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http://www.physiatry.org/news/16520...04-Categorical-and-287-Advanced-Positions.htm
no spots that went unfilled.
no spots that went unfilled.
Sign of the changes in healthcare.
Lifestyle is becoming increasingly important.
Versatility of a specialty and ability to "do what you want, when you want" is also key.
I'm not sure your question is clear " 'do you what you want when you want specialties'"... umm? Rotate with a general PM&R physician before you make any conclusion about the field. There are so many options for PM&R and with the baby boomer population there will be more opportunities in the future. I've worked with doctors who take new patients and specifically treat young athletes to geriatrics (falls) needing more specialized care (gait, biomechanics, etc) that few other fields can treat. I've also seen physicians who base their practice more off "inpatient consults" and then follow the patient in an outpatient setting (TBI, CVAs, Multi-trauma, and SCI injuries). A lot of the reimbursements vary based on the insurance the patient has but the scope of PM&R is huge ranging from pediatrics to geriatrics. With patients living longer, through medical advances, PM&R is able to help people return home and function...whether they have MS, Parkinson’s, Cancer, Cardiac Rehab, Pulmonary Rehab, Wounded Veterans, Low Back Pain, Diabetic wounds, etc. Needless to say we are not worried about our "patient base."Is PMR one of those 'do you what you want when you want' specialties?. don't you still need pts to be referred to you even if you have your own practice? [i'm not sure how it works, but need referrals just seem like a big drawback to patient base]
Is it possible to work exclusively with wounded warriors?I'm not sure your question is clear " 'do you what you want when you want specialties'"... umm? Rotate with a general PM&R physician before you make any conclusion about the field. There are so many options for PM&R and with the baby boomer population there will be more opportunities in the future. I've worked with doctors who take new patients and specifically treat young athletes to geriatrics (falls) needing more specialized care (gait, biomechanics, etc) that few other fields can treat. I've also seen physicians who base their practice more off "inpatient consults" and then follow the patient in an outpatient setting (TBI, CVAs, Multi-trauma, and SCI injuries). A lot of the reimbursements vary based on the insurance the patient has but the scope of PM&R is huge ranging from pediatrics to geriatrics. With patients living longer, through medical advances, PM&R is able to help people return home and function...whether they have MS, Parkinson’s, Cancer, Cardiac Rehab, Pulmonary Rehab, Wounded Veterans, Low Back Pain, Diabetic wounds, etc. Needless to say we are not worried about our "patient base."
Is it possible to work exclusively with wounded warriors?
I've already been in. I didn't have much exposure to PMR, and it's my understanding there's only one mil residency. I didn't have a Physiatrist for my rehabilitative care.you can join the military and work at a army/naval base.
the DOD is funding a lot of research now on TBI, amputation, etc
I've already been in. I didn't have much exposure to PMR, and it's my understanding there's only one mil residency. I didn't have a Physiatrist for my rehabilitative care.
Currently there's no other incentive than working with Veterans than working with combat related trauma/PTSD PTs stateside for me to join the military. But will the VA be adequate for this?
I'm guessing that TBI/Amputation research is being done at a lot of academic institutions that the DOD/VA is paying for correct? Sorry for these basic questions.
Thank you. I wouldn't mind if they were stateside injuries I suppose. But wouldn't there still be some carryover from OEF/ORF in say 2018? (I'm starting school in July).I believe you're correct--Walter Reed is the only military PM&R residency. I think it has three positions. I believe it's quite competitive, but I don't know if it's considered a strong/average/weak program.
However, Stanford, U Minnesota, VCU, and the programs in Tampa (South Florida?) and I believe San Antonio all have VAs with polytrauma units, where you'll treat active-duty soldiers through an agreement with the DOD. The polytrauma units were the main thing that appealed to me about Stanford, Minnesota, and VCU (I didn't apply or interview in Tampa, and I would've applied to San Antonio had I known they had a program). These VA's also all offer the highest level of care with regards to amputee services, so if your interest is working with active duty soldiers, they're the places to go. With ORF/OEF wound down/mostly wound down, these units are going to be seeing and doing rehab of a lot more stateside injuries vs overseas injuries.