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What is a Physiatrist PowerPoint Presentation

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Description : Check out this medical presentation on Physiotherapy and Physical Rehabilitation, which is titled "What is a Physiatrist?", to know about physiatrist, a physician who specializes in physical medicine and rehabilitation.

Tags : Physiotherapy, Physical Rehabilitation, Physiatrist, physical medicine

Published on : Aug 02, 2021 | Views : 2550 | Downloads : 0

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Slide 1-

What is a Physiatrist?
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Physiatry: Definition Physiatry: From Greek physikos (physical) and iatreia (art of healing) Known as Physical and Rehabilitation Medicine
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Historical Perspective Physical modalities date back to ancient times Modern medical specialty began to develop during WW I Coalesced during and after WW II, and the polio epidemic Addressing need for rehabilitation of injured veterans and polio survivors Physiatry formally recognized as medical specialty in 1947 Today, over 11,000 board-certified physiatrists nationwide
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Physiatry: Myths and Truths Physiatrists are… MDs and DOs able to diagnose and prescribe located throughout the U.S. available for in-patient and out-patient care integral members of the care team Physiatrists are NOT… in competition with PCPs physical therapists (physiotherapists) chiropractors psychiatrists
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Physiatry: Training 4-year medical school Residency programs 78* accredited programs listed in the U.S. in 2015 1 year internal medicine prelim, surgical prelim, or transitional year 3 years PM&R training Fellowships Fellowship programs allow for sub-specialization E.g., spinal cord injury, sports medicine, pain *AAP Residency Training Program Directory (2015) Available at: http://www.physiatry.org/?page=program_directors
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Subspecialty/Fellowship Training Subspecialty fellowships accredited by the ACGME for physical medicine and rehabilitation include: Hospice and palliative medicine Neuromuscular medicine Pain medicine Pediatric rehabilitation Spinal cord injury medicine Sports medicine Traumatic brain injury
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Subspecialty/Fellowship Training Non-ACGME accredited fellowships available for physical medicine and rehabilitation include: Cancer rehabilitation Multiple sclerosis Neurorehabilitation Research Spine rehabilitation/interventional spine
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The Physiatric Approach Guiding principles: Patient function and quality of life Integrated care Combine pharmacological and non-pharmacological modalities Non-surgical approach to treatment and rehabilitation Coordinate interdisciplinary treatment team Work with PCP, specialists, physical and other therapists
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Multispecialty Approach Residency training is unique in its multispecialty process, which allows for a very unique patient care approach Physiatrists receive formal orthopedic, rheumatologic, musculoskeletal and neurologic training to care for patients in both in-patient and out-patient settings Physiatrists perform electromyography, musculoskeletal ultrasound and advanced spinal/joint injections Priority is to avoid surgery while maintaining function
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Physiatry: Improving Function Goal is prevention, diagnosis, and treatment of disorders that may produce temporary or permanent impairment Restoration of function Maximize quality of life “Whole-istic” approach (the whole patient, not just a body part): patient-centered care
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Practice Settings: Inpatient Leads an interdisciplinary team (physical, occupational and/or speech therapist, social worker, psychologist and chaplain) Oversees the medical component as well prescription of therapeutic modalities Typically treats spinal cord injury, brain injury (traumatic and non-traumatic), stroke, multiple sclerosis, polio, burn care, and musculoskeletal and pediatric rehabilitation
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Practice Settings: Outpatient Experts at nonsurgical management of conditions including orthopaedic injuries, spine-related pain and dysfunction, occupational injuries and overuse symptoms, neurogenic bowel/bladder, pressure sore management, spasticity management and chronic pain Typically practice in multidisciplinary groups with other physiatrists, orthopaedic surgeons and/or neurosurgeons
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Physiatry: Conditions Treated Musculoskeletal Trauma and injuries: Sports- or work-related injuries, repetitive use disorders (e.g., carpal tunnel syndrome) Acute and chronic pain syndromes: Back/neck pain Diseases Osteoporosis, arthritis Other Rehabilitation following joint reconstruction, amputation
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Physiatry: Conditions Treated Cardiovascular Cardiac rehabilitation Vascular diseases Pulmonary COPD Other respiratory dysfunction Others include: Rehabilitation for cancer, HIV, pediatrics, geriatrics
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Physiatry: Conditions Treated Neurologic Spinal cord injury, traumatic brain injury Stroke Multiple sclerosis Peripheral neuropathy Movement disorders: Parkinson’s disease, cervical dystonia, and other focal dystonias Motor neuron disease
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The Physiatric Approach to Care Examples: Traumatic brain injury: improve cognitive and social functioning and return-to-work issues Acute disc herniation: maximize function and decrease pain with various injection techniques (including epidurals) and physical therapy, while avoiding surgical intervention Post-hip replacement: decrease pain and improve functional gait/activities Sprained ankle: strengthen and improve proprioception
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The Physiatric Approach to Care Examples: Post MI: optimize cardiopulmonary function Spinal cord injury: manage spasticity and assess need for appropriate adaptive equipment Post-stroke: increase mobility and range of motion in patients with spasticity, use focal treatment with botulinum toxin or phenol injection in conjunction with physical/occupational therapy