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VISITING: Open to visitors. TYPE OF CLERKSHIP: Selective 1. DESCRIPTION: The Rehabilitation Center at Santa Clara Valley Medical Center (SCVMC) is a national leader in the advancement of rehabilitation and a core training site for the Stanford Physical Medicine & Rehabilitation Residency (PM&R) program. The Rehabilitation Center at SCVMC is accredited by the Commission of the Accreditation of Rehabilitation Facilities, and we have treated individuals with brain injury, spinal cord injury, stroke, and other disabling neurological conditions since 1971. Our clerkship emphasizes an interdisciplinary approach to the patient severely disabled by acute spinal cord injury, traumatic brain injury, stroke, major trauma, and other neurologic disabilities. Concentration is on clinical evaluation, prevention of complications and participation in long-term planning for maximum independence and improving the quality of life for the patient.The student functions integrally as a member of the treatment team and participates in all aspects of patient care, including acute admissions of spinal cord-injured patients, multidisciplinary evaluations of new admissions, patient care rounds, teaching and team conferences, therapy sessions, formal case presentations, neuroscience grand rounds, journal club and didactic lectures. The team approach, using multiple medical and therapeutic modalities, is key to our patients' success. Students will observe and participate in routinely performed procedures that aide in optimizing function including peripheral joint injections, chemodenervation, peripheral nerve blocks and intrathecal baclofen pump management for spasticity. Additionally, they may participate in electrodiagnostic studies that aide in diagnosis of peripheral nervous system pathology. Students may also have the opportunity to study the lifestyles of outpatients when they return to the community, investigate community resources and assess the ongoing medical issues of individuals with disabilities in PM&R outpatient clinics. Clerkships are available in spinal cord injury, brain injury, inpatient consults, and outpatient PM&R clinics and must be scheduled in advance by calling the clerkship coordinator listed below before registering. PREREQUISITES: MED 300A. Will accept third and fourth year students. PERIODS AVAILABLE: 1-12, full-time for 4 or 8 weeks, 1 student per period. CLERKSHIP DIRECTOR: James Crew, M.D. CLERKSHIP COORDINATOR: Teresa Goodman, Teresa.Goodman@hhs.sccgov.org, 408-885-2030 and Jovanah Bonilla, jovanah.bonilla@hhs.sccgov.org. REPORTING INSTRUCTIONS: Where: SCVMC, Room 1A012 (Sobrato Pavilion) Visitors call (408) 885-2100. Proof of PPD, Rubella and malpractice insurance required; Time: 8:00 am. CALL CODE: 0. OTHER FACULTY: J. Crew, K. Shem, S. McKenna, M. Mian, E. Chaw, T. Duong, H. Huie, E. Huang, R. Wang, P. Varma. LOCATION: SCVMC.