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Medical Student Education
Electives: Rehabilitation Medicine Clerkship (REHAB 692)

REHAB 692 P-Rehabilitation Medicine Elective - Spokane (8 credits)

Offered: AWSpS; 4 weeks based on clinical block schedule
Prerequisites: 3rd year medical student standing
Location: Spokane, WA
Clerkship Site: St. Luke's Rehabilitation Institute
Faculty Contacts: Dr. Ny-Ying Lam, nlam2@uw.edu; Dr. Mindy Loveless, mlovel@uw.edu
Administrative Coordinator: Teresa Jewell, 206.616.6345; tejewell@uw.edu

Description:

This is a four-week rehabilitation clerkship and is intended for those interested in exploring a career in Physical Medicine and Rehabilitation. Site is St. Luke's Rehabilitation Institute. This course is also recommended for students contemplating a career in Family Medicine, Internal Medicine, Neurology, Rheumatology, Geriatrics, Orthopedic Surgery, or Neurosurgery.

Goals:

This clinical course focuses on providing medical and rehabilitative care to patients with a variety of diagnoses and functional limitations including, but not limited to, stroke, amputation, multiple sclerosis and motor neuron disease. Students will learn to use the International Classification of Functioning, Disability and Health to structure their assessments and treatment plans and learn to how to function as a lead member of the rehabilitation team.

Objectives:

  1. Patient Care
    • Perform a general medical history and physical exam, including a functional evaluation.
    • Produce a differential diagnosis for common medical conditions and order appropriate diagnostic studies.
    • Evaluates general medical problems and initiate treatment.
    • Describes impairments, activity limitations and participation restrictions resulting from a variety of health conditions.
    • Prescribe appropriate rehabilitation therapies by discipline based on functional need.
    • Prescribe commonly used orthoses, adaptive devices and mobility aids.
  2. Medical Knowledge
    • Applies basic medical knowledge to provide care for common medical conditions and basic preventive care.
    • Correlate impairments with lesion location in amputation syndromes.
    • Describe prevention and management of secondary conditions and complications of stroke.
    • Identify different levels of upper and lower limb amputation.
    • List the components of commonly used lower limb prostheses.
    • Describe the components of a basic pain history.
    • Identify basic medications, physical modalities, and coping mechanisms for pain.
    • Describe upper motor neuron syndrome.
    • List common symptoms experiences by people with MS and ALS.
  3. Practice Based Learning and Improvement
    • Identify strengths, deficiencies and limits in own knowledge and expertise
    • Utilize multiple sources of information (textbooks, technology, clinical supervisors, etc.) for learning needs.
    • Formulate clinically relevant questions that guide the search for specific knowledge to inform clinical decisions.
  4. Interpersonal and Communication Skills
    • Identify factors that affect communication.
    • Form positive interpersonal relationships with interacting with patients and staff.
    • Describe the positive and negative effects of information technology on accuracy of information.
  5. Professionalism
    • Exemplify compassion, sensitivity, respect, reliability, punctuality, integrity, honesty.
    • Demonstrate responsiveness to patient needs that supersedes self-interest.
    • Accept responsibility for own actions and decisions.
    • Maintain patient confidentiality and respect patient autonomy
    • Demonstrate awareness of how personal values and beliefs can impact patient care.
    • Demonstrate sensitivity and responsiveness to age, culture, disability, race, religion, sexual orientation and gender of patients and colleagues.
  6. Systems Based Practice
    • Describe and differentiate between the various systems of care in which rehabilitation is provided.
    • Direct questions/comments to appropriate team members demonstrating understanding of their roles in patient care.
    • Participate in established safety initiatives.
    • Utilize clear, concise, accurate and specific communication during patient hand-offs.

Evaluation:

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

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