Residents complete their outpatient general pediatrics requirements in the Center for Pediatric Medicine (CPM) and the North Greenville Oupatient Center (NGOC). Conveniently located across the street from the main hospital campus, CPM represents the largest Medicaid clinic in the state and sees close to 50,000 visits a year. While all residents spend a portion of their outpatient time at CPM, some have the opportunity to have their primary clinic days at NGOC. This location is especially attractive to residents considering more rural medicine in their future careers.
In addition to general well child and acute care visits, residents at CPM also get to focus on specific panels of patients and services on clinic days with our nationally recognized Asthma Program, as well as Adolescent Clinic, Newborn Clinic, Behavioral Health Clinic, Psychiatric Care Clinic working directly with a local psychiatrist, and CPM’s Centering Pediatrics program-which is the first of its kind in the state.
All pediatric patients admitted for medical issues, all neurosurgical patients, as well as some other surgical subspecialty patients, are cared for by the pediatric resident wards teams. Residents gain familiarity with patients that would commonly be cared for by pediatric hospitalists including those with common pediatric problems, those with subspecialty issues, and those with significant medical complexity. Our residents help drive the care of the patients from start to finish – taking admission calls from primary pediatricians and ERs, speaking directly to consulting physicians, initiating the care plan, completing consults for surgical patients with medical concerns, performing procedures, and communicating with patients and families. Supervising residents are given progressive autonomy in patient care decisions and also guide the learning of junior residents and medical students.
During rotations in the Newborn Nursery, residents gain familiarity with term newborn care as well as proficiency in circumcision, promotion of breast feeding, and care of infants born with opioid-dependence. GHS has gained national recognition for proactive treatment of opioid-dependent newborns through the Managing Abstinence in Newborns (MAiN) Program and residents become familiar with the presentation, management and prognosis of neonatal abstinence syndrome. GHS is also proud to be designated a Baby Friendly hospital by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF). Baby-Friendly is a program that recognizes hospitals and birthing centers that offer an optimal level of care for infant feeding. Through training in this initiative and work with lactation consultants, residents gain comfort in promoting breastfeeding, and the value of skin-to-skin contact and rooming-in.
Pediatric Intensive Care
Residents rotate through the PICU beginning in their intern year. We feel this early exposure is important both for those considering intensive care fellowship as well as the development of triage and immediate stabilization skills that are valuable in any care setting. Both medical and surgical patients are cared for in this unit and residents gain familiarity with their clinical management and procedures including placement of central lines, intubation, lumbar puncture, and even bedside neurosurgical procedures. The PICU also supports a pediatric transport team and accepts patients from the entire upstate of South Carolina and portions of neighboring states, resulting in a variety of acute and complex patient care exposures for residents on this rotation.
Neonatal Intensive Care
The dedicated and enthusiastic teaching from the Neonatology faculty has contributed this to be a favorite rotation among residents and led to the selection of NICU as Division of the Year in 2018 by the residency. Through recurring half day teaching sessions including skill labs and simulation, along with bedside teaching, delivery and resuscitation experience, procedural training, and even exposure to the new “Small Baby Unit” caring for infants under 1kg or <28 weeks gestation, residents are introduced to an often intimidating clinical area with a supportive curriculum designed for their success.
The Children’s Emergency Center (CEC) is staffed by pediatric emergency trained physicians, nurses, technicians and child life specialists. The CEC provides care for approximately 29,000 patients each year and is a designated Level II Pediatric trauma center. Here residents develop their comfort with rapid triage and assessment as well as procedural skills.
Residents complete their adolescent medicine rotation in a variety of clinical settings to allow them to see the various issues that affect adolescent health. Residents participate in our Adolescent Clinics at the Center for Pediatric Medicine and North Greenville Outpatient Center, where they provide well care for adolescents. They also have dedicated time to address common adolescent concerns, like reproductive health and mental health. Additional clinical experiences include School-based health centers, Adolescent gynecology, Primary care sports medicine, and Transition from pediatric to adult care.
Developmental Behavioral Pediatrics
The Developmental and Behavioral Pediatrics (DBP) rotation is strengthened by its association with the DBP Fellowship and takes place in the Donald A. Gardner Family Center for Developing Minds. This comprehensive, specialized program of Children’s Hospital is one of the largest such programs in the country. Together with the faculty, fellows, and staff and numerous therapists of this program, residents participate in the evaluation and management of ADHD, Autism Spectrum Disorders, Developmental delays, Intellectual Disabilities, Learning and school problems, sensory impairments, and cerebral palsy. They also have opportunities to work with specialists treating the developmental and behavioral challenges associated with medical conditions including Prematurity and intrauterine drug exposure, Genetic disorders (Down Syndrome, Fragile X), Spina Bifida, Neurologic disorders, and Chronic illnesses (HIV, sickle cell anemia).
Subspecialty and Elective Rotations
Under the mentorship of an ever-expanding team of more than 100 medical and surgical pediatric subspecialists, residents at GHS receive training that will prepare them for general practice, academic medicine or the fellowship of their choosing. With the exception of a required rotation in Hematology-Oncology, no electives are predetermined for you. This gives you ample flexibility for a truly individualized curriculum. A list of our rotations is included below with links to the Children’s Hospital Subspecialists departmental pages for more information. Based on ACGME requirements, at least 3 electives must be from the rotations marked with an asterisk.
Allergy and Immunology*
Hospice and Palliative Medicine
Pediatric Orthopaedic Surgery
Private Practice Pediatrics
In addition to these standard electives, some residents choose to develop their own rotations as part of their individualized curriculum with associated objectives and faculty mentorship. Examples of rotations that residents have done in recent years include:
Adoption Medicine (designed by a resident looking to be a resource for physicians and parents)
Advocacy in Practice (designed by a resident wanting to incorporate advocacy as a general pediatrician)
Business in Medicine (designed by a resident considering concierge pediatrics)
Medical Education (selected by a resident pursuing academic medicine and teaching interests)
Procedural Elective (selected by residents applying for PICU, ED, or NICU fellowships)