Current status of the specialty in physical medicine and rehabilitation in Puerto Rico: education, scientific research and clinical practice
DOI:
https://doi.org/10.28957/rcmfr.401Keywords:
Physical medicine, rehabilitation, teaching, research, clinical practicumAbstract
In Puerto Rico, the specialty in physical medicine and rehabilitation emerged in the 1950s and since then it has progressed thanks of the creation of cutting-edge training programs, the establishment of a culture of scientific research and the development of the primary specialty and subspecialties such as pain management, sports medicine, pediatric rehabilitation, neuromuscular medicine, brain trauma medicine, and spinal cord injury medicine. The most common clinical practice is the care of outpatients with pain, musculoskeletal injuries and damage of the nervous system, but there has been an increase in intensive rehabilitation services for patients who require hospitalization, in the use of interventionist techniques
for the management of pain, soft tissue and joint injuries, as well as for the management of spasticity.
Currently, the specialty of physiatry in Puerto Rico faces big challenges, such as the control of the insurers on the services offered to patients with physical impairments and participation restrictions, the increase in the number of documents required for the approval of these services, and the competition of other health care professionals who have ventured into the field of rehabilitation.
The opportunities for the specialty include the increase in the elderly and disabled population requiring rehabilitation services, the development of subspecialty practices, and the need to increase scientific evidence that demonstrates the effectiveness of the treatments offered and to support public policies that increase the access to rehabilitation services for people with limited resources .
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