Curriculum

Physical Medicine & Rehabilitation Curriculum

PGY I - During the PGY-I year, each resident experiences a defined core rotation schedule designed to develop fundamental skills. Each resident is assigned rotations on the various hospital services, with the goal of mastering the core skills of inpatient internal medicine.  This will provide adequate preparation for the subsequent years. Elective months are allocated to the internal medicine rotation. These rotations include 5 months of General Internal Medicine, 1 month Medical Intensive Care Unit (MICU), 1 month Emergency Center, 1 month Rheumatology, 1 month Neurology, 1 month PM&R/Radiology, 1 month Nutritional Clinic and a 1 month elective rotation.  During these rotations, residents will follow the goals and objectives set forth by the Internal Medicine department. 

PGY II-IV - During the PGY II-IV years each resident is assigned to PM&R core rotations.  PGY-II-IV residents are assigned to specific services, broken up into 1 months blocks.  

PGY-II - 9 months inpatient rehab and 3 months inpatient consultation, weekly outpatient clinics 

PGY-III - 3 months inpatient consultation, 3 months Pediatrics/Traumatic Brain Injury, 3 months Electromyography and 3 months inpatient orthopedic rehabilitation, weekly outpatient clinics

PGY-IV - 3 months Troy Beaumont (includes inpatient, outpatient and EMG), 3 months Chief Resident at Royal Oak Beaumont, 3 months elective selected from the following: Specialty rotations (i.e., orthopedics, neurology, rheumatology, anesthesiology, or radiology.), Cardiac / Pulmonary Rehabilitation, Spinal Cord Injury, Sports medicine/Rehabilitation, Cardiac / Pulmonary Rehabilitation, Industrial Medicine/ Rehabilitation, Prosthetics and Orthotics, Other electives may be possible by individual arrangement. 3 months SAR/Office, weekly outpatient clinics.

Didactics

Our didactic program provides a foundation for the basic sciences, interrelated disciplines and medical rehabilitation. It also develops the skills necessary to critically analyze and communicate research literature. Didactic will cover the diagnosis, pathogenesis, treatment, prevention and rehabilitation of those neuromusculoskeletal, neurobehavioral, cardiovascular, pulmonary and other system disorders common to PM&R. Residents will receive training in ethics and participate in decisions involving ethical issues. Relevant basic sciences will be included: anatomy, physiology, cardiovascular, pulmonary and kinesiology. Didactics in electrodiagnosis and fundamental research design are discussed as well.

Physical Medicine and Rehabilitation Lecture Series
Didactics sessions are semi-weekly, one hour sessions. The sessions are organized in block structure based on topic and led by subspecialty trained faculty. The blocks include lecture, anatomy, journal review, textbook review and testing relevant to the block topic.

EMG Conference
This weekly series provides a basic understanding of electromyography, or EMG, and nerve conduction studies as well as case studies. The lectures cover basic anatomy, physiology, recording techniques for EMG/NCS, artifacts and case studies. Residents are taught about the use of EMG evaluation as a diagnostic tool.

Journal Club
Residents are assigned to review current journals and analyze articles for presentation at these monthly meetings. Journal club is supplemented by review of a classic article accompanied by an in-depth discussion of statistical methodology.

Case of the month
Monthly focused review of a clinical case presenting diagnostic and therapeutic challenges.

Doom and Gloom
A monthly review of adversity in health care.
Resident Chief Rounds
Monthly practical sessions designed to cover several areas outside the didactic, knowledge-based, core content sessions; these rounds are organized, scheduled and may be presented by the current chief residents.

Anatomy Lab
Weekly sessions where residents have the opportunity to review anatomical dissections of the upper extremities and spine.

Teaching Rounds
Conducted daily on the consultation services.

Ultrasound Curriculum
Ultrasound Course Didactics in September and April of each year. One-hour long session per week in the Simulation Lab guided by attending for 3 months during PGY-3 and PGY-4 years (small group-2 residents with a dedicated attending). 4 additional ultrasound hands on sessions (large group, entire residency with multiple attendings).