Spinal Cord Injury Medicine Fellowship

纽约州立大学北州/退伍军人医疗中心SCI医学奖学金是由两个机构联合设立的奖学金，由PMR住院医师赞助, SUNY Upstate Medical University Department of PMR. 该计划利用两个中心的独特优势，为研究员提供全面的脊髓损伤医学培训计划. 该职位每年资助两个职位，并通过美国物理医学和康复委员会获得ACGME认证.

 

 

Location

The fellowship is in Syracuse, NY, located in central/Upstate New York, 这座城市拥有以学术为中心的大学城市的便利设施，以及纽约州推荐最近最火的赌博软件风景优美的乡村周边地区. The Syracuse VA Medical Center and SUNY Upstate Medical University, along with the academic medical center Upstate University Hospital, are adjacent to Syracuse University – all within short walking distance.

The Fellowship provides training in the full spectrum of SCI care, from the acute stage immediately after injury, to chronic care years after injury. 体验在两个中心进行:锡拉丘兹退伍军人医疗中心和上州立大学医院.

 

The Syracuse VA Spinal Cord Injury Center

VA医疗中心拥有最先进的脊髓损伤和疾病中心，拥有大量创伤性和非创伤性脊髓损伤转诊. The VA SCI Center is among the largest facilities of its kind in the nation. 它包括一个30张床位的SCI/D服务，位于一家提供全方位服务的VA医院，现场有神经外科和骨科脊柱外科. The VA SCI Center features include all of the following:

• 先进的护理技术，包括3种不同的机器人外骨骼系统(INDIGO), REWALK and ECKSO)
• Prescribing advanced care technology devices for home use 
• Top-ranked prosthetics department in the country
• 假肢部提供手动轮椅和电动轮椅以及各种辅助技术服务
• Advances technologies utilized include Robotic feeding devices, eye-gaze-based communication devices for veterans with ALS, 3-dimension wound cameras, and extensive clinic-to-home telehealth
• Ventilator-equipped, 对研究员的培训包括高度四肢瘫痪患者呼吸机管理的复杂性
• 24-hour on-site respiratory therapy, pulmonology, 及现场SCI医学医院医师协助管理高医疗敏锐度 
• 活跃的人体研究项目包括电刺激对脊髓损伤患者膀胱管理的影响, eye-gaze tracking for ALS neurocognitive testing, and balance for cervical myelopathy.

Upstate Medical University                                                             

上州立大学医院是成人一级创伤中心，也是包括纽约西部在内的更大地区唯一的儿童一级创伤中心. 上州系统服务于约200万人口的地区，包括以下服务:

• Large spine care program through Orthopedics, Neurosurgery, and PMR that encompasses in- and outpatient care.
• 急性医院经常出现新的创伤/非创伤性脊髓病例，需要早期PMR会诊.
• 在Upstate大学医院的50张床位的住院康复设施(IRF)中，大量的脊髓损伤康复急性转诊.
• A full complement of spinal cord injury services in the IRF, including dedicated SCI therapists, robotics, and counseling services.
• 经验涵盖急性医院，住院IRF和门诊服务，为成人和儿童.
• 脊髓损伤/残疾儿童的儿科护理由亚专科委员会认证的儿科物理医生指导，包括先天性和早发性疾病的终身护理.
• Active research includes systematic searches and reviews, large database analysis, and health and wellness programs.

 

Fellowship Rotations

研究员直接与Upstate PMR住院医生一起工作，并担任初级监督角色, 他们照顾各种各样的SCI/D病例，包括急性创伤性和非创伤性SCIM康复, wound care, ALS, 神经系统疾病，如脊髓受累的多发性硬化症. During 6 months of core SCIM training, 这些研究员将专注于退伍军人管理局和上州的住院和咨询护理, and outpatient SCIM physiatry at both sites. During the core rotations, 该研究员将观察骨科医生和神经外科医生的脊柱手术, such as decompression and fusion. 有机会直接观察和工作与康复护士和治疗师熟练的脊髓损伤康复. 心理学家和康复顾问也可以解决适应残疾和重返工作岗位的问题. All rotations, both core and elective, involve protected research time for the fellow to pursue the conduct of research and subsequent presentation and publication of their work; the fellow is provided with fully paid travel to both the ASIA and ASCIP conferences annually.  整合住院和门诊暴露的核心轮转与全年以门诊为重点的专业轮转相交错, which include:

1. Outpatient SCI Medicine.  This rotation focuses on outpatient SCI at Upstate and the VA.  重点将放在获得程序性技能，如肌肉骨骼超声, intrathecal baclofen pump refill, steroid injection, botulinum toxin injections, and the use of ultrasound/EMG/electrical stimulation guidance for procedures.  The fellow will observe baclofen pump trials and implants.
2. Neuro-urology and neurogenic bladder.  在泌尿动力学的研究和神经源性膀胱的管理方面取得了一定的成绩, and receives exposure to surgical procedures such as the Mitrofanoff procedure, bladder augmentation and cystoscopy, and management of urinary tract stones. 该研究员通过VA泌尿科和上州的专科诊所获得了SCI的性和生殖医学/生育方面的专业知识.
3. Research. 该研究员将专注于学术活动并获得对生物统计学的理解.  The fellow will initiate a new research or quality improvement project, or take a leading role in an existing project.  研究员将被允许在ASIA和ASCIP会议上展示他/她的研究成果，并在奖学金结束前向主要同行评审期刊提交手稿.  为了考虑到这一点，研究轮岗安排在轮岗时间表的早期.  我们将提供两名全职SCI人类课题研究助理，以帮助研究员发展他们的研究组合.
4. Pulmonary management.  该研究员获得了管理神经肌肉呼吸衰竭的专业知识.e. neurogenic diaphragmatic paralysis – ventilator defect), and understands basic tenets of hypoxemic respiratory failure as well.  Ventilator management, secretion management, tracheostomy, non-invasive ventilation and sleep are key focuses of the rotation.
5. Pediatric SCI.  The SCI fellow will gain exposure to pediatric SCI, 通过推荐最近最火的赌博软件急性和IRF服务以及儿童和成人脊柱裂门诊项目. These experiences offer unique medical, surgical and rehabilitative concerns through a lifetime approach. The fellow will see pediatric urodynamics and pediatric neuro-urology.
6. Skin and wound management.  The fellow will gain mastery in the management of all nature of wounds in SCI, including pressure ulcers, shear injuries, and burns.  The fellow will gain exposure to wound surgery including rotational flaps, debridements, grafts and amniotic tissue insertion.

 

Please contact Steven W. Brose, DO for any further questions about the program. 
Steven W. Brose DO, [email protected]
Chief of SCI/D, Syracuse VA Medical Center
SCI Medicine Fellowship Director
Associate Professor of PM&R, SUNY Upstate Medical University