PubMed Health⌕ Search

Biomedical subjects

M Grabois

Publications and source records attributed to M Grabois.

13 recordsLinked to original sources
PubMed1992

Academic physiatry. Balancing clinical practice and academic activities.

The need for continued and diversified growth of both scholarly and clinical activities within academic physical medicine and rehabilitation (PM&R) departments is discussed with reference to the demands placed on academic departments by the various components of their mission, such as administration, clinical service, education and research. The expansion and improvement of clinical services should include the following components: program development, resources needed, finances required and marketing. Clinical subspecialization of faculty and solid affiliation with nonacademic hospitals and rehabilitation facilities is essential for academic PM&R. The faculty should include three categories: clinical faculty, clinical-research faculty and research faculty. Adequate financial resources must comprise an appropriate balance of academic funds, clinical income and grant sources. Clinical funds will play a greater role as other sources of funds diminish. Any practice plan must recognize the equality of the differing faculty members' practices, whether their interests are clinical, educational or research-oriented. The expansion and intensification of clinical programs by academy PM&R departments could increase competition in the medical community. Sensitivity to the perceptions of other practitioners and institutions, careful planning and cooperation will help the field grow and improve levels of care for the patients we serve in light of the changing medical care environment.

Faculty, Medical↗
PubMed1988

Academic physiatry. An attractive alternative.

This presentation will review academic programs and discuss the pros and cons of academic practice. The role of the academic physiatrist in the future and the requirements for improving academic programs will be addressed. Like any other medical specialty, the viability of physical medicine and rehabilitation depends on its acceptance as an academic discipline. In recent years, there has been a number of positive indicators for strengthening academic physiatry including: increased educational exposure to medical students, increased number of residency programs and percentage filled and increased emphasis on research activities. Academic practice of physiatry should appeal to the individual with the following goals in life: (1) increase involvement in scholarly activities; (2) be on the cutting edge of new techniques and concepts of practice; (3) become a recognized expert in subspecialization areas; (4) vary practice more evenly between direct and indirect patient care activities; (5) work in an intellectually stimulating environment but with some constraint on one's destiny; (6) obtain adequate but not high financial rewards supplemented by a high benefit package; and (7) make a significant impact on the future of physical medicine and rehabilitation at the national level. Because academic physiatry will significantly influence the determination of what is rehabilitation and who will practice it, we must strive to improve the quantity and quality of academic programs. Areas especially needing attention are research and education to establish the scientific basis of the field and to train qualified personnel. To meet these goals, high quality clinical and scholarly programs with subspecialization, an adequate financial base and good marketing program will be necessary.

Education, Medical, Graduate↗
PubMed1988

Physiatrists' views on research.

A survey of physiatrists' views of conducting research yielded 550 usable returns, a response rate of 44%. Respondents were virtually unanimous in indicating that research is important for the continuing development of physical medicine and rehabilitation. However, 58% reported devoting no time to research, and only 2% were spending more than 25% time in research. The two most frequently cited barriers to greater research involvement were a lack of funding and insufficient equipment, facilities and assisting personnel. The most preferred means of supplementing research skills were collaboration or consultation with other rehabilitation professionals conducting research.

Attitude of Health Personnel↗
PubMed1988

Survey of medical student electives in physical medicine and rehabilitation. Problems and solutions.

There is already a body of knowledge in the literature reflecting on the need, the organization and evaluation of a strong medical student physical medicine and rehabilitation experience. However, there is still a need to develop and implement these concepts in many academic programs. This paper will review the strategies for improving medical student education in physical medicine and rehabilitation with emphasis on faculty development, administrative organizations and departmental resources.

Curriculum↗
PubMed1988

Information sources that influence physiatrists' adoption of new clinical practices.

As part of a mail survey of physiatrists' views of conducting research, respondents were queried regarding information sources that influenced their introducing a clinical innovation into their practices in the past two years. Complete information was obtained from 356 individuals. The reported practice innovations were categorized as follows: (a) evoked potentials (6% of respondents); (b) electrophysiologic diagnostic procedures other than evoked potentials (19%); (c) other diagnostic/assessment procedures (11%); (d) transcutaneous nerve stimulation (6%); (e) physical treatment procedures other than transcutaneous nerve stimulation (22%); (f) medication (5%); (g) psychologic or social intervention (4%); and (h) altered methods of service delivery (27%). Considered across all practice innovation categories, the average relative importance (in descending order) of the information sources was as follows: (1) discovery in the individual's own practice; (2) a meeting, lecture, or continuing education course; (3) a clinical coworker; (4) a write-up in the clinical literature; (5) the individual's own research; (6) a patient; (7) a write-up in the research literature; (8) a textbook; and (9) the representative of a drug firm or equipment manufacturer. Additional findings concern variables which distinguished a group of 43 individuals who reported introducing no innovation into their practices for the preceding two years, compared to the 356 individuals who did so.

Communication↗
PubMed1985

Grant application and review procedures of the National Institute of Handicapped Research: survey of applicant and peer reviewer opinions.

A mail survey was conducted to document the experience, critical comments, and recommendations of a sample of applicants and peer reviewers who participated in the 1983 grantee selection process conducted by the National Institute of Handicapped Research. Questionnaires were sent to 46 applicants and 36 peer reviewers who participated in seven priority areas involving competition for either a research and training center or a rehabilitation engineering center. Questionnaires were returned by 37 (80%) of the applicants and 27 (75%) of the reviewers. The peer reviewers were generally more satisfied with their experience. Their negative criticism was concerned largely with the excessiveness of the work load. The reviewers were unanimous in stating that federal personnel made no effort to influence their judgments. The majority of applicants agreed that the criteria for evaluating proposals were stated clearly, but they disagreed with how some of the criteria were weighted. The applicants' strongest dissatisfaction was with the time allowed to prepare applications and with the selection of peer reviewers. Analysis of the collective publication record of successful applicants and of the peer reviewers indicated that the reviewers had contributed significantly less to the literature of the relevant priority area.

Persons with Disabilities↗
PubMed1978

Functional status evaluation form: development and implications.

A medical audit revealed marked deficiency in the quality of functional evaluations in a rehabilitation hospital. Routine staff educational programs and an optional, simple functional evaluation form failed to correct this deficiency. The functional evaluations of the patients never reached 100% completion and the quality of the evaluations varied widely. As a result, a mandatory functional status form was devised for incorporation into the patients' charts. This form included past, present, and future goals in a problem-oriented design. Review of charts after six months of use showed that the form led to improved rates of functional status reporting, with all functional areas now documented in over 90% of charts. It is hoped that a comprehensive program including use of functional status form will be successful in improving patient care and physician education, and in facilitating a comprehensive medical audit.

Activities of Daily Living↗
PubMed1977

The problem-oriented medical record: modification and simplification for rehabilitation medicine.

A modified POMR has been formulated for use in rehabilitation medicine. It incorporates the concept of the Weed system, modifies rehabilitation problems into seven functional categories, and modifies the problem-oriented progress note. It uses a problem-oriented team conference and a functional status form. These modifications, I believe, improve patient care, medical education, and facilitate the medical audit.

Aged↗
PubMed1975

Rehabilitation care course for paraprofessional personnel.

A survey of training activities was conducted at Mass Rehabilitation Hospital by Research and Training Center No. 8 (RT-8), Temple University, Philadelphia. The findings revealed that primary teaching consideration was being given to trainees from affiliated institutions and professional employees rather than allied health professional personnel (occupational and physical therapy aides, nursing assistants and hospital corpsmen). This personnel group is the largest group of employees who spend the most time with patients, but have the least amount of formal education or training. A second survey of this group revealed they were interested in a continuing education course designed for them. As a result of the surveys, a course entitled, "Aspects of Rehabilitation Care," was designed for paraprofessional employees. The nine-month course was designed so that the material and language was kept at an appropriate level, with supplemental material and audiotapes of the course available for review. The lectures were evaluated each week by the students and this data was analyzed by RT-8. Results indicated that attendance was good, averaging 54 (73%) persons per week, and the course was a success as a learning experience. This paper presents the need, organization, content and evaluation of a rehabilitation care course designed for paraprofessional personnel.

Allied Health Personnel↗
PubMedDate not supplied

Locked-in syndrome: a review of 139 cases.

Etiology, clinical manifestations and outcome were reviewed in 139 cases of "locked-in syndrome." Six cases were reported from our center and the remaining 133 cases were taken from a review of the literature. The results of this review emphasized the necessity for a comprehensive program of pulmonary management in this population. Furthermore, an effective system of communication for the patient is considered essential in the management of the "locked-in" state. Reported mortality in the cases reviewed was 60%. Overall, the prognosis for survival and recovery was found to be better in the group of patients whose syndrome was nonvascular in origin than those with a vascular etiology. Functional recovery was generally good in those patients with a vascular etiology who survived beyond 4 months while recovery occurred earlier and more completely in the nonvascular group. Thus, a program of intensive rehabilitation should be considered early in both groups in order to assist each patient in attaining the highest level of function possible as recovery progresses.

Adult↗