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PGY3 Year

uci pm&r pediatric residency1. Pediatric Rehabilitation

This PGY3 rotation is offered at Miller Children's Hospital Long Beach (Peds).

During this rotation, residents will work exclusively with pediatric patients who have physical medicine and rehabilitation needs in both the inpatient (50 percent) and outpatient (50 percent) settings.

Residents become competent at determining the functional status for infants and children, and they participate in the establishment of a diagnostic label.

Residents’ time is split equally between outpatient clinical evaluations and inpatient evaluation and management.

Skills that residents acquire during the pediatrics rotation are valuable to understanding the comprehensive management of infants and children in the field of PM&R.

2. Prosthetics and Orthotics

The Prosthetic and Orthotic (P&O) Rotation is a PGY3 rotation offered at the VA Long Beach Healthcare System.

The VA setting allows residents to manage patients with prosthetic and orthotic needs and to participate in a full-service P&O laboratory and clinic setting, including gait analysis laboratory, P&O manufacturing, wheelchair clinic and maintenance of care.

During this rotation, residents will work with prosthetists, orthotists, attending physiatrists (physicians trained in physical medicine and rehabilitation), kinesiotherapists, as well as physical and occupational therapists.

The resident focuses on developing clinical expertise in the fundamentals of amputee rehabilitation, wound care, prosthetic and orthotic prescription, and on understanding gait abnormalities and complications of prosthetic and orthotic use.

During this rotation, residents rotate through the PMR outpatient clinic, as well as various specialty clinics. Specialty clinics include:

  • Orthotic Clinic: The Orthotic Clinic consists of attendance once a week where the resident evaluates patients for proper orthotics. This is run with a supervising attending physician as well as a prosthetist.
  • Wheelchair Clinic: The Wheelchair Clinic consists of attendance once a week where the resident evaluates patients for manual or electric wheelchairs. This clinic is managed by an attending physician and kinesiotherapist.
  • Preservation, Amputation Care and Treatment (PACT) Clinic: The PACT/Amputee Clinic rotation consists of attendance once a week at the post-amputation clinic run by the PACT team. The resident provides the physiatric management of the postamputation patient under the supervision of a staff physiatrist. It is a multidisciplinary prosthetic clinic that assists with ordering new prostheses for new amputees and replacement prostheses for older amputees.

uci pm&r electromyography residency3. Electromyography

The Electromyography rotation (EMG-1) takes place at the VA Long Beach Healthcare System during PGY3 year.

The objectives are for residents to understand fundamental concepts in electrodiagnostic medicine and to perform and interpret basic NCS/EMG cases.

4. Spinal Cord Injury

Acute inpatient spinal cord injury patients are managed during this rotation at St. Jude Medical Center in Fullerton.

Residents manage on average eight to 10 patients and learn to manage typical complications of spinal cord injuries, including autonomic dysreflexia, heterotopic ossification, and bowel and bladder changes.

5. Pain Management, Musculoskeletal Clinic and Elective 

The Pain Management, Musculoskeletal Clinic and Elective rotation (Pain/Elective) PGY3 rotation is offered at UC Irvine Center for Pain & Wellness at the Gottschalk Medical Plaza in Irvine.

This setting allows residents to manage patients with acute and chronic pain conditions. During this rotation, residents work with an interdisciplinary team, including physiatrists, anesthesiologists and pain psychologists.

Residents become competent at comprehensive outpatient pain management via a multitude of modalities, including opioid and adjunctive pain medications, as well as non-interventional and interventional treatments.

Most patients are initially seen as new patient evaluations, where a review of the patient’s pain history and presentation, along with a thorough physical examination, allows residents to formulate a comprehensive differential diagnosis and treatment plan for the pain etiology.

Many patients are managed holistically and many return to clinic for follow-up visits and interventional procedures. 

The resident has an opportunity to perform EMGs with Dr. Joyce Ho at the Center for Pain & Wellness. 

The resident also works with our physiatrist, Dr. Shahira Khoury, a few sessions per week and one session per week with Dr. Soloman Liao with UC Irvine Health Palliative Care Services.

Residents also have four weeks during this block dedicated to elective time. This time can be spent anywhere endorsed by an educating physician. Residents have elected to do rotations in sports medicine, pain medicine and pediatric rehabilitation.