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Overview The Department of Physical Medicine and Rehabilitation at Tufts Medical Center (Tufts MC) offers a comprehensive, fully accredited three-year residency (PGY 2 – PGY 4) in the specialty of Physical Medicine and Rehabilitation. Physiatry is concerned with the treatment of children, adolescents and adults who have physical disabilities and musculoskeletal impairment. The residency program is fully accredited by the American Medical Association/ACGME, the American Board of Physical Medicine and Rehabilitation and the American Osteopathic Association. For more information about residencies offered in Physical Medicine and Rehabilitation, contact Suzanne White-Kelly, Business Operations Manager and Associate Director of the Residency Program, at 617-636-5625. Clinical Training Program The Department of Physical Medicine and Rehabilitation provides a well-balanced didactic and clinical training program to provide physicians with an exceptional educational experience designed to prepare them to enter either academic or clinical practice. Physicians preparing to become physiatrists receive in-depth didactic and clinical training in basic science and clinical aspects of neurologic, musculoskeletal and cardiovascular disorders resulting in disability. Disorders include spinal cord injury, amputation, stroke, head injury, arthritis, cancer, pain syndromes, cardiopulmonary diseases and developmental disabilities. To provide a broad understanding of medical aspects of disability, as well as physical and emotional challenges, the full range of allied health professionals participate in the educational program. The residency program consists of a core series of rotations. The didactic components of the residency program include a three-year curriculum of short formal courses held once a week during dedicated education time. In addition, a monthly Journal Club is held to review current literature. There are also Journal Clubs to review classic PM&R literature, Rehabilitation Resident and Attending Grand Rounds, and many other specialty conferences that keep residents abreast of the latest clinical and research advances and prepare the resident to present and share his/her research and clinical experience on a national level. The Tufts University Health Sciences Library, adjacent to Tufts Medical Center, is part of the Arthur A. Sackler Center for Health Communication. It is a state-of-the-art electronic facility containing over 100,000 volumes, subscriptions to 1,300 Journals, on-line catalogs and access to computerized medical literature search services. Each of the rotation sites has a library and computerized literature search services as well. Interview Selection Requirements Individuals can be considered for acceptance to the residency program during their fourth year of medical school contingent upon successful completion of medical school and a minimum of one year of internship (PGY-1) training in an ACGME accredited program. We require USMLE (MD's) and COMLEX (DO's) to have passing scores on first attempt. We will need Step II results prior to ranking. There is a medical school graduation cut-off of three years. Rotations Tufts Medical Center 800 Washington St., Box 400 Boston, MA 02111 Outpatient Adult Rehabilitation Muscular Dystrophy Association Clinic and Comprehensive Spasticity and Movement Disorder Program Outpatient Pediatric Rehabilitation General rehabilitation, central nervous system and spinal diseases, cerebral palsy and management of spasticity. Muscular Dystrophy Clinic, baclofen pump, phenol and botulinum toxin nerve block procedures. Brace Clinic and Casting Clinic. Consultation Services for adult, adolescent and pediatric patients within Tufts Medical Center. Electrodiagnosis in Department of Neurology provides comprehensive development of measurable competencies and opportunities for each resident to have progressive responsibility diagnosing, assessing, and managing the conditions commonly encountered by the physiatrist performing EMG’s including: Assessment of neurological and musculoskeletal systems Involvement in over 200 electrodiagnostic consultations including performance and interpretation with report generation The resident will have history and physical examination experience pertinent for EMG Congenital or acquired myopathies, peripheral neuropathies, motor neuron and motor system diseases and other neuromuscular diseases. Hereditary, developmental and acquired central nervous system disorders, including cerebral palsy, stroke, myelomeningocele, and multiple sclerosis Boston VA Healthcare Systems 1400 VFW Parkway West Roxbury, MA 02132 617-323-7700 The Boston VA Healthcare System in West Roxbury (WRVA) houses Boston's only regional Spinal Cord Injury Unit. It also has a general rehabilitation unit. Residents spend one rotation on the SCI service and one on general rehabilitation. It is located 6 miles from Tufts Medical Center. Polytrauma An outpatient rotation consisting of Polytrauma outpatient clinic, EMG experience, Physical Medicine and Rehabilitation outpatient clinic, compensation and pension exams, presenting and writing case reports and Amputee clinic. Spinal Cord Injury There is direct total patient care, management of medical and rehabilitation needs of the hospitalized with comprehensive patient care. Residents conduct family and team meetings to discuss patient treatment plans and address psychosocial issues. Residents will see many spinal cord injured outpatients. PM&R Rotation Inpatient and consultations, outpatient experience and dedicated quality improvement time. New England Rehabilitation Hospital 2 Rehabilitation Way Woburn, MA, 01801 (781) 935-5050 The New England Rehabilitation Hospital (NERH) in Woburn, MA, is a large freestanding rehabilitation hospital providing services to a diverse patient population. There is comprehensive inpatient and outpatient care of stroke, general medical rehabilitation, head injury and amputee patients. Residents attend Cambridge Spine and Sport for interventional training. It is located 13 miles from Tufts Medical Center. Outpatient Rehabilitation Outpatient Clinics: general pediatric & adult rehabilitation, acute, subacute, cumulative overuse, musculoskeletal problems, spine and sports injuries; acute and chronic pain conditions; central nervous system and spinal diseases, management of spasticity, amputees, pain, post-polio syndromes; Pain Clinic experience through Department of Anesthesia and at Cambridge Spine and Sport. Stroke and Head Injury Management of medical and rehabilitation needs of hospitalized patients in an inpatient head injury unit including severe stroke patients Comprehensive patient care Conduct family and team meetings to discuss patients treatment plan and address psychosocial issues Clinical conditions include subarachnoid hemorrhage, multi trauma, closed head injury, post surgical complications, hydrocephalus, encephalopathy, aneurismal bleeds and behavioral changes Southern New England Rehabilitation Hospital (Saint Joseph's Hospital) 21 Peace Street Providence, RI 02907 401-456-3000 Southern New England Rehabilitation Center/St. Joseph's Hospital (SNERC) is an independent rehabilitation hospital with rotations in stroke rehabilitation, research and administration. It is located approximately 30 miles from Boston. Research and Medical Writing/Stroke Rehabilitation Direct patient management responsibility Management of medical and rehabilitation needs of hospitalized patients in a stroke service Comprehensive patient care, conduct family and team meetings to discuss patients treatment plan and address psychosocial issues Consultation to stroke patients Research and medical writing experience Medical administration and management experience How to Apply All applications must be submitted through the ERAS (Electronic Residency Application Program). If you need help with instructions on how to access a student workstation or use the ERAS system, you may contact your medical school Dean's Office. Foreign medical graduates should contact the ECFMG. Please note that a minimum of two letters of recommendation, a curriculum vitae, a personal statement, medical school transcripts and a Dean's letter are required. We strongly recommend that at least one letter be from a physiatrist. Both U.S. and international medical school graduates must have completed USMLE or COMLEX Steps I & II and passed on the first attempt to be considered for the rank list. Applicants must register with the National Resident Match Program for PGY 2 positions in Physical Medicine and Rehabilitation. Applications should be received for preliminary review by mid-October. Completed applications (including Dean's Letter) are requested by mid-November. All of the above information must be received before we can review your application. Applicants are invited for interviews by e-mail once the Admissions Committee has reviewed completed applications. A choice of dates is available. Interviews are held in November, December and January, and every effort is made to accommodate applicants' preferences. If you have any unanswered questions about the program, you may contact: Suzanne White-Kelly Business Operations Manager Associate Director of Resident Education Department of Physical Medicine and Rehabilitation Tufts Medical Center 800 Washington Street Box #400 Boston, MA 02111-0387 swhite-kelly@tuftsmedicalcenter.org T: 617-636-5625 F: 617-636-4240 Salary and Benefits Paid vacation and personal time is provided each year. Senior residents are allowed time off for interviews. Each resident receives a yearly discretionary account for educational purposes. An excellent fringe benefit package is provided. Elective time is available in the PGY-3 and PGY-4 year.
