- Program Overview
- Lecture Schedule
- Residency Rotations & Facilities
- Other Pertinent Information
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 best and is one of the federally funded Model Spinal Cord Injury Rehabilitation programs. Our residency program is fully accredited by the Accreditation Council on Graduate Medical Education of the American Medical Association and 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.
Listed below are some of the many training and teaching opportunities we offer our residents.
- Each resident develops and presents a Grand Rounds presentation in the 3rd and 4th postgraduate year.
- During the senior year, residents spend two months on the inpatient services where they teach and assist junior residents on the inpatient ward.
- Residents coordinate and assist with teaching basic musculoskeletal and neurologic anatomy during the annual anatomy review course. This is a gross anatomy lab opportunity, which has included attending physician presented lectures on brachial plexus lesionss, ultrasound-guided injections and peripheral nerve dissection
- Residents present a formal neuromuscular lecture during the EMG rotation.
- Each resident is expected to present one or two 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 or classic articles focused on one topic. Each house officer gives up to 3 Journal Club presentations during the 2nd postgraduate year.
Tuesday, 7:30 a.m. - 8:30 a.m. – Resident 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, 8:00 a.m. - 9:00 a.m. – Grand Rounds
Thursday, 9:15 a.m.- 11:15 a.m. – Resident Lecture Series
Additional lecture opportunities:
- Anatomy: A cadaver-based course reviewing skeletal, muscular and neurologic anatomy
- Manual Medicine: An introduction to the basic principles of the manual medicine examination
During inpatient rotations, residents are involved in all aspects of patients' medical and rehabilitation care, from admission to running team meetings to discharge. Residents will collaborate with all members of the rehabilitation team including the rehabilitation nurses, physical therapist, occupational therapist, therapeutic recreation, speech and language pathologist, rehabilitation psychologist, , orthotist, prosthetist, social worker, case managers and discharge planners. Unique opportunities at the University of Michigan are marked with an **.
- University Hospital Inpatient Rehabilitation: At least four months are spent on the 32-bed inpatient rehabilitation. Our 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, malignancy, bone marrow transplant, , solid organ 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, ischemia, and ventilator-dependent patients.
- Pediatric Rehabilitation : Two months are spent at the C.S Mott Children’s Hospital, a 348-bed acute care children’s' hospital with a 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 are spent at St. Joseph Medical Center hospital on the private rehabilitation service. This acute rehabilitation hospital has 40 beds.
- Medicine, Trauma,Orthopedic Consult Service: Two months are spent on the medicine, trauma and orthopedic surgery consult service at University Hospital seeing general medical, trauma/burn and surgical patients.
- Neurology/Neurosurgery Consult Service: Two months are spent on the neurology consult service at University Hospital seeing neurology and neurosurgical patients.
- Vascular/Amputee Consult Service**: Two months are spent on the Orthotics and Prosthetics service, which includes inpatient consults and outpatient clinics. (Wound care, lower extremity, upper extremity amputees, and adult and pediatric peripheral nerve injury clinics.)
- EMG: Initial training is three months of learning how to perform 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 with clinic days in our fluoroscopic-guided spine injection suite.
- Ann ArborVA Hospital: Four months is spent at the 200-bed Ann Arbor VA Hospital. During the PGY-2 and PGY-3 years, two of these months are spent managing the medical care and rehabilitation needs of Veteran’s staying in the VA’s Inpatient rehabilitation facility, as well as attending a variety of outpatient clinics which include PM&R, Geriatrics, Neurosurgery, and Neurology.. During the PBY-4 year another two months is spent in outpatient clinics including the EMG lab, PM&R musculoskeletal, spinal cord injury, amputee and pain management. clinics
- Resident continuityclinic**: 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.
- Specialty Clinic months: Through all three years of the PM&R residency the patients will spend at least 6 months attending specialty clinics, including dedicated time in Musculoskeletal clinics.
- 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 at the Inpatient Rehabilitation Facility, pediatric rehabilitation unit and consultative services when they take days off. During the times when the resident is not covering for a colleague, 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, and include going to outpatient clinics or working on research. There is also the opportunity to do an away elective during this time.
- 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.
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.
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
20weekdays a year
Up to three days are allowed in the PGY-3 year, and up to five days during the PGY-4 year.
Please refer to the House Officers Associationweb 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.
PM&R House Officers are permitted to engage in extracurricular medical practice that is not part of their training program, only if they have a permanent medical license, with permission from the Program Director, and only if the total hours worked per week (residency commitments and moonlighting) does not exceed 80 hours per week. The Department has a specific policy regarding this activity; the policy can be seen upon request.