J501 Physical Medicine and Rehabilitation (Montefiore Medical Center/Montefiore Medical Park/Beth Abraham Health Services)
The student will be introduced to the specialty of Physical Medicine and Rehabilitation (PMR) in inpatient acute, subacute and long-term care settings as well as in outpatient venues that span the full spectrum of physiatric specialty and subspecialty services. Students will develop an appreciation of the PMR practice methodology, including a team approach to the treatment of disordered function and performance, with an emphasis on neuromuscular systems. Students will observe the planning and implementation of both physical medicine and rehabilitation care, including acute and subacute general rehabilitation, neuromusculoskeletal care, cardiac rehabilitation, and pediatric rehabilitation. The students have opportunities to participate in diverse subspecialty services including electrodiagnosis, prosthetics, orthotics, spasticity management, spinal cord injury rehabilitation, wheelchair and durable medical equipment services, complementary and alternative medicine care, and pain management. They observe various physiatric procedures including joint and soft tissue injections, botulinum toxin injections, neurolytic blocks, myofascial manual medicine techniques and ultrasound or fluoroscopic guided procedures. The student will observe and participate in the interdisciplinary rehabilitation team process and become familiar with the treatment modalities employed by physical therapists, occupational therapists and speech and language pathologists. The roles of music and recreation therapies as well as rehabilitation social workers and vocational counselors will be addressed. Students participate in daily work and teaching rounds, and team conferences. They participate in the PMR residency didactic program, including journal clubs, lectures and all other educational presentation.
1. Understand of role of Physical Medicine and Rehabilitation in different clinical settings
2. Role of physiatrists and physical/occupation/speech language therapies
3. Identify common neuromusculoskeletal disorders and their management
4. To learn different physiatric interventions
Learning experience: Location and time schedule will be provided prior to the start of elective. Students are responsible to attend the clinical and didactic as scheduled.
Method of student feedback and evaluation: Orientation, mid-rotation and end of rotation summative evaluation
Suggested Textbook: Copy will be provided on the 1st day of the elective or earlier upon request
Title: Essentials of Inpatient Rehabilitation
Author: Shanker Nesathurai, MD and David Blaustein, MD
Yumei Wang, MD
Flora Tabaddor, MD
Modules: All except 1B
Maximum: 2 students
First day of elective student should report to Dr. Wang at Rehab Clinic, Ground Floor, North West Pavilion, 111 East 210th Street, Montefiore Medical Center.
J504 Introduction to Physical Medicine and Rehabilitation (Jacobi Medical Center)
A four-week introductory clerkship in PMR to provide exposure to the scope of services provided by the specialty. Students will have the opportunity to rotate in the various inpatient and outpatient settings at both Jacobi and North Central Bronx Hospital. The student will participate in the various clinics that include: Injection clinic, interventional procedures, Musculoskeletal clinics, electrodiagnostics, Back Clinic and orthotics and prosthetics. In addition, the student will be exposed to the inpatient rehab service and the management of an acute stroke patient, from the initial consult, to the admission to the rehab floor, to the team conference to discharge planning. Didactic on Shoulder examination, back examination and the evaluation of a stroke patient.
To evaluate the shoulder and the back and determine which patients are appropriate for interventional procedures and the techniques involved in the procedures. To evaluate the stroke patient for their physiatric need, expected functional outcomes and team conference leadership. Residents, fellows, and attendings provide small group interactive didactics, clinical guidance and supervision and daily feedback regarding clinical and presentation skills. At the end of the rotation there is one required 15-minute oral case presentation, based upon a diagnosis seen in the outpatient or inpatient setting.
1) To become familiar with the patient populations that physiatrists treat.
2) To understand the unique roles physiatrists play as medical specialists in the care of patients with musculoskeletal disorders
3) To understand the indications for referral of patients to physiatrists.
4) To become proficient in the examination of the shoulder and the back
Michelle Stern, MD
Contact: Kamalla Betance or Dr. Michelle Stern
Ph: 718-918-5546/ 718-918-5549
Number of students per module: 6