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Electives - Physical Medicine and Rehabilitation
Physical Medicine & Rehabilitation: Children w/Special Health Needs - Peds Rehabilitation
Elective Number: 3710 (lottery - students schedule themselves in OASIS)
Rotation Supervisors: Christopher Lunsford, MD
Coordinator: Joanne Palmer
Duration: 2 wk min/4 wk max
Available: CLASS OF 2019 - 1, 2, 3a, 4, 5a, 6, 7b, 8a, 9b, 10-12, 13a & 14
Report to: Dr. Lunsford or Alisha Wheeler, RN BSN
Time to Report: 8:30 am
Place to Report: 4th Floor Battle Building (UVA Children's Hospital)
Typical day: 8:45 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
Suggested preparatory reading : Selected passages of Pediatric Rehabilitation: Principles and Practice 4th Edition by Michael A. Alexander MD (Author), Dennis J. Matthews MD (Author) to be assigned at the beginning of the rotation (book will be available to borrow)
Number of students per rotation: 1
Course Description: This rotation provides Medical Students with exposure to the care of pediatric patients with common rehabilitation diagnoses and special health care needs (SHCN) in both inpatient and outpatient settings.
tasks (e.g., H&Ps, assisting in OR, writing orders, counseling families,
etc.); related reading, presentations, lectures, papers: H&P
for outpatient visits and inpatient consults, weekly reading of articles
for didactic sessions, and two-three short 20 mins presentations.
Objectives of the Elective
• Learn the development milestones and common deviation patterns
from normal development.
Knowledge, Skills and Attitudes
• Appreciate the interface between medical care coordination and physical, occupational, and speech-language therapy.
• Learn about the varied equipment needs of children with special healthcare needs including wheelchairs, standers, gait-trainers, walkers, and caretaker assistive devices.
• Learn how to assess prognosis for ambulation in children with cerebral palsy.
• Understand the role of a Caretaker and the concept of Caretaker burden, which can often be optimized.
• Build rapport and trust with family of children with SHCN.
• Improve basics of a Neuromuscular exam.
• Apply the medical approach to improving functional developmental skills, including when and why to prescribe certain medications, therapies, and/or equipment.