UAMS Department of PM&R

What is PM&R? What does PM&R stand for ? Some think it stands for: Pleasure Money & Relaxation However, it really stands for: Physical Medicine and Rehabilitation

Another name for PM&R? Physiatrist (fizz ee at’ trist) Physiatry Rehabilitation Medicine Interventional Physiatry/Physiatrist “Rehab” Doctor

What is Physical Medicine No it isn’t a physical therapist. It is the use of physical agents in the care of patients, such as: ultrasound mechanical assist devices electrical stimulation manual medicine therapeutic exercise

What is Rehabilitation? The development or restoration of a person to their fullest physical, psychological, social, vocational and educational potential consistent with his or her physiological or anatomic impairment and environmental limitations. In other words….. “putting the pieces back together “ !!

How did PM&R originate? The roots of PM&R date back to the use of physical agents such as the sun’s heat and hot springs for medicinal purposes in early recorded history. The field began in earnest in the 1930s.

More on the origin……. After WW II, as thousands of veterans came home with serious disabilities, the task of helping to restore them to productive lives became a new focus for the field. The Advisory Board of Medical Specialties granted PM&R its approval as a specialty of medicine in 1947.

What is the goal of PM&R? Work to obtain OPTIMAL FUNCTION and improved QUALITY OF LIFE !!! Emphasizes the prevention, diagnosis, and treatment of disorders involving the neuromusculoskeletal, cardiovascular, and pulmonary systems

Sampling of Diagnoses Acute and Chronic Pain Stroke Spinal Cord Injury Orthopedic joint replacement Traumatic Brain Injury Amputations Sports-Related Injuries Industrial Injuries Performing Arts injuries

Types of Practice Outpatient - solo or within a specialty group Interventional Pain Non-operative musculoskeletal Sports Medicine Industrial/Occupational Medicine Performing Arts EMG/NCV consultant

Types of Practice Inpatient Free Standing Rehabilitation Hospital Transitional Care Units Acute Care Rehab - usually a rehab floor within a large med center

What is the role of the PM&R physician ? Work as the leader of an interdisciplinary team to provide a comprehensive rehabilitation program for the patient Provide expert opinion and services for referring physicians Optimize the outcomes of surgical interventions through rehabilitation efforts

Interdisciplinary Team neuropsychologists physical therapists occupational therapists speech and language pathologists social workers nurses dietitians recreational therapists Orthotics/prosthetics specialist

What is the future of PM&R? As the population ages, as people survive conditions that once would have been fatal, and as quality of life is an increasing concern, the field of PM&R is moving to the forefront of medicine PM&R workforce study

PM&R Residency at UAMS Four-year Program 1 year of fundamental clinical skills 3 years of PM&R training Three residents accepted per year Written Boards at end of residency Oral Boards after first year of practice

Fellowship Training Current there are no UAMS PM&R fellowships Most PM&R Fellowships are one year in length Sports 45.9% EMG13.1% SCI10.6% Pediatrics 9.1% TBI 7.3% Stroke 3.6% Pain 2.7% Amputee 2.1% Other 5.3%

Didactics Tuesday morning lecture Seminar/Journal Club/Board Review on Thursdays Grand Rounds 3rd Thursday of each month Guest Lecture series - 2 to 3 times/year Annual functional anatomy & physiatric diagnosis course

Resident Prepared Lectures PGY-2 and PGY-3 Two Seminars Two Journal Clubs Two Grand Rounds* PGY-4 One Seminar Two Journal Clubs Two Grand Rounds* *Co-presented with faculty mentor

Call Schedule In-House Call at BHRI - PGY 2 - PGY-4 Call on average is every tenth night with good sleep most nights PGY-1 call on VA Wards, ACH and Baptist Rotations

UAMS PM&R Faculty Dr. Means, Professor & Department Chair Dr. Brown Dr. Gray Dr. Kiser Dr. Kortebein Dr. Neale Dr. Schulz Dr. Stefans Dr. Tompkins

For more info or to set up an elective rotation Call: (501) Write us: University of Arkansas for Medical Sciences Department of Physical Medicine and Rehabilitation, Slot West Markham Street Little Rock, AR Residency Program Coordinator Jennifer C. Crow

Helpful Web Links

Call Room at BHRI Notice the call button for room service !!

Check out that brain power !!

Physical Therapy Gym BHRI

BHRI Patient Suite

If this slide causes a sudden urge to use the bathroom consult your doctor

No this isn’t a breakroom

Yes rehab doctors do know how to prescribe drugs

Friendly BHRI Staff Intelligence informs us that one of these people may be an impostor attempting to steal closely guarded rehab secrets !!

Top secret Pentagon relay station disguised as the North Little Rock VA

Physical Therapy Gym NLRVA

OK everyone look busy, the boss may see this picture !!

EMG/NCV

Little Rock VA

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