normalforce said:
I heard that a lot of the faculty left a few years ago and the program is having/had some trouble. Honestly, how are things now, and what are the strengths/weaknesses of your program. Thank you very much.
NF
Funny, I've heard that as well.
Strange......
I guess old information takes a while to go out of circulation. I wasn't at Rush before PGY-2 (7/03), but I'll tell you what I know.
In 2000, our program director left. From what I hear he was very intelligent, but somewhat eccentric and not that great of an educator/resident advocate. Our current PD is young, energetic and has made a concerted effort to restructure our program to offer the type of training desired by today's applicants/job market.
In the spring of '02, our assistant PD and one of our best instructors left and is now Asst. PD at U. of Mich., a loss for sure, but life and residency programs go on.
Here's a rundown of the program with strengths and weaknesses:
The program is approx 60/40% outpt to inpt.
PGY-2 12 months of inpt, 6 months general inpt rehab/consults at Rush, 2 months Neurology for categoricals, 2 months SCI at Oak Forrest(county hosp), and 2 months TBI.
PGY-3 1 month of chronic pain clinic, 1 month of Orthotics/Prosthetics/amputee clinic/foot-ankle/peds ortho, 2 months of SCI (Hines VA), 2 months of musculoskeletal clinic/Neuro ICU consults(county/trauma), 2 months of musculoskeletal clinic/EMG, 2 months Pediatrics, 2 months outpt (musculoskel, ortho, sports).
PGY-4 4 months EMG(2 months in the Neuro dept, 2 months of more hands on at Cook County), 2 months elective, 2 months interventional spine (with both an interventional Physiatrist and Anesthesiologist-large volume of injections and procedures with solid hands on opportunities for needle placement, etc.), 2 months occupational rehab(worker's comp etc), 2 months outpt clinics (sports, TBI, MDA, SCI, musculoskeletal, amputee, etc).
At Rush, two of the big rep departments are Neurosurg and Ortho, including Ortho Spine. I'm glad that we're taking advantage of this for educational/training purposes e.g. sports rotations, foot/ankle/shoulder clinic, peds ortho. Sports rotations are with the Ortho dept (docs for Bulls/White Sox) and with the PM&R sports-med doc for U. of Illinois- Chicago-Athletics (UIC). Opportunities to cover sporting events include UIC varsity athletic events, the Chicago Marathon and the Chicago Distance Classic (half marathon) among many others. We also rotate at CINN. We'll have an official affiliation with their pain/interventional spine fellowship if their application for ACGME accreditation goes through this year. At the present time, there are more outpt. rotations available than residents to attend them. That being said, even though there are only two months of elective, there is enough flexibility with choice of outpt. rotations for a resident to tailor his or her training experience to meet his/her individualized career goals.
Though the program is more outpt focused, the inpt training has traditionally been pretty solid. The months on general inpt rehab provide exposure to a lot of variable pathology including pts S/P heart/liver/kidney transplant, cancer pts, Neuro pts (MS, Parkinson's, etc.), and cardiac/pulmonary pts in addition to your average strokes, amputees and generally deconditioned pts. Of the two SCI rotations, one is at a county hospital (gunshot wounds, etc.) and one is at the VA (high-level cord injuries, vents, etc.). Pts with milder SCI are seen in the acute rehab unit i.e. s/p laminectomy/spinal fusion. For the brain injury rotations, again, one is at Oak Forrest Hosp-(county-lots of blunt head trauma), and one is on the acute rehab unit at Rush (plenty of NeuroSx patients i.e. ICH, hydrocephalus, tumors, aneurysm repair, Baclofen pump trials, etc.)
Call schedule for inpatient is 5 wks for PGY-2, 4 wks for PGY-3 and 2 wks for PGY-4. Call is from home M-F(you don't have to come in even for emergencies) and overnight on Sat./Sun.
Didactics include lectures every Fri. morning on an 18 month rotating schedule along with SAE/board review. Journal club and chapter reviews are held weekly for PGY 2 and there is a monthly lecture for everyone by guest speakers (usually physiatrists from out of state programs). Additional didactics are a comprehensive 6 week Orthotic/Prosthetic course for PGY-3/4 and Functional Anatomy course with prosected cadavers and Neuroanatomy review course for PGY-2. Additional optional didactics during some rotations are weekly spine conference (run by the ortho dept)/ortho grand rounds and Neurosurg morning conference/report.
Each resident is alloted approx $500 yearly for books, etc. and $1000 yearly for registrations at conferences, workshops, etc. Full reimbursement is also given for travel expenses (gas money) to the away inpatient sites(Oak Forrest/Hines VA). The department pays for all PGY-4s to attend the AAPMR annual convention and for PGY 2/3s who are presenting research.
As a group, I think all the residents are really happy with the direction the program is going and we get along great together. We have a post-rotation dinner every 2 months to gripe about or praise rotations, eat/drink and hang out. I think the atmosphere at this program is pretty easy going. There are no big egos here (at least in the PM&R dept.). I honestly feel that our faculty puts priority on helping each resident meet his or her individualized career goals. Of our 3 seniors from last year, one entered the sports/EMG fellowship at Mich. State, one went into private practice with a large ortho group, and one was offered a spot in the interventional spine fellowhip at the Cleveland Clinic (don't know if she ever accepted it or not). Currently, our 5 seniors are interviewing for interventional spine/sports fellowships and we're hoping for 100% placement.
One remaining weakness is Peds. We have a fairly new attending (2 years)from the Cinncinati combined PM&R/Peds program who is a great guy and solid educator, but the inpatient Peds unit is still in the process of opening at Rush. At the present time, the Peds rotation is mostly outpt. Personally, it doesn't bother me because I'm not that into peds and I've already completed the rotation. Nevertheless, during my peds rotation I was able to do quite a few Botox injections.
Additionally, we don't really have the big PM&R names that some programs have.
To ride on the coat-tails of RIC
, they have several great conferences yearly which alot of us attend. Only problem is the cost for some of them.
We had our ACGME review this July. No major problems from what I hear, but the official notification should be coming out in February. We're hoping for another 3 year if not 5 year accreditation.
I hope this answers everyone's questions. If not, feel free to PM me.