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  Department of Rehabilitation Medicine 
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Medical Student Education
Electives: Chronic Disease and Disability (REHAB 685P)

REHAB 685P - Chronic Disease and Disability (4 credits)

Offered: AWSpS; 2 weeks based on clinical block schedule
Prerequisites: 3rd year medical student standing; Permission from Department
Location: Seattle, WA
Clerkship Site: UWMC, HMC, VAMC, SCH, Various
Faculty Contact: Dr. Ib Odderson, odderson@uw.edu
Administrative Contact: Teresa Jewell, 206.616.6345; tejewell@uw.edu

Description:

This is a two-week rehabilitation clerkship and is intended for those interested in exploring a career in Physical Medicine and Rehabilitation. Sites are within the University system and local Seattle area. Site preferences can be indicated but are not guaranteed. Please contact the clerkship coordinator for site preferences. This course is recommended for students contemplating a career in Family Medicine, Internal Medicine, Rheumatology, Cardiology, Neurology, Geriatrics, Orthopedic Surgery, Neurosurgery, or Cardiovascular Surgery.

Goals:

The goal of this rotation is to learn inpatient PM&R management of patients with disabilities and functional impairments due to disorders such as acquired brain injury, CNS disorders, spinal cord injury, and complex medical conditions. Students will have a structured clinical experience on rehabilitation medicine wards, clinics, or consultation services. Students will learn the differences between acute and chronic medicine, identification of disability problems, and therapeutic techniques for removing disability.

Objectives:

  1. Patient Care
    • Perform a general and specific physiatric examination, including (as appropriate): mental status evaluation, gait evaluation, manual muscle testing, ASIA exam
    • Diagnose physical, cognitive, and psychosocial impairments and disabilities
    • Formulate a problem list, prioritizing medical and rehabilitation issues
    • Integrate facts and data to make clinical decisions
  2. Medical Knowledge
    • Review laboratory data and imaging data and identify normal and abnormal findings
    • Name expected effects and side effects for commonly used oral or injected medications
    • Generate a differential diagnosis for medical or PM&R problems
    • Integrate and apply knowledge to manage complex medical problems
    • Integrate and apply knowledge to manage complex PM&R problems
  3. Practice Based Learning and Improvement
    • Identify strengths, deficiencies and limits in own knowledge and expertise
    • Use information technology and other resources to optimize learning
    • Attend teaching conferences and rounds
  4. Interpersonal and Communication Skills
    • Present material clearly and accurately to patients using effective verbal and non-verbal skills, utilizing interpreters if needed
    • Utilize effective listening skills
    • Communicate with physicians, staff/team, and insurers in respectful, responsive manner
    • Complete dictations and chart notes in a timely manner
    • Document clinical findings in accordance with service requirements
    • Use information technology to access and manage patient information
  5. Professionalism
    • Exemplify respect, compassion, reliability, punctuality, integrity and honesty
    • Demonstrate responsiveness to patient needs that supersedes self-interest
    • Accept responsibility for own actions and decisions
    • Maintain patient confidentiality and respect patient autonomy
    • Apply ethical principles in obtaining informed consent
    • Demonstrate sensitivity and responsiveness to age, culture, disability, race, religion, sexual orientation and gender of patients and colleagues
  6. Systems Based Practice
    • Collaborate with and maintain appropriate professional attitudes and behaviors toward other medical professionals and allied health personnel
    • Assess how own actions affect others
    • Integrate care of patients across settings and ensure appropriate hand off
    • Evaluate risks, benefits, limitations, and costs of patient care
    • Advocate for patients in dealing with system complexities
    • Advocate for quality patient care
    • Work effectively with other services, health care agencies, and case managers
    • Work to improve the system of care

Evaluation:

Honors, High Pass, Pass, and Fail. Based on recommendation of preceptor.

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