Residency Training - gsopath.com Programs/UNC-RESIDENCY-PRO… · Residency Training Programs Website Address Index ... one from the hospital in which the applicant

Residency Trainingp r o g r a m s

Introduction

Residency Training Programs Website Address Index

Anesthesiology

Dentistry

Dermatology

Diagnostic Radiology

Emergency Medicine

Family Medicine

Internal Medicine

Medicine/Pediatrics

Neurology

OB/GYN

Ophthalmology

Orthopaedics

Otolaryngology/Head and Neck Surgery

Pathology and Laboratory Medicine

Pediatrics

Psychiatry

Radiation Oncology

Surgery and Surgical Specialties

General Surgery

Cardiothoracic Surgery

Surgical Critical Care

Neurosurgery

Plastic Surgery

Urology

Vascular Surgery

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Table of Contents

U n i v e r s i t y o f N o r t h C a r o l i n a H o s p i t a l s

The Office of Graduate Medical Education(ogme) provides support for all housestaff at UNC Hospitals. Credentialing, licensure,benefits, payroll, insurance, parking, and pagersare all administered through this office. TheUniversity of North Carolina Hospitals is a partic-ipating member of the National ResidentMatching Program, Dental National MatchingService, and other advanced residency matchingprograms.

Applicants for First-Year post-M.D. orD.D.S. Positions: Mail applications directly to the department to which you are applying.

Applicants for Positions Beyond the First Year:Application should be sent directly to the chiefof service in which the applicant is interested.Three letters of recommendation should includeone from the hospital in which the applicanthas most recently served and two from membersof its professional staff. These should also besent directly to the chief of service for which theapplication is made. Provide the department’sforwarding address (not the hospital’s or gme)when requesting letters of recommendation.

Foreign Graduates: All graduates of foreign medical

schools must be certified by the EducationalCommission for Foreign Medical Graduates. All foreign graduates who are not U.S. citizens must meetall visa Qualifying Examination (vqe) or ForeignMedical Graduate Exam in the Medical Sciences(fmgems) requirements prior to application.

Documentation of sponsorship qualificationsmust be submitted with application. If photocopiesof the supporting documents are submitted, theymust be certified by a notary public that they aretrue and exact copies of the original documents.

Personal interviews will be arranged by the indi-vidual departments. Because of the large numberof applicants for each department, a recentphotograph the applicant would be helpful. Aphotograph is not mandatory, and in no waywill it be used to determine interview eligibilityor selection priority.

The ogme is located in the west wing of themain hospital complex, room 1107G near thehospital mailroom. Office hours are 8:00 a.m.to 4:30 p.m., Monday through Friday. Theoffice phone number is (919) 966-1072. Theoffice administrator is available 24 hours a dayon pager for emergency circumstances. Below is a list of people that can assist you:

Assistant Dean for Graduate Medical EducationRobert C. Cefalo, M.D., Ph.D.

Senior Vice PresidentPeter Barnes, Director of Human Resourcesand Director of Graduate Medical Education

Director of the Office of Graduate MedicalEducationCindi Trinidad

Residency TrainingOffice of Graduate Medical Education

R e s i d e n c y T r a i n i n g P r o g r a m s | ii

ANESTHESIOLOGYhttp://www.aims.unc.edu/education/residency/

GENERAL PRACTICE RESIDENCY IN DENTISTRYhttp://www.dent.unc.edu/academic/programs/ade/gpr/

DERMATOLOGYhttp://www.med.unc.edu/wrkunits/2depts/derm/resident.html

DIAGNOSTIC RADIOLOGYhttp://www.med.unc.edu/wrkunits/2depts/radiolog/frame02a.html

EMERGENCY MEDICINEhttp://www.med.unc.edu/emergmed/residency/

FAMILY MEDICINEhttp://www.fammed.unc.edu/residence/restart.htm

INTERNAL MEDICINEhttp://www.med.unc.edu/wrkunits/2depts/medicine/web/hstrain.htm

MEDICINE/PEDIATRICShttp://pediatrics.med.unc.edu/dept/medpeds_overview.htm

NEUROLOGYhttp://neuron.med.unc.edu/neurology/Residents.htm

OB/GYNhttp://www.med.unc.edu/obgyn/education.html#Residency

OPHTHALMOLOGYhttp://www.med.unc.edu/wrkunits/2depts/ophth/resident.htm

ORTHOPAEDICShttp://www.med.unc.edu/wrkunits/2depts/ortho/RESPROG/uncresprog.html

OTOLARYNGOLOGY/HEAD AND NECK SURGERYhttp://apollo.med.unc.edu/ent/oto-hns/residency.html

PATHOLOGY AND LAB MEDICINEhttp://www.pathology.unc.edu/path/resident/welcome.htm

PEDIATRICShttp://pediatrics.med.unc.edu/dept/residencies_overview.htm

PSYCHIATRYhttp://www.psychiatry.unc.edu/education/welcome.htm

RADIATION ONCOLOGYhttp://www.med.unc.edu/radonc/residency_training.htm

Residency Training ProgramsWebsite Address Index

iii | U n i v e r s i t y o f N o r t h C a r o l i n a H o s p i t a l s

Surgery and Surgical Specialities

GENERAL SURGERYhttp://viper.med.unc.edu/surgery/residencyprograms/general.html

CARDIOTHORACIC SURGERYhttp://viper.med.unc.edu/surgery/CT/residency.html

NEUROSURGERYhttp://viper.med.unc.edu/surgery/neurosurgery/residency.html

PLASTIC SURGERYhttp://viper.med.unc.edu/surgery/plastics/residency.html

UROLOGYhttp://viper.med.unc.edu/surgery/residencyprograms/urology.html

R e s i d e n c y T r a i n i n g P r o g r a m s | 2

Residencies in anesthesiology are open to twotypes of candidates: 1) those with no postgrad-uate training beyond medical school and, 2) those with one or more years of postgraduateeducation.

Those applicants with no postgraduate trainingbeyond medical school must apply through the National Residency Matching Program for either a postgraduate position at the pgy-i

or pgy-ii level. If accepted for a position at the pgy-i level, the individual will participate ina broad-based clinical program of educationduring the first year of training. Usually, theresident will rotate through the different disci-plines of internal medicine and pediatrics forfive months each. Two months will be devotedto clinical anesthesia. On successful completionof this initial year, the resident will automaticallybe eligible for the clinical years of anesthesiatraining. Candidates accepted at the pgy-ii

level through the National Residency MatchingProgram will be expected to complete anacceptable broad-based clinical program priorto initiating the pgy-ii year.

Those applicants with one or more years ofpostgraduate education need to complete onlythree years of clinical anesthesia training, andmay apply directly to the department for a position beginning at the ca-i level withoutparticipating in the National ResidencyMatching Program. Successful completion ofthese years qualifies the individual to apply to the American Board of Anesthesiology forentrance into the Board Exam Process.

During the first year of clinical anesthesiatraining, the resident is introduced to theoperating rooms by working with attendingsand senior residents on a one-to-one basis.During the initial month, daily didactic conferences are organized for the resident to

introduce the individual to the scientific basisof practice. Subsequently, morning conferencesare held at least four times per week. Over athree-year period, these seminars will cover allphases of the basic and clinical sciences relatedto anesthesiology. In addition to our attendingstaff, representatives from many departmentswithin the medical school and visiting professorsfrom other medical schools participate in anddirect these seminars.

The second year of clinical anesthesia trainingemphasizes attainment of knowledge in themore specialized areas of anesthesia. Anesthesiafor pediatric, thoracic, cardiac, neurosurgical,obstetric, and vascular cases is stressed alongwith the management of patients in the recoveryroom, intensive care units, out-patient unitand pain clinic.

The third year of clinical anesthesia trainingoffers an advanced program of study in themanagement of complex anesthesia assignments,the management of sub-specialty anesthesiaassignments, and/or the development ofresearch interests. This advanced clinical anes-thesia year is developed for the resident afterthe resident’s interests and strengths are considered. Individualized programs are availablefor applicants with appropriate credentials.Independent research by residents in the researchor clinical laboratory is encouraged and will be supported within the restrictions of theAmerican Board of Anesthesiology.

Additional inquiries and letters of recommen-dation may be directed to:

Resident Selection CoordinatorDepartment of AnesthesiologyUNC School of Medicine223 Burnett-Womack Building, cb# 7010

Chapel Hill, North Carolina 27599-7010

Anesthesiology

Philip G.Boysen, M.D.

Professor and Chair

Anthony N.Passannante,M.D.

Residency Director

3 | U n i v e r s i t y o f N o r t h C a r o l i n a H o s p i t a l s

The residency program is a 24-month programaccredited by the American Dental Association.The overall purpose of the program is to traindental residents to deliver humanistic, compre-hensive dental care as part of a health team,with full consideration of the patient’s medical,psychosocial, and dental needs. It includesrotations through several specialized facilitiesaffiliated with the University of North CarolinaSchool of Dentistry and the UNC Hospitals.The program enrolls three to four residentseach year. The 24-month program leads to acertificate of completion of the GeneralPractice Residency in Dentistry.

The primary clinical training sites include thedental services of UNC Hospitals, the VeteransAffairs Medical Center in Durham, and theOrange County Health Department facilitieslocated in Hillsborough and Carrboro. Clinicalexperiences are provided in all phases of gener-al dentistry except orthodontics. Strengths ofthe clinical program are in diagnostic, restora-tive, prosthodontic, and oral surgical areas. Anadditional clinical experience in maxillofacialprosthodontics for the head and neck cancerpatient. The resident is afforded the opportu-nity to meet the oral health needs of ambulatorypatients of all ages, from children at the HealthDepartment to older adults at the vamc, underthe tutelage of on-site dental educators at allfacilities. Approximately 92% of program timeis spent engaged in hands-on clinical care andeducation, with 8% in didactic and interdisci-plinary conferences. A large majority of theclinical care (85%) is delivered for ambulatoryoutpatients, with 15% or less for hospital inpa-tients and operating room care.

UNC Hospitals has an active interdisciplinaryconsultation system where residents are calledupon to provide their dental expertise in

addressing dental consult requests from surgi-cal, medical, and psychiatric services. Residentsparticipate in the weekly Head and Neck TumorConference. Residents gain significant experi-ence with management of patients with med-ically complex conditions such as hemophiliaand other bleeding disorders, end-stage organfailure (e.g. liver, kidney, heart, lung), oral andpharyngeal cancers, hiv/aids, systemic lupus,sickle cell anemia, and other rare disorders. Atthe Durham vamc, patients often have hyper-tension, coronary vascular disease, congestiveheart failure, chronic obstructive pulmonarydisease, diabetes, post-traumatic stress disor-der, end-stage organ disease, and/or cancer.

Each resident serves three to four months aschief resident during his/her second year in theprogram. This provides an opportunity to learnhospital administrative skills and increase theexperience in operating room dental care.

All residents participate in a weekly didacticconference. The curriculum is composed of aphysical diagnosis course during the summerand a series of seminars and lectures by facultyexperts from the dental and medical schoolsand special outside guest speakers during thefall and spring semesters. Review of the currentliterature, resident presentations called the“Disease of the Month” series, and Morbidityand Mortality conference are scheduled on amonthly basis.

For further information, contact:

Lauren L. Patton, D.D.S.Director, General Practice Residency ProgramUNC School of Dentistry388 Dental Office Building, cb# 7450


General Practice Residency in Dentistry

Lauren L.Patton, D.D.S.

Program Director


The three-year residency program in dermatologyoffers comprehensive training in inpatient andoutpatient dermatology. Emphasis is placed onthe basic sciences as they pertain to the skin andthe total individual in health and disease.Complete facilities are available in dermato-pathology. Residents are encouraged to participatein clinical and experimental studies of theDermatology Research Program. One year oftraining in another discipline such as internalmedicine, pediatrics, general surgery or familypractice is required after graduation from medicalschool before acceptance into the residency.

Each resident will be taught clinical dermatologythrough the evaluation and management of alarge patient population, which is seen within avariety of outpatient and inpatient clinical settingsunder the close supervision of clinical teachingfaculty, both in Chapel Hill and at affiliatedhospitals and departmental clinics elsewhere.These currently include UNC Hospitals and itsAmbulatory Care Center, UNC Student Health

Services, Fayetteville Veterans AdministrationMedical Center, Dorothea Dix Hospital inRaleigh, and a private office setting in Burlington,North Carolina.

Clinical training is complemented by a series ofweekly didactic lectures, conferences, and journalclubs, the contents of which comprise a curricu-lum intended to meet all recommended areas of study as prescribed by the American Board ofDermatology. At present, this encompassesapproximately six hours of didactic teaching perweek, exclusive of one-on-one teaching withinthe clinics and on the wards.

Additional inquiries may be directed to:

Ms. Suzanne StroudDermatology Residency Program CoordinatorUNC School of Medicine3100 Thurston-Bowles 243, cb# 7287


[email protected]

Dermatology

Luis A. Diaz,M.D.

Professor,Chair andProgram Director


The University of North Carolina diagnosticradiology residency training program if fullyaccredited by the Accreditation Council forGraduate Medical Education. The program is afour-year training experience leading to boardeligibility in accordance with the training require-ments of the American Board of Radiology.The program requires an internship prior toentry. bls and acls certification are required.

The program is based at UNC Hospitals, a 665-bed general medical and surgical referral unitthat is the primary teaching hospital of the Schoolof Medicine located on the campus of TheUniversity of North Carolina at Chapel Hill. TheDepartment of Radiology is modern and wellequipped with up-to-date state-of-the-art tech-nology. The 29 attending radiologists representall the general and specialty areas of radiology.Approximately 200,000 radiologic examinationsare performed each year.

Six radiology residency positions are availableeach year. These appointments are reviewed onan annual basis depending on satisfactory completion of the previous year. The AmericanCollege of Radiology in-service examination isoffered to all residents on a voluntary basis. Thiseducational exercise is used solely as an indicatorfor the resident and department to providefeedback regarding how the residents performwhen compared to their peers nationwide.

First-year residents spend the majority of theirtime in the basic disciplines of radiology,including chest, gi/gu, pediatrics, musculoskeletal,mammography, er, and basic imaging (ultra-sound, ct, nuclear medicine). The training isdirected at preparing the first-year residents fortheir on-call responsibilities, which begin inthe spring. The second year of residency expandson the fundamentals learned during the firstyear, with reinforcement in the basic clinical areasand new experience in more specialized areas ofradiology, including mri, neuro-interventionalradiology, and vascular interventional radiology.An extensive physics review course begins duringthe latter part of the second year and extends intothe third year until physics boards in September.

At the beginning of the third year, residents arepromoted to the vascular interventional callpool, where they remain until their fourth year.In addition, they are given the opportunity towork with other departments by rotating throughobstetrical and peripheral vascular ultrasound.It is during the third year that residents attendthe Armed Forces Institute of Pathology course,a radiologic-pathologic course in Washington,DC. This six-week course gives the residentextensive, directed review of nearly all the radi-ologic disciplines with pathologic correlation.

Fourth-year residents direct most of their atten-tion towards preparation for board examination,both written and oral. Third- and fourth-yearresidents have the opportunity to rotate in electiveareas for a total of 12 weeks. This may consist of rotations that are not normally offered as partof the curriculum that provide additional trainingin areas in which the resident has had little expo-sure, rotations that provide in-depth, advancedtraining in preparation for post-residencyexposure, or supervised research rotations.

Applicant Procedure All candidates apply andparticipate according to the nrmp guidelines.Candidates must apply via the match for allpositions as pgy-ii subsequent to completion of a pgy-i year. After a completed applicationand supporting documents are received andreviewed, candidates will be contacted about apersonal interview. All materials except the dean’sletter must be received on or before November 1st.Applications are available through ElectronicResidency Application service.

Radiology residency questions may be directed to:

Ms. Lyanne S. SpanglerMedical Education CoordinatorDepartment of RadiologyUNC School of Medicine2033 Old Clinic Building, cb# 7510


phone: (919) 966-2992

[email protected]

Diagnostic Radiology

Joseph K.T.Lee, M.D.

Professor and Chair

Paul L.Molina, M.D.

Director ofResidency Training


The Emergency Medicine Residency Program at the UNC Hospitals is offered to all graduatesof approved medical schools. The residency is a pgy-i through pgy-iii program, with eightresidents in each year’s class. All positions arefilled by application through the National ResidentMatching Program (nrmp).

UNC Hospitals, a 665-bed tertiary care, is theprimary training site. The Emergency Departmentmoved to new, state-of-the-art, facilities in1996 and sees more than 50,000 patients a year.The Department of Emergency Medicine, withmore than 20 faculty members, is dedicated toacademics and education in the specialty ofemergency medicine.

In addition to the facilities at UNC Hospitals,the Emergency Medicine Residency Program isfully integrated with the Department ofEmergency Medicine at WakeMed in Raleigh.Attending physician coverage at that institutionis through Wake Emergency Physicians, a 45-member private practice group. WakeMed caresfor well over 100,000 patients per year, of whichalmost a third are children seen in their dedi-cated Children’s Emergency Department. Allfaculty at both institutions are board-certifiedor board-prepared in Emergency Medicine.This combination of settings provides residentsan opportunity to experience first-hand thevariety of career paths available in emergencymedicine.

The organized curriculum is composed of text-book review, Socratic case presentations, clinicaldiscussions, hands-on skills labs, and lectures.Concepts of clinical management, the approachto differential diagnosis, problem solving, andintegration into the institutional system areemphasized in conferences, meetings, and clin-ical supervision in the emergency department.Each first-year resident chooses a longitudinal

project that he/she will be responsible for overthe next three years. The project is in additionto the research requirement and is designed toteach responsibility for and contribution to thecommunity. Special courses such as airwaymanagement, ultrasound, and animal laboratoryprocedure sessions are integrated throughoutthe three years of training.

Second-year residents are given an ems BaseStation course in medical control and a courseon aeromedical transport. The second-yearcurriculum also includes an introduction tocomputer database systems, data management,analysis, and report generation. Clinical rota-tions emphasize emergency medicine, pediatricemergency medicine, critical care, and trauma.

Increased clinical responsibilities are expectedduring the third year, including supervisingresidents and medical students, running traumaresuscitations, aeromedical control, and depart-ment management. Clinical experiences consistalmost exclusively of emergency departmentrotations, with two months of elective time.

Applications are available in June of the yearpreceding commencement of training. TheDepartment of Emergency Medicine accepts theuniversal application form. Upon receipt of acompleted application and supporting documents,candidates will be contacted about the possibilityof a personal interview.

All application materials, as well as requests for program information, may be directed to:

Emergency Medicine Residency ProgramDepartment of Emergency MedicineUNC School of Medicinecb# 7594, UNC HospitalsChapel Hill, North Carolina 27599-7594

phone: (919) 966-8734

fax: (919) 966-3049

Emergency Medicine

Judith E.Tintinalli,M.D., M.S.

Chair

Robert J.Vissers, M.D.

Program Director

DougTrocinski, M.D.

Assistant ProgramDirector (WakeMed)

James L.Larson, M.D.

Assistant ProgramDirector (UNC)


Modern facilities in the state-of-the-artWilliam B. Aycock Family Medicine Building atthe University of North Carolina provide anideal environment for residents to develop andmaintain a personal practice over three years in a setting that emphasizes on-site precepting,regular chart reviews, and close monitoring ofpatient care. Special emphasis is given to behav-ioral training using a sophisticated video monitoring system to observe and tape, and tooutpatient procedures such as flexible sigmoi-doscopy, exercise tolerance testing, osteopathicmanual therapy, colposcopy, and vasectomy. In UNC Hospitals, the department runs aninpatient service for patients from the FamilyPractice Center and other community practices.

The department runs a maternal and child healthservice for the patients of the practice and forthose who seek their prenatal care at the OrangeCounty Health Department, Alamance CountyHealth Department and Chatham Primary Care.The service also provides physician backup to afree-standing birthing center staffed by midwives.

In the first year, residents gain experience withinpatient medicine in two hospitals. On a busyfamily practice inpatient service in UNC Hospitals,a university hospital system located in ChapelHill, residents take care of Family Practice Centerpatients and patients from community practices.WakeMed in Raleigh provides an opportunityfor residents’ training in each major specialty,with rotations in medicine, pediatrics, surgery,and obstetrics and gynecology. Second- andthird year residents have a number of specialoutpatient rotations, including a rural rotationin a local community practice; a rotation withunderserved-and at-risk patients that emphasizespediatrics and has rural options; six weeksdevoted to improving behavioral medicine skills,and another four months of in- and out-of-town electives to develop individual skills.

Behavioral medicine is integrated throughoutall residency years. Teaching focuses on mentalhealth assessment, substance abuse, sexualhealth, individual and family psychosocial issues.Residents gain assessment, intervention, andcounseling skills and integrate them by workingwith the behavioral faculty in block rotations,continuity rotations, family clinics, active precept-ing, case consultations, combined meetings with patients, and psychosocial seminars intheir third year.

A skin clinic conducted once a week in the FamilyPractice Center is one of the primary componentsof the dermatology curriculum. Time is allocatedin the second and third years to learn the prin-ciples of practice management, explore medicalcomputer applications, visit community practices,and do career planning. Geriatrics is taught byan interdisciplinary group of family physicianfaculty and faculty from the geriatrics fellowshipprogram. The final major component of thecurriculum is the conference schedule. Weeklydepartmental conferences include GrandRounds, Critical Appraisal Rounds, Principlesof Family Medicine Conference, Maternal-ChildRoundtables, Senior Family Medicine andPsychosocial Seminars.

Residency positions are filled through theNational Residency Match Program. Personalinterviews are required.


Family Medicine Residency ProgramUNC School of MedicineManning Drive, cb# 7595


phone: (919) 966-3711

fax: (919) 966-6125

Family Medicine

Warren P.Newton, M.D.,M.P.H.

William B. AycockDistinguished Chair

Clark R.Denniston, M.D.

MargaretNusbaum,D.O., M.P.H.

Residency ProgramCo-Directors

The Department of Medicine of the Universityof North Carolina at Chapel Hill residencytraining program in internal medicine offersexperience in specialized care as well as primarycare. The formal curriculum and clinical rota-tions emphasize ambulatory as much as inpa-tient medicine.

Outpatient Rotations The Department ofMedicine is committed to providing a significantamount of residency training in the outpatientsetting. The residency is currently 50% ambula-tory, consisting of block months of outpatientrotations. First-year residents spend a month ineach of the following: the Urgent Care Clinic at UNC Hospitals, the er, and in a consultationelective. In the second year, one month in theoutpatient clinic is combined with four to fivemonths in consultation elective/subspecialtyclinics. Training of third-year residents includesfive or six months consultation elective/subspe-cialty clinics, one to two months in the outpatientclinic or a community-based practice, one monthas medical admitting officer, and two weeks ingeriatrics.In addition to the rotations listed,residents follow a panel of continuing carepatients. Each resident spends a minimum ofone half-day per week caring for these patients.Faculty precept all resident clinics.

The medical inpatient service consists of sub-specialty wards and general medicine wards inthe UNC Hospitals. There are seven subspecialtyservices: cardiology (including ccu), gi, hema-tology/oncology, infectious diseases, pulmonary,renal, neurology, and two general medicineservices. In addition, there is a separate MedicalIntensive Care/Respiratory Intensive Care Unitrotation. Each ward team consists of an attending,a pgy-ii or pgy-iii resident, two pgy-i residents,and one or two medical students. For the sub-specialty services, the attending comes from thatsubspecialty.

WakeMed Medicine Teaching Service Theexperience of the department’s housestaff iscomplemented by working at WakeMed in Raleigh.WakeMed is a 560-bed hospital that admitspatients with a variety of acute internal medicineproblems. WakeMed also has an outpatient clinicrotation available to second- and third-yearresidents. Residents see patients after hospitaldischarge or for er follow-up. Additionally,

house officers participate in subspecialty clinics.The Wake County Department of Health isadjacent to WakeMed. Second- and third-yearresidents may select an outpatient rotation inthe std clinic at this facility.

Research All residents are encouraged to partic-ipate in research. Two options are available.The first is the Research Pathway, a four yearprogram including two years of clinical activitiesand two years of research that leads to boardeligibility. pgy-ii residents must apply prospec-tively for this pathway with the American Boardof Internal Medicine. The application is plannedand coordinated by the program director. Thesecond option for research involves electivetime in the pgy-ii or pgy-iii year. Residents mayuse up to three months to work with a facultypreceptor on a basic or clinical project.

Conferences and Rounds housestaff training is also dependent on a variety of planned confer-ences and rounds sessions. These include thefollowing: Grand Rounds; weekly ClinicalPathology Conference (which is organized oncea month as a Morbidity and Mortality Conference);Interns Conference; weekly Evidence-BasedMedicine Conference; daily Residents’ Report,with discussions led by second- and third-yearresidents; twice weekly Core Curriculum ofInternal Medicine Seminar; Urgent Care Seminar,a daily conference for residents working in theMedicine Urgent Care Clinic; OutpatientMorning Report. Rounds sessions on the inpa-tient services include work rounds, attendingrounds, and x-ray rounds. Residents have theopportunity to meet monthly with the chairmanand program director to discuss their educa-tional experience. All changes are made with theadvice of the residents advisory group. Thisassures residents a voice in the operation of thetraining program.


Internal Medicine Residency ProgramDepartment of Internal MedicineUNC School of Medicine3033 Old Clinic Building, cb# 7005


phone: (919) 843-6486

fax: (919) 966-5775

Internal Medicine

Marschall S.Runge, M.D., Ph.D.

Chairman

Lee R.Berkowitz, M.D.

Program Director



The UNC Medicine/Pediatrics curriculum isboth comprehensive and flexible. The curricu-lum follows the guidelines outlined by theAmerican Board of Internal Medicine and theAmerican Board of Pediatrics. The program isdesigned so that residents learn the skills necessary to become high quality generalist clini-cians, yet can tailor their education to their own interest and needs.

The Med/Peds intern experience is 12 months.The first year provides the resident with thecore experiences needed to assume supervisoryresponsibilities in both medicine and pediatrics.As residents progress through the training program, they assume increasing responsibilityfor the clinical care of patients and for theirown self-education. In the second and third years,the residents assume junior resident supervisoryroles in the intensive care units and wards ofpediatrics and internal medicine. In the fourthyear, the residents assume senior residentsupervisory roles on the wards and intensive careunits and admitting officer duties in each of the departments. During these last three yearsresidents also complete subspecialty consultmonths, ambulatory electives, research electivesand international opportunities.

Combined Conferences and ClinicalExperiences Prior to each clinic, a pre-clinicconference focuses on ambulatory topics fromthe curriculum of internal medicine and pedi-atrics. Combined medicine-pediatric grandrounds occur once a month. Several divisionsin the two departments have joint weekly sub-specialty conferences (infectious diseases, genetics,gastroenterology, nephrology, and endocrinology).

Residents may also do combined electives insome subspecialties. There are opportunities alsofor Med/Peds electives with program graduatesin North Carolina as well as in more distantsites such as Montana.

The Continuity Clinic experience begins inthe internship year. The Med/Peds internsspend alternating weeks in the categorical internalmedicine and pediatric clinic sites. The internalmedicine clinic meets at the Ambulatory CareCenter, which is a multi-specialty building forambulatory care located a few blocks from thehospital. The residents’ clinic functions withinthe general medicine clinic. The pediatricContinuity Clinic site is located in the NorthCarolina Children’s Hospital, where the entirefirst floor is designated for outpatient care ofchildren. The residents’ continuity clinic functions as the general pediatrics clinic at thishospital site.

The Med/Peds residents’ (2nd, 3rd and 4thyear) continuity clinic experience is based atone of the two UNC Med/Peds community-based clinics—Chapel Hill North or ChathamCrossing. Each site is five miles from the mainhospital. These clinics have Med/Peds, internalmedicine and pediatric faculty on site. The residents are precepted by the Med/Peds faculty.


Ms. Denise CraigMeds/Peds Residency ProgramUNC School of MedicineDepartment of Pediatrics, cb# 7593


phone: (919) 966-6770

[email protected]

Medicine/Pediatrics

Allen Liles,M.D.

Med/Peds ResidencyProgram Director


The Department of Neurology at the Universityof North Carolina School of Medicine andUNC Hospitals offers training programs in adultand child neurology. The three-year program isapproved by the American Board of Psychiatryand Neurology for certification in neurology,as well as in neurology with special competencein child neurology. The program is designed toprovide residents with broad-based training inclinical neurology in preparation for careers ineither academic neurology or clinical practice.Each resident is assigned a faculty advisor/mentorat the start of training. They meet throughoutthe year to review the resident’s career goals andprogress in the residency program.

During the three years of neurology residencytraining, the resident is expected to learn howto effectively evaluate and manage a variety ofneurologic problems. Residents follow a struc-tured curriculum, with program goals andobjectives provided for each resident rotation.Daily rounds on the inpatient service providefor both bedside and didactic teaching. All out-patients seen by the resident are presented and discussed with an attending. Progressiveresponsibility in the care of patients is emphasized.

Each year residents take the Residency In-serviceTraining Exam and are given a mock oral exam.They are encouraged to engage in scholarly activ-ities during the course of their training. Teachingof other residents, medical students, and alliedhealth personnel are part of the resident’s education in neurology.

During the first year of training, the residentperforms patient care under the direct supervisionof a full-time attending neurologist on theneurology inpatient service, where the residentinterprets diagnostic procedures. Residents alsorotate in the neurology outpatient clinics andchild neurology. The second-year resident hasincreased patient care responsibility. Primary

clinical responsibilities this year are the inpatientand outpatient consult services. Three monthsof training in nerve conduction studies andelectromyography, as well as further training inchild neurology and elective rotations, are donein the second year. In the third year, the seniorresidents are given increased responsibility forthe consultation service and outpatient clinicand have opportunities to engage in clinical orbasic science research projects. Residents do a one-month rotation in neurosurgery andneuropathology and take other electives in eeg,neuroophthalmology, neuroradiology, andrelated areas.

Child Neurology Adult neurology residents spendat least three months on inpatient and outpa-tient rotations in child neurology. This includestwo child neurology clinics per week, child neurology conference, inpatient attending rounds,and consultation service. Child neurology residents spend the first residency year in adultneurology. The second residency year consistsof increased patient care responsibility in inpa-tient and outpatient child neurology. The subspecialty electives include those listed previ-ously, as well as those pertinent to child neurology.In the third residency year, the senior childneurology resident supervises the consultationservice and the outpatient clinic, organizes conferences and other teaching activities andprovides the initial level of consultationthroughout the medical center. Opportunitiesfor research are available.


Albert R. Hinn, M.D. Residency Directorc/o Doris EasonDepartment of NeurologyUNC School of Medicine 3114 Bioinformatics, cb# 7025


Neurology

Frank M.Longo, M.D.

Professor and Chair

Albert R.Hinn, M.D.

Residency Director


The goal of the residency education program isto develop excellent clinicians with experiencein all areas essential to the practice of obstetricsand gynecology, which encompasses primaryand preventive health care of women.

The UNC Department of Obstetrics andGynecology facilitates the resident’s educationalprocess so that they will acquire the necessaryscientific knowledge, learn to think deductively,and make logical clinical decisions. The primarygoal is to make each resident a competentobstetrician-gynecologist as well as a teacher forhim/herself, patients, and the community.

The department follows the education objectivesoutlined by the Council on Resident Educationin Obstetrics and Gynecology. Each resident is given a book with these objectives during his/her first month in the program.

The comprehensive training program producescompetent physicians who are prepared to bespecialists in obstetrics and gynecology and toachieve certification by the American Board ofObstetrics and Gynecology. Approximately 60% of the residents enter private practice, while40% choose a career in academic medicine.Many former residents are in academic medicine,including four department chairmen, fourdivision directors, one associate dean, one former

dean of a medical school, and a director of areproductive branch of the Centers for DiseaseControl and Prevention.

In summary, the goal of the Department ofObstetrics and Gynecology is to educate ratherthan train resident physicians in the surgicaland medical aspects of obstetrics and gynecology,including the primary care aspects of continuitycare, disease prevention, and health maintenance.Each of the four divisions of the department(obstetrics, oncology, gynecology, urogynecology/reconstructive pelvic surgery) has specific goalsfor the residents in each of their four years.

The program participates in Electronic ResidencyApplication Service (eras). Each year, thedepartment receives approximately 450 applica-tions for the six pgy-i positions in the program.About 100 applicants are invited for an interview.


Ms. Juli KiddMedical Education DirectorUNC School of Medicine30134 NC Women’s Hospital, cb# 7600


phone: (919) 966-5096

fax: (919) 843-1480

[email protected]

OB/GYN

Valerie M.Parisi, M.D.,M.P.H.

Professor and ChairResidency ProgramDirector


The Ophthalmology Residency Program at theUniversity of North Carolina at Chapel Hill is afully accredited, three-year residency with threeapplicants accepted into the program each year.Its mission is to provide residents with an out-standing experience in the medical and surgicaltreatment of a wide variety of ophthalmic diseases,allowing them upon completion of the programto practice comprehensive ophthalmology orpursue subspecialty fellowship training in prepa-ration for a career in the community or academicsetting.

One postgraduate clinical year (transitional,medicine, pediatrics, or surgery) in a programaccredited by the acgme is required prior toentering the residency. Residents proceed throughan experience of graded responsibility. Thefirst-year resident spends time in cornea andexternal disease, pediatric ophthalmology andstrabismus, retina, contact lenses and low vision.The resident is also introduced to patients thathe/she will follow for three years in a continuityclinic. One-half day each week is devoted to anophthalmic pathology practical experience. Theresident will also assist in intraocular surgeriesand gain primary surgical experience in minoroculoplastic procedures and enucleations.

Second-year rotations include general clinic,neuro-ophthalmology & adult consults, retinaand vitreous, and a four-month rotation at thenearby North Carolina Eye and Ear Hospital, a large multispecialty private practice affiliatedwith the residency program. Residents will alsospend time during their neuro-ophthalmologyrotation in pediatric ophthalmology and stra-bismus where they will gain surgical experienceperforming horizontal strabismus procedures.During the second year, residents will perform

inpatient consults, retinal and anterior segmentlasers, and minor procedures in the clinic, andthey are introduced to cataract extraction as theprimary surgeon.

The third-year resident gains additional primarysurgical experience in cataract, glaucoma, stra-bismus, and oculoplastic procedures. Residentsare also exposed to radial keratotomy and tech-niques of topical anesthesia. Rotations duringthe third year are chief resident (director of thegeneral clinic, each resident serving for fourmonths), glaucoma and oculoplastics, and afour-month rotation at Womack Army Hospitalin Fort Bragg, North Carolina, located 75 milesfrom Chapel Hill and home of the Army’s elite82nd Airborne Division

All the subspecialties of ophthalmology are represented by a faculty with diverse back-grounds and experience. Quality teaching andadequate resident supervision are priorities ofthe faculty. A faculty member is always availablein the clinic to answer resident questions andprovide feedback. Because there are no fellow-ships offered at UNC, the resident is the firstassistant on all faculty surgeries.

All applications are received through the CentralApplication Service of the OphthalmologyMatching Program (omp), sponsored by theAssociation of University Professors ofOphthalmology.

Applications may be obtained by writing:

Central Application ServiceP.O. Box 7584

San Francisco, CA 94120-7584

phone: (415) 447-0350

fax: (415) 561-8535

Ophthalmology

Travis A.Meredith, M.D.

Sterling A. BarrettDistinguishedProfessor andChairman ofDepartment ofOphthalmology

David K.Wallace, M.D.

Residency ProgramDirector


The Orthopaedic Residency Program at theUniversity of North Carolina at Chapel Hill isdedicated to providing residents with the knowl-edge, skills, and attitudes to meet the challengesof medical practice in the 21st century. Theassumption is made that the residency years arean extension of the educational process rather thanan apprenticeship; thus, educational balance, a strong basic science foundation, individual-ization of programs, continuity of patient care,close faculty supervision in all phases of thelearning process, and emphasis on the “whys” as well as the “hows” of orthopaedic surgery areemphasized.

The residency program at UNC-Chapel Hillprovides residents with a varied clinical experi-ence. The clinical service is divided into threeteams; each team spends two and a half days inthe operating room and two days in the outpa-tient clinic each week. One or more attendingson each team has special expertise in adultreconstructive orthopaedics, pediatric orthopaedics,and trauma. Residents rotate among the threeteams at three to six month intervals. Duringthe pgy-iii year, each resident spends threemonths in basic science and research and threemonths as the orthopaedic consult resident.Residents also spend three months during theirpgy-iii year and three months during theirfinal year in Raleigh at WakeMed, a 560-bedhospital affiliated with UNC Hospitals for resi-dency education through an Area HealthEducation Center.

House officers are expected to be committed to teaching and investigation as well as to theacquisition of clinical skills. Residents areselected on the basis of past academic perform-ance, interviews, and recommendations. Theprerequisites for orthopaedic education at UNC-Chapel Hill are a degree from an accreditedmedical school and satisfactory completion of a year of postdoctoral training. While this yearmay be spent in disciplines other than surgery,preference is given to those applicants who havespent it in basic surgical education. The firstpostgraduate year in surgery is designed to provide fundamental surgical principles and isrecommended for those applying to theorthopaedic program.

The basic program in orthopaedics is five years(including pgy-i), for which three positions areoffered each year through the National Internand Residency Matching Program. A fourthposition is available for a six-year program, whichincludes 12 months in research and basic scienceafter the first year of postdoctoral training.

Written inquiries concerning orthopaedic residency education may be directed to:

Edmund R. Campion, M.D.Department of OrthopaedicsUNC School of MedicineBioinformatics Building, cb# 7055


[email protected]

Orthopaedics

Douglas R.Dirschl, M.D.

Chairman andFrank C. WilsonDistinguishedProfessor ofOrthopaedics

Edmund R.Campion, M.D.

Program Director


The residency program in Otolaryngology/Head and Neck Surgery includes one year ofsurgical internship followed by four years ofotolaryngology. Following the first year of generalsurgery, the program offers second-year residentsa six-month block for research, a four-monthblock at WakMed Hospital, a one-month blockin the surgery icu, and a one-month block ofspeech and hearing. Three clinical years of oto-laryngology/head and neck surgery follow, dur-ing which residents are given increasing respon-sibility, with an emphasis on quality operativeexperiences and teaching. Residents also rotatein four-month blocks at WakeMed during theirthird and fourth years.

The fifth year is spent solely at UNC Hospitals.For four months of that year, they are theadministrative chief resident responsible for the call schedule and the conference schedule.The clinical experience involves endoscopy,head and neck surgery, surgery of the nose andparanasal sinuses, facial cosmetic surgery, tem-poral bone surgery and allergy. Residents areincluded in all facets of the program, includingthe performance of cochlear implants.

Each resident in the department is required todesign and carry out a research project duringthe pgy-ii year. There are several laboratoriesin the Division of Otolaryngology and six full-time Ph.D.’s involved in research. In additionto the six-month block is reserved for researchduring the second year, ongoing research activ-ities are strongly encouraged throughout theresidency. There also is an active speech andhearing center and a divisional allergy clinicwith which several of the clinical research activitiesare coordinated. Many residents have chosen toundertake their projects within the laboratoriesin the department, while others have chosen towork in related disciplines such as microbiology,tumor biology, or three-dimensional processingof ct scans. The department also has affiliationswith the Dental Research Center and theDepartment of Anatomy.


Ms. Kari CorkerResidency Program CoordinatorUNC School of MedicineNeurosciences Hospital g0412, cb# 7070


phone: (919) 966-3342

Otolaryngology/Head and Neck Surgery

Harold C.Pillsbury, M.D.

Professor and ChairResidency ProgramDirector


The Residency Training Program in Pathologyand Laboratory Medicine at UNC Hospitalsprepares the physician for an exciting array ofcareer choices in medicine. The program offersa four-year, combined anatomic and clinicalpathology residency with opportunities for researchand for post-residency fellowship training in a wide range of subspecialty areas in pathology.The program is fully accredited by theAccreditation Council for Graduate MedicalEducation (acgme). The goals and objectives ofthe training program include providing a flexi-ble, broad-based training program for physi-cians seeking training in pathology for either an academic or community-practice career.

The first three years of the program are focusedon core training in anatomic pathology (ap)

and clinical pathology (cp). The curriculum isorganized to intermingle ap and cp core rotationswithin each of the first three years of training.This facilitates early recognition of special inter-ests, which the resident may wish to pursue ingreater depth during the fourth year of residencyor in a post-residency fellowship.The fourthyear of the program permits the trainee greatflexibility. The year includes seven months ofelective rotations in anatomic pathology, clinicalpathology or basic research, so that the traineecan concentrate on his or her particular interests.Overall, there are ten months of elective rotationsinterspersed within the four-year training program.

All major areas of anatomic and clinical pathologyare covered in the ap/cp training program.Experience in laboratory management, computerapplications, quality assurance programs, costcontainment programs, and medical informaticsis also provided. Trainees participate in teachingmedical students and in interpreting the resultsof pathologic examinations to the UNC Hospitals’clinical staff.

The Anatomic and Clinical Pathology Servicesat UNC Hospitals are within the McLendon

Clinical Laboratories. Anatomic pathology services include surgical pathology, cytopathology,neuropathology, autopsy, ophthalmic pathology,histology, and electron microscopy. Clinicalpathology (laboratory medicine) services includethe core laboratory (which includes automatedchemistry, hematology, and coagulation components), microbiology, immunology, histocompatibility, molecular pathology, clinicalchemistry, hematology, and transfusion medicine(blood bank).

The Office of the Chief Medical Examiner (ocme)

of the State of North Carolina is located in thesame building as the Department of Pathologyand Laboratory Medicine. With more than 1200

forensic autopsies performed in this facility eachyear, the ocme provides residents with unparal-leled opportunities for experience in all aspectsof forensic pathology and in autopsy pathology.Post-residency fellowship training in forensicpathology and toxicology is also offered.

Residents interested in an academic career inpathology focused on basic research will findenthusiastic support from the faculty and program,including help in identifying research mentorswithin the medical center and in structuring aresearch career path. Residents may choose to doresearch for their elective rotations, permittingthem to have a substantial research experienceduring their residency training.


Ms. Cynthia BrownPathology and Laboratory Medicine ResidencyUNC School of MedicineBrinkhous-Bullitt Building, cb# 7525


phone: (919) 966-4676

fax: (919) 966-6718

[email protected]

Pathology and Laboratory Medicine

J. CharlesJennette, M.D.

Professor and Chair

Thomas W.Bouldin, M.D.

Residency Director


The Pediatric Residency Program at UNC-Chapel Hill provides training in both inpatientand ambulatory settings in an environment thatemphasizes a scholarly approach to medicine.The program places strong general pediatrictraining as its cornerstone; such a foundation iskey to the success of either the pediatric gener-alist or pediatric subspecialist. Using this model,the program provides opportunities that builddiagnostic and management skills using data-driven decision making while focusing on the“whole” patient.

In 2002, the residency program moved into the North Carolina Children’s Hospital. Thisstate-of-the-art facility is the only freestandingchildren’s hospital in North Carolina andhouses both the inpatient and outpatient servicesfor children at UNC Hospitals. The programalso incorporates well-organized opportunitiesin two community hospitals to broaden theexperience beyond that available in the tertiarymedical center. The unique opportunity to trainin a major tertiary center and two communityhospitals provides useful insights into the practiceof pediatrics in different communities, promotesthe ability to make independent clinical judg-ments, and provides the experiences and rolemodels necessary to make solid career decisions.

The pl-i resident functions as a primary carephysician and develops skills and knowledgenecessary to understand, evaluate, and managecommon pediatric problems on the ward, inthe nurseries, and in the outpatient department.The pl-ii resident develops the skills and expe-rience necessary to supervise a ward or nurseryteam and to treat patients effectively in the acutecare and intensive care settings. The pl-iii

resident has completed most of the basic core of ward, nursery, and outpatient experience.During the year, the resident continues to be a supervising resident on the clinical rotationsand gains further expertise in elective areas.

The Continuity Clinic (cc), located in the NorthCarolina Children’s Hospital, is an important

part of the overall training program. Residentsaverage one cc session per week throughoutresidency. Residents in cc work closely withgeneral pediatrician preceptors in providingcare for their own cohort of patients. A generalpediatric conference in held each day inContinuity Clinic. This discussion-style forumfocuses on the diagnosis and management ofambulatory pediatric problems. One week permonth focuses on behavior and development;another week is Teen Week, which focuses onadolescent health.

Through the Community Outreach TrainingProgram, residents spend time in child-relatedcommunity agencies, with families who havespecial needs, and in several subspecialty clinics.The program provides residents with an aware-ness of and appreciation for professionals and agencies that contribute to the health andwelfare of children.

Pediatric Grand Rounds are held weekly, withone of the meetings each month held jointly withthe Department of Medicine. Topics and casesare selected on the basis of teaching value anddegree of interest to the entire department. Dailynoon conferences are planned by the chief resi-dents to cover a core curriculum. Twice a month,pediatric residents and invited faculty membersparticipate in a journal club meeting. By review-ing and discussing current articles, residentslearn to use a more critical approach in readingthe medical literature. During July and August,an Acute Lecture Series addresses the patho-physiology and basic management of selectedpediatric emergencies.


Ms. Angela BowdenPediatric Education OfficeUNC School of MedicineDepartment of Pediatrics, cb# 7593


phone: (919) 966-3172

[email protected]

Pediatrics

Alan D. Stiles,M.D.

Professor and Chair

Harvey J.Hamrick, M.D.

Program Director


The University of North Carolina GeneralPsychiatry Residency Program offers a completeand balanced opportunity for medical schoolgraduates to receive accredited training in generalpsychiatry. While much of the training experi-ence takes place at UNC Hospitals in Chapel Hill,the facilities of Dorothea Dix State Hospital inRaleigh, North Carolina are fully integratedinto the program, as are a number of communitypsychiatry sites throughout the state. The goalof the program is to provide a clinical trainingexperience that effectively integrates the biological,psychological, and social aspects of psychiatrictheory and practice while also developing acomprehensive knowledge base of psychodynamicprinciples with considerable emphasis on psychoanalytic theory. Each trainee will be firmlygrounded in the current concepts and practiceof psychopharmacology, electroconvulsive therapy,neurobiology, group therapy, family therapy,crisis and emergency psychiatry, consult liaisonpsychiatry, behavioral/cognitive approaches,community and social psychiatry, forensic psychiatry, and in understanding the scientific andresearch methods which underpin the specialty.

The first year of general psychiatry residencyincludes a four-month rotation on medicine, sixmonths of adult inpatient psychiatry, one monthof child inpatient psychiatry, and one month of inpatient neurology. One hallmark of theprogram is the focus on ambulatory psychiatryand the expectation that residents will masterpsychotherapeutic skills. Therefore residentsspend their second year full-time in the ambu-latory psychiatry program, primarily in the UNCHospitals Psychiatric Outpatient Clinic, withadditional rotations to the Child Psychiatry Clinicand a community mental health center. Theyparticipate in the evaluation of a variety of adultand child outpatients, with training in emergencypsychiatry, crisis intervention, psychopharma-cology, and a broad range of psychotherapies.Special emphasis is placed on residents’ masteringskills in providing long-term psychoanalyticinsight-oriented psychotherapy involving threeto four patients.

The third year of residency is composed ofrotations while allowing ongoing outpatient timeof ten hours per week. The consultation liaisonteaching service, a four-month rotation, offersone-on-one bedside teaching by attendings whoevaluate all patients with the residents. In addi-tion, each resident on the rotation is assignedto an interdisciplinary medical specialty programfor a liaison experience. Residents also spendthree months on the UNC Older Adult InpatientPsychiatry Service with a one-month sub-rotationon the electroconvulsive therapy service. Additionalinpatient assignments in the third year includethe UNC Adolescent Inpatient Unit, the UNCCrisis Stabilization Service, and the eating dis-orders unit. Altogether, there are six additionalmonths of inpatient psychiatry in the pgy-iii.

The final year of residency includes ongoingoutpatient work with psychotherapy cases as wellas continuity of care for other patients. Additionalhours each week are spent with the crisis service(follow-up of patients from the walk-in clinic)and substance abuse (outpatient management).One day per week is dedicated to an advancedcommunity psychiatry assignment, allowing residents to select from a wide variety of electivechoices available through an array of modernmental health facilities under the umbrella ofthe North Carolina Area Health EducationCenter (ahec) program. This assignment mayinclude clinical work with special populations(substance abuse, adolescents, criminal justice,rural services, mobile crisis approaches) or itmay focus on administrative issues within thecommunity or on research interests. Beyond thegeneral psychiatry residency program, trainingin child and adolescent psychiatry is offered,typically beginning in pgy-iv.


Psychiatry Residency ProgramUNC School of MedicineDepartment of Psychiatry, cb# 7160


phone: (919) 966-4738

fax: (919) 966-7659

Psychiatry

Robert N.Golden, M.D.

Professor andChair, Departmentof Psychiatry

KaronDawkins, M.D.

Residency ProgramDirector


The Radiation Oncology Residency Programencompasses training in the fundamental prin-ciples of oncology, comprehensive cancer management, clinical radiation oncology, radiationtreatment techniques, and research experience.The program combines didactic teaching ofradiation therapy physics, dosimetry, treatmentplanning, radiation and tumor biology, andradiation pathology with a multidisciplinaryapproach to clinical management of cancerpatients. Residents receive training in the routinecare of common cancers and instruction in themanagement of rare and complex oncologicproblems referred to UNC Hospitals. More than1000 patients annually are referred to thedepartment.

The NC Clinical Cancer Center houses theDepartment of Radiation Oncology’s clinical,research, educational, and administrative programs. It is a major referral center for patientswith cancer and has active oncology subspecialtyprograms in radiation oncology, medical oncology,gynecologic oncology, urologic gynecology, surgical and breast oncology, thoracic oncology,head and neck cancer, pediatric oncology, andneuro-oncology. The UNC LinebergerComprehensive Cancer Center is actively engagedin the forefront of basic and clinical cancerresearch. It is one of 40 NCI-designated compre-hensive cancer centers and one of eight SpecializedPrograms of Research Excellence in BreastCancer in the country.

The four-year residency comprises a minimumof 36 months in clinical radiation oncology,electives in medical oncology, surgical oncology,surgical pathology, diagnostic radiology andnuclear medicine, and radiation physics anddosimetry. In addition, a research elective super-vised by a faculty preceptor is offered in areassuch as radiation physics and computerizedtreatment planning, molecular radiation biology,tumor biology, or specialized areas of clinicalradiation oncology. Research activities duringthe residency training are strongly encouraged.

As they advance through their training, residentsassume increasing responsibility for the evaluationand management of patient referrals, externalbeam and brachytherapy procedures, care ofpatients receiving radiation treatments, and follow-up care. Residents work closely with the attendingradiation oncologists in all aspects of patientcare and are instructed in new areas of clinicaltrials, laboratory investigations, and the devel-opment of investigational skills. The departmenthas strong ties to the related disciplines ofpathology and diagnostic radiology and imaging,as well as providing “in-house” instruction inradiation physics and radiation biology.

Residents participate in an active brachytherapyprogram involving more than 150 high and lowdose rate implant procedures annually for thetreatment of gynecological, head and neck,esophagus, lung, and other malignancies. A fullarray of radioactive sources for interstitial andintracavitary radiation therapy is available.Specialized treatment programs include remoteafter-loading, high dose rate brachytherapy,stereotactic radiosurgery for intracranial lesions,and total body irradiation for bone marrowtransplantation. Advanced treatment planningsystems are used for all types of external beam,interstitial and intracavitary treatment plansthat are routinely used in the management ofpatients. The department is in the forefront of research and development of sophisticated 3-d

imaging and treatment planning for clinicalapplications, and residents routinely carry outadvanced 3-d conformal treatment planning.


Dr. Mahesh A. VariaProgram DirectorDepartment of Radiation OncologyUNC School of MedicineNC Clinical Cancer Center, cb# 7512

101 Manning DriveChapel Hill, North Carolina 27599-7512

phone: (919) 966-7700

fax: (919) 966-7681

Radiation Oncology

Joel Tepper,M.D.

Professor and Chair

Mahesh Varia,M.D.,F.A.C.R.

Residency ProgramDirector, Professorand Associate Chair


The Department of Surgery provides qualityprimary, secondary, tertiary, and quarternarysurgical care to the people of North Carolina;serves as a surgical referral center for patientsfrom throughout the United States and world-wide; educates medical school undergraduates,residents, and fellows in the surgical specialtiesand subspecialties; advances scholarly researchand clinical investigation in the health sciences;and provides community service throughout the state of North Carolina by active participationin the Area Health Education Center (ahec),public education, interaction with communityagencies and providers, and service as a referraland information center for patients in need of the highest-level of surgical and diagnosticservices. The patient care, education, research,and community service missions are intertwined.Their synergy makes possible excellent education,extensive community service, and an enhancedquality of patient care. These essential linkagesare recognized and maintained.

The Department of Surgery offers graduatesurgical education in all surgical disciplines.Emphasis is placed upon teaching principles ofsurgery and establishing habits of continuing,self-directed education. These goals are achievedas residents are given increasing responsibilityunder the supervision of a full-time attendingsurgical faculty. The program is under continuingappraisal and re-evaluation by the housestaff aswell as the attending staff.

In addition to the outpatient and inpatient serv-ices at UNC Hospitals, residents are responsiblefor providing surgical care for selected patientsthrough a Centralized Surgical Service atWakeMed in Raleigh, North Carolina.

Specialty residencies approved by the AccreditationCouncil on Graduate Medical Education areoffered in general surgery, neurosurgery, plasticsurgery, cardiothoracic surgery, and urology.All meet the requirements of their particularspecialty boards.

Surgery and Surgical Specialties

Anthony A.Meyer, M.D.,Ph.D.

Professor and Chair


Residency education in general surgery is a five-year program; an optional laboratory experienceof one to two years is available. Fellowshipsleading to certificates of added qualification areavailable in vascular surgery and surgical criticalcare. Residencies leading to board certificationbeyond general surgery are available in plasticsurgery and cardiothoracic surgery. Currently,one half of the graduates pursue careers in academic medicine while the other half enterprivate practice. Approximately 70% of graduatestake additional training in fellowships, consistentwith national trends.

The residency in general surgery is non-pyramidal.Residents matching into the Categorical GeneralSurgery Residency can expect to complete theprogram if work is satisfactory. For students inter-ested in one year of general surgery, a preliminarymatch position is available. It is possible to listboth the categorical and preliminary programsthrough the National Residency MatchingProgram (nrmp).

The educational, research, and patient careresponsibilities are under the supervision ofsection chiefs of the specialty areas of generalsurgery. These include pediatric surgery, criticalcare, surgical oncology, gastrointestinal surgery,abdominal transplantation, and trauma. Arotation on the vascular surgery service providesexcellent experience in this essential componentof general surgery.

The volume of operations performed by residentsof the program exceeds 1,000 per year. The caseload is well distributed among the nine primarycomponents defined by the American Board of Surgery. As a Level I Trauma Center with ahelicopter aeromedical service, UNC Hospitalshas an important role in caring for victims oftraumatic injury from throughout the state.The Trauma Center participates as one of fiveLevel I Trauma Centers in North Carolina.

During the first postgraduate year, each residentis given broad experience in general surgery,cardiac, pediatric, thoracic, vascular, burn, gastrointestinal, transplant, and trauma surgicalspecialities. A Basic Surgical Education SeminarSeries is intended to cover the basic sciences ina seminar-lecture format as they apply to surgicalpractice. General surgery experience during thesecond and third postgraduate years includesrotations on the intensive care unit, gi medicine,cardiothoracic surgery, pediatric surgery, theburn center, general surgical services, andassignments at WakeMed in Raleigh (a Level IITrauma Center). The fourth year consists ofthree-month assignments to the trauma service,general surgery, WakeMed, and the Division ofCardiothoracic Surgery. In the fifth year, eachchief resident spends equal time on the vascularsurgery and general surgery services and gainsexperience in oncology, gastrointestinal diseaseand trauma. The resident has primary responsi-bility for directing and implementing patientcare and gaining independent operating experi-ence under the supervision of attending surgeons.

During assignments on the various divisions ofsurgery, the resident is expected to participatein all teaching conferences and rounds, preparereviews and studies of certain conditions anddisease states that arise in the care of his/herpatients, and assume a great deal of responsibilityfor the actual care of patients. The surgicalhousestaff participates in the management of all patients admitted to the UNC Hospitals.


Ms. Kathie PattersonMedical Education CoordinatorGeneral Surgery Residency ProgramUNC School of MedicineCampus Box 7050


phone: (919) 966-4653

General Surgery

Anthony A.Meyer, M.D.,Ph.D.

Professor and Chair


During the second year, the resident has primaryresponsibility for supervising patients admittedwith diseases of the lungs, diaphragm, chest wall,and esophagus. The resident is responsible fortheir initial evaluation and their hospital course,including endoscopy and surgery when appro-priate. A wide variety of surgical procedures areperformed, including pulmonary resection,esophageal surgery, and lung transplantation.

The third year offers a year of senior responsi-bility on the cardiac service. The cardiothoracicresident, in conjunction with an attending surgeon, assumes complete responsibility for thecare of all adult and pediatric patients. Proceduresperformed include surgical revascularization,valve repairs and replacements, cardiac trans-plantation, mechanical assist devices, and complexcongenital heart repairs. The residents are incharge of the conferences, and rounds are heldby each service. As the year progresses, the resi-dents assume increased operative responsibility.In addition, the residents are encouraged tobecome engaged in research activities. The divi-sion has several ongoing research projects fundedby nih, the Cystic Fibrosis Foundation, andother organizations.

The Cardiothoracic Surgery Residency Programparticipates in the National Resident MatchingProgram. Interested residents should write directlyto the division chief for additional informationand appropriate application forms.

Michael R. Mill, M.D.Division of Cardiothoracic SurgeryUNC School of MedicineCampus Box 7065


The Cardiothoracic Surgery Educational Programat the University of North Carolina School ofMedicine provides experience and education inall aspects of diseases of the thorax for residentsspecializing in cardiothoracic surgery, for membersof the general surgery staff, and for medicalstudents. The chief aim of the teaching programis to produce thoughtful surgeons who havebecome clinically competent by mixing a thoroughunderstanding of the basic disease process witha graded, progressive assumption of operativeresponsibility.

Surgeons in the Division of CardiothoracicSurgery perform more than 800 major cardio-thoracic procedures each year, more than 200 ofthem on children. They treat congenital heartdisease; coronary artery disease; atrial and ventric-ular tachyrhythmias; acquired valvular disease;cancer of the lung and esophagus; congenitaland acquired diseases of the lung, esophagus, anddiaphragm in children; aneurysms and otherabnormalities of the great vessels; and cardio-vascular and thoracic trauma. They also treatpatients with end-stage heart and lung disease;treatments include use of mechanical cardiacassist devices and heart, heart-lung, and lungtransplantation.

The program, typically undertaken after comple-tion of a general surgery residency, has evolvedinto a three-year program spent entirely at theUNC Hospitals in Chapel Hill. The first year is spent on the cardiac surgery service. The resi-dent is involved in the evaluation, hospital care,and—in a graduated fashion—the surgical repairof both congenital and acquired cardiac condi-tions. The resident is responsible for supervisingthe general surgery residents on the service andmaking sure patient care is completed in a timelyand comprehensive manner

Cardiothoracic Surgery

Michael R.Mill, M.D.

Professor of Surgeryand Division Chief


The training program in neurosurgery isdesigned to give the resident a broad exposureto all aspects of clinical neurosurgery, includingintra- and extra-neurovascular disease; neuro-surgical oncology and radiosurgery; complexspinal instrumentation for trauma and otherspinal disorders; cranial trauma and critical care;stereotactic and functional neurosurgery; pediatric neurosurgery; endovascular treatmentof vascular anomalies, and epilepsy surgery. The length of residency training in neurologicalsurgery is six years after at least one year ofinternship. One resident is accepted each year.

Residents will spend three months on neurology,twelve months in research/elective, and at leastthree years in clinical neurological surgery, withincreasing responsibilities. Elective rotationsinclude neuropathology,neuroradiology, andinterventional neuroradiology. Research experi-ence in neurological surgery is designed tocomplement the clinical program and providelaboratory experience that will prepare the residentfor subsequent independent investigation.

The faculty in neurosurgery includes dedicatedsubspecialists in spinal surgery, neuro-oncology,vascular neurosurgery, pediatric neurosurgery,and functional/epilepsy surgery. This variety inexpertise lays the foundation for preparing residents in the academic setting as well as theoperating arena.

Adult neurosurgical services are based in theNeurosciences Hospital of the UNC Hospitals,while pediatric neurosurgical services are basedin the new North Carolina Children’s Hospital.The Neurosurgical Oncology Program utilizesthe General Clinical Research Center of thehospital for adjuvant therapy of malignant gliomasand collaborates closely with the LinebergerCancer Center. Neurosurgery, in conjunctionwith the Department of Neurology, coordinatesthe management of patients who are candidatesfor epilepsy surgery. There is an active, combined

program in neuro-oncology and cranial basesurgery with the Division of Otolaryngology.The SpineCenter is located in the AmbulatoryCare Center. A large, multidisciplinary neuro-biology program at UNC-Chapel Hill providesopportunities for neurosurgical residents toobtain advanced degrees or conduct researchunder the direction of basic scientists in develop-mental neurobiology, neuropharmacology, orneurophysiology. Collaboration with the ShepsCenter for Health Services Research providesan active program in outcomes research.

The Division of Neurosurgery runs a busyoperative schedule. Residents are present in allcases based on their level of experience and areexposed to the range of operative techniques.Resident experiences range from minimallyinvasive to large open spinal instrumentationcases. The microsurgery experience includes skullbase dissection and vascular techniques. Thetumor service uses endoscopic methods, computerassisted and open removal of tumors. The pedi-atric service offers an endoscopic practice andopen procedures for all cases. The functionaland epilepsy section offers expertise in brainmapping and the surgical treatment of seizureand movement disorders.

The written examination of the American Boardof Neurological Surgery is taken for self-assess-ment or for credit at the option of the resident.A passing grade is required for completion ofthe training program.


Residency Program CoordinatorDivision of NeurosurgeryUNC School of Medicine2160 Bioinformatics Building, cb# 7060


phone: (919) 966-1374

fax: (919) 966-6627

[email protected]

Neurosurgery

Estrada J.Bernard, Jr.,M.D.

Van L. WeatherspoonJr. AssociateProfessor of Surgeryand Division Chief


The Residency Training Program in PlasticSurgery at the University of North Carolina atChapel Hill is designed to provide residentswith comprehensive training in all aspects ofplastic and reconstructive surgery. It is a two-yearprogram with emphasis on resident involvementin preoperative, operative, and postoperativepatient management. Residents receive trainingin all aspects of plastic and reconstructive surgery,including hand surgery, cleft lip and palate surgery, craniofacial surgery, maxillofacial surgery,microsurgery, aesthetic surgery, and generalreconstructive surgery. Active research labora-tories are available to residents, and participationin laboratory and/or clinical research projects is encouraged.

Residents spend nine months at UNC Hospitalsin Chapel Hill and three months at CarolinasMedical Center in Charlotte each year. Thereare no specific subspecialty rotations at eithersite, but residents are given increasing clinicaland administrative responsibilities as they progressthrough the program. The Charlotte rotationprovides the residents with a private practiceexperience at Charlotte Plastic Surgery, the largestplastic surgery group in the country. The diversefaculty ensure that the residents are exposed to a variety of approaches to clinical problems andsurgical methods.

Residents who have completed their training inplastic and reconstructive surgery have pursuedcareers in both academic and private practicesettings. They have not found it essential to takepost-residency fellowships, although some havechosen to do so to gain advanced expertise in asubspecialty area and have successfully matchedat highly competitive post-residency fellowships.

Career goals are discussed with each resident on a regular basis to ensure that he/she is giventhe assistance required to meet individual long-term goals.

Applicants must successfully complete prerequisitetraining as required by the American Board ofPlastic Surgery before beginning the UNC PlasticSurgery Residency. Most residents who enterthe program have completed five or more yearsof surgical training and are either board eligibleor board certified. Exceptional individuals withless than five years of general surgery trainingwill be considered for residency positions. Theprogram director extends interviews to thosewho have not completed a full general surgeryresidency at his discretion.

UNC Hospitals participates in the Plastic SurgeryMatching Program and utilizes the Plastic SurgeryCentral Application Program. Applications for the Central Application Program may beobtained from:

Plastic Surgery Matching ProgramP.O. Box 7999

San Francisco, CA 94120

phone: (415) 923-3907

fax: (415) 923-3945

Additional information may be obtained fromthe division chief:

Gerald M. Sloan, M.D.Division of Plastic and Reconstructive SurgeryUNC School of MedicineCampus Box 7195


Plastic Surgery

Gerald M.Sloan, M.D.

Professor of Surgeryand Division Chief


The Residency Training Program in Urologyconsists of one year of general surgery prior tothe start of the four years of clinical urology.The pgy-i year is made available to residentcandidates who match with the urology program.During the first year in general surgery, emphasisis placed upon perioperative care of surgicalpatients. Surgical experience is gained in astructured and supervised fashion with membersof the Department of Surgery.

The four clinical years in urology are providedat the UNC Hospitals and affiliated institutions.Residents will spend the third year of clinicalurology (pgy-iv) at Wake County Medical Centerin Raleigh (six months) and at the CarolinasMedical Center in Charlotte (six months). Whileat the UNC Hospitals, residents will be exposedto the specialty areas in urology, includingpediatrics, oncology, urodynamics, urolithiasis,infertility and impotence.

A didactic program is held on a weekly basis thatall residents attend. These conferences consistof clinical seminars, journal club, uroradiology,uropathology, review of a major urological textand case management conference. A fellowshipyear of urological research is available to selectedindividuals.

Urology applicants must register with the aua

Residency Match Program.


Ms. Lynn WestUrology Residence CoordinatorUNC School of MedicineCampus Box 7235


phone: (919) 966-2574

fax: (919) 966-0098

[email protected]

Culley C.Carson III, M.D.

Professor of Surgery and Division Chief

Urology



Assistant Dean for Admissions & Director of RecruitmentAssociate Director, Office of Educational Development (oed)Director of Special Programs

Larry D. Keith, M.S.UNC School of Medicine322 MacNider Building, cb# 7530


phone: (919) 966-7673

fax: (919) 966-7734

[email protected]

The production of this booklet has been partially funded by:

Health Resources and Services AdministrationBureau of Health ProfessionsDivision of Health Professions DiversityCenters of Excellence Grant

Photography and Art:

cover: artist rendering of UNC Hospitalsinside cover: Bell Tower, University of North Carolina at Chapel Hillinside pocket: Medical Biomolecular Research Buildingback: helicopters

The University of North Carolina at Chapel Hill, the oldest state university,was founded in 1789. Although there is evidence of courses on the medicalsciences in the early years, the first school of medicine was established in1879. Because of insufficient clinical facilities, the school remained a two-year program, with students transferring to other schools for clinicaltraining, until The North Carolina Memorial Hospital opened in 1952.Since then the state of North Carolina has made unparalleled investmentin the resources needed to support the mission of its School of Medicine.

Most recently, this investment has led to a major expansion and renovationof the medical school’s teaching and clinical facilities. The North CarolinaWomen’s and Children’s Hospitals were opened in September 2001, newfacilities for offices and research were opened in 2002-03, and renovationhas begun on many of the structures devoted to basic sciences and studentaffairs. When this project is completed in 2006, students will be studyingin classrooms and laboratories and practicing clinical medicine entirely in new or newly renovated structures.

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