Clinical Curriculum

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, Radiology, 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 inpatient pediatric wards 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. 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. 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. Primarily 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 consult patient, consistent patient follow-up, and daily rounds with the attending. Outpatient clinical duties will also be included during this rotation.

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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. Resident assumes primary responsibility for 8 to 15 inpatients and assists in teaching rotating medical students. Daily rounds (Monday through Friday) with attending, progress notes, admissions, patient management as well as variable outpatient clinic duties are required.

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. Resident assumes primary responsibility for 12 to18 inpatients and assists in teaching rotating medical students. Daily rounds (Monday through Friday) with attending, progress notes, admissions, patient management as well as variable outpatient clinic duties are required.

PM&R Consult Service/Kentucky Clinic
Three months of inpatient acute care PM&R consults at the University of Kentucky Chandler Medical Center, with direct supervision by PM&R attending faculty. Resident is responsible for initial evaluation of consult patients, consistent patient follow-up, and daily rounds with the attending. Outpatient clinical duties also will be included during this rotation.

VAMC Inpatient
Two months inpatient and outpatient general rehabilitation evaluation and treatment with direct supervision by VAMC PM&R attendings. Resident assumes primary responsibility for five inpatient and two polytrauma outpatient clinics. Daily rounds are Monday – Friday with attendings , progress notes, admissions, patient management as well as variable outpatient clinic duties as required.

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PGY 3

Spinal Cord Injury Rehabilitation
Four months of inpatient and outpatient SCI rehabilitation at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. Resident assumes primary responsibility for 8 to15 inpatients and assists in teaching rotating medical students. Daily rounds (Monday through Friday) with attending, progress notes, admissions, patient management as well as variable outpatient clinic duties are required.

Pediatric Orthopedic Rehabilitation
Three 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. Resident assumes primary responsibility for 8 to15 inpatients and assists in teaching rotating medical students. Daily rounds (Monday through Friday) with attending, progress notes, admissions, patient management as well as variable outpatient clinic duties are required. Time in operating room is available.

General Rehabilitation
Four 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.

Kentucky Clinic Rehabilitation Technology or Elective
One month of outpatient clinic rotation at Kentucky Clinic and/or Cardinal Hill Rehabilitation Hospital with direct supervision by the PM&R faculty. Includes exposure to musculoskeletal and general rehabilitation population. Elective is available with prior approval through the Education Committee.

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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 first call resident is responsible for weekend rounds with the attending. PGY-IV residents are on second call every third week. A mobile phone is provided to the first call resident by the department.

The PGY III resident at Shriners Hospital for Children will take in house call on average of one day per week and one weekend per month.

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