LOGBOOK CARNET DE STAGES
Contents
1. Responsible consultant Formateur actuel _ Responsible specialist colleague Formateur adjoint excell good satisf Needs further Unsatisf remarks 1 SKILLS APTITUDES ee aaa Training 12 excell bien suff insuff tr s remarques insuff Clinical examination Examen clinique Clinical work Activit clinique Brief description of skills and experience gained Br ve description des aptitudes et de l exp rience acquise Communication writen Communication crite Communication oral Communication orale 25 2 ATTITUDE TO WORK ATTITUDE FACE AU TRAVAIL excell Needs further Unsatisf tr s insuff Remarks Remarques Interest in the specialty Int r t pour la sp cialit Interest in current literature Int r t pour la litt rature Initiative initiative Regarding the team Vis a vis de l quipe Regarding scientific work Vis vis du travail scientifique Teaching enseigne2. EUROPEAN UNION OF MEDICAL SPECIALISTS EUROPEAN BOARD OF PHYSICAL MEDICINE AND REHABILITATION Specialty Physical and Rehabilitation Medecine Sp cialit M decine Physique et de R adaptation IDENTIFICATION BS URN AIM BSS ccc ets eR ae a a ee Sete NOM FORENAME Secs ss hal a a re als PRENOMS NATION ACT se scan usnu de te et ON le ere NATIONALITE PLACE AND DATE OF BIRTH LIEU Be AaB NAISSANCE ES es aa ee ee PRIVATE ADDRESS ADRESSE PRIVEE nn sae Me e etl nM isa M Pal uit Ee puede DATE OF COMMENCEMENT OF SPECIALIST TRAINING ACCORDING TO RESPONSIBLE NATIONAL AUTHORITY DATE DE DEBUT DE LA FORMATION DE SPECIALISTE OVERALL RESPONSABLITY FOR TRAINING PROGRAMME Director of training RESPONSABLE POUR LA FORMATION ENTIERE The secretary of the Board and the national representative must be informed of each change of address Tout changement d adresse devra tre notifi au secr taire du Board et au responsable national INSTRUCTIONS FOR USE 1 At the start of specialist training the identification form must be sent for registration to the secretary of the European Board PMR for name and address please contact your national representative 2 The registration fee is payable at the start of training This amount will be deducted from the Board s total f e at the end of the training period 3 The trainer will complete a report after each stage of training 10 forms available 4 Oncompleti
3. EUROPEAN BOARD OF PHYSICAL AND REHABILITATION MEDICINE LOGBOOK CARNET DE STAGES UNION EUROPEENNE DES MEDECINS SPECIALISTES EUROPEAN UNION OF MEDICAL SPECIALIST UEMS LOGBOOK CARNET DE STAGE CONTENTS INDEX Identification page 3 Instructions for use mode d emploi page 4 The training course les stages page 5 Training programme sch ma de formation page 6 Curriculum of studies and theoretical knowledge page 7 Programme des tudes et des connaissances page 16 Report rapport 1 X page 25 30 These 6 pages constitute the report for one training period reprint them please for each training period Ces 6 pages constituent le rapport d un stage r imprimez les pour chaque stage s il vous plait Other training courses and congresses page 31 32 Formation compl mentaire cours congr s page 31 32 Oral communications communications orales page 33 Publications page 34 Overall assessment valuation globale page 35 36
4. PERFORMANCE PRESTATION Excell Excell Satisf Further Training Unsatisf tr s insuff Remarks Remarques Diagnostic knowledge Connaissances diagnostiques Therapeutic knowledge Connaissances th rapeutiques Clinical application of knowledge Application clinique des connaissances Production of work R alisation des taches Donn es Qualitative En qualit In time provided En temps voulu medical administrative work travaux m dico administratifs e medical reports r daction des certificats e medical records r daction des dossiers m dicaux e letters to colleagues lettres aux confr res qualitative en qualit in time provided en temps voulu Scientific research Recherche scientifique Assessment of literature Evaluation de la litt rature Increase in knowledge Progression des connaissances Quality of research Qualit de la recherche 28 5 Weekly time table Horaire des activit s hebdomadaires M L T M W M T J F V WE A M Matin P M Apr s midi Educational courses attended Sujets trait s CONTINUING OF TRAINING 29 POURSUITE DE LA FORMATION suitable apte suitable conditional on apte a condition que no unless non a moins que no because of following reason non raison advice given conseils et suggestions Trainee s comments Commen
5. global environnemental Les applications de l ergoth rapie en r ducation articulaire musculaire fonctionnelle globale en r entramement l effort en r adaptation fonctionnelle en r insertion socio familiale et domestique professionnelle et adaptation du poste de travail 3 Physioth rapie utilisation th rapeutique des agents physiques bases effets indications et contre indications a Electroth rapie courants galvaniques courants de basse fr quence de moyenne fr quence de haute fr quence b Vibrations m caniques biofeedback thermoth rapie 4 Hydroth rapie kin baln oth rapie Cr noth rapie 5 Appareillage et aides techniques a Les mat riaux utilisables en appareillage b Bandages et contentions souples strapping c Orth ses th rapeutiques tronc membre 18 sup rieur membre inf rieur palliatives tronc membre sup rieur membre inf rieur d Proth ses bases chirurgicales des amputations r ducation appareillage et r adaptation des amput s du membre inf rieur et du membre sup rieur e Stomath rapie f Aides techniques quipements outils objets usuels adapt s moyens de d placement ou de communication contr le de l environnement domotique du plus simple au plus sophistiqu susceptible de venir en aide aux personnes handicap es pour accroitre leur ind pendance et am liorer leur qualit de vie NB Le m decin sp cialiste en MPR en mati re d orth ses
6. Arthrologie g n rale classification et caract ristiques kin siologiques des articulations Forces en pr sence contraction musculaire r sistances internes et externes course du muscle et amplitude articulaire notions distinctes et indissociables Les facteurs de limitation d amplitude du mouvement Les diff rents types de muscles Diff rents types m caniques de la contraction musculaire muscles mono poly articulaires Travail statique ou isom trique dynamique ou anisom trique isocin tisme Agonistes antagonistes synergies musculaires Cha nes cin tiques b Analytique Physiologie m canique articulaire et musculaire axiale tronc t te et cou ceintures et membres Cette partie du programme suppose une connaissance pr requise indispensable de l anatomie de l appareil locomoteur c Fonctionnelle globale Application des donn es pr c dentes l analyse de la posture et du mouvement dans les activit s l mentaires de la vie humaine positions fondamentales et postures diverses activit gestuelle du membre sup rieur et pr hension marche course saut 5 Les ph nom nes physicochimiques et nerg tiques de l exercice r gulation thermique co t nerg tique 6 Epid miologie clinique M thodologie de la recherche clinique Statistique II Commande et contr le de la motricit de la posture et du mouvement Physiologie et introduction la physiopathologie 1 Du neurone et de la conduction nerveuse
7. 2 De la mo lle pini re 3 De l tirement myotatique 4 De l enc phale 5 Du cervelet 6 Des contr les supra segmentaires et inhibitions 7 Organisation g n rale de la motricit et ajustements posturaux 8 Neurophysiologie de la marche 9 Bases neurophysiologiques de l activit manuelle 10 La douleur m canismes interactions avec la motricit III Bilans et explorations fonctionnelles en m decine physique et de r adaptation Bilans cliniques Bilan articulaire Bilan musculaire Bilan de la sensibilit Mensurations cliniques 2 Bilans des fonctions sup rieures cognitif langage m moire conduites comportementales etc 3 Bilans et valuations paracliniques 17 a Apports et utilisation rationnelle de l imagerie m dicale moderne en m decine physique et de r adaptation b Evaluation quantifi e par enregistrement informatis des ph nom nes m caniques plates formes de force et cin matiques diff rentes formes modernes d enregistrement des d placements des segments corporels c Electrodiagnostic et lectromyographie mesure des vitesses de conduction nerveuse potentiels voqu s d Exploration fonctionnelle respiratoire e Bilans cardio vasculaires oxym trie tissulaire valuation de l aptitude l effort mesure de la consommation nerg tique f Bilans biologiques d usage courant en m decine physique et de r adaptation 4 Bilans fonctionnels mise en pr
8. BOARD Training conforms to Board s programme Formation conforme au cursus du Board COMMENT COMMENTAIRE FINAL DECISION DECISION FINALE SIGNATURE Of jury members Des membres du jury 1 Name Nom 2 Name Nom 3 Name Nom PRESIDENT PRESIDENT Name Nom DATE yes oui no non SECRETARY SECRETAIRE Name Nom PLACE LIEU 36
9. Sports for disabled people VIII Physical and rehabilitation medicine Nervous system pathology 1 Central nervous system a Vascular neoplastic and traumatic conditions including cerebrovascular accidents and hemiplegias cerebral hemispheres and brain stem b Parkinson s disease c Cerebellar conditions d Traumatic brain injury e Multiple sclerosis f Motor neurone disease including lateral amyotrophic sclerosis g Syringomyelia h Spinal cord lesions traumatic neoplastic others i Spinocerebellar degenerative conditions Friedreich s disease Strumpell Lorain etc j Neuropsychological dysfunction 2 Peripheral nervous system a Poliomyelitis b Traumatic compressive conditions and tumours of nerve roots plexus nerve trunks a good knowledge is required of the anatomical relations of the peripheral nervous system c Polyradiculopathies d Other polyneuropathies Charcot Marie Tooth disease Dejerine Sottas disease etc e Metabolic neuropathies f Leprosy IX Physical and rehabilitation medicine and respiratory pathology 1 A fundamental appreciation of acute and chronic obstructive and restrictive syndromes Circumstances leading to their occurrence Therapeutic principles 2 Principles of rehabilitation functional assessment through pulmonary function tests a Active and passive techniques of bronchial drainage postural draining manual clapping instrumental techniques bl Patient instruction and e
10. amyotrophique g Syringomy lie h Les t tra et parapl gies traumatiques tumorales autres i Les affections d g n ratives spino c r belleuses Friedreich Strumpell Lorain etc j Les dysfonctionnements neuropsychologiques 21 2 Syst me Nerveux P riph rique a La poliomy lite b Les atteintes traumatiques compressives ou tumorales des racines des plexus des troncs nerveux tude propre chaque localisation c Les polyradiculoneurites d Les polyneuropathies diverses Charcot Marie Tooth D jerine Sottas neuropathies tomaculaires etc e Les neuropathies m taboliques f Les neuropathies hans niennes IX M P R en Pathologie Respiratoire 1 Notions fondamentales de syndromes restrictifs obstructifs mixtes ainsi que des circonstances de leur survenue des conditions g n rales de leur prise en charge dans le cadre de l acuit ou de la chronicit 2 Les bases th rapeutiques r ducatives en fonction du bilan de l exploration fonctionnelle respiratoire du contexte environnemental et de leurs indications a Techniques passives et actives de d sencombrement bronchique b Education et prise de conscience ventuelle r ducation active pari tale abdomino diaphragmatique contr le des flux inspi et expiratoires c Ventilation artificielle respiration assist e assistance respiratoire domicile d Les divers quipements instrumentaux d assistance respiratoire e Surve
11. atique et utilisation de la classification I C I D H Diverses chelles d valuation tests indices utilis s dans les diff rentes pathologies IV Moyens th rapeutiques en M decine Physique et de R adaptation Kin sith rapie a Les techniques l mentaires de kin sith rapie passive et active analytique et fonctionnelle globale Diff rentes techniques de massages manuels et instrumentaux Les techniques de r adaptation fonctionnelle articulaire manuelles instrumentales R ducation musculaire veil et r veil de l activit musculaire r ducation musculaire clinique analytique et fonctionnelle globale instrumentale techniques et m thodes de renforcement musculaire de r entramement l effort de r adaptation b Les m thodes sp ciales de kin sith rapie en fonction des diff rentes pathologies Envisag es selon des bases technologiques ex CYRIAX MENNELL etc ou selon les bases m thodologiques ex KABAT BOBATH BRUNNSTROMM etc c Les indications la prescription le contr le des effets de la kin sith rapie notions de progression des techniques et de choix des techniques et des m thodes en fonction des r sultats du bilan en fonction du type de pathologie et des caract ristiques individuelles propres chaque patient 2 Ergoth rapie Bases ergonomiques Principes et m thodes ergoth rapiques Les mat riaux Les quipements Les technologies Le bilan en ergoth rapie segmentaire
12. cessus de la R adaptation 3 M decine Physique et de R adaptation comme sp cialit autonome a Crit res d une sp cialit autonome b Philosophie c Objectifs d M thodologie 4 R le du sp cialiste en M decine Physique et de R adaptation a T ches m dicales b T ches m dico sociales c Objectifs et moyens de la sp cialit d Le travail interdisciplinaire I Les Bases de la M decine Physique et de R adaptation 1 Principes de m canique g n rale de cin tique et de cin matique Forces couples de forces leviers moments puissance travail inertie acc l ration 2 Principes de comportement et de r sistance des mat riaux soumis a des forces Notion de contrainte strain courbes de contrainte Caract ristiques de la nature homog ne ou composite des mat riaux Connaissances l mentaires relatives a la mesure des contraintes et des d formations des mat riaux de toute nature 3 Biom canique application des notions des paragraphes pr c dents aux organes et aux tissus vivants Biom canique des diff rents tissus du corps humain particuli rement des tissus de l appareil locomoteur Notions l mentaires de biom canique des fluides et leur application aux fluides du corps humain 16 4 Kin siologie humaine a Fondamentale Application au corps humain des syst mes de leviers les diff rents constituants du levier au sein de l appareil locomoteur Poutres composites vivantes
13. ducation Active training method Intercostal and abdominodiaphragmatic breathing control of inspiration and expiration c Artificial ventilation assisted respiration domiciliary assisted respiration d Equipment for assisted respiration el Surveillance and monitoring of treatment 3 Applications of the above in an intensive care unit comatose or conscious patients In an acute hospital effects of thoracic and abdominal surgery In non acute hospital wards respiratory failure At home according to the restrictive or obstructive pathology With special attention to a Major obstructive airways disease severe asthma mucoviscidosis b Major restrictive conditions lateral amyotrophic sclerosis extreme myopathy X Physical and rehabilitation medicine and cardiovascular pathology Cardiac rehabilitation in valvulopathy 2 Cardiac rehabilitation after myocardial infarction 3 Cardiomyopathies 13 4 a Prevention and treatment of deep venous thrombosis b Venous problems ulcers varicose ulcers 5 Arterial occlusive disease of the legs investigation the place of and technology of the rehabilitation at the various stages of the condition 6 The rehabilitation of amputees care of the stump prosthetics X1 Physical and rehabilitation medicine in paediatric conditions 1 An appreciation of child development psychomotor development movement sensory and cognitive development Testing and evaluation of the stage
14. e et les anomalies des structures musculo squelettiques et articulaires 3 Neurop diatrie infirmit s motrices d origine c r brale Spina bifida et my lom ningoc le Amyotrophies spinales infantiles Cons quences neuro orthop diques des d sordres neurologiques pr vention traitement surveillance 4 Malformations cong nitales des membres ag n sies squelettiques amputations cong nitales dysmorphom lies dysplasies de hanche pied bot varus quin cong nital autres malformations des pieds 5 Dystrophies osseuses de croissance 6 In galit s de longueur des membres inf rieurs 7 Scolioses idiopathiques cong nitales secondaires 8 Traumatologie infantile notions de base propres l enfant en traumatologie et sa r ducation Notamment l enfant br l l enfant amput XII M P R en Pathologie P rin o Sphinct rienne et Neuro Sexologique l Notions fondamentales de physiologie de la continence du fonctionnement v sicosphinct rien du fonctionnement ano rectal 2 Pathologie v sico sphinct rienne non neurologique neurologique Bilans urodynamiques Evaluation traitement 23 3 Pathologie ano rectale non neurologique neurologique Bilans Traitement 4 Cons quences sexologiques des dysfonctionnements p rin aux neurologiques Procr ation chez les parapl giques XIII M P R en Pathologie G riatrique 1 Les ph nom nes du vieillissement au sein des diff rents syst mes a S
15. et de proth ses devra conna tre des notions des mat riaux des constituants m caniques des pi ces d tach es les plus couramment utilis es des phases de la r alisation et de l application des appareils en d tail les indications de leurprescription les l ments du contr le de leur application de leur adaptation de leurs effets th rapeutiques 6 M decine manuelle Historique bases physiopathologiques de la d marche m dicale en m decine manuelle Bases anatomiques m tam risation Conduite de l examen clinique du tronc des membres Les dysfonctionnements du segment mobile intervert bral Les principes des techniques manuelles leur suivi Indications contre indications Les dangers potentiels de l acte manipulatif 7 R ducation des troubles du langage principes et m thodes de l orthophonie logop die logoth rapie Le d veloppement du langage chez l enfant Les mat riaux et les technologies de l orthophonie Le bilan en orthophonie Les applications de l orthophonie en r ducation des d ficiences et des incapacit s de la parole du langage de la compr hension et de l criture 8 La r insertion des personnes handicap es principes et m thodes de la psychologie et de l assistance sociale Le bilan cognitif de l intelligence de la m moire et de la concentration du comportement les possibilit s d apprentissage Les applications aux d ficiences cognitives et psychiques aux aptitudes psychologi
16. illance et ajustement des traitements 3 Leurs applications Dans un service de R animation patients comateux ou conscients pathologies diverses Dans une ambiance d hospitalisation aigu suites de chirurgie thoracique abdominale Dans un tablissement d hospitalisation de moyenne ou de longue dur e insuffisants respiratoires chroniques divers A domicile selon la pathologie restrictive ou obstructive Cas particuliers a Les grands syndromes obstructifs mucoviscidose asthme s v re b Les grands syndromes restrictifs scl rose lat rale amyotrophique myopathie au stade ultime X M P R en Pathologie Cardio V asculaire 1 Valvulopathies cardiaques et r ducation 2 R adaptation des coronariens R adaptation apr s infarctus du myocarde 22 3 R adaptation des myocardiopathies 4 Pr vention et traitement des thromboses veineuses des membres Pathologie veineuse chronique 5 Art riopathies des membres inf rieurs bilans place et technologie de la r adaptation aux diverses phases de la maladie 6 R ducation de l amput art ritique soins du moignon proth tisation XI M P R en Pathologie P diatrique 1 Notions fondamentales relatives au d veloppement de l enfant d veloppement somatique volution psychomotrice motrice sensorielle cognitive Tests et valuation des stades de d veloppement 2 Physiopathologie du d veloppement de l appareil locomoteur interactions entre la croissanc
17. l lombaire j Hemies discales k Endoproth ses articulaires hanche genou paule coude main 20 1 Particularit s propres a la main et au pied m Notions l mentaires de chirurgie articulaire arthroscopie arthrotomies arthrorises arthrod ses 2 Pathologie traumatologique de l adulte a Physiopathologie et physiologie r paratrice des diff rents tissus de l appareil locomoteur peau aponeuroses et fascias vaisseaux sanguins nerfs muscles tendons ligaments cartilage os cicatrisation spontan e moyens th rapeutiques et cicatrisation dirig e d lais complications b Entorses notamment cheville genou rachis cervical c Luxations Luxations traumatiques principales Luxations r cidivantes paule rotule d Fractures rachis sans complications neurologiques membres principes de traitement sp cifique d lais propos ost otomies e Particularit s propres la main et au pied 3 Br lures VII M P R et Sport 1 M P R en pathologie li e la pratique sportive 2 Le sport des personnes handicap es VIII M P R en Pathologie du Syst me Nerveux 1 Syst me nerveux central a Enc phale tronc c r bral protub rance et bulbe Pathologie vasculaire tumorale traumatique Les accidents vasculaires constitu s Les h mipl gies b Maladie de Parkinson c Pathologie c r belleuse d Les traumatis s craniens e Scl rose en plaques f Scl rose lat rale
18. l functioning and feedback mechanisms b Musculo skeletal system bones joints muscles c Cardiorespiratory system 2 An appreciation of the fundamentals of geriatric pathology epidemiology pathology evolution of ageing and therapy 3 Indications for geriatric patients for staying at home or in an institutional placement XIV The re integration of disabled people the maintenance of disabled and elderly people at home 1 A general idea on the health and medico social agencies in the different countries of the European Community a Health Insurance Systems Social Security b Hospitalisation private and public c Hospitalisation at home d Domiciliary care health workers home helps etc e Assistance and surveillance by telephone and other telecommunication methods 2 Knowledge of the general organisation of rehabilitation the place and role of the specialist in physical and rehabilitation medicine within these structures Programme des tudes et des connaissances th oriques pour le dipl me du Board europ en de M decine Physique et de R adaptation A Connaissances fondamentales sp cifiques de la sp cialite INTRODUCTION Philosophie Objectifs et M thodologie de la M decine Physique et de R adaptation 1 Les aspects historiques mondiaux 2 Processus de d veloppement du handicap a Mod le traditionnel de la m decine b Mod le de la M decine Physique et de R adaptation c Pro
19. le training endurance training in functional rehabilitation and in reintegration into the community sociofamilial domestic professional and employment training 3 Physiotherapy utilisation of physical therapy techniques basic knowledge the effects of treatment indications and contra indications a Electrotherapy galvanic currents of low medium and high frequency bl Mechanical vibration biofeedback heat treatment 4 Hydrotherapy balneotherapy 5 Equipment and technical aids a Materials used bl Bandages c Oirthoses trunk upper and lower limbs d Prostheses surgical indications for amputation Equipment and rehabilitation of lower and upper limb amputees el Stomatherapy fl Technical aids facilities tools ADL equipment means of transfers and of communication environmental control household equipment whether they are simple or sophisticated but likely to aid disabled people in acquiring greater independence and improving their quality of life Physical Medicine amp Rehabilitation specialists should have a general knowledge of materials used in orthoses and prostheses and of their mechanical properties In addition in those most commonly used further knowledge is expected of the process of their manufacture additional extras spare parts and their application in clinical practice he or she should have a detailed knowledge of how to prescribe them and adapt them to check on their application and to asse
20. liste en MPR doit conna tre dans chaque cas la symptomatologie les moyens de diagnostic et de bilan appropri s les th rapeutiques sp cifiques Il doit tout particuli rement en conna tre les moyens th rapeutiques de r ducation leurs indications et contreindications ainsi que les ressources palliatives de la r adaptation appareillage chirurgie fonctionnelle nerveuse ou orthop dique V Pathologie de l immobilit 1 Cons quences physiopathologiques de l immobilit a H modynamiques et cardio vasculaires b Respiratoires c Nutritionnelles d M taboliques e N phrologiques et urologiques f Cutan es g Musculaires h Osseuses i Articulaires j Neuropsychologiques 2 Leur pr vention et leur traitement VI M P R en pathologie de l appareil locomoteur de l adulte l Pathologie non traumatique a Rhumatismes inflammatoires Polyarthrite rhumatoide Spondylarthrite ankylosante Pseudo polyarthrite rhizom lique Connectivites b Rhumatismes m taboliques Goutte Chondro calcinose articulaire c Ost omalacie Ost oporoses diverses d Maladie osseuse de Paget e Tumeurs osseuses malignes primitives et secondaires f Rhumatismes extra articulaires g Myosites et polymyosites Myasth nie h Localisations et manifestations diverses de l arthrose d g n rative cervicale dorsale lombaire articulations des membres i Pathologie malformative du rachis spondylolyse spondylolisth sis st nose du cana
21. ment Nursing staff professionals Allied to medicine Infirmiers infirmi res Personnel param dical Team quipe Quality of work qualit du travail Initiative Initiative Decision making D cision Organisation skills Organisation Follow up suivi Quantity of work Ardeur au travail 26 3 GENERAL ATTITUDE COMPORTEMENT GENERAL Excell Excell Satisf Needs Further Training Insuff Unsatisff tr s insuff Remarks Remarques Self confidence Confiance en soi Self criticism Autocritique Attitude to psychological and social integration Attitude psychologique et Sociale dans le cadre de la r insertion Attitude to patients Attitude envers les patients In general En g n ral Ability to communicate Capacit communiquer Attitude to other disciplines Attitudes envers d autres disciplines Attitude to colleagues Attitude envers les coll gues Other specialists Differents sp cialistes General practitioners M decins omnipraticiens Public health doctors M decins sociaux conseils Assurance mutualit Colleagues in training Coll gues en formation Team work travail en quipe Ability to Aptitude Organize team activities Coordonner les activit s d une quipe run meetings pr sider des r unions Needs 27 4
22. n units of specialties closely related to Physical Medicine and Rehabilitation The trainee specialist will have a LOGBOOK which follows the course of his or her training It will contain reports from the trainer giving an account of his or her active participation in the work of the unit his or her publications scientific and research works including relevant theses The European Board attaches considerable importance in the details of the training programme as shown in the logbook BOARD EUROPEEN DE MEDECINE PHYSIQUE ET DE READAPTATION Les stages Quatre ann es doivent tre accomplies dans des Services agr s par le Board dont deux au minimum dans des services sp cifiques de M decine Physique et de R adaptation L tudiant doit y exercer des responsabilit s diagnostiques et th rapeutiques sur des patients relevant de notre discipline dans le domaine pathologique d fini par le programme th orique Lorsqu une partie des quatre ans de stages est accomplie dans des services d autres disciplines ces services doivent etre agr s dans leur pays par l autorit responsable La majeure partie de ces stages non sp cifiques de M decine Physique et de R adaptation doit cependant s accomplir dans des disciplines ayant une relation naturelle avec notre sp cialit Un CARNET DE STAGES recueillera soigneusement les appr ciations des Formateurs la participation active de l tudiant la vie du service ses titres publications eff
23. on of previous data to the analysis of posture and movement in elementary activities of human life fundamental positions and various postures gestures prehension dexterity walking running and jumping 5 The biochemical effects of exercise Energy expenditure thermal regulation Physiological costs cardiovascular and pulmonary effects of exercise 6 Clinical epidemiology methodology for clinical research Statistics II Control of motor function posture and movement Physiology and basic physiopathology 1 Nerves and nerve conduction 2 Spinal cord 3 Stretch reflex 4 Brain 5 Upper motor neurone excitatory and inhibiting controls 6 General organisation of body motion and postural control 7 Neurophysiology of gait 8 Dexterity 9 Pain mechanisms interaction of pain and movement III Clinical and functional assessment in physical and rehabilitation medicine 1 Clinical assessment of joints and muscles and of motor and sensory function 2 Assessment of cognition speech and language memory behaviour etc 3 Laboratory tests and imaging techniques a Rational use of modern medical imaging in physical and rehabilitation medicine b Quantitative evaluation by computerised recording of mechanical phenomena force plates as well as movement different modern forms of recording displacement of body segments c Electrodiagnosis electromyography nerve conduction studies and evoked po
24. on of training the Logbook should be sent to the secretary of the European Board PMR including a copy of the payment of the rest of the registration f e THIS LOGBOOK REMAINS PROPERTY OF THE EUROPEAN BOARD PMR MODE D EMPLOI 1 D s le d but des stages le formulaire d identification sera envoy au secr taire du Board Europ en MPR son nom et son adresse sont connus du repr sentant national 2 Le droit d inscription est payable au d but de la formation Ce montant sera d duit du montant total des droits du Board a la fin du cursus 3 Apr s chaque stage un rapport du formateur sera fait 10 formulaires disponibles 4 A la fin du cursus complet le Carnet de Stages sera adress au secr taire du Board Europ en MPR avec une copie du paiement du reste des droits CE CARNET DE STAGES APPARTIENT AU BOARD EUROPEEN MPR EUROPEAN BOARD OF PHYSICAL MEDICINE AND REHABILITATION The training course Four years must be spent in departments recognised by the Board of which a minimum of two must be spent in Departments of Physical Medicine and Rehabilitation The trainee should gain experience of the diagnosis and management in the areas defined in the curriculum of studies and programme of theoretical knowledge Where part of the four years training course is spent in units of other specialties they themselves must also be approved as training institutions by their national responsible authority This training should be spent i
25. orts de recherche m moire et th se Il notera les cours et congr s suivis Il constituera un l ment d terminant pour le jury europ en TRAINING PROGRAMME SCHEMA DE FORMATION DATES UNIT OR INSTITUTION OR CITY TOWN HEAD OF PERIODE DEPARTMENT HOSPITAL DEPARTMENT VILLE FROM TO UNITE OU ETABLISSEMENT CHEF DE SERVICE DU AU SERVICE OU HOPITAL Curriculum of studies and theoretical knowledge for the Diploma of the European Board of Physical Medicine and Rehabilitation A Specific basic knowledge of the specialty INTRODUCTION Philosophy Objectives and Methodology of Physical and Rehabilitation Medicine 1 Historical aspects of the specialty Disability and the Rehabilitation Process Traditional medicine model Physical and Rehabilitation Medicine model Rehabilitation process oof t9 3 Physical and Rehabilitation Medicine an autonomous specialty a Criteria for an autonomous specialty b Philosophy c Objectives d Methodology 4 Role of a specialist in Physical and Rehabilitation Medicine a Medical tasks b Medico social tasks c Objectives and standards of the specialty d Interdisciplinary work 1 The fundamentals of Physical and Rehabilitation Medicine 1 Principles of general bio mechanics both kinetic and kinematic Forces couples of forces levers moments power work inertia acceleration 2 Principles of behaviour and resistance of mate
26. ques et sociales la m moire et la concentration la compr hension et l acceptation de la maladie la motivation pour la r ducation l humeur les difficult s de la relation l exercice de la profession et la disposition de moyens financiers ad quats 9 Pharmacologie a pharmacocin tique des m dicaments les plus courants administr s aux patients trait s par la m decine physique et la r adaptation interactions possibles entre ces produits et le programme de r adaptation entre ces produits et l exercice th rapeutique b Les m dicaments prescrits en compl ment du traitement physique et de r adaptation pharmacocin tique des produits antispastiques de la musculature stri e des analg siques des anti inflammatoires des cholinergiques des anticholinergiques des mucolytiques des oc et 13bloquants etc et possibilit ventuelle d administrer ces produits par des proc d s physiques c Les m dicaments du m decin r ducateur pharmacocin tique et modalit s d utilisation clinique des produits qui ont une action facilitatrice sur la r cup ration fonctionnelle et pour 19 lesquels peut exister une synergie entre l action pharmacologique et la m decine physique et r ducative B Applications la Pathologie Pour chacun des chapitres suivants il est apparu inutile de d tailler les diverses formes et manifestations des diverses pathologies H convient en revanche d tablir que le m decin sp cia
27. rials under force A general understanding of strain and the effects of strain Characteristics of homogeneous and composite materials An elementary knowledge of the measurement of strain and deformity of various materials 3 Biomechanics a general understanding of the applications of the above paragraphs to living tissue The biornechanics of the different tissues in the human body particularly of the locomotor system An elementary knowledge of biomechanics of fluids and its application to fluids in the human body 4 Study of human movement kinesiology a General Application to the human body of systems of levers the different constituents of levers with relation to the locomotor system Composite living beam systems Knowledge of joint structure classification and characteristics of movements of joints Muscle contractions internal and external resistance shortening of muscles and range of joint movement Factors limiting the range of movement Different types of muscles Different mechanical types of muscle contraction monoand polyarticular muscles Static or isometric contractions dynamic or anisometric and isokinetic contractions Agonists antagonists synergic muscle systems Kinetic chains b Specific Physiology of joint and muscle function axial trunk head and neck waist and limbs This part of the programme assumes a prerequisite detailed knowledge of the anatomy of the locomotor system c Applied Applicati
28. rocess pharmacokinetics of anti spastic drugs analgesics anti inflammatories cholinergics and anticholinergics mucolytics alpha and beta blockers etc products by physical means eg reservoir pumps 10 B Applications to Pathology For each of the following chapters there has been no need to enter all the diverse descriptions of diseases incumbent on doctors in the specialty It is sufficient to establish that specialists in Physical Medicine and Rehabilitation should know for each group the clinical signs and symptoms diagnostic tools appropriate types of assessment and current therapy It is particularly important to know therapeutic effects of rehabilitation the indications and contra indications Indications and contra indications for neuro and orthopaedic surgery and for prescription of aids and appliances V The immobile patient 1 Physiopathology of immobilisation a Haemodynamic and cardiovascular consequences b Respiratory consequences c Nutritional consequences d Metabolic consequences osteoporosis e Nephrological and urological consequences f Cutaneous consequences pressure sores g Muscular consequences h Osteoarticular consequences i Neuropsychological consequences 2 Prevention and treatment V1 Adult locomotor system pathology in physical and rehabilitation medicine 1 Non traumatic conditions a Inflammatory joint disease rheumatoid arthritis ankylosing spondylitis polym
29. s of development 2 Pathophysiology in the developing locomotor system Interaction between growth and anomalies in the musculo skeletal and joint structures 3 Neuropaediatrics cerebral palsy spina bifida and myelomeningocele Infantile spinal amyotrophies The neuro orthopaedic consequences of neurological disorders prevention treatment and monitoring 4 Congenital malformation of limbs skeletal agenesis congenital aplasias and dysplasias hip dysplasia club foot other foot malformations 5 Bone dystrophies of growth 6 Lower limb length inequalities 7 Scolioses idiopathic congenital secondary 8 Infantile trauma a general appreciation of trauma and rehabilitation in children notably bums and amputations in children M1 Physical and rehabilitation medicine in urological and sexual problems 1 A good appreciation of physiology of continence of bladder sphincter functioning and anal sphincter functioning 2 Bladder sphincter pathological conditions neurological and other Urodynamic investigation Assessment and treatment 3 Ano rectal sphincter pathological conditions neurological and other Assessment and treatment 4 Sexual consequences of neurological dysfunction including pregnancy in spinal paralysis XIII Physical and rehabilitation medicine in geriatric conditions 1 The process of old age in different systems a Central and peripheral nervous system neuronal ageing influences on mood cerebra
30. ss their therapeutic effects 6 Manual medicine Pathophysiology of manual medicine Anatomical knowledge metamerisation How to conduct a clinical examination of the trunk and limbs Dysfunction of intervertebral segments Principles of manual techniques Indications and contra indications Potential dangers of the manipulative acts 7 Reeducation in speech and language disorders principles of and equipment and technology used in speech and language therapy Language development in childhood Assessment in speech therapy and its application to the rehabilitation of problems in articulation language expression comprehension reading and writing 8 Reintegration of disabled people into society Principles and methods of clinical psychology and of social assistance social work Cognitive assessment intellect memory concentration behaviour and learning potential Its application to cognitive and psychological and social abilities memory and concentration the patient s understanding and acceptance of his problem motivation for rehabilitation mood difficulties in interpersonal relationships vocational training and methods to ensure financial security 9 Pharmacology a pharmacokinetics of drugs currently used for types of pathology common in physical and rehabilitation medicine possible interactions with the rehabilitation programme and with therapeutic exercise b Drugs prescribed during the treatment and rehabilitation p
31. taires du m decin en formation Signature Trainee M decin en formation Trainer s final remarks Remarque ventuelle du Formateur Signature Trainer Formateur Name Nom Date OTHER TRAINING COURSES AND CONGRESSES 30 FORMATION COMPLEMENTAIRE COURS CONGRES from du DATES to au CITY TOWN VILLE TOPIC THEME ORGANISING BODY ORGANISATEUR 31 OTHER TRAINING COURSES AND CONGRESSES FORMATION COMPLEMENTAIRE COURS CONGRES DATES CITY TOWN TOPIC ORGANISING BODY from to VILLE THEME ORGANISATEUR du au ORAL COMMUNICATIONS POSTERS COMMUNICATIONS ORALES POSTERS DATE TOWN CITY VILLE TITLE TITRE ORGANISER ORGANISATEUR SIGNATURE OF TRAINER SIGNATURE DU FORMATEUR 33 PUBLICATIONS ABSTRACTS TITLE TITRE AUTHOR S AUTEUR S JOURNAL AND REFERENCE JOURNAL ET REFERENCE 34 FINAL DECISION OF THE DIRECTOR OF TRAINING DECISION FINALE DU FROMATEUR RESPONSABLE SIGNATURE Name Nom DATE PLACE LIEU 35 OVERALL ASSESSMENT BY THE JURY OF THE BOARD EVALUATION GLOBALE PAR LE JURY DU
32. tentials d Pulmonary function tests e Cardiovascular function tests oxygen saturation graded exercise tests physiological cost of energy f Biochemical and pathological tests in current use in physical medicine and rehabilitation 4 Functional assessment use and application of the I C I D H Various scales instruments tests and indices utilised in conditions relevant to physical and rehabilitation medicine IV Therapies in Physical and Rehabilitation Medicine 1 Kinesitherapy a Knowledge of the elementary techniques of passive and active kinesitherapy Different techniques of manual and instrumental massage Techniques of functional rehabilitation of joint problems manual and instrumental Muscle re training stimulation of muscle activity functional training Techniques of muscle strengthening endurance training retraining of abilities b Methods specific to kinesitherapy in different pathologies Techniques such as CYRIAX MENNELL etc Methodologies eg KABAT BOBATH BRONNSTROM etc c Indications prescriptions controls on kinesitherapy a general knowledge of technique and the choice of techniques with regard to results of functional assessment type of pathology and the individual characteristics of each patient 2 Ergotherapy Fundamental ergonomics Principles and methods of ergotherapy Materials equipment technology and assessment in ergotherapy The applications of ergotherapy in joint musc
33. yalgia rheumatica connective tissue diseases b Crystal arthropathies Gout chondrocalcinosis c Osteomalacia osteoporosis d Paget s disease e Primary and secondary malignant tumours of bone f Extra articular rheumatism g Myopathies polymyositis myasthenia gravis h Osteoarthritis single joint and multiple joint involvement spinal and peripheral joint involvement i Scoliosis spondylosis spondylolisthesis lumbar canal stenosis and other spinal pathology j Prolapsed intervertebral discs k Joint arthroplasty hip knee shoulder elbow hand Hand and foot pathology m An elementary knowledge of joint surgery arthroscopy arthrotomy arthrodesis 2 Traumatic conditions in adults a Pathophysiology and physiology of repair of the different tissues in the locomotor system skin aponeuroses and fasciae blood vessels nerves muscles tendons ligaments cartilage bone primary and secondary wound healing therapeutic methods plastic surgery complications b Sprains notably ankle knee cervical spine c Dislocations Traumatic dislocations recurrent dislocations shoulder patella d Fractures spinal without neurological complications limbs principles of specifictreatment repair time including surgery eg osteotomy e Specific conditions of the hand and foot 3 Burns VII Physical and rehabilitation medicine and sport 1 Physical and rehabilitation medicine related to sports activities 2
34. yst me nerveux central et p riph rique vieillissement neuronal incidences sur les aff rences sur le fonctionnement c r bral sur les eff rences b Syst me musculo squelettique os articulations muscles c Syst me cardio respiratoire 2 Notions de base en pathologie g riatrique pid miologie polypathologie volution prise en charge th rapeutique 3 Indications respectives du maintien domicile ou du placement insdtutionnel XIV R insertion des personnes handicap es maintien domicile des personnes handicap es et des personnes g es 1 Notions g n rales sur les structures sanitaires et m dico sociales des diff rents pays de la Communaut Europ enne a Syst mes d Assurance Maladie de S curit Sociale b Hospitalisation publique priv e c Hospitalisation domicile d Soins domicile auxiliaires de vie e T l assistance t l surveillance 2 Organisation g n rale de la R adaptation place et r le du m decin sp cialiste en M P R au sein de ces structures 24 REPORT ON THE SPECIALIST IN TRAINING RAPPORT SUR LE MEDECIN SPECIALISTE EN FORMATION Institution Etablissement ennemie Start of current period of training D but du stage actuel Date of interview Date de l entretien
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