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Rehabilitation Medicine is the specialty involved with
care of patients after disease processes and injuries
that lead to functional deficits or difficulties with
carrying out activities of daily living (ADL).
The inpatient Rehabilitation Medicine Department provides
early, intensive, comprehensive, interdisciplinary rehabilitation
for patients with potential for significant functional
gains leading to an optimal level of independence, enabling
a discharge home or return to work. It also provides
a consultation service to other departments.
The Department’s patient-base include:
- Neurological e.g. stroke, brain trauma and injury,
spinal cord injury, neural infection, inflammation
and degeneration, motor neuron disease, myopathy.
- Orthopedic: e.g. fracture, joint replacement, musculoskeletal
injury, amputation, chronic pain, back surgery.
- Medical: e.g. cardiac, pulmonary, arthritis and
connective tissue diseases, cancer rehabilitation,
general deconditioning surgical: eg. Amputation, vascular
disease and surgery, deconditioning and debility post-surgery
The department provides advanced specialty training
in Rehabilitation Medicine. Advanced trainees are trained
to:
- Become proficient in the clinical assessment and
management of acute and long-term patients with different
rehabilitation diagnoses including stroke, spinal
cord injury, traumatic brain injury, arthritis, amputation,
chronic pain, and other neurological and musculoskeletal
diseases.
- Develop expertise in clinical decision-making regarding
rehabilitative aspects of patient care.
- Develop expertise in the prevention and management
of complications associated with disabilities including
neurogenic bowel and bladder, sexuality and fertility,
pressure sore, spasticity. contracture, reflex sympathetic
dystrophy, dysautonomia.
- Learn specific skills such as electrodiagnostic
studies, soft tissue and joint injection, motor point
and nerve blocks.
- Develop and demonstrate the skills required for
team leadership and administration in an interdisciplinary
environment.
- Develop teaching skills including bedside teaching,
formal lectures and presentations.
- Develop research and other academic skills.
The department also has attachments for Registrars
from other departments, visiting international fellows,
medical students from the National University of Singapore
and international medical schools.
It is active in the teaching activities of SGH nursing
and therapy staff, and community outreach educational
programs. The department is recognized for training
by the Specialist Accreditation Board.
Ongoing research activities include clinical studies
on rehabilitation of diseases such as Guillain-Barre
Syndrome, prevention of thromboembolism, rehabilitation
medicine database and outcome measures.
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