Transcript UNC-Chapel Hill Physical Medicine & Rehabilitation Residency Program

UNC-Chapel Hill
Physical Medicine &
Rehabilitation
Residency Program
UNC Hospitals
Memorial
Hospital
5/19/2016
Children’s
Hospital
Women’s
Hospital
Neuroscience
Hospital
2
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
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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 PM&R 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
Outpatient services
• Adult PM&R and specialty clinics
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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 PM&R and specialty
clinics
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Cerebral Palsy
Spina Bifida
General Pediatric Rehab
Telemedicine
Outpatient visits FY 95-06
10000
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
Years
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FY 1995
FY 1996
FY 1997
FY 1998
FY 1999
FY 2000
FY 2001
FY 2002
FY 2003
FY 2004
FY 2005
FY 2006
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Faculty
UNC-CH Faculty
• 9 M.D. faculty at UNC-CH
• 4 Ph.D. faculty at UNC-CH
• Adjunct faculty
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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 [email protected]; 919966-5164
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Joshua Alexander, M.D
• Associate Professor
• Clinical Interests
» Pediatric Rehab
» Telemedicine
» Spina Bifida
» Cerebral Palsy
» Spasticity Management
» Basketball Medicine
• Pediatric/PM&R 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 School—Baylor
College of Medicine
• Residency—University of
North Carolina at Chapel
Hill
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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
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UNC Athletics Spine Consultant
•
Clinical Interests:
» General MSK Medicine
» Non-op Sports Medicine with
emphasis on Overuse
Syndromes
» Interventional Spine
» Electrodiagnostics
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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.
• 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
PM&R and Internal
Medicine Residency at East
Carolina University;
Greenville, NC
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
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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
PGY2—PGY4
Residents 2008
PGY1 Residents 2008
PGY-4
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Julia Bryson, MD
Medical School: Oregon
Health Sciences University
Internship: Transitional
Year- UNC-Chapel Hill
[email protected]
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Jason De Luca, MD
Medical School: State
University of New York at
Syracuse
Internship: Transitional
Year- UNC-Chapel Hill
[email protected]
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Madhu Mehta, MD
Chief Resident
Medical School: University
of Alabama
Internship: Transitional
Year- UNC-Chapel Hill
[email protected]
•
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PGY-3
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Christie Campbell, DO
Medical School: Nova
Southeastern University College of
Osteopathic Medicine
Internship: New York College
of Osteopathic Medicine, Union
Hospital
[email protected]
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Wesley Ibazebo, MD
Medical School: University
of Texas Medical School at
Galveston Internship:
Transitional Year- UNCChapel Hill
[email protected]
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Theresa Kent, MD
Medical School: Marshall
University School of Medicine
Internship: Transitional
Year- UNC-Chapel Hill
[email protected]
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PGY-2
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Justin Scruggs, MD
Medical School: Medical
University of South Carolina
College of Medicine
Undergraduate: The Citadel,
Charleston, SC
[email protected]
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Elizabeth Gersuk, DO
Medical School: Edward
Via Virginia College of
Osteopathic Medicine
Undergraduate: Baylor
University, Waco, Texas
[email protected]
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Hannah Messer, MD
Medical School: Medical
University of South Carolina
College of Medicine
Undergraduate: Samford
University, Birmingham,
Alabama
[email protected]
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PGY-1
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Chris Bonson, MD
Medical School: Tulane
University
Undergraduate: Standford
University
[email protected]
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Will Filer, MD
Medical School: Saint Louis
School of Medicine
Undergraduate: University of
Washington
[email protected]
•
Brooke Morgan
Medical School: University of
North Carolina at Chapel Hill
Undergraduate: Spelman College
[email protected]
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Life Outside of 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
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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 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 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
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• 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 Rehab—
Outpatients,
consults
» 1 month inpatient
Subacute Rehab
» 3 months Clinics
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• 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
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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
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
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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 lectures—2 h
•Board review
•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
•Neuroradiology
Resident Lecture Series
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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
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PGY-I
PGY-II
PGY-III
PGY-IV
$44,720
$46,280
$47,320
$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
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
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80,000 sq ft
140 workstations
Media rooms
On line data bases
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»
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Up to date
Pub Med
On line Journals
Mircomedex
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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, 1520 min. drive in
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Electronic Medical Record
• WEBCIS
»
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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
Program 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 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
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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
Thank you!