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UNC-Chapel Hill Physical Medicine & Rehabilitation Residency Program

UNC-Chapel Hill Physical Medicine & Rehabilitation Residency Program. UNC Hospitals. Memorial Hospital. Children’s Hospital. Women’s Hospital. Neuroscience Hospital. UNC Hospitals. Level One Trauma Center 708 Beds

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UNC-Chapel Hill Physical Medicine & Rehabilitation Residency Program

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  1. UNC-Chapel HillPhysical Medicine & RehabilitationResidency Program

  2. UNC Hospitals Memorial Hospital Children’s Hospital Women’s Hospital Neuroscience Hospital

  3. UNC 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

  4. Department of Physical Medicine & 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.

  5. 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

  6. UNC Rehab Center

  7. Outpatient 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

  8. Outpatient services • Pediatric PM&R and specialty clinics • Cerebral Palsy • Spina Bifida • General Pediatric Rehab • Telemedicine

  9. Outpatient visits FY 95-06

  10. Faculty

  11. UNC-CH Faculty • 9 M.D. faculty at UNC-CH • 4 Ph.D. faculty at UNC-CH • Adjunct faculty • Charlotte • Winston-Salem • Raleigh • Fayetteville

  12. 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@med.unc.edu; 919-966-5164

  13. Joshua 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

  14. George Atkinson, M.D. Assistant Professor Clinical Interests Cancer Rehab Musculoskeletal medicine General Rehab Stroke Rehab Lymphedema Management Medical School—BaylorCollege of Medicine Residency—University of North Carolina at ChapelHill 9/19/2014 14

  15. Susan Gaylord, Ph.D. • Assistant Professor • Interests • Integrative Medicine • Geriatrics • Mind-body interactions • Mindfulness program

  16. Patricia Gregory, M.D. • Assistant Professor • Clinical Interests • Geriatric Rehab • Stroke Rehab • Residency: Long Island Jewish • Fellowship: Johns Hopkins

  17. 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 Andrew Lynch, M.D.

  18. 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 Vera Lucia Moura, M.D.

  19. 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

  20. 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 20

  21. 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 Paul Thananopavarn, M.D.

  22. Karla Thompson, Ph.D. • Assistant Professor • Clinical Interests • Neuropsychology • Traumatic Brain Injury

  23. 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 23

  24. Tanya Zinner, M.D. • Assistant Professor • Clinical Interests • Neurorehabilitation • Subacute Rehabilitation • Rehab continuum of care • Residency: New England Medical Center, Boston, MA

  25. 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 9/19/2014 25

  26. 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

  27. PGY2—PGY4 Residents 2008

  28. PGY1 Residents 2008

  29. PGY-4 • Julia Bryson, MDMedical School: Oregon Health Sciences University Internship: Transitional Year- UNC-Chapel Hill jebryson@unch.unc.edu • Jason De Luca, MD Medical School: State University of New York at Syracuse Internship: Transitional Year- UNC-Chapel Hill jdeluca@unch.unc.edu • Madhu Mehta, MDChief Resident • Medical School: University of Alabama Internship: Transitional Year- UNC-Chapel Hill mmehta@unch.unc.edu

  30. PGY-3 • Christie Campbell, DOMedical School: Nova Southeastern University College of Osteopathic MedicineInternship: New York College of Osteopathic Medicine, Union Hospital cecampbe@unch.unc.edu • Wesley Ibazebo, MD Medical School: University of Texas Medical School at Galveston Internship: Transitional Year- UNC-Chapel Hill wibazebo@unch.unc.edu • Theresa Kent, MDMedical School: Marshall University School of MedicineInternship: Transitional Year- UNC-Chapel Hill tkent@unch.unc.edu

  31. PGY-2 • Justin Scruggs, MD Medical School: Medical University of South Carolina College of Medicine Undergraduate: The Citadel, Charleston, SC jscruggs@unch.unc.edu • Elizabeth Gersuk, DOMedical School: Edward Via Virginia College of Osteopathic Medicine Undergraduate: Baylor University, Waco, Texas egersuk@unch.unc.edu • Hannah Messer, MDMedical School: Medical University of South Carolina College of Medicine Undergraduate: Samford University, Birmingham, Alabama hmesser@unch.unc.edu

  32. PGY-1 Chris Bonson, MD Medical School: Tulane University Undergraduate: Standford University cbonzon@unch.unc.edu Will Filer, MDMedical School: Saint Louis School of Medicine Undergraduate: University of Washington wfiler@unch.unc.edu Brooke MorganMedical School: University of North Carolina at Chapel Hill Undergraduate: Spelman College bmorgan@unch.unc.edu 9/19/2014 32

  33. Life Outside of Residency…

  34. 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 Life After Residency…

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

  36. Goals 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

  37. 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 Current Rotation Schedule

  38. 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 Current Rotation Schedule

  39. Typical Adult Outpatient Schedule Senior Clinic: Junior Clinic:

  40. Didactics • 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

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

  42. Typical Didactic Schedule

  43. Introduction toRehab—4weeks (repeated yearly) Neurorehabilitation (Stroke, TBI)—7weeks GeriatricRehab—4weeks Professionalism andcommunications—2weeks Modalities—3weeks Research—2weeks BusinessModule—3 weeks Prosthetics andOrthotics—8 weeks Cardiac and PulmonaryRehab—4 weeks Musculoskeletal, Joint, Connective Tissue,Burn—11 weeks IntegrativeMedicine—2 weeks PediatricRehab—5 weeks Spinal Cord InjuryRehab—8 weeks PainManagement—4 weeks Resident Lecture Series

  44. 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

  45. Benefits… • Vacation • 2 weeks per year • 1 week at winter holiday • Professional & Educational Leave • Conferences • Interviews • Sick Leave • 5 days per year

  46. 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

  47. Library • 80,000 sq ft • 140 workstations • Media rooms • On line data bases • Up to date • Pub Med • On line Journals • Mircomedex

  48. Duty 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

  49. 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

  50. Program Requirements • Four years of residency • Inpatient rotation—12months • Outpatient adult clinics—10months • Elective time—2months • Outpatient Pediatric rehab rotation—4 months • EMG/NCS—6months • Research requirements—1month research block

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