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DESCRIPTION AND
GOALS OF COURSE
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This elective offers the student a more concentrated experience in the evaluation and management of disabling neurologic conditions. The rotation will include evaluation in the acute period after disease or injury onset, management in a comprehensive inpatient rehabilitation unit, and long term follow up in the outpatient setting. The most common disorders encountered include stroke, head injury, spinal cord injury, Parkinson�s disease, multiple sclerosis, and other neuromuscular disorders such as post �polio syndrome, peripheral neuropathy and neuropathic pain, and nerve entrapments such as carpal tunnel syndrome. The student will spend one week each in the dedicated traumatic brain injury unit at Sinai Hospital and in the spinal cord injury unit at Kernan Hospital, a major teaching site for the residency training program and affiliate of the University of Maryland.
The participant will work with faculty attending physicians and
residents in medical and functional evaluation of patients including gait
analysis, manual muscle testing, biomechanics, evaluation of abnormal
muscle tone, pain management, prosthetics, orthotics and adaptive
equipment. The student will learn the role of the physiatrist as leader
and care coordinator in the multi-disciplinary team and the role of the
other team members including physical therapy, occupational therapy,
speech/language pathology, psychology, social work, rehabilitation
nursing, and prosthetists/orthotists. Exposure to physiatric procedures
will include electrodiagnostic testing for neuromuscular disease, nerve
block procedures with Botox and phenol for abnormalities of muscle tone,
and modified barium swallow examinations for swallowing impairments. Time
in the outpatient department will include interaction with the Sinai
Rehabilitation Center�s innovative RETURN! Brain injury rehabilitation
program that focuses on community reintegration.
Close cooperation with other hospital departments including neurology,
neurosurgery, neuroradiology and orthopedics broaden the learning
experience. The student will participate in the didactic program of the
department.
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