Clinical
The Department of Physical Medicine
and Rehabilitation (PM&R) is responsible
for the provision of clinical services for
the local (greater Kingston area) and regional
(Southeastern Ontario) population. In additions,
referrals for service from beyond the boundaries
of the service area are considered for exceptional
cases. Inpatient clinical service is provided
through the Providence
Continuing Care Centre (PCCC) St. Marys
of the Lake Site and St. Vincent de Paul
Hospital in Brockville. Subspecialty services
are provided for amputees, patients with
musculoskeletal conditions, acquired brain
injury, spinal cord injury, stroke and other
neurological disorders, as well as respiratory
rehabilitation.
(Sub)specialty outpatient services are
provided through a variety of ambulatory
clinics at PCCC that are often multidisciplinary,
and outreach clinics for electromyography
(EMG) assessment in Moose Factory. Outpatient
services are also provided through a small
number of multidisciplinary clinics at KGH
and HDH.
Multidisciplinary care involves interaction
with other specialty areas of medicine such
as the Departments of Medicine, Surgery
(especially the Divisions of Orthopaedic
and Neurological Surgery), Urology, and
Paediatrics, as well as with allied health
professionals, in the assessment and management
of inpatients and outpatients.
The Department, having a limited capacity
for handling quaternary cases or for chronic
disability follow-up, has identified gaps
in clinical service provision. The Department
provides limited services for assessment
and management of mild traumatic brain injury
or multidisciplinary chronic pain management.
The Department does not provide services
through a rehabilitation day hospital.
Research
Foci for Department of Physical Medicine
and Rehabilitation research, much of which
is collaborative in nature, can be grouped
into three broad areas health services
research, neurosciences, and musculoskeletal
disorders. Neuroscience research, specifically
in stroke and spinal cord injury, involves
clinical intervention and drug trials, while
health services research focuses on service
delivery and outcome research. To support
the focus on home care research, the Department
supports the Home Care Research Resource
group. The Departments research role is
currently primarily collaborative, working
with the School of Rehabilitation Therapy,
Queens
Centre for Health Services and Policy Research,
the Department of Anatomy, the Social Program
Evaluation Group, and the Department of
Physiology on international projects.
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Outstanding care, always.
