SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Introduction to Physical Medicine & Rehabilitation in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
C-Form & Letter of Interest submitted to Judy Terlik at
Responsible Faculty Director:
Kristin Wong, MD
Other Faculty:
Wes Foreman, M.D. Christopher Garrison
Location to Report on First Day
Judy Terlik at or (512) 324-7860
Periods Offered
including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 The goals for this elective are: 1) to expose students to the specialty of Physical Medicine and Rehabilitation 2) to educate students about the roles of the interdisciplinary team, including physical therapy, occupational therapy, speech/cognitive therapy, case management and rehabilitation nursing 3) to educate students about the various levels and settings available to patients to receive rehabilitation.

 After completion of this elective, students will meet the following objectives: 1) Students will be able to understand when a Physical Medicine and Rehabilitation referral is appropriate to request. 2) Students will be able to identify the types of injuries and clinical conditions that are managed by a Physical Medicine & Rehabilitation physician, including spinal cord injuries, brain injuries, strokes, amputations, orthopedic conditions, musculoskeletal injuries, congenital abnormalities and other conditions. 3) Students will be able to explain the differences in how physiatrists manage these types of patients (compared to other specialties.) 4) Students will become familiar with the medical issues and management strategies of common rehabilitation conditions. 5) Students will be able to identify the roles of physical, occupational, speech/cognitive therapists and other rehabilitation team members and know the indications for referral to these disciplines. 6) Students will become familiar with the interdisciplinary team process and how the interdisciplinary team functions in a rehabilitation environment.

Description of course activities
 During this rotation, students will be involved in the management of rehabilitation patients in a variety of settings including: 1) an acute trauma facility 2) a rehabilitation facility 3) in specialty clinics 4) an outpatient private practice setting. Students will be given the opportunity to evaluate and assist in the management of patients with various rehabilitation conditions. Special emphasis will be given to understanding the goals and priorities in medical management of rehabilitation patients. Educational materials related to Physical Medicine and Rehabilitation will be provided for discussion and reinforcement of informational presented in the clinical setting. wellbutrin online cozaar advil zithromax phentermine online purchase phentermine order soma online naproxen generic zyrtec buy ultram generic lipitor phentermine online generic wellbutrin generic xanax buy soma diflucan order cialis prevacid viagra online allegra wellbutrin online hoodia online norvasc lorazepam ambien online purchase viagra soma buy phentermine generic prevacid cheap adipex phentermine online cetirizine lasix viagra generic phentermine famvir imovane augmentin order valium online celecoxib zestril generic prozac buy xenical order phentermine cheap alprazolam purchase valium zyrtec tylenol cheap viagra online buy ultram online generic cialis buy propecia order soma viagra online buy hydrocodone metformin

Type of students who would benefit from the course
 Students who would benefit from this course include: 1) students who are considering PMR as a specialty career choice 2) students who are considering a specialty that interfaces with PMR (such as orthopedics, neurology, neurosurgery, general surgery, rheumatology, pediatrics, internal medicine or family medicine.) To enroll, UTMB students should submit a C-form & Letter of Interest to Judy Terlik at for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PMRU 4401 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8:00 - 12:00 1:00 - 4:00
  Tuesday 8:00 - 12:00 1:00 - 4:00
  Wednesday 8:00 - 12:00 1:00 - 4:00
  Thursday 8:00 - 12:00 1:00 - 4:00
  Friday 8:00 - 12:00 1:00 - 4:00
  Saturday n/a n/a
  Sunday n/a n/a
  Average number of patients seen per week: 15  
  Call Schedule:   none  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Students will be observed on a daily basis.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    The student will present to the Attending physicians and responsible faculty.
  B. Frequency / duration of presentation(s)?
    Students will be given the opportunity to work up patients and present to faculty on a daily basis for one hour.
  C. Format - What guidelines are set for the student's presentation?
    Guidelines for student presentation will be utilized as outlined in the ‘Handbook of Physical Medicine and Rehabilitation, 2nd Ed’ by S.J. Garrison.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Students will be assigned to write comprehensive consultations on assigned patients. They will also write progress notes on patients that they are following on the service.
  B. Format - What guidelines are set for the student's written work?
    Guidelines for student’s written work will be utilized as outlined in the ‘Handbook of Physical Medicine and Rehabilitation, 2nd Ed’ by S.J. Garrison.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Content of the written assignments will be selected as it relates to the clinical cases being presented.
  F. Audience - Who assesses the student’s written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students would be expected to demonstrate participation by asking thoughtful questions, applying the information that is taught, seeking additional experience by shadowing other rehabilitation disciplines (such as PT/OT/Speech/ Cognitive Therapists.) Reviewing literature and pertinent journals would also demonstrate favorable participation in the elective.

6.  Other Modes of Evaluation
  Please explain below.
    Because the specialty of PMR requires that a physician have excellent communication skills, special emphasis will be given to observing the student’s communication style with patients, interdisciplinary team members and other physicians. Feedback will be given and communication coaching will be provided as appropriate.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.