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Physical Medicine and Rehabilitation

PHYSICAL MEDICINE &
REHABILITATION

EDUCATIONAL
PROGRAMS

CLINICAL INFORMATION

RESEARCH

Clinical Curriculum

PGY-1 PGY-2 PGY-3 PGY-4

PGY-1

The program for the PM&R intern year consists of four-week rotation periods as follows: Internal Medicine (four rotations); Neurology (two rotations); Orthopedics (two rotations); Pediatrics, PM&R inpatient consults, Neurosurgery, and Trauma Surgery (one rotation each). Our department shall be proactive in monitoring the educational progress of PGY-1 residents who are completing internship training at the University of Kentucky.

Pediatrics
One month of general outpatient or inpatient pediatric rotation at the University of Kentucky Children's Hospital, with supervision by upper level pediatric residents and rotating faculty.

Neurology
Two months of general neurology wards and/or consults at The University of Kentucky Chandler Medical Center and/or Veterans Affairs Medical Center, with supervision by upper level neurology residents and rotating faculty.

Internal Medicine
Four months of general or specialty internal medicine wards at the University of Kentucky Chandler Medical Center and/or Veterans Affairs Medical Center, with supervision by upper level internal medicine residents and rotating faculty.

Trauma Surgery
One month of inpatient care on a busy trauma service at the University of Kentucky Hospital, supervised by upper level surgery residents and rotating faculty. This rotation includes ward and TICU care with close supervision by surgery residents and faculty. Call is every third night.

Neurosurgery
One month of inpatient care on a busy neurosurgery service at the University of Kentucky Hospital, supervised by upper level neurosurgery residents and rotating faculty. This rotation includes ward and NICU care with close supervision by neurosurgery residents and faculty.

Orthopedic Surgery
Two months of inpatient ward service at the University of Kentucky Hospital and/or Veterans Affair Medical Center, with supervision by upper level orthopedic resident and rotating faculty. This rotation primarily of patient post-operative care and emergency room evaluations.

PM&R Consults
One month of inpatient acute care PM&R consults at the University of Kentucky Medical Center, with direct supervision by PM&R attending faculty. Resident is responsible for initial evaluation of the consult patient, consistent patient follow-up, and daily rounds with the attending. The resident will also participate in 1/2 day clinics to include musculoskeletal medicine and neurohabilitation clinics to include spasticity management such as Botox and intrathecal baclofen pump management.

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PGY-2

Stroke/Pulmonary Rehabilitation
Three months of inpatient and outpatient general and stroke rehabilitation at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. The resident assumes primary responsibility for 8 to 15 inpatients and assists in teaching rotating medical and PA students. Daily rounds are Monday through Friday with the attending, which includes progress notes, admissions, management of patient care conference as well as variable outpatient clinic duties.

Traumatic Brain Injury Rehabilitation
Three months of inpatient and outpatient TBI rehabilitation at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. The resident assumes primary responsibility for 12 to18 inpatients and assists in teaching rotating medical and PA students. Daily rounds are Monday through Friday with the attending daily and the resident is responsible for progress notes, admissions, patient care conference as well as variable outpatient clinic duties.

PM&R Consult Service/Kentucky Clinic
Two months of inpatient acute care PM&R consults at the University of Kentucky Chandler Medical Center, with direct supervision by PM&R attending faculty. The resident is responsible for initial evaluation of consult patients, consistent patient follow-up, and daily rounds with the attending. Outpatient clinical duties also will includ 1/2 day clinics to include EMG/NCS, musculoskeletal medicine and neurorehabilitation.

VAMC Inpatient
Three months general acute rehabilitation as well as participating in the inpatient polytrauma outpatient clinics evaluation and treatment with direct supervision by VAMC PM&R attendings. Resident assumes primary responsibility for two polytrauma outpatient clinics per week.

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PGY 3

Spinal Cord Injury Rehabilitation
Three months of inpatient and outpatient SCI general rehabilitation at rehabilitation to include patients with amputation, burns, cardiology, Parkinson's Disease to include manage of Deep Brain stimulators actue traumatic and non traumatic SCI, post transplant, multitrauma hip and joint replacement and general functional decline will be seen at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. Resident assumes primary responsibility for 15-20 inpatients and assists in teaching rotating medical students. Daily rounds are Monday through Friday with the attending and the resident is responsible for progress notes, admissions, patient care conference as well as variable clinic 3 1/2 days per week.

Pediatric Orthopedic Rehabilitation
Two months of inpatient and outpatient pediatric orthopedics at Shriners Hospital for Children, with direct supervision by an Orthopedic attending faculty member and PM&R attending faculty member. The resident assumes primary responsibility for 8 to15 inpatients and assists in teaching rotating medical students. Daily rounds are Monday through Friday with the attending daily; the resident is responsible for progress notes, admissions, patient care conference as well as variable outpatient clinic duties. Time in operating room is available if requested.

VA Outpatient Rotation
Three months of outpatient general rehabilitation at Veterans Affair Medical Center, with direct supervision by PM&R attending faculty. Resident assumes daily outpatient clinic duties for patients include stroke, SCI, TBI, amputees, orthopedics, multiple trauma, musculoskeletal disorders and rheumatology.

Elective- An elective will resume with the 2011-2012 academic year.

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PGY 4

Electrodiagnostic Service
Four months of outpatient electrodiagnostic service at Veterans Affair Medical Center, with supervision by PM&R attending faculty. Resident assumes primary responsibility for performance and interpretation of electrodiagnostic studies and teaching of lower level residents.

Musculoskeletal Rehabilitation/Electrodiagnostic Service
Four months of variable outpatient general, musculoskeletal and electrodiagnostic services at the Kentucky Clinic. Resident Direct supervision by PM&R attending faculty.

Consult Rehabilitation
Four months of inpatient consult service at Veterans Affair Medical Center, with direct supervision by PM&R attending faculty. Patients include stroke, SCI, TBI, amputees, orthopedics, multiple trauma, and rheumatology.

Other Clinical Opportunities
Additional clinical exposure to sports medicine is available through coverage of local high school, community college, University of Kentucky, and professional athletic events.

Night Call
Call is taken from home covering Cardinal Hill Rehabilitation Hospital. PGY-II and PGY-III residents are responsible for first call on Monday through Thursday, 5 p.m. to 7:30 a.m. and Friday through Sunday, 5 p.m. to 7:30 a.m. approximately every three weeks. The PGY II & III resident will alternate weekday and weekend call.The first call resident is responsible for weekend rounds with the attending and limited number of admissions. PGY-IV residents are on second call every third week.

The PGY III resident at Shriners Hospital for Children will take in house calls on average of one day per week and one weekend per month. There is a faculty member always on call for back up to the residents.

 

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Page last updated Tuesday, June 15, 2010