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Educational Objectives
Radnor Outpatient Rotation

Medical Knowledge

1. Summarize the following:
   1. Musculoskeletal anatomy, physiology, and biomechanics of the spine & musculoskeletal system
   2. Pathology and pathophysiology of overuse musculoskeletal injuries
   3. Effects of exercise on chronic diease (e.g. diabetes, cardiac conditions, arthritis)
2. Summarize treatments offered by physical therapy and how to order them and judge the appropriateness and efficacy of a treatment plan.
3. Compare and contrast medial and lateral elbow pain.
4. Describe the clinical presentation & pathophysiology for the following conditions:
   1. Acute injury of the cervical, thoracic and/or lumbar spine
   2. Ankle sprains
   3. Arachnoiditis
   4. Brachial plexopathy
   5. Coccygodynia
   6. Compression fracture
   7. Deconditioning
   8. Degenerative joint disease
   9. Discogenic disease
   10. Entrapment neuropathies
   11. Facet joint syndrome
   12. Failed back surgery syndrome
   13. Meniscal disease
   14. Metastatic disease
   15. Pathological fracture
   16. Patellofemoral syndrome
   17. Peripheral nerve entrapment
   18. Radiculopathy
   19. Rotator cuff disease
   20. Sacroiliac joint syndrome
   21. Shoulder instability and dislocation
   22. Spinal stenosis
   23. Spondyloarthropathy
   24. Spondylolisthesis
   25. Spondylolysis
   26. Sacral fracture
5. Discuss the role, indications and limitations of electrodiagnostic studies for the diagnosis and prognosis of:
   1. Radiculopathy
   2. Plexopathy
   3. Entrapment neuropathy
   4. Peripheral polyneuropathy
6. Summarize indications for joint arthroplasties & their alternatives (hip, knee, shoulder).
7. Describe relationship between the anatomy and biomechanics unique to the function of the shoulder girdle and upper extremity.
8. Discuss the concept of pain:
   1. Nocioceptive
      1. Somatic
      2. Viseral
   2. Neuropathic
   3. Acute pain
   4. Chronic pain
9. Discuss pain classification systems, including a multi-dimensional classification of pain.
10. Discuss the WHO guidelines for treatment of cancer pain.
11. Discuss the pathophysiology of pain.

Patient Care

1. Order and interpret radiologic examinations used for diagnosis of musculoskeletal injuries, including:
   1. X-rays with specific views
   2. Bone scans
   3. CAT scans
   4. MRI scans and MR arthrograms
2. Demonstrate ability to prescribe therapeutic modalities and order appropriate therapies for a patient.
3. Perform, analyze & interpret needle electromyography and motor/sensory nerve conduction studies for the upper & lower limbs.
4. Summarize the risks, benefits and complications of intramuscular, peripheral joint and lumbar spinal injections.
5. Perform the clinical examination of upper extremity, lower extremity, and spine.
6. Summarize the approach to evaluation of injured workers, their common injuries and treatments, and their prognosis for return to work.
7. With distant supervision, perform and interpret upper and lower limb electrodiagnostic studies for the diagnosis and prognosis of:
   1. Radiculopathy
   2. Plexopathy
   3. Entrapment neuropathy
   4. Peripheral polyneuropathy
8. Describe the differential diagnosis, diagnostic testing, and available non-operative treatment plans for the following conditions:
   1. Acute injury of the cervical, thoracic and/or lumbar spine
   2. Ankle sprains
   3. Arachnoiditis
   4. Brachial plexopathy
   5. Coccygodynia
   6. Compression fracture
   7. Deconditioning
   8. Degenerative joint disease
   9. Discogenic disease
   10. Entrapment neuropathies
   11. Facet joint syndrome
   12. Failed back surgery syndrome
   13. Meniscal disease
   14. Metastatic disease
   15. Pathological fracture
   16. Patellofemoral syndrome
   17. Peripheral nerve entrapment
   18. Radiculopathy
   19. Rotator cuff disease
   20. Sacroiliac joint syndrome
   21. Shoulder instability and dislocation
   22. Spinal stenosis
   23. Spondyloarthropathy
   24. Spondylolisthesis
   25. Spondylolysis
   26. Sacral fracture
9. Summarize the barriers to the treatment of pain in current systems of health care.
10. Complete a comprehensive pain assessment and develop an appropriate treatment strategy consistent with principles of patient participation.
11. Demonstrate ability to use both pharmacologic and non-pharmacologic therapeutic modalities for pain control:
    1. Non-opioid
    2. Adjunctive, off-labeled FDA approved drugs
    3. Opioid
       1. Equoanaglesia concept
       2. Side effects
    4. Physical modalities

Interpersonal and Communication Skills

1. Present information to patients & other care team members in an effective manner.
2. Establish trust and maintain positive rapport with patients, caregivers & family members.
3. Demonstrate effective listening skills.
4. Promote teamwork in the clinical setting.
5. Complete dictations and chart notes in a legible & timely manner.

Professionalism

1. Demonstrate sensitivity and responsiveness to age, culture, disability and gender of patients and colleagues.
2. Consider effects of personal, social and cultural factors in the disease process and patient management.
3. Demonstrate reliability, punctuality, integrity and honesty in all interactions with patients and colleagues.
4. Accept personal responsibility for own actions & decisions.
5. Apply sound ethical principles in practice (e.g., informed consent, confidentiality, veracity, provision or withholding of care).

Practice-Based Learning and Improvement

1. Demonstrate skill in supervising junior residents and medical students in information gathering, decision-making, and patient management.
2. Evaluate and/or modify own practice based on feedback from others.
3. Use information technology to appraise & assimilate evidence from scientific studies to enhance patient care outcomes.

Systems-Based Practice

1. Summarize the physicians role in advocating for patient care needs.
2. Summarize the physicians role in disease management across various levels of the health care system in a cost effective manner.
3. Demonstrate how to access various community resources on behalf of the patient.
4. Demonstrate integrity and responsibility in interactions with insurance and/or disability-oriented agencies.