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K12 Academics · Residency Specialty Guide

Physical Medicine & Rehabilitation (PM&R)

A plain-English guide to Physical Medicine & Rehabilitation (PM&R) — what the specialty is, what you do, residency length, fellowship subspecialties, and pay.

Type
Core residency
Residency
4 years
Focus
Function & rehab
Setting
Rehab & clinic
Entry
MD or DO
Also called
Physiatry
The Specialty

What it is

PM&R physicians (physiatrists) help patients restore function and quality of life after injury, illness, or disability — treating pain, mobility, and rehabilitation without surgery.

Day to Day

What you do

They manage rehabilitation after stroke, spinal-cord or brain injury, and musculoskeletal pain, using therapy, injections, and coordinated care.

Training

Training path & length

4-year residency (after a preliminary year), with fellowships.

Subspecialties

Fellowship subspecialties

Fellowships include pain medicine, sports medicine, spinal-cord injury, brain injury, and pediatric rehabilitation.

Pay & Outlook

Pay & job outlook

Physicians are among the highest-paid professionals. The U.S. Bureau of Labor Statistics reports a median wage of $275,930 for physicians and surgeons (May 2025), with employment projected to grow about 4% from 2025 to 2035 and ~22,100 openings per year. Pay varies widely by specialty — procedural and surgical fields generally earn more, primary-care and pediatric fields less.

Physiatrists earn around the physician median, with a strong quality-of-life reputation.

Getting There

How to get there

Become a physician first: earn an MD or DO, then match into this residency through the national match. Licensure requires completing residency and passing the board exams.

Keep Exploring

Explore further

Keep exploring this part of the resource:

At a Glance

Key facts