University of Colorado Hospital (UCH) is a tertiary medical center and the primary teaching hospital for the University of Colorado School of Medicine (CUSOM) programs. It is located on the Anschutz Medical Campus and serves as a primary site. Full time faculty from CUSOM are assigned to the clinical service and are responsible for resident/fellow supervision.
The UCHealth Inpatient Rehabilitation Unit has 12 beds and a full-time inpatient director. Unique patient populations on the inpatient unit include burn, transplant, joint replacement, stroke, and brain tumor rehabilitation. This team also manages a PM&R consult service for the hospital as well. The rehab service has a strong presence in the ICU promoting early mobility and early intervention for SCI, TBI, and trauma patients.
The UCH Spine Center is a multidisciplinary center housing physiatry, neurosurgery, orthopedic surgery, anesthesiology, and pain psychology, all dedicated to providing high quality, evidence-based, multidisciplinary spine care. The PM&R team focuses on spine and musculoskeletal medicine, fluoroscopy-guided interventional spine procedures, and ultrasound-guided injections.
The CU Sports Medicine Clinic clinic is part of the UCH Sports & Spine rotation and is located off campus in Denver, CO. Residents gain exposure to acute and chronic sports injuries in a multidisciplinary approach, alongside sports medicine physicians from orthopedic surgery and family medicine. Follow on Twitter and Instagram.
The CU Sports Medicine and Performance Center is housed in The Champions Center on the CU Boulder campus adjacent to the CU Buffs training room and sports complex. The center treats CU athletes, students, and Boulder community members for spine and musculoskeletal sports injuries.
The Foot and Ankle Center is an offsite clinic in Denver that provides comprehensive foot and ankle care. This clinic houses a state-of-the-art motion analysis lab, with regular musculoskeletal and neurologic gait analysis case review, as well as running and sports performance capabilities.
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The Rocky Mountain Regional Veteran’s Affairs Medical Center (VA) provides experience in the provision of care in a government setting for all of Colorado. Full time faculty from the University of Colorado School of Medicine are assigned to the clinical service and are responsible for resident/fellow supervision. Clinical experiences provided to residents include inpatient, consult, outpatient, and electrodiagnostic training. Outpatient clinics cover musculoskeletal medicine, neuromuscular medicine, spinal cord injury, multiple sclerosis, and brain injury). In 2019, the RMR-VAMC relocated to the Anschutz Medical Campus from their downtown campus and opened a state of the art, regional Spinal Cord Injury (SCI) unit providing specialized care for the entire region.
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Denver Health (DH) is a Level 1 Trauma Center with a diverse patient population. Full-time faculty from the University of Colorado School of Medicine are assigned to the clinical service and are responsible for resident/fellow supervision. Denver Health provides resident experiences in both outpatient rehabilitation and consult services. Residents receive extensive experience in the care of adults and adolescents with brain injury, spinal cord injury, amputation, and polytrauma. The outpatient clinics involve general rehabilitation, durable medical equipment prescription (wheelchairs, orthotics, and prosthetics), musculoskeletal medicine, and electromyography.
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Children’s Hospital Colorado (CHCO) serves as the tertiary referral center for pediatrics across the Rocky Mountain region. Full time faculty from the University of Colorado School of Medicine are assigned to the clinical service and are responsible for resident/fellow supervision. CHCO is located adjacent to the University of Colorado Hospital (on the Anschutz Medical Campus) and offers a full range of pediatric services. CHCO has 400+ beds and typically 13 inpatient rehabilitation beds. The resident educational experience at Children's Hospital includes a month each of inpatient, outpatient and consult pediatric rehabilitation experience. The rotation provides both an inpatient and outpatient exposure to Pediatric Physiatry, seeing a plethora of diagnoses including spina bifida, cerebral palsy, and neuromuscular disease. This PM&R resident rotation is consistently ranked one of the program's top clinical experiences.
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Craig Hospital is a free-standing rehabilitation hospital focused on the care of spinal cord injury and brain injury. Craig is consistently rated as one of the top 10 rehabilitation hospitals by U.S. News and World Report. Attendings at Craig Hospital have clinical faculty appointments at the University of Colorado School of Medicine and are all board-certified in either Spinal Cord Injury Medicine or Brain Injury Medicine. The Craig faculty also teach the spinal cord injury and traumatic brain injury modules in the didactic curriculum. Craig Hospital houses two rotations for the residents: Spinal Cord Injury and Brain Injury. These rotations allow for the residents to be exposed to the acute, inpatient, and chronic care of SCI and TBI patients, under the direction of the supervising faculty. These rotations continue to be very popular among the residents, not only for the medical knowledge and patient caree that they are exposed to, but also for the opportunity to experience how PM&R is practiced in a health care system outside the traditional academic medical center.
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Because of so much clinical and site variety, residents receive excellent, unparalleled autonomy and exposure to procedures.
Procedure | ACGME Minimum | CU PM&R Average |
EMGs | 200 | 200 |
Epidural Injections | 5 | 100-150* |
Facet, SI joint, nerve blocks | 5 | 75-100* |
Periph joint/intra artic inj/tendon sheath/bursa inj | 20 | 100* |
Botulinum toxin injections | 20 | 40 |
Ultrasound | 10 | 75-100* |
*Note: Sports, spine and pain interested residents consistently PERFORM >200 axial injections each (epidurals, facet injections, etc.) and >100 ultrasound-guided peripheral injections.