Pediatric PM&R

[Downbytheicu]

Can a pediatrics/PM&R combined residency prepare someone to be a "one-stop" shop for kids with neuro and musculoskeletal disorders? I think my interest in the combined residency comes from the idea of being able to be a PCP to these kids while providing blocks, medications, rehab etc that these children rely upon, as well as following them in-patient if they have to go in to the rehab unit. Do any practices like this exist and, if they don't, are they feasible?
Thanks.

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[VApmrdoc]

Hi, its nice to see someone interested in Pediatric PMR.

I don't have any experience with a combined program since its been some time since I've seen someone getting double-boarded but I will give you some perspective on my pediatric experience in NJ during residency. While working at Childrens Specialized hospital there were opportunities for both inpatient and outpatient care settings for physiatry and on the outpatient side there were pediatricians working as well so the two services could complement each other. With that being said, no reason you couldn't technically serve both roles in either in- or out-patient. I will also say that one of the attendings we worked with was not a physiatrist, but she did not perform the procedures you were talking about as she was not trained.

There is an entire fellowship (2 years) in pediatric physiatry. If you are looking to do regular PMR and then go above and beyond with pediatric training this may not be a bad option. I think it certainly depends on how much pure peds you want to do (as far as I know pediatric physiatry does not do PICU time etc as PMR is a non-emergency field am I right ).

Hope this helps, I'm sure someone else will post more info for you.

 

[lobelsteve]

Check out EVMS PMR. Dr. Shelton is Dept Chair and is Peds Phys. It was miserable for me (Pain Medicine) but if you like Peds, you can do all you want. Includes inpatient Peds/PMR service, child seating evals with PT, outpatient clinics in Botox, mgmt, IEP, etc.. Make the memories go away please- but you can learn a lot if interested. She is a feeding aversion specialist and will admit kids to inpatient who have texture aversions or failure to thrive to get them weaned off their mickey buttons.

 

[Downbytheicu]

Thanks for getting back to me. It's something I've recently become interested in, but have had the idea of being a pediatrician to kids with disabilities for some time now. Just figured out that this is a potential way to do it. Dr. Lobel, we actually know each other. You did a fellowship with my father, I believe, at GPP or whatever it was called at the time. Thanks for the heads up, and thanks for responding.

 

[lobelsteve]

Thanks for getting back to me. It's something I've recently become interested in, but have had the idea of being a pediatrician to kids with disabilities for some time now. Just figured out that this is a potential way to do it. Dr. Lobel, we actually know each other. You did a fellowship with my father, I believe, at GPP or whatever it was called at the time. Thanks for the heads up, and thanks for responding.

Rama?