Clinical Curriculum

PGY-1

The program for the PM&R intern year consists of four-week rotation periods as follows: Internal Medicine (four rotations); Neurology (two rotations); Orthopedics (two rotations); Pediatrics, PM&R, Neurosurgery, Family Medicine, and General Surgery (one rotation each). Our department shall be proactive in monitoring the educational progress of PGY-1 residents who are completing internship training at the University of Kentucky.

Pediatrics
One month of general outpatient pediatric rotation at the University of Kentucky Children's Hospital, with supervision by upper level pediatric residents and rotating faculty.

Neurology
Two months of neurology wards (stroke service +/- general neurology service) and/or consults at The University of Kentucky Chandler Medical Center and/or Veterans Affairs Medical Center, with supervision by upper level neurology residents and rotating faculty.

Family Medicine
One month of inpatient family medicine at UK's Good Samaritan Hospital with supervision by upper level family medicine residents and rotating faculty.

Internal Medicine
Three months of general or specialty internal medicine wards at the University of Kentucky Chandler Medical Center and/or Veterans Affairs Medical Center, with supervision by upper level internal medicine residents and rotating faculty.

General Surgery
One month of inpatient care on a general surgery service at UK's Good Samaritan hospital supervised by upper level surgery residents and rotating faculty. This rotation includes managment of post-operative wound care with close supervision by surgery residents and faculty.

Neurosurgery
One month of inpatient care on a busy neurosurgery service at the University of Kentucky Hospital, supervised by upper level neurosurgery residents and rotating faculty. This rotation includes ward care with close supervision by neurosurgery residents and faculty.

Orthopedic Surgery
Two months of inpatient ward service at the University of Kentucky Hospital and/or Veterans Affair Medical Center, with supervision by upper level orthopedic resident and rotating faculty. This rotation consits of post-operative patient care and emergency room evaluations.

PM&R
One month of inpatient, outpatient, and/or PM&R consults at the University of Kentucky Medical Center, with direct supervision by PM&R attending faculty. Resident with see patients in inpatient and outpatient setting and participate in PM&R specific procedures including intrathechal baclofen pump managment and neurolytic injections.

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PGY-2

Stroke Rehabilitation
Three months of inpatient and outpatient stroke rehabilitation at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. The resident assumes primary responsibility for inpatients and assists in teaching rotating medical and PA students. Daily rounds are Monday through Friday with the attending, which includes progress notes, admissions, management of patient care conference as well as variable outpatient clinic duties.

Traumatic Brain Injury Rehabilitation
Three months of inpatient and outpatient TBI rehabilitation at Cardinal Hill Rehabilitation Hospital, with direct supervision by a PM&R attending faculty member. The resident assumes primary responsibility for inpatients and assists in teaching rotating medical and PA students. Daily rounds are Monday through Friday with the attending daily and the resident is responsible for progress notes, admissions, patient care conference as well as variable outpatient clinic duties.

UK Outpatient PM&R
Participation in various outpatient clinics at the UK Clinic including musculoskeletal, spasticity, management, concussion, initial evaluations, and procedures. Direct supervision by PM&R attending faculty.

VAMC Polytrauma
Roation consists of a combination of inpatient and outpatient PM&R experiences. These include providing rehabilitation recommendations, assessing patients for TBI in poly trauma clinic, amputee and musculoskeletal clinics. Direct supervision provided by VAMC PM&R attendings.

 VA Consult Rehabilitation
Two months of inpatient consult service at Veterans Affair Medical Center, with direct supervision by PM&R attending faculty. Patients include stroke, SCI, TBI, amputees, orthopedics, multiple trauma, and rheumatology.

Pulmonary/ Medical Rehabilitation
Two months of inpatient service at Cardinal Hill Rehabilitation hospital. Patient exposure includes pulmonary disorders, cardiac disorders including post LVAD management, post-transplant managment, geriatrics, and cancer rehab. Direct supervision by PM&R attending faculty.

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PGY 3

Spinal Cord Injury Rehabilitation
Three months of inpatient and outpatient SCI general rehabilitation at rehabilitation to include patients with traumatic and non-traumatic SCI, burns, Parkinson's Disease to include manage of Deep Brain stimulators. This rotation occurs at Cardinal Hill Rehabilitaiton Hospital with direct supervision by a PM&R SCI attending faculty member. Resident assumes primary responsibility for inpatients and assists in teaching rotating medical and physician assistant students. Daily rounds are Monday through Friday with the attending and the resident is responsible for progress notes, admissions, patient care conference as well as variable clinics throughout the week.

Pediatric Rehabilitation
Three months of inpatient and outpatient pediatric orthopedics and PM&R at Shriners Hospital for Children, with direct supervision by an Orthopedic attending faculty member and PM&R attending faculty member. Also exposure to pediatric inpatient rehabilitation at Cardinal Hill Rehabilitation Hospital under the supervision of PM&R attending faculty member.

VA Musculoskeletal/EMG Rotation
Three months of outpatient rehabilitaiton at Veterans Affair Medical Center, with direct supervision by PM&R attending faculty. Resident assumes daily outpatient clinic duties for patients include stroke, SCI, TBI, amputees, orthopedics, multiple trauma, musculoskeletal disorders and rheumatology as well as early exposure to EMG.

Pulmonary/ Medical Rehabilitation
Inpatient service at Cardinal Hill Rehabilitation hospital. Patient exposure includes pulmonary disorders, cardiac disorders including post LVAD management, post-transplant managment, geriatrics, and cancer rehab. Direct supervision by PM&R attending faculty.

General Rehabilitation
Inpatient care at Cardinal Hill Rehabilitation hospital. Patient exposure includes amputee, multi-trauma, post-transplant managment, and cancer rehab. Direct supervision by PM&R attending faculty.

Elective- One elective month in a PM&R field of the residents choice with dedicated time to also participate in PM&R research.

 
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PGY 4

UK Electrodiagnostic Service
Three months of outpatient electrodiagnostic service at Veterans Affair Medical Center, with supervision by PM&R attending faculty. Resident assumes primary responsibility for performance and interpretation of electrodiagnostic studies and teaching of lower level residents.

UK Musculoskeletal Rehabilitation/Electrodiagnostic Service
Three months of  electrodiagnostic services at the Kentucky Clinic and well as a variety of musculskeletal and spasticity managment clinics. Direct supervision provided by PM&R attending faculty.

VA Consult Rehabilitation
Inpatient consult service at Veterans Affair Medical Center, with direct supervision by PM&R attending faculty. Patients include stroke, SCI, TBI, amputees, orthopedics, multiple trauma, and rheumatology.

General Rehabilitation
Inpatient care at Cardinal Hill Rehabilitation hospital. Patient exposure includes amputee, multi-trauma, post-transplant managment, and cancer rehab. Direct supervision by PM&R attending faculty.

Elective- Two elective months in a PM&R field of the residents choice with dedicated time to also participate in PM&R research.

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Other Clinical Opportunities
Additional clinical exposure to sports medicine is available through coverage of local high school, community college, University of Kentucky, and professional athletic events. Opportunities to participate in community service through various health fairs and local adaptive recreational activities.