The Rehabilitation Medicine Residency Program at Jefferson offers a comprehensive experiential for the training of residents. Rotations are two months in length, consisting of inpatient, outpatient, and consult blocks.
- 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-opthamologic disease, urodynamics and long term follow-up on chronic disease.
- Moss Rehabilitation Outpatient Clinics: General rehabilitation with focus on chronic pain management and orthotics. There is also 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 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 techniques for sports and spine rehabilitation.
Residents have four dedicated months of electrodiagnostic medicine with additional exposure on inpatient and outpatient blocks throughout their residency. Residents will learn the anatomy, physiology and techniques required to perform 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.
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 will care for children with concussion, stroke, spinal cord injury, neuromuscular disorders, trauma, and cancer.
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.
The rotating PGY4 residents will be called upon to evaluate patients and together with the assigned attending determine rehabilitation specific recommendations. 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.
This rotation truly exemplifies the multidisciplinary approach of rehabilitation medicine. This rotation provides a comprehensive understanding of spinal cord rehabilitation from acute injury to discharge into the community, sub-acute, acute, or long-term care facilities. The resident works very closely with nationally recognized faculty from Neurosurgery, Orthopaedics, Trauma Surgery and Pulmonary Medicine, among other specialties. The focus is on the management of spinal injury/spinal cord injury from both a consultant and primary care perspective.