Title : Silos of specialized care: A cautionary tale
Abstract:
Our practice and expertise is often focused on Differential Diagnosis and applying the best Evidence-based Practice to address or remediate the identified pathology. To that end, research is often set up to find the best intervention(s) to address the identified loss of function. This encourages providers to specialize and our continuing education is focused on practicing at the “top of licensure” by specializing in certain more focused fields of interest (Orthopaedics, Sports, Geriatrics, Pelvic Health etc) (PMID: 36270118) However, patients are complex and multi-faceted (PMID: 29040347) and often require a more wholistic or whole-person view as well as broad-strokes of more diverse interventions. (PMID: 35273832) This is often at odds with practice and payment models that are more siloed. (PMID: 32056829). We will discuss ideas, opportunities and recommendations to expand our ability to address patient’s needs beyond their reason for referral (PMID: 27539292) and how Rehab Medicine may be positioned to have greater influence on health-related patient outcomes. (PMID 32143634, PMID: 22261213, PMID: 34551322, PMID: 37025707, PMID: 24029295).
