The PM&R Residency program at OSU offers both categorical and specialty training tracks. Typically, candidates are selected using the NRMP match. We offer both 4-year categorical and 3-year specialty programs. Those entering at the PGY-1 level will be assigned to The Ohio State University Medical Center.  The first-year resident rotates under the supervision of that institution’s director of GME (preliminary medicine year).  These rotations allow interaction with PM&R attending staff and senior residents during consultation.  All PGY-1 residents are welcomed at department activities such as evening Journal Clubs, as their schedule allows.             

The three years of PM&R specialty training are spent under the direct supervision of the Department of Physical Medicine and Rehabilitation at The Ohio State University Hospitals including rotations at affiliated institutions. Each resident spends a minimum of 14 months in the care of inpatients in rehabilitation programs. Greater than 12 months of outpatient and consultative  experiences are offered. Each resident will experience at least six months in electrodiagnostic medicine (EMG).  The EMG experience is well incorporated into the outpatient experience. The remaining months are scheduled according to the needs of the resident and the program.  

All applications for PM&R must come through the Electronic Residency Application Service (ERAS) from the Association of American Medical Colleges.              

The Ohio State University Hospitals will only support J-1 Visa applications for International Medical Graduates (IMG) including international graduates of U.S. medical schools. The J-1 (Exchange Visitor) visa is sponsored by the Educational Commission on Foreign Medical Graduates (ECFMG) and will be governed by the appropriate terms.              

The Director of the Residency Program is Daniel M. Clinchot, M.D. Please direct any further inquiries regarding the program to him. He can be contacted at (614) 293-4295 or through his e-mail address: clinchot.1@osu.edu.

Drug Testing:  The full policy on drug and alcohol testing can be obtained from the Graduate Medical Education Office, at 614-293-7326 or by emailing to simendinger-1@medctr.osu.edu

Initial Drug Testing for Medical Staff:  All applicants to the Medical Staff must undergo drug screening through urine toxicology testing prior to being appointed to the Medical Staff within the OSU Health System.  This testing must be done only through and appointment with the University Reference Laboratory.  Substances being tested for include Marijuana/Cannaabinoids, Cocaine and Metabolites, Amphetamine/Methamphetamine, Benzodiazepines, Opiates, and Barbiturates.

"For Cause" Drug and Alcohol Testing for Medical Staff: At any time, a member of the Medical Staff may be required to undergo drug/and/or alcohol testing "for cause" through the use of urine toxicology, blood toxicology, or "breathalyzer" testing at the direction of the Chief Medical Office (CMO) or his/her designee.

On-line Evaluations and data collection:   Beginning in July of 2003, The Ohio State University Graduate Medical Education Department contracted with a company by the name of Advanced Informatics to use a web-based program called E-Value.  This program automates our resident evaluation system and also tracks the procedures and diagnosis that each resident has been involved with. The Diagnosis and Procedure tracking can be done on the resident's palm pilot which makes it even easier.  We also keep track of their duty hours through this system. 

To view the Advanced Informatics website for more information about the E-Value system, click on the following link: http://www.advancedinformatics.com/       

I. Rotations (each lasts 2 months)  

A. 1. General Rehabilitation (Drs. Pease and Matkovic)              

This inpatient experience will introduce the resident to the rehabilitation of patients after stroke and those with complex orthopaedic and neurologic problems. For this service, the patient care includes: confirmation of diagnosis and prevention of recurrence; anticipation and prevention of complications and early treatment; coordination of rehabilitation team care; and prescription of orthotics, wheelchairs, and adaptive equipment. Hip fracture and joint replacement patients are admitted to this service for comprehensive rehabilitation as well as other medical and neurological problems. The mean age of patients on this service allows for experience in geriatric medicine and rehabilitation. Involvement in outpatient rehabilitation follow-up, prosthetics & orthotics and wheelchair clinic is encouraged. Night and weekend call is from home (for all inpatient rotations).

A. 2. Stroke Rehabilitation (Drs. Pease and McDowell)

The stroke rehab patients admitted have a wide range of problems.  Though most of the population is status-post cerebral infarct, residents also manage the other neurologic conditions such as myopathies, neuropathies and multiple Sclerosis.  A central component of the service is the panel,  which meets on Tuesday and Thursday mornings.  during this meeting, all patients are reviewed with input from Physical Therapy, Occupational Therapy, speech Therapy, Nutrition, Medicine, and social Service.  Panel can be an extremely informative meeting, not only in getting to lknow th team with whom you are working, but also to follow your patient's progress and inconsistencies in their performance from all perspectives in the rehab process.The resident will be required to take call at Dodd Hall approximately one time per week

A.3.  Senior Inpatient Rehabilitation (Drs. Matkovic, McDowell, and Pease)

The central component of the service is the resident acting in the capacity as a senior resident to each of the residents on the other two rehabilitation services.  Acting in this fashion the resident will admit and follow patients to both ser vices and attend panel.

B. Spinal Cord Injury Rehabilitation (Dr. Colachis)

This inpatient service predominantly treats patients with traumatic spinal cord injuries, although non-traumatic (cancer, etc.) SCI are also seen. Knowledge of spine mechanical stability and orthotic support, ventilation problems, autonomic dysfunction, spasticity, bowel and bladder management and other complications are emphasized. Mobility needs and wheelchairs are also a focus. Involvement in wheelchair clinic is encouraged. Call is from home.

C. Traumatic Brian Injury Rehabilitation (Drs. Mysiw and Fugate)

This inpatient service concentrates on the post-acute management of patients with traumatic brain injuries and other diffuse brain dysfunction problems (e.g. encephalitis and hypoxia). Residents on this service also attend related ambulatory clinics. This service emphasizes cognitive remediation of this population including post-traumatic amnesia, agitation and other behavioral disorders, and pharmacologic management. Call is from home.

D. Riverside Methodist and Grant Hospital Rotations (Drs. Waylonis, Powers, Strakowski, Rindler) (2 rotations at each hospital)

These outpatient services provide intensive experience in electrodiagnostic procedures and also in the management of neuromusculoskeletal problems. Inpatient consultations are done in the setting of the large, acute care community hospitals, where the physiatrist serves as a consultant rather than as a primary physician.

E. Children's Hospital (Drs. Batley, Kaitz and Miller)

This is a broad experience with pediatric inpatient and outpatient care under the supervision of three physiatrists who are trained and experienced in both PM&R and pediatrics. The resident is responsible for the care of Pediatric Rehabilitation patients (inpatient unit), and attends the various pediatric outpatient specialty clinics. The adaptation of rehabilitation to the child's developmental level is emphasized. The resident is exposed to family dynamics in children with acute and chronic disability as well as new onset or genetic disease. Wheelchair evaluation is also emphasized. Call is from home.

F. University Hospitals - Inpatient Consults (Dr. McDowell)

Evaluation and follow-up of patients seen in consultation by the Department of Physical Medicine and Rehabilitation. Complex patient in trauma, neurology, transplant, and cancer are routinely seen.

G. Davis Center Outpatient PM&R and EMG Clinics (Drs. Johnson, Pease & others)

A wide variety of neuromusculoskeletal disorders afflict this patient population. The resident gains experience in evaluation and management approaches under the supervision of numerous clinical faculty members including EMG, prosthetics, orthotics, wheelchair prescribing, musculoskeletal problems and ambulatory rehabilitation experiences. Outreach clinics in nearby communities for EMG's are also included in this rotation.

H.  Community Hospital, (Acute Rehab Unit) Springfield OH   (Dr. C. Douglas Porter)

Goal is to gain experience in the delivery of inpatient and outpatient rehabilitative care in a community setting.  The Medical Center will reimburse the resident for mileage at the current OSUMC mileage rate (40.5 cents-7/1/05).

II. VA Clinics (Drs. Bowyer, Weingerman)

Ambulatory PM&R and EMG experiences at VA facilities in Columbus and Chillicothe, Ohio.  

III. Outpatient Experience in Special Areas

A. EMG Clinics

There are several available EMG rotations during the residency which offer residents a concentrated exposure to electrodiagnostic techniques with emphasis on skills development (OSU, Grant, RMH).

B. Sports Medicine Clinic (Dr. Bowyer)

Experience in the nonsurgical and surgical aspects of the care of injured athletes is gained by working with the physiatrist, family physicians, and orthopedists who jointly staff this clinic.

C. SportsMedicine Grant and Orthopaedic Associates (Dr. Rossi)

Goal is to be proficient in the evaluation and management of acute and chronic sports medicine injuries in the outpatient setting.

D. Prosthetics/Orthotics Clinic (Dr. Bowyer)

Patients in this clinic are seen in conjunction with prosthetic/orthotic practitioners from area facilities. Residents are assigned to this clinic for one quarter. All residents have the responsibility for attending the clinic at some point during their training.

E. Rheumatology Clinics (daily)

The attending rheumatologists at the Davis Center (attached to Dodd Hall) have clinics throughout the week and welcome our residents to join them and participate in the evaluation and management of joint and connective tissue disease. Management of acute inflammation and joint infection techniques are frequently encountered.

F. Multiple Sclerosis Clinic (weekly, Dept of Neurology)

Patients are seen for evaluation and management of suspected or definite MS Rehabilitation management in the face of a disease with frequent exacerbations leading to new temporary and permanent disabilities is experienced.

G. Wheelchair and Adapted Seating Clinic (Dr. Fugate)

This weekly clinic uses a multidisciplinary approach to provide wheelchairs to patients with a variety of pathologic conditions. Residents will learn to appropriately manage wheelchair needs and monitor patients for complications of seating and positioning. G. Myelomeningocele Clinic (Dr. Batley) The residents on the Pediatric PM&R rotation participate in this busy multidisciplinary clinic, jointly staffed by PM&R, Pediatrics, Neurosurgery, Orthopedics, and Urology as well as by an OT/orthotist and wheelchair vendor.

IV. Seminars/Conferences

A. PM&R Grand Rounds (Mondays 7:30-8:30AM).

All residents and faculty attend (Core Curriculum presented). The topical organization of the Monday morning presentation are based on those categories which comprise the American Academy of PM&R's Self-Directed Medical Knowledge Program (SDMKP) Study Guide. All areas of knowledge essential to the practice of physiatry are covered over a three-year time period. Residents are exposed to the breadth of current knowledge and research in PM&R by the end of their residency, and faculty are continually updated.

B. Thursday Conference (7:30AM).

These include patient presentations, practical demonstrations, and overviews of ongoing research projects. These are held at Dodd Hall, Grant Medical Center, Riverside Methodist Hospital and Children's Hospital on a rotating basis.

C. Core Curriculum.

Residents are required to attend didactic class sessions on Tuesday afternoons. The lectures are organized into four classes a year with a test at the end of each quarter to help the residents assess their knowledge base. This curriculum is designed to address both clinical and basic areas essential to PM&R. The courses rotate so that the resident will be exposed to a wide variety of subject matter during the three year residency. Course titles include: Prosthetics and Orthotics (biannual), Musculoskeletal Medicine (biannual), Modalities (annual), Psychology of Rehabilitation (biannual), Disability (biannual), and Electrodiagnosis (annual).

D. National Conferences

Residents in the field of PM&R are encouraged to attend national conferences. All residents are allotted one week per year to attend such conferences. Stipends are provided to those presenting their scientific research work.

E. Review Course

Current residents have established a Review Course (study group) held every Friday morning 7:00-8:00AM which covers Anatomy review (cadaver dissection) and self-assessment in PM&R format to prepare the residents to take Board examinations (participation optional).  

V. Journal Clubs

A. Journal Club is held in the evening monthly, usually on a Tuesday, either at a local restaurant, a faculty member's home, or at Dodd Hall. Current literature relevant to the field of PM&R and the primary journals in the field are reviewed.

B. Sports Medicine Journal Club. Monthly (participation optional).

C. EMG Journal Club. Monthly (participation optional).

VI. Visiting Professor Program

The Department makes a concerted effort to bring outstanding visiting faculty in the field of Physical Medicine and Rehabilitation to make presentations to our residents and staff. Three endowed Visiting Lectureships are presented annually:

1) Sidney Licht Lectureship;

2) Richard F. Baer Visiting Lectureship; and

3) Richard W. Stow, Ph.D. Research Lectureship.

VII. Research

Director of Research - W. Jerry Mysiw, M.D.

Residents are encouraged to develop a research project during their three years at OSU. In consultation with a faculty advisor, each resident should prepare either a poster or paper to present at a national meeting. Generally, the resident will assist with preparation of a manuscript suitable for submission to a peer-reviewed journal. Financial help is provided for travel to present research papers.

Primary Areas of Research
Clinical application of Physical Medicine and Rehabilitation techniques, basic and clinical research in electrodiagnosis, CNS Injury, bone metabolism, human biomechanics and kinesiology, prosthetics and orthotics, and research in the phenomenon of disability. Gait Laboratory, directed by the Divisionof Orthopedic Surgery, is available to study locomotion in both adults and children during health as well as disease.

The following medical research facilities are available to residents:

• Electrodiagnostic Laboratory
• Metabolic Bone Diseases Laboratory
• Neuromuscular Stimulation Laboratory
• Neuropsychology Evaluation
• Gait Analysis Laboratory
• Other campus laboratories such as ergonomics, spinal cord trauma, and biochemistry have also participated in individual resident and faculty projects.

VIII. Richard W. Stow Library

Partially supported by the Stow endowment, the library is centrally located in Dodd Hall. Principle textbooks and journal subscriptions are maintained. Computers with office and research software and printers are available. High speed internet access, Medline, and electronic texts and journals are available on-line over network. The OSU Health Science Library is a block away.

IX. Master's Degree Program

Residents may enroll in the OSU Graduate School and work towards a Master of Science in Medicine. The Medical Education Committee of the Department of PM&R and the resident's Faculty Advisor provide guidance in course selection and monitor progress toward degree attainment. Each resident who enrolls must be responsible for all costs, however, tuition and fee waivers can be requested in certain circumstances.

X. Resident Evaluation

Two internal measures of resident performance are used:

1. Evaluation of each resident on each rotation by the faculty member working with them on service, using an evaluation form which indicates the progress being made toward acquiring the necessary knowledge and skills to become competent in each area of the specialty.
2. A written examination is given at the end of each graduate course (quarterly to all residents).

Two external means of performance assessment are also used:

1. The AAPM&R's Self-Assessment Examination for Residents (SAER), a comprehensive written examination is administered annually. (required)
2. The American Association of Electrodiagnostic Medicine's (AAEM) Training Program SAE-R is also offered annually. (optional)

Toward the end of their PGY-3 year, three residents are chosen to serve as Chief Residents during their senior year. Residents have other opportunities to serve in leadership administrative roles, such as Coordinators of Journal Clubs and Resident Recruiting, and departmental committee activity.

XI. Volunteer Activities

There are multiple opportunities for residents to become involved in the community. Residents are involved as volunteer high school team physicians. Residents also volunteer to cover many local community professional and amateur events such as: Ohio Wheelchair Games, Columbus Tough Man Contest, World Powerlifting Championships, Battle of Columbus Tae Kwon Do Championships, and gymnastics and running events

B.  Overview of PM&R Department Specific Benefits 2005-2006

Salary (2007-2008)

                PGY-1   $44,037

                PGY-2   $45,517

                PGY-3   $46,827

                PGY-4   $48,624

Duplication & Library

The Department provides free duplicating and computerized literature searches for all residents.  The University provides free electronic mail service and Internet access.

Lab Coats

Each resident is provided two white lab coats per year.

Laundry Facilities

Laundry privileges are provided for all residents.  In addition to white coats, other items such as shirts, socks, pajamas, and handkerchiefs may be taken to the laundry.

Meal Allowance

All housestaff will receive a gross amount of $500 added to their paycheck that may be used for on-call meals.  This amount will be distributed monthly and will show as meal dollars on their paycheck.

Boxed dinners:  Beginning in the summer of 2004, the cafeteria will be providing boxed dinners for housestaff in a secure room (S140J Doan) near the cafeteria from the hours of 7:00pm - 6:30am (while the cafeteria is closed).  Access to this room will be controlled and monitored by swiping your ID.  The cost of these meals will not be subtracted from your on-call funding and will be on the honor system.

Conferences/Meetings for Residents

One week of salary-compensated conference/meeting time is provided annually.  In addition, the Department’s “Official Policy on Travel Support for Resident Presentations” states that travel support for residents attending a national, regional, or local conference will be supplemented by funds allocated for that purpose, provided that the resident seeking such support is presenting an oral or poster presentation at that meeting and a rough draft of the manuscript has been completed.  PLEASE SEE “OFFICIAL POLICY ON TRAVEL SUPPORT FOR RESIDENT PRESENTATIONS” for the rules regarding this policy.

Vacation

Three weeks of paid vacation are provided annually to residents during each of the three years of training (refer to “Resident Guidelines” and “Policies & Procedures for Residents on Inpatient Rotations at Dodd Hall”).  One week maximum is allowed per quarter.  All vacations must be approved by the attending physician and the program director.  All inpatient services require alternate resident coverage to be obtained for floor duties and clinic responsibilities.   Vacation time does not carry over to the next year.  An OSU “Application for Leave” form must be completed in advance and must be signed by the attending physician and by the chairman.  These forms can be obtained from the Residency Coordinator.

Sick Leave

Sick leave is accrued at the rate of ten hours per month and can be carried over to the following year.  Sick leave can be taken for sickness of an immediate family member.  Immediate family member is defined as: grandparents, brother, sister, brother-in-law, sister-in-law, daughter-in-law, son-in-law, father, father-in-law, mother, mother-in-law, spouse, domestic partner, child, grandchild, a legal guardian or other person who stands in place of parent (in loco parentis).  An OSU “Application for Leave” form needs to be completed for this also.

Maternity/Paternity Leave

Six weeks maternity leave is permitted.  In order for that to be paid time, it is necessary to use “sick” time and/or “vacation” time.  Additional leave (paid or unpaid) is provided on an individual basis and must be approved by the Program Director.  There are three weeks of paternity leave provided.  Again, in order for this to be paid time, it will be necessary to use “sick” time or “vacation” time.  Additional leave (paid or unpaid) is provided on an individual basis and must be approved by the Program Director.  This policy follows OSU guidelines.

Family and Medical Leave

A “Family and Medical Leave (FML)” policy is also in place.  This entitles an eligible employee to 12 weeks of leave to care for 1) a child following birth/adoption, 2) an ill family member, or 3) a personal illness.  This may be paid or unpaid.  If the leave is to be paid, the employee must have enough sick leave and/or vacation time to cover the specific period of time.  To request this, an OSU “Application for Leave” form is required, as well as a “Medical Certification Statement” (available in Room 1018).

Please note that this is reviewed on a case by case basis and be approved by the Program Director.  Leave period in excess of the usual vacation and sick leave time will usually require added time in the residency in order to complete the program requirements set by the ACGME.

Holidays

Please note that residents on off-campus rotations follow the holiday schedule of the facility where they are assigned.    A list of holidays observed by OSUMC can be found on this website, under the Schedules Tab.  This schedule of holidays applies to residents on OSUH rotations.

Religious Observance

Observance of religious holy days does require the use of vacation time.

Interviews for Residents

Residents MUST use vacation time for interviewing for fellowships and/or employment.

Cooperative Education Program

Four hours per week for Cooperative Education is permitted following the acquisition of your permanent State of Ohio Medical License.  However, it is necessary to adhere to the rules for this program as outlined in the “Clarification of Residency Requirements” before scheduling this activity for each rotation change.

Medical Insurance

Medical coverage is provided with a portion of the cost of this coverage being paid by the employee.  This is in effect on the first day of paid OSU employment.  Residents may select from one of the following  four plans:  University Prime Care; OSU Health Plan; Traditional Health Plan; Buckeye Health Plan.  IMPORTANT:  Following marriage, divorce, the birth or adoption of a child you must update the health care plan within 30 days of the event by contacting the Benefits Office at 292-1050.  If you change your “Prime Care Provider” you have to complete a new enrollment form (obtain from the Benefits Office).

Dental Insurance

Dental insurance is provided at no cost to the employee if you enroll and are enrolled for health care coverage as well.  There is an added charge for two-person and family coverage.  This is in effect on the first day of OSU paid employment.

Vision Insurance

Vision insurance is provided at no cost to the employee if you enroll and you are enrolled for health care coverage as well.  There is an added charge for two-person and family coverage.  This is in effect on the first day of paid OSU employment.

Long-Term Disability Insurance

The University provides long-term disability coverage.  The OSU Medical Center also provides a special disability program at no charge for residents.  This policy can be converted when the residency training has been completed.  Enrollment occurs at OSUH Orientation.

Life Insurance

Each resident is entitled to a life insurance policy equal to 2.5 times his/her annual gross salary.

Malpractice Insurance

Coverage for residents is provided through The Ohio State University Hospital Self Insurance Program for any activity which falls within the scope of training.  If you “moonlight” you MUST provide your own malpractice coverage.

Retirement System

As an employee of The Ohio State University you do not pay into Social Security.  You have the option of enrolling in either the State Teachers’ Retirement System of Ohio or in the Alternative Retirement Program.  This information is provided at orientation.

XIII. Call

All resident call coverage is from home. Residents are on call primarily during inpatient rotations (except holiday coverage), on average, one time per week and one weekend per month