish Orthopedic Update for Primary Care, Seattle, WA, September 2013 Washington University 7th Annual Sports Medicine Update, St. Louis, MO, July 2012 Central Society of PM&R Annual Meeting, St. Louis, MO, March 2012 Musculoskeletal Ultrasound: Assessing Peripheral Nerve Injury, Department of Orthopaedic Surgery, Washington University, February 2012 Multimodal Management of Knee Osteoarthritis, St. Louis Society of PM&R, April 2010 Current Topics in Traumatic Brain Injury, University of Missouri Rusk Lectureship featured speaker, Ross Zafonte, MD, Columbia, MO, December 2009 American Academy of Orthopaedic Surgeons Annual Meeting (AAOS), 2008 Other Pertinent Continuing Education AAOS Annual Meeting, 2001, 1998, 1997, Specialty Day - Sports Medicine, 1997 Western Orthopedic Association Meeting, Phoenix, AZ, San Antonio, TX, October 2003, 2000 Physician Assistants in Orthopedic Surgery, Scottsdale, AZ, Oct. 2002 Casting/Caring for Adult, Pediatric, and Trauma Patients, St. Joseph s Hosp., Phoenix, AZ, Feb. 2000 Tahoe Shoulder and Knee Update, Duke University SOM, Lake Tahoe, NV, December 1999 Wilderness Medicine Course, American College of Emergency Physicians, Big Sky, MT, July 1998 Sports Medicine of the Foot and Ankle Course, American Orthopaedic Foot and Ankle Society, Sun Valley, ID, February 1998 Shoulder and Knee: The Athletic Perspective, AAOS, Steamboat Springs CO 1998, 1999 National Athletic Trainers Association Symposium, June 1998, 1997, 1996, 1987, 1986 Management of Low Back Pain, Seton Medical Center, Austin, TX, February 1997 8th Annual Current Concepts in Trauma Care, Telluride, CO, Dec. 1996 Regional Review Course in Hand Surgery, American Society for Surgery of the Hand, St. Louis, MO, November 1996 Southern Medical Association Sports Medicine Symposium, Birmingham, AL, July 1996 Biomechanics of the Foot and Ankle, Indianapolis, IN, April 1996 State of the Art Hip/Knee Replacement, Banff, Alberta, Canada, March 1996 Annual Symposium on Sports Medicine, University of Texas, San Antonio, TX, January 1996 Eastern Athletic Trainers Association Convention, 1988 The Shoulder Course, Rene Cailliett, MD, November 1988 The Hoppenfeld Course: Physical Examination of the Spine and Extremities, Stanley Hoppenfeld, MD, Philadelphia, PA, 1988 Select Independent Contract and Volunteer Activities Medical Team Captain, Rock and Roll Marathon, Seattle, WA Ski Patrol/Attending Physician, Summit Mountain Ski Area, Snoqualmie, WA Medical Coverage Director, National Rugby Championships, Austin, TX Head Athletic Trainer, Lonestar & Third Coast Volleyball Tournaments, Austin, TX Head Athletic Trainer, Soccadillos Semi-Professional Soccer, Austin, TX Medical Staff, Austin, TX Marathons and Triathlons Head Athletic Trainer, USA Field Hockey Development Camp, Bangor, ME Head Athletic Trainer, University of Southern Maine Field Hockey Camp Head Athletic Trainer, Texas and Maine State High School Track and Field, Volleyball Championships Head Athletic Trainer, Southern Illinois University and University of Texas Sports Camps

Appendix CV Angela Tripp, p.6 American College of Graduate Medical Education Accredited Sports Medicine Fellowship Swedish Medical Center, Seattle, WA Procedure Training Diagnostic and Interventional Musculoskeletal Ultrasound Including Nerve Blocks, Therapeutic Injections and Aspirations, Platelet Rich Plasma, Tenotomy, Shoulder Capsular Distention and Barbotage Non-guided Peripheral Joint, Tendon Sheath, Dupuytren Contracture, and Trigger Point Injections Electrodiagnostics Fluoroscopically Guided Interventional Spine and Hip Injections Multidisciplinary Clinical Rotations Musculoskeletal/Interventional Physiatry Orthopaedic Surgery, all subspecialties, including rotating with the Team Physician for the Seattle Seahawks and the Seattle Mariners Neurosurgery, spine Osteopathic Manipulation Radiology Pediatric Sports Medicine Family Medicine Sports Medicine Podiatry Chiropractic care, including rotating with the Team Chiropractor for University of Washington Athletics and the Seattle Sounders Neuropsychology, including concussion management and ImPACT baseline testing Subspecialty Physical Therapy: Manual Therapy, Hellerwork, Multifidi Training Sports, Spine, and Musculoskeletal Continuity Clinics Adult and adolescent patients Independent patient schedules 2 ½ days per week, 11 months Responsible for EMR documentation, coding Extensive experience in managing general MSK, spine, sports medicine conditions Recurring Didactics University of Washington Sports Medicine Grand Rounds Swedish Neuroscience Institute Spine Conference Swedish Spine and Sports Radiology Rounds Swedish Spine, Sports, and Musculoskeletal Journal Club Sports Coverage Head Team Physician, Puget Sound Gunners, Premier Development League, Men s and Women s Soccer Head Team Physician, University of Washington Men s Lacrosse Head Team Physician, Franklin High School Football Assistant Team Physician, Seattle University Women s Basketball, Soccer Medical Director, Rhody Run, 12 K race Member, Medical Team Washington State High School Wrestling Championships Member, Swedish Heads Up Sports Concussion Program Volunteer Physician, Nick of Time Youth Cardiac Screening Program

Angela M. Tripp, M.D., M.S. Physical Medicine & Rehabilitation, Non-Surgical Sports Medicine PhysicianPhD Orthopedic Shoulder and Knee Surgeon The Gross Team 314-336-2566 Dr. Tripp Is affiliated with BJC Corporate Health, St Louis, MO