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Poster 505 Influence of Summer Externship in Physical Medicine & Rehabilitation on Specialty Selection
S324
Abstracts / PM R 8 (2016) S151-S332
Disclosures: Thiru Annaswamy: I Have No Relevant Financial Relationships To Disclose Objective: The AAPM&R commissioned a panel (Functional Assessment Systematic Review (FASTER) Writing Panel) to conduct a systematic review to determine the extent to which the relationship between functional assessment and patient outcome is reported in the literature, and to address potential evidence gaps needed in the use of functional assessment in patient care. Design: Systematic review. Setting: Not Applicable. Participants: The FASTER panel consisted of an epidemiologist, 8 experienced panelists in functional assessment and a project manager. Interventions: Using an iterative process, the FASTER Panel refined and developed 9 key questions and their associated analytic frameworks following the PICO method and using PubMed, EMBASE, CINAHL, and PsychInfo databases. Main Outcome Measures: The FASTER Writing Panel began with the broad question, “Do functional assessments lead to improved patient outcomes?” The following components of functional assessment were also targeted: patient & family functional goal setting, patient & family engagement, patient reported function, provider based assessment, ICF alignment, pain assessment and fatigue assessment. Earlier productive return to work, school or community living, improved patient adherence or engagement with care, improved quality of life and greater patient satisfaction were the targeted outcomes. Results: PICO 1 e 510 articles retrieved; PICO 2 e 414 articles retrieved; PICO 3 e 128 articles retrieved; PICO 4 e 402 articles retrieved; PICO 5 e 492 articles retrieved; PICO 6 e 237 articles retrieved; PICO 7 e 681 articles retrieved; PICO 8 e 476 articles retrieved. However, no studies identified in this review met all inclusion criteria for any of the 8 PICO questions. This review therefore was considered an ‘empty review’ with no eligible studies identified. Conclusions: Due to the ‘empty’ review, the FASTER Panel did not make specific recommendations for clinical actions regarding functional assessment. Well designed studies evaluating the value of functional assessment in improving patient outcomes are required to robustly identify best practices in standardized functional assessment. Level of Evidence: Level I Poster 504 Single Physician Experience with Improving Patient Satisfaction Anupam Sinha, MS, DO (Rothman Institute, Mount Laurel, New Jersey, United States), Madhuri Dholakia, MD Disclosures: Anupam Sinha: I Have No Relevant Financial Relationships To Disclose Objective: To improve online physican ratings and patient satisfaction scores. Design: At the end of each office visit, patient was immediately asked to participate in an online survey at www.Healthgrades.com to rate their experience. Setting: Outpatient orthopedic practice. Participants: Patients presenting for an intial visit with a Pain and Interventional Spine Physiatrist. A total of 58 patients who seemed satisfied with their visit were offered the online survey. Interventions: Not applicable. Main Outcome Measures: The healthgrade survey is a series of 8 questions pertaining to office staff, wait time, and physician interaction. Each question has 1 to 5 star rating. A total score from 1.0 to 5.0 is determined per patient, and a cumulative average from 1.0 to 5.0 is determined for the physician.
Results: At the beginning of the study, the physician had a score of 3.97 through 35 surveys. A total of 44 patients were offered the survey during an 8-week period. At the end of 8 weeks, the physician had a score of 4.6 (a positive gain of 0.63). Conclusions: Patients are using online rating sites to select their physician of choice for their medical needs. Many insurance companies, independent practice associations, and accountable care organizations are using physician reputation/satisfaction scores for selecting physicians in various networks. It is imperative that physicians take the lead in improving their individual online scores and ratings. Level of Evidence: Level III
Poster 505 Influence of Summer Externship in Physical Medicine & Rehabilitation on Specialty Selection Kristen T. McCormick, DO, MS (McGaw Medical Center of Northwestern University, Northwestern Medical School/RIC, Chicago, IL, United States), Mithra Maneyapanda, MD, Leslie K. Rydberg, MD Disclosures: Kristen McCormick: I Have No Relevant Financial Relationships To Disclose Objective: To investigate the influence of an 8-week summer externship on second year medical students at an academic inpatient rehabilitation hospital. We hypothesize that these students are more likely to choose Physical Medicine & Rehabilitation (PM&R) as a medical specialty. Design: Retrospective Case Review. Setting: Academic Inpatient Rehabilitation Facility. Participants: 90 second-year medical students who participated in a 8-week externship involving inpatient rehabilitation care and research projects. Interventions: Not Applicable. Main Outcome Measures: Medical Specialty, Location of Residency. Results: Of the 90 second-year medical students who participated in the summer externship between 2004 to 2012, 85 were able to be located and specialties identified. Of the 85 students, 25 selected PM&R as their medical specialty (29.4%). Of the 25 students that selected PM&R, 8 completed residency at the institution where they did their externship (32%). For comparison, in the 2015 National Resident Matching Program (NRMP), 402 students matched into PM&R positions (of the 479 people who applied to PM&R), while 41,334 students applied for residency positions, meaning only 0.97% of applicants matched into PM&R. Conclusions: Externships offer medical students increased exposure to PM&R, increasing likelihood that the students will choose it as a specialty. This type of program also increases likelihood that the students will choose that program as their residency location. Level of Evidence: Level V
Poster 506 Immediate Need to Initiate Physical Medicine and Rehabilitation Specialty in Nepal Manoj K. Poudel, MBBS (Founder Member and General Secretary of Nepalese Academy of Physical Medicine & Rehabilitation) (Physician at Spinal Injury Rehabilitation Center, Nepal, Kavre, Bagmati, Nepal) Disclosures: Manoj Poudel: I Have No Relevant Financial Relationships To Disclose Objective: 1) To describe disability in Nepal in terms of epidemiology, societal attitude, legal provisions, existing national policies and
Abstracts / PM R 8 (2016) S151-S332
Disclosures: Thiru Annaswamy: I Have No Relevant Financial Relationships To Disclose Objective: The AAPM&R commissioned a panel (Functional Assessment Systematic Review (FASTER) Writing Panel) to conduct a systematic review to determine the extent to which the relationship between functional assessment and patient outcome is reported in the literature, and to address potential evidence gaps needed in the use of functional assessment in patient care. Design: Systematic review. Setting: Not Applicable. Participants: The FASTER panel consisted of an epidemiologist, 8 experienced panelists in functional assessment and a project manager. Interventions: Using an iterative process, the FASTER Panel refined and developed 9 key questions and their associated analytic frameworks following the PICO method and using PubMed, EMBASE, CINAHL, and PsychInfo databases. Main Outcome Measures: The FASTER Writing Panel began with the broad question, “Do functional assessments lead to improved patient outcomes?” The following components of functional assessment were also targeted: patient & family functional goal setting, patient & family engagement, patient reported function, provider based assessment, ICF alignment, pain assessment and fatigue assessment. Earlier productive return to work, school or community living, improved patient adherence or engagement with care, improved quality of life and greater patient satisfaction were the targeted outcomes. Results: PICO 1 e 510 articles retrieved; PICO 2 e 414 articles retrieved; PICO 3 e 128 articles retrieved; PICO 4 e 402 articles retrieved; PICO 5 e 492 articles retrieved; PICO 6 e 237 articles retrieved; PICO 7 e 681 articles retrieved; PICO 8 e 476 articles retrieved. However, no studies identified in this review met all inclusion criteria for any of the 8 PICO questions. This review therefore was considered an ‘empty review’ with no eligible studies identified. Conclusions: Due to the ‘empty’ review, the FASTER Panel did not make specific recommendations for clinical actions regarding functional assessment. Well designed studies evaluating the value of functional assessment in improving patient outcomes are required to robustly identify best practices in standardized functional assessment. Level of Evidence: Level I Poster 504 Single Physician Experience with Improving Patient Satisfaction Anupam Sinha, MS, DO (Rothman Institute, Mount Laurel, New Jersey, United States), Madhuri Dholakia, MD Disclosures: Anupam Sinha: I Have No Relevant Financial Relationships To Disclose Objective: To improve online physican ratings and patient satisfaction scores. Design: At the end of each office visit, patient was immediately asked to participate in an online survey at www.Healthgrades.com to rate their experience. Setting: Outpatient orthopedic practice. Participants: Patients presenting for an intial visit with a Pain and Interventional Spine Physiatrist. A total of 58 patients who seemed satisfied with their visit were offered the online survey. Interventions: Not applicable. Main Outcome Measures: The healthgrade survey is a series of 8 questions pertaining to office staff, wait time, and physician interaction. Each question has 1 to 5 star rating. A total score from 1.0 to 5.0 is determined per patient, and a cumulative average from 1.0 to 5.0 is determined for the physician.
Results: At the beginning of the study, the physician had a score of 3.97 through 35 surveys. A total of 44 patients were offered the survey during an 8-week period. At the end of 8 weeks, the physician had a score of 4.6 (a positive gain of 0.63). Conclusions: Patients are using online rating sites to select their physician of choice for their medical needs. Many insurance companies, independent practice associations, and accountable care organizations are using physician reputation/satisfaction scores for selecting physicians in various networks. It is imperative that physicians take the lead in improving their individual online scores and ratings. Level of Evidence: Level III
Poster 505 Influence of Summer Externship in Physical Medicine & Rehabilitation on Specialty Selection Kristen T. McCormick, DO, MS (McGaw Medical Center of Northwestern University, Northwestern Medical School/RIC, Chicago, IL, United States), Mithra Maneyapanda, MD, Leslie K. Rydberg, MD Disclosures: Kristen McCormick: I Have No Relevant Financial Relationships To Disclose Objective: To investigate the influence of an 8-week summer externship on second year medical students at an academic inpatient rehabilitation hospital. We hypothesize that these students are more likely to choose Physical Medicine & Rehabilitation (PM&R) as a medical specialty. Design: Retrospective Case Review. Setting: Academic Inpatient Rehabilitation Facility. Participants: 90 second-year medical students who participated in a 8-week externship involving inpatient rehabilitation care and research projects. Interventions: Not Applicable. Main Outcome Measures: Medical Specialty, Location of Residency. Results: Of the 90 second-year medical students who participated in the summer externship between 2004 to 2012, 85 were able to be located and specialties identified. Of the 85 students, 25 selected PM&R as their medical specialty (29.4%). Of the 25 students that selected PM&R, 8 completed residency at the institution where they did their externship (32%). For comparison, in the 2015 National Resident Matching Program (NRMP), 402 students matched into PM&R positions (of the 479 people who applied to PM&R), while 41,334 students applied for residency positions, meaning only 0.97% of applicants matched into PM&R. Conclusions: Externships offer medical students increased exposure to PM&R, increasing likelihood that the students will choose it as a specialty. This type of program also increases likelihood that the students will choose that program as their residency location. Level of Evidence: Level V
Poster 506 Immediate Need to Initiate Physical Medicine and Rehabilitation Specialty in Nepal Manoj K. Poudel, MBBS (Founder Member and General Secretary of Nepalese Academy of Physical Medicine & Rehabilitation) (Physician at Spinal Injury Rehabilitation Center, Nepal, Kavre, Bagmati, Nepal) Disclosures: Manoj Poudel: I Have No Relevant Financial Relationships To Disclose Objective: 1) To describe disability in Nepal in terms of epidemiology, societal attitude, legal provisions, existing national policies and