SYLLABUS
College of Medicine
Course title and number
Term (e.g., Fall 200X)
Meeting times and
location
Physical Medicine and Rehabilitation IMED 808-00B
Continuous
Bryan/College Station
Course Description and Prerequisites
This elective will allow fourth year medical students to familiarize themselves with the specialty of Physical
Medicine and Rehabilitation if they are considering it as a possible career specialty. It will familiarize fourth
year medical students with an inpatient and outpatient PM&R program and the treatment of complex
neuromuscular and musculoskeletal problems. In addition, it will familiarize the student with a concept of
interdisciplinary teams, and to help understand the appropriate and cost effective use of allied health
therapies. Lastly, it will familiarize the student with the allied therapies including physical, occupational,
speech and recreational therapy, prosthetics and orthotics.
Instructor Information
Name
Telephone number
Email address
Office hours
Office location
Elective Director
Kelly Lobb, M.D.
979-821-7527
klobb@yahoo.com
By Appt.
1600 Joseph Dr. Bryan, TX
77802
Name
Telephone number
Email address
Office hours
Office location
Coordinator
Arthur Castro
979-845-1805
acastro@medicine.tamhsc.edu
By Appt.
SJRHC
Learning Outcomes & Objectives
Upon completion of the rotation, the student is expected to be able to:
1. Understand and appreciate the anatomy and physiology of the central and peripheral nervous system
as well as muscular system.
2. Understand basic management and rehabilitation, and treatment of patients after stroke, traumatic
brain injury, or spinal cord injury
3. Appreciate and understand the medical problems encountered by (and often specific to) traumatic
brain injury, spinal cord injury, or stroke
4. Provide primary conservative care of common musculoskeletal problems, including understanding
when soft tissue, joint, bursal, or spinal injections are appropriate. There may be the opportunity to
perform some procedures under supervision.
5. Understand the initial workup and appropriate use of imaging techniques for musculoskeletal
problems
6. Refine the skills with regards to history and physical examination of neuromusculoskeletal problems.
Date Created/Revised: 5/1/15 By: ac
7. Understand the uses and possible misuses of allied health therapies and appreciate what are
appropriate or inappropriate referrals.
8. Observe electrodiagnositc studies and understand their potential benefits and limitations. The student
will work with the attending physician in evaluating consults and managing inpatients on the
Inpatient Rehabilitation Unit. The student will formulate progress notes and orders of assigned
patients. The student will work with the attending physician in evaluating new patients and follow-up
patients in the outpatient setting. There will be individual discussions provided by the PM&R staff
and the student will participate in interdisciplinary Team Conferences held on inpatients. The student
will visit Physical Therapy, Occupational Therapy, Speech Pathology, and Prosthetics and preferably
follow-up with patients who are obtaining therapies. The student will be able to accompany attending
physicians to outlying regional clinics if interested
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development: http://medicine.tamhsc.edu/policies/pdf/curriculumprinciples-guidelines.pdf
Course Objective:
1.
Understand and appreciate the
anatomy and physiology of the central and
peripheral nervous system as well as
muscular system.
2.
Understand basic management and
rehabilitation, and treatment of patients after
stroke, traumatic brain injury, or spinal cord
injury
3.
Appreciate and understand the
medical problems encountered by (and
often specific to) traumatic brain injury,
spinal cord injury, or stroke
4.
Provide primary conservative care of
common musculoskeletal problems,
including understanding when soft tissue,
joint, bursal, or spinal injections are
appropriate. There may be the opportunity
to perform some procedures under
supervision.
5.
Understand the initial workup and
appropriate use of imaging techniques for
musculoskeletal problems
6.
Refine the skills with regards to
history and physical examination of
neuromusculoskeletal problems.
7.
Understand the uses and possible
misuses of allied health therapies and
appreciate what are appropriate or
inappropriate referrals.
8.
Observe electrodiagnositc studies
and understand their potential benefits and
Date Created/Revised: 5/1/15 By: ac
COM
Competen
cy Based
Learning
Objectives
(CBLO):
Taught (T)
and/or
Evaluated (E):
MK13,MK5,
PC1-6,
PC8,
PC10,PC1
2, PC13,
PC15, ICS
1&3,
PROF 4-6,
PROF10,
SBP1,
Taught AND
Evaluated
Evaluation:
Multisource Assessment
(360 eval)
limitations. The student will work with the
attending physician in evaluating consults
and managing inpatients on the Inpatient
Rehabilitation Unit. The student will
formulate progress notes and orders of
assigned patients. The student will work
with the attending physician in evaluating
new patients and follow-up patients in the
outpatient setting. There will be individual
discussions provided by the PM&R staff and
the student will participate in
interdisciplinary Team Conferences held on
inpatients. The student will visit Physical
Therapy, Occupational Therapy, Speech
Pathology, and Prosthetics and preferably
follow-up with patients who are obtaining
therapies. The student will be able to
accompany attending physicians to outlying
regional clinics if interested
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Textbook and/or Resource Material
Literature assignments by the faculty regarding selected patients and clinical problems.
The following books and case study materials will be used in this course.
Title: Physical Medicine & Rehabilitation Secrets, 3e
Author: Bryan J. O'Young MD, Mark A. Young MD, Steven A. Stiens MD MS
Edition/Copyright: 3 edition (October 5, 2007)
Publisher: Mosby;
ISBN: 1416032053
Campus specific information needs to be provided by course coordinator.
Grading Policies
GRADING SCALE
Satisfactory
70-100
Unsatisfactory
69 and below
Should the course director determine remediation is required, the remediation plan will be at the discretion of the
course director and on a case by case basis depending on the issues involved. Remediation plans could entail some
(or all) of the following examples: Additional clinical shifts, research papers, presentations, article reviews, exams,
directed reading, web-based modules, etc. If the student performance results in a failure of the elective, it will be
recommended that the elective be taken again in its entirety.
Attendance and Make-up Policies
Responsibilities and Expectation of Students
TAMHSC – COM student handbook states: Students who miss more than 20% of a 4th year elective for any
reason (2 weekdays during a two-week rotation or 4 weekdays for 4 week rotation) will require a
remediation plan. However because elective schedules often vary considerably from a standard academic
schedule, and students are often requesting extended time off during the interview season, each elective
director is encouraged to consider your own attendance and remediation policy.
Students are expected to be present for the various elective activities that will be noted by your staff.
Attendance is expected at the various clinical activities including morning ward rounds, operating room
when assigned, afternoon rounds, conferences, and any activity specifically requested by your attending.
Students are expected to be punctual for all of the various activities noted on the weekly schedule. Failure
to adhere to the schedule will result in undue delays and inconveniences to patients, students and faculty.
The development and maintenance of a professional attitude is an ongoing responsibility of each student.
Professional behavior is expected at all times. All students will be expected to dress in an appropriate
manner, convey a professional appearance or image, and are encouraged to be neat and clean. For further
information please see Student Code of Conduct requirements here:
http://medicine.tamhsc.edu/dean/policies/student-policies/student-code-conduct.html
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil
rights protection for persons with disabilities. Among other things, this legislation requires that all students with
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disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If
you believe you have a disability requiring an accommodation, please contact Disability Services, in Cain Hall, Room
B118, or call 845-1637. For additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and
honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with
the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the
course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas,
processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of
another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions
can be viewed on the Aggie Honor System Office website;
http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions.
E-mail Access and FERPA
The College of Medicine is communicating all official information to students through the students’ TAMHSC e-mail
accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources
and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering
for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any
questions, please contact the TAMU’s Office of the Registrar at 979-845-1031.
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the
privacy of education records, to establish the rights of students to inspect and review their education records and to
provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also
have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education
in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their
academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs
of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation
and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student
mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or
patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through
an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html. For a full list of reporting avenues,
please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
Date Created/Revised: 5/1/15 By: ac
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: 5/1/15 By: ac