PM&R RESIDENCY PROGRAM

1 PM&R RESIDENCY PROGRAM DEPARTMENT of PHYSICAL MEDICINE and REHABILITATION (PM&R) at VIRGINIA COMMONWEALTH UNIVERSITY (VCU) Welcome and thanks for your interest in the PM&R residency program at Virginia Commonwealth University (VCU) and the Medical College of Virginia Hospitals along with the McGuire Veterans Affairs Medical Center (VAMC). Our three-year fully-accredited PM&R residency program accepts 6 residents annually (through NRMP) and stresses comprehensive medical rehabilitation for individuals with traumatic brain injury, stroke, musculoskeletal injury, spinal cord injury, pediatric disorders, orthopedic and multi-trauma injuries, along with specialty outpatient clinics for pain management, musculoskeletal, sports medicine, electrodiagnosis and orthotics/prosthetics. Upon completion of our fully accredited PM&R residency, VCU graduates demonstrate the knowledge & skills to be highly competent Physiatrists and leaders in the field of PM&R. A combined approach of extensive clinical exposure, bedside teaching, formal lectures, and research mentoring is provided by an experienced and nationally recognized faculty. An Interdisciplinary team approach is utilized, working closely with physical/occupational/speech therapy, nursing, psychology, social work, along with other medical/surgical specialties: such as neurology, neurosurgery & orthopedics. For further information, please visit our website at: www.pmr.vcu.edu Contact Information for VCU PM&R Program Director: William McKinley MD (wmckinley@mcvh-vcu.edu) Program Coordinator: Wanda Allen (wcarlton@mcvh-vcu.edu) PO Box 980661, Richmond, VA 23298, (phone 804-828-4233; fax 804-828-5074) "STRENGTHS" OF VCU PM&R Nationally recognized state-of-the-art facilities at VCU and McGuire VAMC Well-rounded Clinical Exposure (Diversity: Patients, Facilities) Experienced and Dynamic Faculty with National Recognition Excellent Outpatient / Inpatient Ratio Structured and Comprehensive Didactic Training Interventional Spine and Pain Programs with extensive injection & ultrasound exposure 1:1 Faculty / Resident Ratio Research Mentorship with successful record of Resident Presentations / Publications TBI, SCI, Polytrauma & Amputation/Prosthetics Model Systems or Center of Excellence CLINICAL FACILITIES VCU/Medical College of Virginia Hospitals (MCVH) Rehabilitation & Research Center (RRC) - 41 inpatients beds (with specialty SCI and TBI units) and Consult Service Outpatient Clinics (Musculoskeletal, P&O, Pain, Rheum, Neuromuscular, SCI, TBI) VCU Spine Center (Sports Med, Musc-skeletal, Pain/injections, ultrasound) Electrodiagnostic (EMG) labs

2 McGuire Veteran Affairs Medical Center (VAMC) 15 bed Polytrauma / TBI specialty unit and Consult Service 60-bed SCI Medicine Service Pain Medicine Service (Pain, Injections, ultrasound) PM&R Outpatient Clinics (Musculoskel, P&O, Polytrauma, Cardiac, Day Rehab) Electrodiagnostic (EMG) Lab Subacute transitional-care BI and Polytrauma unit Sheltering Arms Rehabilitation Hospital (SAH) 40 inpatient beds and Day Rehab Program Outpatient Clinics (Musculoskeletal, Pain Management, EMG, P&O) Richmond Children's Hospital Outpatient Clinics (Neuromuscular, Cerebral Palsy, P&O, Spasticity, EMG, Gait Lab) Inpatient (transitional care) beds, Pediatric Rehab Consult Service Cumberland & Retreat Hospital Subacute Rehabilitation "Typical" 3-Year Resident Schedule Year Service # Months Type of Rotations PGY-2 Inpatient 6 SCI, General Rehab, Stroke Outpatient 6 Musculoskeletal, Pain, Polytrauma PGY-3 Inpatient 4 TBI, SCI Outpatient 3 Peds, Sports Med, P&O, Pain Med EMG 3 EMG Consults 2 PGY-4 Inpatient 2 Polytrauma Outpatient 5 Musculoskeletal, EMG, Pain, P&O EMG 3 Elective 2 RESIDENT ROTATIONS (over 3 years) Inpatient (12 months) Outpatient (14 months) EMG 6 months (plus additional EMG during outpatient and elective rotations) Consults (2 months - plus Consult Service at VAMC) Elective (2 months) RESIDENT ON-CALL SCHEDULE PGY-2: Home call (approximately every 6 th night) for VCU Medical Center PGY-3: Home call (weekly, approximately every 6 weeks) for VAMC PGY-4: Home call (weekly, approximately every 10 weeks) for VAMC

3 DIDACTICS Tuesday (VAMC Residents) - Musculoskeletal Anatomy Lecture Series, EMG Wednesday (VAMC Residents) Pain Grand Rounds, EMG, Jrl Club Thursday (VCU Residents) - lecture series Friday (All Residents) 7-8 am Faculty Lectures 8-9 am Grand Rounds 9-10 am Faculty Lectures/Case Presentation/M&M/Journal Club Additional weekly one-to-one (faculty-to-resident) lectures on most rotations Didactic Lecture Topics Functional Anatomy Physical Therapeutics Rehabilitation of Brain Disorders Rehabilitation of Spinal Cord Injury Rehabilitation of Musculoskeletal Disorders Orthotics and Prosthetics Rehabilitation of Muscle and Nerve Disorders Sports Medicine Electrodiagnosis Pediatric Rehabilitation Rehabilitation of Connective Tissue Disorders Cancer, Cardiac, and Pulmonary Rehabilitation Pain Management and Rehabilitation Industrial Rehabilitation Business, Administration RESEARCH The VCU Department of PM&R wishes to promote a greater understanding and appreciation of research among residents and every attempt will be made to facilitate this. Residents complete a research project during their residency with a departmental faculty advisor. Resident research updates are held semi-annually with a goal to have research projects presented at a national PM&R meeting. (See Resident Research Updates on our web page) RESIDENT CONFERENCE/COURSE ATTENDANCE American Academy of PM&R (AAPM&R) Association of Academic Physiatry (AAP) VCU and VAMC Dept PM&R Spinal Cord Injury Symposium VCU Dept PM&R Brain Injury Conference VCU Dept PM&R Electrodiagnosis Symposium VCU Dept PM&R Pain Management/Spine Symposium VCU and VAMC Dept PM&R Prosthetic / Orthotic Symposium *Additional academic meetings for research presentation (if warranted)

4 3-weeks/year paid vacation leave Administrative leave for conferences/courses Salary (2010-2011) PGY-1 - $44,776 PGY-2 - $46,026 PGY-3 - $47,684 PGY-4 - $48,581 PGY-5 - $50,808 VACATION/BENEFITS Benefits AAPM&R Dues Annually PM&R Book Allowance Travel, Registration and lodging to Conferences Clinic coats and laundry Access to VCU sports facilities Access to VCU on-site daycare On Call Meals - monthly allowance at VCU Insurance as follows a) Life b) Professional Liability c) Disability d) Health/Dental Pain Medicine Pediatric Rehab Neuromuscular/EMG Spinal Cord Injury Brain Injury Advanced Research Polytrauma Interventional Spine Care FELLOWSHIPS (Available at VCU/VAMC) Resident Clinical Rotations Resident clinical rotations (typically 2 months in duration) occur at: VCU Medical Center McGuire Veterans Affairs Medical Center (VAMC) Richmond Children s Hospital Community rehabilitation sites.

5 VCU Medical Center Rotations 1. General Rehabilitation: The general rehabilitation rotation at VCU provides care to patients with multiple medical problems, including Stroke, Orthopedic & Medically Complex issues, Polytrauma, Amputations, Cardio-Pulmonary and Cancer rehab. Resident s work closely with PM&R faculty (Patrick McGowan, MD) and the interdisciplinary team to learn medical treatment in the rehabilitation setting, restoring functional independence, team management skills, patient/family education and long-term management issues. 2. Spinal Cord Injury Rehabilitation: The spinal cord injury (SCI) rehabilitation service at VCU provides care to patients with traumatic and non-traumatic SCI. There is a 14-bed specialty SCI inpatients service along with SCI consult & long-term outpatient follow-up services. Residents work closely with PM&R faculty (William McKinley MD) and the interdisciplinary team to learn SCI medical management, anatomy/classification, neurological/functional outcomes, rehabilitation, secondary complications (spine stability, neurogenic bowel/bladder, pain, spasticity, skin care, DVT, sexuality, cardiopulmonary issues), equipment/modifications needs and patient/family education. 3. Brain Injury Rehabilitation: The brain injury (BI) rehabilitation service at VCU provides care to patients with traumatic & acquired brain injury, stroke, aneurysms, brain tumors and Parkinson s disease in a 14-bed specialty BI unit. Residents work closely with PM&R faculty (William Walker MD, Richard Kunz MD) and the interdisciplinary team to learn neuro-rehabilitation and the influence of medical & pharmacologic management on neurorecovery, BI medical management of cognitive deficits, agitation, spasticity, reflex sympathetic dystrophy, depression and seizures. 4. Consults: The PM&R consult service at VCU provides care to patients referred from the VCU Level 1 Trauma Center. Resident s work closely with PM&R faculty (Drs. McGowan, Kunz, McKinley) to assess patients with various traumatic and nontraumatic disorders. Residents provide evaluation and recommendations to guide other services as to the rehabilitation principles and when to recommend inpatient rehabilitation for a broad spectrum of patients in the acute care setting. 5. VCU Ambulatory Care Center (ACC) and VCU Sport and Spine Center: Residents work closely with PM&R (Mike DePalma, Maged Hamza, Yaoming Gu, Karen Steidle) and related faculty in VCU outpatient services to provide care for patients with various neurological and musculoskeletal needs, including: Musculoskeletal, Pain and industrial rehabilitation Injection techniques (spinal, ultrasound-guided, pump placement & refills) Prosthetics & orthotics (Physiatrists, prosthetists/orthotists). Specialty clinics (traumatic brain injury, spinal cord injury, spasticity) Rheumatology (Rheumatology & PM&R) Sports Medicine (Orthopedic & PM&R) Neuromuscular (Neurology & PM&R) Electrodiagnosis (PM&R & Neurology) 6. Pain Medicine and VCU Spine Center: The pain rehabilitation rotation at VCU provides care to patients with acute and chronic pain secondary to various etiologies, including: musculoskeletal/soft tissue, neurologic, and cancer. Residents work closely with PM&R faculty (Mike DePalma, Maged Hamza, Yaoming Gu, Karen Steidle Abu Qutubuddin MD, Pain Medicine Fellows) and the interdisciplinary team to learn specialty pain management approach including therapeutic, pharmacological and interventional treatment.

6 7. Electrodiagnosis (EMG): EMG services at VCU (under supervision of both PM&R and Neurology faculty) provides for a comprehensive overview and in-depth training/experience in all aspects of electrodiagnostics. Resident s work closely with faculty (William McKinley MD, Karen Steidle, MD) to receive graduated levels of responsibility and receive hands-on experience to over 200 EMG s. Formal weekly didactic lectures and competency worksheet/testing are provided to review neuromuscular anatomy/physiology, instrumentation and interpretation of EMG. 8. Elective Rotation: The elective rotation (2 months) for VCU PM&R residents provides an opportunity for expanded and in-depth experience with a variety of clinical or research endeavors, depending on their individual interests. Veteran s Administration Medical Center (VAMC) 9. VAMC General/Polytrauma Inpatient Service: The 15-bed inpatient polytrauma and general rehabilitation service at McGuire VA hospital provides care to patients with Polytrauma and general rehabilitation (including stroke, orthopedic and amputee). Resident s work closely with PM&R faculty (Shane McNamee, David Cifu, Gary Goldberg) and the interdisciplinary team to learn medical treatment in the rehabilitation setting, restoring functional independence, appropriate team management skills, patient/family education and long-term management issues. 10. SCI Medicine Service: The spinal cord injury (SCI) medicine service at VAMC provides care to patients with acute & chronic SCI on a 50-bed specialty SCI inpatients service along with SCI consult & long-term outpatient follow-up services. Residents work closely with the faculty (David Gater, Tim Lavis, Ted Castillo) and the interdisciplinary team to learn SCI medical management, anatomy/classification, neurological/functional outcomes, rehabilitation, secondary complications (spine stability, neurogenic bowel/bladder, pain, spasticity, skin care, DVT, sexuality, cardiopulmonary issues), equipment/modifications needs and patient/family education. 11. VAMC Electrodiagnosis (EMG) Service: EMG services at McGuire VAMC provides comprehensive overview and in-depth training/experience in all aspects of electrodiagnostics. Resident s work closely with PM&R faculty (William McKinley, Yaoming Gu, William Walker, Gary Goldberg, Douglas Murphy) to receive graduated levels of responsibility and receive hands-on experience to over 200 EMG s. Formal weekly didactic lectures and competency worksheet/testing are provided to review neuromuscular anatomy/physiology, instrumentation and interpretation of EMG. 12. VAMC Pain Medicine: The pain rehabilitation rotation at Maguire VAMC provides care to patients with acute and chronic pain secondary to various etiologies, including: musculoskeletal & soft tissue, neurologic, and cancer. Residents work closely with several PM&R faculty (Denise Lesher, Yaoming Gu, Jeff Ericksen, Robert Westrol, Lane Peterson, Pain Medicine Fellows) and the interdisciplinary team to learn specialty pain management approach including therapeutic, pharmacological and interventional treatment. 13. VAMC Outpatient Clinics: Residents work closely with PM&R (and related specialty) faculty (Jeff Ericksen, Shane McNamee, Tripti Jena, Douglas Murphy) in VAMC outpatient services to provide care for patients with various neurological and musculoskeletal needs, including: Polytrauma Prosthetics & orthotics (Physiatrists, prosthetists/orthotists). Specialty clinics (traumatic brain injury, spinal cord injury, spasticity) Musculoskeletal, Pain and industrial rehabilitation Specialized Pain Medicine & injection clinic Rheumatology (Rheumatology & PM&R) Cardiac Rehabilitation Electrodiagnosis (PM&R & Neurology)

7 Richmond Children s Hospital 14. Pediatric Rehabilitation: The pediatric rehabilitation rotation at VCU and Richmond Children s Hospital provides care to patients with cerebral palsy, muscular dystrophy/neuromuscular disorders, TBI, SCI, spina bifida, neurodevelopmental delays, JRA, spasticity, burns and scoliosis. Residents work closely with PM&R faculty (Eugene Monasterio, Chad Dillard) and the interdisciplinary team to experience a variety of inpatient and outpatient pediatric-rehab issues. Additionally, pediatric consultation services are available at VCU. Community Rehabilitation 15. Community inpatient rehabilitation: This rotation is based at Sheltering Arms Hospital (SAH), a non-profit rehab hospital in Richmond (with additional satellite-clinics throughout the city) that provides care to patients with general rehabilitation disorders (predominantly orthopedic, stroke and medically complex). Resident s work closely with PM&R physicians and the interdisciplinary team to experience interaction and referral patterns unique to the community based Physiatry, acute inpatient consultations, managing patients on the rehabilitation unit, optional EMG s and outpatient follow-up evaluations 16. Community Outpatient Clinics: Residents work with VCU and community PM&R faculty (Abu Qutubuddin) in outpatient services to provide care for patients with various neurological and musculoskeletal needs, including: Musculoskeletal, Pain and industrial rehabilitation Specialty Pain Medicine and Injection techniques Prosthetics & orthotics (Physiatrists, prosthetists/orthotists) Sports Medicine (Orthopedic & PM&R) Electrodiagnosis Subacute / long term care services DEPARTMENT OF PM&R CLINICAL FACULTY VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCU) AND VETERANS AFFAIR MEDICAL CENTER (VAMC) Site Interest & Expertise JUAN CARLOS ARANGO,PHD VCU Neuropsychology, Research MICHAEL BARCUS, MS VCU Research Administration (CERSE) DEBORAH CARUSO, MD VAMC Spinal Cord Injury DENIS CASTILLO, MD VAMC Spinal Cord Injury TED CASTILLO, MD VAMC Spinal Cord Injury DAVID CIFU, MD VCU, VAMC Brain Injury, Polytrauma, EMG, Chairman, Dept of PM&R Industrial Rehab MICHAEL DEPALMA, MD VCU Pain Management, Musculoskeletal, Medical Director, VCU Spine Ctr. EMG Director, Interventional Spine Care Fellowship

8 ADRIANNE DERY, MBA VCU Department Administrator STEVE DESCHNER, MD VCU Pain Medicine CHARLES DILLARD, MD VCU/Children s Pediatric Rehab JEFFREY ERICKSEN, MD VCU, VAMC Pain Medicine, Polytrauma, P&O DAVID GATER, MD, PHD VAMC Spinal Cord Injury Chief: McGuire VAMC SCI&D LANCE GOETZ, MD VAMC Spinal Cord Injury GARY GOLDBERG, MD VAMC TBI, Polytrauma, EMG ASHRAF GORGEY, PT, PHD VAMC SCI Research YAOMING GU, MD VAMC, VCU Pain Medicine, EMG, Musculoskeletal MAGED HAMZA, MD VCU Pain Medicine Director Pain Medicine Fellowship Director Neuromodulation Ctr NANCY HSU, PSYD VCU BI Neuropsychology TRIPTI JENA, MD VAMC General Rehab, Musculoskeletal JEFFREY KRUETZER, PhD VCU Neuropsychology Director of Neuropsychology Vice Chairman of Research RICHARD KUNZ, MD VCU TBI, Spasticity TIM LAVIS, MD VAMC Spinal Cord Injury DENISE LESTER, MD VAMC Anesthesia, Pain Management Dept Anesthesiology JENNIFER MARWITZ, MA VCU Neuropsychology J. PATRICK MCGOWAN, MD VCU Consults, P&O, Neuro Rehab WILLIAM McKINLEY, MD VCU, VAMC Spinal Cord Injury, Residency Program Director Electromyography Director SCI Rehab Medicine Vice Chairman of Education SHANE MCNAMEE, MD VAMC BI and Polytrauma, EMG Chief, PM&R Service EUGENE MONASTERIO, MD Children's/VCU Pediatric Rehab

9 Director Pediatric Rehabilitation DOUGLAS MURPHY, MD VAMC P&O, EMG, Musc-Skel JANET NIEMEIER, PhD VCU Brain Injury Neuropsychology Director Brain Injury Psychology TREVEN PICKETT, PHD VAMC BI and Polytrauma Rehab AJIT PAI, MD VAMC Polytrauma Medical Director, Polytrauma ABU QUTUBUDDIN, MD VCU, VAMC Subacute Care, Pain TIM SILVER, MD SAH General Rehab, Sports Medicine KAREN STEIDLE, MD VCU, SAH EMG, Musculoskeletal WILLIAM WALKER, MD VAMC, VCU Brain Injury, Musculoskeletal Director, Brain Injury Services Electromyography PAUL WEHMAN, PhD VCU Vocational Rehabilitation Chairman of Research Division Brain Injury, SCI STEVEN WEST, PHD VCU Research Consortium (CERSE) 2010-2011 PM&R RESIDENTS MOHAMMAD AGHA, MD REBECCA ARMENDARIZ, MD CHRIS BOVINET, DO WILL CARTER, MD CAMILO CASTILLO, MD AUDRA EASON, MD ALLISON HICKMAN, DO JEREMY HOFF, DO STEVEN JACKSON, MD NICK JASPER, MD CARA JENNINGS, MD TIM REIS, DO BARRY SANDERLIN, MD AMIT SINHA, MD MARCUS SMITH, MD COSTA SOTEROPOULOS, MD JEFF TUBBS, MD JIM WILSON, MD PM&R FELLOWS 2010-2011 TONY DINICOLA, MD CHRIS DAWSON, MD SCOTT FUCHS, DO IGOR SMELYANSKY, MD RIPAL PARIKH, DO THOMAS SAULLO, MD (begins 7/14) BLESSEN EAPEN, MD BILLIE ANNA SCHULTZ, MD TIM HUDSON, MD THERESA KENT, MD Pain Medicine Fellow Pain Medicine Fellow Pain Medicine Fellow Pain Medicine Fellow Pain Medicine Fellow Interventional Spine Polytrauma Fellow Polytrauma Fellow Spinal Cord Injury Fellow Spinal Cord Injury Fellow

10 MEDICAL STUDENT ELECTIVES VCU DEPARTMENT OF PM&R The VCU Department of Physical Medicine and Rehabilitation offers Electives for medical students. In addition to clinical activities, students will be exposed to the didactic lectures and grand rounds with the PM&R residents and faculty MI - Intro to PM&R (Jan-Feb) MII - Intro to PM&R & Advanced PM&R (Oct-Dec) M-IV (4th year): Physical Medicine and Rehabilitation "Acting Intern" (Course 6000): Inpatient PM&R Service (spinal cord, polytrauma, orthopedic, stroke, neuromuscular disorders). Brain Injury "AI" (Course 6001): Inpatient PM&R Brain Injury Rehabilitation Services. PM&R Rotating Elective (Course 9500): Exposure to PM&R Consult Team, Inpatient Rehab and Outpatient PM&R Clinics Pediatric Rehabilitation (Course 9600): PM&R exposure at VCU and Children's Hospital. If interested, please contact Wanda Allen, Residency Coordinator, Department of PM&R (wcarlton@mcvh-vcu.edu or 804-828-4233) 1300 E. Marshall St., PO Box 980661, Richmond, Virginia 23298-0661 INFORMATION FOR MED STUDENTS FROM OTHER UNIVERSITIES For information: Contact Nancy Jackson at the VCU Electives Office 804-828-9784 (nbjackso@vcu.edu) or Wanda Allen at 804-828-4233 (wcarlton@mcvh-vcu.edu). Housing arrangements can be made by contacting the MCV Campus Housing Office, (Mr. Sam Stuart 804-828-1800) to see if anything will be available during your time here. Also, if you are a visiting student and will be driving a car, you will need to check with our Parking Office (804-828-0501) regarding space available. The Electives Office will need proof of your health insurance before you can begin; your school covers you for malpractice insurance. Upon your arrival at the Virginia Commonwealth University, please report to the Electives Office, 8:00 am, 1 st floor, Sanger Hall, Room 1-002 for information about obtaining a VCU Identification Card which you will need while on our campus. Revised 8/10