It is my distinct honour to welcome you to the Spinal Cord Injury Rehabilitation Medicine Fellowship at McMaster University. Both traumatic and degenerative Spinal Cord Injuries are life-altering events for our patients and we aim to support them through their journey at various stages of treatment, recovery, and community reintegration. Our high-intensity Neurorehabilitation Program is housed out of the Regional Rehabilitation Centre, which is closely linked to the Hamilton General Hospital, a regional Trauma Centre. The Centre also offers highly specific inpatient and outpatient care for Stroke, Acquired Brain Injury (ABI), and Amputee patients. Our fellows will get exposure to over 80 annual admissions for Spinal Cord Injured patients on the inpatient unit. Specialized outpatient clinic exposure will include chronic SCI follow up, SCI Urology clinics (including Urodynamics), SCI Respirology clinics (including Pulmonary Function Tests), Wheelchair/Seating clinic, as well as access to the Regional Concussion Clinic for patients with dual diagnoses of SCI and ABI. An opportunity also exists to become involved in SCI Fertility clinics at the Fellow’s requests. Lastly, our vast Outpatient Rehabilitation Program (including Physiotherapy, Occupational Therapy, and Pool Therapy) facilitates ample collaboration with Allied Health Team members.
Clinical care will consist of participating in the SCI PM&R Consult service at the Hamilton General Hospital (predominantly Spine and Trauma units), and the Regional Rehabilitation Centre (Spinal Cord Injury Inpatient Rehabilitation as well as Outpatient Clinics). The current model consists of the Physiatrist designated as the MRP which allows for further development of medical knowledge and skills as well as Specialty training in the area of Spinal cord Injury rehabilitation. The Physiatrists at the Regional Rehabilitation Centre are well supported by Consult services at the Hamilton General Hospital in the area of Internal Medicine, Neurosurgery, Orthopaedic Surgery, Radiology, Psychiatry, and other essential Medical Specialties required by our patients. Collaboration with the patients’ surgical team during and after acute trauma allows for excellent continuity of care and communication. The MRP/Physiatrist model also allows for close collaboration with the patients’ Allied Health team members, such as Physiotherapists, Occupational Therapists, Social Workers, Nurses, and Respiratory Therapists, all of whom are essential to a successful discharge from our unit and a return to community living.
We offer competency-based training, similar to that recently introduced into the PM&R Residency Program. The settings will include bedside teaching, one on one teaching sessions, outpatient clinics, weekly Team Rounds, attendance of weekly Academic Half Day for the PM&R Residents (with opportunities to present/lead sessions), and monthly attendance of PM&R Grand Rounds (with opportunities to present). Conference attendance at McMaster University and nearby Universities in the relevant subject matter will also be encouraged.
The successful completion of the fellowship will grant a Fellowship McMaster Certification.
The fellowship program is designed for recent graduates of Physical Medicine and Rehabilitation Residency Programs. Recent graduates are required to submit an application form and comply with McMaster University Postgraduate Medical Education requirements for residents and fellows.
9-month deadline prior to July 1st of the starting year.
Annual Resident/Fellow PM&R Research day, Annual OSCE examination, Annual Resident/Fellow Retreat
Regular feedback from Staff Attending, verbal and written. Feedback from fellow residents (especially post teaching sessions) will also be included. Feedback from Allied Health Team Members will also be elicited.