UAMS Department of PM&R

1. UAMSDepartment of PM&R http://www.uams.edu/pmr

2. What is PM&R? • What does PM&R stand for ? • Some think it stands for:PleasureMoney & Relaxation • However, it really stands for: Physical Medicine and Rehabilitation

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

4. 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

5. 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 “ !!

6. 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.

7. 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.

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

9. 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

11. 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

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

13. What is the role of the PM&R physician ? • Work as the leader of aninterdisciplinaryteamto 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

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

15. 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

16. 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

17. Fellowship TrainingCurrent there are no UAMS PM&R fellowships • Most PM&R Fellowships are one year in length • Sports 45.9% • EMG 13.1% • SCI 10.6% • Pediatrics 9.1% • TBI 7.3% • Stroke 3.6% • Pain 2.7% • Amputee 2.1% • Other 5.3%

18. 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

19. 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

20. 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

21. 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

22. Residency Program Coordinator Jennifer C. Crow For more info or to set up an elective rotation Call: (501) 526-7732 Write us: University of Arkansas for Medical Sciences Department of Physical Medicine and Rehabilitation, Slot 602 4301 West Markham Street Little Rock, AR 72205 Email: jccrow@uams.edu

23. Helpful Web Links • http://www.aapmr.org • http://www.archives-pmr.org • http://www.physiatry.org

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

26. Check out that brain power !!

28. Physical Therapy Gym BHRI

29. BHRI Patient Suite

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

31. No this isn’t a breakroom

32. Yes rehab doctors do know how to prescribe drugs

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

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

37. Physical Therapy Gym NLRVA

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

41. EMG/NCV

44. Little Rock VA

48. Our Offices & UAMS Clinic

49. Little Rock

50. Little Rock