The specialty of Physical Medicine and Rehabilitation is concerned with diagnosis, evaluation and treatment of patients with limited function as a consequence of diseases and injuries which may lead to physical and emotional impairments that result in disabilities. Emphasis is placed on maximal restoration of the physical, psychological, social, and vocational functions of the person. Physiatrists have special training in therapeutic exercise and physical modalities; management of musculoskeletal injuries; prosthetics, orthotics, and the use of other durable medical equipment; gait analysis; diagnosis and therapeutic injections; electrodiagnostic studies; and rehabilitation management.
Rehabilitation management of chronically ill and deconditioned individuals, with major emphasis on the maintenance and restoration of their functional integrity, can often prevent, reduce, or postpone disability. Goals include improvement, restoration, or maintenance in functioning with or without change in underlying disease process and creation and supervision of a program of restoration. Multidisciplinary teams are the backbone to rehabilitation; each team with their own role but all teams with the same goal. The physicians given the responsibility as the leader of the treatment team and in charge of the patient’s welfare.
Throughout the 3-year training program, each resident will gain experience in both inpatient and outpatient environments. At first, the resident may find that his or her input is limited, but with time and experience, he or she will develop the confidence to run team meetings, perform procedures, and provide accurate diagnoses and treatments. As the residents progress through training years, emphasis will switch from primary management of rehabilitation inpatient care to outpatient care, musculoskeletal care, electrodiagnostics, and pain management. The ability to function as an independent physician in the outpatient setting is crucial to becoming an excellent physical medicine physician.
The practice of rehabilitation medicine stresses interdisciplinary team work under medical supervision. Physiatrists are trained to direct and lead a team of health-related professionals that include physical therapists, occupational therapists, speech therapists, clinical psychologists, rehabilitation counselors, nurses, social workers, and group and community workers. All of these professionals collaborate with their medical colleagues in order to fulfill the goals of comprehensive medical care. Mobilization of essential family and community resources is emphasized. Planning and implementation of continuity of restorative care bridges the gap between intensive treatment and social re-integration.
The Jackson Health System/University of Miami Miller School residency training program is designed to fulfill these goals.
ACGME Accredited:In 2008 the program was reviewed, as a fully functional program, with all PGY levels filled. In 2009, the RRC granted the program a 10 year accreditation, the most time granted to a program. Re-evaluation is expected to take place in 2019.
Residents or Fellows per year: Six Physical Medicine and Rehabilitation Residents and two Spinal Cord Injury Fellows
Duration:Three years of training for PM&R residency. One year of training for SCIM Fellowship Postgraduate Training
Required: Intern year in medicine/surgery/transitional
U.S. Citizenship Required: No
Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:
- University of Miami
- Memorial Regional Hospital
- Mount Sinai Medical Center
- Miami VA Hospital
- Orlando VA Hospital
- Loma Linda University
- SUNY Upstate Medical University
- Indiana University
- Syracuse University
- Health South – Miami
Residents have matched into the following fellowships:
- University of Pittsburg Medical Center – Sports Medicine
- University of California Davis – Sports Medicine
- University of Colorado – Interventional Orthopaedics
- Orthopedic and Spine Specialists; York, PA – Interventional Spine and Sports Medicine
- Florida Spine Institute- Sports and Spine
- Jackson Memorial Hospital – Pain Management
- Mayo Clinic, Arizona – Pain Management
- University of South Florida – Pain Management
- Emory University – Pain Management
- Virginia Commonwealth University – Pain Management
- Jackson Memorial Hospital – Spinal Cord Injury
- San Antonio VA – Traumatic Brain Injury
Many residents have also joined private practices or started their own private practices.
Requirements: It is required for the applicant to complete an ACGME accredited Preliminary year program prior to starting the 3 year PM&R residency.
Application Deadline: February 1
The program participates in the Electronic Residency Application Service (ERAS) and all applications and documentation for the Physical Medicine and Rehabilitation residency program should be directed through that agency. Your student affairs office or other designated dean’s office should provide you with information and the software for the ERAS. The Jackson Memorial Hospital Residency Training Program is a member of the National Resident Matching Program.
We review every candidate on the merit of their portfolio taking in consideration first time takers and high scores. We accept USMLE and COMLEX Scores.. We require three (3) letters of recommendation, preferably one from a physiatrist. After the selection committee has reviewed applications, invitations for interviews are offered. Rounds, conferences, lunches, tours, and opportunities to meet our house staff typically are included in a visit.
We start reviewing applications via ERAS starting in September and interview invitations will be sent at the beginning of October. Interviews are typically held on Fridays starting mid-November through January.
For Fellowships: Paper applications are accepted.
Applications accepted May 1, 2016 – Sept 5, 2016
Rank list due September 21, 2016
Match day October 5, 2016
Didactic course series are held once a week. This is protected time to focus on learning through a multitude of resources. Lecture series include: prosthetics/orthotics, electrodiagnostics, anatomy and kinesiology (including cadaver prosection laboratory for the PGY2 class), physical examination, therapeutic modalities, orthopedic rehabilitation, principles of neurologic, cardiopulmonary, and musculoskeletal rehabilitation, manual medicine, neurotrauma, and pediatric rehabilitation.
Regularly scheduled academic discussions and activities include: monthly journal clubs, case presentation rounds both on the inpatient unit and consultative services, mortality and morbidity conferences, program director case conferences, board review club, formal research training, and grand rounds.
Interdisciplinary conferences include: spine conference, neuroradiology conference, rheumatology conferences, anatomy course with prosection laboratory, Neurosurgery grand rounds, Miami Project to Cure Paralysis lectures, Pain Fellowship conference, and Orthopedic grand rounds.
PGY 4 residents are required to participate in a Mock Oral exam program. As part of the program, each resident is required to complete a case vignette similar to that seen on the ABPM website in a topic chosen by the attending staff in charge of the program for that year. Failure to comply with the case or participate in the program will result in academic warning and/or probation. A total of 4 sessions will be held throughout the year.
Educational & Other Experience
The program trains physicians beginning at the second postgraduate year. It requires a preliminary year that includes at least six months of training in one of the following areas: internal medicine, general surgery, pediatrics and/or family practice. Residents must have passed part II of the USMLE/COMLEX to begin the residency.
The objectives of the program are to provide a post-doctoral specialty training in Physical Medicine and Rehabilitation and to enable the trainee, upon completion, to undertake state-of-the-art clinical practice, perform research, and/or pursue an academic career.
Our Residents will achieve competence in six key areas of physician training:
- Patient Care
- Medical Knowledge
- Systems Based Practice
- Interpersonal and Communication Skills
- Practice Based Learning
A state of the art ultrasound course was developed internally and is primarily resident run with the help of a sports trained physician acting as a proctor. Each resident will be proficient at evaluating a patient with the use of an ultrasound in the areas of: shoulder, elbow, wrist, hip, knee, and ankle.
In addition, we have a workshop that focuses on ultrasound guided injections along with fluoroscopy-guided injections on models.
- Jackson Memorial Hospital
- Miami Veterans Affairs Healthcare System
- Mt. Sinai Medical Center
- University of Miami Hospital
- University of Miami Hospitals & Clinics
The Future of the Program: Ground was broken April, 2015 for the building of the new Christine E. Lynn Rehabilitation Center. The estimated 173-million-dollar state of the art facility will give new opportunities to both Residents and patients. Building is scheduled to be completed in October 2018.
Board Exam Requirements
- Complete Physical Medicine and Rehabilitation Residency
- Pass all three parts of the USMLE/COMLEX step exams
Research helps stimulate critical thinking, allows for deep analysis and study of a given field of interest, and gives the individual a chance to contribute meaningfully to the current body of scientific work.
All residents will be required to develop a research interest and project. An original research project must be undertaken. One attending physician will be chosen, by each resident, to work as a mentor. The results of the research will be presented during the PGY 4 year at Research Day.
All PGY 4 residents are also required to submit an abstract to the AAPMR for consideration. If accepted the resident will present the poster at the annual meeting.
Ideally, all residents take at-home call. However, residents must live within a 10 mile radius to be eligible for at-home call. Otherwise, the hospital provides call rooms for each resident.
The number of calls per year decreases as you progress in the residency: PGY2 year has approximately 30 calls per year; PGY3 year has approximately 20 calls per year; and PGY2 year has approximately 10 calls per year. Weekend calls consists of rounding, placing orders, and writing notes on all inpatient services.