LLUH PM&R Residency Program Affiliated Sites

Loma Linda University Medical Center

11234 Anderson St., Loma Linda, CA 92354

Loma Linda University Medical Center is a level 1 trauma center, receiving patients from a wide area and providing services to the residents of Inyo, Mono, Riverside, and San Bernardino Counties not available elsewhere. The hospital has 797 beds and is equipped with a heliport for rapid transport of critical patients.

The clinical service in rehabilitation at LLUMC is organized as a hospital department under the direction of Dr. Justin Hata. Inpatients are treated on a ward of 37 beds designed for rehabilitation on the LLUMC East Campus.  The unit has all of the features that are typically incorporated into a rehabilitation ward.  In addition each patient room has access to an outdoor private garden patio that creates a unique healing environment.  Common diagnostic categories of patients admitted to the ward during the past year include stroke, brain injury, spinal cord injury, amputation and debility associated with general medical disorders. The care of patients on this ward involves an interdisciplinary team approach under medical direction. The faculty in PM&R act as attending physicians. When assigned to this ward, residents have direct day-to-day responsibility for the care of patients under medical staff supervision.

Outpatient rehabilitation is provided in a large specialized facility, the Outpatient Rehabilitation Center (ORC).  A wide variety of patients are treated, including stroke, spinal cord injury, brain injury, amputation, and cerebral palsy. There is a high volume of orthopedic and musculoskeletal patients. New patients and follow-up of discharged patients are seen by the medical staff in the faculty clinic which is located within the ORC.  The PM&R clinic operates special clinics for the evaluation and treatment of spasticity, and residents are able to observe and participate in the various procedures offered, including injections of botulinum toxin and management of intrathecal baclofen pumps.

The Center for Pain Management at Loma Linda is based in the PM&R clinic and is staffed by an anesthesiologist and two physiatrists.  There is a close working relationship between the staff in the Pain Management Clinic and the PM&R Clinics.  Residents rotate through the pain clinic, and observe numerous interventional procedures such as epidural injections.

Physical Medicine and Rehabilitation participates in the electromyography (EMG) lab service.  Monthly EMG studies are performed, plus additional evoked potential studies. Clinical supervision is provided by PM&R and neurology attendings. Weekly didactics are held with all residents and attendings.

Jerry L. Pettis Memorial Veterans Medical Center, Loma Linda

11201 Benton Street, Loma Linda, CA 92357

Today’s VHA--the largest of the three administrations that comprise VA--continues to meet Veterans’ changing medical, surgical and quality-of-life needs. New programs provide treatment for traumatic brain injuries, post-traumatic stress, suicide prevention, women Veterans and more. VA has opened outpatient clinics, and established telemedicine and other services to accommodate a diverse Veteran population, and continues to cultivate ongoing medical research and innovation to improve the lives of America’s patriots.

VHA operates one of the largest health care systems in the world and provides training for a majority of America’s medical, nursing and allied health professionals. Roughly 60 percent of all medical residents obtain a portion of their training at VA hospitals; and VA medical research programs benefit society at-large.

About the Loma Linda Facility

Since 1977, VA Loma Linda Healthcare System has been improving the health of the men and women who have so proudly served our nation. Services are available to more than 67,000 Veterans living in a 2-county area of San Bernardino and Riverside.  The hospital is a 269-bed acute general medical and surgical hospital, has over 807,000 outpatient visits and over 7,800 inpatient admissions per year (figures as of Feb 2016).  Of the 269 beds, 110 are nursing home care unit beds which contain a varying number of patients benefiting from rehabilitation and out-of-hospital outreach services in the community.  The VA Medical Center is in Loma Linda, less than 1 mile from Loma Linda University Medical Center and is located across the street from the Loma Linda University Medical Center East Campus, where the LLU PM&R Department is located.  Patients present with a wide variety of trauma, fractures, neurologic injuries, arthritis, joint deterioration, and neurologic disorders offering the trainee exposure to the problems and management of virtually every disabling condition.

In addition to the inpatient responsibilities, the PM&R service provides consultation and therapy services to and receives support from a wide range of hospital services. Prominent among these are orthopaedic, vascular, plastic, general and neurologic surgery services, opthalmology and otolaryngology, audiology and speech pathology, psychology including biofeedback, career center, substance abuse programs, and a full range of medical specialties including nuclear medicine. Included in the hospital is a 42,000-square-foot research facility with animal quarters, engineering and technical support services, and computer backup.

Excellent cooperation exists with all clinical and research services at the VA Medical Center. Especially close are neurology, rheumatology, orthopaedics, cardiology, pulmonary medicine, and psychiatry, and the Ethics consult service.  Prosthetics and orthotics clinics are scheduled weekly in addition to the Spinal Cord Outpatient Clinic. General rehabilitation clinics are held each day, and orthopaedic clinics are held twice a week. Electromyography and electrodiagnostic services are provided through the neurology service, in part, by a qualified neurologist.

The PM&R service holds regular ambulatory clinics which provide follow-up for patients discharged from the inpatient unit, and evaluation of new patients with neuromusculoskeletal problems. Three residents are scheduled full-time in the ambulatory clinics. One resident in the outpatient department acts as liaison to other services, and is integrated into the primary care activities of the hospital.

Kaiser Permanente Medical Center, Fontana

9961 Sierra Ave, Fontana, CA 92335

Residents are assigned full-time to the Kaiser PM&R outpatient department for up to three months during their PGY-4 year.  The service is busy with residents seeing patients on a fully-scheduled basis during the rotation, evaluating new patients and following patients receiving therapy.  Patients represent a broad cross-section of musculoskeletal disorders and a modest number of EMG studies are performed. Supervision is provided by the attending staff.  Dr. Douglas Mack serves as the PM&R Rotation Director and holds a faculty appointment as an Assistant Professor for Loma Linda University School of Medicine.  While at Kaiser Hospital, residents continue to attend all didactic and other teaching sessions offered by the program at the LLUH East Campus site.

The Kaiser Permanente Fontana Medical Center has long been recognized for its service to residents of the Inland Empire.  Kaiser began in 1943 with the partnership of industrialist Henry J. Kaiser and Sidney Garfield, MD, at the Kaiser Steel Mill in Fontana.  Mr. Kaiser and Dr. Garfield brought their prepaid health care delivery system to 3,000 steel mill workers into the rural community.  The Kaiser Foundation Hospital was the first hospital of Kaiser Permanente's Southern California Region with 85-beds, five physicians and 16 support staff.

In 1953, a full-fledged medical center was built to replace the original facility.  What began as a small hospital in Fontana grew into a teaching hospital with more than 500 physicians and more than 4,400 support staff, who serve more than 440,000 members throughout San Bernardino County.

In 2013, the bustling medical center campus opened a new state-of-the-art replacement hospital that features a number of medical specialties and expands the level of care available to residents throughout the area.  Specialty services include:  Cardiac Catheterization Laboratory, Cardiac Surgery Services, Inpatient Dialysis Unit, Intensive Care Unit, Labor and Delivery, Neonatal Intensive Car Unit, Pediatric Intensive Care Unit, Pediatrics, and Surgery.  Facts & Figures about the new hospital:  Serves more than 525,000 members, 314 Hospital Beds, 51 Emergency Room Department Beds, Size -490,000 square feet, and a new 56,000 square-foot medical office building and numerous energy efficient "green factors".

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