Vernacchia Cara, Brown Elizabeth, Mhatre Priya, Rydberg Leslie
Department of Physical Medicine & Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
PM R. 2025 Mar;17(3):337-343. doi: 10.1002/pmrj.13262. Epub 2024 Sep 13.
Physical medicine and rehabilitation (PM&R) is a specialty of medicine that focuses on function and the care of people with disabilities. Many medical schools offer PM&R content by means of PM&R clerkships for career development purposes with varying curricula and assessments; however, there is limited information regarding the optimal way to teach clinical skills relating to the field of PM&R. This narrative review study was performed to evaluate PM&R specific clinical curricular interventions. The review included a PubMed search that yielded 63 articles and a Cumulated Index to Nursing and Allied Health Literature (CINAHL) search of 175 articles. A total of 14 articles were selected for review. PM&R clerkships were found to have a variety of educational interventions, including inpatient and outpatient clinical experiences, lectures, Objective Structured Clinical Examinations (OSCEs), case discussions, written examinations, physical examination sessions, cadaver sessions, small group discussions, and virtual education. PM&R rotations can improve neurologic and musculoskeletal physical examination skills, PM&R specific knowledge, and confidence in PM&R skills. More research is needed to determine the optimal methods to teach and assess PM&R knowledge and skills in the clinical setting to drive future PM&R curriculum development and educational innovations.
物理医学与康复(PM&R)是医学的一个专业领域,专注于功能以及对残疾人士的护理。许多医学院为了职业发展目的,通过物理医学与康复实习提供相关内容,实习课程和评估各不相同;然而,关于教授与物理医学与康复领域相关临床技能的最佳方法的信息有限。进行这项叙述性综述研究是为了评估物理医学与康复特定的临床课程干预措施。该综述包括在PubMed数据库中检索到63篇文章,以及在护理及联合健康文献累积索引(CINAHL)中检索到175篇文章。总共筛选出14篇文章进行综述。发现物理医学与康复实习有多种教育干预措施,包括住院和门诊临床经验、讲座、客观结构化临床考试(OSCE)、病例讨论、笔试、体格检查课程、尸体解剖课程、小组讨论和虚拟教育。物理医学与康复轮转可以提高神经和肌肉骨骼体格检查技能、物理医学与康复特定知识以及对物理医学与康复技能的信心。需要更多研究来确定在临床环境中教授和评估物理医学与康复知识和技能的最佳方法,以推动未来物理医学与康复课程的发展和教育创新。