School of Medicine

Physical Medicine and Rehabilitation Pain Medicine

 

rotations

New Orleans VA Medical Center

2400 Canal St,
New Orleans, LA 70119

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Touro Infirmary

1401 Foucher Street, Suite M 1005
New Orleans, LA 70115

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University Medical Center

2000 Canal St, 
New Orleans, LA 70112

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Ochsner Clinic Foundation

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Children's New Orleans

200 Henry Clay Ave
New Orleans, LA 70118

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East Jefferson General Hospital

4200 Houma Blvd
Metairie, LA 70006

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Southeast Louisiana Veterans Health Care System

Hurricane Katrina ravaged the Gulf Coast and forever changed New Orleans. The city’s health care system was left in ruins. Many of the city’s hospitals were left unusable, including the New Orleans VA Medical Center responsible for serving over 70,000 Veteran patients in the region.

VA re-established services in New Orleans within 100 days, redesigning coordination of care for Veterans throughout the region to meet interim needs.

The New Orleans VA Medical Center reorganized as a system of outpatient clinics and was renamed Southeast Louisiana Veterans Health Care System (SLVHCS), offering primary and mental health care in eight community-based outpatient clinics, two dental clinics and other specialty clinics.

The new medical center is the legacy to the Veterans in southeast Louisiana and the Gulf Coast region in honor of the service to and sacrifices made for this country.

 

Rotations:

  • General PM&R Clinic
  • EMG Clinic
  • Pain Medicine Clinic

 

About this Rotation

General PM&R Clinic – The general PM&R Clinic at the VA sees a huge variety of PM&R patients. Common complaints include musculoskeletal spine, joint, and peripheral nerve pathologies. There is a strong emphasis on diagnostic and interventional musculoskeletal ultrasound with excellent equipment available. There are also specialty clinics, many being multidisciplinary, including ALS clinic, spinal cord clinic, traumatic brain injury clinic, injection clinic (including chemo-denervation), and powered mobility clinic. The patient variety and relatively high volume allow a great learning opportunity for training in all things associated with outpatient physiatry. There are typically three to four PM&R residents assigned to the rotation each month, and sometimes residents from other training programs. Many students rotate through the clinic as well, giving residents the opportunity to teach.
 
EMG Clinic – The EMG clinic at the VA offers an excellent opportunity to hone neurodiagnostic skills with relatively low volume schedules and ample time to properly learn, perform, and report NCS/EMG. Referrals come from a variety of sources within the VA, but predominantly from our Neurosurgery and Orthopedic partners, as well as from our general PM&R clinic. This rotation has one to two residents assigned each month. One of those two residents spends part of each week on a Sports Medicine Rotation (see Ochsner rotation descriptions).
 
Pain Medicine Clinic - The focus of this rotation is for PM&R residents to become experienced with the comprehensive process of evaluating an interventional pain patient. Residents typically see about three patients per day, and have ample time for chart review, patient evaluation, treatment planning, and typically same-day interventional procedures. There is an emphasis on hands on training and residents get excellent procedural experience. Residents also get exposure to advanced procedures performed in the operating room. There is also ample opportunity to learn from LSU Pain Medicine fellows, who are also seeing patients in this clinic. In addition to one PM&R resident, there are typically anesthesia residents on this rotation as well. Overall, this is a slower pace pain clinic with excellent opportunity for hands on training.   
 

As interns, we also participate in cardiology, vascular surgery, cardiovascular medicine, orthopedic surgery, and pain evaluation program clinics. In the PEP clinic, we do VERY deep chart reviews on patients in need of comprehensive treatment of their chronic pain. We then meet with the patient along with a clinical pharmacist, psychologist, and physician assistant to discuss the multiple facets of their chronic pain treatment."-  Zack Weilenman

Touro Infirmary

In its 165-year history, Touro has survived challenges such as the yellow fever epidemic, the Civil War, and two World Wars.

In 1923, Touro was one of only fifteen hospitals in the country approved to use insulin to treat patients.

In 1929, Touro was one of the first hospitals in the United States and the first in the city to have a physical therapy department, which paved the way for our nationally recognized Rehabilitation Center.

Today, Touro Rehabilitation Center offers specialized inpatient and outpatient programs for patients experiencing catastrophic injuries, Parkinson’s disease, stroke, spinal cord injury, brain injury and cancer.

The Brain Injury Program at Touro Rehabilitation Center is specially-designed to provide education, resources, and support to patients and their caregivers. A dedicated treatment team is committed to providing individualized care to improve the quality of life for adolescents and adults following an acquired brain injury by increasing function, encouraging independence, and facilitating a safe return to the community.

 

Rotations:

  • Inpatient Rehab Consults

 

About this Rotation

Touro Rehabilitation Center in uptown New Orleans is where our residents spend most of their time for inpatient rehab rotations. Touro is CARF accredited in brain injury, stroke, limb loss, and spinal cord injury. Residents work on one of four teams, each with a 1:1 resident to attending ratio. Each team is a mixed team and will include a diverse patient population of strokes, polytrauma, amputations, orthopedic injuries, brain injuries, spinal cord injuries as well as other neurological conditions. With the supervision of an attending physician, residents take the lead on patient care with a great balance of autonomy with adequate supervision and support. Residents also partake in weekly interdisciplinary team conferences with physical therapists, occupational therapists, speech language pathologists, rehab nurses, and case managers. By the time training is complete, residents will be prepared to lead an interdisciplinary team taking care of diverse patients in inpatient rehab.

 

University Medical Center

University Medical Center New Orleans is continuing a rich legacy dating back nearly 300 years. From the beginnings of Charity Hospital and University Hospital, continuing with Interim LSU Hospital, It delivers  care that is on the cutting edge of medicine to all those who need it in the Greater New Orleans area.

More than 1000 residents rotate through University Medical Center New Orleans every year.

Situated on 34 acres between Canal Street and Tulane Avenue in the heart of New Orleans, UMC  is like no other health care facility in the region. Beautiful and modern, its spaces are illuminated and inviting with nods to the past alongside leading edge technology.

Every aspect of the facility is designed to put the patient experience first and assist the core mission of exceptional care, education and research.

 

Rotations:

  • EMG/MSK Clinic
  • Inpatient Consults

 

About this Rotation

EMG/MSK Clinic - UMC is home to an outpatient PM&R clinic where residents spend four days of the week in an EMG clinic performing nerve conduction studies and EMGs for a diverse patient population. Pathologies regularly seen in our EMG clinic include carpal tunnel syndrome, ulnar neuropathy, cervical/lumbar radiculopathy, peripheral polyneuropathy, and brachial plexopathy. On Wednesdays, UMC hosts a MSK clinic where residents evaluate patients with various musculoskeletal complaints. Residents perform many injections in this clinic with ultrasound guidance, including the carpal tunnel, knees, shoulders, hips, and SI joints. Additionally, residents participate in multidisciplinary amputee and spasticity clinics each month.   
 
Inpatient Consults - Our consult service at University Medical Center is a great rotation where residents get a chance to evaluate patients with brain injuries, strokes, spinal cord injuries, polytrauma, and other injuries/neurological conditions on the acute care side. Residents will work one on one with our Section Chief, Dr. Gary Glynn, covering PM&R consults for all of UMC. Residents also participate in weekly multidisciplinary rounds with the trauma and burn teams.  

     

 

Ochsner Clinic Foundation

Founded in 1942, by five physicians, Ochsner Health System is one of the largest independent academic health systems in the United States and the largest health system in the Gulf South.

The Ochsner Clinic, the first group medical practice in the Deep South, on January 2, 1942, in the midst of World War II. The founding partners well understood the importance of research and education. Two years after opening the Clinic, they also established the Alton Ochsner Medical Foundation. In 1947, the Ochsner Foundation Hospital opened in a former Army post hospital and then in 1954 the 250-bed, 5-story Ochsner Foundation Hospital opened.

We currently have rotations at three different Ochsner facilities.

 

Rotations:

  • Pediatric Rehab and Pediatric Sports Medicine (Ochsner River Chase and Ochsner Main Campus)
  • Sports Medicine (Ochsner Hospital for Orthopedics and Sports Medicine)
  • Interventional Pain (Ochsner Baptist)

 

About this Rotation

Pediatric Rehab and Pediatric Sports Medicine - On this rotation, residents work with Dr. Aaron Karlin who completed a combined pediatrics and PM&R residency with a sports medicine fellowship. This rotation involves treating pediatric patients with various diagnoses such as cerebral palsy, spina bifida, SCIs, TBIs, and other neurological conditions. Residents will obtain ample experience in spasticity management with chemodenervation including botulinum toxin and phenol injections. Residents will also treat pediatric patients with various sports injuries, including concussions. During this rotation, residents can participate in sideline coverage for a local high school football team with Dr. Karlin.
 
Sports Medicine - On this sports medicine rotation, residents will work with Dr. Lauren Leslie and Dr. David Leslie, both sports medicine physicians. Dr. Lauren Leslie and Dr. Dave Leslie cover various teams in the New Orleans area including Loyola University, The University of New Orleans, Delgado Community College, and the New Orleans Saints, so residents will have the opportunity to treat athletes with various sports-related injuries on this rotation. This rotation has a very high volume of ultrasound-guided injections as well, including corticosteroids, viscosupplementation, and orthobiologics such as platelet-rich plasma.
 
Interventional Pain - During the Ochsner Baptist pain management rotation, residents have an excellent opportunity to a evaluate, diagnose, and treat a diverse patient population with wide-ranging pain complaints ranging from craniofacial pain to axial and radicular pain to CRPS. In clinic, residents hone their diagnostic and physical exam skills as well as ability to assess and interpret corresponding imaging. This rotation also offers a robust and varied procedural experience with fluoroscopic, ultrasound and landmark guided procedures of axial spine, peripheral joints, as well as myofascial and botulinum toxin injections. The Ochsner staff specializes in advanced pain procedures as well, giving residents exposure to high level procedures like spinal cord stimulation, peripheral nerve stimulation, kyphoplasty and basovertebral nerve ablations.

Children's Hospital

Children’s Hospital is a 224‐bed, not‐for‐profit pediatric medical center offering comprehensive healthcare services from birth to 21 years. With  over 400 physicians and 40 specialties, it is the only  full‐service hospital exclusively for children in the Gulf South. The Jack M. Weiss Emergency Care Center, one  of the area’s busiest emergency rooms, has a 35 exam rooms and is staffed 24 hours by board‐certified pediatricians.

Last year, Children's Hospital cared for children from all 64 parishes in Louisiana, 43 states, and nine countries! In 2018, we treated 110,000 patients, providing more than 204,000 primary care and specialty clinic visits, and 45,500 ER visits. Our Helicopter, Abby, brought 387 patients to us

Rotations:

  • Pediatric Inpatient Rehab
  • Outpatient Pediatrics Clinics

About this Rotations

  • Pediatric Inpatient Rehab - The inpatient rehabilitation facility at Children's Hospital offers our residents a fulfilling experience of inpatient rehab care for the youngest members of our community affected by spinal cord injuries, traumatic brain injuries, polytrauma, and other neurological conditions. The rehab floor is located at Children's Hospital main campus and is both accredited by the Commission for the Accreditation of Rehabilitation Facilities (CARF) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Throughout this rotation, our residents collaborate with a multidisciplinary team to work towards the functional goals of our patients and their families. Our residents work one-on-one with attending physicians, who are experts in the field of pediatric neurorehabilitation, to provide excellent medical care to prepare the patients to return home after an acute hospital stay. Additionally, Children’s Hospital of New Orleans will soon to be home to a new ACGME-accredited Pediatric Rehabilitation Fellowship which will expand local post-residency training opportunities for LSU residents.
     
    Outpatient Pediatric Clinics - Our residents are involved in all the PM&R clinics that Children's Hospital provides to the pediatric population of the Greater New Orleans area. Residents experience continuity of care in the concussion clinic where patients are seen weekly as they return to play after a head injury. The general rehab clinics and Botox clinics also offer continuity of care for patients that our attending physicians have often seen since birth. The multidisciplinary approach is used in clinics for chronic pain, cerebral palsy, spina bifida, plagiocephaly, torticollis, and brachial plexopathies. Being involved in the multidisciplinary clinics is a great opportunity to work with a collaborative team that includes occupational, physical, and speech therapists as well as specialists in orthopedics, neurology, neurosurgery, gastroenterology, and urology. The goal of all these clinics is to ensure that the pediatric population with cerebral palsy, spinal cord injuries, TBIs, and other neurological conditions have the tools they need to excel at home, school, and in the community. 

East Jefferson General Hospital

In the late 1960's, community leaders saw the need for a healthcare facility to serve the burgeoning population of the
East Bank of Jefferson Parish. The Jefferson Parish Council passed an ordinance creating a hospital service district on the East Bank. In November of 1965, officials broke ground on 20 acres of undeveloped land that would become East Jefferson General Hospital.

On February 14, 1971, the hospital opened its doors with 250 beds and 250 physicians. Today, East Jefferson General Hospital has 420 beds and over 650 physicians. The hospital is one of the largest employers in Jefferson parish. EJGH has grown, offering clinical experience and cutting edge technology. Today,
the hospital remains publicly owned and non-profit. It is a service district hospital governed by a 10‐member volunteer Board of Directors and accredited
by the Joint Commission. 

EJGH has become a medical landmark adding The Yenni Treatment Center for outpatient cancer treatment and the Domino Pavilion, housing outpatient surgery, lab and radiology services. A 38,000 square foot, state‐of‐the‐art fitness facility and the East Jefferson Imaging Center, were recently added to the hospital's outreach.

 

Rotations

  • Pain Medicine

 

About this Rotation

On this rotation, residents work with Dr. Robert McMyne. Dr. McMyne is a double board certified in PM&R and Pain Medicine. While rotating on this service, residents become well versed in evaluation and treatment of complex pain patients in a hospital-based pain medicine clinic. There is an emphasis on hands on training where residents get excellent exposure to interventional pain procedures ranging from including epidural steroid injections, medial branch blocks, radiofrequency ablations, Via Disc, Vertiflex, and kyphoplasty. Residents will also have the opportunity to see inpatient pain consults, where they will learn to develop a plan to assist in the medical management of complex pain patients during their acute admissions. Overall, this rotation gives residents excellent exposure to the pace of a well-established pain medicine clinic with great hands-on training and one-on-one teaching with Dr. McMyne while also having the ability to learn from one of the LSU Pain Fellows that rotates through the clinic.

Intern Year

Rotations

  • Internal/Family Medicine Inpatient Wards
  • Outpatient Rheumatology
  • Outpatient Pain Medicine
  • Outpatient  Medicine Clinics
  • Outpatient Pediatric Sports Medicine and Multidisciplinary Clinics
  • Inpatient Rehabilitation (one month)

 

About the Intern Year with LSU PM&R

The intern year for LSU PM&R is as unique as our residency. It is designed to give excellent foundational experiences and skills that will be needed to succeed as a physiatrist. Each intern completes two months of hospital wards. One of those months is with the LSU Internal Medicine service at University or Touro hospital, and the other month is with the Family Medicine Inpatient Service at East Jefferson General Hospital. These rotations are highly rated by our residents and provide an optimum level of experience to draw upon while taking care of patients in the inpatient rehabilitation setting. Each intern also completes two months of outpatient rheumatology at Ochsner Main Campus Hospital. These rotations provide excellent knowledge for care of rheumatology patients in the physiatric practice. Interns also get at least two months exposure to interventional pain medicine at either East Jefferson General Hospital or the VA and get some of the earliest exposure in the country to the field of Pain Medicine. Interns also participate in two months of outpatient medicine clinics at the VA. This rotation provides a broad range of exposure to cardiology, vascular medicine, podiatry, interdisciplinary pain medicine, and musculoskeletal radiology. Each intern also gets exposure to outpatient pediatric sports medicine and several multidisciplinary clinics, with one month at Ochsner and one to two months at Children’s Hospital New Orleans. Lastly, during the second half of their year, each intern completes one month of inpatient rehabilitation at Touro hospital, where they are well supported by a group of upper-level residents and attentive faculty.  

Sample Block Rotation Schedule

 

 

Fall Rotation Schedulefallrot

 

 

Spring Rotation Schedulesprrot