Inpatient Months

Community Inpatient Rehabilitation at St. Joseph Medical Center (2 months)
Two months are spent at St. Joseph Medical Center on the private rehabilitation service. This acute rehabilitation hospital has 30 beds.
           
Pediatric Rehabilitation (2 months)
Two months are spent at the C.S Mott Children's Hospital, a 348-bed acute care children's hospital with a pediatric rehabilitation service. The resident will work under the supervision of a pediatric physiatrist. Here the resident will run the inpatient service, do inpatient consults and spend one half day a week in the outpatient pediatric rehabilitation clinic.
 
Senior Resident Inpatient Rehabilitation (2 months)
Two months are spent as the senior resident on the inpatient floor. Here, the resident will act in a more supervisory role and teach the other residents. The resident also will work with the attending in reviewing possible admissions from outside hospitals. Four half days per week are spent in the EMG lab.
 
University Hospital Spinal Cord Injury Inpatient Rehabilitation (2 months)
At least two months are spent on the spinal cord service. Residents will work mostly with patients with spinal cord injury from different causes including trauma, transverse myelitis, cancer, ischemia, and ventilator-dependent patients.
           
University Hospital General Inpatient Rehabilitation (2 months) and Inpatient Neurorehabilitation (2 months) 
At least four months (2 months of general rehabilitation and 2 months of neurorehabilitation) are spent on the 32-bed inpatient rehabilitation unit. Our University Hospital is a 580-bed tertiary care center and a Level One Trauma-Burn center. The resident will work with patients with varying diagnoses such as stroke, brain injury, orthopedic procedures, malignancy, bone marrow transplant, solid organ transplants and amputees.
 
Veteran’s Affairs Subacute Inpatient Rehabilitation (2 months)
Four months are spent at the 200-bed Ann Arbor VA Hospital. During the PGY-2 and PGY-3 years, these months are spent managing the medical care and rehabilitation needs of veterans staying in the Veteran’s Affairs subacute inpatient rehabilitation facility, as well as attending a variety of outpatient clinics which include PM&R, orthotics and prosthetics, geriatrics, and neurology. During the PGY-4 year another two months is spent in outpatient clinics including the EMG lab, musculoskeletal clinic, spinal cord injury clinic, and pain management clinic.
 

Consult Months

Medicine-Trauma-Orthopedic Consults (2 months)
Two months are spent on the medicine, trauma and orthopedic surgery rehabilitation consult service at University Hospital seeing general medical, trauma/burn and surgical patients.
 
Neurology-Neurosurgery Consults (2 months)
Two months are spent on the neurorehabiltation consult service at University Hospital seeing neurology and neurosurgical patients.
           
Orthotics and Prosthetics (2 months)
Two months are spent on the Orthotics and Prosthetics service, which includes inpatient consults and outpatient clinics. (Wound care, lower extremity, upper extremity amputees, and adult and pediatric peripheral nerve injury clinics.)
 

Outpatient Months

EMG
Initial training is three months of learning how to perform electromyography and nerve conduction studies. Time will be spent with both Neurology and PM&R EMG clinics. Overall, residents will get about six months of EMG training.
 
Musculoskeletal (1 month)
This rotation will give exposure to the evaluation and management of common musculoskeletal problems, concussion management in athletes, participating in team clinics, and learning the basics of diagnostic ultrasound, ultrasound-guided injections, as well as tenex and other cutting edge procedures. 
 
Procedures (1 month)
This senior rotation allows the resident to get more experience with specific procedures including baclofen pump refills, MSK procedures, and interventional spine procedures.
 
Spine (2 months)
Two months are spent at the Spine Center, an outpatient facility dedicated to the prevention and comprehensive care of spine injuries with clinic days in our fluoroscopic-guided spine injection suite.
 
Subspecialty (1 month)
During this rotation, the resident spends time in the rheumatology, spinal cord injury, and pediatric rehab clinics as well as multidisciplinary clinics including ALS clinic, cancer rehab clinic, Down Syndrome clinic, ventilator clinic, wheelchair seating, and wound care clinic
      

Other

Elective (2 months)
Two months will be spent on electives. This is generally in the senior year within the Health System, and include going to outpatient clinics or working on research.  There is also the opportunity to do an away elective during this time.
 
Jeopardy (2 months)
The resident will cover other residents at the Inpatient Rehabilitation Facility,  pediatric rehabilitation unit and consultative services when they take days off. During the times when the resident is not covering for a colleague, time will be spent in the outpatient clinics or doing research.
           
Research (2 months)
Two months will be spent doing research. Prior to completing their residency training, residents are expected to complete a project such as a poster presentation, literature review with presentation or completion of a manuscript. There are multiple funding opportunities for resident research
 
Resident Continuity Clinic
PGY-3 & 4 residents have their own continuity clinic one half day a week. This provides an invaluable opportunity to get experience in seeing how disease processes mature, and handle return to community/work/driving issues, which could not be otherwise possible as residents.