Abstract
Physiatric practice in a hospital-based rehabilitation unit is different than practicing in a freestanding rehabilitation center. There are different legal requirements for the medical director; units are usually smaller than centers, and rehabilitation is usually not the principal activity of the hospital in which the unit is located. This requires the physiatrist in the rehabilitation unit setting to educate the administration about rehabilitation, help protect the rehabilitation staff from “sicker” patients, market the rehabilitation unit within the hospital, and learn to use the acute care potential of the hospital to physiatric patient care and marketing advantage.
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