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Electives - Physical Medicine and Rehabilitation

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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.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
    • Specific days missed must be approved by the Attending on Service.

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:

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.

Specific 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.
• Gain exposure to the rehabilitation approach which focuses on Function and Quality of Life by optimizing the plan of care in variety of domains.
• Understand the important and impact of spasticity and tone disorders on functional and pragmatic parameters of patient cases.

Knowledge, Skills and Attitudes

Knowledge:
• Become familiar with the rehabilitative management and complications associated with:
o Cerebral Palsy
o Traumatic Brain Injury
o Myelomeningocele
o Variable hereditary neuromuscular conditions

• 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.

Skills:
• Improve history taking skills for complex pediatric cases.

• 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.

Attitudes:
• Learning to be:
o Confident in the assessment of Children with SHCN.
o Sensitive to the needs of a family of a child with SHCN.
o Empowered to help and advocate for families of children with SHCN.
o Respectful of the knowledge that families and children have of their own conditions.


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