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Rehabilitation Medicine Fellowship

Overview

The ACGME-accredited Pediatric Rehabilitation Medicine (PRM) Fellowship Program at Children’s National Medical Center is designed to develop advanced skills in the diagnosis and treatment of children with disabilities. We offer one- and two-year programs. The length of the fellowship is based on the fellows’ applicant’s previous training, and is consistent with the requirements of the ABPMR.

Fellows are responsible for participating in the care of pediatric patients in inpatient and outpatient clinical settings. This includes performing and documenting a history and physical examination, formulating and executing diagnosis and treatment plans, and leading the treatment team for the patient in conjunction with the attending physiatrist. The PRM fellows relay recommendations to the patients and their families once the evaluation is complete and facilitate the discussion with the patients and families to make sure that all questions and concerns are addressed.

Acute Inpatient Rehabilitation

Our 12-bed acute inpatient pediatric rehabilitation unit was opened in 2003 at the MedStar National Rehabilitation Hospital and is a joint venture between MedStar NRH and Children’s National Medical Center. MedStar NRH is a free-standing 118-bed hospital. There are approximately 100 admissions to the pediatric unit per year. The most common conditions include: traumatic and non-traumatic brain and spinal cord injury, cerebral palsy, tumors, neuromuscular disorders, and musculoskeletal disorders and injuries.

Inpatient Consultation

Founded in 1870, Children’s National Medical Center is one of the nation’s oldest independent children’s hospitals. Children’s National is a free-standing 283-bed tertiary pediatric hospital.  Children’s National has over 10,000 inpatient admissions per year. The Pediatric Rehabilitation Medicine fellows participate in inpatient consultations at Children’s National (over 400 per year) for patients admitted to NICU, PICU, CICU, neurology, neurosurgery, orthopedic surgery, oncology, general pediatric, and trauma services.

Outpatient Experience

There are over 400,000 outpatient visits per year at Children’s National. As a part of the outpatient rotation, the PRM fellows attend general PRM clinics for children with a variety of functional deficits, including those secondary to: brain injury, cerebral palsy, hypotonia, developmental delay, limb deficiency/amputation, musculoskeletal disorders, rheumatologic and connective tissue disorders, genetic disorders, and oncologic diagnoses. The PRM fellows also see patients in multidisciplinary clinics/ programs such as the Muscular Dystrophy Association sponsored clinic, Spina Bifida/ Spinal Cord Injury, Spasticity/Motor Dysfunction, Perinatal Brain Injury, Skeletal Dysplasia, Brachial Plexus Injury, Torticollis, Neuro-oncology, Myelin Disorder, PICU Follow up, Orthopedic Surgery & PRM, Concussion, Pain Management, Therapeutic Equipment and Brace clinics, and Assistive Technology.

Procedural Training

Fellows are trained in the procedures related to the field of Pediatric rehabilitation Medicine, including chemodenervation with Botox and intramuscular neurolysis with phenol, electrodiagnostic studies, and intrathecal baclofen pump management.

Rotation Schedule Template

PRM – 1 year program

 

Jul

Aug

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IP/IC

Elective

OP

Research

IP/IC

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               Research

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Res

PRM – 2 year program

1st Year

 

Jul

Aug

Sept

Oct

Nov

December

January

Feb

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April

May

June

IP

IC

OP

Research

IP

IC

Peds/

DP

IC/

NeuroICU

IP

IC

OP

Research

2nd Year

 

Jul

Aug

Sept

Oct

Nov

Dec

Jan

Feb

March

Apr

May

June

IP/IC

Elective

OP

Research

IP/IC

Ortho

                 OP

               Research

IP/IC

OP

Res

IP  Inpatient

OP  Outpatient

IC  Inpatient Consults

Peds  Pediatrics

DP  Developmental Pediatrics

Res  Research

Ortho  Orthopedic Surgery

Res  Research

 


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