Slp

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HunterGatherer said:
Are there any fellowships or programs that are better known for their training in speech, dysphagia, etc? Thanks!
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Not sure I quite understand your question. We do not specialize in specific therapy styles like physical, occupational, or speech therapy. The closest may be a stroke or TBI fellowship(after residency) where us physiatrists (physicians specializing in physical medicine and rehab) may deal more with issues of speech and dysphagia.
 
axm397 said:
Not sure I quite understand your question. We do not specialize in specific therapy styles like physical, occupational, or speech therapy. The closest may be a stroke or TBI fellowship(after residency) where us physiatrists (physicians specializing in physical medicine and rehab) may deal more with issues of speech and dysphagia.
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That basically answers my question. I was not sure if there were any areas of overlap in SLP and physiatry like there are in the other allied health.
 
axm397 said:
We're not allied health.
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I'm aware of that but as I understood the physiatrists are part of the treatment team that includes allied health such as OT, PT and I was thinking SLPs. Maybe you are saying SLPs,OT, PTs are not allied health.

I'll shadow some physiatrists in June to get a better idea of how what they do and how they interact with other medical professionals.
 
HunterGatherer said:
I'm aware of that but as I understood the physiatrists are part of the treatment team that includes allied health such as OT, PT and I was thinking SLPs. Maybe you are saying SLPs,OT, PTs are not allied health.

I'll shadow some physiatrists in June to get a better idea of how what they do and how they interact with other medical professionals.
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OK - I see what you are saying. You are right - physiatrists work with a team of allied health professionals, nursing staff, and social workers to provide comprehensive care focused on function and quality of life. We do not provide direct hands-on therapy. We prescribe medications, interpret medical data, in some cases diagnose conditions, and help facilitate the process of rehabilitation. We try to take care of medical issues that may interfere with therapy - like infections, pain, and spasticity. We understand the principle of PT, OT, and SLP and we are familiar with what they do during therapy sessions. We also talk the same "lingo" so we know what it means when a patient is minA, modA, maxA, etc. Specifically in regards to SLP, at least at my facility, physiatrists(or in other facilities, radiologists) need to be present for fluoroscopic swallow studies. We also know the different types of brain lesions that can affect speech and swallow. We know how different aphasias come to be and we also understand swallow precautions and modified consistencies. We are also familiar with augmentive communication devices.

Is that what you mean?
 
axm397 said:
Specifically in regards to SLP, at least at my facility, physiatrists(or in other facilities, radiologists) need to be present for fluoroscopic swallow studies. We also know the different types of brain lesions that can affect speech and swallow. We know how different aphasias come to be and we also understand swallow precautions and modified consistencies. We are also familiar with augmentive communication devices.

Is that what you mean?
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That is EXACTLY what I was looking for. Sorry for not being clear.

This training is part of the ABPMR requirements for getting certified as a physiatrist and would fellowshps give further training in these areas?

I did not see stroke fellowships listed on the ABPMR website.
 
HunterGatherer said:
That is EXACTLY what I was looking for. Sorry for not being clear.

This training is part of the ABPMR requirements for getting certified as a physiatrist and would fellowshps give further training in these areas?

I did not see stroke fellowships listed on the ABPMR website.
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What I mentioned above I would consider to be basic training we get during residency. There are stroke and stroke/TBI fellowships available but like spinal cord, there's no certification exam, etc. that I know of. Fellowship will help if you are hoping to become a medical director at an academic institution. For private practice, it really doesn't matter much. At RIC, we have a combined TBI/stroke fellowship which will give you the skill set to interpret fluoroscopic swallow studies, do EMG guided botox injections for spasticity, and manage severe brain injury and stroke patients including patients with locked-in syndrome on a vent, etc.
 
Hopkins has an attending, his name is escaping me right now who is an expert in dysphagia. He does his own dysphagia evals including swallow studies. Might be an interesting person to contact and rotate with if that is a particular interest of yours.
 
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