Traumatic brain injury

Our program

“Our program provides rich clinical and academic exposure across the brain injury spectrum, including disorders of consciousness, 'standard' inpatient TBI rehab, transitional brain injury rehab and outpatient care.”

– Ajit B Pai, M.D., Former TBI/Polytrauma Fellowship program director

"We will be pursuing ACGME accreditation status for our Traumatic Brain Injury fellowship for appointment year 2020-2021. We are a participating program in the NRMP Match. Please continue to check back for more updates". 

The fellowship in TBI/polytrauma is sponsored by the Hunter Holmes McGuire VA Medical Center. This is a one-year clinical fellowship that will enable the fellow to sit for brain injury medicine board examination. The fellowship offers a comprehensive educational experience in a variety of clinical and research settings carefully supervised by faculty at the McGuire VA Medical Center, VCU Health and the Children’s Hospital of Richmond at VCU. It provides training in the diagnosis and classification of various types of brain injury, pathophysiology of the brain injury and affected body systems, clinical decision-making and management of traumatic and atraumatic brain injury, pain interventions, spasticity management, assistive technology and cognitive/behavioral management strategies for persons with brain injury.


  • VAMC Inpatient: 4 months
  • VCU/VAMC Outpatient: 3 months
  • VAMC Residential: 4 months
  • VCU Inpatient/Consults: 1 month
  • Continuity clinic: weekly

Outpatient clinics include:

  • Post-deployment TBI clinic
  • Concussion clinic
  • General TBI clinic


Candidates for the fellowship must have graduated from an accredited residency training program in the fields of PM&R, neurology, psychiatry or neurosurgery, be board-eligible or certified in their respective specialty, demonstrate a strong interest in TBI rehabilitation, demonstrate an interest in research and demonstrate good interpersonal and communication skills. Prior to beginning the fellowship, a physician fellow must meet all of the following:

  • Have completed a residency program accredited by the Accreditation Council for Graduate Medical Education or the Bureau of Professional Education of the American Osteopathic Association
  • Not be enrolled simultaneously in any accredited physician residency or fellowship program
  • Have an active, unrestricted license to practice in the U.S.
  • Be ABMS or AOA board certified or eligible, with demonstration of active pursuit of board certification
  • Eligible to be appropriately credentialed and privileged for clinical practice at the local VA facility
  • Be a U.S. citizen or possess a current visa suitable for participation in this paid educational activity
  • International medical graduates must possess a valid ECFMG certificate
  • Demonstrate interest in pursuing a VA career with polytrauma/TBI as a significant focus

We accept applications starting in July and interview August through October for the following academic year.

If you are interested in applying to this program, please electronically submit in July a current CV and three letters of recommendation to:

Rondia Smith 

Current fellows

  • Vacant 


  • Call schedule – Holiday weeks split between all fellows (TBI/polytrauma and amputee/MSK) – maximum of five weeks of call
  • Salary – PGY 5 – $65,021
  • Vacation – one day per pay period (26 days in the year)
  • Moonlighting – discouraged, but allowable within departmental policy

Contact information

Rondia Smith  
GME Coordinator 
Department of Physical Medicine and Rehabilitation
Egyptian Building - 1223 East Marshall Street
Richmond, Virginia 23298
Phone: (804) 828-8693
Fax: (804) 828-6340


Gary Goldberg
Physical Medicine and Rehab. Service (117A)
McGuire VA Medical Center
1201 Broad Rock Blvd.
Room 2A-140
Richmond, VA 23249