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National Spinal Cord Injury Association Resource Center
Factsheet #11:
What is a Physiatrist?
Many people are unaware that there is a special branch of medicine specifically
dedicated to the diagnosis and treatment of physical disability. Physiatrists are
doctors who are certified as specialists in rehabilitation medicine by the
American Board of Physical Medicine and Rehabilitation. The area of medicine
they practice is called "physiatry."
Physical Medicine and Rehabilitation (PM&R) was born in 1946 in response to the
challenge to help disabled citizens reach their maximum potential. What is so
special about these specialists? After completing medical school and obtaining
an MD or DO degree, they study four more years and take two extra examinations,
one written and one oral. The purpose of this extra training is to make sure
that physiatrists are focused on the patient as a whole person. Most physicians
deal with illness and possible threats to life. The physiatrist deals with
functional loss and threats to living fully -- the physical and psychological
disabilities remaining after initial medical or surgical treatment.
The physiatrist often coordinates a team of other doctors and health professionals
in developing and carrying out a comprehensive rehabilitation plan which extends
beyond hospital walls into the patient's family, community, occupation, friends,
and ultimate life style. This rehabilitation team may include physical,
occupational, and/or speech therapies, nurses and doctors from various
specialties, including neurology and orthopedics, psychologists, counselors or
social workers, rehabilitation engineers and others.
The physiatrist's success comes through a team effort where the patient is an
integral part of the team process. Each improvement in function, however subtle,
can significantly improve the life of a patient.
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