Help with 4th year rotations in ny - pm&r !!!

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HolisticMed

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Hi everyone,

I am a third year osteopathic student in New York who is 100% going be applying for a pm&r residency. While I know physiatry is a broad field, I am more specifically interested in musculoskeletal medicine. Manipulation, joint injections, exercise rehab, emg's etc... While I know that all pm&r residents receive varying degrees of training in cardiac rehab, pulm rehab, tbi... I would like to pick a program that is more focused on musculoskeletal medicine. During my fourth year I will be able to rotate at 3 different pm&r programs, obviously I would like to rotate at those programs which I would most likely want to go for residency.

So with musculoskeletal medicine as my primary focus, which of the following residencies should I choose to rotate at. Thank you for all of your help, it is invaluable!!!

Albert Einstein - Bronx, NY

Kingsbrook Jewish Medical Center - Bk, NY

Nassau University Medical Center - Nassau County

North Shore/LIJ - Manhasset

Mount Sinai - Manhattan

New York Medical College at St. Vincents Hospital

New York Presbyterian Hospital (Columbia and Cornell Campus)

NYU - Manhattan

SUNY at Stony Brook


Any information you guys can give me about any of these programs is definitely a help. 👍👍
 
Hands down! NY Presb. Cornell and Columbia
 
Thats quite a difference in a opinion! I know that New York Presbyterian (Cornell and Columbia) is probably one of the best programs in the country, but is it geared more to neurology/tbi or musculoskeletal.👍
 
I'm a bit biased because I will be starting as a PGY-2 at NY Presbyterian this July. However, here's how you could get a really good MSK experience in NY. Call NY Presbyterian and ask them if you could do your rotation with their physiatrists who work next door at Hospital for Special Surgery. They do mostly orthopedic, musculoskeletal, and interventional over there. I think that would be a great experience for you.
 
thewza said:
I'm a bit biased because I will be starting as a PGY-2 at NY Presbyterian this July. However, here's how you could get a really good MSK experience in NY. Call NY Presbyterian and ask them if you could do your rotation with their physiatrists who work next door at Hospital for Special Surgery. They do mostly orthopedic, musculoskeletal, and interventional over there. I think that would be a great experience for you.
Click to expand...
The guys at HSS are good, although there is clearly a wide variation in their level of obsessiveness (or lack thereof). Greg Lutz and Jen Solomon are two of my favorites, but that is just my personal bias.

More importantly, the population they serve is VERY Upper East Side, and as a result, very little hands-on experience is likely to be gained by a resident rotating through the institution, no less a med student!
 
HolisticMed said:
Hi everyone,

I am a third year osteopathic student in New York who is 100% going be applying for a pm&r residency. While I know physiatry is a broad field, I am more specifically interested in musculoskeletal medicine. Manipulation, joint injections, exercise rehab, emg's etc... While I know that all pm&r residents receive varying degrees of training in cardiac rehab, pulm rehab, tbi... I would like to pick a program that is more focused on musculoskeletal medicine. During my fourth year I will be able to rotate at 3 different pm&r programs, obviously I would like to rotate at those programs which I would most likely want to go for residency.

So with musculoskeletal medicine as my primary focus, which of the following residencies should I choose to rotate at. Thank you for all of your help, it is invaluable!!!

Albert Einstein - Bronx, NY

Kingsbrook Jewish Medical Center - Bk, NY

Nassau University Medical Center - Nassau County

North Shore/LIJ - Manhasset

Mount Sinai - Manhattan

New York Medical College at St. Vincents Hospital

New York Presbyterian Hospital (Columbia and Cornell Campus)

NYU - Manhattan

SUNY at Stony Brook


Any information you guys can give me about any of these programs is definitely a help. 👍👍
Click to expand...
The best program in the region is not on your list - you should add Kessler.

Additionally, there are some very talented physiatrists practicing at Beth Israel, even though they don't have a residency (I am not sure if they are affiliated with a program or not)
 
Of course Kessler has been rated #1 on all the ranking systems that I have seen but I have also heard that it is heavily focused on tramatic brain injury and very little musculoskeletal. Any truth to this?

Thanks 👍
 
HolisticMed said:
Of course Kessler has been rated #1 on all the ranking systems that I have seen but I have also heard that it is heavily focused on tramatic brain injury and very little musculoskeletal. Any truth to this?

Thanks 👍
Click to expand...
Todd Stitick and Patrick Foye are the MSK gurus now that Gerry Malanga is no longer there. He, btw, would also be a GREAT guy to spend time with
 
In general, the Manhattan programs are heavily focused on inpatient rehab. MSK exposure is definitely on the weak side in Manhattan except for St. Vincent's. NY Presbyterian is nice if you want hang out in the city and have the name. However, their focus is more neuro and inpatient rehab. Obviously, Kessler and JFK have stronger reputations. I am probably seeing this much differently from other people. However, from my experience the better NY programs for musculoskeletal are:

Albert Einstein (Drs. Fast and Thomas are really good)
NUMC (we have far more MSK exposure than most programs in the country, strong in EMG and OMM also)
St. Vincent's
Mt. Sinai (again more inpatient based but have put a lot of effort on improving MSK)
 
i am also interested in the MSK aspect of PMR, does anyone know how the program at LIJ ranks as far as that goes?
 
drvlad2004 said:
In general, the Manhattan programs are heavily focused on inpatient rehab. MSK exposure is definitely on the weak side in Manhattan except for St. Vincent's. NY Presbyterian is nice if you want hang out in the city and have the name. However, their focus is more neuro and inpatient rehab. Obviously, Kessler and JFK have stronger reputations. I am probably seeing this much differently from other people. However, from my experience the better NY programs for musculoskeletal are:

Albert Einstein (Drs. Fast and Thomas are really good)
NUMC (we have far more MSK exposure than most programs in the country, strong in EMG and OMM also)
St. Vincent's
Mt. Sinai (again more inpatient based but have put a lot of effort on improving MSK)
Click to expand...
NewYork-Presbyterian/Cornell-Hospital for Special Surgery
NYU-Hospital for Joint Diseases

...are by far the top two musculoskeletal (ortho, rheum, pm&r, neuro, msk radiology) hospitals in city. I can't say what a rotation at either would be like, but they are definitely worth checking out as PM&R residents of the two programs rotate through their affiliated hospitals. Both hospitals are definitely not to be overlooked.
 
Again HSS and HJD are great hospitals but the original poster is talking about which residency programs are very strong in MSK and not just a single hospital. Cornell (HSS) and NYU (HJD) spend a fair to small amount of time at those facilities but the MSK exposure at their other facilities are not close to the same.

As far as LIJ, they are more focused on inpatient rehab. The PM&R dept belongs to the Neurology dept, which is more often a negative.
 
drvlad2004 said:
Again HSS and HJD are great hospitals but the original poster is talking about which residency programs are very strong in MSK and not just a single hospital. Cornell (HSS) and NYU (HJD) spend a fair to small amount of time at those facilities but the MSK exposure at their other facilities are not close to the same.

As far as LIJ, they are more focused on inpatient rehab. The PM&R dept belongs to the Neurology dept, which is more often a negative.
Click to expand...
Boy, talk about biased, Vlad - I know they are the Mets to your Yankees (ie crosstown rivals), but lighten up!

LIJ has a terrific asset in Dr. Lipetz, who was the acting program director, and is still heavily involved in residency training. He trained with Dr. Slipman. The current RIC Spine and Sports fellow came out LIJ, so it would be hard to make the argument that they don't provide a reasonable MSK experience!
 
I guess I'm the horse's mouth, since I'm currently
rotating at HJD. NYU rehab residents spend 3-6
months on rotation at HJD. The inpatient service
takes patients from in-house as well as from
around the city, most notably a good number of
patients from HSS. You also see outpatient clinic,
inpatient consults, and spend one month on the
Pain service seeing inpatient consults, outpatients,
and procedures. By the time you finish your HJD
rotations, you should feel very comfortable being
a competent attending physician in MSK rehab.

Furthermore, every NYU resident spends 2-3 months
on the MSK service at our flagship Rusk facility
on 34th St. That rotation is pure inpatient, so it
alone will not expose you to all aspects of MSK
patient care.

NYU has no training in OMM, and there is no
special emphasis on EMGs beyond meeting the
minimum requirement of #s. We have outstanding
electrodiagnosticians on our faculty, but it's pretty
much up to you how much or how little you learn
from them. They do not take the time to spoon-feed
each and every one of us, which you might consider
a weakness of the program overall.

Hope this helps the original poster and anyone
else interested in MSK at NYU.
 
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