Residency
- Program Overview
- Curriculum
- Lecture Schedule
- Residency Rotations & Facilities
- Other Pertinent Information
Program Overview
The University of Michigan PM&R department was founded in 1950 by Dr. James W. Rae. Since then, this program has been recognized as a premier residency training program. Our inpatient rehabilitation unit ranks among the nation's top ten and is one of the federally funded Model Spinal Cord Injury Rehabilitation programs. This residency program is fully accredited by the Accreditation Council on Graduate Medical Education of the American Medical Association and also is recognized by the American Board of Physical Medicine and Rehabilitation.
Since our first resident joined us in 1953, the program is proud to train the nation's best physiatrists. Whether a resident's professional goals include academics, research or private practice, this residency provides faculty, staff and peers who support residents in achieving their best.
Curriculum
Listed below are some of the many training and teaching opportunities we offer our residents.
Presentation and Teaching Opportunities
- Each resident is expected to give one Grand Rounds presentation in the 3rd and 4th postgraduate year.
- During the senior year, residents spend two months on the inpatient services where they supervise and teach junior residents on the inpatient ward.
- Residents help teach the basic anatomy during the anatomy review course, which is expanded on by the attending.
- Residents give a formal neuromuscular lecture during the EMG rotation.
- Each resident is expected to give one or two presentations/lectures in their PGY 2, 3 and 4 years as part of the formal lecture series.
- Journal Club: The purpose is to review of current and/or classic articles focused on one topic. During Journal Club, current and/or classic articles on a specific topic are reviewed. Each house officer gives 2-3 Journal Club presentions during the 2nd postgraduate year.
Tuesday, 7:30 a.m. - 8:30 a.m. – Formal Lecture Series
Wednesday, 7:15 a.m. - 8:15 a.m. – Electromyography Lecture
Wednesday, 8:15 a.m. - 9:00 a.m. – Neuromuscular Lecture
Thursday, 7:30 a.m. - 8:30 a.m. – Grand Rounds
Thursday, 8:45 a.m.- 10:45 a.m. – Formal Lecture Series
Additional lecture opportunities:
- Gym rounds: A review of the musculoskeletal examination
- Anatomy: A cadaver-based course reviewing skeletal, muscular and neurologic anatomy
- Manual Medicine: An introduction to the basic principles of the manual medicine examination
Residency Rotations and Facilities
In all inpatient rotations, residents will be involved in all aspects of patients' medical and rehabilitation care, from admission to running team meetings to discharge. Residents will work with all members of the rehabilitation team including the physical therapist, occupational therapist, therapeutic recreation, speech and language pathologist, rehabilitation psychologist, dysphasia specialist, orthotist, prosthetist, social worker and practice management. Unique opportunities at the University of Michigan are marked with an **.
- University Hospital Inpatient Rehabilitation: At least four months is spent on the 32-bed inpatient rehabilitation. Because University Hospital is a 580-bed tertiary care center and a level one trauma/burn center, the resident will work with patients with varying diagnoses such as stroke, brain injury, orthopedic procedures, chronic obstructive pulmonary disease, status post transplants and amputees.
- University Spinal Cord Injury Rehabilitation: At least two months is spent on the spinal cord service. Residents will work mostly with patients with spinal cord injury from different causes including trauma, transverse myelitis, cancer and VENT-dependent patients.
- Pediatric Rehabilitation at Mott Children's Hospital: Two months is spent at Mott, a 160-bed acute care children’s' hospital with an eight-bed pediatric rehabilitation service. The resident will work under the supervision of a pediatric physiatrist. Here the resident will run the inpatient service, do inpatient consults and spend one half day a week in the outpatient pediatric rehabilitation clinic.
- Community Inpatient Rehabilitation**: Two months is spent at St. Joseph Medical Center hospital on the private rehabilitation service, which has 40 beds.
- Medicine/Orthopedic Consult Service: Two months is spent on the medicine consult service at University Hospital seeing general medical patients.
- Neurology/Neurosurgery Consult Service: Two months is spent on the neurology consult service at University Hospital seeing neurology and neurosurgical patients.
- Vascular/Amputee Consult Service**: Two months are spent on this service, which includes inpatient consults and outpatient clinics. (Wound care, lower extremity and upper extremity amputees)
- Trauma Consult Service: Two months is spent on the trauma consult service at University Hospital seeing patients on the trauma/burn service.
- EMG: Initial training is three months of learning how to do electromyography and nerve conduction studies. Time will be spent with both Neurology and PM&R EMG clinics. Overall, residents will get about six months of EMG training.
- Spine: Two months is spent at the Spine Center, an outpatient facility dedicated to the prevention and comprehensive care of spine injuries fluoroscopic-guided spine injections.
- Ann ArborVA Hospital: Two months is spent at the 200-bed Ann Arbor VA Hospital in outpatient clinics; 60% of this experience is in the EMG lab. The other clinics include spinal cord injury, amputee and pain management.
- Resident continuity clinic**: PGY-3 & 4, residents have their own continuity clinic one half day a week. This provides an invaluable opportunity to get experience in seeing how disease processes mature, and handle return to community/work/driving issues, which could not be otherwise possible as residents.
- 6A Senior: Two months is spent as the senior resident on the inpatient floor. Here, the resident will act in a more supervisory role and teach the other residents. The resident also will work with the attending in reviewing possible admissions from outside hospitals. Four half days per week are spent in the EMG lab.
- Jeopardy: The resident will cover other residents on the 6A, SCI, Peds and consult services when they take days off. During the times when no one is gone, time will be spent in the outpatient clinics. A total of two months is spent on Jeopardy.
- Elective: Two months will be spent on electives. This is generally in the senior year within the Health System.
- Research**: Two months will be spent doing research. Prior to completing their residency training, residents are expected to complete a project such as a poster presentation, literature review with presentation or completion of a manuscript. Residents can compete for funding through the Resident Rehabilitation Research Training Program.
Other Pertinent Information
Faculty
There are 30 faculty physiatrists, the majority of whom have advanced certification or a second advanced academic degree (e.g., pediatrics, internal medicine, electrodiagnostic medicine). The resident/attending ratio is about 1:1. In addition, there are 12 Ph.D. faculty, including clinical psychologists, and a rehabilitation engineer.
Holidays
Per the House Officers Association contract:
- Independence Day
- Labor Day
- Thanksgiving Day
- Day after Thanksgiving
- Christmas Eve
- Christmas Day
- New Year's Eve
- New Year's Day
- Memorial Day
Vacation
21 weekdays a year
Conference time
Up to five days per year are allowed in post-graduate years 3 and 4.
Please refer to the House Officers Association web site to find updated information on wages, savings plan, call schedule, child care leave, FLEX benefits, health insurance.
Professional Development Fund
Up to $1,500 may be available to PGY-4's to attend the American Academy of Physical Medicine and Rehabilitation annual conference.
Moonlighting
PM&R House Officers are permitted to engage in extracurricular medical practice that is not part of their training program. The Department has a specific policy regarding this activity; the policy can be seen upon request.
