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whorubigman said:i'm trying to rank these programs. if anyone had any opinions of these programs (yes, i have read other postings regarding these programs, but i still want opinions, please)
columbia cornell
ucla
stanford
johns hopkins
baylor
temple
univ. of pittsburgh
cleveland
uci
thank you so much in advance!
whorubigman said:Definitely helps! Thx a bunch, buddy. I don't really have any particular interest in any parts of PMNR at this point. Pitts's improving all the time, yea... Good to know. Baylor's that famous? Didn't know that. Hopkins requres a lot of travel? Can you tell me how that's so? If any other thoughts arise on any of the programs above, please do so!
cyanocobalamin said:Hopkins does require a lot of travel. For example, you do a block of TBI at NRH in Washington because they don't have a lock down unit. You also go out to suburban hospitals and clinics a lot though their names elude me at this point. I believe most inpt is in the R1 year.
joseppi said:I agree with mel about the JHU driving- to me it didn't seem far at all. Nothing like driving the 10 at any time of day in LA!!!
I guess its all personal perspective and how you see it compared to your life experiences. In retrospect I think there are very few programs that have no driving, that are located all on the same campus. (atleast from the ones I visited I can only think of one) Take Kessler for example, their driving is alot more extensive than JHU and much traffic from what I understand.
Of your programs listed, I would probably place the so.cal programs lower on my list unless you are locationally linked to area. (I have rotated at them), however so of your programs in the midwest I have never visited on rotated so I can't offer any opinion. I guess it all comes down to your priorities, what you want. You should make a list to hellp you sort it out. It'll make your decision much more clearer.
hope that helps
whorubigman said:Thank you for your info. A huge gap at Baylor... What does that mean???
No invites from either Jeff or Sinai, unfortunately...
Temple's good, yea? I guess I'll be going there for the interview, then... Any other opionions you'd like to lay down?
whorubigman said:Definitely helps! Thx a bunch, buddy. I don't really have any particular interest in any parts of PMNR at this point. Pitts's improving all the time, yea... Good to know. Baylor's that famous? Didn't know that. Hopkins requres a lot of travel? Can you tell me how that's so? If any other thoughts arise on any of the programs above, please do so!
What drives me nuts by these old timers is how they have hampered our credibility as a medical specialty. Over the years I have come to realize that most physicians in other specialties and patients doubt that I am really a physician when I refer to myself as a physiatrist-it sounds too much like physiotherapist, which residency did not, but should have prepared me for; when I refer to myself as an expert in rehabilitation medicine, I am considered no different from the therapists(PT/OT/ST) who title thier progress notes from dept of rehabilitation medicine, so there I lose credibility for my own physician skills as well. I have found that I get the most credibility and respect from collegues and patients who meet me initally when I describe myself as a expert in neuromuscular disease or a non-surgical orthopedic specialist, which is my reason for choosing this specialty. I wish the old timers in our specialty had more foresight in naming our specialty so we would have greater credibility as a medical specialty by now.axm397 said:Some of the hard-core old timers will know that the correct pronunciation is phys-ee-a-trist. Most ppl don't care. The only thing is there's a possibility you will be interviewed by one of those hard core ppl in which case it may become a big deal.
Editorial
[Editorial]
Johnson, Ernest W. MD, Editor
The Compleat Physiatrist
Dr. Frank Krusen invented the term physiatrist and urged its pronunciation as fiz-[horizontal bar over]e-a'-trist with the accent on the third syllable. This term described a physician who used physical agents to treat injury and disease. In the old days, it was ultraviolet, electricity, water, exercise, and heat.
Soon it became apparent that exercise was the most important modality in restoring function after a disabling condition. The classic one in the 1940s was polio. Then stroke, spinal cord injury, and head injury assumed primacy in Physical Medicine and Rehabilitation management expertise.
All along the implication was that physiatrists were the function doctors, and musculoskeletal diagnostic treatment principles were essential in the process. Logically then, industrial and sport injuries (90% nonsurgical) seemed appropriate substrate for physiatric management.
Thus developed a meld of physical treatment and rehabilitation, which received official sanction when the American Board of Medical Specialties (then the Advisory Board of Medical Specialties) agreed to add Rehabilitation to the American Board of Physical Medicine in 1949. (continues further)
Physiatric Misnomers
[Editorial]
Johnson, Ernest W. MD, Editor
With more of our colleagues going into the literary mode, it seems appropriate to list some of the frequent syntactic missteps encountered in our literature and conferences.
First, and most egregiously reiterative, is the misuse of the word extremity. In the most recent edition (27th) of Stedman s Medical Dictionary, the entry under extremity says One of the ends of an elongated or pointed structure. Incorrectly used to mean limb.
One cannot pick up a recent text or even a physiatric or orthopedic journal without this inapt mention of an extremity, when clearly the limb is meant. How often have you read, amputation of the lower extremity, when an above-the-knee absence was implied? Or, upper-extremity pain being listed for tennis elbow?
Extremity is a HAND or FOOT, never a limb, only the end of a limb.
Radiating pain is an ubiquitous term infecting our (and medical in general) literature. Pain does not radiate if one realizes that radiating means a continuous line from a point source. Obviously, pain can, and often does, refer to a distal site from a noxious source but rarely, if ever, would it radiate.
Radicular pain does NOT radiate; it refers to the buttock, shin, calf, or foot.
When are we going to see the end of deep tendon reflexes? These are muscle stretch reflexes! I read them in almost every case report to our Journal.
Another facet of our fractured syntax is pronunciation.
As spelled, facet is almost universally mispronounced by physiatrists (especially interventional practitioners). The accent is on the first syllable: fac-et. To pronounce it fa-cet is incorrect! That is the European pronunciation of facette, c ertainly not the spelling in the United States literature.
Power is often misused when strength or force is meant, most notably when reporting muscle function. Power is work per unit of time.
Inadvertent means careless, not unintentional. This is rampant throughout the literature, as well as in our lectures and other presentations.
Physiatrists (pronounced PHYS-I-A-TRISTS) still cannot appreciate the origin of our specialty s name. Our forbear, Frank Krusen from Mayo Clinic, invented the word and wrote extensively on how to pronounce it and why! It gets confused with psychi atry and podiatry if the second syllable is accented.
Communication depends on accurate syntax. Need there be any other reason to be precise? I think not!
1923
The Congress was founded as the American College of Radiology and Physiotherapy, a professional association of physicians who used physical agents to diagnose and treat illness and disability. The first elected president of the organization was Samuel B. Childs, MD.
1925
The trend toward specialization in medicine resulted in a separation of radiology from physical therapy and a change in name to the American Congress of Physical Therapy. The 1925 Annual Meeting of the Congress was promoted in the Journal of Radiology
1926
The journal (the present day Archives), which began publication in 1920, changed its name to the Archives of Physical Therapy, X-ray, Radium and was declared the official journal of the American Congress of Physical Therapy. In 1930, Albert F. Tyler, MD, presented the Archives to the Congress as a debt-free, unencumbered gift.
I have had the pleasure of both reading Dr. Johnsons works as well as hearing him speak regarding this subject, and he is indeed, enlightening.Finally M3 said:If you've met Dr. Johnson (and you will if you interview at OSU), you'll get the real-time version of his editorial.