Annapoorana Medical College & Hospitals, Salem

Department of Physical Medicine & Rehabilitation

Phase III Part I Lesson Plan

Lecture

Competency

Number

Topic

Teaching Method

Topic: Introduction to Physical Medicine

Define and describe the scope of physical Medicine and Rehabilitation and functional

PM 1.1

restoration

PM 1.1/SLO

Introduction of Physical Medicine and Rehabilitation and functional restoration

Introduction of Physical Medicine and Rehabilitation

Lecture

Define and describe disability, its cause, and magnitude, identification and prevention

PM 1.2

of disability

PM 1.2/SLO

Discussion on the definition,causes, magnitude,identification and prevention of

Disability

SDL

PM 1.3

Define and describe the methods to identify and prevent disability

PM 1.3/SLO

Discussion on the methods of identification, and prevention of disability

Identification and prevention of disability

SGD

PM 1.4

Enumerate the rights and entitlements of differently abled persons

PM 1.4/SLO

Discussion on the rights and entitlements of the differently abled persons

Differently abled persons

Lecture

Topic: Cerebrovascular accident

PM 2.1

Describe the causes of disability in the patient with a cerebrovascular accident

Discussion on the definition,causes,clinical features, disablilites,management and

prevention of cerebrovascular accident

Cerebrovascular accident

Lecture

PM 2.2

Describe and discuss the treatment of rigidity and spasticity

PM 2.2/SLO

Discussion on the definition,causes,treatment and prevention of rigidity and spasticity

Rigidity and spasticity

Lecture

PM 2.3

Describe and disucss the principles of early mobilizations, mobility aids and splints

PM 2.3/SLO

Discussion on the definition,principles,uses of early mobilization,mobility aids and

Mobilization,mobility aids and splints

Lecture

Describe and discuss the impact of co-morbidities on the rehabilitation of the patient

PM 2.4

with cerebrovascular accident

PM 2.4/SLO

Discussion on the impact of co-morbidities on the rehabilitation of the patient with

Rehabilitation of the patient with cerebro vascular accident

SGD

Topic: Cerebral Palsy

Describe and discuss the clinical features, types, evaluation, diagnosis and

PM 3.1

management of cerebral palsy

PM 3.1 /SLO

Discussion on the definition,causes,clinical features,types,evaluation, diagnosis and

Cerebral palsy

Lecture

PM 3.2

Recognize, Describe and discuss the spectrum of multiple disability:

PM 3.2/ SLO

Discussion on the multiple disabilities such as cognitive, motor, visual and hearing

Multiple disabilities in cerebral palsy

SGD

Recognize describe and discuss the role of special education in children with learning

PM 3.3

disabilities

PM 3.3 / SLO

Discussion on the special education and its role in children with learning disabilities

Special education in children

Lecture

PM 3.4

Demonstrate spasticity rigidity and dystonia in children with cerebral palsy

PM 3.4 /SLO

Demonstration on spasticity rigidity, dystonia in cerebral palsy

Spasticity rigidity and dystonia in cerebral palsy

Lecture

Enumerate the indications and describe the therapies for spasticity including

PM 3.5

medications, serial casts, nerve blocks, botulinum toxin injections

PM 3.5 /SLO

Discussion on therapies for spasticity including medications, serial casts, nerve blocks,

Therapies for spasticity

SGD

Enumerate the indications and describe prevention of joint subluxations and

PM 3.6

contractures by proper positioning, and use of special chairs, and appliances

PM 3.6 / SLO

Definition, causes and prevention of subluxation and contractures proper positioning,

Subluxation and contractures

SGD

PM 3.7

Enumerate the first aid measures to be used in patients with seizures

PM 3.7 / SLO

The definition, causes, management, first aid measures and prevention of seizures

Seizures

SGD

Topic: Musculoskeletal system

Describe the common patterns, clinical features, investigations, diagnosis and

PM 4.1

treatment of common causes of arthritis

PM 4.1 / SLO

The definition, common causes and common patterns, clinical features,

Arthritis

Lecture

Describe and discuss the principles of management of chronic pain and role of

PM 4.2

common modalities (moist heat, ultrasound, Short wave diathermy)

PM 4.2 / SLO

Definition , causes, clinical features, management and principles of chronic pain

Chronic pain and common modalities of treatment

SGD

PM 4.3

Observe in a mannequin or equivalent the administration of an intra- articular injection

PM4.3 / SLO

Observe demonstratioin on a mannequin or equivalent the administration of an intra-

Intra- articular injection

SDL

PM 4.4

Describe the role of exercise as a therapeutic modality

PM 4.4 / SLO

Discussion on the definition types of exercise and its role as a therapeutic modality

Role of exercises

SGD

PM 4.5

Demonstrate correct assessment of muscle strength and range of movements

PM 4.5 / SLO

Demonstration on assessment of muscle strength and range of movement

Assessment of muscle strength and range of movement

Lecture

Topic: Amputation

PM 5.1

Enumerate the indications and describe the principles of amputation

PM 5.1 / SLO

Discussion on the definition, types, indications, priniciples of amputation

Amputation

Lecture

Describe the principles of early mobilization, evaluation of the residual limb,

PM 5.2

contralateral limb and the influence of co-morbidities

PM 5.2 / SLO

Discussion on the principles of early mobilization, evaluation of the residual limb,

Early mobilization, evaluation of the residual limb, contralateral limb influence of co-

SGD

morbidities

Demonstrate the correct use of crutches in ambulation and postures to correct

PM 5.3

contractures and deformities

PM 5.3 /SLO

Demonstration on the use of crutches in ambulation,

Crutches and correction of contractures and deformities

DOAP

PM 5.4

Identify the correct prosthesis for common amputations

PM 5.4 /SLO

Identification and demonstration on the correct prosthesis for common amputations

Prosthesis for common amputations

DOAP

Topic: Lower motor neuron lesion

Perform and demonstrate a clinical examination of sensory and motor deficits of

PM 6.1

peripheral nerve

PM 6.1/SLO

Discussion and performing the clinical examnation of sensory and motor deficits of

Clinical examination of peripheral nerve

SGD

Enumerate the indications and describe the principles of nerve conduction velocity and

PM 6.2

EMG

PM 6.2 / SLO

Discussion on the indications and principles of nerve conduction velocity and EMG

Nerve conduction velocity and EMG

SDL

Describe the principles principles of skin traction, serial casts and surgical treatment

PM 6.3

including contracture release, tendon transfer, osteotomies and arthrodesis.

PM 6.3/ SLO

Discussion on the principles of skin traction, serial casts and surgical treatment

Principles of skin traction, serial casts and surgical treatment

Lecture

PM 6.4

Describe the principles of orthosis for ambulation in PPRP

PM 6.4 / SLO

Discussion on the definition, types and principles of orthosis for ambulation in PPRP

Orthosis for ambulation in PPRP

Lecture

Topic: Spinal injury

Describe and discuss the clinical features, diagnostic work up and management of

PM 7.1

spinal cord injury

PM 7.1 /SLO

Discussion on the difinition, causes, clinical features, diagnostic work up and

Spinal cord injury

Lecture

Describe and demonstrate process of transfer, application of collar restraints while

PM 7.2

maintaining airway and prevention of secondary injury in a mannequin/model

PM 7.2 / SLO

Discussion and demonstrate process of transfer, application of collar restraints while

Maintaining the airway and prevention of secondary injury

DOAP

Perform and demonstrate a correct neurological examination in a patient with spinal

PM 7.3

injury and determine the neurologic level of injury

PM 7.3 / SLO

Performing and demonstrate a correct neurological examination in a patient with

Lecture

Neurological examination of spinal injury

( Integration -

General Medicine)

Assess bowel and bladder function and identify common patterns of bladder

PM 7.4

dysfunction

PM 7.4 / SLO

Discussion and demonstration on the assessment of bowel and bladder function

Lecture

Bowel and bladder function and identification

( Integration -

General Medicine)

Enumerate the indications and identify the common mobility aids and appliances,

PM 7.5

wheel chairs

PM 7.5 / SLO

Discussion on the definition, types, indications, and identification of the common

Mobility aids and appliances, wheel chairs

DOAP

Enumerate the indications and describe the pharmacology and side effects of

PM 7.6

commonly used drugs in neuropathic bladder

PM 7.6 / SLO

Discussion on the indications , pharmacology and side effects of commonly used drugs

Lecture

Commonly used drugs in neuropathic bladder

( Integration -

General Medicine)

Enumerate and describe common life threatening complications following SCI like

PM 7.7

Deep vein Thrombosis, Aspiration Pneumonia, Autonomic dysreflexia

PM 7.7 / SLO

Discussion on the common life threatening complications following SCI like Deep

Common life threatening complications following SCI

SDL

Enumerate the causes of, describe and classify Pressure Sores,their prevention, and

PM 7.8

treatment.

PM 7.8 / SLO

Discussion on the definition causes, classification , prevention, and treatment of

Lecture

Pressure sores

( Integration -

General surgery)

PM 7.9

Enumerate the indications of debridement, and Split thickness skin grafting.

PM 7.9 / SLO

Discussion on the indications of debridement, and Split thickness skin grafting.

Lecture

Debridement, and Split thickness skin grafting.

( Integration -

General surgery)

Topic: Traumatic brain injury (TBI)

Describe the clinical features, evaluation, diagnosis and management of disability

PM 8.1

following traumatic brain injury

PM 8.1 / SLO

Discussion on the clinical features, evaluation, diagnosis and management of disability

Lecture

Traumatic brain injury

( Integration -

General surgery)

Describe and discuss cognitive dysfunction like deficits in attention, memory and

PM 8.2

communication.

PM 8.2 / SLO

Discussion on the cognitive dysfunction like deficits in attention, memory and

Lecture

Cognitive dysfunction

( Integration -

General Medicine)

PM8.3

Describe and discuss common behavior and mood changes following TBI.

PM 8.3 / SLO

Discussion on the common behavior and mood changes following TBI.

Common behavior and mood changes following TBI.

SGD

Describe metabolic co-morbidities like SIADH, diabetes mellitus, insipidus and

PM 8.4

endocrine dysfunction following TBI

PM 8.4 / SLO

Discussion on the metabolic co-morbidities like SIADH, DM insipidus and endocrine

Lecture

Metabolic co-morbidities following TBI

( Integration -

General Medicine)

Describe the vocational opportunities and community based rehabilitation following

PM 8.5

TBI

PM 8.5 / SLO

Discussion on the vocational opportunities and community based rehabilitation

Vocational opportunities and community based rehabilitation following TBI

SGD

Topic:Geriatrics

Describe rehabilative aspects as they pertain to the elderly including patients with

PM 9.1

dementia, depression, incontinence immobility and nutritional needs

PMO 9.1/SLODiscuss and learn about the rehabilative aspects as they pertain to the

elderly including patients with dementia, depression, incontinence immobility and

Rehabilitation In a Geriatric patient

SGD