/r/pmr

Photograph via snooOG

Physical Medicine & Rehabilitation (PM&R) News, Articles, and Discussions.

Posting Criteria

Anything that relates to PM&R is welcome, so long as it follows the following guidelines:

  • Personal medical advice: Inappropriate and will be removed promptly.

  • Scientific posts: Please provide links to PubMed or the journal article web page

PM&R

PM&R, or physiatry, is a medical subspecialty that "enhance and restore functional ability and quality of life to those with physical impairments or disabilities":

/r/medicine

Inpatient PM&R is multi-disciplinary. Major diagnoses include traumatic brain injury, spinal cord injury, and stroke. We work with:

/r/neuropsychology

/r/nursing

/r/rehabtherapy

/r/neuro

... and of course our surgical colleagues, Orthopaedics and Neurosurgery.

Outpatient PM&R surrounds follow-up of our inpatient population, as well as pain, spine, and sports medicine:

/r/painmed

/r/sportsmed

/r/pmr

3,331 Subscribers

2

When to study for oral boards?

When did most people study for oral boards? Taking it at the beginning of May.

I just bought a book that has 40 cases and was going to review that. Did you just study a month or two before or how soon did you start prepping?

Thanks in advance

1 Comment
2025/02/04
17:41 UTC

14

Join us virtually at Creating a Rank List Zoom Event!

2 Comments
2025/02/03
04:07 UTC

14

The Pathways in PM&R Podcast

0 Comments
2025/02/01
20:02 UTC

7

Am I a competitive applicant for PM&R next cycle?

Hello! I am a Non-Us IMG. YOG 2023. I have been doing research in the US since, although at an ortho department.

Boards: Step l: 246, Step ll: 246 Will take step 3.

Research: 10 pubs, 10 podiums, 15 abstracts. (Mostly ortho, but a lot is Patient reported outcomes)

USCE: 2 sub-I's in ortho with strong LoRs

Volunteering: 12 international experiences with groups like Operation rainbow and Operation Smile.

Tbh I was set on ortho, but recently found out about PMR and really liked sports med. Not having to take as much call is nice as well haha.

What are my chances? What can I do to improve? I worry that everyone will think I'm only applying as a back up...

Any insight on what an average matched applicant looks like, and what places are IMG friendly is very appreciated.

Thanks!

22 Comments
2025/01/30
16:31 UTC

3

Oral boards

Anyone have any sound advice asides practicing with a partner? What references to use?

4 Comments
2025/01/29
19:34 UTC

9

NASS fellowship schedule/ day-to-day

Hi all,

Wondering if anyone who has completed or is completing a NASS fellowship can speak to what the day to day schedule looks like. Specifically hoping to hear about hours per week, call schedule, flexibility in schedule to do additional clinics (sports medicine?). If you are willing to, please include which program you completed as I’m sure there is variability between programs. Thanks!

3 Comments
2025/01/29
18:09 UTC

5

Dr Chill Deck alternatives

Are there any decks yall recommend over the Dr Chill Deck? IDK what theyre doing with that deck now but its horrible and theres a pay wall for it. Like what kind of card is this? Show this to the anking and he will trash it.

https://preview.redd.it/8me32y6ykyfe1.png?width=2290&format=png&auto=webp&s=00177569e63a10cb00521acbe51a780e902b3f34

10 Comments
2025/01/29
16:22 UTC

6

COMLEX only applicant

Hi everyone! I understand a decent amount of programs are okay with COMLEX only. I’m just wondering if there is a way to tell which programs are okay because the Residency Explorer tool isn’t too helpful/clear.

Would appreciate any help or any match stories from past applicants. Thank you so much🙏

7 Comments
2025/01/27
00:17 UTC

2

Cancer Rehab Needs Assessment

The International Cancer Rehabilitation Foundation is conducting a needs assessment survey to better understand the field of Cancer Rehab. We would greatly appreciate any individuals in this field to complete the survey below, thank you!

https://redcap.kesslerfoundation.org/redcap/surveys/?s=HAW8EFP4RC3387E8

0 Comments
2025/01/26
21:54 UTC

5

Ability to match

I am a black female third year who is on off cycle rotations that extended my graduation to 2027. I am deciding between family and pm&r with the ultimate goal of doing a sports med fellowship.

I had trouble with step 1 and passed on my third attempt. I reviewed the match stats last year and i know pm&r is now one of the most competitive non surgical specialities. I do not have a home PM&R program, but I have shadowed at our local rehab hospital. I also served as the VP and now president of our sports medicine and rehab interest group where I have been able to connect with our states only residency program. I have research with our trauma surgery department regarding gun violence and I am heavily involved with our sports medicine department through research projects.

I have made connections with various pm&r programs across the country gaining mentors who are PD and some residents. I was able to leverage the fact that I have both little exposure and my school had its 1st applicant since 2011 last cycle and want guidance on a future career in the field.

Despite my red flag with step 1, I would like to know my chances of matching. PM&R honestly checks all the boxes for me in my interest in MSK and spinal cord injury. Family medicine checks my love for community health and advocacy for the underserved.

10 Comments
2025/01/26
19:30 UTC

21

Worst residency programs?

What residency programs should you avoid like the plague? Any big red flags I should keep my eye out for when applying?

Also any really great programs with regards to resident wellness?

Any advice would be appreciated!

48 Comments
2025/01/26
01:17 UTC

6

Audition Rotation Advice

Few quick questions to those who are applying or have applied to PM&R:

  • How many audition rotations did you apply for/would you recommend applying for? How many audition rotations did you complete?

  • Would you recommend scheduling an audition with your top-choice program earlier in the cycle, or after having the chance to visit and experience other auditions first?

  • Is a rotation scheduled in November-December too late?

Any guidance is greatly appreciated!

5 Comments
2025/01/25
20:55 UTC

10

How to remember nerve roots?

I can’t remember the nerve roots to save my life (yet alone cords, trunks,etc). I’ve spent so many hours on those premade anki cards made from Recap and can’t even remember the roots of a nerve I saw 5 min ago. The fact that muscles supplied by the same peripheral nerve can have different nerve roots is crazy. Am I missing something? Any advice on this?

9 Comments
2025/01/23
02:01 UTC

8

Recommendations for preparing for PGY-2? (Currently a TY)

Im currently a TY, and I have so far completed our 2 required inpatient medicine blocks and some electives. My intern year did start lighter since I had mostly elective rotations (except for the 2 inpatient medicine blocks I had and 2 outpatient medicine blocks which were part of my core rotations).

I still have several core rotations to complete this spring (such as emergency medicine, ICU). I took step 3 during my electives. Now, as Im approaching PGY2, it's now January and I feel like I still don't know enough.

During my 2nd inpatient medicine block, I felt like my clinical knowledge was getting better, but now I've done 2 more electives since my last IM block and I feel like I am probably forgetting what I learned / having horrible big imposter syndrome.

Does anyone have any advice/recommendations on what else I can do to be well-prepared for PGY-2/any resources/additional reading I can do? Thank you!

6 Comments
2025/01/22
17:52 UTC

1

Internships?

I’m a current high school senior and I was wondering what kind of internship to look for as someone who is interested in PM&R and sports medicine. What would y’all recommend or what do you wish you did when you were younger to better prepare yourself?

2 Comments
2025/01/22
05:22 UTC

25

Pathways in PM&R VSLO Guide

Is VSLO on your mind?? Thinking of away rotations in PM&R?? Let us help with our newest guide! 😎

Guide: https://drive.google.com/file/d/1cMJkZAgZyLuADgdGce7HDckqKPHROvvL/view

0 Comments
2025/01/19
02:00 UTC

0

home call violating 80 hours

Resident here...on home call pretty frequently. the hours spent in house approach 80, but the hours INCLUDING ALL THE HOURS ON HOME CALL exceed 80. is there any recourse here?

13 Comments
2025/01/19
01:39 UTC

5

Shadowing in PMR, what to know before starting?

Hey guys, I'm a medical student in europe and i will finish med school in a few months hopefully, i already did my clinical rotations and where i live the clinical rotations are quite intense so i already know the basics of clinical medicine.
I am interested in the field of pmr and I'll shadow a doctor in pmr for two weeks. My question is, what are the most important things to learn, in order to take the most out of these two weeks? What should I know very well? For example orthopaedic examination, neurological examination?
Thank you in advance!

4 Comments
2025/01/16
12:33 UTC

7

Moonlighting/Medical director DURING residency?

Hey there, I've heard so many stories of people working DURING residency. Not just moonlighting but I heard one person was able to do home visits and get paid per patient. I've known a couple people who are medical directors or so at a med spa.

  1. How do they find these positions?
  2. How are they able to be a medical director during residency? What can they offer if they arent there for the majority of the day?

I have a similar opportunity present to me. An athletic training facility brought up possibly having me oversee their athletes and traveling to their games. Im a PMR resident interested in sports so this could be perfect. This also seems easy enough as I cant imagine there being so many injured kids that I need to be onsite all the time....but how would this work? I cant really prescribe anything or order images since I only do that at the hospital. What could I do that would be meaningful for them? Are there any creative business models that could make this both beneficial and feasible for me and the group?

7 Comments
2025/01/15
23:30 UTC

5

Old SAE

Hey there, where can I find the old SAE? I dont see them on AAPMR and from what i understand, thats where you go find them?

5 Comments
2025/01/11
23:25 UTC

8

Program that sends everyone into fellowship?

Is it a red flag if everyone from a certain program pursues fellowship? I interviewed at a place I really like, it’s a mid tier program that seems very chill. In the last 6 years they have had exactly 1 person choose to go into general practice after residency. I don’t know if I want to do fellowship or not but I’m wondering if this is a sign that the training may be a little too chill and everyone feels they need more advanced training? I thought hyper-specialization usually happened at the elite programs more so, so I am a little surprised to see this from a mid tier. Thank you!

4 Comments
2025/01/11
15:23 UTC

17

Compensation for private practice general (outpatient)

Wondering if anyone out there is working private practice outpatient general and if you're willing, what compensation looks like if you're also incorporating EMGs and toxin injections. How does it weigh against things like overhead for the business and malpractice insurance, or if you're in a group how these issues are offset.

I've considered inpatient vs outpatient physiatry so I'm trying to get a feel for lifestyle and compensation for both.

15 Comments
2025/01/10
16:11 UTC

4

How does SAE compare to Recap?

Few questions:

  1. Do most people go through all of recap before SAE?
  2. How does SAI compare to Recap? I've been scoring around 50-60%, havent gone through the videos yet
  3. what other resources do you use for questions?
12 Comments
2025/01/10
01:49 UTC

5

Research year in PM&R?

Looking for a research year in PM&R, any advice is welcome!

MS4 here, applied orthopaedic surgery this cycle from a SOM w/o a ortho program so didn't really know what I was getting myself into until I was a little too deep down the rabbit hole. Aside from the fear of not matching growing in the back of my mind, I'm also starting to wonder if I've made the wrong choice. From what I've read, PM&R shares with ortho the passion for the MSK system but allows you to work directly with a much broader group of patients, treat a wider variety of MSK conditions, ability to subspecialize, still can be procedural if you want, and the PM&R residents seem happier.

If I don't match, then I would try to reapply PM&R but not sure how to do this. help!

4 Comments
2025/01/07
23:18 UTC

8

Are certain areas in PM&R more urban/semi-suburban friendly?

Are any specialities (or general) more friendly to practice say ~45 mins from one of the major US cities. This means job openings and not giving up a significant majority potential salary to be close.

I know every speciality in medicine loses salary being close to a major metropolitan city, but are certain focuses in PM&R absolute slaughterhouses closer to those areas?

1 Comment
2025/01/07
00:55 UTC

9

PMR Sub-I

DO student here, wondering if it’s worth it to shoot for a rotation at Spaulding. Geographically favored, have loose connections, and am in the top 5% of my class. My dream program, although I don’t think they’ve ever taken a DO.

8 Comments
2025/01/06
19:24 UTC

6

Stubborn Tibial Plateau

Hi all- not specifically looking for medical advice, but more so looking for someone to point me in the right direction to where to obtain better advice/next steps .. ?any role for pmr

I fractured my posteromedial tibial plateau while running in Oct 2023. There was delay to diagnosis due to initial XR’s being read as normal- was never NWB. The rehab has been up and down, but felt significantly better this Sept/Oct. As activity (mainly back to full time work and physio) ramped up, the pain returned, almost as bad if not worst that initial injury. PT had me doing pogo hops to stimulate osteoblastic activity which may have aggravated the injury. Interestingly, MRI shows improvement of fracture. I was worried about AVN and did a SPECT-CT that showed increased metabolic activity to the area- suggestive of ongoing perfusion/healing. Despite all this, I am now on crutches for several weeks and quite symptomatic with any WB- losing my career as an ER physician only 2 years following residency. I am on adequate supplementation and have used Exogen for over 8 months. Saw a pain specialist and “neuropathic pain”/bursitis, soft tissue etiologies are mostly ruled out. Any other ideas? Ortho has not suggested any surgery, so now the ball is in my court. ?Continue seeking other PT to find ways to strengthen leg without putting pressure on tibia ?Continue NWB indefinitely until asymptomatic ?Continue seeking other ortho opinions. Appreciate the help!

Treatments to date:

Calcium po 1200mg/d
Vit D po 11,000 IU/d
BPC-157 sc 300mcg BID
TB-500 sc 1mg/d
MK-677 po 12.5mg/d
collagen and gelatin po daily
zoledronic acid 4mg IV
red light therapy three times weekly
exogen LPUS ultrasound treatments daily for 8mo
physiotherapy 
intrabursal local/steroids 
medial unloader brace custom
DEXA bone density scan - 99%

2 ortho opinions
endocrinology work-up (normal)
6 XRs
technetium SPECT-CT bone can
1 non-contrast CT
3 MRI’s
PRP platelet lysate
prolotherapy

https://preview.redd.it/4t0ah9xwk8be1.jpg?width=3024&format=pjpg&auto=webp&s=a9d14e7175fc423487ab6147319088d93e927ac7

https://preview.redd.it/nak8lcxwk8be1.png?width=1170&format=png&auto=webp&s=8987bb527882a96138eb7a172ecc7c77cc045bd7

https://preview.redd.it/v22azaxwk8be1.jpg?width=3024&format=pjpg&auto=webp&s=f23658ee1e049806cfab89e9fddff5533114cbdc

https://preview.redd.it/bolnlaxwk8be1.jpg?width=4284&format=pjpg&auto=webp&s=ab638cb00c5055ffbce2898993bb97ff7fd0f224

https://preview.redd.it/rfduo7ywk8be1.jpg?width=1179&format=pjpg&auto=webp&s=fb24263eedb77e75d542e5d2c498b2c16e6dcea1

5 Comments
2025/01/05
20:37 UTC

4

PM&R rotation

I was wondering if there are any reference books or websites you’d recommend reviewing before rotating. Thank you!

7 Comments
2025/01/04
16:05 UTC

15

Good PM&R Programs

I’ve been looking into different programs around the country/average compensation of the Physiatrist’s in comparison to COL in the area and University of Louisville actually seems like a cool area, especially Neuroscience department specifically. Seems like a lot of cool research going on (spinal implant for paraplegic patients) and looks like it’s growing and not overly competitive yet. What is the general reputation or feel like if anyone has experience with them?

Seems like the specialists are definitely living out “Plenty of Money & Relaxation” from what I’ve been able to find out, and it seems like their compensation is a lot higher than areas of a similar size and COL. curious to hear people’s thoughts and if anyone has experience with them, or if anyone is currently there at the moment! Looks like the PM&R programs is actually going to be categorical now as well from a recent IG post.

Also curious to know about similar programs in similar size cities. Louisville itself looks like a cool place to live, and the city is big without being massive. I’ve looked into Cincinnati, Indianapolis etc. but curious about places outside of the Midwest. Is there as much cool research going on/opportunities for additional legal work like workers comp etc.? Also curious about other programs that allow you to also do part time at the VA since I know several institutions in general are weird about their MD’s also practicing anywhere outside of their system, but it’s something I would like to do, just not full time.

5 Comments
2025/01/02
20:46 UTC

9

Best resources/way to study for PMR SAE/Boards?

For those who have done pretty well on SAE, what resources have you been using? Is PMR recap + questions enough? Or PMR recap + cucc book high yield topics in cucc + questions? What were your percentiles with whatever study methods you used?

My program is placing a lot of pressure on our SAE scores and I just wanna have an improved score this year.

Thanks!

5 Comments
2025/01/02
01:34 UTC

Back To Top