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. 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.
Founded in 1870, Children’s National is one of the nation’s oldest independent children’s hospitals. Children’s National is a free-standing 316-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.
There are over 669,000 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.
Fellows are trained in the procedures related to the field of Pediatric Rehabilitation Medicine, including chemodenervation with botulinum toxin and intramuscular neurolysis with phenol, electrodiagnostic studies, and intrathecal baclofen pump management.
Rotation Schedule Template
| PRM- Two Year Program (Year One)|
| Outpatient Research||Inpatient Consults||Developmental Pediatrics||Outpatient Research||Inpatient||NeuroICU Consults|
| PRM- Two Year Program (Year Two)|
| Outpatient Research||Inpatient Consults||Outpatient Research||Orthopedics Elective||Inpatient Consults||Outpatient Research||Inpatient Consults|
- Division of PRM weekly didactic series cover the critical elements of the American Board of PMR curriculum for Pediatric Rehabilitation Medicine and include lectures/seminars, case presentations with analysis, and journal clubs.
- The PRM fellows complete training in the core curriculum for fellows at Children’s National.
- Children’s National Grand Rounds, Children’s National neuroscience series, and pediatric neuroradiology rounds.
- Ethics rounds facilitated by members of the Children’s National Ethics Committee.
- Participation in the national conferences (one per year) pertaining to Pediatric Rehabilitation Medicine.
- The fellows have an integral role as part of the training program for PM&R residents from MedStar National Rehabilitation Hospital and Walter Reed National Military Medical Center.
- The PRM fellows participate in the training of other rotating residents and medical students through daily supervision in the clinical settings and through formal lectures and other didactics.