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A Required, Combined Neurology-Physical Medicine and Rehabilitation Clerkship Addresses Clinical and Health Systems
Caitrin M Curtis1, James E Eubanks, Stephen C Charles
1From the Office of Medical Education, Brody School of Medicine at East Carolina University, Greenville, North Carolina (CMC, SCC, LEL); Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania (JEE); Department of Pathology, Brody School of Medicine at East Carolina University, Greenville, North Carolina (PJB); Department of Anatomy and Cell Biology, Brody School of Medicine at East Carolina University, Greenville, North Carolina (KMH); Division of Stroke and Neurocritical Care, Vidant Medical Center, Greenville, North Carolina (MM); and Department of Physical Medicine and Rehabilitation, Brody School of Medicine at East Carolina University, Greenville, North Carolina (JWN).
Abstract:
This study evaluated the impact of a 4-wk mandatory neurology-physical medicine and rehabilitation advanced-core clerkship for fourth-year medical students. The combined clerkship encouraged an interdisciplinary and function-based approach to the management of common neurologic, musculoskeletal, and pain complaints. Seventy-three fourth-year medical students participated in the rotation over 1 yr. A survey assessing knowledge and skill set topics was conducted before and after the clerkship. Qualitative feedback regarding the rotation was provided by the students and analyzed. Significant gaps in knowledge and skill sets were identified before the clerkship and successfully addressed by combined teaching modalities. These data demonstrate that an integrated neurology-physical medicine and rehabilitation clerkship can improve students' confidence in multiple domains. Integrating physical medicine and rehabilitation into core clerkships at other medical schools may provide an avenue to address curriculum gaps.
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