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Curriculum

The curriculum of the Physical Medicine and Rehabilitation (PM&R) Residency Program at Rutgers Robert Wood Johnson Medical School follows topics delineated in the syllabus published by the American Academy of Physical Medicine and Rehabilitation. Each month a different topic in the area of physical medicine and rehabilitation is addressed in depth. Conferences include weekly lectures with department chairmen and an extensive syllabus review course, Journal Club, anatomy cadaver lab, radiology lecture series, grand rounds, case reviews, department seminars, and lectures given by visiting speakers.

Throughout their training, residents also participate in prosthetics courses, orthotics courses, EMG courses, head injury courses, trach workshop, joint injection workshop, and other training. CME lectures are also part of the residents’ weekly schedule.

Senior residents participate in an extensive board review course, which extends from January through June of the senior year. This course helps prepare seniors for part I of their board-certification examination.

Residents are exposed to a balance of 65/35 inpatient/outpatient clinical experiences. Residents benefit from a 1/1 teaching ratio. This allows for a significant amount of individualized attention to be given to each resident during his/her training.

Rehab Residents SAE Topic Schedule

Month SAE Topic SAE Presentation Attending
July Nerve and Muscle PGY 3 Lin

August

EMG PGY 4 Lin
September Stroke PGY 4 Cuccurullo
October Spinal Cord Injury PGY 4 Escaldi
November Pain PGY 4 Quevedo
December Brain Injury PGY 3 Malone
January Pediatric Rehab PGY 2 Rossi
February Industrial Medicine/ Musculoskeletal Medicine PGY 3 Brown
March Prosthetics and Orthotics PGY 3 Uustal
April Cardiac/Pulmonary/Cancer/Geriatrics PGY 2 Jafri
May Sports/Performance PGY 2 Brown
June Rheumatology/Ortho/Physical Therapeutics PGY 2 Urs


APPENDIX B - LIST OF LECTURES (Sample Schedule for Musculoskeletal Month)

Date Title Faculty Name
Self - Assessment Educational (SAE) Sessions Dr. David Brown
Research Lecture: Case Studies and Case Series Dr. Yelena Goldin
Journal Club: Sensitivity of Straight Leg Testing 
Supine vs. Sitting Dr. Joseph Lee
Grand Rounds: Essential of Core Stabilization Dr. Joseph Jimenez
Resident Lecture: Osteoporosis Treatment Resident
Lectures from Guest Speakers
Essentials of Musculoskeletal Care: Shoulder/Elbow Dr. Doug Metz
Essentials of Musculoskeletal Care: Spine Physical Exam Dr. Gregory Przybylski
Essentials of Musculoskeletal Care: Hand Dr. Norman Batra

Range of Motion for PGYII

Physical Therapy Department
Manual Muscle Testing for PGYII Physical Therapy Department
Assistive Devices for PGYII Physical Therapy Department
Modalities for PGYII Physical Therapy Department
Neuropsychiatry Evaluation for PGYII Neuropsychology Department
Basics of Splinting for PGYII Occupational Therapy Department
Conferences/Courses/Workshops
Tracheostomy Workshop for PGYII Dr. Krishna Urs
Anatomy Course for PGYIV Rutgers Robert Wood Johnson Medical School Orthopedic Surgery Department


RESIDENT ANNUAL COURSES

July
Tracheostomy Workshop JFK Johnson Rehabilitation Institute/Rutgers Robert Wood Johnson  Medical School
Anatomy Cadaver Course Rutgers Robert Wood Johnson Medical School
August
Anatomy Cadaver Course Rutgers Robert Wood Johnson Medical School
September
MSK Joint Injection Workshop JFK Johnson Rehabilitation Institute
November
Practice Management Course AAPM&R Course
December
Orthotics Course Temple University

March

Electrodiagnosis and Clinical Neurophysiology Jefferson Medical College
New Jersey Society Resident Seminar JFK Johnson Rehab Institute/Kessler
April
Prosthetics Course University of Pennsylvania Health System
May
Chief Resident Seminar Rutgers Robert Wood Johnson Medical School


Physical Medicine and Rehabilitation Residency ACGME Competency Program

Utilizing the guidelines/tool box outlined by the ACGME, the competency development committee developed a comprehensive competency program. This program integrates the six general competencies into our existing academic and clinical curriculum.

Curriculum

Our clinical rotations and academic curriculum have historically been centered around the individual AAPM&R syllabus topics (as published in the archives of PM&R).

  • CLINICAL COMPONENT - A clinical rotation is assigned for each topic, with an Attending Physician who is a subject matter expert
  • ACADEMIC COMPONENT - A full month of blocked time lectures including review of syllabus material
Clinical Component Syllabus Academic Component (One topic assigned per month)
PGY 2 Inpatient Traumatic Brain Injury Congenital & Acquired Brain Injury & Stroke Disorder
Inpatient Cardiac/Pulmonary Cardiopulmonary Rehabilitation
Inpatient Neuromuscular Neuromuscular Rehabilitation
Inpatient Spinal Cord Injury Spinal Cord Injury
PGY 3 Inpatient & Outpatient EMG Electro diagnostic Medicine
Pediatrics Pediatric Rehabilitation
Outpatient Spasticity Spasticity Management
Acute Care Inpatient Consults Medicare (Billing & Coding Module) & Systems Based Protocol
PGY 4 Outpatient & Inpatient Prosthetics & Orthotics Prosthetics, Orthotics, & Assistive Devices & Rehabilitation in Limb Deficiency
Outpatient Musclosketal Muschloskeletal Rehabilitation
Acute Care Inpatient Rehabilitation of Orthopedic & Rheumatologic Disorders
Consults and Subacute Physiatric Therapeutics and Geriatric Rehabilitation
Elective

For each rotation, the Attending, who is a subject matter expert, participated in several meetings to assist with the development of competency materials specific to that rotation.

For each clinical rotation, a separate set of competency assessment tools were developed.

  • History and Physical Exam Checklist - Developed for the major diagnostic groups encountered within each clinical rotation
  • Multiple Chart Simulated Oral Exams (Oral Case Studies) - Developed for the major diagnostic groups encountered to assess each resident’s integration of academic knowledge into clinical practice. Case studies include differential diagnosis, treatment plan and prescription writing
  • Technical Skills Assessment - Developed for pertinent skill assessment
    • Joint injection
    • Tracheotomy management
    • EMG
  • Write ups - On each rotation residents are responsible for completing two write ups addressing and documenting all required Medicare bullets to ensure they are knowledgeable and compliant with Medicare coding and billing practices.

Globally for the program several other competency assessment tools were developed:

  • 360-degree global rating survey
  • Patient survey
  • Procedure log book