PM&R Goals and Objectives
Core Clinical Competencies:
This core group of clinical skills and awareness is recommended for all physicians, regardless of their eventual sub-specialty. All 4th year medical students (upon completion of this rotation) will be expected to show competence in these following areas: FSM Core Competencies | Specific learning objectives for this clerkship | | Patient-Centered Medical Care | - Create independent, accurate & comprehensive written history & physicals, specifically targeted to identify impairments that impact a patient’s level of function
- Both identify and appreciate the various components of a comprehensive rehabilitative program, including the scope of treatment services and role of each member of a multidisciplinary rehab team.
- Independently propose daily management plans, incorporating patient preferences & values
- Identify the distinction between impairments, disabilities, and community limitations and develop increased awareness about the relationships between common clinical disease entities, physical disability, psychosocial issues, quality of life, and maximizing functional outcomes.
- Identify various methods to assess and measure neuromuscular function.
| | Communication & Interpersonal Skills | - Give succinct & accurate verbal presentations and be able to defend your assessments
- Communicate effectively with patients and their families at the bedside, including counseling & education skills
- Communicate effectively with primary care physicians and other members of the rehab team
- Recognize the need and timing for difficult conversations
- Develop a comfort level in interacting with and providing care for those with disabilities
| | Medical Knowledge & Scholarship | - Demonstrate knowledge of core basic science concepts, pathophysiology, & management
- Apply core knowledge at the bedside, and demonstrate sound clinical reasoning skills
- Demonstrate proficiency with basic musculoskeletal physical exam skills
- Independently assess available clinical evidence & apply it to direct patient care
- Give a concise & clinically relevant educational presentation to your team (team dependent)
| | Continuous Learning & Improvement | - Self-identify limitations & knowledge deficits and show a commitment to making improvements
- Seek out clinical learning opportunities that are relevant to your future practice
- Demonstration of intellectual curiosity & the skills required to be a life-long learner
| | System Awareness & Team-Based Care | - Describe the various levels of rehabilitation care and the role of a physiatrist
- Interact effectively with consultants, therapists, nurses, discharge planners and social workers
- Assist with creating concise & accurate discharge plans which promote safe transitions of care
| | Personal Awareness & Self-Care | - Seek feedback on your performance & respond to feedback in a professional manner
- Give feedback to your team members & clerkship director in a professional manner
- Demonstrate the ability to manage stress and balance personal & professional demands for time
| | Professional Behavior & Moral Reasoning | - Interact with health-care team, patients and families in a professional manner at all times
- Handle daily patient care responsibilities in a reliable and efficient manner
- Actively participate in case discussions with classmates regarding ethical dilemmas
|
Core Medical Knowledge:
All physicians, regardless of eventual subspecialty, are expected to possess a basic fund of knowledge regarding common clinical scenarios encountered in the inpatient and outpatient rehab settings. Due to the brief duration of this clerkship, students may not encounter patients with all the following complaints or diseases. The student should, however, become familiar with the following complaints or diseases through conferences, daily ward rounds, lectures, and reading assignments. - Spasticity: its classification, characteristics and management
- Spinal Cord injury: its classification system, rehabilitation, and associated medical complications
- Traumatic Brain Injury: characteristics and rehabilitation
- Deconditioning/Immobility and prevention/treatment of potential complications (including but not limited to basic tracheostomy care, DVT, decubitus ulcers)
- Basic Pain Management: characteristics of various types of pain and basic pain management options
- Osteoporosis/Bone Health: risk factors, characteristics, and a comprehensive approach to treatment
- Neurogenic Bowel/bladder: the characteristics of the various types and their respective management
- Stroke Rehabilitation and Neuroplasticity: its definition and current research on recovery
- Autonomic Dysreflexia: its characteristics and management
- Heterotopic Ossification: its characteristics and management
- Amputation: management of a new amputation
|
