The first year (transitional year) of training is dedicated to the development of fundamental clinical skills. This experience includes six months in family practice, internal medicine, pediatrics, general surgery or a combination of the above. The remaining six months may be in primary care field or a more specialized field, including neurology, neurosurgery, orthopaedic surgery/sports medicine, pediatrics, radiology, rheumatology or urology.
As part of the remaining three years of training, residents are required to spend a minimum of one year—and no more than two years—caring for hospitalized patients to provide inpatient services, including general rehabilitation, stroke, brain injury, spinal cord injury and pediatrics.
At IU School of Medicine, second-year residents in the physical medicine and rehabilitation program complete a six month rotation in inpatient rehabilitation, emphasizing general rehabilitation, stroke and traumatic brain injury as well as six months outpatient rehabilitation emphasizing consultations, musculoskeletal medicine, EMG, occupational medicine and sports medicine.
Third-year residents spend three months in EMG, three months in inpatient rehabilitation (emphasizing spinal cord injury), two months in outpatient rehabilitation (emphasizing consultations, musculoskeletal medicine, EMG, occupational medicine and sports medicine), one month in inpatient pediatric rehabilitation, one month in outpatient pediatric rehabilitation, one month in radiology, and one month in sports medicine.
Fourth-year residents spend two months in inpatient rehabilitation (emphasizing community orthopedic rehabilitation), six months in outpatient rehabilitation (emphasizing musculoskeletal medicine, EMG, prosthetics and wheelchair prescription), three months in electives and one month writing (research).