unc-chapel hill physical medicine & rehabilitation residency program
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UNC-Chapel HillUNC-Chapel HillPhysical Medicine & Physical Medicine &
RehabilitationRehabilitation
Residency ProgramResidency Program
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UNC HospitalsUNC Hospitals
MemorialHospital
Children’s Hospital
Women’sHospital
NeuroscienceHospital
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UNC HospitalsUNC Hospitals
• Level One Trauma Center
• 708 Beds» Memorial Hospital, Children’s Hospital,
Women’s Hospital, and Neuroscience Hospital
• Cancer Hospital under construction
» Plans for further expansion in the coming years
• 17 Clinical Departments
• Over 1,000 Physician Faculty
Department of Physical Medicine Department of Physical Medicine & Rehabilitation at UNC-CH& Rehabilitation at UNC-CH
• Mission» To optimize health and function
through excellence in rehabilitation
• Vision» UNC-CH Department of PM&R will be
an internationally recognized leader in rehabilitation medicine by year 2015.
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Department of Physical Department of Physical Medicine & Rehabilitation at Medicine & Rehabilitation at
UNC-CHUNC-CH• Academic department established
in 1993
• Residency established 1999» Full accreditation 8/2006 » Next Site Visit 8/2009
• Clinical:» 30-bed Inpatient Rehabilitation Center
• CARF accredited Rehab program» Full range of outpatient clinics
• Research
UNC Rehab CenterUNC Rehab Center
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Outpatient servicesOutpatient services
• Adult PM&R and specialty clinics» TBI» SCI» Stroke » Musculoskeletal» Spasticity Clinic» Amputee Clinic» Spine Clinic & Spine Injection Services» Geriatric Rehab Clinic» Wound Clinic» Lymphedema Clinic
• EMG/NCS
Outpatient servicesOutpatient services
• Pediatric PM&R and specialty clinics» Cerebral Palsy» Spina Bifida» General Pediatric Rehab» Telemedicine
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Outpatient visits FY 95-06Outpatient visits FY 95-06
0
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Years
FY 1995
FY 1996
FY 1997
FY 1998
FY 1999
FY 2000
FY 2001
FY 2002
FY 2003
FY 2004
FY 2005
FY 2006
FacultyFaculty
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UNC-CH FacultyUNC-CH Faculty
• 9 M.D. faculty at UNC-CH
• 4 Ph.D. faculty at UNC-CH
• Adjunct faculty» Charlotte» Winston-Salem» Raleigh» Fayetteville
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Michael Lee, M.D., M.H.A.Michael Lee, M.D., M.H.A.• Professor & Chair• Residency Program Director
• Clinical Interests» SCI rehab» EMG/NCS» Wound care» Amputee » Interventional procedures
• Residency: Northwestern University/RIC
• Contact info-- [email protected]; 919-966-5164
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Joshua Alexander, M.DJoshua Alexander, M.D• Associate Professor
• Clinical Interests» Pediatric Rehab» Telemedicine» Spina Bifida» Cerebral Palsy» Spasticity Management» Basketball Medicine
• Pediatric/PM&R Residency: Baylor College of Medicine Houston,Texas
George Atkinson, M.D.George Atkinson, M.D.• Assistant Professor
• Clinical Interests» Cancer Rehab» Musculoskeletal
medicine» General Rehab» Stroke Rehab» Lymphedema
Management
• Medical School—Baylor College of Medicine
• Residency—University of North Carolina at Chapel Hill
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Susan Gaylord, Ph.D.Susan Gaylord, Ph.D.
• Assistant Professor
• Interests» Integrative Medicine» Geriatrics» Mind-body
interactions» Mindfulness program
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Patricia Gregory, M.D.Patricia Gregory, M.D.
• Assistant Professor
• Clinical Interests» Geriatric Rehab» Stroke Rehab
• Residency: Long Island Jewish
• Fellowship: Johns Hopkins
Andrew Lynch, M.D.
• Assistant Professor » Physical Medicine and
Rehabilitation» Orthopaedics
• UNC Athletics Spine Consultant
• Clinical Interests:» General MSK Medicine» Non-op Sports Medicine with
emphasis on Overuse Syndromes
» Interventional Spine» Electrodiagnostics
• Residency: University of Virginia
• Fellowship: Interventional Spine» Triangle Orthopaedic
Associates, Durham, NC
Vera Lucia Moura, M.D.• Instructor in the Program
on Integrative Medicine
• Interests in Education and Research:» Integrative Medicine» Mind-Body Medicine» Ancient Methods of
Healing
• Fellowship Training:» University of Bahia,
Brazil» University of Michigan
Cara O’Connell-Edwards, Ph.D.Cara O’Connell-Edwards, Ph.D.
• Assistant Professor
• Clinical Interests:» Rehabilitation and
Health Psychology• Pain Management• Coping skills for
patients with chronic illness and disabilities
• Substance Abuse
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Jongbae Park, KMD, Ph.D.
• Assistant Professor
• Clinical interests » Acupuncture clinic
• Research interests» Rehabilitation outcome research» Low back pain» Cancer Rehabilitation» Acupuncture mechanism
(developer of Park Sham Device)
» Research method (www.blinding index.org )
» Associate Editor, Complementary Therapies in Medicine (Elsevier) & Editorial Board of 3 journals
Paul Thananopavarn, M.D.• Assistant Professor
» Physical Medicine and Rehabilitation
» Internal Medicine
• Clinical Interests:» Rehabilitation of
Medically Complex patients
» Cancer Rehab» Acupuncture» Wound Care» Post-Acute Health Care
Systems
• Residency: Combined PM&R and Internal Medicine Residency at East Carolina University; Greenville, NC
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Karla Thompson, Ph.D.Karla Thompson, Ph.D.
• Assistant Professor
• Clinical Interests» Neuropsychology» Traumatic Brain
Injury
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Heather Walker, M.D.Heather Walker, M.D.• Assistant Professor• Associate Residency
Program Director
• Clinical Interests: » Spinal Cord Injury Rehab» Brain Injury Rehab » Spasticity Management
• Residency: University of Pittsburgh Medical Center
• Fellowship: Spinal Cord Injury Medicine» Kessler Institute for
Rehabilitation
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Tanya Zinner, M.D.Tanya Zinner, M.D.
• Assistant Professor
• Clinical Interests» Neurorehabilitation» Subacute
Rehabilitation» Rehab continuum of
care
• Residency: New England Medical Center, Boston, MA
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Faculty Research Projects… Faculty Research Projects…
• NIH Mindfulness program for IBS patients
• NIH Craniosacral therapy for patients with headache
• NIH T32 Fellowship training grant in integrative medicine
• Rex Endowment grant on Telability for Children with Disability
Faculty Research Projects…Faculty Research Projects…
• Effect of blinding on the outcome of clinical trials
• Pragmatic, randomized controlled trial for integrative package for low back pain
• Safety profile of herbal medicine, i.e.. drug induced liver toxicity
• Effect of CRP, ESR on the recovery pattern of low back pain
PGY2—PGY4 Residents 2008
PGY1 Residents 2008
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PGY-4PGY-4• Julia Bryson, MD
Medical School: Oregon Health Sciences University Internship: Transitional Year- UNC-Chapel Hill [email protected]
• Jason De Luca, MD Medical School: State University of New York at Syracuse Internship: Transitional Year- UNC-Chapel Hill [email protected]
• Madhu Mehta, MDChief Resident
• Medical School: University of Alabama Internship: Transitional Year- UNC-Chapel Hill [email protected]
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PGY-3PGY-3• Christie Campbell, DO
Medical School: Nova Southeastern University College of Osteopathic MedicineInternship: New York College of Osteopathic Medicine, Union Hospital
• Wesley Ibazebo, MD Medical School: University of Texas Medical School at Galveston Internship: Transitional Year- UNC-Chapel Hill [email protected]
• Theresa Kent, MDMedical School: Marshall University School of MedicineInternship: Transitional Year- UNC-Chapel Hill [email protected]
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PGY-2PGY-2• Justin Scruggs, MD
Medical School: Medical University of South Carolina College of MedicineUndergraduate: The Citadel, Charleston, [email protected]
• Elizabeth Gersuk, DOMedical School: Edward Via Virginia College of Osteopathic Medicine Undergraduate: Baylor University, Waco, [email protected]
u
• Hannah Messer, MD Medical School: Medical University of South Carolina College of MedicineUndergraduate: Samford University, Birmingham, [email protected]
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PGY-1PGY-1• Chris Bonson, MD
Medical School: Tulane UniversityUndergraduate: Standford University
• Will Filer, MDMedical School: Saint Louis School of MedicineUndergraduate: University of Washington
• Brooke Morgan Medical School: University of North Carolina at Chapel HillUndergraduate: Spelman College
Life Outside of Residency…
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Life After Residency…Life After Residency…
• Fellowships» University of
Washington» UNC-CH» Cornell» Boston» Yale» U. Miami» NC--Spine fellowship» U. Michigan» Mayo Clinic, AZ» Phoenix-Sports &
Interventional Spine » Winston Salem
Interventional Spine» Cedars-Sinai Spine
Fellowship
• Academics» Emory» Miami» UNC-CH» Yale
• VA» Durham VA
• Private practice» VA, TN, NC, MD,
HI, CA, TX
• Military» HI
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Residency TrainingResidency Training
• National Residency Matching Program
• NRMP for 2009» 3 PGY-1 to start June 24, 2009
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Goals of TrainingGoals of Training
• Provide excellent, comprehensive PM&R services in a humanistic manner
• Conduct research in the field of PM&R
• Educate others on the importance of rehabilitative care» Residents, medical students, other
health professionals, patients, and families
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Current Rotation ScheduleCurrent Rotation Schedule
• PGY-I» 6 months Internal
Medicine» 1 month
Neurosurgery» 1 month
Neurology» 1 month
Plastic/Burn Clinic» 1 month Trauma» 1 month ER» 1 month PM&R
• PGY-II» 4 months clinics» 4 months
Inpatient SCI and TBI rehab
» 4 months Inpatient Amputee and General Rehab
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Current Rotation ScheduleCurrent Rotation Schedule
• PGY-III» 4 months
EMG/NCS» 4 months
Pediatric Rehab—Outpatients, consults
» 1 month inpatient Subacute Rehab
» 3 months Clinics
• PGY-IV» 2 months
EMG/NCS» 2 months
Electives» 1 month Research» 4 months
Inpatient Stroke and Orthopedic Rehab
» 1 month Outpatient Cardiac rehab, Geriatrics
» 2 months PM&R Clinics
Typical Adult Outpatient Schedule
Mon Tues Wed Thurs Fri
AM MSK MSK Didactics MSK or Amputee
Study Time
PM MSK Procedures MSK or Pain
Procedures Procedures
Mon Tues Wed Thurs Fri
AM Neuro Rehab or Geri
Neuro Rehab or MSK
Didactics General or Lymphedema
Neuro Rehab or General
PM Geri Geri General/MSK MSK Procedures
Senior Clinic:
Junior Clinic:
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DidacticsDidactics• Didactic Lecture Series
» 18 month Schedule» Faculty & Residents from PM&R and
other departments• Clinical teaching
» Bedside » Structured lectures
• EMG Lecture series» Twice monthly, year round
• Grand Rounds» Once-twice monthly
• Self Assessment Exam (SAE)• Board review
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DidacticsDidactics• Morbidity and Mortality
» Peer Review conference• Journal Club
» Monthly• Case Presentations• Optional Conferences
» Neurourology» Neuroradiology
• Medical Student Presentations• Resident Research Presentations
Typical Didactic Schedule
Monday Tuesday Wednesday Thursday Friday
•EMG lecture•PMR lectures—2 h
•Board review
•Neuroradiology •Grand rounds•PMR lectures—2 h
•Board review
•Journal Club •EMG lecture•PMR lectures—2 h
•EMG case conference•Board review
•Anatomy lab •Case Presentation•Morbidity & Mortality•PMR lectures—2 h
•Board review
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Resident Lecture SeriesResident Lecture Series• Introduction to Rehab—4 weeks (repeated yearly)
• Neurorehabilitation (Stroke, TBI)—7 weeks• Geriatric Rehab—4 weeks• Professionalism and communications—2 weeks• Modalities—3 weeks• Research—2 weeks• Business Module—3 weeks• Prosthetics and Orthotics—8 weeks• Cardiac and Pulmonary Rehab—4 weeks• Musculoskeletal, Joint, Connective Tissue, Burn—
11 weeks• Integrative Medicine—2 weeks• Pediatric Rehab—5 weeks• Spinal Cord Injury Rehab—8 weeks• Pain Management—4 weeks
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Resident Salary Range—2008 Resident Salary Range—2008
• PGY-I $44,720• PGY-II $46,280• PGY-III $47,320• PGY-IV $48,360
• Direct payroll deposit• Paid monthly
Benefits…
• Vacation» 2 weeks per year» 1 week at winter holiday
• Professional & Educational Leave» Conferences» Interviews
• Sick Leave» 5 days per year
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Benefits…Benefits…
• Family and medical leave• Health insurance paid for by
hospital• Insurance costs for
dependent coverage are shared
• Optional dental plan• Optional additional plans• Gym and pool privileges at
minimal cost
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LibraryLibrary
• 80,000 sq ft• 140 workstations• Media rooms• On line data bases
» Up to date» Pub Med» On line Journals» Mircomedex
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Duty Hours and CallDuty Hours and Call
• 7:30 a.m. to 5 p.m. on average
• PGY-1: Call in-house or home call, varies per rotation
• PGY-2-4: Call every fourth week for 7 days, non-in-house call, 15-20 min. drive in
Electronic Medical Record
• WEBCIS» Available in hospital and from home
» Dictated and typed notes
» Labs
» Radiology/EKG• Online viewing of images and reports
» Phone message system
• CPOE» Electronic physician order entry
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Program RequirementsProgram Requirements
• Four years of residency
• Inpatient rotation—12 months
• Outpatient adult clinics—10 months
• Elective time—2 months
• Outpatient Pediatric rehab rotation—4 months
• EMG/NCS—6 months
• Research requirements—1 month research block
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Evaluation and SupportEvaluation and Support• Faculty supervisor and resident
evaluations at the end of each rotation» Electronic evaluations
• Six-month review with program director
• End-of-year review with Chair and program director
• SAE, Mock oral, 360 evaluation
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Rules of the GameRules of the Game
• MDs, DOs, and IMGs who are ECFMG certified are eligible for consideration
• UNC-CH abides by the rules of the NRMP & ACGME
• We will not provide you with information about the probability of being ranked
• No offers will be made outside the match
• No pre-match employment for positions offered through the match
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WebsitesWebsites
• http://www.med.unc.edu• http://www.unchealthcare.org• http://www.med.unc.edu/residency• http://www.med.unc.edu/phyrehab• http://www.unchealthcare.org/site/gme
UNC UNC HospitalsHospitals
Thank you!Thank you!