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Survey of Medical Residents’ Attitude Toward Physical Medicine and Rehabilitation

Raeissadat, Seyed Ahmad MD; Samadi, Behnoud MD; Rayegani, Seyed Mansour MD; Bahrami, Mohammad Hasan MD; Mahmoudi, Hooman MD

American Journal of Physical Medicine & Rehabilitation: June 2014 - Volume 93 - Issue 6 - p 540–547
doi: 10.1097/PHM.0000000000000057
Education & Administration

ABSTRACT: This survey was completed on 600 medical residents in 19 randomly selected teaching hospitals from three Iranian medical universities to delineate some possible factors associated with medical residents’ awareness of and attitude toward 11 specified areas of physical medicine and rehabilitation (PM&R). Fifty-four percent of the participants had a history of consultation with physiatrists. Male residents and those with history of general medicine education in a university having a residency program in PM&R were the most likely to consult with physiatrists. Age and graduation date were not significant predictors of consultation. Residency specialty was the most powerful covariate of consultation rate, with the highest rate of consultation in neurosurgery, neurology, and orthopedics. The best known areas of PM&R were rehabilitation of central nervous system disorders, electrodiagnostic studies, and prescription of physical modalities. The most requested areas of PM&R for collaboration were therapeutic exercise, musculoskeletal and rheumatic disorders, and geriatric rehabilitation. Overall, the residents of various specialties showed different levels of familiarity and attitude toward the different areas of PM&R. This indicates that specific programs are needed to improve PM&R collaboration with all specialties. Policy makers in all levels, from hospital administrators to the ministry of health, need to further enhance the familiarity of medical residents with the field PM&R.

From the Physical Medicine and Rehabilitation Department, Clinical Research Development Center at Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran (SAR); Department of Physical Medicine and Rehabilitation, Vaseei Hospital, Sabzevar University of Medical Sciences (BS); Department of Physical Medicine and Rehabilitation, Shohada-e-Tajrish Hospital, Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran (SMR, MHB); and Dr. Mahmoudi’s Acquired Brain Injury Rehabilitation Center, Shiraz University of Medical Sciences, Shiraz, Iran (HM).

All correspondence and requests for reprints should be addressed to: Hooman Mahmoudi, MD, Dr. Mahmoudi’s Acquired Brain Injury Rehabilitation Center, Number 266, Alley 15, Eram Blvd, Shiraz, Iran.

This study was performed at the Clinical Research Development Center at Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Supported by the Shahid Beheshti University of Medical Sciences.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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© 2014 by Lippincott Williams & Wilkins