Base de dados : MEDLINE
Pesquisa : H02.403.680 [Categoria DeCS]
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[PMID]:28925925
[Au] Autor:Mallow M; Baer H; Moroz A; Nguyen VQC
[Ad] Endereço:From the Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (MM); University of Colorado Denver, Denver, Colorado (HB); New York University School of Medicine, New York, New York (AM); and Carolinas HealthCare System, Charlotte, North Carolina (VQCN).
[Ti] Título:Entrustable Professional Activities For Residency Training in Physical Medicine and Rehabilitation.
[So] Source:Am J Phys Med Rehabil;96(10):762-764, 2017 Oct.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Entrustable professional activities are observable units of professional practice that can potentially provide a link between competency-based medical education and clinical practice. The authors, part of a subcommittee of the Association of Academic Physiatrists Education Committee, identified a set of entrustable professional activities that would serve residency training programs in the specialty of physical medicine and rehabilitation. Using a modified Delphi process, residency program directors in the field reviewed and validated a set of entrustable professional activities. The final set of 19 entrustable professional activities is presented in this article.
[Mh] Termos MeSH primário: Competência Clínica/normas
Educação de Pós-Graduação em Medicina/normas
Internato e Residência
Medicina Física e Reabilitação/educação
[Mh] Termos MeSH secundário: Comitês Consultivos
Educação Baseada em Competências/normas
Técnica Delfos
Avaliação Educacional
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000741


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[PMID]:28708632
[Au] Autor:Chua KSG; Kuah CWK
[Ad] Endereço:From the Tan Tock Seng Hospital Rehabilitation Center, Center for Advanced Rehabilitation Therapeutics, Singapore.
[Ti] Título:Innovating With Rehabilitation Technology in the Real World: Promises, Potentials, and Perspectives.
[So] Source:Am J Phys Med Rehabil;96(10 Suppl 1):S150-S156, 2017 Oct.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In this article, we discuss robotic-assisted therapy as an emerging and significant field of clinical rehabilitation and its value proposition for innovating rehabilitation clinical practice. Attempts to achieve integration among clinicians' practices and bioengineers' machines often generate new challenges and controversies. To date, the literature is indicative of a sizeable number and variety of robotic devices in the field of clinical rehabilitation, some are commercially available; however, large-scale clinical outcomes are less positive than expected. The following main themes related to integrating rehabilitation technology in real-world clinical practice will be discussed: the application of current evidence-based practice and knowledge in relation to treatment in the rehabilitation clinic, perspectives from rehabilitation professionals using robotic-aided therapy with regard to challenges, and strategies for problem solving. Lastly, we present innovation philosophies with regard to sustainability of clinical rehabilitation technologies.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências/tendências
Medicina Física e Reabilitação/tendências
Robótica/tendências
[Mh] Termos MeSH secundário: Bioengenharia/tendências
Previsões
Seres Humanos
Medicina Física e Reabilitação/métodos
Robótica/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170715
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000799


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[PMID]:28628540
[Au] Autor:Fu JB; Osborn MP; Silver JK; Konzen BS; Ngo-Huang A; Yadav R; Bruera E
[Ad] Endereço:From the Department of Palliative, Rehabilitation & Integrative Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas (JBF, MPO, BSK, AN-H, RY, EB); and Department of Physical Medicine & Rehabilitation, Harvard Medical School and Spaulding Rehabilitation Hospital, Boston, Massachusetts (JKS).
[Ti] Título:Evaluating Disability Insurance Assistance as a Specific Intervention by Physiatrists at a Cancer Center.
[So] Source:Am J Phys Med Rehabil;96(7):523-528, 2017 07.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Because of their expertise, physiatrists provide disability insurance assistance for cancer survivors. In this brief report, we perform a descriptive retrospective analysis of all new (354) outpatient physiatry consultations from January 1, 2009, to December 31, 2013, at a National Cancer Institute Comprehensive Cancer Center. Disability and/or work accommodations were brought up at some point with the physiatrist during the duration of their care for 131 (37%) of 354 patients. More than 90% of the discussions took place during the first visit. Of those patients who had a documented disability/employment discussion, 58 (44.3%) of 131 patients were originally referred for disability assistance specifically, and 58 (44.3%) of 131 also had disability insurance paperwork completed by the physiatrist. Outcomes of initial physiatry disability insurance assistance were 45 (77.6%) of 58 approved/renewed, 5 (8.6%) of 58 denied, and 8 (13.8%) of 58 unknown/died during the disability application process. The median form size was 33 (SD, 25.95) items. This study is the first of its kind and provides an initial look at work-related discussions and support with disability insurance paperwork as a specific intervention provided by physiatrists at a cancer center. The results are compelling and demonstrate that physiatrists frequently provide these interventions. These interventions take considerable time and effort but are generally successful.
[Mh] Termos MeSH primário: Institutos de Câncer/estatística & dados numéricos
Avaliação da Deficiência
Seguro por Invalidez/estatística & dados numéricos
Fisiatras/estatística & dados numéricos
Medicina Física e Reabilitação/métodos
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Encaminhamento e Consulta/estatística & dados numéricos
Estudos Retrospectivos
Retorno ao Trabalho
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170620
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000641


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[PMID]:28415072
[Au] Autor:Brane LB; Carson R; Susmarski AJ; Lewno AJ; Dicianno BE
[Ad] Endereço:From the University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (LBB, RC); and Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (AJS, AJL, BED).
[Ti] Título:Changing Perception: Outcomes from a Physical Medicine and Rehabilitation Medical Student Interest Fair.
[So] Source:Am J Phys Med Rehabil;96(5):362-365, 2017 May.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Exposure to the field of Physical Medicine and Rehabilitation (PM&R) is limited in the curricula of many medical schools. As a result, many students lack awareness of the field and may therefore ultimately choose different careers. A medical student PM&R career fair was held on October 13th, 2015 at the University of Pittsburgh, and several local medical schools were invited to participate. Seven stations were deployed to highlight various aspects of PM&R careers. A total of 57 medical students attended, representing five different campuses across three states, with 29 of the reported medical students still within their first or second year of medical education. Self-reported interest and understanding of PM&R significantly increased in those attending the fair compared to baseline, with nearly half requesting further opportunities for faculty mentorship. These results indicate that PM&R interest fairs may be a means to further student understanding and awareness of PM&R while providing an opportunity to become more involved in the field.
[Mh] Termos MeSH primário: Escolha da Profissão
Medicina Física e Reabilitação
Estudantes de Medicina
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Pennsylvania
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170418
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000583


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[PMID]:28225713
[Au] Autor:Lien IN; Wu PS; Wang TG; Chen SY; Lew HL
[Ad] Endereço:From the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (I-NL, P-SW, T-GW, S-YC); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia (HLL); and John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii (HLL).
[Ti] Título:The Development and Evolution of Physical Medicine and Rehabilitation in Taiwan from 1958 to 2016.
[So] Source:Am J Phys Med Rehabil;96(3):199-202, 2017 Mar.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The field of physical medicine and rehabilitation (PM&R) began its development in Taiwan since 1958, and has gradually evolved into a profession that provides a diversity of clinical services and educational activities. The objectives of this brief report were to (1) review its background and milestones in the past 6 decades, (2) describe the current role and function of its Academy of PM&R, (3) present the content and format of its board certification process, focusing on (a) residency training requirements, (b) self-assessment examination, board certification process, and (c) maintenance of certification through continued education. Some challenges and opportunities are also discussed toward the end of this article. It is hoped that this report may serve as a reference material for other countries as they develop or improve their PM&R residency programs.
[Mh] Termos MeSH primário: Medicina Física e Reabilitação/organização & administração
Medicina Física e Reabilitação/tendências
[Mh] Termos MeSH secundário: Certificação
Educação Médica Continuada
Seres Humanos
Internato e Residência
Programas Nacionais de Saúde
Medicina Física e Reabilitação/educação
Mecanismo de Reembolso
Sociedades Médicas
Taiwan
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000570


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[PMID]:28219100
[Au] Autor:Schmidt S; Bergelt C; Deck R; Krischak G; Morfeld M; Michel M; Schwarzkopf SR; Spyra K; Walter S; Mau W
[Ad] Endereço:Institut für Rehabilitationsmedizin, Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg.
[Ti] Título:[Current Developments of the Interdisciplinary Subject Rehabilitation, Physical Medicine, Naturopathic Treatment in the German Medical Faculties: Results of the DGRW Faculty Survey in 2015].
[Ti] Título:Aktuelle Entwicklungen der rehabilitationsbezogenen Lehre in den humanmedizinischen Studiengängen in Deutschland: Ergebnisse der DGRW-Fakultätenbefragung 2015..
[So] Source:Rehabilitation (Stuttg);56(1):47-54, 2017 Feb.
[Is] ISSN:1439-1309
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:To ascertain the current development of the rehabilitation-related medical teaching in the interdisciplinary subject Rehabilitation, Physical Medicine, Naturopathic Treatment (Q12) regarding its execution, content, exams and evaluation of teaching at the Medical Faculties the German Society of Rehabilitation Science conducted another faculty survey in 2015. Representatives of all degree courses of human medicine in German Universities (n=41) received a pseudonymised standardised questionnaire in summer 2015. The response rate was 76% (n=31). Half of the faculties (48%) stated that they had a teaching and research unit for at least 1 of the 3 subjects of the interdisciplinary Q12. The Q12-teaching of faculties including these units partially differed from the other faculties. Model medical education programmes provide on average 2 semesters more for Q12-teaching in comparison to the traditional programmes. More than 3 quarters of the traditional programmes and all other courses include other medical professionals besides physicians as lecturers. Multiple choice questions still constitute the most common examination type (94%). Nearly all Medical Faculties evaluate the rehabilitation-related teaching but only half of all them have implemented a financial gratification based on the evaluation results. Even 10 years after the implementation of Q12, major variations were demonstrated regarding the execution, content and methods of medical education in rehabilitation. In the future the influence of the National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education on the Q12-development and the Q12-teaching in medical university education in Germany with foreign qualification will be of particular interest.
[Mh] Termos MeSH primário: Terapias Complementares/educação
Currículo/estatística & dados numéricos
Educação Médica/estatística & dados numéricos
Docentes/estatística & dados numéricos
Medicina Física e Reabilitação/educação
Reabilitação/educação
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/estatística & dados numéricos
Atitude do Pessoal de Saúde
Avaliação Educacional
Alemanha
Naturopatia
Equipe de Assistência ao Paciente/estatística & dados numéricos
Inquéritos e Questionários
Ensino/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-116765


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[PMID]:28187005
[Au] Autor:Seidel E; Crowe S
[Ad] Endereço:From the Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota.
[Ti] Título:The State of Disability Awareness in American Medical Schools.
[So] Source:Am J Phys Med Rehabil;96(9):673-676, 2017 Sep.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study was designed to: (1) determine how many American medical schools include disability awareness in their curriculum, (2) explore the format of disability awareness programs in existence, and (3) understand why some schools do not include disability awareness in their curriculum. An online survey was sent to deans of medical education (or equivalent positions) at accredited allopathic and osteopathic American medical schools (N = 167) in 2015. Seventy-five schools (45%) completed surveys. Fifty-two percent (39/75) reported having a disability awareness program. The most common format was people with disabilities or caregivers speaking in a large group setting. Programs were most likely to focus on adults with physical disabilities. Among schools without a program, the top barriers were no one advocating for inclusion in the curriculum and time constraints. Nearly half of schools without a program expressed interest in adopting an awareness curriculum if one was made available. Such results indicate that efforts should be made to increase the number of schools that provide disability awareness education through increased advocacy and providing additional resources to schools without a curriculum.
[Mh] Termos MeSH primário: Currículo/estatística & dados numéricos
Educação Médica/estatística & dados numéricos
Medicina Física e Reabilitação/educação
Faculdades de Medicina/estatística & dados numéricos
[Mh] Termos MeSH secundário: Educação Médica/métodos
Seres Humanos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000719


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[PMID]:28169861
[Au] Autor:Hwang J; Byrd K; Nguyen MO; Liu M; Huang Y; Bae GH
[Ad] Endereço:From the Harvard Medical School, Boston, Massachusetts (JH, KB, MON, GHB); Harvard College, Cambridge, Massachusetts (ML); Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland (YH); and Brigham and Women's Hospital, Boston, Massachusetts (GHB).
[Ti] Título:Gender and Ethnic Diversity in Academic PM&R Faculty: National Trend Analysis of Two Decades.
[So] Source:Am J Phys Med Rehabil;96(8):593-595, 2017 Aug.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Over the years, a number of studies have demonstrated an increase in gender and ethnic diversity among US physicians. Despite substantial progress in eliminating gender and racial inequities in the field of medicine, women and ethnic minorities are still underrepresented among medical faculty at academic institutions. This study aims to describe the trends in gender and ethnic diversity among Physical Medicine and Rehabilitation (PM&R) faculty through statistical analysis of data describing gender and ethnicity of full-time academic faculty gathered from the Association of American Medical Colleges Faculty Roster from 1994 to 2014. Proportions representing the percentages of females and ethnic minorities of a given faculty position in medical schools were compared across each of the other faculty ranks. Results showed that the average yearly percent increases in the proportion of female PM&R faculty in associate professor (0.68%) and full professor (0.54%) positions were greater than those in instructor (0.30%) and assistant professor (0.35%) positions. In contrast, the average yearly percent increase in the proportion of non-Caucasian PM&R faculty in full professor positions (0.19%) was less than those in instructor (0.84%), assistant (0.93%), and associate professor (0.89%) positions. Overall, trends among faculty exhibit a steady increase in gender and ethnic diversity, although promotion disparity continues to exist among specific academic positions for some groups. This study provides a current perspective on recent changes in diversity among faculty in PM&R and may prove useful when defining strategies to improve workforce diversity.
[Mh] Termos MeSH primário: Diversidade Cultural
Grupos Étnicos/estatística & dados numéricos
Docentes de Medicina/tendências
Medicina Física e Reabilitação/tendências
Médicas/tendências
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Grupos Minoritários/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000716


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[PMID]:28145921
[Au] Autor:Lien IN; Wu PS; Wang TG; Chen WS; Lew HL
[Ad] Endereço:From the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (I-NL, P-SW, T-GW, W-SC); Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia (HLL); and John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii (HLL).
[Ti] Título:The Effect of Elective Rotations on the Self-assessment Examination Results of Physical Medicine and Rehabilitation Residents: Implications for Minimizing Educational Resource Disparities in Taiwan.
[So] Source:Am J Phys Med Rehabil;96(8):589-592, 2017 Aug.
[Is] ISSN:1537-7385
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aims of the study were (1) to assess whether a knowledge disparity existed between physical medicine and rehabilitation residents from community hospitals versus those from medical centers, before the introduction of short-term elective training at the end of 2008 and (2), if such disparity existed, to determine whether 1-month short-term elective training was associated with minimizing such disparity, as reflected in the self-assessment examination scores. DESIGN: Self-assessment examination scores from 2007-2016 were analyzed in each of the following three topics: (a) cardiac rehabilitation, (b) pulmonary rehabilitation, and (c) orthotics. Student's t tests were used to identify score discrepancies between both groups. RESULTS: (1) At baseline (2007-2008), trainees from community hospitals scored lower in all three topics (P < 0.05). (2) After the short-term elective training, follow-up comparisons showed no differences in either cardiac or pulmonary rehabilitation for 2009-2016. Regarding orthotics, trainees from both groups showed no significant differences for 2009-2010 and 2011-2012. Interestingly, for 2013-2014 and 2015-2016, trainees from medical centers scored higher again, but only in orthotics. CONCLUSIONS: (1) In 2007-2008, a knowledge disparity existed between physical medicine and rehabilitation residents from community hospitals and medical centers in Taiwan. (2) Short-term elective training was associated with minimizing such disparity from 2009-2016, especially in cardiac and pulmonary rehabilitation.
[Mh] Termos MeSH primário: Educação Médica/estatística & dados numéricos
Avaliação Educacional/métodos
Internato e Residência/métodos
Medicina Física e Reabilitação/educação
Autoavaliação
[Mh] Termos MeSH secundário: Adulto
Educação Médica/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Taiwan
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1097/PHM.0000000000000707


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[PMID]:28145399
[Au] Autor:Stucki G; Bickenbach J
[Ad] Endereço:Department of Health Sciences and Health Policy, Faculty of Humanities and Social Sciences, University of Lucerne, Lucerne, Switzerland - gerold.stucki@paraplegie.ch.
[Ti] Título:Functioning information in the learning health system.
[So] Source:Eur J Phys Rehabil Med;53(1):139-143, 2017 Feb.
[Is] ISSN:1973-9095
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:In this methodological note on applying the ICF in rehabilitation, we introduce functioning information as fundamental for the "learning health system" and the continuous improvement of the health system's response to people's functioning needs by means of the provision of rehabilitation. A learning health system for rehabilitation operates at the micro-level of the individual patient, meso-level of operational management, and the macro-level of policy that guides rehabilitation programming. All three levels rely on the capacity of the informational system of the health system for standardized documentation and coding of functioning information, and the development of national rehabilitation quality management systems. This methodological note describes how functioning information is used for the continuous improvement of functioning outcomes in a learning health system across these three levels.
[Mh] Termos MeSH primário: Atividades Cotidianas
Pessoas com Deficiência/reabilitação
Prática Clínica Baseada em Evidências/normas
Sistemas de Informação em Saúde/normas
Pesquisa sobre Serviços de Saúde/normas
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Medicina Física e Reabilitação/normas
Garantia da Qualidade dos Cuidados de Saúde/normas
[Mh] Termos MeSH secundário: Prática Clínica Baseada em Evidências/métodos
Sistemas de Informação em Saúde/organização & administração
Pesquisa sobre Serviços de Saúde/métodos
Seres Humanos
Medicina Física e Reabilitação/métodos
Garantia da Qualidade dos Cuidados de Saúde/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.23736/S1973-9087.17.04612-3



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