7. Rehabilitation clinic. Fourth Year Class Schedule: Integration Clinics 1. Psychological and emotional factors associated with injury and disease. 2. Physical medicine and rehabilitation in injuries: clinic. 3. Physical medicine and rehabilitation in orthopedic dis¬ abilities : clinic. 4. Physical medicine and rehabilitation in neurological disabilities : clinic. 5. Physical medicine and rehabilitation in the arthritides : clinic. 6. Physical medicine and rehabilitation in amputations : clinic. 7. Physical medicine and rehabilitation in peripheral vas¬ cular disease : clinic. 8. The use of crutches, braces and wheeelchairs. 9. Rehabilitation of the hémiplégie. 10. Rehabilitation of the paraplegic. 11. Rehabilitation of the poliomyelitic. 12. Rehabilitation clinic.In the third and fourth years clinical clerkships are available on the physical medicine and rehabilitation wards on an elective basis. In addition, members of the Physical Medicine and Rehabilitation Department are assigned for ward rounds and integrated teaching clinics in the other departments of the hospital-medi¬ cal, surgical, orthopedic, neurological, psychiatric, pédi¬ atrie, tuberculosis, public health, and preventive and industrial medicine.It has been most interesting to note, during the past two years, when this teaching program has been operat¬ ing in "high gear," the increasing interest of medical students in the dynamic approach to chronic disease. The physical medicine and rehabilitation wards are open to all medical students at all times, and one often finds them dropping in after hours or over the weekend. They are invited on the basis that these wards should be used for observation in physical medicine and rehabilitation as the laboratories of learning in vivo, just as the autopsy room has traditionally been the labora¬ tory of learning post mortem.
SUMMARY AND CONCLUSIONIn the undergraduate, graduate and postgraduate teaching in physical medicine and rehabilitation it cannot be emphasized too strongly that the underlying funda¬ mental is the teaching of good medicine. This is diffi¬ cult, for the specialist in the field of physical medicine and rehabilitation must have at least a basic under¬ standing of medical, surgical, orthopedic, neurological and psychiatric problems, both diagnostic and thera¬ peutic. One cannot accept without question the diag¬ nosis, evaluation and therapeutic prescriptions of one's colleagues without a réévaluation if one is to accept the responsibilities of specialized care. The surgeon does not perform operation to correct a condition diagnosed by the internist without himself examining the patient. This is true throughout all of medicine where good medicine is practiced. The specialist in physical medi¬ cine and rehabilitation must stand for the same firm principles of good practice.When the physician is capable of standing his ground in medicine generally and can add to this the special technics and modalities pertinent to his particular field, he is then a specialist in physical medicine and rehabili¬ ...
