Preceptor: Alex Moroz, MD, MHPE
Contact: Claire Teets, Claire.Teets@NYULangone.org
Telephone: 212-263-6110

Prerequisites: None

Who should enroll in this elective?

Students who are considering Physical Medicine and Rehabilitation (PM&R) as a career

Clinical sites

Depending on the student’s preference, they can rotate through various clinics such as: Sports Medicine, Spine Interventions, Acupuncture, Muscular Dystrophy, Brain Injury, Prosthetics and Orthotics, Dance Clinic, Diabetic Foot and Ankle Clinic and General Musculoskeletal Clinic, to gain exposure to general outpatient rehabilitation problems. They will also rotate through inpatient sites such as Langone Orthopedic Hospital and Bellevue Hospital. In addition, they also can rotate with Pediatric Rehabilitation and Electrodiagnostics, if interested.

Description

This is an advanced 4-week elective that seeks to build on physical medicine and rehabilitation knowledge, and experiences gained in the pre-clerkship and clerkship years. It may be used to build upon experience from the 2-week Physical Medicine & Rehabilitation Introductory Elective. As an advanced elective, the student will be expected to serve at the level of a sub-intern. The student will gain a deeper understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through encounters with a diverse range of cases reflective of this specialty. The student will gain this experience at both inpatient and outpatient sites. During the inpatient experience, the student will participation in the diagnostic evaluation and care of patients with the following conditions:

• Stroke
• Amputations
• Orthopedic impairments
• Spinal cord injuries
• Head trauma
• Cardiopulmonary impairments

In addition to management of the medical care of patients with disabilities, an understanding of the rehabilitation team approach is stressed in the overall management of such patients.

Objectives of the Elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Gain a deeper understanding of the field of Physical Medicine and Rehabilitation, building on your pre-clerkship and clerkship experiences, through a broad exposure to physical medicine and rehabilitation cases
2. Expand your skills in inpatient and outpatient workup and management of patients with various disabilities
3. Learn about specialty-specific history and physical exams as well as the indications for, and complications of specialty-specific procedures
4. Gain knowledge regarding treatment modalities used to treat various disabilities 
5. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
6. Confirm your choice of physical medicine and rehabilitation as a career 

Key Responsibilities of the student while on Elective

By enrolling in this elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week
2. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion 
3. Arrive in a timely fashion to all locations to which you are assigned  
4. Participate in daily morning rounds and patient care with residents and attendings
5. Be an active participant in the care of patients being followed by the team, as dictated by the resident/attending
6. Attend all didactics provided for trainees, as outlined below
7. Attend one overnight weeknight call with on-call resident at the Langone Orthopedic Hospital Site, with the next day given off.

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment 
3. Ensure that you have access to a broad case mix and clinical experience  
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide feedback on your clinical skills

Didactic Program

Core Curriculum Didactics are held weekly on Tuesday Afternoons from 12-3 pm, with lectures, case discussions, and skill workshops on specific topics in the field of PM&R varying each week.

Weekly schedule

	Monday	Tuesday	Wednesday	Thursday	Friday
Week 1		Core Curriculum Didactics	Grand Rounds		Journal Club
Week 2		Core Curriculum Didactics	Grand Rounds		Journal Club
Week 3		Core Curriculum Didactics	Grand Rounds		Journal Club
Week 4		Core Curriculum Didactics	Grand Rounds	M&M	Exit Meeting Journal Club

Method of Evaluation

Written evaluations by administrative chief resident, supervising residents, and faculty preceptor.

Residents with whom students are rotating will complete written evaluation forms. Near the end of the rotation, students will have an exit meeting where they will receive performance feedback from the chief resident and program leadership.

Scheduling Information

Duration: 4 Weeks

Months Offered: All Year

Student point of contact before start of elective: Claire Teets, Claire.Teets@NYULangone.org

On day 1, students report to: Students will be contacted by PM&R Chief Resident within two weeks of the elective start and provided with their weekly schedule and reporting time and location.

Students per elective block: 2