interprofessional event

1. ETIG / PM&R / PT / RIG
Interdisciplinary Night

2. Preceptors
PM&R: Christopher McMullen, MD - PGY-3 University of Colorado
MSK Radiology: Jonathan Flug, MD/MBA; Kris Schramm, MD
PT: Amy McDevitt, PT, DPT, OCS, FAAOMPT

3. ETIG
Fostering future healthcare educators
● Empowering students to use teaching experiences as learning
opportunities
Interdisciplinary education
● MSC → Student Senate organization?

4. Overview
Case overview
Small groups with preceptors, 3 rotations
● Physical Medicine and Rehabilitation
● Physical Therapy
● Musculoskeletal Radiology
Case debrief

5. Vignette - Subjective
Lisa is a 55 year old female presenting to her PCP with progressive LE pain
while running. She occasionally has similar pains while working her 9-5 job as
an office secretary. She currently rates her pain as 3/10.
PMH: Diagnosed with Diabetes Mellitus Type 2 in 2005 with an A1c of 9.1.
Recurrent bilateral shin splints since 20 years old. Fractured L ankle at the age
of 26; internally fixed with 2 syndesmotic screws.
FH: Father deceased at age of 50 due to Beckers Muscular Dystrophy. Mother
has never had a genetic test for Beckers.
SH: Social drinker. Uses cannabis 3 times a month.

6. Vignette - Objective
General: Patient is alert, oriented to time and place and is responsive to
questions.
Lower MSK: Right sided Trendelenburg gait when walking across examination
room. Slight R sided atrophy of leg muscles. R sided SI joint tenderness upon
palpation. Diminished R hip active and passive ROM. Right straight leg raise
elicits pain at 45 degrees. Diminished R Achilles reflex. Diminished sensation
with monofilament test bilaterally at the MP joint of the foot. Pedal pulses 2+
bilaterally.

7. What do you think?
Assessment: What is your differential?
Plan: How would you confirm your ddx? How would you help this patient?
Split into groups...1202, 1206, 1304
● Mixed student groups!

8. Imaging

12. Case Conclusion
● PT
○ Differential: disc herniation, nerve root compression, LBP, SI joint
○ Treatment: specific exercise, hip strengthening, traction
● Radiology
○ Differential: disc herniation, vertebral deformity, OA changes
○ Imaging: discogram, XR, MR
○ Treatment: vertebroplasty, guide invasive interventions
● PM&R

13. Questions?
ETIG: Bill.Quach@ucdenver.edu, Michael.Cookson@ucdenver.edu ,Thomas.
Wong@ucdenver.edu
PM&R: Andrew.Sprowell@ucdenver.edu
PT: Alyssa.Durkin@ucdenver.edu, bryce.zaffarano@ucdenver.edu
RIG: Erica.Emmons@ucdenver.edu, Thomas.Wong@ucdenver.edu