Physical Medicine & Rehabilitation

Resident Curriculum

The curriculum features 36 months of rotations over the three-year residency.  24 months are divided amongst the primary PM&R rotations (Inpatient Rehabilitation, PM&R Outpatient Clinics, PM&R Consults).  The remaining 12 rotations are PM&R related specialty care and two elective rotations.  A typical 3-year breakdown of rotations is shown below.  There is flexibility to interchange some of the specialty care rotations between PGY3 and PGY4 years, especially if residents are interested in pursuing a particular fellowship. 

The majority of rotations are completed at the University of Toledo Medical Center and outpatient clinics.  The remaining rotations are within city limits at ProMedica Toledo Hospital and affiliated clinics, and the Toledo Outpatient VA clinic.

Inpatient months are composed of managing patients at the 40 bed general rehabilitation unit (RHNO).  Typical caseloads will include patients with stroke, spinal cord injury, traumatic brain injury, amputation, multiple trauma, among many other conditions.  A large number of rehab referrals come from the nearby Level 1 trauma centers.  We also serve acute rehab needs for many smaller facilities in the nearby and wider area.

The outpatient clinic months include general rehabilitation clinic, and several specialty clinics, including Concussion/TBI clinic, Amputee clinic, Mobility/Wheelchair clinic, amongst others.

During outpatient clinic rotations there are ample opportunities for EMG and procedural training including botulinum toxin injections, fluoroscopic spine procedures, trigger point injections, and both unguided and ultrasound-guided peripheral joint and soft tissue injections.

During the Sports Medicine rotation there is exposure to Orthobiologic interventions.

A weekly resident continuity clinic is scheduled for PGY3 and PGY4 years of training to gain experience treating and managing your own patient panels.

In addition, there is a monthly ultrasound or fluoroscopic guided procedure training session with cadaver specimens for all PM&R residents. This takes place monthly at the Simulation Center on campus.  

A TYPICAL Breakdown of Rotations:

  • PGY-2

  • Inpatient Rehabilitation 9 months
  • PM&R Outpatient Clinics 2 months
  • PM&R Consults 1 month

  • PGY-3

  • Inpatient Rehabilitation 2 months
  • PM&R Outpatient Clinics 5 months
  • PM&R Consults 1 month
  • General Orthopedics 1 month
  • Sports Orthopedics 1 month
  • Neurology 1 month
  • Elective 1 month
  • Continuity Clinic Weekly

  • PGY-4

  • Inpatient Rehabilitation 1 month
  • PM&R Outpatient Clinics 5 months
  • PM&R Consults 1 month
  • Interventional Pain Management 1 month
  • Pediatric PM&R 1 month
  • Sports & Regenerative Medicine 1 month
  • Rheumatology 1 month
  • Elective 1 month
  • Continuity Clinic Weekly
 

Last Updated: 6/12/18