LLUH PM&R Residency Program Didactic Teaching Program

The department offers a structured didactic teaching program for all residents.  The components of the teaching schedule are as follows:

1.         Didactic Curriculum in Basic and Clinical Science of PM&R

Three hour-long seminars are held weekly:  two on Wednesday (noon – 2 pm) and one on Friday (noon – 1 pm).  The seminars cover the broad content of the specialty of PM&R over a 12-month repeating cycle.  The topics for these seminars generally follow the American Board of Physical Medicine and Rehabilitation Part I certification examination outline.

The seminars on Wednesday will generally cover general rehabilitation topics.  A musculoskeletal ultrasound series will also occur at regular intervals throughout the year.  Residents will also have opportunities to solidify their skills with clinical question driven evidence-based searches and learn about patient safety from Morbidity and Mortality conferences.

The seminars on Friday will generally cover musculoskeletal medicine topics following the format of a 4-part series covering each body region with the following components:

  1. Anatomy and Kinesiology
  2. Physical Exam and Injection Techniques
  3. Differential Diagnosis and Diagnostic Testing
  4. Therapeutics

The musculoskeletal ultrasound series will be scheduled to correspond with the body region that is currently under review.   

The specific topics are developed in advance by faculty, who give many of the lectures.  An interactive and case-based approach is followed when possible.  Formal presentations on assigned topics are also given by residents under the guidance and supervision of faculty.     

2.         Journal Club

Journal club is held once a month on the fourth Monday (noon – 1 pm).  The sessions focus on systematic, critical reviews of selected journal articles from the  most recent issues of the PM&R journal, the Archives of PM&R and the American Journal of PM&R.

3.         Neuromuscular Disease/EMG Seminars

Neuromuscular disease and EMG seminars are held separately as an integral part of the EMG rotation.  The seminars cover fundamentals of electrophysiology and clinical-electrodiagnostic correlations with neuromuscular conditions over a 6-month repeating cycle.  Additional information is provided in the EMG rotation description.

4.         Anatomy

A special arrangement has been established by which the residents in PM&R have an in-depth experience in musculoskeletal anatomy.  All PGY-3 residents serve as laboratory assistants in the department of anatomy for the gross musculoskeletal component of the anatomy course given to medical students.  The residents engage in dissection, supervising students on cadaver work, and leading seminar discussions.  The commitment is for one-half day per week for 4 months.

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