ABPMR SCI Medicine study materials
ABPMR SCI Medicine study resources

ABPMR SCI Medicine study plan

ABPMR SCI Medicine · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Assessment, Evaluation, and Diagnosis in Spinal Cord Injury & Acute Management and Medical Complications of Spinal Cord Injury

  • Build a one-page ISNCSCI/ASIA examination workflow that lists sensory, motor, rectal, and zone-of-partial-preservation steps in order.

  • Differentiate complete versus incomplete SCI patterns by writing five original vignettes and classifying each with the correct syndrome and completeness category.

  • Map the first 72 hours of acute SCI management into a timed checklist covering immobilization, hemodynamic targets, respiratory monitoring, and consultation triggers.

  • Practice 20 self-written classification items and record the rationale for each answer choice.

Your checkpoint

A one-page ISNCSCI decision aid plus a scored 20-item self-test with an error log and corrected rationales, achieving at least 80%.

Week 2

Acute Management and Medical Complications of Spinal Cord Injury & Assessment, Evaluation, and Diagnosis in Spinal Cord Injury

  • Compare neurogenic shock with spinal shock by constructing a table of onset, hemodynamics, duration, and management differences.

  • Outline prevention and monitoring plans for acute respiratory failure, venous thromboembolism, ileus, and early pressure injury after SCI.

  • Interpret common acute laboratory and imaging findings by writing a 10-case interpretation set with prioritized next steps.

  • Explain when to escalate to surgery, critical care, or specialty consultation using three original acute deterioration scenarios.

Your checkpoint

A 12-row acute complication matrix and a 10-case interpretation set, each with a defensible first-line action and escalation trigger.

Week 3

Secondary Conditions, Bowel/Bladder, and Pressure Injury Management & Acute Management and Medical Complications of Spinal Cord Injury

  • Distinguish upper motor neuron from lower motor neuron bowel and bladder dysfunction using lesion level and clinical signs.

  • Design a bladder management algorithm that compares indwelling, intermittent catheterization, reflex voiding, and suprapubic options with contraindications.

  • Create a bowel program decision guide covering timing, diet, medications, and transit-type adjustments.

  • Stage pressure injuries from written descriptions and select prevention surfaces and repositioning schedules for high-risk SCI patients.

Your checkpoint

A bowel and bladder management algorithm plus a pressure injury prevention and staging checklist, validated against five original cases with at least 85% accuracy.

Week 4

Rehabilitation Interventions and Functional Restoration & Secondary Conditions, Bowel/Bladder, and Pressure Injury Management

  • Select task-specific mobility, transfer, and self-care interventions for cervical versus thoracic SCI by writing three functional treatment plans.

  • Prescribe wheelchair and seating configurations by matching posture, pressure, propulsion, and skin-risk needs in four written case profiles.

  • Formulate a spasticity management sequence that starts with triggers, positioning, and therapy before oral or focal interventions.

  • Integrate bowel, bladder, and skin care into early mobilization plans without creating unsafe transfer or seating recommendations.

Your checkpoint

Three complete functional restoration plans with seating and spasticity recommendations, plus a 50-item cumulative self-exam scored at least 75% with an error log.

Week 5

Rehabilitation Interventions and Functional Restoration & Psychosocial, Community Reintegration, and Lifelong Care

  • Sequence locomotor and upper-extremity training progressions by impairment level, endurance, and assistive device needs.

  • Match assistive technology and environmental modifications to three home and community participation scenarios.

  • Teach caregiver training content for transfers, skin checks, catheterization, and emergency recognition using a written lesson outline.

  • Construct measurable functional goals using task, assistance level, and timeframe rather than topic labels alone.

Your checkpoint

An 8-week functional progression template for one paraplegic and one tetraplegic case, including measurable goals and caregiver teaching checkpoints.

Week 6

Psychosocial, Community Reintegration, and Lifelong Care & Secondary Conditions, Bowel/Bladder, and Pressure Injury Management

  • Screen for depression, anxiety, grief, and substance misuse after SCI using a written interview and referral pathway.

  • Plan community reintegration by addressing transportation, housing, vocational, recreation, and peer-support barriers in three cases.

  • Address sexuality, fertility, and intimacy concerns with a structured counseling outline appropriate to lesion level and patient priorities.

  • Connect lifelong surveillance needs to primary care by writing a yearly review checklist for skin, bowel, bladder, pain, and mental health.

Your checkpoint

A psychosocial screening and referral pathway plus a community reintegration resource map and annual lifelong-care checklist.

Week 7

Assessment, Evaluation, and Diagnosis in Spinal Cord Injury & Acute Management and Medical Complications of Spinal Cord Injury & Rehabilitation Interventions and Functional Restoration

  • Integrate diagnosis, acute management, and rehabilitation planning across six mixed original cases.

  • Prioritize competing medical complications by ranking urgency and defending each disposition in a written triage exercise.

  • Re-test previously missed classification and complication items and rewrite weak rationales.

  • Time a mixed practice set and adjust pacing so no single case consumes more than 90 seconds.

Your checkpoint

A 60-item mixed-domain timed exam scored at least 80%, with every missed item linked to a corrected concept note.

Week 8

Psychosocial, Community Reintegration, and Lifelong Care & Assessment, Evaluation, and Diagnosis in Spinal Cord Injury & Acute Management and Medical Complications of Spinal Cord Injury & Rehabilitation Interventions and Functional Restoration & Secondary Conditions, Bowel/Bladder, and Pressure Injury Management

  • Review the cumulative error log and rewrite the highest-risk decision rules into a final one-page rapid-review sheet.

  • Complete a 100-item timed mock exam spanning all five domains under exam-like conditions.

  • Rehearse lifelong-care and psychosocial scenarios that require shared decision-making and resource referral.

  • Build a post-exam maintenance plan for reviewing weak domains every two weeks.

Your checkpoint

A 100-item timed mock exam scored at least 80%, a corrected error log, and a dated 8-week maintenance review schedule.

Milestones

Week 2: Score at least 80% on the acute SCI and classification self-test set and submit the complication matrix with all escalation triggers filled in.

Week 4: Complete three functional restoration plans and score at least 75% on the 50-item cumulative self-exam.

Week 6: Submit the psychosocial referral pathway and annual lifelong-care checklist, with every screening tool linked to a specific referral action.

Week 8: Score at least 80% on the 100-item timed mock exam and demonstrate that every missed item has a written correction and scheduled review date.