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White Papers Developed by the AAP

Fellowship Training in Physical Medicine and Rehabilitation  

Summary: The AAP supports the development of fellowships, especially those areas that enhance research in areas relevant to PM&R. If possible, research training within fellowship programs should be acknowledged. As accredited fellowships develop, the AAP  acknowledges potential risks to residency training and supports accreditation standards that consider the importance of coexisting fellowships and residency programs. This White Paper was Developed by the Association of Academic Physiatrists.           

Integration of Physical Medicine and Rehabilitation into the Undergraduate Medical Curriculum

Summary: The incorporation of Physical medicine and Rehabilitation (PM&R) concepts into the medical student curriculum has significant benefits for medical students, patients, and the field itself. Expected benefits and possible methods for integrating medical student education into the activities of the academic Physical Medicine and Rehabilitation Medicine Department are the focus of this discussion.  This White Paper was Developed by the Undergraduate Committee of the Association of Academic Physiatrists Workgroup: Rina M. Bloch, MD (Chairperson), Donna J. Blake, MD, and Irma G. Fiedler, PhD 

Education Goals and Objectives in Physical Medicine and Rehabilitation for the Medical School Graduate

Summary: Medical student education in Physical Medicine and Rehabilitation has been a favored topic for over 30 years. Early manuscripts often presented descriptions of their educational programs. Another common topic was the recruitment of medical students into PM&R.9-16 A few studies investigated the changes observed in medical students after participating in PM&R education. Recognition that medical student education has different goals and objectives than resident education was recognized promptly.  In 1985, the Joint Committee on Undergraduate Medical Education of the American Academy of PM&R and the Association of Academic Physiatrists, chaired by R. Lee Kirby, MD, published a statement on the education of medical students in the approach and provision of care to individuals with disabilities.  This White Paper was Developed by the Association of Academic Physiatrists Undergraduate Education Committee Workgroup: Stephen M. Tuel, MD (Chair), Jay M. Meythaler, JD, MD and Louis E. Penrod, MD

Musculoskeletal Education for Medical Students

Summary: Musculoskleletal conditions comprise the second most common reason for physician visits and have the greatest negative impact on health-related quality of life in the industrialized world. Therefore, all medical schools should provide education for their students in these disorders. Physiatrists play a unique role in musculoskeletal care and hence, should play a leading role in medical student education. The Association of Academic Physiatrists formed a task force in 2007 to make recommendations as to how physiatrists could contribute to musculoskeletal education for medical students. This report contains those recommendations.  This White Paper represents the conclusions of the Task Force on Musculoskeletal Education for Medical Students established by the Association of Academic Physiatrists.This manuscript has been reviewed by the Board of Trustees of the Association of Academic Physiatrists.

Chronic Care Education in Medical School: A Focus on Functional Health and Quality of Life

Summary: The healthcare system is faced with a rapidly increasing number of individuals with chronic conditions and disabilities. The need for a chronic care model of health care with interdisciplinary treatment involving the patient and family with a focus on functional health is recognized but not fully established in the medical community. The education of medical students in a chronic care model is essential so that physicians in all specialties may provide effective and efficient care to their patients. Physiatrists and physicians trained in the specialty of Physical Medicine and Rehabilitation are uniquely situated to be leaders in the education of medical students in the appropriate care for individuals with chronic conditions and disabilities. Academic physiatrists must be involved in the education of medical students. This involvement will result in a higher level of patient care for all patients with chronic conditions and disabilities. In 2007, the Association of Academic Physiatrists formed a task force to evaluate educational models and make recommendations regarding the education of medical students in the management of individuals with chronic conditions and disabilities. The taskforce also evaluated opportunities for physiatrists to participate in the education of medical students. This article summarizes the work of the task force.  This  White Paper represents the conclusions of the Task Force on Musculoskeletal Education for Medical Students established by the Association of Academic Physiatrists.This manuscript has been reviewedby the Board of Trustees of the Association of Academic Physiatrists.  

Guidelines for Admission to Medical School of Candidates with Disabilities

Summary: As a result of concerns that physically disabled students were being denied entrance to American medical schools simply because they have physical disabilities, the AAP Board decided to act. In 1991, Randall Braddom, MD, president of the AAP at that time, appointed a special committee consisting of Thomas Strax, MD, Robert H. Meier, III, MD, and chaired by Theodore Cole, MD. This committee’s job would be to draft a White Paper discussing the handling of physically disabled applicants to American medical schools. The final document was submitted to the AAMC for ratification and distribution to Admission Committees. The Association feels this is important information that our AAP members and all medical schools need to consider. Thomas E. Strax, MD

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