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

1/4/2012
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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

1/4/2012
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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

1/4/2012
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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
Junior Clinic
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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
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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!