Curriculum
Our PGY-1 rotations set the knowledge foundation required as our residents progress to PGY-2. The rotations include internal medicine, ICU, trauma, radiology, neurology, rheumatology, and neurosurgery. A unique feature of our PGY-1 year is our residents are excused from their rotations to attend PMR didactics every Thursday afternoon, thus fully integrating them into our residency program from the very first day.
PGY-2 year focuses on the caring for patients at our inpatient rehabilitation unit at Corewell Health Taylor Hospital. Residents will spend approximately 9 months on the inpatient unit, managing medically complex patients with diagnoses ranging from traumatic brain injury, stroke, spinal cord injury, hip fractures, medically complex, cardiac, and neuromuscular conditions.
In PGY-3, residents will rotate through various outpatient settings to learn core procedural skills, enhance and focus their neuro-musculoskeletal physical exams, broaden their problem-solving skills, and solidify their subspecialty areas of interest for future career aspirations. Residents get first-hand experience in the following procedures: landmark-guided and ultrasound-guided intra-articular steroid injections, trigger point injections, EMG and ultrasound-guided botulinum toxin injections for spasticity management and headache, intrathecal baclofen pump management, and various interventional spine procedures.
In PGY-4, residents will continue gaining experience on consult services, outpatient clinic rotations, outpatient pediatric rehabilitation and electives.
Our sample didactic schedule is below for each PGY level.
| PGY 1 (months) | PGY 2 | PGY 3 | PGY 4 |
| Internal Medicine (5) | Inpatient Rehabilitation (9) | Inpatient Rehabilitation (2) | Senior Inpatient (1) |
| ICU (1) | Consult Service (2) | Consult Service (2) | Consult Service (3) |
| Emergency Medicine (1) | Neuropsychology (1) | Outpatient Clinic (3) | Outpatient Clinic (4) |
| Rheumatology (1) | Interventional Pain Medicine (1) | Pediatric Rehabilitation (1) | |
| Neurology (1) | Orthopedic Surgery (1) | Orthopedic Surgery (1) | |
| Neurosurgery (1) | Neurosurgery (1) | Elective (1) | |
| Radiology (1) | Inpatient Pediatric Rehabilitation (1) | Board Review (1) | |
| Trauma (1) | Elective (1) |
Didactics
Our 12-month didactic curriculum encompasses the fundamental domains of physical medicine and rehabilitation as well as education on wellness, ethical principles, and contracts/compensation models
Our didactics are attending led with the exception of resident presentations including M&M, case reports and senior grand rounds.
In addition to formal lectures, our curriculum includes hands-on workshops focusing on aspects of ultrasound application with injection techniques and electrodiagnostic placement and analysis scheduled quarterly throughout the year.