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PGY2 Year

1. Outpatient Rotation

During the Outpatient Rotation experience, residents have the opportunity to work in different care settings at the UC Irvine Medical Center. This rotation is split up into different clinics every half-day as follows:

Monday AM: MSK Radiology (for first 2 weeks followed by Burn Clinic)
Monday PM: Outpatient PM&R Clinic
Tuesday AM: Ortho Trauma and Fracture Clinic
Tuesday PM: Outpatient MSK PM&R Clinic with Dr. Khoury
Wednesday AM: MSK Radiology (for first few weeks followed by Badges Research Project)
Wednesday PM: Outpatient PM&R Clinic
Thursday AM: Outpatient MSK PM&R Clinic with Dr. Khoury
Thursday PM: Weekly resident didactics
Friday AM: Palliative Pain Clinic
Friday PM: Badges Research Project

With such a wide variety of rotations, residents will expand their MSK radiology skills, treat orthopedic trauma and fracture patients, treat patients with palliative pain needs and expand thier physiatry skills in multiple outpatient clinics.

uc irvine pm&r resident research rotation

UC Irvine/AAP Badges Project: The research portion of this rotation is labeled the Badges Project.

During this time, PGY2 residents undergo a comprehensive self-directed educational curriculum called "The UC Irvine/AAP Badges Project."

The AAP Badges Project was developed by the UC Irvine Department of PM&R in 2011, and quickly gained national attention for its innovative idea.

The curriculum has since been endorsed and approved by Association of Academic Physiatrists (AAP), and AAP now encourages all PM&R residents across the United States to use this curriculum as an introduction to clinical and scientific research by PM&R residents.

The three main goals of this curriculum are:

  • To identify the knowledge and skills required for evaluating clinical research
  • Conducting clinical research
  • To get the answers to some of the most commonly encountered questions as PM&R residents undertake individual/mentored research and to plan for the potential to publish their findings

The Badges Project is designed to be completed over a variable amount of time depending on the intricacy of the scholastic activity and the background experience of the individual resident.

Residents with a peer-reviewed first-author publication are exempt from completing the AAP Badges Project. Presenting a research poster or publishing a simple case report may take as little as one to two weeks, while months to years may be required if you are completing badges for more elaborate projects. 

Successful completion of the AAP Badges Project helps residents feel prepared and confident about reading the literature, conducting research and writing publication-quality manuscripts. 

The aim of this early exposure to a structured research experience is to enable residents to have sufficient time to develop an expertise in the topic of their interest and find a mentor for more extensive research projects or future fellowships. Residents should contact Research Vice-Chair Brian Cummings or Reeve-Irvine Research Center Laboratory Director Kelli Sharp to discuss their individual plans and for assistance in finding a mentor.

2. Spinal Cord Injury

This PGY2 rotation is offered at the VA Long Beach Healthcare System (SCI/RMS).

The VA setting allows residents to manage patients who have chronic spinal cord injury (SCI) needs or are dealing with the issues of aging.

During this SCI outpatient rotation, residents have the opportunity to work with attending physiatrists (physicians trained in physical medicine and rehabilitation), kinesiotherapists, physical, occupational, recreational and speech therapists.

Residents become competent at SCI management, via the SCI consult/diagnostic examination, therapy planning, quantified goal setting, medical management and interventional treatments.

Initially, patients are seen as new evaluations, where a review of the patient’s chief complaints and medical history are determined by an interview, followed by a comprehensive and focused physical examination.

This enables residents to formulate a differential diagnosis and treatment plan for the SCI-related diagnosis. Residents will assess patients during annual evaluation appointments, which help residents understand the comprehensive management of patients’ acute and chronic SCI conditions.  Residents participate in various clinics including wheelchair clinic, shoulder pain clinic and PMR clinic.

3. Musculoskeletal Rehabilitation

This rotation takes place at the VA Long Beach Healthcare System (MSK-1).

The VA setting allows residents to manage patients with acute and chronic musculoskeletal rehabilitation needs, including cardiac and orthopedic rehabilitation needs.

During this rotation, residents have the opportunity to work with attending physiatrists, kinesiotherapists, as well as physical and occupational therapists. Residents become competent at comprehensive outpatient musculoskeletal management, via a specific diagnostic examination, therapy planning, quantified goal setting, medical management and interventional treatments.

Initially, patients are seen as new consultation evaluations, where a review of the patient’s chief complaint and medical history are determined by interview, followed by a comprehensive and focused physical examination. This enables residents to formulate a differential diagnosis and treatment plan for the MSK-related diagnosis.

Residents also participate in cardiac rehabilitation clinic during this rotation. The assigned resident does all cardiac rehab consultations and writes the orders for physical therapy and occupational therapy.

Many patients are managed holistically and many return to clinic for follow-up visits and interventional procedures. Various interventional procedures, including ultrasound-guided procedures, are done in the clinic.

The skills that residents acquire during the musculoskeltal rehabilitation rotation are valuable in understanding the comprehensive management of patients’ acute and chronic MSK conditions.

The resident is supervised by a staff physiatrist interested in cardiac rehabilitation.

4. Inpatient Rehabilitation

uci pm&r residency aru inpatient rotationThis rotation takes place at UC Irvine Medical Center's Acute Rehabilitation Unit (UCI General-1).

UC Irvine Medical Center, a designated Level I trauma center with a very active trauma unit, also supports a regional burn center. In addition, the medical center houses comprehensive stroke and comprehensive cancer centers.

The 14-bed ARU admits approximately 340 patients per year with a wide range of rehabilitation diagnoses drawn from UC Irvine Medical Center.

The main diagnoses are traumatic brain injury, spinal cord injury and stroke.

The PGY2 resident on the ward works closely with the attending physicians, the senior consult resident and the ARU multi-disciplinary team (nursing, therapy services, neuropsychology, nutrition, pharmacy, and case management) to provide quality comprehensive care to inpatients.

The ward resident serves as the primary medical provider for the unit under the supervision and teaching of the attending physiatrist. The resident physician also learns and experiences all aspects of leading an active ARU, including team huddles, multidisciplinary team conferences and family meetings.

5. Traumatic Brain Injury and Neurologic Rehabilitation

uc irvine traumatic brain injury residencyThis rotation at Long Beach Memorial Medical Center (TBI/Neuro-1) allows residents to manage patients with brain injuries and strokes.

During this rotation, residents have the opportunity to work with an interdisciplinary team, including physiatrists, neurologists/internists, neuropsychologists, physical therapists, occupational therapists and speech therapists.

Residents become competent at caring for patients with brain injuries and strokes in the inpatient rehabilitative setting.

Residents can also use the opportunity to work in other post-acute care settings, including skilled nursing facilities and VA Long Beach Medical Center's outpatient day treatment program, Transitional Rehabiliation Services.

This rotation allows the PGY2 to work with a PGY4 resident, who can supervise and teach the junior resident.