The senior year builds on the fundamental skills developed during the PGY 2 and 3 years. This training year includes a generous amount of elective time which allows each resident to tailor his or her training to meet individual learning objectives and prepare for a future role in practice and/or fellowship. The flexibility of the fourth year curriculum also enables the resident to further his or her clinical, teaching, leadership, and research skills.
3 months Electrodiagnostic Medicine
1 month Interventional Spine
1 month Outpatient Orthopaedics
4 months Outpatient Clinical Electives
2 months Pediatric Rehabilitation
1 month Occupational Medicine
Electrodiagnostic Medicine Rotation: This is a 3-month rotation in which senior residents participate in the teaching of junior residents in the EMG lab. In addition to EMG and nerve conduction studies, residents perform a number of chemodenervation procedures (botulinum toxin injections) under EMG guidance. During the course of their residency, most UVA PM&R residents perform and interpret over 400 electrodiagnostic studies.
Interventional Spine Rotations: This is a one month rotation in which residents work in an interdisciplinary spine center under the direct supervision of a fellowship trained interventional spine PM&R physician. The resident gains experience with the diagnosis and management of spine pathology. Significant time is allotted for hands on training in fluoroscopically guided pain management procedures.
PM&R Residency Program Rotation in Outpatient Orthopaedics Clinic: This is a one-month rotation in the orthopaedic clinic. Residents rotate through various subspecialty clinics of their choice. These may include joint replacement, spine, hand, foot and ankle, sports, and/or trauma.
PM&R Outpatient Clinical Electives: Residents have four months of elective outpatient rotations of their choosing and design. Opportunities exist to participate in clinical and/or research electives outside of our program and outside of the institution.
Pediatric Rehabilitation: This is a two month outpatient rotation at the UVA Children’s Hospital. Residents spend time working in multidisciplinary and specialty clinics for children with rehabilitation needs.
PM&R Residency Program Rotation in Occupational Medicine: This is a one-month rotation spent in the PMR outpatient occupational medicine clinic where residents learn techniques in manual medicine, impairment ratings, and Independent Medical Evaluations while treating general musculoskeletal injuries and work-related injuries.