Physical Medicine & Rehabilitation Residency

Sites: Magee Rehabilitation Hospital, Bryn Mawr Rehabilitation Hospital (Brain Injury)

• Brain Injury: Provides exposure to patients along the spectrum of consciousness stemming from traumatic and non-traumatic etiology. Magee is the first Commission on the Accreditation of Rehabilitation Facilities (CARF) accredited Brain Injury Unit in the country. 
• Medically Complex: Provides exposure in the care of patients requiring intensive rehabilitation as a result of amputation, cancer, LVAD placement,  SCI, stroke, transplant, or trauma.  
• Spinal Cord Injury: TJUH and Magee form the Regional Spinal Cord Injury Center of the Delaware Valley, one of only 14 SCI model centers in the country.  
• Stroke: Provides exposure with in-depth training on the rehabilitation management of stroke survivors including younger and older adults. 

• Jefferson Rehabilitation Outpatient Clinics: Broad range of rehabilitation services including, but not limited to, musculoskeletal/spine/sports medicine (including osteopathic manipulation, blind and ultrasound-guided injection therapy), pain management, concussion/TBI, neuromuscular disorders (including EMG/NCS), orthotic and prosthetics, cardiopulmonary, wheelchair evaluation, spinal cord injury (including baclofen pump evaluation and management), spasticity management (including injection therapy) and follow-up from inpatient/consultation services. 
• Magee Rehabilitation Outpatient Clinics: General rehabilitation with specialized clinics for Spinal Cord Injury, pain management,  brain injury, spasticity management, neuro-ophthalmologic disease, urodynamics, and long-term follow-up on chronic disease. 
• Moss Rehabilitation Outpatient Clinics: General rehabilitation focusing on chronic pain management and orthotics. There is ample opportunity to participate in Gait Laboratory, Motor Control Laboratory, Intrathecal pain pump trials, and musculoskeletal medicine.  
• Musculoskeletal Radiology at Jefferson: Diagnostic and interventional ultrasound procedures of the musculoskeletal system, including joints, muscles, ligaments, and tendons.  
• Pain Center at Jefferson: Management of acute and chronic pain conditions via medications and interventional procedures, including epidural steroid injections, facet blocks, radiofrequency ablation, and spinal cord stimulator trials. 
• Rothman Orthopaedics:  Rotation focuses on musculoskeletal medicine, electrodiagnostic medicine, and interventional sports and spine rehabilitation techniques.

Sites: Jefferson Outpatient Clinic, Jefferson University Hospital - Methodist Campus, Moss Rehabilitation Hospital /Rothman Orthopaedic Institute.  

Residents have four dedicated months of electrodiagnostic medicine with additional exposure on inpatient and outpatient blocks throughout their residency. Residents will learn anatomy, physiology, and techniques required for electrical studies.  They will develop skills in analyzing and synthesizing information from multiple sources to defend the utility of performing conduction studies and needle electromyography to support a clinical impression generated by a history and physical examination. They will also develop skills in stating why conduction studies and needle electromyography would be of no value in diagnosing, managing, and predicting the outcome of motor unit disease without a supporting clinical impression.  

Site: Nemours Children's Hospital 

Nemours is affiliated with Jefferson University Hospital to provide pediatric care. Residents rotate at this institution for exposure to pediatric physiatry. This is a mixed inpatient, outpatient, and consult rotation where residents care for children with concussion, stroke, spinal cord injury, neuromuscular disorders, trauma, and cancer.  

Site: Moss Rehabilitation Hospital

This rotation exposes the resident to all phases of amputee management, including immediate post-surgical management, pre-prosthetic training, prosthetic prescription and adjustment, and gait analysis. This experience is a combination of inpatient, outpatient, and consultation activities. Multidisciplinary gait rounds evaluate gait deviations and refine the prosthetic or orthotic prescriptions. 

Site: Thomas Jefferson University Hospital/ Jefferson Hospital for Neuroscience  

The rotating PGY3 and PGY4 residents will be called upon to evaluate patients and determine rehabilitation-specific recommendations with the assigned attending. The rotation focuses on systems-based practice goals, including transitions of care and guiding the rehabilitation team, as well as interactions with other care providers (physicians and non-physicians) and services.