UNC-Chapel Hill Physical Medicine

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UNC-Chapel HillPhysical Medicine
Rehabilitation Residency Program
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UNC Hospitals
Memorial Hospital
Childrens Hospital
Womens Hospital
Neuroscience Hospital
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UNC Hospitals

• Level One Trauma Center
• 708 Beds
• Memorial Hospital, Childrens Hospital, Womens
  Hospital, and Neuroscience Hospital
• Cancer Hospital under construction
• Plans for further expansion in the coming years
• 17 Clinical Departments
• Over 1,000 Physician Faculty

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Department of Physical Medicine Rehabilitation
at UNC-CH

• Mission
• To optimize health and function through
  excellence in rehabilitation
• Vision
• UNC-CH Department of PMR will be an
  internationally recognized leader in
  rehabilitation medicine by year 2015.

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Department of Physical Medicine Rehabilitation
at UNC-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

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UNC Rehab Center
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Outpatient services

• Adult PMR 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

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Outpatient services

• Pediatric PMR and specialty clinics
• Cerebral Palsy
• Spina Bifida
• General Pediatric Rehab
• Telemedicine

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Outpatient visits FY 95-06
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Faculty
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UNC-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.

• Professor Chair
• Residency Program Director
• Clinical Interests
• SCI rehab
• EMG/NCS
• Wound care
• Amputee
• Interventional procedures
• Residency Northwestern University/RIC
• Contact info-- mylee_at_med.unc.edu 919-966-5164

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Joshua Alexander, M.D

• Associate Professor
• Clinical Interests
• Pediatric Rehab
• Telemedicine
• Spina Bifida
• Cerebral Palsy
• Spasticity Management
• Basketball Medicine
• Pediatric/PMR Residency Baylor College of
  Medicine Houston,Texas

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George Atkinson, M.D.

• Assistant Professor
• Clinical Interests
• Cancer Rehab
• Musculoskeletal medicine
• General Rehab
• Stroke Rehab
• Lymphedema Management
• Medical SchoolBaylor College of Medicine
• ResidencyUniversity of North Carolina at Chapel
  Hill

3/24/2015
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Susan Gaylord, Ph.D.

• Assistant Professor
• Interests
• Integrative Medicine
• Geriatrics
• Mind-body interactions
• Mindfulness program

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Patricia Gregory, M.D.

• Assistant Professor
• Clinical Interests
• Geriatric Rehab
• Stroke Rehab
• Residency Long Island Jewish
• Fellowship Johns Hopkins

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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

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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

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Cara OConnell-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

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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 PMR and Internal Medicine
  Residency at East Carolina University
  Greenville, NC

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Karla Thompson, Ph.D.

• Assistant Professor
• Clinical Interests
• Neuropsychology
• Traumatic Brain Injury

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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.

• 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

• 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

3/24/2015
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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

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PGY2PGY4 Residents 2008
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PGY1 Residents 2008
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PGY-4

• Julia Bryson, MDMedical School Oregon Health
  Sciences University Internship Transitional
  Year- UNC-Chapel Hill
• jebryson_at_unch.unc.edu
• Jason De Luca, MD Medical School State
  University of New York at Syracuse Internship
  Transitional Year- UNC-Chapel Hill
• jdeluca_at_unch.unc.edu
• Madhu Mehta, MDChief Resident
• Medical School University of Alabama
  Internship Transitional Year- UNC-Chapel Hill
  mmehta_at_unch.unc.edu

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PGY-3

• Christie Campbell, DOMedical School Nova
  Southeastern University College of Osteopathic
  MedicineInternship New York College of
  Osteopathic Medicine, Union Hospital
• cecampbe_at_unch.unc.edu
• Wesley Ibazebo, MD Medical School University of
  Texas Medical School at Galveston Internship
  Transitional Year- UNC-Chapel Hill
• wibazebo_at_unch.unc.edu
• Theresa Kent, MDMedical School Marshall
  University School of MedicineInternship
  Transitional Year- UNC-Chapel Hill
  tkent_at_unch.unc.edu

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PGY-2

• Justin Scruggs, MD
• Medical School Medical University of South
  Carolina College of Medicine
• Undergraduate The Citadel, Charleston, SC
• jscruggs_at_unch.unc.edu
• Elizabeth Gersuk, DOMedical School Edward Via
  Virginia College of Osteopathic Medicine
• Undergraduate Baylor University, Waco, Texas
• egersuk_at_unch.unc.edu
• Hannah Messer, MD Medical School Medical
  University of South Carolina College of Medicine
• Undergraduate Samford University, Birmingham,
  Alabama
• hmesser_at_unch.unc.edu

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PGY-1

• Chris Bonson, MD
• Medical School Tulane University
• Undergraduate Standford University
• cbonzon_at_unch.unc.edu
• Will Filer, MDMedical School Saint Louis School
  of Medicine
• Undergraduate University of Washington
• wfiler_at_unch.unc.edu
• Brooke Morgan Medical School University of
  North Carolina at Chapel Hill
• Undergraduate Spelman College
• bmorgan_at_unch.unc.edu

3/24/2015
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Life Outside of Residency
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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 Training

• National Residency Matching Program
• NRMP for 2009
• 3 PGY-1 to start June 24, 2009

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Goals of Training

• Provide excellent, comprehensive PMR services in
  a humanistic manner
• Conduct research in the field of PMR
• Educate others on the importance of
  rehabilitative care
• Residents, medical students, other health
  professionals, patients, and families

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Current 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 PMR

• 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 Schedule

• PGY-III
• 4 months EMG/NCS
• 4 months Pediatric RehabOutpatients, 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 PMR Clinics

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Typical Adult Outpatient Schedule
Senior Clinic
Mon Tues Wed Thurs Fri
AM MSK MSK Didactics MSK or Amputee Study Time
PM MSK Procedures MSK or Pain Procedures Procedures
Junior Clinic
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
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Didactics

• Didactic Lecture Series
• 18 month Schedule
• Faculty Residents from PMR 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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Didactics

• Morbidity and Mortality
• Peer Review conference
• Journal Club
• Monthly
• Case Presentations
• Optional Conferences
• Neurourology
• Neuroradiology
• Medical Student Presentations
• Resident Research Presentations

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Typical Didactic Schedule
Monday Tuesday Wednesday Thursday Friday
EMG lecture PMR lectures2 h Board review
Neuroradiology Grand rounds PMR lectures2 h Board review
Journal Club EMG lecture PMR lectures2 h EMG case conference Board review
Anatomy lab Case Presentation Morbidity Mortality PMR lectures2 h Board review
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Resident Lecture Series

• Introduction to Rehab4 weeks (repeated yearly)
• Neurorehabilitation (Stroke, TBI)7 weeks
• Geriatric Rehab4 weeks
• Professionalism and communications2 weeks
• Modalities3 weeks
• Research2 weeks
• Business Module3 weeks
• Prosthetics and Orthotics8 weeks
• Cardiac and Pulmonary Rehab4 weeks
• Musculoskeletal, Joint, Connective Tissue,
  Burn11 weeks
• Integrative Medicine2 weeks
• Pediatric Rehab5 weeks
• Spinal Cord Injury Rehab8 weeks
• Pain Management4 weeks

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Resident Salary Range2008

• PGY-I 44,720
• PGY-II 46,280
• PGY-III 47,320
• PGY-IV 48,360
• Direct payroll deposit
• Paid monthly

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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

• 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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Library

• 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 Call

• 730 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

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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 Requirements

• Four years of residency
• Inpatient rotation12 months
• Outpatient adult clinics10 months
• Elective time2 months
• Outpatient Pediatric rehab rotation4 months
• EMG/NCS6 months
• Research requirements1 month research block

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Evaluation 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 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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Websites

• 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

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UNC Hospitals
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Thank you!