PMR General Rehab
PM&R Residency Program Manual
PM&R Resident Rotation Descriptions
PM&R General Inpatient Rehabilitation Service – Dr. Susan A. Miller
The goal of this rotation is for PM&R residents to learn to care for hospital inpatients with functional impairments stemming from a wide variety of disease conditions including orthopedic fractures; multiple trauma; general deconditioning after prolonged hospitalization; status post organ transplants; and spinal disorders.
Goals and Objectives:
- Obtain a physical medicine and rehabilitation history and exam.
- Diagnose and treat commonly seen complications of diseases and disabilities in inpatients on physical medicine and rehabilitation services, such as: decubitus ulcers, phantom limb pain, delirium and vertebral fractures.
- Develop a comprehensive knowledge base about major physical medicine and rehabilitation diseases found in inpatient care.
- Communicate with and educate patients and their families. Become comfortable discussing functional outcomes after hip fracture and amputations.
- Participate in patient discharge and social planning.
- Develop awareness of ethical issues in patient care in rehabilitation.
- Develop awareness of cost effectiveness of diagnostic studies, treatment, and resource limitations in healthcare.
- Teach other residents and medical students.
- Critically review your own patient care performance and knowledge base under supervision.
- Utilize internet learning sites such as Up to Date and MD Consult to learn more about injuries and diseases that are common to rehabilitation hospital patients.
- Learn what medications are commonly used in patients who are status post organ transplant and their side effects, along with the laboratory values used for monitoring.
- Learn to manage diabetes mellitus in inpatients and complications including decreased sensation, skin breakdown, and peripheral neuropathy.
- Learn which medications can cause problems including myopathy, somnolence, altered mental states, and urinary retention in the elderly. Learn which medications need to be dosed according to age and renal function, and how to determine the appropriate dose.
- Learn how to work up osteoporosis and which meds improve bone density. Learn which exercises should be avoided after osteoporotic fracture, and what type of exercise program to prescribe for fitness.
- Learn how to prescribe pain medications in the elderly.
- Demonstrate professionalism and good interpersonal communication skills with patients, families, and all members of the healthcare team.
- Demonstrate teamwork.