If you did not apply to LSU's PM&R program, consider this....I'm really happy!

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wscott

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20+ Year Member
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How y'all doin'?

Though I'm only a newly transplanted New Yorker, with my NY accent the only time I can express that phrase and make it work is in writing, so forgive my indulgence.

I am an Osteopathic physician that graduated from the NY College of Osteopathic Medicine, did a traditional Osteopathic rotating internship in NY and now I am a PGY3 resident at the Louisiana State University PM&R program. I've lived in NY for most of my life and when it was time to apply for my PM&R residency I was open to change. I was simply looking for the best program focused on outpatient musculoskeletal medicine with solid exposure to all the other aspects of physical medicine and rehabilitation. Residency is certainly a unique opportunity to live and work somewhere you might not otherwise have thought of… who knows, an open-minded exploration might lead to a happy permanent settlement elsewhere! I interviewed at all of the NY programs, most of the programs on the eastern seaboard, Texas, and LSU. I should also mention that my fianc?e also interviewed for a PM&R position. 😍
We chose to come to New Orleans and do our residency at the Louisiana State University Health Science Center. Let me tell you now how we arrived at LSU and what we've experienced thus far. In short, we did not know much about the program at first, but we were initially drawn to LSU by the fantastic informational packet, the friendly approach of the residency coordinator, and the prospect of living in exciting New Orleans! 🙂 During our interview our attraction grew stronger as we learned more about the program, residents, faculty, and city.
The Louisiana State University physical medicine and rehabilitation residency is a very organized program that exposes residents to a very wide array of patient demographics, pathology, approaches to practice, and postgraduate opportunity. The faculty is outstanding and they are actively expanding. The residents are mentored and taught by leaders of each of the major PM&R sub-specialties. 👍
A nationally known and respected leader in traumatic brain and spinal cord injury, not to mention, a very successful and wise businessman, heads our PM&R section. He is a wealth of knowledge, but what's different is that he sits down with the residents at least a few times a week and talks business or pleasure. He is a great person to work with and very willing to share his secrets of success with the residents.
The residency director is a well-known and highly respected EMG specialist as well as an excellent and diverse clinician. Having many years of experience, he has given numerous lectures around the world on electrodiagnostic medicine. He also has a wide base of PM&R knowledge, which he is truly enthusiastic in sharing. His lectures are well planned and entail literature reviews of various topics over the course of the last 20 years - excellent notes for evidence-based learning. He is an approachable person and easy to engage having serious intent towards teaching his students to be leaders in physiatry. 👍
Dr. Charles Aprill is also on staff. If you know about interventional spinal injections then you must have heard of him. He is a world renowned and early pioneer of many interventional techniques and has authored countless papers. Two or three very lucky fellows each year are selected to learn from the interventional guru himself. He has accepted residents from outside programs in the past, but this year LSU residents have filled all of the slots.
LSU has also recently hired two energetic young attendings, one of which heads the consultation service. Residents work one on one with her to offer patients an early approach to the rehabilitation process- a very sharp, fun, enthusiastic teacher and down to earth individual. I can't say enough good things about her. They have also hired a graduate fellow from Harvard who will be the only pediatric PM&R doctor in the state. With his referrals sure to be no less than abundant, resident opportunities for exposure to this sub-specialty will soon be very substantial.
Another PM&R staff member has been voted the most valuable teacher of the whole LSU system by medical students. Other faculty members are equally strong and enthusiastic with the focus always being on resident education. Staff members have developed a wide-ranging intimate network of contacts in the field, serving our graduating seniors very well thus far, with excellent postgraduate opportunities.

See my next response to continue -

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The facilities and their various associated patient populations provide a well-balanced experience between private facilities, inner city state run facilities, and the New Orleans VA. Exposure and treatment of the abundant and interesting pathology is a result of experiences in the different facilities all located within the cosmopolitan city of New Orleans. We spend the minimum number of months required on inpatient service (12 months) and the remaining time during our training is outpatient experience. An important note, there is no major traveling involved - the most you have to go between facilities is 15-20 min.
The pathology is extraordinary. Charity hospital has the third busiest ER in the U.S. serving the indigent population of Louisiana and uninsured patients as far away as FL, AL, TX, MS. Their misfortune gives us great opportunity in training and the chance to provide care to the most desperate of patients. It is fantastic to help these people. Unlike many patient experiences I encountered in NYC urban areas, most of these patients are truly grateful and provide their thanks and respect to the doctors. It is a great opportunity to learn and to provide a tremendous impact on the lives of patients who have fallen through the cracks of Americas health care system. Charity Hospital has renovated an entirely new in-patient unit with brand new private and semi-private rooms, eight new computers, and an expanded therapy area.
The other major facilities we rotate though are the VA, Ochsner, and Touro hospitals. Touro is a well-recognized private facility that has an extensive inpatient rehab unit. The staff is very professional. When the resident arrives in the morning they are greeted, "Good morning Doctor, here is the patient list for today." The majority of the patient population at Touro is quite different socioeconomicaly than that of Charity Hospital. Many times patients typically are either wealthy, well connected, have great insurance, or all three. The facility provides top-notch care with its extensive resources. Ochsner Hospital is similar. They have robots named Ella and BB King (Louis Armstrong retired) delivering medications in the hallways, a hotel in the hospital - resources and facilities abound to provide the best for patient care.
Strong advice for applicants is to consider the pathology they will be exposed to at their prospective residency programs. I believe at LSU our pathology is unmatched, remember this is coming from a New Yorker and a physician trained in New York.
Procedures abound with plenty of hands on peripheral or fluoroscopic injections procedures to put in your logbook. At first there is adequate supervision, but after you get the hang of it, it's all up to you – there is great balance between supervision and autonomy in this regard. From what I've compared with other programs this is unparalleled. With the program director being a world renown EMG specialist, don't worry about getting your 200 hands on electrodiagnostic procedures you have least four months to work closely with him all day in the lab, not to mention additional exposure on other out-patient rotations.
Our didactic schedule is another very strong point to our program-1) Every Tuesday from 4-5pm we alternate each month with lectures on physical exam, journal club, EMG, and gross anatomy dissection (in the dissection we review EMG placement, peripheral injections, and clinical correlations). Two Tuesdays from 5-6pm a month we are scheduling a pain lecture series with the musculoskeletal fellows and Dr. Aprill, and the other two Tuesdays a month will be an O+P review with a focus on assistive devices. Fridays 12-1 lunch is provided along with Grand rounds 3x/month, and a resident meeting 1x/month; Fridays 1-4pm we have guest speakers. The lectures are scheduled months in advance (in August we finished the lecture schedule up until Feb) and a reading assignment is given. A short quiz is given each Friday based on the reading assignment, which correlates with the Fridays lecture. An education committee headed by faculty and the chief residents allows residents to attend and have input towards the topics to be covered and the format of didactics. The work of this committee is the principle reason why our didactic experience is so strong. 👍
For PGY1 applicants, the 12 months of prelim rotations are chosen by the prospective resident! You get to choose what rotations you want to do...and the choices include rotations at Tulane, Ochsner, Touro, and Charity hospitals. If you don't want to do any Medicine wards that's ok, although it is strongly suggested. The prelim year is split into 6 months each at PGY1 and PGY2 levels, and again, the resident chooses all their rotations. 👍
PM&R call is from home if you have it. So far this year, no one has had to go into the hospital at night. 😛 Residents can answer calls and then sleep in the comfort of their own home - that is huge. You'll see no bags under my eyes unless I've been reading for my own benefit or it's the weekend and I'm partying down in the French quarter! 😉 New Orleans is a very interesting city that is rich in culture that's quite unique. It seems like every weekend there is a festival - the shrimp festival, the gumbo festival, jazzfest, mardis gras, French quarter festival, crab festival, chili cook off, and every other type of festival you can think of. Sports – LSU football – national champions last year! I won't kid you, there are some rough spots in this city, but they are well localized. There are also some of the most beautiful streets in the country and the natural beauty of the bayou abounds – oh yeah, I'm going fishing this weekend on the Gulf. There is just so much to do...and that's coming from a jaded New Yorker!
Well I'm proud to be in New Orleans doing a PM&R residency at LSU. We are a very happy group of about twenty-five residents. This program was once PM&R's best-kept secret...but I'm afraid the secret is out, as the number of applicants has been rising exponentially. If you have interest in our program I encourage you to contact the PM&R office for more information and to consider a rotation. I hope this was helpful to those who are interested, feel free to contact me for more info. 🙂
 
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