A new discipline in Medicine, Physiatry
: Physical Medicine end Rehabilitation.
Dr Omer Jamshaid, a resident from institute of rehabilitation medicine presented two cases of spinal cord injury rehabilitation, Dr Uzma Akhlaq discussed the role of different orthotic supports in physiatry
and Dr Saeed bin Ayaz presented the rehabilitation of amputees at the armed forces institute of rehabilitation medicine Rawalpindi.
Since I first learned about George Engel's biopsychosocial model of medicine in medical school twenty-five years ago and throughout my following years practicing physiatry
, I've been increasingly convinced that such a heuristic best captures the scope of the problems (and potential solutions) in health care.
Panagos is assistant professor and director of Interventional Physiatry
, New York Presbyterian Hospital, Weill Cornell Medical Center, Department of Rehabilitation Medicine.
This included 9 experts from disciplines of rheumatology, physiatry
, psychology, psychiatry, occupational therapy, and physical therapy, and 9 experts in constructing evidence-based clinical practice guidelines.
All relevant drugs are covered and there is plenty of attention to interventions in psychological and physical medicine (the discipline our North American colleagues call "physiatry
Thus, a skilled nursing facility might be receiving administrative physician services for areas such as quality assurance, utilization review, physiatry
, orthopedics, psychiatry, pulmonology, neurology, and cardiology, in addition to traditional skilled nursing facility medical directorships.
Can chiropractic compete with physical therapy, massage therapy, physiatry
, or osteopathy?--because we cannot remain competitive on the strength of our philosophical roots alone; nor can we compete from the position of entrepreneurial business schemes, gimmicks, and other forms of what often borders on "hucksterism." Politically, the profession remains an entity to be reckoned with but our voice of reason could be stronger and our nemesis of falsehoods could be negated if supported with more scientific documentation.
The development of outcomes measurement, the introduction of managed health care, the tangible efficacy of stroke units and a handful of practitioners who have dedicated their full-time practice to physiatry
have contributed to this peak.
Most (74%) had primary training in anesthesiology, whereas others were trained in physiatry
(15%), neurology (5%), psychiatry (3%), and other areas (11%).
Most responders (74%) had their primary training in anesthesiology; others were trained in physiatry
(15.4%), neurology (5.3%), psychiatry (3.0%), or other areas (10.9%).