PM&R Residency Curriculum
PM&R residents may choose to do their preliminary year of training at the University of Virginia (our 4-year categorical program) or enter in the PGY2 year following the satisfactory completion of an internship year (our 3-year advanced program). The PM&R Residency Program has 14 positions total and is fully accredited by the ACGME.
PGY1 FIRST YEAR:
The internship year is divided into six months of Internal Medicine, two months of Neurology, and one-month rotations in Emergency Medicine, outpatient and inpatient Orthopedics, PM&R, and Urology. Physical Medicine and Rehabilitation residents develop strong fundamental clinical skills during their first year of training, and work with specialists who will serve as important referral sources for their rehabilitation practices in the future.
- Neurology Inpatient
Orthopedic Adult Reconstruction
General Medicine Inpatient
Digestive Health Inpatient
General Medicine Clinic
General Medicine Consults
PGY2 SECOND YEAR:
Building on the foundation of the internship year, the second year program exposes the resident to a variety of inpatient rehabilitation experiences. Specialized programs have been developed in stroke and brain injury, spinal cord injury, and orthopaedic rehabilitation. Residents participate in daily multidisciplinary inpatient rounds and are introduced to techniques of rehabilitation team management, therapy prescription writing, and functional goal setting.
3 months General Rehabilitation Rotation
3 months Neurorehabilitation Rotation
3 months Spinal Cord Injury Rehabilitation Rotation
3 months Orthopaedic/Joint Rehabilitation Rotation
PGY3 THIRD YEAR:
Residents in their third year of training rotate through a variety of predominantly outpatient programs.
3 months Adult Inpatient Consults
3 months PM&R Outpatient Clinic
(includes Sports Medicine, Rheumatology, and P&O components)
3 months Electrodiagnostic Medicine
1 month Pain Management
1 month Elective
1 month Outpatient Physiatry
PM&R Adult Inpatient Consults: This is a 3-month rotation in which residents spend their time primarily at the UVA Medical Center evaluating inpatients.
PM&R Outpatient Clinic: This is a 3-month rotation in which residents spend 4 days per week in the musculoskeletal clinic, primarily evaluating and treating a variety of sports injuries and other acute and chronic musculoskeletal problems. Residents learn a variety of procedures including compartment testing, joint injections and trigger point injections in addition to EMG. Additionally, residents provide medical coverage for multiple community sporting events and two high school football teams. One 1/2 day per week is spent in Rheumatology Clinic and one 1/2 day per week is spent in Prosthetics and Orthotics Clinic.
Electrodiagnostic Medicine: This is a 3-month rotation in which residents are paired with a senior resident and learn to perform and interpret nerve conduction studies and electromyography. Additionally, residents will perform EMG guided botulinum toxin chemodenervation procedures. Residents typically perform approximately 200 EMGs over three months. One half day per week is spent in Spinal Cord Injury/Spasticity Management Clinic.
PM&R Residency Program Rotation in Pain Management: This is a one-month rotation in the UVA Pain Clinic with the Department of Anesthesia. Residents work with Fellows in Pain Management and Anesthesiology faculty in addition to Pain Psychologists. Residents see a variety of chronic pain disorders and have an opportunity to assist in pain procedures in the fluoroscopy suite.
Outpatient Physiatry: This is a one-month rotation during which residents spend time in various departmental outpatient clinics including Spinal Cord Injury, Concussion/Brain injury, and Spasticity Management as well as an interdisciplinary ALS clinic. Additionally, residents complete an online training program in Quality Improvement and Patient Safety.
PGY4 FOURTH YEAR:
The senior year enables the resident to further his or her clinical, teaching and research skills.
This includes 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.
3 months Electrodiagnostics Lab Rotation
1 month Interventional Spine Rotation
1 month Outpatient Orthopaedics
4 months Outpatient Clinical Electives
2 months Inpatient and Outpatient Pediatric Rehabilitation Rotations
1 month Occupational Medicine Rotation
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 350 to 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 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 including joint replacement, orthopedic spine, hand, foot and ankle and trauma.
PM&R Outpatient Clinical Electives: Residents have four months of elective outpatient rotations of their choosing with opportunities to participate in electives outside of our program.
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. They work with, and learn from, a board-certified pediatric rehabilitation physician as well as rehabilitation experts from the Division of Developmental Pediatrics.
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, chemodenervation, impairment ratings, and Independent Medical Evaluations while treating general musculoskelal injuries and work related injuries.
Supplementing the clinical experience are diverse seminars and didactics. A core curriculum forms the basis for a series of lectures given weekly by faculty from the Department of PM&R, as well as faculty from related specialties such as Neurosurgery, Neurology, Rheumatology, Pediatrics, Orthopaedics, Bioethics, Prosthetics and Orthotics. Physical and occupational therapists, speech/language pathologists, neuropsychologists, rehabilitation nurse specialists, rehabilitation engineers and other members of the rehabilitation team contribute lectures and demonstrations, and provide opportunities for hands-on experience. In addition, residents attend the PM&R Grand Rounds and Journal Clubs.