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department of physical medicine and rehabilitation

Residency Program

 

Curriculum

Clinics

Consult Service

Courses

Electives

Electrodiagnostic Medicine

Inpatient Services

Outpatient Services

Research

Rotations

 

Clinics

 

There are several multidisciplinary clinics held at MossRehab, Temple University Hospital and the pediatric hospitals that are of significant educational and clinical value. The clinics at MossRehab include the Spina Bifida, Prosthetics and Orthotics Clinics. The resident on service will present his or her patient at the Prosthetics/Orthotics Clinics; all residents on rotations at those sites are encouraged to participate in all clinics.

 

The objective of the Clinics is for brief and focused patient evaluation and discussions for the prescription of orthotic and prosthetics devices, and wheelchair and seating needs. Prosthetic and Stroke Follow-up Clinics are held at Temple University Hospital.

 

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Consult Service

 

The resident will fully evaluate the medical and rehabilitative needs of the patients referred from the acute care medical and surgical services. The resident will be assigned approximately six to ten consultations per day according to the patient medical acuity, rehabilitation needs and resident capabilities. Each resident is assigned to an attending physician who is a member of the full-time or volunteer faculty of Temple University Hospital, Department of Physical Medicine and Rehabilitation.

 

The consultation will include history and physical examination, functional status, rehabilitation goals, and rehabilitation program. The resident will consider the patient's post acute care needs such as inpatient rehabilitation, outpatient care or home care. The resident should review all medical tests and radiological studies prior to prescribing a rehabilitation program. As part of the duties, the resident will write all prescriptions for equipment such as wheelchairs and referrals for continued rehabilitative care.

 

The resident will write or dictate the consultation according to the individual hospital's guidelines and provide the necessary follow-up assessments.

 

The attending physician will supervise the resident by reviewing all rehabilitation evaluations and programs written. Teaching occurs at the bedside, in small group discussions, case presentations and lectures.

 

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Courses

 

 

Anatomy (September to January). Under the supervision of the Department of Anatomy, Temple University Health Sciences Center, dissection of the back and the limbs is performed, with special emphasis on those aspects pertinent to Rehabilitation Medicine and Orthopedic residents. Cadaveric dissection is required for PGY2 and PGY3 residents.

 

Clinical Science. All affiliated rehabilitative services and programs conduct weekly conferences; the conference schedules are specific for each participating hospital and are developed and posted at each hospital.

 

Neuroanatomy (September to December). Under the supervision of the Department of Anatomy of Temple University Health Sciences Center, a review of the brain and spinal cord is presented, with special emphasis on those aspects most pertinent to Neurology, Neurosurgery and Rehabilitation Medicine residents.

 

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Electives

 

Electives are designed for residents wishing to focus on an area of particular interest or need. Elective time is available based on educational objectives and program needs.

 

Clinical

  1. Gait and Motion Analysis Laboratory - MossRehab Hospital
  2. Motor Control Analysis Laboratory - MossRehab Hospital
  3. Outpatient - MossRehab Hospital and MossRehab Outpatient Center(s)
  4. Advanced electrodiagnostic medicine and neurophysiology - MossRehab Hospital
  5. Senior Elective Rotation - MossRehab Hospital
  6. Senior Ambulatory Rotation - Temple University Hospital

Sports Medicine / Orthopedics

Spine Service

Occupational Rehabilitation

Radiology

Rheumatology

Clinical Research

 

Residents are encouraged to select a research project in their first year and to continue its development to a conclusion by the end of their training program. Support is provided through a research mentor and selected members of the Moss Rehabilitation Research Institute and Temple University School of Medicine faculty. All research projects involving patients must be approved by the Program Director, Chairperson and respective hospital Institutional Review Board.

 

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Electrodiagnostic Medicine

 

The resident will initially observe electrodiagnostic procedures with the attending physician. The resident will gradually assume more responsibility with the goal of performing EMGs only with supervision by the end of the rotation.

 

As part of the Electrodiagnostic rotation, the resident will fully evaluate the patients referred for studies. Each resident is assigned to an attending physician, who is a member of the full-time or volunteer faculty.

 

The resident will write or dictate the EMG data, conclusions and recommendations, according to the individual service's guidelines on the day of the procedure.

 

The attending physician will supervise the resident by reviewing all electrodiagnostic studies performed. Teaching occurs with each individual patient, small group discussions, case presentations, and lectures.

 

The resident is to maintain a record of all electrodiagnostic studies including patient name and number, diagnosis and regions studied which he or she performed for purposes of the American Board of Physical Medicine and Rehabilitation and the American Board of Electrodiagnostic Medicine.

 

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Inpatient Services

 

The residents will fully evaluate the medical and rehabilitative needs of their assigned patients. In general, the resident is assigned 8 to 15 patients according to the patients' medical acuity, rehabilitation needs and resident capabilities. Each resident is assigned to an attending physician, who is a member of the full-time or volunteer faculty.

 

The initial evaluation will include history and physical examination, functional assessment, rehabilitation goals, medical orders and rehabilitation program. The resident will have primary responsibility for patient care, which includes daily rounds, review of medical test results and overview of the rehabilitation program. The resident will write all prescriptions for equipment such as wheelchairs, prosthetics, orthotics, etc. The resident will participate actively in rehabilitation team meetings such as gym rounds and team conferences.

 

The resident will dictate the discharge summary according to the individual hospital's guidelines and write an off-service note for each patient during the last week of a rotation on each service.

 

The attending physician will supervise the resident by reviewing all patient orders, rehabilitation evaluations and orders written. Teaching occurs at the bedside, small group discussions, case presentations, and lectures. The attending is expected to provide the resident with educational goals/objectives for each rotation.

 

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Outpatient Services

 

The resident will fully evaluate the medical and rehabilitative needs of the patients referred for outpatient physiatric evaluations. The resident will be assigned approximately three to four outpatient evaluations per half day (either initial or follow-up). Each resident is assigned to an attending physician, who is a member of the full-time or volunteer faculty.

 

The outpatient consultation will include history and physical examination, functional status, rehabilitation goals and needs, and the alternatives for management such as inpatient rehabilitation, outpatient care or home care. The resident should review all available medical tests and radiological studies prior to prescribing a rehabilitation program. The resident will write all prescriptions for equipment such as wheelchairs, orthotics, prosthetics, etc. and therapeutic prescriptions or referrals for continued rehabilitative care.

 

The resident will write or dictate the consultation according to the individual hospital's guidelines.

 

The attending physician will supervise the resident by reviewing all rehabilitation evaluations and programs written. Teaching occurs with each individual patient, small group discussions and case presentations, and lectures.

 

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Research

 

Clinical research is an elective part of the training Program. Research will be performed under the supervision of faculty at the Moss Rehabilitation Research Institute or Temple University Hospital.

 

The Moss Rehabilitation Research Institute offers a research curriculum intended to introduce the resident to research methods and guide them in the selection and development of a particular project.

 

The resident may identify a research project early in the PGY2 year and obtain approval by the Program Director and Chairperson. In addition, each resident is expected to prepare an abstract of a scientific nature appropriate for presentation at a major PM&R meeting during his three years.

 

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Rotations

 

Inpatient Care:

Abington Memorial Hospital

Alfred I. duPont Institute - pediatrics

Children's Seashore House - pediatrics

Delaware County Memorial Hospital

MossRehab Hospital

Temple University Health System

Consult Services:

Albert Einstein Medical Center

Temple University Health System

Electrodiagnostic Medicine:

Alfred I. duPont Institute - pediatrics

MossRehab Hospital

Temple University Hospital

Outpatient Services:

Abington Memorial Hospital

Alfred I. duPont Institute

MossRehab Hospital

Delaware County Memorial Hospital

Temple University Hospital

Off-site musculoskeletal rotations

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