r/pmr

Greetings. I’m a physician (not PM&R) and I’m dealing with a disc protrusion at c5/c6 impinging the exciting nerve root. My primary sx is just pain. Ive been recommended to get PRP injection by friends who are ortho spine and online some folks on physician community are also recommending it though there seems to be mixed support. Wondering what the experts here think about PRP for this situation? Hard to find any studies online beyond case series. Thanks in advance.

Hi everyone,

I’m applying for a Physical Medicine and Rehabilitation spinal cord injury fellowship this cycle, and some programs mention requiring official USMLE transcripts/reports.

For those who already applied to fellowships:

• Did you have to purchase the official USMLE transcript through FSMB or ERAS?
• Or was the student copy/unofficial report enough initially?
• Do most programs actually verify with the official transcript before interviews/ranking?

Trying to avoid unnecessary fees if the unofficial copy is acceptable at first.

Thanks in advance!

hi everyone, I have a question about a pm&r away rotation offer that I was just given. I’m a MS4 applying in September at a T50 MD school, finished a PM&R elective rotation a few months ago and loved it. The away rotation I got is at a reach program and probably in my top 5 programs I’d like to go to residency at. I already got another offer at one of my top schools and accepted it for August, so this would be my 2nd away rotation.

I’m having major scheduling conflicts and personal things going on at the time the offer is for. TLDR I might just be really burnt out right now, and don’t really want to do the away anymore. Will it ruin my chances of matching there / push me down the line for interview offers / ranking of applicants? I know doing the away will help, my question is if it is required in order for me to go there.

Curious how other PM&R groups are handling this situation because administration is pushing our group to explore interprofessional consult billing for remote rehab reviews, and there is concern about whether it is actually possible given CMS inpatient rehabilitation facility rules.

The specific scenario is:

PM&R reviews a patient for inpatient rehabilitation appropriateness,

recommendations are communicated back to the primary team,

the patient is ultimately determined to NOT be appropriate for inpatient rehabilitation,

no inpatient rehabilitation admission occurs, and

no face-to-face PM&R encounter subsequently takes place.

Given that inpatient rehabilitation preadmission screening is considered part of the inpatient rehabilitation payment structure when a patient is admitted, but the gray area that admin believes this works seems to be denied/non-admitted patients where no inpatient rehabilitation payment is ever generated.

Are any groups billing interprofessional consult codes (99446-99451) in this situation, or are most groups treating these as non-billable utilization review/admission screening activity regardless of admission outcome?

Hi PM&R Community!

We wanted to share a few exciting updates regarding the PM&R Prep question bank.

1. We have crossed over 21,000 questions completed.

2. We have started to add review images to the answer explanations

3. We improved the review guide with more high yield facts and new visuals

4. We now have the ability to request group pricing for residency programs right on the home page at pmrprep.io. You'll be able to quickly see the savings. We have even signed up our first few full residency programs. (FYI launch pricing expires july 1st)

5. We added a countdown timer so all PGY4s can see how many days until the boards to create a sense of urgency lol. Less than 90 days to go FYI!

Thank you to everyone who has been spreading the word and enjoying utilizing the bank to study!

We will continue to push new features and make updates based on your feedback.

Ready to invest in a handheld POCUS/ipad combo for msk injections.

Stuck between:
- Clarius L15
- GE Vscan air CL
- Mindray TE Air e5M

Leaning away from Clarius r/t subscriptions & overheating issues.

Would appreciate any lived experiences or input. TIA!

PM&R doctors do not do a good job at advocating for themselves. so many specialities have gotten rid of this foolish exam. what's it going to take to finally get rid of it?