UAMSUAMS Department of PM&RDepartment of PM&R

http://www.uams.edu/pmr

What is PM&R?What is PM&R?

• What does PM&R stand for ?• Some think it stands for:

Pleasure Money & Relaxation• However, it really stands for:

Physical Medicine and Rehabilitation

Another name for PM&R?Another name for PM&R?

• Physiatrist (fizz ee at’ trist)• Physiatry• Rehabilitation Medicine• Interventional Physiatry/Physiatrist• “Rehab” Doctor

What is Physical MedicineWhat is Physical Medicine

• No it isn’t a physical therapist.• It is the use of physical agents

in the care of patients, such as:• ultrasound• mechanical assist devices• electrical stimulation• manual medicine• therapeutic exercise

What is Rehabilitation?What is Rehabilitation?

• The development or restoration of a person to their fullest physical, psychological, social, vocational and educational potential consistent with his or her physiological or anatomic impairment and environmental limitations.

• In other words….. “putting the pieces back together “ !!

How did PM&R originate?How did PM&R originate?

• The roots of PM&R date back to the use of physical agents such as the sun’s heat and hot springs for medicinal purposes in early recorded history.

• The field began in earnest in the 1930s.

More on the origin…….More on the origin…….• After WW II, as thousands of

veterans came home with serious disabilities, the task of helping to restore them to productive lives became a new focus for the field.

• The Advisory Board of Medical Specialties granted PM&R its approval as a specialty of medicine in 1947.

What is the goal of PM&R?What is the goal of PM&R?

• Work to obtain OPTIMAL FUNCTION and improved QUALITY OF LIFE !!!

• Emphasizes the prevention, diagnosis, and treatment of disorders involving the neuromusculoskeletal, cardiovascular, and pulmonary systems

Sampling of DiagnosesSampling of Diagnoses• Acute and Chronic Pain • Stroke • Spinal Cord Injury• Orthopedic joint replacement• Traumatic Brain Injury• Amputations• Sports-Related Injuries• Industrial Injuries• Performing Arts injuries

Types of PracticeTypes of Practice• Outpatient - solo or within a specialty

group• Interventional Pain• Non-operative musculoskeletal• Sports Medicine• Industrial/Occupational Medicine• Performing Arts• EMG/NCV consultant

Types of PracticeTypes of Practice

• Inpatient• Free Standing Rehabilitation

Hospital• Transitional Care Units• Acute Care Rehab - usually

a rehab floor within a large med center

What is the role of the What is the role of the PM&R physician ?PM&R physician ?

• Work as the leader of an interdisciplinary team to provide a comprehensive rehabilitation program for the patient

• Provide expert opinion and services for referring physicians

• Optimize the outcomes of surgical interventions through rehabilitation efforts

Interdisciplinary Team Interdisciplinary Team • neuropsychologists• physical therapists• occupational therapists• speech and language pathologists• social workers• nurses• dietitians• recreational therapists• Orthotics/prosthetics specialist

What is the future of PM&R?What is the future of PM&R?

• As the population ages, as people survive conditions that once would have been fatal, and as quality of life is an increasing concern, the field of PM&R is moving to the forefront of medicine

• PM&R workforce study

PM&R Residency at UAMSPM&R Residency at UAMS• Four-year Program

• 1 year of fundamental clinical skills

• 3 years of PM&R training• Three residents accepted per year• Written Boards at end of residency• Oral Boards after first year of

practice

Fellowship TrainingFellowship TrainingCurrent there are no UAMS PM&R fellowshipsCurrent there are no UAMS PM&R fellowships

• Most PM&R Fellowships are one year in length

• Sports 45.9%• EMG 13.1%• SCI 10.6%• Pediatrics 9.1%• TBI 7.3%• Stroke 3.6%• Pain 2.7%• Amputee 2.1%• Other 5.3%

DidacticsDidactics• Tuesday morning lecture• Seminar/Journal Club/Board

Review on Thursdays• Grand Rounds 3rd Thursday of

each month• Guest Lecture series - 2 to 3

times/year• Annual functional anatomy &

physiatric diagnosis course

Resident Prepared Lectures Resident Prepared Lectures

• PGY-2 and PGY-3 Two Seminars Two Journal Clubs Two Grand Rounds*

• PGY-4 One Seminar Two Journal Clubs Two Grand Rounds* *Co-presented with faculty mentor

Call ScheduleCall Schedule• In-House Call at BHRI - PGY 2 -

PGY-4 • Call on average is every tenth night

with good sleep most nights• PGY-1 call on VA Wards, ACH and

Baptist Rotations

UAMS PM&R Faculty

Dr. Means, Professor & Department Chair

Dr. Brown Dr. Gray Dr. Kiser Dr. Kortebein

Dr. Neale Dr. Schulz Dr. Stefans Dr. Tompkins

For more info or to set up an elective rotationCall: (501) 526-7732

Write us:

University of Arkansas for Medical Sciences Department of Physical Medicine and Rehabilitation, Slot 602

4301 West Markham Street Little Rock, AR 72205

Email: jccrow@uams.edu

Residency Program Coordinator

Jennifer C. Crow

Helpful Web LinksHelpful Web Links

• http://www.aapmr.org

• http://www.archives-pmr.org

• http://www.physiatry.org

Call Room at BHRINotice the call button for room service !!

Check out that brain power !!

Physical Therapy Gym

BHRI

BHRI Patient Suite

If this slide causes a sudden urge to use the bathroom consult your doctor

No this isn’t a breakroom

Yes rehab doctors do know how to prescribe drugs

Friendly BHRI StaffIntelligence informs us that one of these people may be an impostor

attempting to steal closely guarded rehab secrets !!

Top secret Pentagon relay station disguised as the North Little Rock VA

Physical Therapy Gym

NLRVA

OK everyone look busy, the boss may see this picture !!

EMG/NCV

Little Rock VA

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