Rehabilitation Medicine

Program Overview

The Department of Rehabilitation Medicine at the First Affiliated Hospital, Zhejiang University School of Medicine provides a unique environment for aspiring individuals to pursue advanced training in the field of rehabilitation medicine. After more than 20 years of development, the department has become the clinical, teaching, and research center for rehabilitation medicine in the province, taking on the rehabilitation tasks of complex diseases across the province and serving as a key national training base for standardized residency programs. During your training, your responsibilities will increase with your experience, capability, and performance. You will become highly skilled in the rehabilitation of various critical conditions, neurorehabilitation, and multidisciplinary rehabilitation management, and gain extensive experience with the clinical and research tools needed for a successful academic career in this field. We pay attention to where you come from and what led you here. Everything we do is centered around guiding you in the clinical application of rehabilitation medicine.

Program Highlights

Learn and master specialized diagnostic and therapeutic techniques such as neurorehabilitation, orthopedic rehabilitation, critical care rehabilitation, cardiopulmonary rehabilitation, ERAS, pelvic floor rehabilitation, sports injury rehabilitation, and traditional rehabilitation in a one-on-one setting with rehabilitation therapists.

Participate in morning rounds as part of a small team collaborating with a rehabilitation therapist. During the rounds, new patients are introduced, inpatient management is reviewed, and teaching rounds, small lectures, and discussions on difficult cases are engaged in.

There are ample opportunities to complete clinical research projects during the Donor Service rotations.

Gradual autonomy and continuous progress are achieved in the fields of specialized diagnostic and therapeutic techniques such as musculoskeletal ultrasound, ultrasound-guided injection therapy, urodynamic studies, surface electromyography, and gait analysis. In the field of critical and subcritical organ rehabilitation, we have authored the first expert consensus; in the aspect of promoting awakening from chronic disorders of consciousness, multimodal technologies such as PET, MRI, and TMS-EEG are utilized.

Training Objectives

The goal of our program is to prepare trainees to achieve excellence in the multidisciplinary clinical care of patients with various rehabilitation needs, including neurorehabilitation, orthopedic rehabilitation, critical care rehabilitation, cardiopulmonary rehabilitation, ERAS, pelvic floor rehabilitation, sports injury rehabilitation, and traditional rehabilitation. Trainees will gain comprehensive skills through one-on-one learning experiences with rehabilitation therapists, daily morning rounds as part of a collaborative team, and active participation in teaching rounds, small lectures, and case discussions. Additionally, ample opportunities for clinical research projects during rotations will foster the development of independent research skills. Trainees will progressively gain autonomy and advance in specialized diagnostic and therapeutic techniques such as musculoskeletal ultrasound, ultrasound-guided injection therapy, urodynamic studies, surface electromyography, and gait analysis. In the area of promoting awakening from chronic disorders of consciousness, they will utilize multimodal technologies including PET, MRI, and TMS-EEG.

Program Duration

The program provides a full-time, 2-week to 6-month training experience. In special circumstances, arrangements can be made for other lengths of training depending on your needs and interests.


Target Audience & Qualifications

• Fellows: Applicants for the Rehabilitation Medicine Fellowship must have completed a residency program in a related specialty at an accredited institution.

• Residents: To be eligible for the Rehabilitation Medicine residency, you must have successfully completed an approved residency program in a related specialty. Your residency program may be completed either through the medical school affiliated with Zhejiang University or another accredited program.

• Students:

1. Must be a final-year medical student when you are scheduled to participate in the rotation. This means all your core / required clerkship rotations are complete at the time of the clinical elective.

2. Medical School Approval - Letter of good standing from the dean's office of your medical school indicating you are in the final year with your expected graduation date, in good academic standing and meet all requirements to complete an elective for academic credit.


Focus Areas & Skills

Subspecialties & Subspecialty Areas:

• Neurorehabilitation

• Orthopedic rehabilitation

• Critical care rehabilitation

• Cardiopulmonary rehabilitation

• ERAS (Enhanced Recovery After Surgery) rehabilitation

• Pelvic floor rehabilitation

• Sports injury rehabilitation

• Traditional rehabilitation

 

Skills:

• Multidisciplinary team management

• Clinical research project development

• Musculoskeletal ultrasound

• Ultrasound-guided injection therapy

• Urodynamic studies

• Surface electromyography

• Gait analysis

• Expert consensus development in critical and subcritical organ rehabilitation

• Multimodal techniques for promoting awakening from chronic disorders of consciousness, including PET, MRI, and TMS-EEG


Program Agenda

Monday

1st Week: introduction & welcome, program overview and objectives, department introduction

Weekly: MDT conferences, complicated case study

Weekly: mentor one-on-one training:

- Topics:

1. Neurorehabilitation strategies

2. Orthopedic rehabilitation techniques

3. Critical care rehabilitation protocols

4. Cardiopulmonary rehabilitation programs

5. ERAS rehabilitation approaches

 

Tuesday

Weekly: outpatient observation, academic lecture, basic rehabilitation skills training

Biweekly: research training:

- Major themes:

1. Multidisciplinary team dynamics in rehabilitation

2. Development of clinical research in rehabilitation

3. Application of musculoskeletal ultrasound in rehabilitation

4. Innovations in ultrasound-guided injection therapy

5. Advanced urodynamic studies

 

Wednesday

Weekly: clinical rounds, rehabilitation therapy observation, case-based discussion, teaching rounds

Biweekly: simulated rehabilitation training

Weekly: lectures:

- Topics:

1. Surface electromyography in rehabilitation assessment

2. Gait analysis and its role in rehabilitation

 

Thursday

Weekly: rehabilitation skills training:

1. Manual therapy and mobilization techniques

2. Functional exercise prescription

3. Balance and coordination training methods

Biweekly: Rehabilitation hands-on

 

Friday

Weekly: Journal club, Clinical rounds, Clinical skills training, Special task training,

Last Week: Wrap-Up & Reflection, Participant presentations or discussion of key takeaways, Feedback session


Evaluation and Feedback

After each rotation, each faculty member evaluates each fellow according to core competencies in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice. Faculty members meet with fellows individually for verbal feedback and evaluation. For specialized rehabilitation skills, technical competence is assessed through practical skill demonstrations, simulation exercises, and periodic skills assessments.


Fees

The program is free of charge.