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:

  • Musculoskeletal: Stroke, Prosthetic/Orthotics, ALS, Spinal Cord Injury, EMG/NCS, Orthopaedics, Musculoskeletal Radiology
  • Pain Medicine: Multidisciplinary
  • Cardiac Rehab

 

About this Rotation

PM&R Clinic - We see a huge variety of PM&R patients including: ALS, spinal cord injury, back pain, joint pain, other musculoskeletal complaints. We are able to provide point of care EMG tests in clinic. We provide point of care joint injections in clinic. There are three residents on the regular clinic rotation, two EMG residents, and usually a couple of internal medicine residents. This is a large, high volume clinic. Many students rotate through the clinic as well, giving residents the opportunity to teach.

Pain Clinic - There is typically one pain fellow, 2-3 anesthesiology residents, and one PM&R resident on this rotation. The focus in this clinic for PM&R residents is less volume and more about the comprehensive process of evaluating an interventional pain patient. You will typically see about three patients per day and will chart review, evaluate the patient, come up with a treatment plan/target for interventional procedure if warranted, discuss with an attending physician, then consent and prep the patient, perform the interventional procedure.

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 Adult Rehab - traumatic brain injury,spinal cord injury, stroke, amputation, post-operative orthopaedic
  • Inpatient Rehab Consults

 

About this Rotation

"Our inpatient PM&R rotation at Touro is our busiest rotation. We do one month of IPR at Touro, then an additional 9 months throughout the next three years of residency. Residents can expect on average to carry a mostly full team of about 9-13 patients. Residents work directly one on one with their attending physician. There are four teams plus a consult resident that sees in house consults as well as covers inpatient teams when other residents are out on vacation. Teams can accept any kind of rehab admit, so it is not uncommon to have at least one stroke, TBI, SCI, orthopedic rehab patient on your team concurrently. The obvious benefit of this is having variety and keeping up with the most current treatment recommendations of most types of IPR patients encountered at all times. A typical day starts at 7 or 8 in the morning with chart reviewing and pre-rounding followed by rounding with the attending physician. Residents can typically expect to have one admit to work on in the afternoon, sometimes two. Weekend call is split amongst the inpatient residents so that each resident covers all the call for one weekend, and the rest of the weekends they have off." - Dr. Zack Weilenman

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:

  • Musculoskeletal, Electromyography and Nerve Conduction Studies
  • Consult for Inpatient Rehab
  • HIV Pain Medicine

 

About this Rotation

"Residents cover consults at UMC. Typically this involves working in the TICU and rounding with the TICU team to evaluate who will need IPR. Residents also perform EMG/NCS with our program director Dr. Kishner at UMC. There are three residents on the UMC EMG/NCS rotation at one time, typically a 4th, 3rd, and 2ndyear resident. This is organized in this way so that more senior residents can teach and assist the lower level residents in how to perform and interpret these studies." Zack Weilenman            

 

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.

 

About this Rotation

"Residents rotate at several Ochsner facilities with several different faculty. We rotate in interventional pain at Ochsner Baptist, a high volume rotation in which residents are able to perform many interventional pain procedures as well as evaluate patients with pain complaints in clinic. We also rotate at an Ochsner clinic on the north shore of lake Pontchartrain in sports medicine and pediatric sports medicine. Residents will see a large volume of concussions, sports injuries, spasticity, and pediatric PM&R." - Zack Weilenman

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

 

Specialized Pediatric Healthcare Services

  • Critical care is provided in the hospital’s 36-bed Neonatal Intensive Care Unit (NICU), 24-bed Pediatric Intensive Care Unit (PICU), and 20-bed Cardiac Intensive Care Unit (CICU), the only one dedicated entirely to the care of Cardiac patients from birth to adulthood in the state.
  • The hospital’s Jack M. Weiss Emergency Care Center, one of the area’s busiest emergency rooms, is staffed around the clock by board-certified Emergency Care physicians, with the availability of a full range of pediatric specialists. The Emergency Department has a total of 35 exam rooms and is supported by a nursing staff specially trained to handle pediatric emergencies.
  • Outpatient appointments with pediatric specialists are offered at the Ambulatory Care Center on the hospital campus and at the hospital’s satellite locations throughout Louisiana: Children’s Hospital Metairie Center, Children’s Hospital Northshore Center, Children’s Hospital Denham Springs Center, Children’s Hospital Outpatient Center of Baton Rouge, and Children’s Hospital Burdin Riehl Clinic in Lafayette. In addition to these, specialists see patients in Alexandria, Covington, Houma, Lake Charles, Monroe, Slidell, Thibodaux, and Gulfport, Mississippi.         

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
  • Wound Care
  • Family Medicine
  • Interventional Pain Medicine

 

About this Rotation

"Residents work in an interventional pain clinic at East Jeff. This clinic is very similar to Ochsner Baptist in that residents can expect to perform numerous interventional pain procedures for a multitude of pain complaints. At both facilities it is not uncommon for a resident to observe/perform approximately twenty procedures per dedicated procedure day. Typically there are two procedure days per week at both East Jeff as well as Ochsner Baptist. During intern year, residents also spend one month covering inpatient medicine with the family medicine residency program at East Jefferson. This rotation is very busy and demanding. Residents like to think of this month as a “crash course” in hospital medicine and report that it does an excellent job of preparing them for inpatient rehab at Touro. Interns do not take overnight call for this rotation as there is an upper level night float resident." - Zack Weilenman

The Pain Management Institute at East Jefferson General Hospital offers a multidisciplinary approach to the treatment of chronic pain, including a full range of interventional therapies, including physical therapy, cognitive therapy, medications and injections. This an elective rotation for the residents who work one on one directly under the guidance of Dr. Robert McMyne, the current Medical Director for the Pain Institute and recent graduate of both the Physical Medicine and Rehabilitation Residency program and Pain Medicine Fellowship Program.

During this rotation, the residents get the opportunity to observe how a private practice pain management clinic operates and can learn and perform many different interventional pain procedures in a community hospital setting serving mostly private practice patients from the greater New Orleans area.

They also now participate with Dr. McMyne providing inpatient consults for pain management. In addition, starting in October 2017, PGY1 interns are completing a one to two-month family medicine rotation with residents and staff from the East Jefferson General Hospital Family Medicine resident program. 

 

Sample Block Rotation Schedule

 

Facility Name Facility Abbreviation Rotations
Southeast Louisiana Veterans Health Care System VA PMR PAIN MED ORTHO EMG
Touro Infirmary /Touro Rehab Center Touro IR (Inpatient Rehab)
University Medical Center of New Orleans UMCNO PMR/EMG PMR/Equip IPC (Inpatient Consults)
Ochsner Clinic Foundation OCH PAIN SM (Sports Medicine) RHEUM (Rheumatology)
Children’s Hospital of New Orleans CHILD NEURO (Neurology) PIR (Pediatric Inpatient Rehabilitation) PR (Pediatric Rehab)
East Jefferson General Hospital EJGH PAIN WC (Would Care) FM (Family Medicine)

 

PGY-1

Block 1 2 3 4 5 6 7 8 9 10 11 12
Facility VA VA VA VA Touro OCH OCH OCH CHILD CHILD EJGH EJGH
Rotation ORTHO MED PAIN PMR IR PAIN RHEUM SM NEURO PR PAIN/WC FM
% Outpt. 100 80 100 100 0 100 100 100 100 60 100 50

 

 

PGY-2

Block 1 2 3 4 5 6 7 8 9 10 11 12
Facility VA VA Touro Touro Touro Touro UMCNO UMCNO UMCNO OCH CHILD EJGH
Rotation PMR PAIN IP IP IP IP PMR/EMG PMR/EMG PMR/EMG PAIN PR PAIN
% Outpt. 90 90 0 0 0 0 100 100 100 0 0 100

 

 

PGY-3

Block 1 2 3 4 5 6 7 8 9 10 11 12
Facility VA VA Touro Touro Touro UMCNO UMCNO OCH VA VA VA VA
Rotation PAIN PMR IP IP PMR/EMG PMR/EMG PMR/EMG PAIN PMR/EMG PMR/EMG EMG EMG
% Outpt. 90 90 0 0 0 100 100 100 100 100 100 100

 

 

PGY-4

Block 1 2 3 4 5 6 7 8 9 10 11 12
Facility VA VA VA Touro Touro UMCNO UMCNO UMCNO OCH OCH CHILD CHILD
Rotation Pain PMR PMR IR IR PMR/EMG PMR/EMG IPC PAIN SM PIR PIR
% Outpt. 100 100 100 0 0 90 90 0 100 0 0 0