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.