Physical Medicine and Rehabilitation
Rotation: MED 402-1
Length: 2 or 4 weeks
Goals: By the end of the rotation the you will be expected to be able to demonstrate competency in the following:
- Understanding of appropriate situations for referral to Rehabilitation Medicine
- Performance of a detailed neurological and musculoskeletal history and physical examination
- Performance an initial consult and follow-up under the supervision of an attending
- Development of a treatment plan for the patient referred for Rehabilitation Medicine care
- Awareness of the role of different members of the health care team such as occupational therapy, vocational counselors, orthotic and prosthetic assistants in the care of the patient referred to Rehabilitation Medicine
- Awareness of community resources available to help the patient with a long term disability
Objectives:
- Participate in daily morning rounds and patient care with attendings
- Be responsible for following 3-4 inpatients, writing progress notes and being involved in their medical and rehabilitation management
- Perform initial consults and follow-up in conjunction with the Attending
- Attend 3-4 outpatient clinics weekly
- Attend designated patient conferences, lectures and Grand Rounds
- Prepare and present a 30 minute discussion on a relevant topic agreed to by the Attending.
- There is no overnight call on this rotation
Additional Information and Description: This 2 or 4-week selective offers experience in the diagnosis and management of patients with a variety of neuro-muscular diagnoses such as stroke, spinal cord injury, traumatic brain injury, and neuro-degenerative disorders such as multiple sclerosis. You may treat patient with musculo-skeletal disorders such as amputation, total hip arthroplasty, total knee arthroplasty, and multiple trauma victims. You will attend physical, occupational, and speech therapy sessions with their patients to learn the daily process of rehabilitation. You will learn to perform accurate functional assessments of patients, establish a plan of care for those patients, provide accurate estimates of goals of the admission, as well as length of stay. You will learn comprehensive discharge planning for a newly disabled individual, you are encourage to accompany the therapy team into the patient's home to prepare for independent living after hospitalization when the opportunity is available.
Recommended Reading:
- Essentials of Physical Medicine and Rehabilitation Ed Grant Cooper MD Humana Press
- Physical Medicine and Rehabilitation Bryan Young et Al. Mosby Publishing
