Training Structure

PGY-1. Internship

This year includes 12 months of basic clinical rotations usually include 6 months of internal medicine and 6 months of selective clinical rotations including neurology, neuromuscular, rheumatology, radiology, and brain injury rehabilitation.

The Hospitalist Division of the Department of Internal Medicine at Washington University supervises the core medicine rotations at Barnes-Jewish Hospital. Other clinical rotations of the PGY-1 year are supervised by the faculty from the divisions of the Internal Medicine, Neurology, and Radiology.

PGY-1 Categorical Schedule


Duration (Months)

Internal Medicine 6
Neurology 2
Neuromuscle 1
Rheumatology 1
Radiology 1
Neurorehabilitation 1
Total 12


The emphasis of training during the PGY-2 year is on direct inpatient care of patients with complications of major neurological diseases needing specialized multidisciplinary rehabilitative care. The year is divided into block rotations on the inpatient services at TRISL – Stroke, BI, Spinal Cord Injury.

Additional rotations may include VA, O&P, Pediatrics, and MSK.


During the PGY-3 year, residents continue with several blocks of inpatient Neurorehabilitation rotations and progress to rehabilitation consults at Barnes-Jewish Hospital.

Other rotations include pediatrics, specialty rehabilitation clinics, MSK, pain, VA, and elective rotations.


The emphasis of the PGY-4 year is on electrodiagnostic training, more advanced MSK training, rehabilitation consults and specialized rehabilitation clinics.

PGY2-4 Advanced PM&R Training Schedule


Duration (Months)

Spinal Cord Injury 5
Brain Injury 4
Stroke 4
Pediatric Rehab 2
Musculoskeletal (MSK), Pain Medicine 5
Orthotics and Prosthetics (O&P) 1
Electrodiagnostics 2-3
Consult 2-3
Veteran Affairs (VA) 3
Specialty Rehab Clinics 3
Electives 3-4
Total 36