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Rotations

OVERVIEW

Inpatient rotations form a solid base of PM&R knowledge in a variety of inpatient care settings including SCI, brain injury, stroke, and general rehabilitation services. Senior residents function as junior attendings integrally involved in directing patient team staffings, family meetings, and teaching junior residents.
 

Outpatient rotations provide exposure to orthotics/prosthetics, amputee clinics, gait analysis, and complimentary/alternative medicine. There is also the chance for hands on experience in pain management, including nerve blocks, epidural injections, PRP injections, MSK ultrasound, and opioid management. Residents will also be exposed to Pediatric Rehabilitation with a wide array of patient populations including cerebral palsy, spina bifida, muscular dystrophy, congenital myopathies, TBI, and SCI. Residents in Pediatrics will participate in movement disorder, spasticity, scoliosis, brachial plexopathy, and orthopaedic clinics. A senior continuity clinic is required for one half day per week during the 4th year with the attending(s) of your choice.

EMG exposure will take place for PGY-2s to -4s. Residents will acquire well over 200 cases during their residency, and this provides excellent experience to meet the American Board of Electrodiagnostic Medicine (ABEM) eligibility requirements.

Residents will also participate in consult services at UPMC Mercy and UPMC Presbyterian, including exposure to Acute Level I trauma patients—burns, TBI, multiple trauma, amputee, SCI, and acute stroke. This work will take place at one of the world’s leading centers in transplant surgery.

MODEL ROTATION SCHEDULE

Model Schedule for Categorical PGY-1
Floor Medicine
3 blocks
Night Medicine
1 1/2 blocks
Neurology
1 block
Rheumatology
1 block
CCM
1 block
Radiology 1 block
ER
1 block
PM&R Junior Inpatient Rotation
1 block
Electives
2 1/2 blocks
 
Inpatient
Outpatient
PGY-2
8 months
SCI
Stroke
Acquired BI
Medically Complex Community Rehab
2 months
General Psychiatry
1 month each
Research
Private Practice
PGY-3
4 months
TBI
Medically Complex General Rehab
2 months
EMG 
MSK
Consults
1 month each
Pediatrics
Electives
PGY-4
2 months
Acquired BI
Cancer Rehab
3 months
EMG
Elective
1 month each
Sports
MSK
Pediatrics
Private Practice

ROTATION SITES

The 1st year (PGY1), consists of rotations in internal medicine, inpatient rehabilitation, rheumatology, neurology and radiology, and elective time. Years two through four (PGY2-PGY4) are devoted primarily to rehabilitation rotations in inpatient and outpatient settings including:
 
UPMC Mercy – Rehabilitation Institute – Primary site for inpatient rotations with specialized units for brain injury, SCI, stroke, and general rehab. This is also an outpatient clinic site for junior and senior rotations with specialty clinics in brain injury, SCI, stroke, spasticity, and concussions. UPMR Mercy is also the home to one of the few adult spina bifida clinics in the country.
 
UPMC Presbyterian – Main site for inpatient and outpatient rotations in the Oakland neighborhood of Pittsburgh. This site is includes Montefiore and Presbyterian hospitals, Western Psychiatric Institute, and the Kaufmann Medical Building in one interconnected complex. Referrals for the consult service with specialties ranging from organ transplantation, trauma, and neurosurgery, as well as newly renovated EMG laboratories.
 
UPMC Montefiore – Site contains a 20-bed inpatient rehab unit. Each room is equipped with smart technology allowing for streamlined access to patient data, patient educational materials, and improved patient communications. This is also the site for referrals for consult service, ICUs, and a transitional care unit.
 
Kaufmann Medical Building – One of the outpatient clinic sites servicing a varied patient population—including those seen in amputee, spasticity, pain, and MSK clinics.

UPMC Shadyside – A part of the UPMC Rehabilitation Institute, this site serves patients with brain injuries, SCI, amputations, and other conditions. This is also the EMG training site.
 
UPMC St. Margaret, Presbyterian, and Passavant – Sites for general inpatient rotations as well as EMG.
 
UPMC Children’s Hospital of Pittsburgh – Site of an 8-bed inpatient unit for children with acute and chronic disabilities and congenital disorders. Main site for the pediatric rotation with multidisciplinary clinics for spina bifida, cerebral palsy, and spasticity management. General rehab clinics and centers for botox and EMG treatment are located here as well.
 
UPMC Center for Sports Medicine – One of two sites for the sports medicine rotation—includes exposure to sports-related injuries and rehab.
 
UPMC Lemieux Sports Complex – Second site for the sports medicine rotation—home to outpatient MSK medicine and ultrasound-guided procedures.
 
Additional Outpatient Centers
  • UPMC Spine Center – Outpatient rehab, MSK, sports-related injuries
  • Mercy Professional Building at UPMC Mercy – Private practice, general rehab outpatient clinic
  • Center for Assistive Technologies – Evaluations for wheelchair mobility and other assistive devices in a multidisciplinary clinic
  • Jefferson Hospital – Private practice for EMG
  • MRI Cranberry – Private practice for outpatient rehab
  • Bethel Park, South Hills – Private practice for EMG and interventional pain medicine injections
  • Monroeville Clinic and Same-Day Surgical Center – MSK and sports medicine clinic, and interventional pain medicine injections
  • Washington, PA Clinic – Private practice for MSK and sports medicine