Department for Rehabilitation Medicine Carl-Neuberg-Str., Hannover Medical School, Germany.
Ann Phys Rehabil Med. 2011 Jul;54(5):298-318. doi: 10.1016/j.rehab.2011.05.001. Epub 2011 Jun 12.
The Field of Competence (FOC) of specialists in Physical and Rehabilitation Medicine (PRM) in Europe follows uniform basic principles described in the White Book of PRM in Europe. An agreed basis of the field of competence is the European Board curriculum for the PRM-specialist certification. However, due to national traditions, different health systems and other factors, PRM practice varies between regions and countries in Europe. Even within a country the professional practice of the individual doctor may vary because of the specific setting he or she is working in. For that reason this paper aims at a comprehensive description of the FOC in PRM. PRM specialists deal with/intervene in a wide range of diseases and functional deficits. Their interventions include, prevention of diseases and their complications, diagnosis of diseases, functional assessment, information and education of patients, families and professionals, treatments (physical modalities, drugs and other interventions). PRM interventions are often organized within PRM programmes of care. PRM interventions benefit from the involvement of PRM specialists in research. PRM specialists have knowledge of the rehabilitation process, team working, medical and physical treatments, rehabilitation technology, prevention and management of complications and methodology of research in the field. PRM specialists are involved in reducing functional consequences of many health conditions and manage functioning and disability in the respective patients. Diagnostic skills include all dimensions of body functions and structures, activities and participation issues relevant for the rehabilitation process. Additionally relevant contextual factors are assessed. PRM interventions range from medication, physical treatments, psychosocial interventions and rehabilitation technology. As PRM is based on the principles of evidence-based medicine PRM specialist are involved in research too. Quality management programs for PRM interventions are established at national and European levels. PRM specialists are practising in various settings along a continuum of care, including acute settings, post acute and long term rehabilitation programs. The latter include community based activities and intermittent in- or out-patient programs. Within all PRM practice, Continuous Medical Education (CME) and Continuous Professional Development (CPD) are part of the comprehensive educational system.
欧洲物理医学与康复医学（PRM）专家的能力领域（FOC）遵循 PRM 欧洲白皮书描述的统一基本原则。能力领域的共识基础是 PRM 专家认证的欧洲委员会课程。然而，由于国家传统、不同的卫生系统和其他因素，欧洲各地区和国家的 PRM 实践存在差异。即使在一个国家内，由于医生所在的特定环境，个别医生的专业实践也可能有所不同。因此，本文旨在全面描述 PRM 的 FOC。PRM 专家处理/干预广泛的疾病和功能缺陷。他们的干预措施包括预防疾病及其并发症、诊断疾病、功能评估、患者、家庭和专业人员的信息和教育、治疗（物理疗法、药物和其他干预措施）。PRM 干预措施通常在 PRM 护理计划中进行组织。PRM 干预措施得益于 PRM 专家参与研究。PRM 专家了解康复过程、团队合作、医疗和物理治疗、康复技术、并发症的预防和管理以及该领域的研究方法。PRM 专家参与减少许多健康状况的功能后果，并管理各自患者的功能和残疾。诊断技能包括与康复过程相关的身体功能和结构、活动和参与问题的所有方面。此外，还评估相关的背景因素。PRM 干预措施包括药物治疗、物理治疗、心理社会干预和康复技术。由于 PRM 基于循证医学的原则，PRM 专家也参与研究。PRM 干预措施的质量管理计划在国家和欧洲层面建立。PRM 专家在沿着连续护理的各种环境中进行实践，包括急性环境、急性后和长期康复计划。后者包括基于社区的活动和间歇性的门诊或住院计划。在所有 PRM 实践中，继续医学教育（CME）和持续专业发展（CPD）都是综合教育系统的一部分。
