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PM&R Residency: Curriculum

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Rotations Highlights

Post Graduate Year 2 (PGY-2)

  • 2 months: Inpatient Consultation
  • 2 months: Outpatient Rehabilitation
  • 2 months: Pediatrics
  • 2 months: Outpatient Musculoskeletal
  • 2 months: Inpatient Rehabilitation

Post Graduate Year 3 (PGY-3)

  • 2 months: Pain Management
  • 2 months: Inpatient Rehabilitation
  • 2 months: Outpatient Neuro-Rehabilitation
  • 2 months: Selective
  • 2 months: Inpatient Consultation

Post Graduate Year 4 (PGY-4)

  • 2 months: Senior Spinal Cord Injury Consultation
  • 2 months: Selective
  • 2 months: Senior Inpatient Rehabilitation
  • 2 months: Pediatrics
  • 2 months: Pain Management

Didactics Highlights

  • 5 Hour Block Weekly
  • 18 Month Cycle covering the full range of PM&R Topics
  • Residents Free From All Clinical Duties
  • Multidisciplinary Faculty (Physician, Non-Physician, Administration)
  • Varied Style (Didactic, Field Trip, Hands-on, Workshop, Small Group Discussion)
  • Topics Covered on a recurrent basis (monthly or quarterly): e.g., Electrodiagnostics, Ethics, Business
  • Quality Improvement

Continuity Clinic

  • A Unique Opportunity to Grow a Real Practice
  • Primary Responsibility for Patient Care and Follow-up
  • Resident can tailor the practice, including referrals from the community
  • Starts the First Year
  • Appropriately Supervised with Growth in Responsibility/Independence

Procedural Experience

  • Electrodiagnostic Procedures:  Electrodiagnostic experiences occur both in designated periods and spread throughout the training program. This structure maximizes the breadth and depth of the clinical exposure. Specifically, resident experiences will range from assessing limb pain of unclear origin on the musculoskeletal rotation to establishing the diagnosis of Guillain-Barre Syndrome on the Consultation Service. Volume of cases well exceed minimal of the Accreditation Council for Graduate Medical Education (ACGME) and American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM)

    • Residents will participate in an Electrodiagnostic Clinic ½ day per week while on the Consultation Service and if they chose during their Selective Months. This clinic is staffed by faculty from both PM&R and Neurology.
    • Residents will perform all electrodiagnostic consultations at Central Texas Rehabilitation Hospital and have opportunity to perform all in hospital cases.
    • Specific days of the week are designated for electrodiagnostics during the Musculoskeletal Rotation.
    • Electrodiagnostic equipment will be available for residents during their Continuity Clinics.
  • Pain Management and Musculoskeletal Procedures:  During the Pain and Musculoskeletal Rotations (8 months in total) residents gain exposure to a full complement of pain management procedures, including spinal injections, sympathetic blockade, peripheral nerve injections, and peripheral joint injections.  In Continuity Clinic, residents have opportunity to perform office based procedures, such as peripheral joint injections and trigger point injections.
  • Neuromuscular Blockade and Spasticity Management: During the Pediatrics and Outpatient Rehabilitation Rotations, residents gain experience with neuromuscular injections for the treatment of spasticity.

Sports Medicine Experience

Residents experience sport illness and injury in the outpatient clinic setting during the Musculoskeletal Rotation, learning from a diverse faculty that include Physiatrists, Orthopedic Surgeons, and Musculoskeletal Radiologists.  Further, residents learn how to care for patients during athletic events; examples include sideline management at local football games and staffing the medical tent at the Austin Marathon.

Selective Rotation

Selective Months occur during the PGY3 and PGY4 months.  This rotation offers residents an opportunity to design a learning experience tailored to their unique interests. This opportunity in the Curriculum represents one of many elements of career management in our Residency Program.

Special Features of Program

  • Home Call
  • Educational Oral Examinations modeled after the American Board of Physical Medicine and Rehabilitation (ABPMR)
  • Self Assessment Examinations  provided by the American Academy of Physical Medicine and Rehabilitation (AAPMR) as well as the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM)
  • Participation in Quality Improvement Projects
  • Monthly didactic sessions dedicated to the Practice of Medicine, including Healthcare Strategy, Leadership, Business Principles, and Career Management