Physical Medicine and RehabilitationMarcel Fraix, DO, FAAPMRAssistant ProfessorDepartment of Osteopathic Manipulative Medicine / Division of Physical Medicine and Rehabilitation

Objectives

State of osteopathic medical training in PMR

The philosophies of Osteopathy and PMR The specialty of PMR PMR Department at COMP◦ Objectives◦ Vision

AOA Department of Education

Association of American Medical Colleges (AAMC)

AOA Department of Education

Osteopathic Medical Training in Physical Medicine and Rehabilitation

Osteopathic medical students◦ Growing interest in specialty◦ Increasing demand for training positions

Osteopathic medical education◦ Limited contact with specialty◦ Limited number of training programs

Philosophy of Osteopathy

The body is a unit; the person is a unit of body, mind, and spirit

The body is capable of self-regulation, self-healing, and health maintenance

Structure and function are reciprocally interrelated

Philosophy of PMR To maximize a

person’s function and quality of life through the restoration of the body and mind after disease and trauma

To restore optimal function in all spheres of life, including the medical, social, emotional, and vocational

Physical Medicine and Rehabilitation

Physical Medicine◦ Diagnosis and

treatment of neuromusculoskeletal disorders with the use of medications, modalities, procedures, and exercise◦ Sub-specialties Sports Medicine Pain Management Electrodiagnostic

Medicine

Rehabilitation◦ The process of making

the person with a disability “maximally able” through the use of rehabilitative principles and techniques◦ Sub-specialties Spinal Cord Injury Traumatic Brain Injury Pediatric Rehabilitation

Physical Medicine

Spine Care◦ Diagnosis and

management of spinal disorders◦ Pain Management Medication Therapeutic exercise Interventional

procedures

Physical Medicine

Neuromuscular Disease◦ Diagnosis and

management of neuromuscular diseases muscular

dystrophies neuromuscular

junction disorders peripheral nerve

disorders

◦ EMG / NCS

Physical Medicine

Sports Medicine◦ Diagnosis and

management of sports related injuries◦ Team Physician Professional Collegiate High-school

Rehabilitation

Inpatient Rehabilitation◦ Interdisciplinary

approach◦ Team members Physician Nursing Physical therapy Occupational

therapy Speech therapy Psychology Social work

Rehabilitation

Inpatient Rehabilitation◦ Common conditions Spinal cord injury Traumatic brain injury Stroke Post-op joint

replacement Burn injury

Department of PMR

Objectives◦ To meet the needs of osteopathic medical

students◦ To provide superior care for persons with

acute and chronic musculoskeletal and neuromuscular disorders◦ To provide state-of-the art education to

Osteopathic Physical Medicine and Rehabilitation residents◦ To promote research in the field of Physical

Medicine and Rehabilitation

Musculoskeletal System“Although the diseases that

kill attract much of the public’s attention, musculoskeletal or rheumatic diseases are the major cause of morbidity throughout the world, having a substantial influence on health and quality of life, and inflicting an enormous burden of cost on health systems”

World Health Organization, 2003

Musculoskeletal System

Musculoskeletal Course◦ Burden of musculoskeletal

disease on the patient and society◦ Clinical manifestations,

pathology, and pathophysiology of common musculoskeletal conditions◦ Current approaches to

treatment of musculoskeletal conditions

PMR Clinic

Providing care for patients◦ Musculoskeletal and neuromuscular disease

PMR Clinic

Musculoskeletal and neuromuscular disease◦ Spinal disorders◦ Pain management◦ Sports and

occupational related injury◦ Disorders of the

peripheral nervous system

PMR Clinic

Outpatient rehabilitation◦ Spinal cord injury◦ Traumatic brain injury◦ Post-stroke◦ Limb deficiency

PMR Clinic

Integrating Osteopathic philosophy and practice

Providing a continuum for osteopathic medical education

Post Graduate Training

PMR Residency◦ Partnership with Casa Colina Centers for

Rehabilitation

Thank you