National PM&R Clerkships Listings (Ordered by State)

Alabama

University of Alabama School of Medicine
Clerkships: A 3rd year selective and 4th year Acting Internships and Electives are offered. Learning objectives and contact information can be found HERE.
Visiting Students Coordinator: Lu Braswell, Academic Scheduling Coordinator
Phone: (205) 934-7976
Fax: (205) 934-8789
Email: braswell@uab.edu

California

David Geffen School of Medicine at UCLA
Elective Rotations: Elective rotations are offered to fourth-year medical students. Course descriptions and application processes can be found at the following links:

Links:
http://www.medstudent.ucla.edu/sao/clinical/pdf/4yhdbk0607/025_med.pdf starts on page 187.
http://www.medstudent.ucla.edu/sao/clinical/pdf/4yhdbk0607/024_md..pdf starts on page 140.

UC Davis School of Medicine
Elective Rotations: Fourth year medical student electives are available for medical students from other medical schools: General PM&R (this is recommended for those applying to PM&R); Musculoskeletal Medicine; Pediatric Rehab.

Link: The detailed application process is available at:
http://som.ucdavis.edu/ea/records/visstudents/ choose academic programs/choose externships/choose U.S. visiting students/select application packet and follow all instructions.
Duration: 2 and 4 weeks
Contact: Pat Settje
Tel: (916) 734-5292
Email: settje@ucdavis.edu

UC Irvine School of Medicine
Elective Rotations: Students from accredited medical schools may participate in a 4 week rotation at UC Irvine and it's affiliate hospitals. The 4 week rotation covers all three of our main clinical sites and provides experience in both inpatient and outpatient settings.

Link: http://www.ucihs.uci.edu/som/meded/elective/PM&Rindex.html
Duration: 4 week rotations
Contact: Shane Wen, Coordinator
Email: wens@uci.edu
Tel: (714) 456-6444

Colorado

University of Colorado at Denver and Health Sciences Center
Elective Rotation: PM&R Elective available to visiting 4th year medical students.
Duration: 4 weeks

Link: www.uchsc.edu/extern
Student Affairs Contact: Becky Gossert in the Student Affairs Office
Email: becky.gossert@uchsc
Departmental Contacts:
William Sullivan, MD
Email: William.Sullivan@UCHSC.edu
Tel: (720) 848-2149
Vy Malcik
Tel: (303) 724-1264

Florida

University of Miami Miller School of Medicine
Elective Clerkships: Miller School of Medicine University of Miami/ Jackson Memorial Hospital Department of Rehabilitation Medicine offers an elective clerkship to 4th year medical students in allopathic or osteopathic approved medical schools for a period of 2- 4 weeks. The pre-requisite is completion of an elective in general medicine and surgery. Students rotate in clinical adult and pediatric inpatient services, consultation services, outpatient services and rehabilitation research. Rehab disciplines consist of Traumatic Brain Injury, Spinal Cord Injury, NeuroRehab and Comprehensive. The sites for the clinic electives are the Jackson Memorial Hospital inpatient rehab units, University of Miami Hospital and Clinics, Jackson Memorial outpatient staff and private clinics, and Miami VA Healthcare System. The sites for the research elective are the Miami Project to Cure Paralysis, Miami VA Healthcare System, and Jackson Memorial Hospital.

Link: For details go to http://www.mededu.miami.edu/visitingstudents.
Contact: All interested students should contact Coretha Davis, Education Coordinator, Department of Rehabilitation Medicine (D-461) University of Miami School of Medicine P.O. Box 016960 (D-461) Miami, FL 33101
Phone: 305-585-1431
Fax: 305-585-1340
Email: cdavis@med.miami.edu

Illinois

Northwestern University Feinberg School of Medicine/RIC
Clerkships: PM&R Elective Rotations – Senior students may participate in four week elective rotations in inpatient rehabilitation, outpatient rehabilitation, research, or individual study. Students interested in research or individual study need to identify and obtain approval from a faculty supervisor prior to application.
Summer Externship – Students between the 1st and 2nd years of medical school may participate in an eight week externship at the Rehabilitation Institute of Chicago. This is a combined clinical, didactic, and research experience. Students from all medical schools are invited to apply.

Electives: 1450-41 Clinical Adult Inpatient Service - location: Rehabilitation Institute of Chicago. This rotation emphasizes the management of disabled individuals in an adult inpatient rehabilitation setting. The students may choose from various rotations emphasizing conditions such as brain injury, spinal cord injury, stroke, orthopedics, or general disability. Experiences involving the treatment of patients with disabilities in an outpatient setting are also available.

1450-42 Clinical Pediatric Rehabilitation Service - location: Rehabilitation Institute of Chicago. This rotation emphasizes the management of children in an adult inpatient rehabilitation setting. The students will have experiences treating conditions such as brain injury, spinal cord injury, stroke, orthopedics, or general disability. Experiences involving the treatment of children with disabilities in an outpatient setting are also available.

1450-44 Rehabilitation Medicine Clinical Service - location: Evanston Hospital. The experience emphasizes evaluation and treatment of physically disabled individuals in an inpatient and outpatient setting.

1450-51 Clinical Management of Chronic Pain - location: Rehabilitation Institute of Chicago. Background and Justification: The experience emphasizes evaluation and treatment of individuals with chronic pain in an outpatient setting.

1450-49 Sports and Spine Rehabilitation: Principles and Practice - location: Rehabilitation Institute of Chicago. An advanced clerkship for senior medical students who are interested in exposure to outpatient nonoperative management of acute and chronic musculoskeletal issues. Prerequisites: Students need to have completed an inpatient rehabilitation clerkship prior to this elective. Applicants need to be approved in advance by elective director, Christopher Plastaras, MD.

1450-47 Rehabilitation Research - location: Rehabilitation Institute of Chicago. The rotation will provide extensive opportunities for research in Physical Medicine and Rehabilitation on topics including studies of sensory-motor dysfunction, spinal cord injury, stroke, and studies of muscle and joint dysfunction in arthritis. Prerequisites: Students need to have identified a research mentor and project prior to applying for this elective.

1450-48 Individual Studies - location: Rehabilitation Institute of Chicago. Special studies are designed for students on an individual basis that may include aspects of physical medicine and rehabilitation such as electrodiagnostic procedures, psychological implications, spinal cord injuries, orthotics, prosthetics, and outpatient. Prerequisites: Students need to have identified a faculty mentor and plan of study prior to applying for this elective.

Link: http://www.medschool.northwestern.edu/depts/pmr/medical-students/index.html
Contacts: For administrative information regarding medical student programs, contact the Medical Education Office at (312)-238-2870. E-mail inquiries may be sent to Diane Ross at dross@ric.org.

For inquiries about the content of medical students programs, please contact:
Aaron Gilbert, MD- Assistant Professor, Physical Medicine and Rehabilitation, Henry and Monika Betts Medical Student Education Chair. Dr. Gilbert may be reached via email at agilbert@ric.org or phone (312)-238-4615.

Rush University Medical Center
Clerkships: Physical Medicine & Rehab: PMR-PMR 601 - Physical Medicine & Rehab. This clerkship will introduce the student to the field of Physical Medicine and Rehabilitation (PM&R). The course will include introduction in the care of patients with disabilities due to strokes, spinal cord injuries, head trauma, amputations, movement disorders, and arthroplasties, etc. In addition, the student will be expected to observe, understand, and learn what services are provided by the allied health professional staff, and when it is appropriate to prescribe these services.

Link: http://www.rushu.rush.edu/medcol/visiting.html
Contact: RMC_VisitingStudents@rush.edu. All communications must be submitted via e-mail. Unfortunately, we are not able to handle your questions over the phone.
Mail: Rush Medical College
Attn: Visiting Student Applications
Office of Clinical Curriculum
600 South Paulina, Suite 524
Chicago, IL 60612-3832

Iowa

University of Iowa
Clerkship: An elective PM&R clerkship (4 weeks) is offered. We would be willing to accept visiting students, but we do not have a PM&R residency program. Students will gain experience seeing patients in musculoskeletal and spine clinics, an interdisciplinary chronic pain rehabilitation team, and other physiatry clinics. Select experiences in medical acupuncture, diagnostic musculoskeletal ultrasound, spinal cord medicine, and pediatric rehabilitation medicine can be arranged.
Contact: Joseph Chen, MD, Clinical Associate Professor, Physical Medicine & Rehabilitation Service University of Iowa Carver College of Medicine Department of Orthopaedics & Rehabilitation 200 Hawkins Drive Iowa City, IA 52242
Tel: 319-384-6026

Maryland

Johns Hopkins University School of Medicine
Clerkships: Elective rotations in PM&R are available for visiting medical students.
Link: http://www.hopkinsmedicine.org/som/students/policies/visitors.html
Contact: Medical students from schools other than Johns Hopkins contact the Registrar's Office at
410-955-3080 to request enrollment forms.
Registrar’s Office: 410-955-3080

University of Maryland Medical System, Sinai Hospital of Baltimore
Clerkships: Sinai Hospital of Baltimore offers a 4 week medical student elective in Physical Medicine and Rehabilitation. Any medical student is welcome to apply for the clerkship.

Physical Medicine and Rehabilitation Elective - This elective offers the participant an opportunity to work as a member of a multidisciplinary team. The participant will learn the roles and contributions of a variety of allied health care professionals, including but not limited to physiatrists, physical therapists, occupational therapists, speech language pathologists, rehabilitation nurses, psychologists, and social workers. Working closely with the faculty the participant will learn to evaluate and manage patients who are disabled because of a variety of impairments. Impairments may be due to any of the following: cardiopulmonary disease, work or sports related injuries, joint and connective tissue disorders, musculo-skeletal disorders, neuromuscular disorders, pain issues, amputations, and brain disorders. The participant will have an opportunity to work closely with the faculty and will gain both inpatient and outpatient experience in the field of Physical Medicine and Rehabilitation. The weekly schedule for this elective can be tailored to the participant’s wants and needs, and may emphasize any one, or a combination, of the following: outpatient musculo-skeletal rehabilitation, outpatient pain management, inpatient general rehabilitation, inpatient brain injury rehabilitation, inpatient stroke rehabilitation, and inpatient orthopedic rehabilitation.

Link: Further information available under “Graduate Medical Education” at http://www.lifebridgehealth.org/sinaihospital/
Contact: Joanne Stickline to schedule rotation, Sinai Hospital of Baltimore - Medical Education Office
Phone: 410-601-0670
Fax: 410-601-9939
Email: jstickli@lifebridgehealth.org

Massachusetts

Harvard Medical School/ Spaulding Rehabilitation Hospital

One-Month Clerkships Offered:

• Introduction to Physical Medicine and Rehabilitation
• Interdisciplinary Rehabilitation of Patients with Chronic Pain
• Pediatric Rehabilitation

To apply for a clerkship or for any additional information, please contact the HMS Clerkship Program via e-mail at exclerks@hms.harvard.edu.

Michigan

Michigan State University, College of Human Medicine
Duration: The usual length of rotation is one month, but less can be arranged.
Contact: Michael Andary, MD
Address: Michigan State University
College of Osteopathic Medicine
B-401 West Fee Hall
East Lansing, MI 48824
Tel: 517-353-0713
Fax: 517-434-1339

New Jersey

University of Medicine & Dentistry of New Jersey – New Jersey Medical School
A two-week clerkship in PM&R is required for all students at our school, generally in the fourth year.  The goal of this mandatory clerkship is to develop in each student the competency to take a functional history, and the ability to establish an evidence-based approach for maximizing function in individuals with disability and/or chronic disease.  This clerkship also prepares students to make optimum use of physiatric services during their careers.  A study guide is distributed to each student in CD-ROM format, providing a comprehensive introduction to Physical Medicine and Rehabilitation.

In addition, ten 2-4 week PM&R elective clerkships are offered, and these may be taken in the third or fourth years.

• Acting Internship in Physical Medicine and Rehabilitation (REHB 9000), a two- to four-week rotation at various locations which includes both didactic teaching and clinical introduction to the field of PM&R
• Pediatric Rehabilitation (REHB 9001), at Children's Specialized Hospital in Mountainside, NJ
• Research in PM&R (REHB 9003), at University Hospital, Kessler Institute for Rehabilitation, East Orange Veterans Affairs Medical Center or Children's Specialized Hospital
• Sports Medicine (REHB 9004), at the Doctors Office Center in Newark
• Geriatric Rehabilitation (REHB 9100), at Kessler Institute for Rehabilitation in Saddle Brook
• Spinal Cord Injury (REHB 9200), at Kessler Institute for Rehabilitation in West Orange and University Hospital in Newark
• Neuromuscular-Pulmonary Rehabilitation (REHB 9300), at University Hospital in Newark
• Brain Injury Rehabilitation (REHB 9400), at Kessler Institute for Rehabilitation in East Orange and University Hospital in Newark
• Rehabilitation in Private Practice (REHB 9401), at selected private physicians' offices
• Complementary and Alternative Medicine in Rehabilitation (REHB 9402), at the Rehabilitation Institute of Morristown

Information for visiting students is available online or by contacting the Registrar's Office at (973) 972-4640. The department may also be contacted as follows:  Debbie Roney, Medical Student Clerkship Coordinator, roneydj@umdnj.edu , tel. (973) 972-7199.

New York

Columbia University Medical School
Clerkship: An elective is offered that is open to all medical students.
RH01P Rehabilitation Medicine Advanced Clerkship
Course Director: Dr. Michelle Stern, (212) 305-9917, ms1127@columbia.edu Fax:212-342-1470
Given: All year
Maximum: 8 students per month
Start Date/Time: Four weeks interval, can start any time of the month, 9:00 AM-5:00 PM (contact Course Director upon arrival). A schedule will be emailed before the rotation begins.

Site/Location:CUMC, Milstein Hospital Building, 8 Garden North, Vanderbuilt Clinic, Harkness Pavillion, Neurological institute

Description: Provides training for comprehensive physiatric evaluations and exposure to the field of Physical Medicine and Rehabilitation.

Objectives: to provide increased diagnostic skills and increased awareness and understanding of physiatric approach to medicine and the various aspects of this field.

Learning Experience: The majority of the time will be spent participating in various outpatient clinics including: Muscular dystrophy, Spinal Injury, Amputee, Musculoskeletal, Brace, Pediatric and Electromyography.
Time will also be spent on the Rehabilitation consult service, the inpatient Rehabilitation floor, pulmonary exercise lab as well as various outpatient offices with the Rehabilitation Attendings. The student will attend clinical conferences and tutorial seminars.
Feedback: throughout the elective the preceptor will review student's patient workup, ward rounds and general clinical competence. Areas of need will be identified and sessions in readings, lectures and oral presentations will be undertaken. The student is given sufficient opportunity to offer critique regarding direction and emphasis of the elective and the flexibility to alter the schedule based on their area of interest.
Evaluation: students will be judged on the following points:
leadership, motivation, initiative, quality of work, clinical judgment, attendance, patient management, oral presentation and ability to communicate with staff and patients.

Link: The link to the website is as follows: http://cpmcnet.columbia.edu/dept/ps/electives/Rehab1.html
Contact: Jessica Ash is the contact person for Columbia University Medical School and her email address is jz2173@columbia.edu

North Shore-Long Island Jewish Health System
Clerkship: At Long Island Jewish Medical Center, we offer a four week elective in PM&R. The medical student rotation lasts 4 weeks: 2 weeks are at a Long Island Jewish Hospital (outpatient) and 2 weeks are at Southside Hospital (inpatient). 

Link: http://www.nslij.com/body.cfm?id=4683
Program Director: Matthew M. Shatzer, DO
Chair: Adam B. Stein, MD
Residency Coordinator: Victoria Ruiz
Contact: Victoria Ruiz - vruiz@nshs.edu

Mount Sinai School of Medicine
Clerkships: For visiting students from LCME accredited schools, a variety of electives is offered:
General Rehabilitation (a mixture of inpatient and outpatient), SCI, Brain Injury, Amputation/Prosthetics, Pediatric Rehabilitation, and Electrodiagnosis.
Contact: Connie Vad, Residency Coordinator
Tel: 212-659-9351
Email: connie.vad@mssm.edu

Nassau University Medical Center
Clerkships: We take 4th year medical students for elective rotations. They are one month in length, and we limit the number of students to two rotating at any one time. These rotations are open to visiting medical students. The rotation can be modified depending on the student's interest, but usually consists of 2 weeks of outpatient clinic, one week of inpatient acute rehabilitation and one week of a combination of consults and EMG. For information about availability, please contact our Program Coordinator, Sheila Slezak.

Contact: Sheila Slezak
Tel: (516) 572-6525
Email: sslezak@numc.edu.

New York Medical College School of Medicine, Metropolitan Hospital
Clerkships: Students from LCME accredited medical schools are welcome to apply for senior electives at New York Medical College. Medical students can rotate through inpatient and outpatient clinics.
Contact: Office of Student Affairs, Metropolitan Hospital
Tel: (212) 423-6777

Link: http://www.nymc.edu/Medical/stuafrs.asp
Mail: Metropolitan Hospital
Office of Student Affairs
Room 1608
1901 First Avenue
New York, NY 10029

New York Medical College in Valhalla, Saint Vincent Catholic Medical Centers, Saint Vincent’s Manhattan
Clerkships: As a PMR program we accept medical students from all over the US for elective rotations. Usually they spend a month with us. We try not to have more than 2 students per month. We offer experience in inpatient care (we have 31 beds as a rehab unit) for a variety of pathologies and although we do not have specialized units for TBI or SCI, we do take care of those types of patients being the hospital a level 1 trauma center. We offer experience in pediatric rehab with a full time pediatric rehab attending. We also offer experience in a variety of other outpatient care, like acupuncture, EMG, pain management, musculoskeletal, prosthetic and orthotics, spasticity management. If any medical student wants to do an elective with us, they have to go to the following website for information on what to do to apply for the elective rotation:

Link: http://www.nymc.edu/Medical/stuafrs.asp
For more information: http://www.svcmc.org/body.cfm?id=388

North Carolina

University of North Carolina at Chapel Hill School of Medicine
Clerkships: Our electives are open to 3rd & 4th year UNC students but only to 4th year visiting students (per the School of Medicine policy). We offer electives to visiting students in PM&R rotations available on SCI/musculoskeletal inpatient service, Stroke/Brain injury inpatient service, outpatient clinics (including amputee, SCI, spine), Pediatrics and Complementary and Alternative Medicine.

Link: http://www.med.unc.edu/stuaff/visiting_student
Contact: Lisa Provost, Student Scheduling Assistant, Office of Student Affairs, University of NC at Chapel Hill School of Medicine, 1001 Bondurant Hall/CB# 9535, Chapel Hill, NC 27599-9535
Voice: (919) 843-7095
Fax: (919) 966-0730
Email: lisa_provost@med.unc.edu

Brody School of Medicine, East Carolina University
Clerkships: Our electives are open to M3 and M4 medical students from any LCME-accredited medical school. Courses may be taken in blocks of either two or four weeks. Students will generally rotate across the following clinical services, unless otherwise arranged: traumatic brain injury; spinal cord injury; general rehabilitation; stroke; variety of outpatient clinics (e.g., amputee, continuity, pediatrics); medical acunpuncture.

We offer the following electives:

• RE303: Ambulatory Physical Medicine & Rehabilitation
• RE 304: Musculoskeletal Medicine & Chronic Pain Management
• RE402: Introduction to Physical Medicine & Rehabilitation
• RE455: Acting Internship in Pediatric Rehabilitation

Web Links: http://www.ecu.edu/rehab/ (Department of PM&R)
http://www.ecu.edu/bsomstudentaffairs/ (BSOM Office of Student Affairs)

For further information, please contact one of the following:
Clinton Faulk, MD
Assistant Professor & Director
Undergraduate Medical Education
600 Moye Boulevard
Greenville, NC 27834
(252) 252-847-4440
faulkc@ecu.edu

David W. Musick, PhD
Associate Dean Medical Education
Associate Professor PM&R
600 Moye Blvd.Brody 2N-72D
Greenville, NC. 27834
(252) 744-2149
musickd@ecu.edu

Pennsylvania

Pittsburgh Mercy Health System
Clerkship: The Mercy Hospital of Pittsburgh, Physical Medicine and Rehabilitation clinical clerkship is offered to third and fourth year medical students year round. A maximum of two students are accepted for each rotation. Rotations range from two to six weeks duration. The rotation will provide exposure to all areas of rehabilitation, including an active 23-bed acute inpatient service, a 10-bed Traumatic Brain Injury unit, and exposure to Physical Therapy, Occupational Therapy, Speech Therapy, Music and Recreational Therapy, Psychology, Wound Care, and other rehab related components. The student will also have the opportunity to evaluate consults in the hospital and experience electromyography and outpatient evaluations in the attending physician’s offices. Students who are familiar with rehabilitation may customize their rotation experience. Students receive constant interaction and supervision by the rehabilitation resident physicians and staff physicians. If you are interested in doing a clinical clerkship in PM&R, please complete the two Clinical Clerkship applications available through the website listed below.

Link: http://www.pmhs.org/gme/meded/physmedrehab/medical_students.html
Contact: Stacey Snead-Peterson, Residency Program Coordinator, Department of Physical Medicine and Rehabilitation
Tel: (412) 232-7617

Texas

Baylor College of Medicine
PM&R Elective Rotations: The PM&R Alliance offers various clinical electives. Inpatient and outpatient clerkships are available in both academic (private, governmental, and public) and private practice settings. Elective clerkships include Diagnosis and Treatment of Neuromusculoskeletal Disorders, Pediatric Rehabilitation, General Rehabilitation, Spinal Cord Injury, Brain Injury and Stroke Medicine, Cancer Pain Management, Cancer Rehabilitation, Amputee Clinic, and Musculoskeletal. Additionally, independent study courses are offered for students with unique clinical or research interests.

Diagnosis and Treatment of Neuromusculoskeletal Disorders
Description: This elective course emphasizes medical rehabilitation treatment in the adult population to enhance maintenance of independence in daily personal care and ambulatory household and community activities. This elective was designed to enable the student to develop skills in the examination of the spine and extremities; develop knowledge of basic kinesiology and biomechanics; and begin to understand techniques of dynamic assessment.
Duration: 2, 4 and 8 weeks

Pediatric Rehabilitation
Description: Upon completion of this elective, the student should understand the principles of evaluation (including electrodiagnostics) and management (including medications, bracing, equipment and therapies) of children with acute and chronic motor disorders. The student also participates in the coordination of medical and community resources necessary to the long-term management of these patients.
Duration: 2 and 4 weeks

General Rehabilitation
Description: This clinical experience is designed to provide exposure to a wide variety of adult physical medicine and rehabilitation problems in both the inpatient and outpatient settings. The students should learn basic and clinical principles of neurological and musculoskeletal rehabilitation. Exposure to electrodiagnosis is available if the student desires. At the completion of the elective the student should be familiar with rehabilitation of patients with such diagnoses as stroke, brain injury, multiple sclerosis, amputation, and joint disorders. This should provide a comprehensive exposure to the field of PM&R for those who may be considering it as a career choice.
Duration: 2 and 4 weeks

Spinal Cord Injury Medicine
Description: This clinical rotation is designed to provide an overview of the care of individuals with spinal cord injury/dysfunction (SCI/D), from initial rehabilitation through a lifelong continuum of care. At completion of the elective, the student should be familiar with the American Spinal Injury Association (ASIA) classification system of spinal cord injuries, rehabilitation of individuals with spinal cord injuries, basic differences in the physiology of individuals with spinal cord injury, and common medical problems associated with spinal cord injuries.
Duration: 2 and 4 weeks

Brain Injury & Stroke Medicine
Description: This elective is designed to provide a clinical experience for the medical student who is interested in comprehensive rehabilitation of adults with brain injuries and stroke. This elective will allow students to fully participate in outpatient rehabilitation management of persons with brain injuries and stroke. The student should understand how various health care provider services, such as psychology, social work, physical therapy, occupational therapy, speech pathology, vocational counseling, therapeutic rehabilitation, and nursing, work together as members of a comprehensive rehabilitation team in order to maximize a patient's functional outcome.
Duration: 2 and 4 weeks

Cancer Pain Management/Cancer Rehabilitation
Description: This elective is designed to provide the student with an understanding of the multifaceted treatment of cancer pain, including the appropriate use of medications and anesthetic and surgical procedures. This elective can also expose the student to rehabilitation of disabilities caused by cancer or its treatment. The student may choose to spend the entire rotation with the Pain and Symptom Management Service, the Physical Medicine and Rehabilitation Service, or spend two weeks in each realm. This elective helps the student advance their skills in the physical diagnosis of pain, enhance their knowledge of opiates and other pain medications, and increase their understanding of pain mechanisms and the neurological pathways involved. Students can also learn more about the treatment of disability in these patients, including physical and occupational therapy interventions.
Duration: 4 weeks

Musculoskeletal
Description: This elective will develop the skills of the student in the examination of the spine and extremities. This elective will also develop the student’s knowledge of basic kinesiology and biomechanics. The student will also begin to understand the techniques of dynamic assessment.
Duration: 4 weeks

Contact: Visiting Medical Students should review application procedures and contact the Office of Student Affairs at Baylor College of Medicine (http://www.bcm.edu/osa/) or at The University of Texas Medical School at Houston (http://www.med.uth.tmc.edu/studaff/visapp.htm). Should you have questions or would like to schedule an elective, contact Angela Samuels, Education Coordinator at (713) 799-5033 or PMandR@bcm.edu.

University of Texas at San Antonio
Residency Program

4th Year Medical Student Rotations

Accredited/Visiting Student Information

I. Students from medical schools accredited by the Liaison Committee on Medical Education (LCME) are eligible to take senior electives through The University of Texas Health Science Center at San Antonio (UTHSCSA) and its affiliated hospitals. LCME students are required to register through the VSAS system. Other eligibility requirements include senior student status, good academic standing, and successful completion of required clinical rotations in family practice, medicine, obstetrics and gynecology, pediatrics, psychiatry, and surgery. There is a fee of $25.00 per selective for visiting medical students currently enrolled in an Osteopathic program.

II. A separate application form must be completed for each elective. In order to obtain an application, go to http://som.uthscsa.edu/srselect/vsguidelines.asp. At the UT Health Science Center, the individual department schedules all electives.

III. All Visiting Students are Required to Submit the Following With Their Application:
A. Immunization Record (form provided with application) certified by the applicant's health care facility for each of the following immunizations:

1. Tetanus-Diphtheria
2. M.M.R. (Measles, Mumps, Rubella)
3. Polio
4. Tuberculosis - PPD skin test within the past 12-month period; if positive, provide date of chest x-ray and results or history of BCG vaccine or INH therapy.
5. Hepatitis B-completed series of three vaccinations
6. Chicken Pox (Varicella)

B. Proof of personal health insurance; and
C. Proof of professional liability insurance.
D. Proof of passing USMLE Step 1
IV. The application must be submitted at least six (6) weeks prior to the elective date. Applications which do not contain the required items listed above will be returned as incomplete.
V. The Office of Student Services maintains a list of housing available to visiting students. Names and telephone numbers of people with temporary accommodations are available by calling this office at (210) 567-2628.
VI. A student picture I.D. and white jacket are required in any clinical setting. If you do not bring the proper identification, you may purchase the required identification from this institution. All visiting students are expected to comply with policies set by the Health Science Center and the department sponsoring the elective.

Administrative Contact:
Kim Garza
Academic Coordinator
Department of Rehabilitation Medicine (Room 628L)
7703 Floyd Curl Drive - MC 7798
San Antonio, Texas 78229-3900
(210) 567-5359
FAX: (210) 567-5354
Email: GarzaK@uthscsa.edu

Note: Medical students are required to complete a PM&R elective at any accredited medical school to be eligible for application to the UT Health Science Center PM&R residency training program.

Off-Campus Preceptorships Not Listed in Catalog

The preceptor should be certified by the American Board of Physical Medicine and Rehabilitation and should have had prior experience in the education of medical students; i.e., participation in university-based residency program or faculty experience.

Prior to approval of the selective rotation, the preceptor should provide the following information: An overview of the training experience to be provided, including types and numbers of patients with whom the student will be involved; the nature of the student's activities with patients; facilities utilized, including PM&R services provided; details of the preceptor's supervision of the student and plans for formal and informal teaching activities, tutorial sessions, etc; information concerning the preceptor's plan for evaluation of the student's performance during the selective.

REHB 4001 – MATCH
Clinical Rehabilitation Medicine (Outpatient and Consultative)
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
Especially recommended for students planning to specialize in Family Practice, Neurology, Neurosurgery, Orthopaedics, Internal Medicine or Rheumatology.
The student will participate in patient care activities and limited exposure to electrodiagnostic procedures under the direct supervision of faculty and residents. The student will have exposure to Rehabilitation Medicine from an outpatient and consultative perspective and will attend teaching conferences, lectures, rounds, etc. NO LATE DROPS WILL BE ACCEPTED. Drs. N. Walsh, D. Dumitru, D. Barber, S. Kim.

REHB 4002 – MATCH
Introduction to Inpatient Rehabilitation
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
Especially recommended for students planning to specialize in Family Practice, Neurology, Neurosurgery, Orthopaedics, Plastic Surgery, ENT, Internal Medicine or Rheumatology.
Will provide the student in-depth exposure to inpatient rehabilitation and the major rehabilitation areas. Experience in diagnosis and comprehensive rehabilitation management of inpatients with strokes, spinal cord injuries, neurologic disorders, rheumatoid arthritis, amputations, chronic pain, and other major disabling conditions. The student will also attend teaching conferences, lectures, and rounds. The selective will be tailored to specific student interest. Comprehensive work-ups and close follow-up of patients will be required. NO LATE DROPS WILL BE ACCEPTED. Dr. J. King.

REHB 4003 – MATCH
Introduction to Pediatric Rehabilitation
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
Especially recommended for students planning to specialize in Pediatrics or Family Medicine.
Inpatient and outpatient experiences emphasizing comprehensive team rehabilitation of children with spina bifida, childhood spinal cord injury, cerebral palsy, brain damage in childhood, juvenile rheumatoid arthritis, and other chronic disabling diseases of childhood and adolescence. The student will participate in patient care under supervision of faculty and residents and attend teaching conferences. Exposure to adults with congenital conditions and mental retardation. NO LATE DROPS WILL BE ACCEPTED. Dr. D. Currie.

REHB 4005 – MATCH
Combination of Clinical Rehabilitation Medicine, Introduction to Inpatient Rehabilitation, Introduction to Pediatric Rehabilitation and Introduction to Spinal Cord Injury Rehabilitation
Length of rotation: 4 weeks
Maximum students during period: Variable
Required for students planning to specialize in Physical Medicine and Rehabilitation and recommended for those desiring a broad Rehabilitation Medicine exposure.
Will provide the student with a good overview of the specialty of PM&R allowing faculty/resident supervised participation in patient care activities related to Rehabilitation Medicine consultations, electrodiagnostic procedures, Inpatient Rehabilitation, and Pediatric Rehabilitation. Student will also attend teaching conferences, clinics, lectures, rounds, etc. NO LATE DROPS WILL BE ACCEPTED. Drs. N. Walsh, D. Dumitru, D. Barber, J. King, D. Currie, M. Fredrickson, G. Campbell, P. Wegert, Matt Davis.

REHB 4006 – MATCH
Introduction to Spinal Cord Injury
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
Especially recommended for students planning to specialize in Family Practice, Neurosurgery, Neurology, Orthopaedics, Internal Medicine, Plastic Surgery..
This rotation will provide the student with the opportunity to actively participate in the management of patients who have sustained a spinal cord injury. Working in a state-of-the-art spinal cord facility, students will help to treat patients in virtually all aspects of their injury: From acute care, to rehabilitation evaluation and treatment, to eventual discharge and outpatient follow-up. Students will be an integral part of an interdisciplinary team under the supervision of faculty and residents. NO LATE DROPS WILL BE ACCEPTED. Drs. M. Fredrickson, G. Campbell, P. Wegert, Matt Davis.

REHB 4007
Hyperbaric Medicine and Wound Care
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
This course is designed to introduce the study to the principles of wound care, advanced wound therapies and hyperbaric medicine. The student will have the opportunity to observe monoplace and multiple hyperbaric medicine treatments; will review theory of the use of hyperbaric in the 14 UHMS approved therapies. Complication and controversies of HBO use will be discussed in lecture format. The student will review common wound problems, diabetes infection, nutrition, venous stasis and arterial insufficiency. Advanced treatment modalities will be observed and reviewed - wound vbac, collagen, apligraft, OASIS, debriding agents. NO LATE DROPS WILL BE ACCEPTED. Drs. Merritt Davis, C. McAllister.

REHB 4008
Rehabilitation Engineering
Length of rotation: 2 or 4 week rotation
Maximum students during period: Variable
Especially recommended for students planning to specialize in Family Practice, Neurology, Neurosurgery, Orthopaedics, Internal Medicine, or Rheumatology.
The student will participate in patient care activities and limited exposure to orthotics, prosthetics and pedorthics procedures under the direct supervision of faculty and residents. The student will have exposure to Rehabilitation Medicine from an outpatient/inpatient perspective and will attend clinics to experience comprehensive rehabilitation management of inpatients with strokes, spinal cord injuries, neurologic disorders, rheumatoid arthritis, amputations, and other major disabling conditions requiring orthoses and prosthetics. Student will have exposure to the gait lab to experience research and an understanding of gait. T. Darm, G. Bosker.

Utah

University of Utah School of Medicine
Clerkships: We accept visiting medical students. Applications for the 2007/2008 academic year will be accepted beginning April 2007. A student will be limited to an 8 week maximum elective time at the University of Utah School of Medicine. The PM&R rotation is an elective rotation for 4 weeks. Rotations are scheduled in the order they are received. Scheduling will begin in May 2007; final approval will be given in mid May. Students will be contacted via e-mail, if the dates and times requested are or are not available. After the mid May scheduling has taken place, applications will be accepted on a first come basis throughout the academic year.

Link: Information can be found at the following website: http://uuhsc.utah.edu/som/studentaffairs/index.htm; proceed to the Visiting Senior Elective Program. Rotation time periods are listed; choose rotations from the list provided. Students should fill out an application & send it in.
Contact: Questions can be addressed to student@hsc.utah.edu or by calling student affairs at
801-581-3657.

Virginia

University of Virginia School of Medicine
Clerkships: The following elective rotations in Physical Medicine and Rehabilitation are available to fourth-year medical students:
Physical Medicine and Rehabilitation Inpatient Service
Rotation Supervisor: Dr. Paul T. Diamond

Course Description: The rehabilitation hospital includes specialized programs for persons with stroke, head injury, spinal cord injury, multiple trauma/general orthopaedic conditions. Patients are managed by a multidisciplinary rehabilitation team that includes physical and occupational therapists, speech and language pathologists, social workers, a nutritionist, neuropsychologist and rehabilitation nurse specialists. Students work closely with all members of the rehabilitation team and observe in the therapy gyms a variety of specialized rehabilitation techniques including therapeutic exercise, ultrasound treatment, electrical stimulation, and aquatic therapy. Students begin to develop the necessary skills to effectively manage the inpatient rehabilitation programs of persons recovering from a variety of illnesses. Students may also rotate on the inpatient consultation service for University Hospital. A didactics program is held weekly on Fridays. No weekend or on-call duty is required. Students interested in outpatient Physiatry may participate one day a week in the outpatient clinics during this rotation or may opt for the full-time outpatient Physiatry elective at the Physical Medicine & Rehabilitation outpatient facility within the Musculoskeletal Center at Fontaine.

Spine and Sports Care - UVa Musculoskeletal Center
Rotation Supervisor: Dr. Robert Wilder
Course Description: Students receive training in a variety of aspects of outpatient physical medicine and rehabilitation practice including the evaluation and management of low back/neck pain and sports/musculoskeletal injuries. A runner's injury clinic, high school sports coverage and occupational/work related injuries will also be seen and treated. Students will learn comprehensive non-operative spine care including introduction to electrodiagnostic techniques, therapy prescription and evaluation for other diagnostic and therapeutic procedures. If a student desires, he/she may also participe in other weekly PM&R clinics including the prosthetics and orthotic clinic and acupuncture clinic. There are no night or weekend call or weekend rounds, however, medical coverage of sporting events may include some nights and weekends.

Medical Acupuncture
Rotation Supervisor: Dr. Jeffrey Jenkins
Course Description: This elective is designed as an initial student exposure to the practice of medical acupuncture. The two-week experience takes place at the UVa-HealthSouth Rehabilitation Hospital and the Fontaine Musculoskeletal Center. Students will participate in the evaluation and treatment of musculoskeletal and neuromuscular illness in the rehabilitation setting. Acupuncture will be introduced in the rehabilitation context. The goal of this rotation is to increase awareness of an alternative medical system, which has been a part of Asian culture for centuries and to familiarize participants with the indications, contraindications and expectations associated with acupuncture use in a physical medicine practice.

Physical Medicine and Rehabilitation Consult Service
Rotation Supervisor: Dr. Mary Bryant
Course Description: Physical Medicine and Rehabilitation (PM&R) is a patient-centered holistic specialty. A patient-centered team approach is utilized to improve a patient's mobility and function. The rehabilitation team includes physical and occupational therapists, speech language pathologists, physicians, nurses, respiratory therapists, case managers and nutritionists. Students on this rotation will work on the PM&R Consultation Service at University Hospital. Students will develop an understanding of therapy prescription, managing complications of illnesses and injuries that can limit function, and assess patients for inpatient rehabilitation. Arrangements can be made to observe therapy sessions and rotate on the inpatient PM&R service. A daily lecture series is held. There are no night, weekend, or call responsibilities.

Spinal Cord Injury Rehabilitation
Rotation Supervisor: Dr. Alan Alfano
Course Description: Through exposure to individuals with spinal cord injury in an inpatient rehabilitation setting, a student will develop knowledge and appreciation for the unique medical problems and challenges associated with the rehabilitation process. Comprehensive rehabilitation assessment and prescription-writing skills will be emphasized. Students will also have an opportunity to actively participate in the rehabilitation of individuals with other diagnoses on an inpatient and outpatient basis. Exposure to acupuncture, spasticity management through botulinum toxin and outpatient musculoskeletal care are also possible. Visiting students should follow the directions in their acceptance email to schedule MIS and CareCast training.

General Musculoskeletal Medicine
Rotation Supervisor: Dr. David Rubendall
Course Description: This course is a general musculoskeletal rotation with special emphasis on manual medicine/osteopathic manipulation; Worker’s Comp., and clinic-based non-spinal procedures. Students will see a wide variety of musculoskeletal patients and develop a wide range of musculoskeletal skills. They will learn how to provide care for spinal patients, sports-related injuries and conditions requiring manual medicine. They will also obtain a general understanding of Worker’s Comp. patients.

http://www.healthsystem.virginia.edu/internet/pmr/medele.cfm
Contact: Students at the University of Virginia need to contact: Lisa Durrer (434) 243-5622 Fax: (434)243-5639 at the UVa Musculoskeletal Center, Suite 240 545 Ray C. Hunt Drive Charlottesville, VA 22908-1004
Email: PhysicalMed&Rehab@hscmail.mcc.virginia.edu
Students from outside the University need to contact: (434)924-5579, Electives Coordinator at UVA Office of Student Affairs Box 800739 - McKim Hall UVA HSC Charlottesville, VA 22908

Virginia Commonwealth University Medical College of Virginia
Clerkships: The VCU Department of Physical Medicine and Rehabilitation offers Electives for medical students. In addition to clinical activities, students will be exposed to the didactic lectures and grand rounds with the PM&R residents and faculty.
MI - “Intro to PM&R” (Jan-Feb)
MII - “Intro to PM&R” (Oct-Dec)
M-IV (4th year):

Physical Medicine and Rehabilitation "Acting Intern" (Course 6000): Inpatient PM&R Service (spinal cord, vascular, multiple traumas, orthopedic, stroke or other neuromuscular disorders).
Brain Injury "AI" (Course 6001): Inpatient PM&R Brain Injury Rehabilitation Services.
PM&R Rotating Elective (Course 9500): Exposure to PM&R Consult Team, Inpatient Rehab and Outpatient PM&R Clinics
Pediatric Rehabilitation (Course 9600): PM&R exposure at VCU and Children's Hospital.

Link: http://www.pmr.vcu.edu/residents/reselectives.htm
Contact: Nancy Jackson at the VCU Electives Office 804-828-9784 (nbjackso@vcu.edu) or Wanda Allen at 804-828-4233 (wcarlton@hsc.vcu.edu).

Washington

University of Washington School of Medicine
Clerkship: Visiting Rehabilitation Medicine Clerkship
Duration: 4 weeks

Link: http://courses.washington.edu/conj690/
Contact: Heidi Rallison
Email: hrall@u.washington.edu

Wisconsin

Medical College of Wisconsin
Clerkships: For our elective rehabilitation course, we offer 4 week electives. Our goal is for the medical student to have a greater understanding of the care needs for individuals with disabilities, the role of different members of the rehabilitation team, and an approach to musculoskeletal evaluation and treatment. The first half of the rotation is spent on the inpatient unit and the second half in the outpatient clinics. The students will experience working with diagnoses such as stroke, head injury, spinal cord injury, other neurologic disabilities, musculoskeletal pain and injury, amputees, and sports medicine. The student is expected to workup and present on patients to staff, to attend informal and formal didactic sessions. They'll also be working with the multidisciplinary team. Evaluation is performed via observation of clinical skills; contact in individual didactic sessions; brief oral exam/written paper presentation. The Medical College of Wisconsin Department of Physical Medicine and Rehabilitation offers the following clerkships:

M3 graded electives:
Pediatric Rehabilitation
1. Identify normal growth and development milestones in children.
2. Discuss the impact of disease/injury on the growth and development of a child.
3. Introduce students to an interdisciplinary team approach for providing pediatric medical and rehabilitative care.
4. Correlate the pathologic process/impairment with the physical examination findings and resultant functional limitations.
Sport and Spine Rehabilitation
This elective will offer students exposure to the diagnosis and treatment of spine, sports, and musculoskeletal injuries.
1. Provide introduction to the sports and spine musculoskeletal examination.
2. Spine Care
•Emphasize conservative treatment of spine problems as one of the key components of primary care medicine.
•Emphasize the use of physical diagnosis skills to determine if there is a nerve root problem, bony problem, soft tissue problem, or unusual pathology such as tumor, infection, or cauda equina syndrome causing the spine problem.
•Introduce the use of standardized algorithms for patient care.
•Provide exposure to the assessment of impairment and/or disability for work-related injuries.
•Recognize the importance of utilizing psychologists and other allied health care professionals for a comprehensive treatment plan.
•Recognize the effect of all medical decisions on vocational activities and job-status.
3. Sports Medicine
•Introduce the goal of treating all musculoskeletal and most pathologic processes with active treatment programs.
•Emphasize the use of objectively-based outcome measurements in the treatment of musculoskeletal injuries.
•Diagram and implement rehabilitation treatment plans for specific musculoskeletal injuries.
•Correlate the basics of exercise physiology and kinesiology into the treatment of all persons with injuries and illnesses.
•Utilize the principles of preventive medicine for all patients to limit general illnesses and medical needs.
Neuroscience Rehabilitation
1. This elective offers students an opportunity to learn to evaluate and set management goals for patients who have had a stroke, spinal cord injury or traumatic brain injury.
2. Identify the common neuro-rehab challenges seen in primary care.
3. Learn to perform efficient, focused, functional examinations.
4. Analyze the relationship between the underlying psychological status of a patient who has experienced a brain injury or spinal cord injury, stroke, and the effects of the injury to the CNS.
5. Correlate the location of pathology with the injuries and residual deficits seen following traumatic brain injury, spinal cord injury, and stroke to assist with future management.
6. Address the reactive, emotional response to long-term disability issues for both the patient and family.
7. Address rehabilitation issues immediately from the time of injury (trauma) to speed patient recovery and reduce the cost of hospitalization.
8. Provide exposure to, and rationale for, inpatient and/or subacute rehabilitation, to enable appropriate patient referrals to be made.
9. Incorporate the use of functional assessment tools into actual patient management.
10. Observe specialized interventions and procedures including intrathecal baclofen pumps, Botox blockades, nerve blocks, and selected injections.

M4 clinical electives:
Sport and Spine Rehabilitation
1. Learn to perform physical examinations for evaluation of common non-surgical musculoskeletal disorders involving the neck, back, knee, shoulder, ankle and foot.
2. Develop skills in taking focused histories for common musculoskeletal disorders.
3. Understand the anatomy and biomechanics relevant to common musculoskeletal disorders.
4. Understand the application of various diagnostic tools, such as electrodiagnostic studies, imaging studies and diagnostic injections, in the evaluation of common musculoskeletal disorders.
5. Understand the principles of soft tissue healing and exercise physiology as applied to the rehabilitation of common musculoskeletal disorders.
6. Describe the indications for various treatment modes for musculoskeletal disorders including injections, spray and stretch, ultrasound, and electrical stimulation.
Spasticity Management & Rehab
1. To identify specific neurologic disorders/syndromes resulting in functional deficits and correlate the anatomic and physiologic basis for spasticity in those conditions.
2. To review the common patterns of clinical motor dysfunction and resulting functional deficits.
3. To describe and compare the treatment options available for the management of spasticity, including physical and occupational therapy, medication management, Botox injections, baclofen pumps, and surgical treatments.
4. To formulate a comprehensive rehabilitative plan of care for patients with spasticity.

Independent Study
1. To become familiar with the clinical and research breadth and depth of PM&R.
2. Define a focused interest area to investigate.
3. Develop a realistic, effective strategy for completing the study within the month.
4. Prepare and present oral presentation on topic chosen.

M4 integrated selectives:
Physical Medicine and Rehab
1. Provide an exposure to a formal interdisciplinary team approach for providing coordinated medical care and rehabilitation management.
2. Provide a fundamental core of knowledge in the physical diagnosis and treatment of disabling diseases and injuries, encountered in the routine practice of medicine. 3. Provide a fundamental core of knowledge to address the prevention of conditions or complications that lead to impairment, disability, or handicap.
4. Provide experience in Physical Medicine and Rehabilitation for later specialty referral.

Brain Injury
1. To demonstrate an understanding of the neurological and behavioral deficits resulting from brain injury.
2. To identify components of the interdisciplinary approach to the rehabilitation of the brain injured patient.
3. To solve selected problems for improvement of physical and psychosocial functioning of the brain injured patient.
4. To become familiar with current technologies applicable to brain injury rehabilitation. 5. To identify pharmacologic approaches to treating brain injury complications and impairments.
6. To formulate a treatment plan and functional goals for brain injured patient depending on severity of impairments.

Spinal Cord Injury
1. To identify components of the interdisciplinary approach to rehabilitation of the SCI patient.
2. To familiarize self with the treatment of acute spinal cord injuries.
3. To develop awareness about the needs of people with disabilities and recognize patients who would benefit from rehabilitation services.
4. To learn to do a clinical examination for myelopathies.
5. To familiarize self with the basic treatments for neurogenic bowel, bladder, pressure sores, spasticity and pain.
6. To formulate a treatment plan and functional goals for one spinal cord injured patient.

Comprehensive Pain Rehab & Neuromuscular Exam
1. Describe at least three different theories of pain.
2. Recognize the rationale of multimodal approach to managing pain, based on selective targets, in the pain transmission and modulation systems.
3. Discuss the biological, psychological, social, and legal factors contributing to pain-related disability and target of rehabilitation approaches.
4. Perform a comprehensive musculoskeletal, neurological, and functional assessment of individuals with complex pain problems.
5. Utilize the expertise of the rehabilitation team - by understanding the role of each professional placed in the comprehensive management of individuals with pain-related disability.
6. List the three major systems of disability and the essential components of a "disability evaluation".
7. Understand the role of clinical electromyography, in the assessment of neuromusculoskeletal disorders.
8. Describe the difference between pathology, impairment, and disability.
9. Demonstrate a compassionate attitude towards the individual with complex pain-related disability, and be able to assist in the rehabilitation planning process.
10. Acquire the skills to prepare a comprehensive physiatric evaluation that includes a detailed history of present illness, work history, social history, neuromusculoskeletal and functional examination, medical decision making regarding diagnosis, and recommendations of a plan of care.

Link: For visiting student information and contact information, the students should go to the following link: http://www.mcw.edu/display/router.asp?docid=1126
Contact: Office of the Registrar
Medical College of Wisconsin
8701 Watertown Plank Road
Milwaukee, WI 53226
414-456-8733
Email: acadreg@mail.mcw.edu