Physical Medicine and Rehabilitation Residency

Rotations

Our residents spend three years training in the field of physiatry after completion of an approved medical or surgical preliminary internship or transition year. Residents rotate through a variety of specialties in hospitals and clinics throughout Baylor Scott & White Health.

On inpatient rotations, residents manage up to 14 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 spasticity management.

During outpatient rotations, resident responsibilities vary among attending physicians. Residents evaluate patients, develop treatment plans and dictate office notes.

A Typical Rotation Schedule:

PGY-2

• BSWIR Complex Medical Management (1 month)

• BSWIR General Rehabilitation (1 month)

• BSWIR Stroke Rehabilitation (1 month)

• BSWIR Spinal Cord Injury (2 months)

• BSWIR Traumatic Brain Injury (1 month)

• BSWIR / Outpatient 3 – Complex Medical Management (1 month)

• Outpatient 1 – Electrodiagnostic Medicine (EMG) / Musculoskeletal (MSK) (2 months)

• Outpatient 5 – Sports and Spine (1 month)

• Consults (2 months)

PGY-3

• Approved Selective (1 month)

• BSWIR Traumatic Brain Injury (2 months)

• Outpatient 2 – General Rehabilitation (2 months)

• Baylor Scott & White Institute for Rehabilitation – Fort Worth Inpatient/Outpatient (2 months)

• Consults (2 months)

• Electromyography (EMG) (1 month)

• Pediatrics at Children’s Medical Center (1 month)

• Parkland Memorial Hospital (1 month)

PGY-4

• Approved Selective (1 month)

• BSWIR General Rehabilitation (1 month)

• BSWIR Stroke Rehabilitation (1 month)

• BSWIR / Outpatient Spinal Cord Injury (1 month)

• BSWIR / Outpatient Senior Rotation (2 months)

• Outpatient 4 – Interventional Pain (2 months)

• Outpatient 6 – Sports Medicine (1 month)

• Outpatient 7 – Neuro Rehabilitation (1 month)

• Administration (1 month)

• Pediatrics at Children’s Medical Center (1 month)

Conferences

Didactics

Didactic sessions are held from 7 a.m. to noon every Tuesday with subject matter corresponding to a 17-month rotating schedule of topics.

Presentations are assigned by the chief resident, program director and members of the medical education committee and are provided by multiple sources, including: attending staff, therapists, guest lecturers, nurses and residents. Residents typically give three to four presentations each year.

In addition, monthly lecture series are held on various topics – including EMG, spine, research methods and design, and neuroanatomy. During training, residents also participate in a human anatomy series and an ultrasound lecture series on campus.

Journal Club

Journal Club is held on the third Tuesday of the month. Articles corresponding to that month’s topics are presented by the assigned residents. Residents are encouraged to distribute articles of interest at any time, and the program director often sends copies of current, pertinent literature.

Grand Rounds

Grand rounds are held the second Tuesday of each month at BIR. 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

Our program values and supports rehabilitation research. Residents are encouraged to complete an IRB-approved project by graduation. This is done under the supervision of the medical education committee and with guidance from multiple attending physicians serving as individual mentors.

Support is also available from Baylor Scott & White Research Institute. BSWIR is one of only 10 centers nationwide to have a Traumatic Brain Injury Model System and a Spinal Cord Injury Model System. Model systems give residents access to multiple projects with robust data, funding, and support. Learn more here.

Residents can design a project or become involved in one of many ongoing studies.