Curriculum

Residents participate in an 18-month didactic cycle consisting of at least three hours per week of core didactic material and two to three hours per week of interactive sessions. Didactic seminars and clinical conferences are protected learning time for residents.

The 18-month cycle includes a two-hour slot for major didactics that is offered each week on Thursdays for three hours and one hour of virtual lecture is during the noon hour earlier in the week. Lecture time is protected for residents.

Course Topics:

  • Arthritis
  • Billing and Coding
  • Biomechanics/ Gait
  • Cancer
  • Cardiopulmonary
  • Career planning
  • EMG/ Neuromuscular
  • Financial planning
  • Geriatrics
  • Industrial
  • MSK/ Sports
  • Pain
  • Pediatrics
  • Prosthetics and Orthotics/ Amputee
  • Research
  • SAE
  • SCI
  • Spasticity
  • Stroke
  • Therapeutics
  • Ultrasound

Interactive Resident lead sessions:

  • Anatomy
  • EMG Case Review
  • Journal Club
  • Mock Oral boards
  • Morbidity and Mortality conference
  • Musculoskeletal Case Review
  • Psychology Professor Rounds
  • SAE review

Workshops:

  • EMG 
  • Ultrasound 
  • Physical exam skills 

Grand Rounds:

  • MetroHealth grand rounds are held monthly
    • One Grand Rounds presentation for each PGY-4 on an area of interest
  • Interdisciplinary Spine/ Pain meeting (participants include PM&R, neurosurgery and ortho spine)
  • Quarterly city-wide collaborative grand rounds with Cleveland Clinic, University Hospitals and VA

Rotation

 PGY2 PGY3 PGY4
Inpatient 7 3 1
Outpatient 2 2 5
Specialty (EMG) 1 1
Consult / Research 1 1
VA Inpatient 2 1
VA Outpatient / EMG

2
CCF 1 1
CCF Pediatric
1 1
Elective
2 1

Outpatient blocks include:

  • Pain: Clinic and pain procedures including fluoro 
  • MSK: Sports clinic and ultrasound injections
  • Neurological: TBI, concussion, stroke, SCI, ITB
  • General: Lymphedema, Cancer, Amputee
  • Specialty: Ultrasound injections, Botox and EMGs

Detailed Year Schedule:

Categorical PGY-1s

  • Approximately 21-22 weeks of Inpatient (General Medical Floor, Cardiac Telemetry, Medical Stepdown Unit)
  • Approximately 6 weeks of Night Float (General Medical Floor)
  • Approximately 12 weeks of Elective
  • 4 weeks of MH Inpatient PM&R
  • No clinic as a PM&R intern
  • 4 weeks of vacation

PGY-2

  • 2 months – MH SCI Inpatient
  • 2-3 months – MH Stroke Inpatient
  • 2-3 months – MH TBI Inpatient
  • 2 months – MH Outpatient Clinic (1 Pain block/1 MSK block)
  • 1 month – VA SCI Inpatient
  • 1 month – VA General Rehab Inpatient
  • 1 month – MH Consult/Research

PGY-3

  • 1 month – CCF MSK Outpatient
  • 1 month – CCF Peds Rehab Outpatient
  • 1 month – VA General Rehab Inpatient
  • 1 month – MH Stroke Inpatient
  • 2 months – MH SCI Inpatient
  • 2 months – MH Outpatient Clinic (1 Pain block/1 General block)
  • 1 month – MH Specialty (EMG/procedures)
  • 2 months – Elective
  • 1 month – MH Consult/Research

PGY-4

  • 5 months – MH Outpatient Clinic (2 Neuro blocks/1 General block/2 MSK blocks)
  • 2 months – VA EMG/Outpatient MSK
  • 1 month – CCF Peds Rehab Outpatient
  • 1 month – Elective
  • 1 month – MH TBI Inpatient
  • 1 month – MH Specialty (EMG/procedures)
  • 1 month – CCF Consult

We have continuity clinics for PGY3 and 4s. One year will be in either Neuro or MSK clinic and the following year you switch to the other clinic.

  • Neuro based clinic: inpatient follow ups, concussion, stroke, TBI
  • MSK based clinic: acute msk, sport injuries, peripheral joint injuries
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