Last year! The chief resident works closely with the PGY4 residents to design a schedule tailored to their particular career path whether it be a hospitalist, outpatient or fellowship career. The residents will obtain a glimpse into the life a hospitalist during the Greer Med-Peds hospitalist rotation, go on their second and last “field trip” to the annual South Carolina – American Academy of Pediatrics summer conference, and have numerous teaching and mentoring opportunities during this bittersweet but exciting final year. They are also eligible to rotate through any one of our multiple Med-Peds outpatient practices in the Greenville, Wren and Simpsonville area.
1) Greer Med-Peds Hospitalist rotation – The Greer Memorial Hospital is managed by almost entirely Med-Peds hospitalists, many alumni of the GMH Med-Peds program, on this beautiful nearby Greer campus
2) Multiple Med-Peds Outpatient Clinics – If interested in outpatient Med-Peds, residents have the opportunity to rotate through the Heritage Med-Peds practices (Wren or Simpsonville) and the GHS Pediatrics and Internal Medicine practice (Greenville)
4) Summer AAP conference – Residents will have the opportunity to present an original quality improvement (QI) or research project at the conference. Both the Pediatric and Med-Peds departments have frequently walked away with frequent AAP poster wards for original research and QI projects
5) Tailoring your schedule to your specialty with the help of the Med-Peds chief resident
6) Teaching and Mentoring Opportunities abound! The PGY4 residents will serve as the Pediatric Clinic *Chief* resident for 1 month, helping with clinic didactic lectures to the residents and medical students. They will also give two important lectures: an evidence-based medicine Med-Peds noon conference and a Pediatric Morning Report
Greer Med-Peds Hospitalist Rotation –PGY4 residents will essentially pull all their honed clinic skills together during this challenging and exciting rotation. They will round and complete Medicine and Pediatric admissions and consults at the beautiful Greer Memorial Hospital following a 7am-7pm hospitalist schedule during the week with weekends off. They will work closely with medical coders, social work, case management and physical therapy to learn about timely disposition. Residents will have the opportunity to do a variety of procedures on the Medicine wards and circumcisions in the Newborn Nursery. You will attend all high risk deliveries and C-sections and practice your neonatal resuscitation skills.
Critical Care Teaching Service (CCTS) – Summarized in the PGY2 curriculum. The last CCTS rotation.
Ambulatory Pediatric Clinic Chief – During this rotation, residents will serve as “Clinic Chief.” The chief coordinates the morning didactic lectures to the residents and medical students, precepts medical students as they see their afternoon clinics, and reviews “Mommy calls” (discussed in PGY1 curriculum). With the help of the precepting attendings, they also try to establish good patient flow through the clinic by helping residents in clinic who are falling behind or have patients waiting. During this month, they will also lead a Pediatric Morning Report based on a case they have selected and work 4-5 night clinic shifts at the Rapid Access Pediatric clinic (RAP). This is a full but rewarding month!
Ambulatory Internal Medicine Clinic – Summarized in the PGY1 curriculum
Pediatric Emergency Room – Summarized in the PGY1 curriculum
PGY-4 residents typically have 2-3 electives in both pediatrics and internal medicine. Residents often choose electives in the 4th year to meet individual career learning goals, such as more experience with procedures, sports medicine, ambulatory Med-Peds, or behavioral health. Many of our residents have participated in international health rotations in their 4th year as well.
Click here to see a sample PGY-4 curriculum.