The fellowship program is located within the physical therapy service of Brooke Army Medical Center (BAMC) on Fort Sam Houston, Texas.
This facility opened in March of 1996. It is one of San Antonio's Level I Trauma Centers. The physical therapy service is located in a satellite outpatient clinic with primary care, OT, lab, radiology, and pharmacy services. The PT clinic consists of over 18,000 square feet of state-of-the-art rehabilitation equipment and space. The department is divided into four sections: (1) an outpatient neuromusculoskeletal evaluation and treatment section; (2) an outpatient section for postsurgical, amputee, and neurological rehabilitation; (3) an inpatient clinic for orthopaedic and general ward patients; and (4) a Troop Medical Clinic which is housed in a separate facility and serves our active duty training soldiers.
The fellowship is integrated into all functions of the department. A separate classroom and evaluation/treatment areas are dedicated for the fellows. Each fellow has a designated work area in the clinic for evaluation and treatment of patients that includes a desk, treatment table, and desktop/laptop computer. Through an information network, fellows have immediate access to radiology and laboratory reports and electronic ordering of radiographs, bone scans, and selected medications. The computers have various databases and clinical compact discs (CDs) such as ADAM (anatomical software), an MRI instructional course, Journal of Bone and Joint Surgery, American Journal of Sports Medicine, direct MEDLINE, Ovid full-text journals, and internet access for both research and educational purposes. The classroom has state-of-the-art audiovisual equipment to include a camcorder, TV/VCR, computer, printer, scanner, slide projector, digital camera and digital projection capabilities. The clinic is also equipped with two ultrasound imaging systems, and access to digital fluoroscopy for clinical and research purposes.
A physical therapy clinic library is maintained in the department. The clinic library has copies of the additional recommended references. The BAMC Medical library and Stimson Library at the Army Medical Department (AMEDD) Center and School, Fort Sam Houston, Texas, are available for journal articles and additional references. The BAMC library holds 16,000 books, over 20,000 bound periodical volumes, and subscriptions to 677 journals and other serials. The Stimson Library at the AMEDD Center and School holds 39,800 books, over 20,000 bound periodical volumes, and subscriptions to 607 journals and other serials. The AMEDD Center and School also houses the anatomy lab. Fellows are provided with one cadaver for dissection. Additionally, prosections of all regions of the body are available. Students also have full access to the Physical Therapy Research Center (PTRC) at the AMEDD Center and School. The PTRC is a state-of-the-art research facility developed for the U.S. Army-Baylor University Doctoral Program in Physical Therapy.
The physical therapy service is fully equipped with the most current technology in terms of modalities, treatment space, manual therapy tables, strength and endurance training equipment, and access to an Olympic size therapeutic swimming pool. New BAMC infrastructure in 2005 includes a dedicated 2,500 square-foot amputee rehabilitation facility, and the Military Performance Laboratory, which has the capability to precisely quantify and analyze kinesiological and biomechanical parameters of human movement. The clinic is fully integrated with the medical center. Multidisciplinary clinics in sports medicine, motor control, and for amputees are held in our clinic. The fellows are part of the clinical staff. They are fully integrated into all clinic functions, attend weekly staff meetings, and participate in quality improvement activities and inservices on a weekly basis.