MDR 900: Physical Medicine and Rehabilitation Sub-I

The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum is intended to provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team.

The student will participate as an intern on the service. This will include performing Histories and Physicals and Writing admission orders to the service. These documents will be reviewed and supervised by the attendings and residents. In addition, the student will follow these patients through their rehabilitation stay and participate in the weekly interprofessional team conference (with nursing, physical therapy, occupational therapy, social work/case management, speech therapy and psychology). The student will be responsible for day-to-day care of their patients and documentation daily in the electronic Medical Record. Notes will be reviewed by the resident/attending daily. Orders will be written in accordance with the current UM student at JMH policies (it is expected that the student will have Cerner access and be familiar with it before starting). The students will participate in overnight call two weekdays during the rotation and one weekend day coverage, staying overnight with the rest of the team.

The types of patients the student may see will include neuromuscular diseases (e.g., Guillain-Barre, Multiple Sclerosis, amyotrophic lateral sclerosis), general debility (following prolonged hospital care for cardiac, pulmonary or traumatic issues), organ transplants (including liver, kidney, heart and lungs) and cardiovascular diseases (stroke, post CABG, heart failure, LVAD), spinal cord injuries, traumatic brain injuries, orthopedic issues (joint replacements, fractures, polytrauma).