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Educational Goals:
Twelve Components of the Training Program

1) General Medical Knowledge:

The PM&R resident must be able to recognize and explain health problems
based upon current scientific understanding; and, to recognize the factors other than biologic that impact the health of a given patient. The resident must be able to respond to the socio-cultural, familial, psychosocial, economic, legal, and spiritual aspects of health care in order to fully meet patient needs.

2) General Physiatric Knowledge:

The PM&R resident must be able to diagnosis common health problems
related to the specialty of Physical Medicine & Rehabilitation; to be involved in educational and other interventions designed to prevent such problems; to be aware of the limits of professional knowledge; and, to actively pursue lifelong learning related to general medical science and the field of rehabilitation medicine.

3) General History & Physical Examination Skills:

The PM&R resident must be able to obtain a history including those factors
outlined under general medical knowledge and to perform a omprehensive physical examination of a patient, which includes evaluation of function.

4) Physiatric Activities:

The PM&R resident must be skilled in selecting, performing, and interpreting clinical procedures and/or laboratory tests. This skills set includes: functional evaluation; prescriptions of various therapeutic exercises and treatment modalities; procedural skills; electrodiagnosis; and, prescriptions related to prosthetic and orthotic devices. The resident will also become skilled at working with and leading an interdisciplinary approach to complex patients and master the collaborative skills essential to safe and effective patient care.

5) Professional Attitudes:

The PM&R resident must be aware of and practice appropriate professionalism in all interactions with patients, patient families/caregivers, fellow residents, and other health care team members.

6) Ethical/Humanistic Qualities:

The recognition of the ethical/humanistic dimensions of medical practice and health care policy is crucial. The PM&R resident must simultaneously be able to recognize the value system of the patient while recognizing his/her own value system and the ethical choices necessary to maintain a high level of personal integrity.

7) Clinical Judgment:

The PM&R resident must work in concert with the patient and the care team to develop a patient care plan/intervention that uses current scientific knowledge to affect a positive outcome for the patient. The resident must also understand the limitations of medicine to enhance neurologic, functional and psychosocial recovery of a given patients disease and be able to teach the patient in this
context.

8) Patient Care:

The PM&R resident must be able to manage common health problems related to the specialty.

9) Communication Skills

Patient satisfaction, compliance and outcomes are affected by the nature of the physician-patient relationship, and how effectively the physician and patient communicate. The PM&R resident must be an active listener and communicate clearly with patients, families and other members of the health care team.

10) Self-Awareness, Self-Care and Personal Growth:

Medicine should be practiced with an awareness of ones personal strengths, weaknesses, and vulnerabilities. The PM&R resident must be able to assess his/her own values and priorities in order to balance personal and professional
commitments.

11) Practice-Based Learning:

The PM&R resident must be able to incorporate principles of practice-based learning by using the best available tools of technology, information systems, empirical evidence and evidence-based medicine in the analysis and daily provision of patient care.

12) Systems-Based Practice:

The PM&R resident must be able to recognize and incorporate principles of system-based medical practice. The resident must appreciate the entire continuum of care including models of rehabilitative care in vertically integrated, horizontally integrated and affiliated networks of care. The resident must also appreciate the influence that home and community-based care has on rehabilitation outcomes, including re-integration into the community.