Curriculum and Detailed Narrative
Neurorehabilitation fellows will rotate on specialized inpatient stroke, spinal cord Injury/mixed neuro and traumatic brain injury units at Burke Rehabilitation Hospital, a 150-bed CARF-accredited hospital. Each of these rotations is 4 months long.
Fellows will receive training to provide all aspects of patient care, supervise and teach residents, lead semi-weekly team conferences and participate in weekly journal clubs and resident didactics, when appropriate. Fellows will also have the opportunity to rotate through the respective continuity clinics of each subspecialty and gain experience in bracing, electromyography, spasticity treatment with Botox and Baclofen pump management.
Guided readings of key clinical and basic neuroscience articles and textbooks are prescribed for each rotation. Discussion of patient management issues are systematically addressed in daily rounds with the Fellow and their faculty supervisor. Nationally renowned neuroscientists are invited to present at the weekly neuroscience lectures. The fellows also attend bi-weekly Clinical Lab Meetings held in conjunction with the Burke Medical Research Institute focusing on Clinical Neurorehabilitation Research by faculty, fellows and post-docs. Clinical Research projects to be submitted to national and international meetings are also discussed at these meetings to help define and optimize research strategies, data analysis and presentation.
The opportunity exists to add a second year to a fellow’s training, during which the fellow will focus on their research project, with limited rotations through continuity clinics. All fellows are encouraged to identify a research project of interest early on to either start or participate in, and publish their findings in abstract form at a national meeting.
During the first year, fellows are expected to develop and present one or more clinical research projects at a national stroke, TBI, or SCI meeting, usually based on observational, cohort or case-matched samples. During the second year they are expected to have formalized a randomized, interventive study, with IRB Approval, to test a novel rehabilitation strategy (neuropharmacologic, electrophysiologic, behavioral or manipulative technique) for outcome enhancement in an area of their special interest (Stroke, TBI, or SCI).
Fellows are expected to take overnight and weekend calls, approximately 2 times a week. These calls serve to give fellows exposure to cardiopulmonary and orthopedic rehabilitation issues as well as experience supervising junior residents.