Spinal Cord Injury Fellowship

2018 Spinal Cord Injury ResidencyThe Department of Physical Medicine & Rehabilitation (PM&R) at Case Western Reserve University (CWRU) offers a one-year ACGME-accredited fellowship in Spinal Cord Injury Medicine. The SCI Medicine Fellowship is a 12-month program that offers specialized training in the prevention, diagnosis, treatment and management of traumatic and non-traumatic SCI. The SCI Medicine fellow will rotate through a variety of practice settings including The MetroHealth Medical Center (SCI Model System), The Louis Stokes Veterans Administration Medical Center (Regional Polytrauma Network) and The Cleveland Clinic Foundation. 

Fellowship Eligibility

The SCI Medicine Fellowship is open to physicians (US citizen or work eligible) who have successfully completed an ACGME-accredited residency in PM&R, plastic surgery, anesthesiology, emergency medicine, family practice, internal medicine, neurological surgery, neurology, orthopedic surgery, pediatrics, surgery or urology. Successful completion of the fellowship program satisfies the eligibility requirement to take the SCI Medicine Certification Examination. 

Fellowship Curriculum

The SCI Medicine Fellowship will include clinical experiences in the initial acute care management, acute rehabilitation and outpatient management of persons with SCI. During the various clinical rotations, the fellow will have the opportunity to work with seven SCIM-certified attending physicians in addition to specialists in trauma, spine surgery, pulmonary, critical care, pediatrics, plastic surgery, urology and neurology. Clinical experiences will be integrated with other clinical disciplines such as biomedical and mechanical engineering, physical and occupational therapy, speech and language pathology, recreation and music therapy, vocational therapy, respiratory therapy and psychology.

Several unique features of this fellowship include:

  • Pioneering implantable functional electrical stimulation technology, including devices for upper and lower extremity movement, bowel and bladder control, cough assist and diaphragm pacing for ventilator-free breathing
  • Innovative applications of assistive technology through integration with the Departments of Biomedical and Mechanical Engineering at CWRU and University of Toledo
  • Evaluation and follow-up of state-of-the-art procedures using tendon transfers and neuroprostheses that offer functional independence for individuals with high-level tetraplegia
  • New skin care techniques including pulsatile lavage, wound V.A.C. systems and electrical stimulation
  • Development of skills using a variety of diagnostic equipment including ultrasound, pressure mapping, electrodiagnostics, urodynamics and TCOM CO2 monitoring
  • Comprehensive management of spasticity using oral medications, electrical stimulation, neurotoxin injections, and intrathecal baclofen pumps
  • Teaching activities will include medical students from CWRU and residents at each clinical site
  • Unique integration of the Northeast Ohio Chapter of the United Spinal Association with patient care, resident education, research activities and wheelchair sports and recreation activities.

Please contact the Fellowship Coordinator, Randa Karim at [email protected] with any questions.