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Physical Medicine and Rehabilitation Residency
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| Program Highlights |
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| YEAR |
RESIDENT A |
RESIDENT B |
RESIDENT C |
| PGY-2 |
Spinal Cord Injury |
Pediatrics |
CVA |
| |
Consult Service |
Amputee/Trauma |
Outpatient 1 |
| |
CVA |
Spinal Cord Injury |
Pediatrics |
| |
Outpatient 1 |
Consult Service |
Amputee/Trauma |
| |
Pediatrics |
CVA Service |
Spinal Cord Injury |
| |
Amputee/Trauma |
Outpatient 1 |
Consult Service |
| |
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| PGY-3 |
Traumatic Brain Injury |
Consult Service |
Outpatient 2a |
| |
Baylor Garland |
Parkland Memorial Hospital |
Spinal Cord Injury |
| |
Outpatient 2a |
Traumatic Brain Injury |
Consult Service |
| |
Spinal Cord Injury |
Baylor Garland |
Parkland Memorial Hospital |
| |
Consult Service |
Outpatient 2a |
Traumatic Brain Injury |
| |
Parkland Memorial Hospital |
Spinal Cord Injury |
Baylor-Garland PM&R Service |
| |
|
|
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| PGY-4 |
Outpatient 1 |
Baylor Irving |
Senior |
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Cardiac Rehab/Selective |
Pediatrics |
Outpatient 2b |
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Senior |
Outpatient 1 |
Baylor Irving |
| |
Outpatient 2b |
Cardiac Rehab/Selective |
Pediatrics |
| |
Baylor Irving |
Senior |
Outpatient 1 |
| |
Pediatrics |
Outpatient 2b |
Cardiac Rehab/Selective |
Spinal Cord Injury
• Location: Baylor Institute for Rehabilitation
• Attending: R. Lance Bruce, MD
• Census 15-25
• Service comprised primarily of traumatic SCI in addition to non-traumatic cord injuries and post-surgical back patients
• Residents will gain experience in all areas of SCI management, including spasticity, neurogenic bowel/bladder, autonomic dysreflexia, wound care, and mental health
Traumatic Brain Injury
• Location: Baylor Institute for Rehabilitation
• Attending: Mary C. Carlile, MD
• Census typically 15 to 20
• Exposure to multiple diagnoses including traumatic brain injury, intracranial hemorrhage, and intracranial infection
• Residents gain experience in all areas of TBI management including dysphagia, spasticity management, cognitive deficiencies, heterotopic ossification, and DVT
Amputee/Trauma
• Location: Baylor Institute for Rehabilitation
• Attending: Amy J. Wilson, MD
• Census 15-20
• Exposure to multiple diagnoses such as multi-trauma, amputation, and post-fracture
• Resident experience includes residual limb care, pain management, and rehabilitation of multi-trauma
Senior
• Location: Baylor Institute for Rehabilitation
• Attending: Amy J. Wilson, MD
• Similar to the amputee/trauma service with additional responsibility
• In preparation for practice, residents are responsible for many issues often reserved for attending physicians
• Residents on this service are responsible for covering electrodiagnostic consultations at BIR
Outpatient 1
• Location: Sites include Baylor Tom Landry Health and Wellness Center and Baylor clinics in surrounding communities
• Attendings: Christopher J. Garrison, MD and Christopher Siodlarz, DO
• Residents gain experience with musculoskeletal issues including spine care, soft tissue injuries, arthritic conditions, and sport injuries
• Significant opportunities exist for procedures such as electrodiagnostic procedures and joint/tendon injections
CVA
• Location: Baylor Institute for Rehabilitation
• Attending: Les D. Porter, MD
• Census 20 - 25
• Resident experience in the management of multiple types of stroke syndromes, including secondary consequences such as spasticity, dysphasia and cognitive impairments
Outpatient 2a
• Location: Multiple sites, including some non-physiatric private physician offices
• Attendings: Multiple
• Various clinics offer experience in occupational medicine, neurological disease, musculoskeletal medicine, wound care, amputee clinic, sports medicine, pain management and GU/CMG clinic
• Dedicated time for research provided during this rotation
Outpatient 2b
• Location: Multiple sites, including some non-physiatric private physician offices and the Baylor Geriatric Center
• Attendings: Multiple
• Various clinics offer exposure to neurological diseases, musculoskeletal conditions, geriatrics, sports medicine and electrodiagnostics
• Dedicated time for research provided during this rotation
Pediatrics
• Location: Our Children's House at Baylor
• Attending: Frank E. McDonald, MD
• Census 10-20
• Wide variety of pediatric consultations in the setting of a hospital dedicated to the acute and chronic care of children
• Cases include such diagnoses as traumatic brain injury, congenital neurological disorders, and musculoskeletal disorders
• Residents also participate in pediatric rehabilitation clinic and gain experience in spasticity management including baclofen pumps and Botox injections
Parkland Memorial Hospital
• Location: Parkland Hospital on the campus of the University of Texas Southwestern Medical School
• Attendings: Multiple
• Residents gain experience in trauma consultations
• Various clinics offer exposure to burns, amputations, and diabetic foot management
Consult Service
• Location: Baylor University Medical Center
• Attending: David Lo, MD
• Residents gain experience functioning in a consultant's role for a variety of diagnoses, including trauma, stroke, and neuromuscular processes
• Residents gain extensive experience with complex electrodiagnostic cases
Cardiac Rehab/Selective
• Cardiac Rehabilitation
• Location: Baylor All Saints Hospital
• Attending: Kurt Voss DO and Omar Selod DO
• Residents gain experience in cardiac rehabilitation, including diagnoses such as myocardial infarction, stable angina, heart failure, cardiac transplantation
• Residents also assist in stress testing for patient entering the cardiac rehabilitation program
• Selective
• Location: Varied
• Attending: Varied
• Offers residents an opportunity to select a educational experience that complements their interests
• Selective opportunities include outpatient, general inpatient, wound care, and cardiac rehabilitation
Baylor Irving
• Location: Baylor Medical Center at Irving
• Attendings: Peter J. Rappa, MD and Meredith M. Adams, DO
• Residents gain experience in the practice of PM&R in the suburban setting, primarily working in outpatient clinics
• Various clinics offer exposure to neurological diseases, musculoskeletal conditions, geriatrics, electrodiagnostics, and pain management
• Consultations at the Baylor Specialty Hospital allows for experience with wound care
Baylor Garland
• Location: Baylor Medical Center at Garland
• Attendings: Randi Dubiel, DO and Christine Johnson, MD
• Inpatient census 10-12
• Residents exposed to inpatient rehab in a community setting
• Multiple diagnoses including stroke, joint replacement, and deconditioning
• Outpatient clinic sees primarily musculoskeletal cases in addition to wound care
• Hospital consults done in the afternoons during outpatient month
Clinical Responsibilities
On inpatient rotations, residents will manage up to 15 patients at a time. Resident responsibilities include morning rounds on the entire service with the attending, discharge summaries and daily progress notes on the patients being followed, working up new admissions, and attending patient conferences. Residents can also gain procedural experience with inpatient EMGs and Botox injections. During outpatient rotations, resident responsibilities tend to vary among attendings. In general, residents are responsible for evaluating the patient, coming up with a treatment plan, and then dictating an office note.
Didactics
Didactics sessions are every Tuesday morning from 7 to noon with subject matter corresponding to an 18 month rotating schedule of topics. Sessions are typically held in a conference room with comprehensive a/v equipment available, including hi-speed internet and a large flat-screen display. Presentations are assigned and arranged by the chief resident, with talks coming from multiple sources including attending staff, therapists, guest lecturers, nurses, and residents. Residents are typically called upon to give 3-4 presentations per year.
Journal Club
Journal Club is hosted once a month in the evening by an attending or outside sponsor at various sites including BIR, an attending's home, or a local restaurant. Articles corresponding to that month's didactic topic are presented by the assigned team, amounting to three articles. Residents are encouraged to distribute articles of interest at anytime and the program director often sends out copies of current, pertinent literature.
Grand Rounds
Grand Rounds are held once a month at BIR. Speakers are scheduled by Dr. Amy Wilson. Topics pertain to various aspects of rehabilitation medicine. Residents are responsible for presenting their research project to the department at a Grand Rounds session near the end of their fourth year.
Research
Each resident is responsible for completing a research project by graduation. This is done under the supervision of the Medical Education Committee, with multiple attendings serving as possible individual mentors. Support is also available from the Baylor Research Institute. Residents can design a unique project or become involved in one of many ongoing studies.
Sports Medicine Program
Each resident will have the opportunity to participate in medical coverage for athletic events, including professional soccer, high school football, and endurance events. The Sports Medicine Program allows for residents to develop confidence in managing acute sports injuries and illnesses.
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