The Physical Medicine and Rehabilitation elective provides students with experience in a broad scope of physiatric practice through direct patient care, educational conferences and individual study. Students rotate through the inpatient and outpatient physical medicine and rehabilitation services at Mayo Clinic's campus in Rochester, Minnesota.
For two weeks, students are assigned to the rehabilitation unit for the inpatient spinal cord injury service and traumatic brain injury and stroke service. Students also generally rotate for a week through Mayo's trauma and complex medical inpatient consult service, which is the general physical medicine and rehabilitation consult service for Mayo Clinic Hospital — Rochester, Saint Marys Campus.
During the outpatient week, students are based in the general outpatient practice on the 14th floor of the Mayo Building (Mayo 14), but also may be assigned to the Mayo Clinic Spine Center, Musculoskeletal Clinic, Sports Medicine Center or Hand Clinic. Other areas available by request may include the Pain Clinic, EMG Lab and amputee service.
- Expose students to the broad spectrum of physiatric practice, including identification of patients who may benefit from physiatric referral
- Improve and refine musculoskeletal physical examination, differential diagnosis and clinical decision-making skills
- Expand clinical evaluation skills to include functional assessment of patients with impairments
- Develop a greater understanding of the roles of potential rehabilitation team members, including but not limited to physicians, nurses, physical therapists, occupational therapists, recreational therapists, speech therapists and social workers
Students are assigned to the inpatient services on the rehabilitation unit. The two service options are the:
- Brain service, involving traumatic brain injury, stroke, general debilitation and polytrauma
- Spine service, involving spinal cord injury, myelopathy, multiple sclerosis, neuropathy and polytrauma
During the inpatient rotation, students function as rehabilitation team members, assisting in the evaluation and management of patients on the rehabilitation unit. Students are required to follow two to three patients and write daily clinical notes on these patients.
Additional activities include patient admissions, daily teaching rounds, teaching conferences, patient care conferences, management of acute patient care issues, discharge planning, and observing physical and occupational therapy.
Students are under the direct supervision of the staff consultant as well as physical medicine and rehabilitation residents assigned to the service. There are no formal weekend duties or call.
Students are assigned to the general outpatient practice on the 14th floor of the Mayo Building (Mayo 14), but also to the Spine Center, Musculoskeletal Clinic, Sports Medicine Center and Hand Clinic.
Physicians on Mayo 14 evaluate a broad spectrum of problems and conditions, including:
- Musculoskeletal disorders, such as neck, low back, shoulder, knee and hip pain
- Neurological diseases, such as stroke, multiple sclerosis, peripheral neuropathy and amyotrophic lateral sclerosis (ALS)
- Vascular disease
- Arthritis, including rheumatoid arthritis, lupus and other connective tissue diseases
- Gait disorders
- Geriatric issues
During the outpatient services, students work closely with staff consultants, review laboratory studies, assist in the clinical decision-making process, and may independently examine and present patients. Students also attend departmental teaching conferences. There are no formal weekend duties or call.
Trauma and complex medical consult service
Students generally may also rotate for up to a week through Mayo's trauma and complex medical inpatient consult service, which is the general physical medicine and rehabilitation consult service for Mayo Clinic Hospital — Rochester, Saint Marys Campus.
This service provides acute care rehabilitation services to trauma patients as well as patients with complex medical conditions that have resulted in functional impairments.
Physicians in the trauma and complex medical consult service assist with diagnosing many common physical medicine and rehabilitation issues, such as radiculopathy, neuropathy and myopathy. The primary consultants on this service are David C. Weber, M.D., and Erica Bellamkonda, M.D.
Students on this service are responsible for evaluating patients and following these patients while they are hospitalized. Students are also responsible for attending and participating in morning rounds.
Method of evaluation
Students work closely with staff consultants, who assess performance during the rotation. Residents also evaluate students' performances during the inpatient rotation.
Students are evaluated on their ability to perform a comprehensive history and physical examination, perform appropriate roles as part of the medical team, exhibit self-directed learning, and participate in didactics and conferences.
If you have questions about this rotation, contact:
- Karen L. Newcomer, M.D.
- Toni S. St John