Pediatric Rehabilitation
Description: A typical schedule will consist of both inpatient and outpatient experiences. On the inpatient rehabilitation service, the student will work directly with a fellow and attending seeing patients in the acute setting. There will be opportunities to see kids very acutely after injuries and follow them throughout the month as they progress through their rehabilitation program. Students will also see patients in consultation and work with other services to provide care. During the outpatient experience, students will attend General Rehabilitation clinics as well as multidisciplinary clinics, working with several other disciplines, such as orthotists, prosthetists, physical/occupational/speech therapists, and wheelchair specialists. Students will also have the opportunity to participate in procedures, such as Botox injections and EMGs.
Educational objectives:
Pediatric rehabilitation focuses on maximizing function and independence in children with disabilities. In that context, students will:
1. Develop proficiency in functional assessment of children with disabilities, including developmental milestones, gross and fine motor skills, speech and language skills, and cognitive abilities
2. Develop proficiency in neurological and musculoskeletal examination in children of all ages and abilities to participate
3. Identify acute and chronic rehabilitation needs in children with disabilities
4. Describe the pathophysiology of commonly encountered conditions resulting in disabilities in children, including (but not limited to): cerebral palsy, brain injury, spinal cord injury and dysraphism, neuromuscular disorders, brachial plexus injury, limb deficiency, and malignancies
5. Identify options for spasticity management, including chemodenervation (i.e., Botox injections) and Baclofen pumps.
Responsible faculty: Kim Hartman, MD (kchartman@cmh.edu)
Administrative assistant: Mary Brock (mebrock@cmh.edu), (816) 234-3970 and Elaine Albertson (eralbertson@cmh.edu), (816) 234-3970
Contact person: Holly Frey (hlfrey@cmh.edu)
Elective duration: One month
Prerequisites: MS3 or UMKC MS 4-5
Schedule: The typical schedule is weekdays, 8 a.m. to 5 p.m. Students are also responsible for attending 3-5 conferences during the month, journal club, and fellow lectures. No call.
Criteria for passing: Satisfactory performance on the clinical evaluation, including attendance at required conferences and clinical responsibilities
Criteria for honors: Outstanding performance on the clinical evaluation and superior abilities in the above objectives, including: outstanding professionalism and interpersonal skills with patients/families/rehab team; appropriate patient presentations; efficient yet thorough documentation of rehabilitation plan; and ability to apply newly acquired knowledge to clinical setting.