Comprehensive Spine PMR

Course Title: Comprehensive Management of the Spine 


Fourth year medical student, successful completion of surgery clerkship. 

Course Description 

The spine represents the crossroad between the musculoskeletal and neurological systems. As such, a broad understanding of both is required for the evaluation and management of patients presenting with spinal dysfunction. Comprehensive care requires a coordinated team of specialists from multiple disciplines. An understanding of multi-disciplinary care will benefit the student no matter what area of medicine they choose. Students will gain clinical knowledge and team leadership skills, with an emphasis on appropriate history-taking, physical examination, radiology studies, and treatment options for patients with acute, sub-acute, and chronic spine pathologies.  


Course Faculty and Staff 

  • Michael Sein, MD (Director) 
  • Shawn McGargill, MD (Co-Director) 
  • Terra K. Smith-Hubner (Coordinator) 

Meeting Place and Time 

Monday -Fridays 8:00 a.m. -5:00 p.m., Comprehensive Spine Center, UF Health Heart & Vascular Hospital 1505 SW Archer Rd 

Course Materials 

Atlas of Image-Guided Intervention (Rathmell), Various Spine Intervention Society texts, Journal Articles 

Classes Offered 


Core Competencies

#1 Patient Care

Educational Objectives: Appreciate disorders of the spine as they pertain to a patients’ quality of life, and functioning, and comorbidities.

Method of Evaluation: Direct attending observation

#2 Medical Knowledge

Educational Objectives: Application of the musculoskeletal physical exam for the diagnosis of common spinal pathology. Gain an understanding of basic interventional spine procedures, indications and contraindications.

Method of Evaluation: Direct attending observation, students will have the opportunity to directly observe fluoroscopically guided interventional procedures.

#3 Interpersonal and Communication Skills

Educational Objectives: Patient presentation skills Method of Evaluation: Students are expected to attend one multi-disciplinary spine conference (neurosurgery, anesthesiology, physiatry) and present at least one clinical case for discussion)