Clinical Sites

TIRR Memorial Hermann (The Institute for Rehabilitation and Research)

“We have some of the most complex patients to learn from at TIRR Memorial Hermann. They include spinal cord injury patients on a ventilator, patients with multiple sclerosis, or traumatic brain injury patients with a disorder of consciousness. We treat international patients as well, from Mexico to Saudi Arabia. This is in the setting of a 134 bed, free-standing institution with highly qualified therapists, nurses support staff, and even therapy animals.”

Memorial Hermann – Texas Medical Center

“During my Memorial Hermann consult rotation, I saw a diverse patient population at both Memorial Hermann – Texas Medical Center and Children’s Memorial Hermann Hospital. As the Texas Trauma Institute, we receive patients from all over the area through Life Flight. I participated in the care of patients with injuries from motor vehicle, horse riding, and gun wounds. I also saw patients with burn injuries, ATV accidents, and falls from elevator shafts. These patients had traumatic brain injuries, spinal cord injuries, and amputations. We also have the Heart and Vascular Institute and a very busy transplant service so I was exposed to multiple patients with Left Ventricular Assistive Devices, heart transplants, kidney transplants, and multi-organ transplants.” “My typical day starts at 8am and ends around 4-5pm. You round with several attendings throughout the week, depending on schedule and specialty. During my rotation, I had the privilege to round with Dr. Glendaliz Bosques for pediatrics, Dr. Carolina Gutierrez, Dr. Joel Frontera, Dr. Ryan Stork, and Dr. Danielle Melton for amputees.”

Lyndon B. Johnson Hospital – Harris Health System

“The rotation at Lyndon B. Johnson Hospital is very satisfying in terms of the variety of exposure to the field of PM&R. On the one hand, you get outpatient exposure with conservative musculoskeletal management in an orthopedics clinic; which consists of peripheral joint injections using ultrasound guidance as well as preoperative management prior to joint replacement surgery. Additionally, you gain experience with EMG studies regularly throughout the month for various pathologies. On the inpatient side, you see consults for a wide variety of issues relevant to the field of PM&R. Finally, most of the patients you see will be from an underserved and low socioeconomic group with limited support. This patient population requires a different approach than those with fewer limitations with regards to their care.”

The University of Texas MD Anderson Cancer Center

‘Rewarding’ would be a good descriptor that sums up the experience through outpatient cancer pain service at MD Anderson. Residents will work with attendings from anesthesiology and physiatry backgrounds to see some of the sickest patients in the world, to maintain their comfort and quality of life. Residents will have an opportunity to participate in interventional procedures including epidural injections, radiofrequency ablations, or SI joint injections. In addition, there are regularly scheduled conferences offered to fellows and residents. Historically, there had been residents who chose to continue their career advancement in the pain management fellowship offered at The University of Texas MD Anderson Cancer Center.”

“The MD Anderson inpatient cancer rotation boasts passionate and approachable faculty who lead charge in taking care of this delicate patient population. This rotation prioritizes resident education through a unique experience of independently setting goals for inpatient rehabilitation. During this rotation, residents also learn about the importance of pre and post-rehabilitation, curative and palliative surgery as well as chemotherapy vs. radio therapy.”

Shriners Hospitals for Children – Houston

“This is a mixed inpatient/outpatient rotation. While on service residents are responsible for admissions to the acute and subacute inpatient rehabilitation units at Shriners Hospital. We are also consultants for the general pediatrics team when rehab services are warranted. There are a multitude of clinics available at Shriners including Spina Bifida Clinic, Osteogenesis Imperfecta Clinic, PM&R Clinic (including SCI and Spasticity clinics), to name a few. Our department collaborates closely with the general pediatricians and the pediatric orthopedic surgery team for a true multidisciplinary approach to the care of our patients. Dr. Bosques is our primary attending physician during this rotation and she is the consummate educator. Our pediatrics PM&R department has also recently grown with the addition of Dr. Stacey Hall. There is the opportunity to attend a multidisciplinary clinic at the UT Professional building with the UT department of Neurosurgery for patients being considered for dorsal rhizotomies. If the resident is fortunate enough to be on service during the quarterly outreach clinic month, he/she will have the opportunity to travel to Valley, Texas and work with a truly underserved pediatric population. This clinic is a virtual mobile-Shriners with nurses, PTs, OTs, prosthetists, orthotists, orthopods, and physiatrists among the team. We all work together to fill the significant needs that these patients require in a place with very limited resources.”