Lawrence Horn, M.D., M.R.M. - Program Director
Lourdes Alfonso, M.D. - Associate Program Director
Michael Ajluni, M.D. - Assistant Program Director
The Wayne State University and Detroit Medical Center residency program in Physical Medicine and Rehabilitation seeks to educate medical students and resident physicians in all aspects of rehabilitation medicine. Core competencies include patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice. Core disciplines include inpatient rehabilitation and continuing outpatient care of spinal cord injury, brain injury, stroke, and orthopedic patients; and musculoskeletal, pain, and sports medicine. In addition, the department seeks to advance the science of rehabilitation medicine through active research and scholarly work.
The Detroit Medical Center (DMC) and Wayne State University (WSU) Residency Training Program in Physical Medicine and Rehabilitation (PM&R) offers tremendous opportunities for education, growth and career preparation. WSU and the DMC, are nationally recognized for their excellence in numerous areas and provide research opportunities unavailable in non-university settings. Department chairs and faculty are drawn from among the leading researchers and educators in the country.
The Detroit Medical Center's Rehabilitation Institute of Michigan (RIM) together with Sinai-Grace Hospital and their suburban outpatient centers, constitute the primary teaching facilities for the PM&R residency training program. Click here for more information on the Rehabilitation Institute of Michigan.
Residents receive training specifically focusing on the care of persons with disabilities, as well as some of the most extensive outpatient musculoskeletal and electrodiagnostic experiences available in a PM&R residency.
The integration of these two outstanding hospital residency programs with their varied practices, provide residents with unparalleled training opportunities. The program offers residents a unique blend of a university academic milieu, coupled with extensive outpatient musculoskeletal training in a community setting. Residents receive some of the most extensive outpatient musculoskeletal and electrodiagnostic experiences available in a PM&R residency, while training at a premier rehabilitation institute, and working side by side with nationally recognized faculty.
Whether the resident's focus is clinical practice, academic medicine or research, all of these opportunities are available in the DMC/WSU program. Regardless of their area of emphasis, all graduates will have been trained in the entire spectrum of physical medicine and rehabilitation from traumatic brain and spinal cord injury, to electromyography, to industrial, pain and musculoskeletal medicine.
For the committed and talented candidate, this program has been designed to provide an outstanding environment for achievement.
In 2013, RIM was awarded the Magnet® designation for excellence in nursing from the American Nurses Credentialing Center. William Restum, PhD, President of RIM states "Magnet® designation is one of the highest distinctions a hospital can receive, less than 7 percent of hospitals in the U.S. have achieved Magnet® status, RIM is the only rehabilitation hospital in Michigan and only the third in the country to receive this coveted honor. This momentous achievement only confirms what we have always know, that RIM and our nurses are among the best in the country."
The academic year is divided into 12 one month long rotations. Each resident will complete core rotations as well as electives during the 3 year program. Rotation schedules amongst residents may vary for a given year, but all residents will complete the same number of required core rotations.
- Didactics - Includes courses in physiatric therapeutics, anatomy and kinesiology, EMG, spinal cord injury, traumatic brain injury, pediatric rehabilitation and more
- Continuing Medical Education Lectures
- Journal Club
- Anatomy - 12 week anatomy course which involves cadaver dissection of the back and limbs, is given January through April to PGYII residents
- National and In-Service Examinations - National and in-service (course) examinations are administered and subsequently used as teaching tools in round-table review
- Self Assessment Exam (SAE)
- Electrodiagnostic Self Assessment Exam (EMG SAE)
- Educational Conferences - both locally and nationally
Spinal Cord Injury at RIM x 3 months
Traumatic Brain Injury at RIM x 2 months
Stroke Rehabilitation at RIM x 2 months
General Rehabilitation at RIM x 3 months (1 month focused on Cancer Rehab patients)
Pediatric Rehabilitation x 1 month
Detroit Medical Center (DMC) inpatient consults x 3 months
Introduction to Outpatient x 2 months
Intermediate Outpatient x 2 months
Advanced Outpatient x 4 months
Rheumatology Clinic at DMC x 1 month
Sports Medicine Clinic at RIM x 1 month
Prosthetics/Orthotics x 1 month
Pediatric Rehabilitation x 1 month
Neurology x 1 month
Pain Management (Pain Clinic or HPM) x 1 month
EMG at Detroit VA x 2 months
Advanced EMG x 2 months
3 Additional Electives (3 months)
Neuro-radiology, Musculoskeletal Radiology, Interventional Spine, Neurosurgery, Pain Medicine, Palliative Medicine, Orthopedics, OMT Manipulation, Research