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Department of Physical Medicine and Rehabilitation

PMED 401 Introduction to Physical Medicine and Rehabilitation
Faculty: Teaching Faculty: Faculty of Physical Medicine and Rehabilitation. Contact Faculty: Heather Walker, M.D.
Prerequisites: Completion first and second year medical school
Offered: All elective periods
Max. Enrollment: 4
Duration: One elective period
Meeting Place: Nursing Station A on the 7th floor of UNC Hospitals
Meeting Times: 8:00 a.m.
Credit Hours: 6
Learning Objectives: The specialty of Physical Medicine and rehabilitation (PM&R) serves to maximize the quality of life and functional independence of persons with a variety of disabling medical conditions including stroke, traumatic brain injury, spinal cord injury, burns, amputation and musculoskeletal disorders. During the rotation, you will spend time on two of the following services: inpatient neuro rehabilitation service, inpatient spinal cord injury/musculoskeletal service, outpatient clinic service, pediatric service, and rehabilitation consultation service. You will also spend one-half day in clinical neuropsychology. Other clinical experiences are available depending on the student's interest.
Learning Activities: Each student will be responsible for a brief presentation on a basic science or clinical experience relevant to the field of Physical Medicine and Rehabilitation to your colleagues and the PM&R residents and attendings. Attendance is required at the Physical Medicine and rehabilitation lecture series and other lectures as assigned. In addition, relevant lectures will involve the entire group of UNC students on the Neurosciences selective. There are no on-call or weekend requirements. Students will participate in daily rounds and ward care of patients while on the inpatient services.
Evaluation: Students will be evaluated by observation of clinical faculty based on participation and presentation on rounds and to clinic preceptor, documentation in the medical record, presentations at educational conferences and other duties as assigned.
Special Notes: **Email Madhu Mehta at mmehta@unch.unc.edu one week prior to the start of your rotation.
Date Updated: 9/29/2008

PMED 402 Consultation in Physical Medicine and Rehabilitation
Faculty: Teaching Faculty: Faculty of Physical Medicine and Rehabilitation. Contact Faculty: Heather Walker, M.D.
Prerequisites: Completion of first and second year medical school and Introduction of Physical Medicine and
Rehabilitation or equivalent
Offered: All elective periods
Max. Enrollment: 4
Duration: One elective period
Meeting Place: Nursing Station A on the 7th floor of UNC Hospitals
Meeting Times: 8:00 a.m.
Credit Hours: 6
Learning Objectives: The specialty of Physical Medicine and rehabilitation (PM&R) serves to maximize the quality of life and functional independence of persons with a variety of disabling medical conditions including stroke, traumatic brain injury, spinal cord injury, burns, amputation and musculoskeletal disorders. The student will learn to perform a history and physical examination relevant to the field of physical medicine and rehabilitation and to providerehabilitation recommendations for patients who are hospitalized in the acute hospital. The student will be exposed to the administrative aspect of rehabilitation including team management, regulatory guidelines and use of the rehabilitation continuum. Other clinical experiences including an introduction to electrodiagnostic testing and observation of physiatric procedures are available during this rotation depending on the student's interest.
Learning Activities: Each student will be responsible for a brief presentation on a basic science or clinical experience relevant to the field of Physical Medicine and Rehabilitation to your colleagues and the PM&R residents and attendings. Attendance is required at the Physical Medicine and rehabilitation lecture series and other lectures as assigned. There are no on-call or weekend requirements.
Evaluation: Students will be evaluated by observation of clinical faculty based on clinical performance, documentation in the medical record, and presentation at educational conferences and other activities as assigned.
Special Notes: **Email Madhu Mehta at mmehta@unch.unc.edu one week prior to the start of your rotation.
Date Updated: 9/29/2008

PMED 403 Introduction to Integrative Medicine
Faculty: Susan A. Gaylord, Ph.D. and Doug Mann, MD
Prerequisites: Offered to second year medicals students/other health professions students
Offered: Spring and Fall elective periods
Min. Enrollment: 1
Max. Enrollment: 5
Duration: One elective period
Meeting Place: Physical Med/Rehab conference room, Room 1148 Main Hospital
Credit Hours: 6
Learning Objectives: 1) Describe in-take forms, history taking, interviewing appropriate for an integrative approach to care.
2) List five positive communication strategies.
3) Describe the availability of specific CAM and integrative-care practitioners and resources in the community.
4) Describe CAM-related services available through the UNC Hospital system.
5) Describe and compare an individual practitioner and a team approach to integrative care.
6) Discuss, at appropriate levels of expertise, specific cases with regard to potential integrative treatment strategies.
7) Discuss the importance of practitioner self-care and develop a self-care plan.
8) Discuss specific challenges and successful strategies related to practicing integrative medicine within the current health care system.
Learning Activities: Clinical: 10 hours per week
Reading: 10 hours
Special Project: 20 hours
Evaluation: Course participation, self-care plan/implementation, special projects, case discussion, special project.
Date Updated: 1/31/2006

PMED 450 Principles and Practices of Alternative & Complementary Medicine
Faculty: Susan Gaylord, Ph.D. and other lecturers
Prerequisites: Offered to second year medical students/other health professions student
Offered: Fall semester
Min. Enrollment: 5
Max. Enrollment: 80
Duration: One Semester (Fall only)
Meeting Place: Family Medicine Auditorium
Credit Hours: 3
Learning Objectives: 1) Describe the demography of CAM use in the United States.
2) Discuss approaches for evaluating evidence for therapeutic efficacy of CAM and conventional care.
3) Discuss the role of the placebo in CAM research and care.
4) Describe healing paradigms and rationales for patients for patients' use of these therapies.
5) Describe the philosophies, theoretical basis and techniques of various CAM therapies.
6) Discuss the training and certification of practitioners of these therapies.
7) Discuss uses of each therapy and evidence of .
8) Describe the knowledge, attitudes, and skills necessary to communicate effectively with practitioners and users of CAM and conventional therapies.
Learning Activities: Lectures: 3 (evening) hours per week
Reading: 2 hours per week
Community contact: 4 hours per semester
Evaluation: Attendance/Participation, interview reports (with practitioner and patient), annotated references, and optional PowerPoint presentation (required for Honors grade).
Date Updated: 1/31/2006

PMED 452 Fieldwork in Alternative and Complementary Therapies
Faculty: Susan Gaylord, Ph.D.
Prerequisites: Completion of first and second year of medical school
Offered: All elective periods
Min. Enrollment: 1
Max. Enrollment: 4
Duration: One elective period
Meeting Place: Varied time and locations - depending on customized schedule
Credit Hours: 6
Learning Objectives: 1) Describe one or more CAM therapies in their practice setting, including patient/client evaluation, typical procedure, patients/client characteristics and environmental setting.
2) For each modality, compare the differences in philosophy and treatment between the CAM modality and conventional care.
3) Evaluate the feasibility of integrating this modality with conventional treatment for one or more specific illness conditions.
Learning Activities: Clinical: 20 hours, Reading: 20 hours
Evaluation: Daily journal, PowerPoint presentation, feedback from hosting/mentoring clinicians.
Date Updated: 1/31/2006

PMED 479 Introduction to Rehabilitation, Carolinas Medical Center, Carolinas Rehabilitation
Faculty: Drs. Hammond, Nguyen, Nelson, Kanelos, Rissmiller, Scelza, Shall, Raj, Wunderlich and Bockenek
Prerequisites: Completion of second year
Offered: All elective periods except July
Max. Enrollment: 2
Duration: One elective period
Meeting Place: Carolinas Rehabilitation, Dept. of PM&R, 1100 Blythe Blvd., Charlotte, NC 28203
Meeting Times: 8:00 am
Credit Hours: 6
Learning Objectives: The student will be exposed to a broad spectrum of problems encountered in the practice of physical medicine & rehabilitation (PM&R) and develop a basic knowledge of the functional and medical management of a variety of neurologic and musculoskeletal disabilities.
Learning Activities: Exposure will be primarily in-patient and options include Traumatic Brain Injury (TBI), Spinal Cord Injury (SCI), Stroke (CVA), cancer, pediatric, and orthopedic and amputee rehabilitation. A one hour didactic lecture Monday - Wednesday, Thursday conference to include M&M, Journal Club, and Medical Education Conference on Friday all at 12 pm. Students will participate on rounds as well as write daily notes on some patients.
Evaluation: The students will be observed examining patients while on inpatient services. Students will do a brief presentation to the members of their inpatient team (resident and attending) as well as one presentation at a Thursday conference. Attendings who work with the student will submit evaluations to Dr. Raj who will summarize evaluations at the end of the rotation.
Date Updated: 4/4/2008