2024-2025 M3/M4 Course Syllabi
Physical Medicine & Rehabilitation
COURSE NUMBER:
18 01 78
TITLE:
Pediatric Rehabilitation Medicine - PM&R -ICE
This elective will provide the student an opportunity to work with children with a wide range of disabilities. In the inpatient/consult setting the student will work as part of a multidisciplinary team caring for children with acute neurological injuries such as traumatic brain injury, stroke and spinal cord injury. The outpatient clinics will provide exposure to children with Cerebral Palsy, Spina Bifida, neuromuscular diseases, concussion and others.
PREREQUISITES:
26940373 (NEUROSCIENCE CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)

For the months of May - October this rotation is limited to those applying to PM&R or Peds/PM&R residency programs. Exceptions will be considered on a case-by-case basis by the rotation director.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 weeks
DIRECTOR:
Ashlee Bolger, MD
Ashlee.Bolger@cchmc.org
513-636-7480
260 Stetson St. , Suite 5200
ADMINISTRATIVE SUPPORT PERSON:
Blaire Kappes
kappesbe@ucmail.uc.edu

SITE(S):
CCHMC - Cincinnati Children's Hospital
UCMC - PM&R Consu
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 2
2 06/03/2024 - 06/28/2024 2
3 07/01/2024 - 07/26/2024 2
4 07/29/2024 - 08/23/2024 2
5 08/26/2024 - 09/20/2024 2
6 09/23/2024 - 10/18/2024 2
7 10/21/2024 - 11/15/2024 2
8 11/18/2024 - 12/13/2024 2
9 12/16/2024 - 01/10/2025 1
10 01/13/2025 - 02/07/2025 2
11 02/10/2025 - 03/07/2025 2
12 03/10/2025 - 04/04/2025 2
13 04/07/2025 - 05/02/2025 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8am-5pm Monday-Friday
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective from the pediatric rehabilitation administrative assistant.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
  • Ward Rounds
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
70% Attending Physician
30% Senior Resident
FEEDBACK:
ASSESSMENT:
 Student assessment and evaluation for the Pediatric Rehabilitation Medicine Elective is multifaceted and includes faculty evaluation and a variety of non-clinical activities (students are able to choose which activities they wish to complete)

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Other: Describe other methods not listed above:
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Pediatric Rehabilitation; Molnar & Alexander, editor; Nelson, Rehabilitation Medicine Quick Reference Pediatrics
Instructional Methods:
Bedside teaching, didactics series, journal club.  Students will also be required to complete various other "educational activities" including review of journal articles, clinical decision making scenarios, point-counterpoint reviews, etc. to augment their clinical experience.
Knowledge/Skills:
  1. The student should be able to describe the principal role of the pediatric physiatrist in the following settings: inpatient rehabilitation unit, outpatient clinic and consultative service.
  2. Elicit developmental and functional history from parents of children who have a disability.
  3. Demonstrate the ability to perform neurologic and musculoskeletal examinations on children with disabilities.
  4. Describe the roles of the member sof the pediatric rehabilitation team including occupational, physical, and recreational and speech therapy.
  5. Describe the basic pathophysiology, clinical presentation, physical assessment and treatment of spasticity.
  6. Identify common sequelae of pediatric acquired brain injury.
  7. List important issues related to education and vocational training for children with special needs.
  8. Gain knowledge in common pieces of equipment and orthoses that may be beneficial to children with disability.
Main Course Topics :
  • Pediatric rehabilitation
  • Traumatic brain injury
  • Spinal cord injury
  • Cerebral palsy
  • Spina bifida
  • Neuromuscular diseases
  • Orthoses
  • Therapy services
Procedures:
N/A
Remediation Plan:
 Should the student need to make up additional missed days, they will work with the course director to identify additional non-clinical and clinical assignments to replace the missed days.

SAMPLE WEEK

Monday:
8:00AM 12:00PM Inpatient/ Consult Rounds
12:00PM 1:00PM Family Meeting
1:00PM 5:00PM Observe Therapy/Inpatient Duties
Tuesday:
7:00AM 8:00AM Lectures
8:00AM 11:30AM Inpatient/ Consult Rounds
11:30AM 1:00PM Inpatient Team Conference
1:00PM 5:00PM Outpatient Clinic
Wednesday:
8:00AM 12:00PM Inpatient/ Consult Rounds
12:00PM 1:00PM Family Meeting
1:00PM 5:00PM Outpatient Clinic
Thursday:
8:00AM 12:00PM Inpatient/Consult Rounds
12:00PM 1:00PM Family Meeting
1:00PM 3:00PM Consults
3:00PM 5:00PM Inpatient Duties
Friday:
8:00AM 9:00AM Grand Rounds
9:00AM 12:00PM Inpatient/Rounds
12:00PM 1:00PM Family Meeting
1:00PM 3:00PM Consults
3:00PM 5:00PM Inpatient Duties
SCHEDULE NOTE:
You will receive an email from Hannah Sullivan approximately 6-8 weeks prior to the start of your rotation.  (Please note: approximate.)  Requested documentation will need to be received in a timely manner to facilitate badging and computer access at Children's should you not already have it for your 4th year.

A typical rotation consists of two weeks with the inpatient/consult team and two weeks rotating through a variety of outpatient clinics.

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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