Enhanced Skills Program: Sports and Exercise Medicine Physiatry Rotation Goals and Objectives

Curriculum Rotational Goals & Objectives 
Program Coordinator: Dr. Mark Leung

Rotations are numbered according to their Block Number - see Curriculum Map for more details.

Block 4. Physiatry

The goal of this 4-week rotation is to develop skills in assessing and providing management strategies to the chronic pain patient, to understand the role and limitations for EMG/NCS studies in peripheral nerve injuries, and to learn about the advantages and disadvantages of image-guided injections. This learning takes place through 6-8 days with academically appointed physical and rehabilitative medicine specialists at the Toronto Rehabilitation Institute.

For this rotation, please focus the evaluation on the following CanMEDs roles:

  • Medical Expert
  • Scholar
  • Communicator

Please refer to the Curriculum Map for more details.

Medical Expert:


  1. Assess chronic pain patients and provide management strategies.
  2. Screen for opioid dependency risk and prescribe appropriately according to the national guidelines.
  3. Judge the need for EMG and Nerve Conduction testing and order in appropriate cases.
  4. Diagnose and manage peripheral nerve injuries.



  1. Independently coordinate and complete clear, timely and comprehensive documentation (e.g. charts, reports, and consult letters).
  2. Manage and synthesize the input of all participating parties along with other collateral sources during the clinical encounter.
  3. Discuss the patient's beliefs, concerns, illness experience and specifically focuses on the patient's expectations in terms of pain relief and improved function.
  4. Demonstrate skills in working and patients to overcome communication challenges including anger, confusion, sensory or cognitive impairment, socioeconomic or ethnocultural differences.
  5. Demonstrate an ability to deliver clear and instructive information to patients and other relevant related parties around diagnosis, relevant etiological factors, other required investigations, and the potential risks and benefits of various management options.


Objectives: By the end of this rotation, the resident will be able to…

  1. Participate effectively and appropriately in an interprofessional health care team that includes occupational therapists, physiotherapists, etc.
  2. Demonstrate the ability to accept, consider and respect the opinions of other team members.


Objectives: By the end of this rotation, the resident will be able to…

  1. Coordinate the use of medical devices such as orthotics and braces, in a fiscally responsible manner.
  2. Demonstrate time management skills to reflect and balance priorities for patient care, sustainable practice, and personal life.

Health Advocate

Objective: By the end of this rotation, the resident will be able to…

  1. Support health of patients/families by appropriate referrals, support and information on health maintenance, lifestyle, community/home resources.


Objectives: By the end of this rotation, the resident will be able to…

  1. Demonstrate an understanding of and a commitment to the need for continuous learning.
  2. Maintain and enhance professional activities through ongoing learning. Critically evaluates medical information and its sources, and applies this appropriately to practice domains.
  3. Facilitate the learning of other learners through opportunities for both informal teaching and more structured presentations (e.g., journal club, resident teaching, allied health professional teaching).
  4. Demonstrate an awareness of personal limitations, seeking advice when necessary. Accepts advice graciously.


Objectives: By the end of this rotation, the resident will be able to…

  1. Demonstrates a commitment to patients and their families, as well as to their profession and to society, through ethical practice.