PM&R Residency Program Manual
PM&R Resident Rotation Descriptions

PM&R Inpatient Orthopedic/Joint Rehabilitation Service  – Dr. Laura W. Lee
On this rotation PM&R residents learn to assess and manage patients’ common orthopedic problems and understand when orthopaedic referral is appropriate. An emphasis is placed on joint replacements.

Goals and Objectives:

• To describe the physiologic changes noted with deconditioning and the clinical significance.
• To understand and practically apply the inpatient admission criteria to patients with multiple trauma, deconditioning, multiple sclerosis, etc.
• To recognize potential medical complications of patients with multiple trauma, orthopaedic injuries and deconditioning.
• To recognize potential complications of patients after orthopedic surgery and amputation.
• To consistently identify short-term and long-term rehabilitation goals upon initial evaluation of the patient.
• To understand and be able to state the total hip precautions and trocanteric precautions after a total hip replacement.
• To understand the importance of DVT prophylaxis and be able to prescribe the proper medications and monitor appropriate lab values.
• To be able to understand who is a prosthetic candidate and understand pre and post amputation care of the patient.
• To successfully lead multi-disciplinary team discussions and family education sessions.