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The primary objectives of any resident research project are to ensure that the experience is educational, ethical, productive and an overall positive experience. The Department of Physical Medicine & Rehabilitation research staff and faculty work with our residents to meet the needs of their project and research education. This includes:

  • Consultation
  • Guidance
  • Direction to needed resources
  • Information on applying for Carolinas HealthCare Foundation funds
  • Explanation of IRB procedures
  • Training in regulatory oversight and Good Clinical Practices
  • Financial administration and project management

Mark Hirsch, PhD, and Tami Guerrier are here to help guide you through a successful research experience.

Research Directors and Faculty

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 Mark A. Hirsch, PhD

Senior Scientist
Director, Resident Research Education (PM&R)

The aim of my current research is to understand the neuroplastic mechanisms that link neurotrophic factor expression levels, physical exercise and social-functional health outcomes, and to bring such insights into the clinical context of physical medicine and rehabilitation.  In particular, my research is focused on determining how physical activity and social capital control and affect improvements in quality of life and motor function. Our current studies work with Parkinson’s disease (PD) patients to determine the role of exercise on neurotrophic levels and motor and non-motor features of the disease.  Recently, we have shown that physical exercise triggers increase in circulating brain-derived neurotrophic factor in human PD. 

We are also promoting patient/provider/scientist collaboration in all of our research studies and, specifically, how patients with PD experience and benefit physiologically from participation in health care as peer health coaches. The insights gained will aid in our understanding of neurodegenerative disease progression and intervention efficacy for patients with neurologic conditions and ultimately increase the quality of care of our patients with cost containment.

In other words, our laboratory is focused on understanding how physical exercise and social capital affect the brain and how changes in brain function affect physical and social performance.  Our first step has been to test the effect of a peer-assisted physical exercise intervention on equilibrium control and falls in individuals living with Parkinson’s disease within a community-based setting (the intervention took place in a health club).  Our highly cited randomized controlled trial found that peer-assisted training, in which patients with PD and their care-partners were engaged in the research as partners in administering the high-intensity intervention, is feasible and results in improved PD participant motor function (https://www.ncbi.nlm.nih.gov/pubmed/12917847).  In 2007 we developed and implemented a regional, professional, collaborative network to bring these insights into the context of clinical rehabilitation for community-dwelling patients at all stages of Parkinson’s disease.  In 2011 the network received funding from the Park Foundation and the Carolinas HealthCare Foundation and became known as the RENEW Carolinas Parkinson Initiative (Research and Education in Neuro-wellness).  RENEW has received numerous awards for clinical care, innovation and dedication to research, including the 2016 Ray of Hope Award.  Our next step is to develop and test interventions collaboratively aimed at improving quality of life, social capital, motor performance and neurotrophic levels.  We use neurophysiologic techniques (such as computerized dynamic posturography, surface EMG, Inertial Measurement Units or customized body worn sensors) and lab-based approaches (ELISA, enzyme linked immunosorbent assay) in our research on PD, concussion care, traumatic brain injury, and stroke. 

To further strengthen our research endeavor our department uses elements of an approach termed Participatory Action Research or Community-Based Participatory Research to engage members of our Parkinson disease patient community advisory board, scientists, clinicians and patient advocacy groups to develop and run studies. Patients are one of the most underutilized resources in health care today (attributed to B. Bloem). We call the system we envision “participatory health care”. 

5 key publications:

  1. Hirsch MA, van Wegen EEH, Newman MA, Heyn PC. Exercise-induced increase in brain-derived neurotrophic factor in human Parkinson's disease: A systematic review and meta-analysis. Translational Neurodegeneration. 2018;7:7. DOI : 10.1186/s40035-018-0112-1.
  2.  Heyn PC, Hirsch MA, York MK, Backus D.  Physical activity recommendations for the aging brain: A clinician-patient guide. Arch Phys Med Rehabil. 2016;97:1045-7.
  3. Mougeot JL, Hirsch MA, Stevens CB, Mougeot FK. Oral biomarkers in exercise-induced neuroplasticity in Parkinson’s disease. Oral Dis. 2016 Feb 15. doi: 10.1111/odi.12463.
  4. Hirsch MA, Sanjak M, Englert D, Iyer SS, Quinlan MM.  Parkinson patients as partners in care.  Parkinsonism Relat Disord. 2014 Jan;20(Suppl 1):S174-179.
  5. Hirsch MA, Iyer S, Englert D, Sanjak M.  Promoting community-based participatory research exercise programs in Parkinson’s disease.  Neurodegenerative Disease Management. 2011;1(5):365-377.

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Tami Guerrier, LRT/CTRS, CBIST, Assistant Director

 Tami Guerrier, CARA, CBIST

Assistant Director, Carolinas Rehabilitation Research Department

 Ms. Guerrier, a certified research administrator, holds a Bachelor of Science degree from the University of Iowa, Iowa City, Iowa. She has over 30 years of experience in the field of physical rehabilitation with over 20 years of experience with demonstration grants and research administration. Ms. Guerrier has specialized in grants management providing administrative oversight for multiple federal grants including National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) grants for TBI Model System and National Institute of Health grants, as well as state and private grant contracts.

Ms. Guerrier is a published author and a presenter at local, state, and national conferences. In her present role as research manager, Ms. Guerrier works with the PM&R research faculty in managing a strong, nationally-recognized research program in addition to providing administration for PM&R Research industry sponsored trials.

Guerrier, T., Hammond, F., Lash, M. (2011). Cognition: Compensatory strategies after brain injury. Wake Forest NC: Lash & Associates Publishing/ Training, Inc.
Guerrier, T. & Hammond, F. Eds. (2010) Brain injury it is a journey: A practical guide for families. Wake Forest, NC: Lash & Associates Publishing/Training, Inc.
Guerrier, T. & Hammond, F. Eds. (2006). Brain Injury it is a journey: A practical guide for families. Wake Forest, NC: Lash & Associates Publishing/Training, Inc.
Guerrier, T. & Bostic, A. (2001). Bridging the gap: Community integration through collaboration between a community college and a rehabilitation program. Cognitive Technology 2001 6 (1).
Pringnitz (Guerrier), T., & Dillinger, G. Leisure counseling with chronic pain patients. Expanding Horizons in Therapeutic Recreation Journal. 1983 (4).
Pringnitz (Guerrier), T. & MacNeil, R. The Role of Therapeutic Recreation in Stroke Rehabilitation. Therapeutic Recreation Journal. 1982. 4 (16).

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Tami Guerrier, LRT/CTRS, CBIST, Assistant Director

 Mark Newman, Ph.D.

Research Scientist

 Dr. Newman received his Ph.D. and MPH degrees from the University of Pittsburgh.  Throughout his career he has worked on federally funded research investigations with various physical function measures as the primary outcome. Dr. Newman has experience in the design and implementation of physical activity interventions as well as experience analyzing and presenting data from these trials.  Currently, Dr. Newman’s research interests include using technology to assess physical function in rehabilitation populations; with a focus on aging and mobility disability.  Additional research interests include using large databases to assess patient outcomes following inpatient rehabilitation.  As a Atrium Health Data Steward, Dr. Newman has completed advanced training on database construction, data management, and data quality principles and application using the Research Electronic Data Capture (REDCap) database platform.  Dr. Newman has served on grant review panels for the National Institute on Disability, Independent Living, and Rehabilitation Research and the United States Department of Defense.

Key Publications:

Newman MA, Hirsch MA, Peindl RD, Habet NA, Tsai TJ, Runyon MS, Huynh T, Zheng N, Carolinas Trauma Network Research Group. Reliability of the sub-components of the instrumented timed up and go test in ambulatory children with traumatic brain injury and typically developed controls. Gait and Posture, 2018; 63:248-253.

Hirsch MA, vanWegen EEH, Newman MA, Heyn PC. Exercise-induced increase in brain-derived neurotrophic factor in human Parkinson's disease: a systematic review and meta-analysis. Translational Neurodegeneration, 2018; 7:7.

Kumar RG, Wang Z, Kesinger MR, Newman MA, Huynh TT, Niemeier JP, Sperry JL, Wagner AK. Probalistic Matching of Deidentified Data from a Trauma Registry and a Traumatic Brain Injury Model System Center: A Follow-up Validation Study. American Journal of Physical Medicine and Rehabilitation, 2018; 97(4):236-241.

Niemeier JP, Leininger SL, Whitney MP, Newman MA, Hirsch MA, Evans SL, Sing RF, Huynh TT, Guerrier TP, Perrin PB. Does history of substance use disorder predict acute traumatic brain injury rehabilitation outcomes?  NeuroRehabilitation, 2016; 6,38(4):371-383. 

Rejeski WJ, Axtell R, Fielding R, Katula J, King AC, Manini TC, Marsh AP, Pahor M, Rego A, Tudor-Locke C, Newman MA, Walkup MP, Miller ME. Promoting physical activity for elders with compromised function: the Lifestyle Interventions and Independence for Elders (LIFE) Study physical activity intervention. Clinical Interventions in Aging, 2013; 8:1119-1131.  

Santanasto AJ, Glynn NW, Newman MA, Taylor CA, Brooks MM, Goodpaster BH, Newman AB. Impact of Weight Loss on Physical Function with Changes in Strength, Muscle Mass and Muscle Fat Infiltration in Overweight to Moderately Obese Older Adults: A Randomized Clinical Trial. Journal of Obesity, 2010; 2011.

Newman MA, Pettee KK, Storti KL, Richardson CR, Kuller LH, Kriska AM. Monthly Variation in Physical Activity Levels in Post-Menopausal Women. Medicine and Science in Sports and Exercise, 2009; 41(2) pp. 322-327.

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Research Curriculum
Required Elements

Human Subjects Protection Education Web Course: This simple, self-paced course offers an excellent overview of the protection of human subjects involved in clinical research.
Annual Biostatistics Course: A six session Biostatistics Course is offered each September through October by our Biostatistics department. Quarterly Research Conference: Research Conferences are held five times yearly and are scheduled during Thursday noon lectures. Conference topics vary, and are developed in accordance with the education needs of the residents and faculty. Topics cover four broad categories:

•Regulations, ethics and good clinical practices
• Literature searches, electronic resources, research funding, statistics and project management
• Dissemination of research findings
• Critical review of the literature

These conferences are designed to provide an interactive forum that complements the activities of residents as they move through the different phases of research project cycles.
Journal Club: Journal Club is held five times per year. The goals of the Journal Club are:

• To teach critical review of the literature
• To prepare residents to pursue their academic and research interests
• To provide exposure to the fundamentals of research design, statistical analysis and data interpretation
• To allow for discussion of articles that describe changes in practice or current thinking

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Research Curriculum
Non-required Elements

Resident Research Project: Research creates countless opportunities for critical thinking and literature interpretation. In the era of evidence-based medicine, it becomes necessary for each specialty to create practice guidelines with a rigorous scientific basis. The resident research project prepares residents to:

• Search and review literature with a critical approach
• Pursue their career/academic vision
• Present clinical and research findings effectively
The curriculum is individualized and designed to be practical, interactive and inspiring. A variety of levels of research endeavors are available, including
• Case studies
• Case series
• Article and chapter review
• Database research
• Prospective and retrospective original studies

The faculty help guide each resident throughout the research process, preparing each resident to meet the academic challenges ahead. Some are so inspired by their research experience that they choose to continue to focus on much-needed PM&R research.

Industry-Sponsored Research: Residents may be offered the opportunity to participate in industry-sponsored clinical trials.
Research Elective: Residents may elect to spend up to one month on research. They may choose to focus this time on their own project, or to work on other research department activities. Prior to the elective, the resident and faculty develop individualized objectives specific to the upcoming rotation. In order to get resident research projects completed before the end of residency, residents are encouraged to complete their "research month" during the PGY-3 year or in early PGY-4.

Co-Investigator Meetings: Research project participants meet regularly with co-investigators who guide the project from inception to completion. This forum provides a perfect platform for both education and collaboration.

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Carolinas Rehabilitation Research Excellence Award

Upon completion of the residency, the class of PGY-4 residents will be considered for the Clinical Research Award. In order to be eligible the resident must do the following:

• Complete their research project
• Submit the manuscript for publication
• Demonstrate excellence in research

Though eligibility will be reviewed annually, this award acknowledges the highest standards of research, and thus may not be granted every year.

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Scholarly Activities and Awards

2019 Publications

*denotes Resident or medical student

Raj VS, Edeker J, Pugh TM. Cancer-Related Fatigue. In: Central Nervous System Cancer Rehabilitation. (Ed.) A. Cristian, 2019, Elsevier, St. Louis, Missouri, pp. 121-132.

Pugh TM, Edeker J, Lorden B, Raj VS. Brain Tumor Rehabilitation. In: Central Nervous System Cancer Rehabilitation. (Ed.) A. Cristian, 2019, Elsevier, St. Louis, Missouri, pp. 35-48.

Pugh T, Hirsch MA, Nguyen VQC, Rhoads CF 3rd, Harris GM, Yang Q, Thomas JG, Guerrier T, Hamm D, Pereira C, Yao J, Bettger JAP. Depression characterization and race among stroke survivors receiving inpatient rehabilitation. Am J Phys Med Rehabil. 2019 Apr;98(4):325-330. doi: 10.1097/PHM.0000000000001037. PMID: 30211718.

*Tyner T, McNaught N, Shall MB, Lessne ML. Percutaneous removal of a precariously placed pericardial PICC. J Vasc Access. 2019 Apr 8:1129729819838141. doi: 10.1177/1129729819838141. [Epub ahead of print]. PMID: 30958089

Lyons KD, Padgett LS, Marshall TF, Greer JA, Silver JK, Raj VS, Zucker DS, Fu JB, Pergolotti M, Sleight AG, Alfano CM. Follow the trail: Using insights from the growth of palliative care to propose a roadmap for cancer rehabilitation. CA Cancer J Clin. 2019 Mar;69(2):113-126. doi: 10.3322/caac.21549. Epub 2018 Nov 20. PMID: 30457670

Hirsch MA, Kropf M, Hammond FM, Karlawish J, Schur L, Ball A. Voting characteristics of individuals with traumatic brain injury. World Medical & Health Policy. March 20 2019;11(1):24-42. doi:10.1002/wmh3.29

Marshall TF, Alfano CM, Sleight AG, Moser RP, Zucker DS, Rice EL, Silver JK, Raj VS, Fu JB, Padgett LS, Lyons KD, Radomski MV, McKenna R, Pergolotti M. Consensus-building efforts to identify best tools for screening and assessment for supportive services in oncology. Disabil Rehabil. 2019 Feb 19:1-8. doi: 10.1080/09638288.2018.1555621. [Epub ahead of print] PMID: 30777476

*Niemeier JP, Perrin PB, Hurst BS, Foureau DM, Huynh TT, Evans SL, Silverman JE, McClanahan ME, Brusch BD, Newman M, Mougeot JL, Wagner AK. A repeated measures pilot comparison of trajectories of fluctuating endogenous hormones in young women with traumatic brain injury, healthy controls. Behav Neurol. 2019 Feb 12;2019:7694503. doi: 10.1155/2019/7694503. eCollection 2019. PMID: 30891100

*Horan N, Pugh T. Intractable central pain in a patient with diffuse glioma: Case report. Am J Phys Med Rehabil. 2018 Nov 19. doi: 10.1097/PHM.0000000000001094. [Epub ahead of print] PMID: 30461429

Pannek J, Kennelly M, Kessler TM, Linsenmayer T, Wyndaele JL. International spinal cord injury urodynamic basic data set (version 2.0). Spinal Cord Series and Cases. November 1 2018;4(1):98. https://doi.org/10.1038/s41394-018-0133-0 PMID: 30393569

Pugh T, Ibanez K, Stubblefield MD. Radiation Fibrosis Syndrome. Chapter 112. In: W. R. Frontera & J. DeLisa's Physical Medicine & Rehabilitation Principles and Practice. Wolters Kluwer Health: Medical Practice.

* Philippou E, Polak R, Michunovich A, York M, Faieta JM, Hirsch MA, Heyn PC. Food for thought: Basic nutrition recommendations for the mature brain. Arch Phys Med Rehabil. 2019 Mar 11. pii: S0003-9993(19)30078-4. doi: 10.1016/j.apmr.2019.01.006. [Epub ahead of print] PubMed PMID: 30871790.

Ball AM, Finnegan M, Koppenhaver S, Freres W, Dommerholt J, Mayoral de Moral O, Bron C, Moore R, Ball EE, Gaffney EE. The relative risk to the femoral nerve as a function of patient positioning: potential implications for trigger point dry needling of the iliacus muscle. J Man Manip Ther. 2019 Feb 20:1-10. doi: 10.1080/10669817.2019.1568699. [Epub ahead of print] PMID: 30935326

*Harnett NG, Ference EW, Wood KH, Wheelock MD, Knight AJ, Knight DC. Trauma exposure acutely alters neural function during Pavlovian fear conditioning. Cortex. 2018 Dec;109:1-13. doi: 10.1016/j.cortex.2018.08.015. Epub 2018 Sep 1. PMID: 30265859

*Harnett NG, Ference EW 3rd, Knight AJ, Knight DC. White matter microstructure varies with post-traumatic stress severity following medical trauma. Brain Imaging Behav. 2018 Dec 5. doi: 10.1007/s11682-018-9995-9. PMID: 30519996

*Smith J, Kult J, Shannon PG. Hereditary neuropathy with liability to pressure palsies presented as upper extremity weakness following sexual activity: A case report. Am J Phys Med Rehab. 2019;98(3, Supp 1):a54.

*Michunovich A, Westerkam D, Tran Q, Tsai T. Neurological effects of delayed fat embolism syndrome (FES) in a traumatic brain injury patient. Am J Phys Med Rehab. 2019;98(3, Supp 1):a71.

*Michunovich A, Smith J, Raj V, Chandler L. Necrotizing autoimmune myopathy during pregnancy: a case report. Am J Phys Med Rehab. 2019;98(3, Supp 1):a70.

*Sestak J, Michunovich A, Kult J, Campbell J. The resilient resident. Am J Phys Med Rehab. 2019;98(3, Supp 1):a98.

*Ference E, Baratta J. Treatment-induced diabetic neuropathy. Am J Phys Med Rehab. 2019;98(3, Supp 1):a101.

*Phillips C, Pinto S. Persistent fevers due to Candida infection within trapped lateral third ventricle. Am J Phys Med Rehab. 2019;98(3, Supp 1):a76.
*Held K, Kult J, Crawford K. The silent road to recovery. Am J Phys Med Rehab. 2019;98(3, Supp 1):a99.

2019 Conference Posters and Presentations

Dussault L, Dvorkin-Wininger Y, Cooper C, Edeker J. Interdisciplinary management of chemotherapy induced peripheral neuropathy. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 5, 2019, Symposium.

Guerrier TP, Pinto S, Rickard S. Development of brain injury education program for community-based providers. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 5, 2019, Symposium.

Raj V. Cancer rehabilitation distinguished lectureship: Exercise in cancer. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 7, 2019, Distinguished Guest Lectureship.

Pugh T, Raj V, Kirch R, Sangermano S. Person-centered care: The essential ingredient for achieving quality and value. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, 3-8 November 2019, Symposium.

Fleischer A, Pugh T, Canterra K, Edeker J, Sangermano S. Culturally competent communication with people diagnosed with cancer. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, 3-8 November 2019, Special Symposium.

Hirsch MA, Heyn PC, van Wegen EEH, Ng KS, Carollo JJ, Newman MA. Are we ready for brain-derived neurotrophic factor as a clinical outcome biomarker? Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 7, 2019, Special Symposium.

Hirsch MA, Barnes LL, Sisto SA, Heyn PC, Cogan AM, York MK, Backus D. 3rd ACRM women in rehabilitation science symposium. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 6, 2019, Special Symposium.

Carmen E. Capo-Lugo CE, Vora A, Hirsch MA, Kim S, Heyn P, Morris DM. Diversity, Inclusion and Representation in Rehabilitation Sciences. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 5, 2019, Symposium.

Hirsch MA, Nalder E, York MK, Barnes LL, Heyn PC. Neurodegenerative Diseases and Geriatric Rehabilitation Networking Group Special Luncheon Symposium. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 7, 2019, Symposium.

York MK, Benge J, Hirsch MA, Robledo I, Iyer SS, van Wegen EEH. Patient Engagement Approaches for Improving Research and Clinical Care in Parkinson’s Disease. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 6, 2019, Symposium.

Kahya M, Devos H, Hausdorff J, Sosnoff JJ, Akinwuntan A, Hirsch MA. Use of technology to assess and optimize brain-behavior interactions during cognitive-motor interference. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 7, 2019, Symposium.

Krishnan S, Blanton S, Downer B, Kim S, Hirsch MA, Cogan AM. Caregiving needs, experiences, and benefits for those caring for adults with neurological conditions. Annual Meeting American Congress of Rehabilitation Medicine, Chicago, IL, November 8, 2019.

Faieta J, Collins G, Roberts S, Magasi S, Hirsch MA, Heyn PC, DiGiovine CP, Onate J, York M, Backus D, Kurowski B. Using social media to meaningfully advance yourself and your career. Annual Meeting American Congress of Rehabilitation Medicine, Chicago, IL, November 6, 2019, Symposium.

Wingo B, Nalder E, Bean J, Heyn PC, Hirsch MA, Backus D, York M, Herman C, DeJoya A, Faieta J, Mark VW. Neurodegenerative Diseases NG and Geriatric Rehabilitation NG Mentorship Round Table Discussion. Annual Meeting of the American Congress of Rehabilitation Medicine, Chicago, IL, November 7, 2019, Symposium.

Wilson RD, Jain NB, Nguyen VQC, Kim CH. Rehabilitation of chronic shoulder pain - From exercise to neuromodulation. 13th International Society of Physical and Rehabilitation Medicine World Congress, Kobe, Japan, June 9-13, 2019, Short Workshop.

Nguyen VQC, Park M, Prvu Bettger J. Stroke rehabilitation - Specific topics in the post-acute care continuum. 13th International Society of Physical and Rehabilitation Medicine World Congress, Kobe, Japan, June 9-13, 2019, Special Session Short Workshop.

Hirsch MA, Nguyen VC, Iyer SS. Neuroplasticity, exercise and Parkinson disease: From bench research to clinical application. 13th International Society of Physical and Rehabilitation Medicine World Congress, Kobe, Japan, June 10, 2019, Special Session.

Brooks BR, Bravver EK, Bockenek WL, et al. McGill University single item Quality-of-Life (QoL) scale compared with ALS health-related quality-of-life likert scales including breathing QoL measurement. American Academy of Neurology Annual Meeting, May 4-8, 2019, Philadelphia, Pa, Poster.

Merlin MH, Noronha KM, Williams KM. Community paramedicine. TBI Model Systems Therapy Leadership Forum, April 25, 2019, Dallas TX, Oral Presentation.

Shah NS, Wright KA, Langford VL, Bravver EK, Bockenek WL, et al. Significant (39-59%) swallowing rate improvement occurs in 35/86 (40%) ALS patients treated with dextramethorphan-20mg-quinidine-10mg (Nuedexta) for Pseudobulbar Affect (PBA). MDA Clinical and Scientific Conference, Orlando, Florida, April 13-17, 2019, Poster.

Crawford K, Pinto SM. Traumatic brain injury across the lifespan: Caring for older adults with traumatic brain injury. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 22, 2019, Oral Presentation.

Raj V. PAL: Cash is King. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 22, 2019, Panel presenter.

*Ference E, Baratta J. Treatment-induced diabetic neuropathy. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21, 2019, Poster.

*Phillips C, Pinto S. Persistent fevers due to Candida infection within trapped lateral third ventricle. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21, 2019, Poster.

Brockbrader M, Chandler L, Garrison C, Sliwa J. Developing self-directed quality / performance improvement projects. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 20, 2019, Pre-course workshop, Course Director.

Bockenek WL (Moderating and Directing). Program for Academic Leadership (PAL). Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Oral Presentation.

*Michunovich A, Westerkam D, Tran Q, Tsai T. Neurological effects of delayed fat embolism syndrome (FES) in a traumatic brain injury patient. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Poster.

*Michunovich A, Smith J, Raj V, Chandler L. Necrotizing autoimmune myopathy during pregnancy: a case report. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Poster.

*Sestak J, Michunovich A, Kult J, Campbell J. The resilient resident. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Poster.

*Smith J, Kult J, Shannon PG. Hereditary neuropathy with liability to pressure palsies presented as upper extremity weakness following sexual activity: A case report. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Poster.

*Held K, Kult J, Crawford K. The silent road to recovery. Annual Meeting of the Association of Academic Physiatrists. San Juan, PR, February 21-23, 2019, Poster.

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