The goal of our curriculum is to prepare residents to care for patients in our communities, with an emphasis on neurorehabilitation. We strive to develop strong physiatrists who are exposed to a diversity of specialties and provide high-quality care for all patients.
A comprehensive curriculum that develops strong physiatrists who are skilled in managing central and peripheral neurorehabilitation and musculoskeletal diagnoses.
Schedule: The PGY-1 through PGY-4 years operate on four-week rotation cycles at a variety of inpatient and outpatient sites.
Program Length: Categorical program, 4 years total
In July 2025, our program transitioned to a categorical model. PGY-1 residents are integrated into the rehabilitation pipeline from day one. Residents primarily work at Providence Sacred Heart Medical Center, within walking distance of St. Luke's Rehabilitation Medical Center. Rotations include Internal Medicine, Family Medicine, ICU, Emergency Medicine, Pediatrics, Ambulatory Medicine at VA, Inpatient Rehabilitation, and Surgery.
St. Luke's is the largest free-standing Level 1 trauma rehabilitation hospital in the region. The hospital has 90 inpatient beds serving a diverse range of diagnoses for adult and pediatric inpatient rehabilitation. A significant amount of our patients come from Sacred Heart Medical Center, a 600+ bed Level II trauma center and the largest free-standing hospital between Seattle and Minneapolis. With a trainee-faculty ratio of 1:1, our residents work with board-certified physiatrists and follow up to 14 patients with progressive autonomy through the program.
Services
General + Stroke Rehabilitation
Traumatic Brain Injury
Spinal Cord Injury
Amputation + Polytrauma
Consults (at Sacred Heart)
Faculty
We offer foundational experiences with Neuromuscular Medicine fellowship-trained physiatrists and neurologists. Our residents develop a high degree of competence in EMG and easily surpass the required 200 EMG studies required for board eligibility by the AANEM.
Residents are part of the multidisciplinary ALS Clinic where they work closely with neurologists, therapists and social workers to ensure comprehensive care addressing various stages of disease progression.
Muscular Dystrophy Clinic exposes residents to unique, diverse and occasionally rare pathologies that offers a rewarding experience in improving patient functionality.
Residents also work closely with neurologists in Movement Disorders Clinic addressing disorders of the peripheral nervous system, motor control studies for movement disorders, as well as botulinum toxin injections for movement disorders, excessive salivation, migraine, and spasticity.
We are clinical and research partners with the Steve Gleason Institute for Neurosciences, a collaboration with Washington State University for people with ALS.
Faculty
Residents rotate with orthopedic specialists at the world-class Shriners Children's Specialty Hospital Spokane. This rotation features exposure to pediatric orthopedics, sports medicine, cerebral palsy and, spine pathology. Residents explore functionality with Shriners' Motion Analysis Center and Gait Lab and get involved with pediatric therapies at Joya Child and Family Development.
All residents meet ACGME procedure minimums for interventional pain procedures prior to graduation. Residents develop interventional skills and increasing autonomy with Northwest Spine & Pain Medicine here in Spokane.
Faculty
Physiatrists make valuable contributions to patient care at skilled nursing facilities. We are at the forefront of integrating a dedicated SNF rotation into our curriculum. You will work 1:1 with attending physiatrists in caring for patients at skilled nursing facilities throughout Spokane.
Faculty
Tyler Doornink, DO
Greg Doornink, DO
Primarily located at our partner hospital MultiCare Rockwood Clinic, rotations are designed to provide hands-on opportunities in ultrasound, peripheral joint/ nerve injections, spasticity management and a broad array of musculoskeletal conditions. Our residents meet ACGME procedure numbers and feel confident in their skills by graduation.
Commonly Performed Procedures
Intra-articular injections
Spasticity management with botulinum toxin
Radio Frequency Ablations of peripheral nerves
Hydro-dissection of nerves
Ultrasound
Dedicated machines for resident practice (1 cart-based, 1 handheld)
Apart from in-clinic exposure to ultrasound, residents have formed an interest club known as Piezoelectric Peers who regularly meet to practice their skills
Sports Coverage Opportunities
Spokanites love the outdoors! There is a plethora of volunteer opportunities at citywide events such as the Bloomsday Run and Ski Fest (adaptive water skiing). Residents have opportunities to participate in sideline coverage in various sports leagues ranging from high school to the professional level. These include sideline coverage with sports medicine attendings at events for the Spokane Indians minor league baseball team and the Spokane Velocity USL League One soccer team. We also proudly support our own wheelchair basketball team - The Providence Saints!
Faculty
Our academic year is made of up thirteen 4-week blocks. Below are some example schedules by training year. Please note that schedules are subject to change based on the educational needs of the resident and staffing needs of the program. Following ACGME guidelines, individualized educational experiences are provided in the schedule; for example, a resident planning a career in inpatient rehabilitation may choose more inpatient rotation months as a senior. Those planning careers in outpatient may select more ambulatory or outpatient experiences as a PGY3 or PGY4. Individual residents may also be assigned specific rotations to ensure procedural minimums are met by graduation.