PM&R Milestones

UNC Geriatric Fellow Milestones for the Physical Medicine & Rehabilitation Rotation

During the 4 week rotation in PM&R, the Geriatric Fellow is expected to complete the following objectives / milestones:

  • Work with Physical Therapy to learn how to properly assess and mobilize geriatric patients with various weight bearing restrictions, range of motion restrictions / precautions.
  • Work with Occupational Therapy to learn about rehabilitation interventions to improve self care skills, including the use of equipment and aids.
  • Assess driving ability and safety by attending a driving evaluation performed by an occupational therapist.
  • Work with a Speech Therapist to learn about the evaluation and treatment of cognitive, communication and swallowing disorders.
  • Work with Prosthetics and Orthotics to learn about various orthotic devices including ankle foot orthosis (AFO) and prosthetic limbs.
  • Learn the different types of therapeutic exercise: Isotonic, Isometric, Isokinetic, Progressive Resistance, Passive, Active, Active-Assisted. Write an exercise prescription.
  • Learn about the types of passive therapeutic interventions including heat, cold, ultrasound and electrical stimulation.
  • Learn the basics of gait: terminology, gait cycle, determinants of gait, gait pathology.
  • Learn about the proper use of gait aids including canes, crutches, and walkers.
  • Be able to assess weakness, polyneuropathy and nerve injury, including understanding the basics of Electromyography and Nerve Conduction Studies.
  • Learn the non-operative multidisciplinary management of common spine problems including spinal stenosis.
  • Learn about the evaluation and management of common geriatric musculoskeletal problems including shoulder, hip and knee pain.
  • Become familiar with rehabilitation issues in geriatric patients with fractures, joint replacements, amputation, stroke, Parkinson’s disease, and critical illness.
  • Learn the criteria for admission and extent of rehabilitation services available in different post-acute setting including: inpatient rehabilitation facility, skilled nursing facility and home health.