Curriculum
What our residents say...
"The PM&R program at URMC offers everything I was hoping for in a residency program. First and foremost, my co-residents feel like family, and our attendings are incredibly supportive and receptive to feedback. We also receive phenomenal training. Our inpatient unit takes care of a diverse patient population being a tier 1 trauma center, and the unit has grown in recent years (as well as added some phenomenal faculty!). We also perform many procedures in the outpatient setting and get hands on practice with interventions early in our training. My first knee injection was in my third year of medical school while on a PM&R rotation! On top of all of that, Rochester is a beautiful city with lots to do throughout the year. I really couldn't be happier with my residency experience!"
Greg Shinaman, M.D.
PGY 1 Year
The PGY1 year in our program is a preliminary year in Internal Medicine built into the residency with a curriculum that is geared specifically towards a career in PM&R. Rotations include General Medicine, ICU, Internal Medicine subspecialties as well as rotations with Neurology, Radiology and Pediatrics to supplement the breadth of knowledge necessary for PM&R. PGY1 year also includes a PM&R rotation in order to better prepare interns for entry into their PGY2 year.
Sample Schedule
Neurology |
| 6 weeks |
Internal Medicine |
|
|
|
| 18 weeks |
|
| 6 weeks |
|
| 4 weeks |
|
| 4 weeks |
Pediatric Inpatient |
| 2 weeks |
Radiology |
| 4 weeks |
PM&R |
| 4 weeks |
PGY 2-4 Years
During PGY2-4 years attending physicians work closely with residents, allowing more responsibility as indicated by the resident’s level of ability. Residents acquire core PM&R knowledge including gaining familiarity with the natural history and recovery for major rehabilitation diagnoses, performing functionally oriented history and examination (neurologic and musculoskeletal), and mastering the appropriate communication skills necessary to interface with patients, family and the team. Residents are trained on developing a rehabilitation plan of care, continuity with patients, and focus is placed on developing leadership skills. Diagnostic and procedural training is emphasized in outpatient rotations and includes ultrasound, EMG, ultrasound guided injections, spinal injections, and injections for management of spasticity including botulinum toxin injections and intrathecal baclofen management.
12 months Inpatient (Strong Memorial Hospital)
- *Brain Injury service
- *Spinal Cord Injury service
- *General PM&R (stroke and other neurologic disorders, oncology, transplant, advanced cardiac procedures including ventricular assistive devices (VAD), trauma, amputation, etc.)
2 months Consults (Strong Memorial Hospital)
3 months EMG
3 months Pediatrics/Mixed rotations
- *Peds Rheumatology, Peds Neurology, Peds Neuromuscular, Developmental Behavioral Peds, Peds PM&R, Peds Orthopedics, Peds Sports concussion, Peds PT/OT
- *Prosthetics & Orthotics and Cancer
3 months Interventional Spine
1 month Pain
2 months General PM&R Clinics
6 months Selectives (can select from any of the below)
- *2 months Elective (such as make-your-own elective, radiology, SNF/Rheumatology)
- *1 month Research
- *1 month Junior Attending (inpatient)
- *Can repeat any rotation above (such as Sports Medicine, Spine, Pain, etc)
Residents also have the opportunity to participate in our Resident Research Track which provides them with a longitudinal Research experience