Acting Intern Rehabilitation Medicine

Catalog Description: This course is designed for students who plan to pursue their residency training in Physical Medicine and Rehabilitation that already have prior experience (clinical, shadowing, research) and would like to dive deeper into the field of PM&R to prepare themselves for residency.  Student-physicians will be responsible for inpatient work-ups and management as well as having the opportunity to participate in a variety of specialty clinics (amputee, Botox, EMG, general rehab, musculoskeletal, pain, spinal cord injury, traumatic brain injury) and inpatient consults. As part of this advanced rotation, students will take an active role in designing a rotation to fit their individualized needs. They will also be expected to perform at the level of an intern in addition to preparing and giving a 20 minute mini-grand rounds presentation on a rehabilitation topic to the PM&R staff & residents at the end of the rotation. At the conclusion of the four weeks, students will be able to: Take a PM&R oriented history; Perform a physical examination with an emphasis on functional status and disability; Formulate rehabilitation goals and treatment plan; More fully understand the full breadth of PM&R; Effectively communicate with an interdisciplinary team; Facilitate complex discharge plans; Prepare and provide sign out for on-call physicians; Be prepared to take on leadership roles during their residency training and advocate for people with cognitive &/or physical impairments. 

Sites:

View site addresses by clicking on the site name below or visiting the site codes table.

Required session attendance: Orientation, PM&R Residency/Fellowship morning didactics at VA and Wednesday morning at the respective host site, mini-grand rounds presentation & journal club, face-face evaluation, and electronic evaluation

Typical weekly schedule/delivery mode: M-F, 8:00am - 4:30pm, no weekends

Direct patient care: Yes

Consent requirement: Arranged. Please contact the course coordinator via email for permission to schedule this course.

Course objectives:

• Demonstrate ability to take a PM&R-oriented history
• Perform a physical examination with an emphasis on functional status and disability
• Formulate rehabilitation goals and treatment plans
• Gain experience working with an interdisciplinary healthcare team and report medical aspects of care at team meetings
• Demonstrate the ability to modify a treatment plan to address issues addressed during team rounds
• Facilitate complex discharge plans
• Demonstrate ability to document progress notes, history and physical or consultation
• Demonstrate enhanced understanding of rehabilitation needs of persons with specific disease processes (TBI,SCI, stroke)
• Demonstrate understanding of concepts of disease, impairment, disability and handicap
• Demonstrate ability to effectively communicate with the interdisciplinary healthcare team including consultants, nursing staff, on-call physicians (sign-out), & therapy staff

Graded components:

• Mini-Grand Rounds presentation
• Clinical assessment by attending

Grading scale: H/E/S/N