Inpatient Advanced Clinical Focus Session: Revitalizing Inpatient Rehab: Next-gen Physiatrist Coverage Models for IRFS-Session Recording

Video Transcription

Video Summary

The session centered on exploring various models of physiatrist coverage in inpatient rehabilitation facilities (IRFs), aimed at optimizing patient care and provider workload. Dr. Lauren Shapiro opened with an account of the traditional "always-on" model, providing insight into both its benefits, such as continuity of care and teaching, and drawbacks, including burnout and exhaustive on-call duties. She suggested adjustments, like employing PRN physicians and co-management with medical consultants, to alleviate physician fatigue.<br /><br />Dr. Evan Zeldin discussed a rotational model where each physiatrist oversees the IRF for a week, which allows for flexibility and reduced monotony. Although this system offers variety and adaptability, it presents challenges in ensuring continuity of care.<br /><br />Dr. Victoria Whitehair described a hybrid approach with varied rotation lengths among physicians, emphasizing adaptability to personal and departmental needs. This model allows physicians to maintain diverse responsibilities while managing inpatient care.<br /><br />Dr. Matthew Cowling presented a co-management model with physiatrists as consultants, allowing medicine physicians to serve as the primary attending. This model aims to address burnout and ensure physicians can focus on rehabilitation-specific care without the burden of primary medical management.<br /><br />Dr. Glenda Lis Bosquez shared her experience in a pediatric co-management model, highlighting the importance of collaboration between pediatricians and physiatrists to manage complex cases effectively.<br /><br />Overall, the session underscored the importance of adjusting coverage models to improve physician work-life balance, reduce burnout, and maintain high standards of patient care.

Keywords

physiatrist coverage

inpatient rehabilitation

patient care

provider workload

always-on model

physician burnout

rotational model

hybrid approach

co-management model

pediatric collaboration

work-life balance