Summer 2020 - UNC School of Medicine

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Summer 2020 Improving health, function, and well-being.

Transcript of Summer 2020 - UNC School of Medicine

Summer 2020

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Improving health, function, and well-being.

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1 Welcome from the Chair

3 Meet Our New Faculty

4 2020 UNC PM&R Graduating Residents

6 2020 UNC PM&R Incoming Interns

7 2020 Program on Integrative Medicine (PIM) T-32 Fellows

8 Occupational Health During COVID-19

11 Distance Learning - A Mindfulness Refresher

12 Hillsborough Hospital Updates

13 Publications

Inside:

Our mission is to improve the health, function, and wellbeing of people across

North Carolina and beyond through excellence in patient care, education,

research, and innovation.

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Welcome to UNC PM&R’s New Quarterly Newsletter for our Friends, Family, Alumni, Colleagues and Supporters!!

The UNC Department of Physical Medicine and Rehabilitation has been dedicated to improving the health, function, and well-being of our patients for over 25 years, but we haven’t really put a concerted effort into sharing our stories, telling others about all the Good Work we do, or highlighting the accomplishments of our patients, faculty, staff, and residents…… until now.

Communicating with each other has never been more important and we are proud to now be able to keep you up to date on what’s happening in our department through multiple publications (like this Newsletter) and social media platforms.

Many thanks to Zannie Gunn (Senior Communications and Marketing Specialist) and Christina Del Riego (Communications and Marketing Specialist), who have overhauled, and will continue to build, our department’s communication network so that we can share our Good News with you all.

We invite you to learn more about us and our mission to serve the people of North Carolina (and beyond) by visiting our website, subscribing to our newsletter www.med.unc.edu/phyrehab/about-us/newsletter, following us on Facebook (@uncpmr), Twitter (@unc_pmr) and Instagram (@uncpmr), and/or sending us an email to share your thoughts, celebrations, and questions.

If you have any questions about our department, how we can help you, or how you can help us fulfill our mission, please contact me directly at [email protected]. Be Well, Joshua J. Alexander, MDSidna Chockley Rizzo Distinguished Professor & ChairUNC Department of Physical Medicine and Rehabilitation

A Commitment to Communicate

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Loved Dr. Cleveland! She was compassionate, thorough and proactive with treatment options and referrals. I am thrilled to find a doctor that can look at the whole picture of my complicated medical history and put the pieces together!

Dr. Kimberly Rauch is so understanding. She has helped improve my condition. I trust her completely with my care. I feel comfortable talking with her. I was so scared and embarrassed talking about my issues when I started going their. I can talk to her about all my concerns comfortably. She really is so knowledgeable about female issues. Thank you so much Dr. Rauch.

Dr. Barratta has been a blessing to me. He always takes my best interest to heart and truly makes me feel like he wants the best for me and helps ensure I get the things I need to get better.

Dr. Karvelas was wonderful. I feel like he truly listened to my concerns and understood what I was going through

One of the few places I’ve found who treat and really understand adults with Spina Bifida.

What our patients say:

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WELCOME NEW FACULTY

Elizabeth Barton, MD

Elizabeth Barton, MD joined UNC PM&R as a Clinical Assistant Professor on October 14, 2019.

Dr. Barton received her medical degree from the University of Kansas in 2013. She then completed her internship in Internal Medicine at the University of Kansas-Wichita in 2014 and residency in Physical Medicine and Rehabilitation at the University of Missouri-Columbia in 2017. She pursued fellowship training in Pediatric Rehabilitation Medicine at Nationwide Children’s Hospital in Columbus, Ohio, from 2017 to 2019.

Dr. Barton sees patients at the UNC Center for Rehabilitation Care (CRC) and UNC Children’s Hospital. Her areas of interest include cerebral palsy, spasticity management, neuromuscular disorders, limb differences, pediatric musculoskeletal medicine, and injury prevention.

Kristopher Karvelas, MD

Kristopher Karvelas, MD joined UNC PM&R as a Clinical Assistant Professor on August 19, 2019.

Dr. Karvelas received his medical degree from the University of North Carolina at Chapel Hill in 2009. He went on to complete an Internship in Internal Medicine at the University of Chicago (July 2009-June 2010) as well as a Residency in Physical Medicine and Rehabilitation at the Rehabilitation Institute of Chicago (July 2010 - June 2013). Upon finishing post-graduate training, Dr. Karvelas began working as a Clinical Instructor at the Rehabilitation Institute of Chicago (July 2013 - July 2014) and an Assistant Professor at Wake Forest University (July 2014 - July 2019).

Dr. Karvelas’ sees patients at the UNC Spine Center, UNC Center for Rehabilitation Care (CRC), and UNC Hospitals EMG Lab. His areas of interest include musculoskeletal and non-interventional spine medicine, electrodiagnostic medicine, ultrasound, and integrative medicine. He will also be involved with research, teaching, and other related scholarly activities, including being an instructor at the AAPM&R Ultrasound Step program.

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CONGRATULATIONS RESIDENCY CLASS OF 2020

Michael Boyd, DO

Dr. Michael Boyd is a fourth year resident physician in UNC’s Physical Medicine and Rehabilitation residency training program. Dr. Boyd currently serves as the 2019-2020 Administrative Chief Resident. Dr. Boyd grew up in Bolivar, MO (go Liberators!). He attended the University of Missouri (go Tigers!) in Columbia, MO for his undergraduate studies and graduated in 2010 with a BS in Biological Sciences. After college, Dr. Boyd worked for EPIC Systems as a Project Manager. He received his DO from Kansas City University in Kansas City, MO in 2016. Upon graduating from the UNC PM&R residency training program this summer, Dr. Boyd will begin a Sports Medicine Fellowship with UNC’s Department of Family Medicine in Chapel Hill, NC. In his spare time, he enjoys hiking, cheering for Super Bowl LIV champions, Kansas City Chiefs, playing pickleball and spending time with his wife, Amanda and their two dogs, Ozzie and Zooey.

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CONGRATULATIONS RESIDENCY CLASS OF 2020

Steven Punzell, MD, MS

Dr. Steven Punzell is a fourth year resident physician in UNC’s Physical Medicine and Rehabilitation residency training program. Dr. Punzell serves as the 2019-2020 Academic Chief Resident. Dr. Punzell grew up in Western PA. He attended Washington and Jefferson College in Washington, PA for his undergraduate studies and graduated in 2007 with a BA in Cellular and Molecular Biology with an Emphasis in Neuroscience. After graduating from college, Dr. Punzell worked as a Research Technician at Mclean Hospital. He then received a Master’s Degree in Biomedical Sciences from Tufts University School of Medicine in Boston, MA in 2011. He received his MD from Virginia Tech Carilion School of Medicine in Roanoke, VA in 2016. While attending medical school, he also received a graduate certificate in Research in Translational Medicine in 2014 from the Virginia Polytechnic Institute and State University in Roanoke, VA. Upon graduating from the UNC PM&R residency training program this summer, Dr. Punzell will begin a Pain Medicine Fellowship at UPMC in Pittsburgh, PA. In his spare time, he enjoys playing outside with his daughters, going for runs with his wife, grilling with a cold beer in hand, playing guitar while his daughter sings, and playing video games.

Gregory Franklin II, MD

Dr. Gregory Franklin is a fourth year resident physician in UNC’s Physical Medicine and Rehabilitation residency training program. Dr. Franklin currently serves as the 2019-2020 Medical Student Chief Resident.

Dr. Franklin grew up in Blythewood, SC, a small town just outside of Columbia. He attended Clemson University in Clemson, SC for his undergraduate studies and graduated in 2011 with a BS in Biological Sciences. He received his MD from Medical University of South Carolina College of Medicine in Charleston, SC in 2016. Upon graduating from the UNC PM&R residency training program this summer, Dr. Franklin will begin an Interventional Spine Fellowship at the MUSC in Charleston, SC.

In his spare time, he enjoys spending time with his wife, sports, concerts, movies, TV and traveling to visit with family & friends.

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Marina Kodsi, DOMarina Kodsi grew up in Albany, NY. She attended Siena College in Loudonville, NY for her undergraduate studies and graduated in 2015 with a B.S. in Biology. She recieved her DO degree from Lake Erie College of Osteopathic Medicine in Erie, PA on May 31, 2020. In her spare time, Marina enjoys event planning, baking, and making memories with friends.

Michael Melson, MD

Michael Melson grew up in Columbia, SC. He attended the University of South Carolina for his undergraduate studies and graduated in 2015 with a degree in Biology. He recieved his MD from the Medical University of South Carolina in Charleston, SC on May 16, 2020. In his spare time, Michael enjoys playing with his dog, working out, watching sports and movies, reading, going to the beach, and playing basketball.

Kaitlyn DeHority, MD

Kaitlyn DeHority grew up in Manlius, NY. She attended Ithaca College in Ithaca, NY for her undergraduate studies and graduated in 2016 with a Bachelor of Music (trumpet) and a Bachelor of Science in Chemistry. She recieved her MD degree from SUNY Upstate Medical University in Syracuse, NY on May 1, 2020. In her spare time, Kaitlyn enjoys playing trumpet in local ensembles, drawing, cooking, enjoying time outdoors, and spending time with family and friends.

W E LC O M E 2 0 2 0 I N T E R N S

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Karen M. Sheffield-Abdullah, PhD, RN, CNM

Karen Sheffield-Abdullah is a first year T32 Postdoctoral Research Fellow at the UNC PM&R Program on Integrative Medicine (PIM). She has a doctoral degree in Nursing from The University of North Carolina at Chapel Hill School of Nursing and a Master of Science in nursing degree from Yale University.

Dr. Sheffield-Abdullah’s research focuses on the utilization of holistic, integrative, multi-sector strategies to promote physical, mental, and emotional well-being for individuals and communities. She is particularly interested in developing strategies to reduce the long-term health effects of psychological trauma, anxiety, and depression on women’s health and birth outcomes. Her interests include the bio-psycho-social benefits of self-compassion, mindfulness, and other mind-body therapies as adjuncts to conventional treatment modalities. Her program of research will help to facilitate the development of culturally-relevant interventions to reduce disparities in stress-related adverse outcomes during the perinatal period and provide a platform to guide successful models for women’s health care provision that incorporate stress management and improve wellness across the lifespan.

Zachary Kadro, ND

Zachary Kadro is a first year T32 Postdoctoral Research Fellow at the UNC Program on Integrative Medicine. He has a doctoral degree in Naturopathic Medicine from Bastyr University in Seattle, WA, and BA in General Studies from the University of Michigan, Ann Arbor. He will begin the MPH program at UNC, Gillings School of Global Public Health with a Leadership in Practice concentration in the fall of 2020.

Dr. Kadro’s major academic interest includes the rapidly developing field of mobile health (mHealth). He has a special interest in wearable mHealth devices and apps for detection of heart arrhythmias and is currently working with the UNC-RTI Evidence-Based Practice Center on a systematic review for asymptomatic atrial fibrillation screening among older adults in the US. He is also collaborating with UNC investigators from PIM, Eshelman School of Pharmacy and the Department of Family Medicine, on development of an mHealth app for tracking and reconciliation of dietary supplements in the electronic health record (EHR) capable of screening for important supplement-drug interactions. He is also a licensed Naturopathic Physician in the State of Washington who specializes in Naturopathic Oncology and integrative approaches to health.

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Spotlight

O C C U P A T I O N A L H E A LT H

Lee Shuping, MD, MPTClinical Assistant Professor, UNC PM&RAssociate Medical Director, UNC-CH Occupational Health

James Hill, III, MD, MPHClinical Associate Professor, UNC PM&RMedical Director, UNC-CH Occupational Health

Aly Ryan, PA-CPhysician Assistant, UNC-CH Occupational Health

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COVID-19 brought waves of change across every aspect of life. People throughout our department

helped in tremendous ways from serving as frontline staff to treating patients in the Emergency Department (and more). We are incredibly grateful for how the UNC PM&R family responded to this pandemic.

The University Employee Occupational Health Clinic (“UEOHC”) was at the forefront of making plans for COVID-19 preparations and responses. UEOHC serves as the primary occupational health clinic for the over 30,000 employees (full-time, part-time, and temporary) of the University of North Carolina at Chapel Hill. In addition to seeing patients at the clinic, the UEOHC also handles numerous other programs including the Bloodborne Pathogen Program, respirator fit-testing, IACUC approvals and medical oversight of bio-medical research on campus.

We recently spoke with three Occupational Health employees about their COVID-19 experiences: James Hill, III, MD, MPH, who is a Clinical Associate Professor in UNC’s Department of PM&R and serves as the Medical Director at the UNC-CH Occupational Health; Aly Ryan, PA-C who is a Physician Assistant at the UNC-CH Occupational Health; and Lee Shuping, MD, MPT, who is a Clinical Assistant Professor in UNC’s Department of PM&R and serves as the Associate Medical Director at the UNC-CH Occupational Health.

By mid-January, the campus was identifying and re-calling faculty, students and staff who were traveling internationally to provide guidance. Additionally, numerous programs had either been ramped up or created to determine PPE requirements, provide 24/7 monitoring of health care personnel for possible COVID-19 symptoms, approval of high-risk employee groups, and more.

Early in the crisis, the UEOHC saw a very high volume of employees for N-95 fit-testing. They also were responsible for the dissemination of information relating to updates, potential risks, and current protocols.

The professional backgrounds of Drs. Hill and Shuping and Ms. Ryan greatly assisted them in the preparation for COVID-19. Traditional occupational health and safety issues such as risk assessment, infection control, return-to-work, occupational epidemiology, and PPE assessments became new territory for many healthcare providers and UOEHC was ready to help guide and train. Additionally, their experience in managing different biological and chemical exposures was very helpful in preparing for and managing the potential exposures to COVID-19. Also, their critical understanding of the importance and impact of every decision that is being made in relation to COVID-19 was shaped by their numerous, complex, and integrated experiences in both university and hospital settings. Lastly, their abilities to be flexible, innovative, and efficient have proven to be vital while facing new challenges and evolving situations.

Drs. Hill and Shuping, and Ms. Ryan all mentioned ways that they have adapted their daily work since COVID-19. When social distancing measures began, so did virtual meetings, and the UOEHC Team has found them to be an opportune way to connect even though they are not physically together. In order to avoid any lapse in patient care, Dr. Shuping transitioned many of his patients’ appointments to virtual telemedicine appointments.

Like many of us, COVID-19 has been a complete disruption of work-life balance. There are both ongoing daily tasks that need to be accomplished and emergent issues that often do not follow a specific schedule, resulting in long work hours and stressful moments. To de-stress, Drs. Hill and Shuping, and Ms. Ryan shared some of their recommendations which include: family time, daily walks with your dog, yard work, board games, tv-movies, indulging in sweet treats on occasion, and reflecting on the simple blessings in life that we’ve been granted.

On the topic of things to be grateful for, Drs. Hill and Shuping, and Ms. Ryan all mentioned being thankful for their invaluable working relationships with their co-workers and UNC colleagues. Throughout

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the pandemic, Dr. Hill “relied heavily on his professional relationships within the Medical Center which would not be possible without some of the faculty development programs sponsored by the School of Medicine such as the ACCLAIM program. The day-to-day success of the UNC Medical Center in responding to COVID is largely due to the outstanding leadership, problem-solving, teamwork and communications of the front-line medical directors – a testament to the ‘leadership at all levels’ approach.”

Currently the UEOHC is handling calls from employees with questions related to COVID-19, referring for COVID-19 testing, and responding to employees who have experienced potential exposures. They set aside time to review and comprehend recommendations provided by the WHO, CDC, UNC Hospitals, UNC Systems, and others, but being able to process the almost-daily new information and operationalize it to working policies continues to be an ongoing challenge. As for larger projects, the UEOHC is working through the occupational health challenges of onboarding professional students and ACGME trainees to UNC Medical Center and determining the future occupational health demands associated with both re-opening campus and the logistics around the upcoming flu season.

“The common goal since the beginning has been to do everything we can to keep our employees and patients safe and I think our team has done an outstanding job so far,” Ms. Ryan said while concluding her interview. Yes, indeed – and thank you to you and your colleagues for your service to our department, UNC, patients, families, and fellow North Carolinians! And even though the future may be uncertain, we stand in confidence behind the dedicated, resourceful, and adaptable people within UEOHC, UNC PM&R, and across the UNC system.

S p o t l i g h t o n O c c u p a t i o n a l H e a l t h c o n t i n u e d

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In April 2020, when the UNC Campus closed, and social distancing became the ‘new normal,’ the UNC Program on Integrative Medicine (PIM) hosted its first distance-based Mindfulness Refresher, led by Kessonga Giscombé, MS, L.Ac., adjunct professor in the Department of Physical Medicine and Rehabilitation. The hour-long Mindfulness Refresher was developed as a tool to reinvigorate former alums of the eight-week, Introduction to Mindfulness course, and people who are curious to learn more about Mindfulness. The practice of Mindfulness was developed in 1979, by Dr. Jon Kabat-Zinn to help patients better cope with pain, stress, and chronic illnesses, by using relaxation and focus techniques to optimize self-healing.

Kessonga is a licensed acupuncturist and certified holistic health counselor. He holds a BA in Biology from North Carolina Central University and an MS in Acupuncture from The New York College of Health Professions. Kessonga’s academic interests focuses on the theoretical framework of Mindfulness based with additional interest in psychodynamic, DBT, and CBT. His clinical focus includes depression, anxiety, stress resiliency, group psychotherapy and athletic performance enhancement. He is currently working on his MS in Social Work at UNC-CH.

The Mindfulness Refresher drew 210 attendees, was broadcast by way of Zoom. Zoom is an online webinar application that offers both phone and video connection. The benefit of Zoom’s format is that it connects people who would not normally take an in-person class. Additionally, it allows for individual sharing and fosters a sense of community in a world otherwise dominated by COVID-19 social distancing.

Kessonga’s work experience makes him a natural choice to lead online courses with Zoom and similar platforms; he also instructs a phone-based mindfulness class for PIM’s research project, A Telephone-Delivered Mindfulness Intervention for Rural, African American Families.

The April 2020 Mindfulness Refresher Workshop received extensive enthusiastic feedback and praise. “While we value gathering in-person for our Mindfulness courses, the move to an online format, allows us to remain in-touch, and supportive, to our participants who are wishing to learn more about mindfulness and to make a human connection,” said Kelly Eason, workshop facilitator. Kessonga appreciated the workshop’s high attendance and enjoyed being able to connect with so many people, especially considering this extraordinarily challenging time.

DISTANCE LEARNING

“Mindfulness is paying attention to the present moment on purpose without judgement.”

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A Mindfulness Refresher

D IS TA N C E L E A R N I N G

Kessonga Giscombé, MS, LAcMindfulness Instructor, UNC PM&R Program on Integrated Medicine

Find out about upcoming PIM mindfulness workshops and classes here: www.med.unc.edu/phyrehab/pim/mindfulness-program/mindfulness-course-schedule

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Coming soon... February 2022 is the planned opening of our new state-of-the art acute inpatient rehabilitation (AIR) facility. This 30-40 bed comprehensive AIR Center will be located on the 3rd and 4th floor of the new bed tower currently under construction at UNC Hospitals Hillsborough Campus. The rehab unit will feature spacious, all-private patient rooms. Other features include: easy access to parking, a large interdisciplinary gym with individual treatment rooms, transitional living apartment, dining hall, and recreational therapy room. Other planned innovations include Virtual/Augmented Reality therapy, a Rehab Maker Space with 3-D printers, and Hillsborough Hospitals’ Center for Complementary and Alternative Medicine.

COMING SOON HILLSBOROUGH CAMPUSH IL L S B O R O U G H C A M P U S

Rehab Gym

Rehab DiningProposed Tower

Patient Room

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PUBLICATIONS

Yanuck SF, Pizzorno J, Messier H, Fitzgerald KN. Evidence Supporting a Phased Immuno-physiological Approach to COVID-19 From Prevention Through Recovery. Integr Med (Encinitas). 2020;19(Suppl 1):8-35. PMID: 32425712; PMCID: PMC7190003.

Lace, J.W., McGrath, A. & Merz, ZC. A factor analytic investigation of the Barkley deficits in executive functioning scale, short form. Curr Psychol (2020). doi: 10.1007/s12144-020-00756-7.

Merz, ZC, Perry, J. E., Brauer, A. H., Montgomery, T. L., Shulze, J., & Ross, M. J. (2020). The cost of mental illness: The public’s derogation of athletes with psychological distress. Stigma and Health. Advance online publication. doi: 10.1037/sah0000213.

Lace JW, Merz ZC, Kennedy EE, Seitz DJ, Austin TA, Ferguson BJ, Mohrland MD. Examination of five- and four-subtest short form IQ estimations for the Wechsler Intelligence Scale for Children-Fifth edition (WISC-V) in a mixed clinical sample. Appl Neuropsychol Child. 2020 Apr 16:1-12. doi: 10.1080/21622965.2020.1747021. Epub ahead of print. PMID: 32297810.

Wang C, Li K, Seo DC, Gaylord S. Use of complementary and alternative medicine in children with ADHD: Results from the 2012 and 2017 National Health Interview Survey. Complement Ther Med. 2020 Mar;49:102352. doi: 10.1016/j.ctim.2020.102352. Epub 2020 Feb 19. PMID: 32147074.

Merz ZC, Lace JW, Eisenstein AM, Grant AF. Examination of Wechsler adult Intelligence Scale-Fourth Edition short-form IQ estimations in an outpatient psychoeducational sample. Appl Neuropsychol Adult. 2019 Nov 20:1-10. doi: 10.1080/23279095.2019.1687480. Epub ahead of print. PMID: 31747821.

Garland EL, Brintz CE, Hanley AW, Roseen EJ, Atchley RM, Gaylord SA, Faurot KR, Yaffe J, Fiander M, Keefe FJ. Mind-Body Therapies for Opioid-Treated Pain: A Systematic Review and Meta-analysis. JAMA Intern Med. 2019 Nov 4;180(1):91–105. doi: 10.1001/jamainternmed.2019.4917. Epub ahead of print. PMID: 31682676; PMCID: PMC6830441.

Brintz CE, Miller S, Olmsted KR, Bartoszek M, Cartwright J, Kizakevich PN, Butler M, Asefnia N, Buben A, Gaylord SA. Adapting Mindfulness Training for Military Service Members With Chronic Pain. Mil Med. 2020 Mar 2;185(3-4):385-393. doi: 10.1093/milmed/usz312. PMID: 31621856; PMCID: PMC7134381.

Philips KH, Brintz CE, Moss K, Gaylord SA. Didgeridoo Sound Meditation for Stress Reduction and Mood Enhancement in Undergraduates: A Randomized Controlled Trial. Glob Adv Health Med. 2019 Sep 30;8:2164956119879367. doi: 10.1177/2164956119879367. PMID: 31632840; PMCID: PMC6769210.

Lichtenstein, J.D., Merz, ZC. Post-Exertion Neuropsychological Testing in the Management of Sport-Related Concussion. Psychol. Inj. and Law 12, 146–154 (2019). doi: 10.1007/s12207-019-09350-0.

Yanuck SF. Microglial Phagocytosis of Neurons: Diminishing Neuronal Loss in Traumatic, Infectious, Inflammatory, and Autoimmune CNS Disorders. Front Psychiatry. 2019 Oct 3;10:712. doi: 10.3389/fpsyt.2019.00712. PMID: 31632307; PMCID: PMC6786049.

Wang CC, Li K, Gaylord S. Wang et al. Respond. Am J Public Health. 2019 Sep;109(9):e5-e6. doi: 10.2105/AJPH.2019.305239. PMID: 31390243; PMCID: PMC6687258.

Woods-Giscombe CL, Gaylord SA, Li Y, Brintz CE, Bangdiwala SI, Buse JB, Mann JD, Lynch C, Phillips P, Smith S, Leniek K, Young L, Al-Barwani S, Yoo J, Faurot K. A Mixed-Methods, Randomized Clinical Trial to Examine Feasibility of a Mindfulness-Based Stress Management and Diabetes Risk Reduction Intervention for African Americans with Prediabetes. Evid Based Complement Alternat Med. 2019 Aug 14;2019:3962623. doi: 10.1155/2019/3962623. PMID: 31511777; PMCID: PMC6710811.

Gelfman R, Hill JJ 3rd. Rehabilitating the Injured/Ill Worker to Maximum Medical Improvement (MMI). Phys Med Rehabil Clin N Am. 2019 Aug;30(3):657-669. doi: 10.1016/j.pmr.2019.03.012. Epub 2019 May 29. PMID: 31227140.

P U B L I C A T I O N S

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Website:med.unc.edu/phyrehab

On April 28, 2020, we saluted our Healthcare Heroes who are working hard to keep our community safe, healthy, and running! We are grateful for and proud of our fantastic team! #CovidStrong #CarolinaHeroes

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