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Physical Medicine and Rehabilitation

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Pediatric Fellowship Specifics


 

Specific duties of the Pediatric Rehabilitation Fellows shall include:

  • Clinical: The fellow is responsible for participating in the care of patients in the inpatient and outpatient setting. This includes performing and documenting a history and physical examination, formulating and executing diagnosis and therapeutic plans, and performing treatment procedures to the level of their training.
  • Inpatient Service: The average 10-bed inpatient service includes approximately 110 admissions per year. Common diagnoses are traumatic brain injury, anoxic/ischemic brain injury, encephalitis, brain tumors, and spinal cord injury (many ventilator-dependent quadriplegics). In addition to the above duties, the fellow will coordinate ongoing care with all involved medical personnel and family.
  • Inpatient Consultation: The fellow is encouraged to perform all consultations (approximately 200 per year), including many patients in the intensive care unit and special care nursery. The fellow will attend the rounds and conferences pertaining to these patients. He or she will also coordinate implementation of treatment recommendations and transfer to inpatient or outpatient services as appropriate.
  • Outpatient Clinic: There are approximately 5,000 outpatient visits per year, and the fellow is involved in as many as possible. In addition to General Pediatric Rehabilitation Clinic, patients are seen in Neuromuscular, Spinal Defects, Pediatric Amputee, Combined Orthopedic Rehabilitation, Seating and Mobility, Assistive Technology, Neuro-Oncology and Hand Clinic. Major diagnoses include cerebral palsy, myelomeningocele, muscular dystrophies and other neuromuscular diseases, acquired and congenital amputations, and those children needing follow-up from their inpatient stays.
  • Procedures and Specialized Skills: The fellow is trained in performing phenol intramuscular neurolysis, botulinum toxin injections, pediatric electrodiagnosis, and management of ventilators and intrathecal baclofen pumps. Approximately 2,200 blocks and 75 electrodiagnostic procedures are performed each year. These are performed in the outpatient setting as well as in the operating room.
  • Research: The fellow will design, implement, analyze and prepare for publication an original research project during his or her fellowship.
  • Training: The fellow will supervise the medical students and residents (Physical Medicine and Rehabilitation, Pediatric, Developmental Medicine and Neurology) who rotate through the service. The fellow will contribute formal teaching through inpatient rounds and individualized lectures to the residents.
  • Training Site: The Children's Hospital is a 225-bed pediatric hospital that provides primary and tertiary care to children. It is a Joint Commission accredited facility as is the Rehabilitation Program. The Rehabilitation program includes inpatient services, outpatient services, physical/occupational and speech therapy, pediatric neuropsychology and social work services.