My first job after graduating from my NP program was at a free-standing Acute Rehabilitation Hospital working under the Department of Physical Medicine and Rehabilitation. The hospital offers In-patient Stroke, Traumatic Brain Injury, Spinal Cord Injury, Orthopedic, Geriatric, and General Physical Medicine and Rehab. Within the hospital building is an out-patient clinic where discharge patients can receive out-patient follow up.
Our role was to round with specific rehab teams in the in-patient setting and manage the patients medically. The teams include the Attending Physiatrist, an Internal Medicine consultant, a PM&R resident, and the Mid-level Provider (we had NP's and PA's doing the same role). Each specialty unit or service (i.e., SCI, TBI, stroke, etc.) had their own team consisting of the clinicians I mentioned. There were opportunities to follow up patients in the clinic with the individual attendings. There were also opportunities to do PM&R consults at referring hospitals which were part of the health system that owned the free-standing acute rehab hospital.
What I loved about the service was the schedule (Mon-Fri, 8AM - 5PM, though sometimes I did stay late when there were admissions who arrived after 4 PM), no on-call or off-shifts (the PM&R residents did that), and the multidisciplinary nature of the setting (we collaborated with PT, OT, SLP, Neuropsychology, Nutrition). What was also great about the specialty was the long-standing relationships with patients and the "happy" outcomes when patients do get to go home. There were some depressing moments such as admitting previously healthy young adults who have became quadriplegic from a traumatic accident. The attendings were great to work with and not one of them had inappropriate temperaments.
What I hated was the pay which was definitely lower than my classmates who were hired in acute care specialties. I now work in Critical Care which was really my preferred setting to work as an NP but I definitely didn't hate my one and a half year stint in PM&R.