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Program Introduction
Home > Clinical Services > The Department of Physical Medicine and Rehabilitation at Montefiore > Professional Training Programs > Residency > Program Introduction
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The Department of Physical Medicine and Rehabilitation at Montefiore

Program Introduction

The program offers three-year accredited residency training. There are a total of 26 residents. Each year, two residents are chosen by the faculty members to serve as chief residents during their last training year. The residents work together as a team.

Didactics

The core didactic curriculum occurs in a 12-month format that is developed each year by a combined resident/faculty committee. The core lecture series provides four hours of protected didactics each week, combined with web-based tutorials that are completed at the resident's convenience. Didactic format varies with topic; lectures, workshops, field trips and team-based learning sessions are incorporated into the didactic schedule. The web-based modules are accessed through Mindflash, and provide between three and five hours of interactive tutorials per   week, covering a wide range of basic science and clinical topics that are central components of a sophisticated physical medicine and rehabilitation knowledge base.

Supplemental didactic sessions are regularly scheduled for individual rotations or institutions. Protected educational time for the supplemental series varies between two and six hours each week.

There are three mandatory annual workshops:

  • Prosection and kinesiology – cadaver based – 12 hours
  • Orthotics and prosthetics – 6 hours
  • Spasticity management – 3 hours

Rotations

Rotations are scheduled in one-month time blocks. Resident evaluations are conducted on a monthly basis in order to provide timely and helpful feedback. There are yearly in-service examinations as well as the annual self-assessment examination conducted by the American Board of Physical Medicine and Rehabilitation. At the end of each academic year, an Objective Structured Clinical Examination (OSCE) is administered by the faculty.

A typical rotation schedule is as follows during 36 months of Physical Medicine and Rehabilitation training:

PGY-2

  • Inpatient Rehabilitation (7 months, acute rehabilitation service)
  • Cardiac Rehabilitation and Women's PM&R (one month)
  • Subacute and Geriatric Rehabilitation (one month)
  • Outpatient Physiatry (two months)*
  • Electrodiagnosis (one month)

PGY-3

  • Inpatient Rehabilitation (three months acute, one month subacute)
  • Pediatric Rehabilitation (one month)
  • Brain Injury Rehabilitation (inpatient) (one month)
  • Orthopedic Rehabilitation (one month)
  • Electrodiagnosis (one month)
  • Outpatient Physiatry (two months)*
  • Neurorehab Consult Service (partial assignment)
  • Cardiopulmonary Rehabilitation/ICU consult service (partial assignment)
  • Radiology and Rheumatology (partial assignment)
  • Elective (one month)
  • Selected assignment (one month)**

PGY-4

  • Electrodiagnosis (one month)
  • Interventional Physiatry and Pain Medicine (one month)
  • Consultation Service (two months)
  • Outpatient Physiatry* (eight months)
  • Elective (one month)
  • Selected assignment (one month)**

*Outpatient Physiatry includes general adult rehabilitation clinic, prosthetics/orthotics, wheelchair/DME, spinal cord medicine service, spasticity service, pain service, vascular rehabilitation, foot service, back clinic, injection service and continuity practice. (Once per month during the second and third year, the residents follow a consistent patient panel in a private practice setting.)

Outpatient Physiatry incorporates training in the following procedures:

  • Injections: soft tissue (muscle, ligament, tendon) and joint
  • Peripheral nerve blocks
  • Musculoskeletal ultrasound
  • Botulinum toxin injection
  • Fluoroscopic guided procedures (epidural and facet injection - lumbar)
  • Intrathecal pump management

**Selected assignment: This rotation is selected by the resident from the rotations noted above. This allows the resident to explore or develop an area of clinical focus according to their interest.

All residents are expected to be on call during their training. The program utilizes the night float and weekend calls to provide night and weekend/holiday coverage for three in-patient units. On-call rooms with computer access are available at all sites.

Evaluations

All evaluations are done online via the New Innovations system. Residents provide regular feedback regarding the program, rotations and faculty. Their evaluations are collated and reported twice each year. Residents also provide peer and self-evaluation on an annual basis. Residents receive formative global and clinical encounter evaluations each month. The feedback and credentialing process also includes in-service examinations, the annual national physical and medical rehabilitation (AAPMR) and electrodiagnostic (AANEM) in-service examinations, a year-end OSCE, ACGME resident case log data, multi-source evaluations and evaluation of scholarly activities. The process is formatted to be consistent with the ACGME developmental milestones for physical and medical rehabilitation training.