There are approximately 15.5 million cancer survivors in the United States today. The ability of cancer treatments to save or extend lives is improving rapidly. However, many of these survivors are left with long term functional problems related to cancer and cancer treatments. This fellowship program will give the physiatrist expertise in the functional, musculoskeletal, and neuromuscular complications of cancer and cancer treatment. The graduate of this fellowship will become an expert in cancer related pain syndromes, cancer related fatigue, chemotherapy induced peripheral neuropathy, radiation fibrosis, head/neck cancer rehabilitation, cancer related cognitive disorders, and lymphedema/swelling disorders.
Training will include:
- palliative care experience
- cancer exercise prescription writing
- experiences with radiation oncology, oncology, plastic surgery, and surgical oncology
- working alongside expert physical therapists in cancer rehabilitation
- cancer rehabilitation program development
- musculoskeletal ultrasound
Will include eleven months of outpatient cancer rehabilitation at MedStar NRH and MedStar Georgetown University Hospital.
The fellow will also have longitudinal experiences rotating once per month in the following areas:
- medical oncology
- palliative care
- radiation oncology
- surgical oncology (with opportunities to go to the operating room)
- plastic surgery (with opportunities to go to the operating room)
- cancer fitness evaluation
- cancer nutrition
- physical/occupational/speech therapy
- inpatient consultations
- inpatient rehabilitation
- wound care
Cancer rehabilitation outpatient experience will include the evaluation and management of cancer-related functional, musculoskeletal, and neuromuscular impairments including: cancer related pain syndromes, cancer related fatigue, chemotherapy induced peripheral neuropathy, radiation fibrosis, head/neck cancer rehabilitation, cancer related cognitive disorders, and lymphedema/swelling disorders. In addition, the fellow will gain experience in the use of diagnostic and interventional neuromusculoskeletal ultrasound. Procedural experience will include the use of cancer specific injection techniques such as nerve blocks and the use of botulinum toxin for radiation fibrosis, postmastectomy pain, trismus, and cervical dystonia. Fellowship will also include a high volume of electrodiagnostic evaluations.
Didactic experiences will include:
- Musculoskeletal ultrasound workshops
- Weekly cancer rehabilitation journal club/didactics
- Interdisciplinary tumor boards
- Opportunities for teaching PM&R residents and medical students
- Cancer related conference attendance
- Sessions on cancer rehabilitation program development
The fellowship will also include a mandatory research component. The fellow’s research interests will be established prior to starting the fellowship so that a research project can be started and completed by the end of the fellowship year.
Current Cancer Rehabilitation Fellow
Ashish Khanna, MD
Cancer Rehabilitation Fellow
The program is open to applicants who are board certified or board eligible in physical medicine and rehabilitation.
For more information, please contact Dr. Eric Wisotzky, Fellowship Program Director, at 202-877-1860 or via email at NRH-CancerFellowship@MedStar.net.
The application deadline is August 1 of the year prior to a July 1 start date.
Click here to download a fellowship application.