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PM&R Curriculum

 

 

Baylor University Medical Center at Dallas’ Physical Medicine and Rehabilitation residents spend three years training in the field of physiatry. Residents rotate through a variety of specialties in hospitals and clinics throughout Baylor Health Care System. 

 

On inpatient rotations, residents manage up to 15 patients at a time. Responsibilities include morning rounds on the entire service with the attending physician, discharge summaries, daily progress notes, new admission work ups and patient conferences. Residents gain experience with inpatient EMGs and Botox injections. During outpatient rotations, resident responsibilities vary among attending. Residents evaluate patients, develop treatment plans and dictate office notes.

 

A typical Physical Medicine and Rehabilitation rotation schedule:

 

 

YEAR          

 

RESIDENT A

 

RESIDENT B

 

RESIDENT C

 

PGY-2

 

 

 

 

Spinal Cord Injury

Consult Service

CVA

Outpatient 1

Pediatrics

General PM&R

 

 

Pediatrics

General PM&R

Spinal Cord Injury

Consult Service

CVA/TBI

Outpatient 1

 

CVA/TBI

Outpatient 1

Pediatrics

General PM&R

Spinal Cord Injury

Consult Service

PGY-3

Traumatic Brain Injury

Baylor Garland

 

Outpatient 2a

Spinal Cord Injury

 

Consult Service

Parkland Memorial

Hospital/Selective

 

 

Consult Service

Parkland Memorial

Hospital/Selective

Traumatic Brain Injury

Baylor Garland

 

Outpatient 2a

Spinal Cord Injury

Outpatient 2a

Spinal Cord Injury

 

Consult Service

Parkland Memorial

Hospital/Selective

Traumatic Brain Injury

Baylor-Garland PM&R Service

PGY-4

Outpatient 1

Cardiac Rehab/Selective

Senior

Outpatient 2b

Baylor Irving

Pediatrics

Baylor Irving

Pediatrics

Outpatient 1

Cardiac Rehab/Selective

Senior

Outpatient 2b

Senior

Outpatient 2b

Baylor Irving

Pediatrics

Outpatient 1

Cardiac Rehab/Selective

 

 

Baylor Physical Medicine and Rehabilitation Residency Programs and Locations

 

Spinal Cord Injury

Baylor Institute for Rehabilitation

Rita G. Hamilton, DO, attending

Census: 15 to 25

  • Primarily patients with traumatic spinal cord injuries, as well as non-traumatic cord injuries and post-surgical back patients
  • Residents gain experience in all areas of spinal cord injury management including spasticity, neurogenic bowel/bladder, autonomic dysreflexia, wound care and mental health

 

Traumatic Brain Injury

Baylor Institute for Rehabilitation

Rosemary “Randi” Dubiel, DO, attending

Census: 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

 

Senior Care

Baylor Institute for Rehabilitation

Amy J. WiIson, MD, attending

Census: 10 to 15

  • Exposure to multiple diagnoses such as multi-trauma, amputation and post fracture
  • Residents experience includes residual limb care, pain management and rehabilitation of multi-trauma
  • In preparation for practice, residents are responsible for many issues often reserved for attending physicians
  • Residents are responsible for covering electrodiagnostic consultations at BIR

 

Outpatient Care1

Sites include Baylor Tom Landry Health and Wellness Center and Baylor clinics in surrounding communities

Deacon Staggs, MD, Matt Bayazitoglu, MD, and April Koganti, MD, attending physicians

  • Residents gain experience with musculoskeletal issues including spine care. Soft tissue injuries arthritic conditions and sports injuries
  • Significant opportunities exist for procedures such as electrodiagnostic procedures and joint/tendon injections

 

CVA

Baylor Institute for Rehabilitation

Helen Patel, MD, attending physician

Census: 15 to 20

  • Residents experience management of multiple types of stroke syndromes including secondary consequences such as spasticity, dysphasia and cognitive impairments

 

Outpatient Care 2a

Multiple locations including some non-physiatric private physician offices

Multiple attending physicians

  • 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

Multiple locations including some non-physiatric private physician offices

Multiple attending physicians

  • Various clinics offer exposure to neurological diseases, musculoskeletal conditions, geriatrics, sports medicine and electrodiagnostics
  • Dedicated time for research provided during this rotation

 

Pediatrics

Our Children’s House at Baylor

Frank E. McDonald, MD and Rajashree Srinivasan, MD, attending physicians

Census: 10 to 20

  • Wide variety of pediatric consultations in a hospital setting dedicated to the acute and chronic care of children
  • Cases include 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

Multiple attending physicians

  • Residents gain experience in trauma consultations
  • Various clinics offer exposure to burns, amputations and diabetic foot management

 

Consult Services

Baylor University Medical Center at Dallas

Sridevi Mukkalama, MD, attending physician

  • Residents function 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 Rehabilitation

Baylor All Saints Medical Center at Fort Worth

Kurt Voss, DO and Omar Selod, DO, attending physicians

  • Residents gain experience in cardiac rehabilitation including diagnoses such as myocardial infarction, stable angina, heart failure and cardiac transplantation
  • Residents also assist in stress testing for patients entering the cardiac rehabilitation program

 

Selective

Various locations

Multiple attending physicians

  • Offers residents an opportunity to select an educational experience that complements their interests
  • Selective opportunities include outpatient, general inpatient, wound care and cardiac rehabilitation

 

Baylor Medical Center at Irving

David Lo, MD and Meredith Adams, DO, attending physicians

  • Residents gain experience in the practice of Physical Medicine and Rehabilitation 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 Baylor Specialty Hospital allow for experience with wound care

 

Baylor Medical Center at Garland

Rodney Thorley, MD, attending physician

Inpatient census: 10 to 12

  • Residents are exposed to inpatient rehabilitation in a community setting
  • Multiple diagnoses include 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

 

Sports Medicine

  • 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 residents the opportunity to develop confidence in managing acute sports injuries and illnesses.


Baylor Health Care System is located in Dallas, Texas