Richmond, VA

Contact Information
Hunter Holmes McGuire Veterans Affairs Medical Center
1201 Broad Rock Blvd.
Richmond, VA 23249
United States

Catchment Area

Virginia, West Virginia and Kentucky


Ajit Pai, M.D.

DVBIC Site Director

Dr. Pai is the chief of physical medicine and rehabilitation at the McGuire VA Medical Center in Richmond, VA and assistant professor of physical medicine and rehabilitation at VCU Medical Center. He also serves as the program director for the Brain Injury Medicine Fellowship Program at the McGuire VA Medical Center and assistant residency director for the Virginia Commonwealth University PM&R Residency. Dr. Pai received his medical degree from Drexel University College of Medicine in Philadelphia, PA. After completing his residency training in PM&R at Virginia Commonwealth University, he spent an additional year of subspecialty training as a Spinal Cord Injury Medicine fellow at the Richmond VA Medical Center. After training, he lead the Polytrauma Rehabilitation Center as Medical Director from 2010 until 2014, at which time took over leadership of the Physical Medicine & Rehabilitation Service, including the Polytrauma, Amputee and Assistive Technology programs, as chief of PM&R. He has written numerous book chapters and publications on neurorehabilitation and presented multiple local, regional and national lectures. His clinical interests involve rehabilitation of individuals with TBI, SCI and complex war injuries utilizing integrative health principles.

The VA has highly valued DVBIC as our primary collaboration with the DoD to facilitate numerous advances in the care, research and education for our veterans with traumatic brain injury.—BG Michael J. Kussman, M.D. (U.S. Army, Ret)
Under Secretary for Health
Veterans Health Administration
U.S. Department of Veterans Affairs
(Upon his retirement from federal service)

Program Overview

Aerial view of Medical Center

The Hunter Holmes McGuire VA Medical Center is a 427-bed facility offering primary, secondary and tertiary health care in medicine, surgery, neurology, rehabilitation medicine, skilled nursing home care and palliative care. Richmond is a national referral center for heart, lung and liver transplantations, and a tertiary care referral center for traumatic brain injury (TBI), open-heart surgery, oncology and vascular diseases. As a teaching hospital, McGuire VA Medical Center enjoys a strong and mutually beneficial affiliation with the Medical College of Virginia and has residency programs in virtually all general and specialty areas of medicine, rehabilitation, surgery, psychiatry and dentistry.

Established in 1993, the Brain Injury Rehabilitation Program at the McGuire VA Medical Center builds on the many years of experience of the Physical Medicine and Rehabilitation Service in providing quality care for persons with disabilities. The clinical goal of the program is to maximize the functional recovery of active duty personnel and veterans who sustained a brain injury. Indeed, the functional gains made by patients who participated in our program are consistently at the level of or exceed national benchmarks for brain injury rehabilitation programs. Since November 2000, the Brain Injury Rehabilitation Program at the McGuire VA Medical Center has achieved a three-year accreditation status from the Commission of Accreditation of Rehabilitation Facilities.

Image of program staff

The Brain Injury Rehabilitation Program has a capacity of 18 inpatient and 20 residential beds. Admissions to the inpatient program are usually one of three types: 1) acute inpatient interdisciplinary rehabilitation, 2) community re-entry interdisciplinary rehabilitation, or 3) vocational rehabilitation. Rehabilitation services are provided by a dedicated team of specialists which includes a physiatrist, rehabilitation nurses, social work/case manager, neuropsychologist, physical, occupational, kinesio- and recreation therapists, speech language pathologist, vision therapist, vocational rehabilitation counselor. The program offers comprehensive interdisciplinary assessment and treatment, medical management, case management, orthotics, as well as education and training for brain injury survivors and their families.

The research focus of the Brain Injury Rehabilitation Program at the McGuire VA Medical Center is to pursue advancements in care and outcomes for individuals with brain injury. The program is an active participant in several collaborative research projects sponsored by DVBIC and has close ties with the TBI Model Systems site at the Medical College of Virginia.

Regional Coordinators

DVBIC has divided the United States into catchment areas with an assigned regional education coordinator and TBI recovery support specialist assigned to each. The regional education coordinator’s catchment area is Virginia, West Virginia and Kentucky. The recovery support specialist’s catchment area is Virginia, West Virginia, Kentucky, Michigan and Indiana.

TBI Recovery Support Program

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Regional Education Coordinator

The regional education coordinator serves as the TBI education resource for service members, their families, spouses, staff, and the military and civilian communities. Primary responsibility is to coordinate, facilitate and/or provide TBI education for providers, clinicians and all members of the health care team who are involved in the care of service members and veterans with TBI throughout Virginia, West Virginia and Kentucky. Additional responsibilities include:

  • Conducting outreach activities within region to develop opportunities to provide TBI education and information about DVBIC programs/services
  • Providing consultation to military and veterans sites related to TBI educational issues
  • Fostering positive, working relationships with outside organizations, service providers and VA staff
  • Attending community events and conferences to build awareness about DVBIC