Current practice focus trends in physical medicine and rehabilitation.

IF 2.2 4区 医学 Q1 REHABILITATION PM&R Pub Date : 2024-07-01 Epub Date: 2024-02-07 DOI:10.1002/pmrj.13119
Carolyn L Kinney, David W Pruitt, Gerard E Francisco, Mikaela M Raddatz, Sunil Sabharwal
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Abstract

Background: Physical medicine and rehabilitation (PM&R) is a diverse specialty, growing and evolving over a variety of subspecialty and practice focus areas. Accurate data regarding practice patterns of physiatrists are essential for updating requirements in training and certification, particularly as the Accreditation Council for Graduate Medical Education begins its process to update of the PM&R core residency training requirements. This study analyzes practice trends for nearly 98% of physiatrists in active practice, the largest study to date.

Objective: To update current demographics of physicians specializing in PM&R, including current areas of practice focus, to analyze the alignment of practice focus with subspecialty certification, and to determine the extent that electromyography is a component of current physiatric practice.

Design: Retrospective analysis of deidentified responses from American Board of Physical Medicine and Rehabilitation (ABPMR) board-certified PM&R physicians (diplomates) on annual enrollment in the ABPMR Continuing Certification program.

Participants: A total of 9543 ABPMR diplomates.

Main outcome measures: Demographics - age, gender, years in practice, practice setting(s) and area(s). Practice focus, subspecialty certifications.

Results: The majority of practicing physiatrists are men (62%) although the percentage of women in the field is growing (38%). Nearly 80% of physiatrists report more than one practice focus area, with pain medicine and sports medicine/musculoskeletal practices most commonly reported.

Conclusions: This study confirms the growth trends in PM&R in pain and sports medicine but also highlights the substantial number of physiatrists focusing their practices in areas related to neurorehabilitation and medical rehabilitation. The large majority of physiatrists incorporate multiple focus areas into their practices. Electromyography is a focus for a declining percentage of practicing physiatrists.

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物理医学与康复的当前实践重点趋势。
背景:物理医学与康复(PM&R)是一门多样化的专业,在各种亚专业和实践重点领域不断发展和演变。有关物理治疗师执业模式的准确数据对于更新培训和认证要求至关重要,尤其是在毕业后医学教育认证委员会(ACGME)开始更新物理医学与康复核心住院医师培训要求的过程中。这项研究分析了近98%正在执业的物理治疗师的执业趋势,是迄今为止规模最大的一项研究:目的:更新目前 PM&R 专业医师的人口统计数据,包括目前的执业重点领域,分析执业重点与亚专科认证的一致性,并确定肌电图在多大程度上是目前理疗实践的组成部分:设计:对美国物理医学与康复委员会(ABPMR)认证的物理医学与康复医师(Diplomates)每年参加ABPMR继续认证计划的情况进行回顾性分析:人口统计学 - 年龄、性别、执业年限、执业地点和领域、执业重点、亚专科认证 结果:大多数执业物理治疗师为男性(62%),但该领域的女性比例正在增长(38%)。近 80% 的物理治疗师报告了一个以上的重点实践领域,其中疼痛医学和运动医学/肌肉骨骼实践最为常见:这项研究证实了疼痛和运动医学中的 PM&R 的增长趋势,但也强调了有相当数量的物理治疗师将其执业重点放在了与神经康复和医疗康复相关的领域。绝大多数物理治疗师都将多个重点领域纳入了自己的诊疗范围。肌电图是执业物理治疗师的重点领域,但这一比例正在下降。本文受版权保护。保留所有权利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PM&R
PM&R REHABILITATION-SPORT SCIENCES
CiteScore
4.30
自引率
4.80%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Topics covered include acute and chronic musculoskeletal disorders and pain, neurologic conditions involving the central and peripheral nervous systems, rehabilitation of impairments associated with disabilities in adults and children, and neurophysiology and electrodiagnosis. PM&R emphasizes principles of injury, function, and rehabilitation, and is designed to be relevant to practitioners and researchers in a variety of medical and surgical specialties and rehabilitation disciplines including allied health.
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