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 Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Date Created/Revised: 5/1/15 By: ac Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item Choose an item 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 M4 courses are Pass/Fail, but the elective director may utilize multiple assessment methods to create a grade. In some cases, this may assist faculty with having additional ways to evaluate the student in addition to an clinical evaluation. For example, a paper, presentation or project would give the faculty the ability to evaluate knowledge even when the student spends a limited amount of time in the elective. The final course grade will be based on the following: Standard clinical evaluation form based on observations of supervising faculty. 100% 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 Date Created/Revised: 5/1/15 By: ac 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 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. Date Created/Revised: 5/1/15 By: ac 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 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