Cancer Rehab
Started by jakki
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University of Penn was very strong in cancer rehabilitation. Andrea Cheville recently left for Mayo. Deb Franklin left and has built up quite a population at Thomas Jefferson University. I belive Rebecca Smith from Moss is now heading up UPenn's Cancer program now.
Baylor has a strong reputation for cancer rehab. Dr. Butterfield (I think he is at Cornell) has a great cancer rehab practice.
Baylor/UT PM&R residents rotate through MD Anderson for 1-2 months. Great rotation and the PM&R docs are very well liked by the residents. This rotation is a Cancer Rehab rotation, not pain. The PM&R service is under the Palliative care and Rehabilitation Medicine department. The pain management service (Chronic/Cancer/Acute) is under the Anesthesiology and Pain Medicine department.
When I was a resident at BCM/UT rotating here I spent some time with the pain service because I knew I wanted to go into pain. I loved it and now im completing a great anesthesia-based pain fellowship here. Great institution, incredible pathology, cutting-edge treatments- patients here are a challenge for both PM&R and Pain docs.
And yes, MDACC has accepted the first Cancer Rehab fellow for the 2007-2008 GME year. If you want more info on this fellowship, you need to contact MD Anderson PM&R, not Baylor/UT. Dr. Yadav is the person in charge.
When I was a resident at BCM/UT rotating here I spent some time with the pain service because I knew I wanted to go into pain. I loved it and now im completing a great anesthesia-based pain fellowship here. Great institution, incredible pathology, cutting-edge treatments- patients here are a challenge for both PM&R and Pain docs.
And yes, MDACC has accepted the first Cancer Rehab fellow for the 2007-2008 GME year. If you want more info on this fellowship, you need to contact MD Anderson PM&R, not Baylor/UT. Dr. Yadav is the person in charge.
Cancer patients with rehab needs have many different problems, not often seen by general PM&R docs. They are often medically more ill with consequences from surgery, radiation and chemotherapy, Their problems could be similar to brain injury, SCI due to metastatic or primary disease in the CNS. They could also have orthopedic mobility issues secondary to amputations, surgical reconstructions, etc- 4-quarter amputations are seen here more often than not as well as girdlestones- things not always seen doing general PM&R. Oh, and of course you will be exposed to the extremely sick patient with debility, asthenia with a multitude of medical issues. A cancer rehab doc will need to know a lot about cancer prognostication to formulate rehab goals. They will need to have good understanding of cancer treatments and the complications of.
There are more and more cancer survivors with special needs, both for pain control and rehab. It makes sense to start a fellowship for Cancer Rehab because as the number of survivors increase, there will be a greater need for this special population. You could probably practice cancer rehab without a fellowship now, but if you want to be in big cancer centers such as MDACC, a fellowship would be beneficial.
Hope this helps.
Stubblefield would be great to work with if you are interested in cancer rehab. He just spoke at our grand rounds last week on Cancer and EMG and he said that he will have a new book out soon "Cancer Rehabilitation."
