The didactic curriculum is on a 12-month cycle and is organized in blocks by major topics. Core curriculum lectures cover, but are not limited to, the following topics: Anatomy, neuroanatomy, pathophysiology and kinesiology, brain, stroke and spinal cord disorders, neuromuscular and musculoskeletal conditions, sports medicine, cardiopulmonary rehabilitation, industrial rehabilitation, joint and connective tissue disorders, geriatrics, cancer and pediatric rehabilitation, prosthetic, orthotics and assistive devices, electrodiagnostic medicine, physical modalities, ethics, professionalism and business aspects of a PM&R practice.
Curricular activities include a weekly journal club, clinical case conferences, biweekly grand rounds, and internal medicine series. In addition, there are weekly EMG, MSK seminars and Board review sessions.
The core inpatient rehabilitation rotations are located at Burke Rehabilitation Hospital. Burke is a free-standing 150-bed, comprehensive rehabilitation facility located in White Plains, NY and specializes in rehabilitation of stroke, traumatic brain injury, spinal cord injury, amputee and cardiopulmonary patients. Each program provides a continuum of rehabilitative care for inpatients and outpatients. Each program has a dedicated team of multidisciplinary rehabilitation professionals (rehabilitation nurses, physical and occupational therapists, social workers, recreational therapists, speech therapists, etc.) who provide highly specialized and comprehensive rehabilitation management.
Brain Injury (BI) Rehabilitation Training
This rotation is conducted on the 30-bed TBI Unit at Burke and includes patients with TBI, brain malignancies and hemorrhagic strokes. Residents are involved in the management of all aspects of the patient's medical and rehabilitation care and learn to lead weekly team conferences. Their training is supervised by both neurologists and physiatrists both in the inpatient and outpatient settings.
Stroke Rehabilitation Training
Rehabilitation on the stroke rotation allows residents to gain experience managing patients with ischemic strokes and other neurological conditions, such as Parkinson’s disease and Multiple Sclerosis. The residence responsibilities and experience is similar to the TBI rotation, where the residents are involved in the management of all aspects of the patient's medical and rehabilitation care and learn to lead weekly team conferences.
Spinal Cord Injury (SCI) Rehabilitation Training
Residents have an opportunity to be involved in the management of a wide range of traumatic and non-traumatic spinal cord patients in inpatient and outpatient settings, including multiple sclerosis, transverse myelitis, tumors and post surgical degenerative spine diseases, scoliosis, failed back syndrome, and more. Residents acquire clinical skills in providing primary care to spinal cord patients along with specific medical and rehabilitative care and complications as related to spinal cord injury.
General Rehabilitation Training
This unit includes general deconditioning secondary to multiple medical co-morbidities, knee and hip joint replacements, fractures and major trauma. Residents are involved in the management of all aspects of the patient’s medical and rehabilitation care and participate in weekly conferences with the rehabilitation team.
Cardiopulmonary Rehabilitation Training
This is a unique program at Burke, where residents have the opportunity to work directly with a cardiologist and pulmonologist in the inpatient setting, addressing the rehabilitation needs of the patients. Residents will also have opportunities to work in Burke’s outpatient cardiac and pulmonary programs.
Amputee Rehabilitation Training
This rotation includes exposure to patients with amputations and co-existing medical conditions. Residents are involved in management of all aspects of the patient’s medical and rehabilitation care. They acquire clinical skills in wound care, pain management, gait analysis, prosthetic prescription and management.
Specialty rehabilitation clinics are held at Burke’s outpatient centers. Residents participate in stroke, brain injury, spinal cord injury, musculoskeletal, spasticity and rheumatology clinics. These continuity clinics allow residents to acquire clinical skills and knowledge in long-term rehabilitation management of a wide range of neurological conditions, pain management, amputee care, and evaluation and management of spasticity, including botulinum toxin therapy and intrathecal pump management. Residents also have the opportunity to rotate in private physician clinics specializing in sports and interventional pain management.
Electrodiagnostic (EDX) Rotation
Residents receive extensive training in performing NCSs and EMG and attend weekly clinical electromyography lectures that cover the mechanisms of neuromuscular diseases, nerve and muscle pathology and electrodiagnostic testing and interpretation. Over the course of the residency program, residents perform over 200 EDX studies under the direct guidance and supervision of AANEM board certified physiatrists.
Residents rotate at the Children’s Rehabilitation Hospital in White Plains, which provides intensive rehabilitation care for children with medical complications and their families and offers a continuum of care. Residents are involved in outpatient care for children of all ages. They are supervised by several experienced pediatric physiatrists and also have the opportunity to work with pediatric specialists including neurologists, urologists and orthopedic surgeons in the care of these children.