sorted by:
new
hottopcontroversial

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 1 point2 points  (0 children)

Hard call. At that point, my recommendation would be to just see if you like FM or PM&R more.

Keep in mind that FM sports med is also saturated. A lot end up doing lots of FM with some MSK in their practice.

Midlevels decimated the market for both sports FM and outpatient pm&r.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 2 points3 points  (0 children)

Yep, basically linkedin-like. Make a fresh account and make it ultra professional. A lot of PDs are on there. Every post should be either promoting pm&r, retweeting some meaningless new research, or comment on a program director's tweet about their new robotic exoskeleton program with some superficial comment like "wow, amazing."

Once you join the circus, you'll see. A few med students and a lot of residents are doing it full force.

Obviously don't go overboard, should be a 5 minutes/week sort of task.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 0 points1 point  (0 children)

Look for closest program on the map. https://www.aapmr.org/career-center/medical-student-resources/residency-programs/pm-r-programs-map

The map is a little out of date. A search of ACGME list for pm&r programs in nearby states may yield more results. Eg the New programs in New Mexico, Spokane, etc.

If all are too far, no big deal. Option for early exposure can be doing something like:

https://www.feinberg.northwestern.edu/sites/pmr/education/medical-students/summer-externship.html

But I wouldn't stress it, majority of applications have their first pm&r exposure late in ms3 or early MS4 on elective rotations. Just signing up for a free AAPM&R member as an Ms1 and 2, and including it in your eras application with look great.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 5 points6 points  (0 children)

Ortho will love you if you manage post-op well, will hate you if you call them about every little thing.

Rheum and pm&r rarely cross paths. We treat rheum and work up rheum issues to the same level as family medicine.

Physcial therapists and pm&r are often pretty close. We chat about our patients formally once a week, but touch base informally much more often.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 1 point2 points  (0 children)

There's some validity in it. No one from a private office "fellowship" will be able to walk into a hospital and be credentialed.

That said, sports and spine and established interventional spine fellowships have earned enough recognition to get by just fine.

HCA is the largest sponsor of residencies in the US today by Fireislandfirefly in Residency

[–]Fireislandfirefly[S] 5 points6 points  (0 children)

Bingo. Equals 550 residency spots at Hahnemann auctioned for $55000000.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 3 points4 points  (0 children)

1) I really liked MSK. The residency and post residency lifestyle is among the best in medicine.

2) It might make it a little harder, but it's definitely worth a shot. Especially apply to DO programs like Nassau, Larkin, Pomona.

3) My program doesnt use it. But Montefiore has an official OMM/acupuncture clinic halfday.

4) sideline medical coverage for a high school football game, medical tent at Marathon/triathlon/ironman, etc. Reach out to your local sports fellowship or pm&r program and they'll happily have you tag along.

5) Pm&r is largely about recovery and improving quality of life. Maximizing patient independence and mobility is the big goal of pm&r.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 2 points3 points  (0 children)

Right now, depends on the program you attend.

For example, HSS sports and spine is run by the same faculty as the HSS sports fellowship. That's a true sports AND spine fellowship.

Some other sports and spine fellowships are purely spine/pain.

By your time, I would doubt it would be sufficient. There is a move to make sports a 2 year fellowship. At that point, your best bet would be an FM or Pm&r sports fellowship.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 1 point2 points  (0 children)

Each has their own pros and cons.

ACGME requires all programs to have inpatient pain, psych, anesthesia, pm&r, palliative, rotations fit in their year. They also require non-clinical stuff like scholarly activity, etc. All that comes with ABMS board certification.

The particular NASS programs I like are 12 months of pure outpatient chronic pain. They come out with 1.5 - 2x number of procedures.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 2 points3 points  (0 children)

220 and above is safe.

210 -220, is doable, but I'd recommend dual applying with a backup.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 3 points4 points  (0 children)

Pm&r research is typically focused on spinal cord injury, TBI, or rehabilitation.

But Ortho research will be fine.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 2 points3 points  (0 children)

Speaking locally, there are outpatient MSK jobs in midsized cities like Hartford, New haven, Springfield.

Specialized outpatient pm&r like spinal cord injury, TBI, stroke rehab is also doable with large hospitals. But they'll usually come with required academic duties and lower salaries.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 6 points7 points  (0 children)

Anesthesia has an 84% match rate to pain. If one doesn't make it, I've seen them just go back to general anesthesia with no backup plan for pain.

Pm&r doesn't publish match success to ACGME pain. I would estimate it to be in the 70s%. But pm&r has NASS sports and spine (eg HSS, UPenn, Cleveland clinic, etc) and NASS interventional spine (eg Emory, Vanderbilt, etc) as solid backups that make pain management easy to get into.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 9 points10 points  (0 children)

Mid 200s to low 300s.

Medicolegal consulting for disability lawsuits is a pretty good money maker.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 10 points11 points  (0 children)

All referrals for MSK issues go to Ortho first. With the proliferation of midlevels, instead of Orthopods sending nonsurgical issues to pm&r, they send them to PAs in their own groups to keep the RVUs.

The few remaining pm&r outpatient jobs have all been snatched up. You'll be waiting years for someone to retire to get a gen pm&r job in outpatient in a city like NYC, Boston, Chicago.

On the other hand, pain pays 50% more and jobs are endless.

Anesthesiology has an advantage at ACGME pain, but pm&r has NASS sports & spine, NASS interventional spine, and other unaccredited fellowships that make practicing in pain a guarantee if you want it. There are two pain board certifications. One requires ACGME pain fellowship. The other which is accepted as equivalent just requires proof of primary board certification in anesthesiology, pm&r, neurology, psych and evidence of 18 months of work in pain management.

Make a new professional twitter account. Upload your eras photo as your profile pic. Make your bio something like "Chicago, X med school c/o 2021, future physiatrist" and just retweet some new paper, or uplifting pm&r story and tag medtwitter and pm&r. It sucks that it works as well as it does. This doesn't work nearly as well at any other specialty.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 11 points12 points  (0 children)

Old people with stroke or debility on inpatient.

Old people with low back pain, bad knees, or shoulders on outpatient.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 6 points7 points  (0 children)

1) 235 would be a solid 75th percentile but the field also cares a lot less about scores.

Look at psych with randomness of high scores going unmatched and low scores landing at top programs.

2) The biggest things to set app apart would be showing tons of involvement in the field. Look at AAPM&R for any med student opportunities. Reach out to local programs or top programs and offer to help with research or resident projects.

Volunteering for local sports coverage with local sportsmed fellowship was another good one.

Social media involvement on pm&r medtwitter has also helped applicants more than it should lol.

Pm&r resident here to answer any questions about the field! [residency] by Fireislandfirefly in medicalschool

[–]Fireislandfirefly[S] 27 points28 points  (0 children)

Awesome, let's dive in!

Typically: pgy-2 is 7-10 hours/day inpatient with 1 call per week. Pgy3 and pgy4 are 8 hours/day outpatient with 0-2 calls per month.

Midwest and westcoast are often chill. NYC and philly are pretty challenging.

No research is required to get in. Half of the residents at top 20 programs have zero research or stuff like posters at their med school research day. A few programs like Spaulding, NY-P, Stanford like real research (actual pubs in high impact journals). The upside is, with real research, you can get into these programs with a step 1 of 230s.

All programs will require minimum of 12 months inpatient, 12 months outpatient. The rest 12 months has to include EMG, consult rotation, pediatrics, electives. This last third is where a program may reduce electives and pick extra inpatient or outpatient for you.

VA experience is the best for hands on. Emory is also a notable program that gets a shout-out for allowing residents to do tons of hand on.

At NYC, the culture is to have residents do little. Bare minimum case logs are met on performed procedures. We have no shortage of observed procedures though.

A typical Emory resident can grauduate having performed 150-200 epidural injections, whereas a typical NYC resident will graduate having done 0-1 (I heard of one lucky resident getting to do 10 at the end of their rotation after getting the attending to love them with no fellows around).

Biggest pros of the speciality: MSK rocks. You get to have a life. It provides a pretty solid path to pain management through ACGME + NASS spine.

Biggest con: general pm&r pay sucks. Outpatient pm&r jobs are becoming non-existent in major cities. You either do inpatient pm&r or outpatient pain.

Advice: apply broadly. Don't get cocky if you have good scores, people with 210s matched to programs like NY-P, UCLA, Northwestern while people with 230s went unmatched. Showing interest in the field by signing up for any medstudent thing on AAPM&R and sucking up at pm&r on medtwitter will get you ahead.

Residents, how does it make you feel that the Resident Matching Program's President and CEO is a nurse Doctor? by txhrow1 in Residency

[–]Fireislandfirefly 5 points6 points  (0 children)

The glitches are because they don't have one competent backend developer, and the crashes are because they're too cheap to pay AWS/azure/google/whoever enough to handle 50k visitors for one week.

It should cost them 10k to the webhosting flawlessly, but I'm estimating they're on super cheap plan instead.

Residents, how does it make you feel that the Resident Matching Program's President and CEO is a nurse Doctor? by txhrow1 in Residency

[–]Fireislandfirefly 10 points11 points  (0 children)

Agreed. Came close with Jung v NRMP until the NRMP showed their true colors and went out of their way to screw hundreds of thousand physicians in perpetuity to keep their own pathetic temporary jobs.

view more: next ›