The first year of training focuses on the fundamentals of medicine. Residents will spend 5 months on inpatient internal medicine services and 1 month of ICU, complemented by rotations in emergency medicine, neurology, neurosurgery, orthopedic surgery, radiology, and rheumatology/geriatrics. The broad medicine exposure prepares first year residents to care for medically complex patients on the inpatient rehabilitation unit.
Post-graduate year 2 (PGY 2) focuses on the caring for patients on the inpatient rehabilitation unit at Beaumont Hospital-Taylor. Residents will spend approximately 9 months on the inpatient unit, managing medically complex patients with diagnoses ranging from traumatic brain injury, stroke, spinal cord injury, to hip fractures, multiple orthopedic injuries, and critical illness myopathy. This year is complemented by 2 months on the consult service at Beaumont Hospital-Dearborn, and one month in outpatient clinic. The goal of consult rotations is to learn to evaluate and triage individuals with a wide spectrum of diagnoses that require rehabilitation services at different post-acute care options. We introduce clinic during PGY 2 so residents can experience the longitudinal aspect of our field.
In post-graduate year 3 (PGY 3), residents will rotate through various outpatient settings to learn core procedural skills, enhance and focus their neuro-musculoskeletal physical exams, broaden their problem solving skills, and solidify their subspecialty areas of interest for future career aspirations. Rotations include: sports medicine, pain medicine, outpatient pediatric rehabilitation, EMG at John Dingell VA Hospital, and outpatient clinic with core faculty. Residents get first-hand experience in the following procedures: landmark-guided and ultrasound-guided intra-articular steroid injections, trigger point injections, EMG and ultrasound-guided botulinum toxin injections for spasticity and headache, intrathecal baclofen pump management, and various interventional spine procedures. Finally, this year is complemented by 2 to 3 months on the inpatient rehabilitation unit, and one month of elective is available for more exposure to your specific area of interest.
In post-graduate year 4 (PGY 4), residents will continue gaining experience on consult services, outpatient rotations, and outpatient pediatric rehabilitation. Two electives are available to further expose residents to their areas of interest.