Greenville Health System Clinical University
The Greenville Health System (GHS) is a comprehensive academic health center designed to meet the needs of the community of the upstate of South Carolina. Our residents are taught by outstanding clinical teachers in internal medicine, pediatrics and Med-Peds. Our teaching services are run by academic generalists and hospitalists. The teaching atmosphere is very collegial and residents are granted a high degree of autonomy and responsibility. Our primary goal is to create outstanding clinicians who can thrive in any inpatient or outpatient setting immediately following graduation. Our visitor are always amazed by the friendly atmosphere here, despite our busy clinical workload. The residents can attest to its reality. In addition the GHS administration has been incredibly supportive of Med-Peds and has created many clinical programs for Med-Peds physicians in our community. The University of South Carolina School of Medicine Greenville has also been a tremendous addition to our academic health center. Our medical students are very bright, enthusiastic, and bring with them a well-developed sense of clinical medicine as a result of their unique curriculum. The USC School of Medicine Greenville also has a very active Med-Peds Student Interest Group that meets quarterly with Med-Peds residents and faculty.
Med-Peds Hospitalist Rotation
Our residents are very fortunate to participate in a month-long Med-Peds hospitalist rotation at nearby Greer Memorial Hospital. Greer Memorial is a community hospital within the GHS that is staffed by Med-Peds trained physicians. While on this service, residents will see firsthand what a career in hospital medicine for Med-Peds physicians involves. Residents provide hospital coverage for the adult medicine service as well as delivery room and well-baby care.
Med-Peds Ambulatory Rotation
We have created a Med-Peds Ambulatory Rotation for our PGY-1 residents that gives them the opportunity to meet and work with Med-Peds practitioners in a variety of settings in the Greenville community. The goals of this rotation are to enable our residents to experience the care of adults and children together in a variety of acute, primary, and specialty care settings, to learn about effective transition of care from pediatric to adult settings, and to meet potential mentors and role models in Med-Peds. This rotation incorporates experiences with Med-Peds faculty at three different Med-Peds practices in our community, urgent care with our MD360 program, as well as subspecialty Med-Peds experiences. In addition, month long electives at any of these practices are available for our upper level residents interested in primary care Med-Peds.
Global Health Opportunities
The Greenville Health System is extremely supportive of global health experiences. Residents from all programs have traveled the world to provide health care to some of the world’s neediest patients. Many of our Med-Peds residents are interested in global health and have initiated travel to Brazil, Guatemala, Haiti, Kenya, and many other locations. Our program and hospital system support and encourage interested residents to pursue international health opportunities. Many of our residents have participated in month-long international health trips in both the PGY-3 and PGY-4 years.
Transitional Care Opportunities
Our program is passionate about improving the care of those with chronic medical illness and transitional Care. During the 2015-2016 academic year, we started the Med-Peds Ambulatory Rotation called the “Community and Transitional Med-Peds Rotation (CTMP).” In the Spring 2015, we also hosted a hugely successful regional transitional conference, “Ready, Set, Transition – Bridging Pediatric to Adult Care in Chronic Medical Illness” sponsored by the National Med-Peds Residency Association, South Carolina Developmental Disabilties Council, Carolina Center for Counseling and Behavioral Interventions, South Carolina Solutions, and South Carolina Health Connections. Dr. Manisha Patel, the leader of the Children’s Hospital Adult Congenital Heart Disease clinical program at GHS, is also champion for transitional care.
Med-Peds trained Program Director and Associate Program Director
Dr. Russ Kolarik joined the faculty of GHS in July of 2008. Dr. Kolarik is a dual board-certified, practicing Med-Peds physician and is the Past President of the National Med-Peds Program Directors Association. He brings with him extensive experiences as a Med-Peds residency and fellowship director at a major academic medical center. Dr. Kolarik is committed to career planning and development as well as the education and mentorship of the Med-Peds residents. Dr. Sen Ravindran is a 2015 graduate of the GHS Med-Peds program and is our first Associate Program Director. Dr. Ravindran is a multiple award winning teacher and specializes in clinical teaching, mentorship, and board preparation.
Balance of medicine and pediatrics experiences
Our Med-Peds residents are fortunate to work with two excellent and well-balanced categorical programs. Graduates from each program routinely secure competitive fellowship and hospitalist opportunities. Our Med-Peds residents feel fully integrated into each categorical program while maintaining their own unique identity. Also, our busy children’s hospital service is housed in the same building as our internal medicine wards, which greatly simplifies the Med-Peds residents’ experience.
Med-Peds trained faculty
The Greenville Health System employs over 20 Med-Peds trained practitioners who serve in various teaching and advisory roles throughout our health system. Med-Peds physicians practice primary care, hospital medicine, urgent care and specialty care throughout the health system. Our Med-Peds faculty give noon conferences, attend workshops, and teach on the Internal Medicine, Pediatrics, and Med-Peds hospitalist services. Our new Med-Peds Ambulatory rotation gives our interns the opportunity to interact with a large number of our Med-Peds faculty and to develop mentoring relationships with them.
Med-Peds chief residents
Our program has a dedicated Med-Peds chief resident position concurrent with the 4th year of training to help with the administrative and scheduling issues particular to Med-Peds. The Med-Peds chief resident works closely with the program director and program coordinator to ensure that the change days, clinics, and conferences are well coordinated between the programs. In addition, the chief resident helps to generate the most useful topics for the Med-Peds noon conferences and workshops. We announce our chief resident selection one year in advance to allow the chief elect to learn the position and participate in leadership opportunities when available. Our Chief -Elect has taken an active role during the PGY-3 year in helping with conference planning, assisting with interview season, as well as updating our Med-Peds Handbook. The “Redbook” as it is known is a comprehensive clinical and administrative guide that helps our residents to navigate every aspect of their residency. The book is in its 11th edition now and is available in PDF form.
Dedicated Med-Peds program coordinator
We are very fortunate to have Kelli DaSilva as a program coordinator who is dedicated only to the administration of the Med-Peds program. Many programs have shared coordinators between the medicine and pediatrics programs. A dedicated Med-Peds coordinator ensures that our residents know exactly what their Med-Peds administrative requirements are and how best to accomplish them. In addition, our coordinator tracks and files all evaluations, conferences, procedures, and curricular materials specific to our Med-Peds program. Plus, Kelli is just really cool!
Med-Peds conferences, journal clubs, and workshops
Our Med-Peds residency has a Med-Peds noon conference series twice monthly. Our Med-Peds noon conferences and journal clubs give our residents and faculty the opportunity to review medical topics specific to Med-Peds physicians, such as transitional care, pediatric and adolescent hypertension, or late effects of childhood cancer treatment. We also have twice yearly Med-Peds workshops that are attended by members of our Med-Peds faculty. Coverage is provided for all of our residents to attend the Med-Peds workshops. These workshops give our residents an opportunities to discuss career planning or other unique Med-Peds topics with a variety of Med-Peds trained practitioners.
Our Med-Peds program is the beneficiary of a variety of information technologies. Our residents all receive free iPhones for work and personal use on day one of their internship. All important residency documents are shared via a shared Dropbox folder as well. This affords the residents the ability to stay connected with patient care, each other, and program leadership wherever they might be in the hospital system and take advantage of a variety of medical apps. In addition, each resident is given use of a tablet PC for four years for use with our outpatient electronic medical record system, EPIC. As of July 2016, the Greenville Health Systems has transitioned to the EPIC Electronic Medical Records system in both outpatient and inpatient settings allowing for improved continuity of care and healthcare transition. There are helpful, in-house EPIC experts (“Super-users”) and 24 hour EPIC technical assistance available via phone. Our program also uses the internet-based New Innovations program to track conferences, evaluations, procedures, individual learning plans, and other useful information. Each resident also has an electronic portfolio stored of all of his or her scholarly work and presentations. Our program director uses this program to make program announcements, display useful web resources and links for Med-Peds residents, and to make curricula and conference material available online.
Greenville Healthcare Simulation Center
At the University of South Carolina School of Medicine at Greenville, the Greenville Health Care Simulation Center is among the most sophisticated simulation-based learning and research centers in the United States, with “11,500 square feet of purpose-built space equipped with the latest simulation, multi-media and information technology.” There are 11 training rooms with audio-visual recording capabilities and adult, child, and infant simulators. The Med-Peds residents utilize the center frequently during Internal Medicine and Pediatric procedure workshops, Internal Medicine and Pediatric code strategies sessions practicing ACLS/BLS, PALS and NRP skills and Internal Medicine OSCE examinations.
Opportunities for scholarship
Each of our Med-Peds residents are required to make a case presentation at the South Carolina American College of Physicians (internal medicine) meeting in the third year of residency. In 2016, the meeting will be held seaside in Charelston, SC. In addition, our residents are also asked to complete quality improvement projects for pediatrics during their 4 years that will be presented to the South Carolina American Academy of Pediatrics meeting in July of the senior year. This year the SCAAP meeting took place at the Marriott Grand Dunes Resort in Myrtle Beach, SC. Our Med-Peds residents placed first and second in the Quality Improvement/Research competition in 2016.
Spanish-speaking and underserved populations
For applicants interested in caring for Spanish speaking and underserved populations, our ambulatory resident practices serve the healthcare needs of these populations. Our pediatric ambulatory resident clinic has on-site interpreters and Spanish language handouts readily available. Our medicine ambulatory resident practice has two full-time social workers on-site to help with the particular needs of the underserved.
Our residents have many excellent opportunities for additional paid clinical experiences at the North Greenville Long-Term Acute Care Hospital (LTACH), Greenville Detention Center and in the GHS Newborn Nursery (weekend coverage). At the LTACH, residents take care of patients who require an extended hospital stay for various conditions, such as post-stroke care, ventilator management, wound care, and long term antibiotics. At the Greenville County Detention Center, residents and nurses manage the chronic medical conditions and some acute problems of detention center inmates. Security is present during clinical encounters. PGY2-PGY4 residents in good standing can begin moonlighting during the second year after an application, completion of their Adult Critical Care rotation and obtaining their South Carolina medical license. Moonlighting hours count toward duty hours and these moonlighting privileges are a granted at the discretion of the program director according to overall clinical performance and standing within the program.
Sports medicine fellowship program
GHS has one of the top sports medicine fellowship programs in the southeast. Our residents may take a sports medicine elective with the sports medicine faculty, attend lectures and conferences, and also apply for the fellowship program itself. Scott Annett, a former GHS Med-Peds resident and chief is one of our sports medicine fellowship graduates. Our residents have the opportunity to work with the sports medicine fellows at the Furman University Student Health Clinic during their adolescent medicine block.
City of Greenville
In addition to all of the tremendous resources available within the hospital for our Med-Peds residents, we are very fortunate to be a part of a growing, vibrant community. Greenville, SC has consistently been rated one of the fastest growing and most desirable places to live in America. Greenville has a beautifully renovated downtown with a magnificent waterfall and park, a variety of restaurants, as well as theater and the arts. From Greenville, it is a short drive to the beach in Charleston, or to the mountains in Asheville, NC. Greenville is also roughly half-way between Charlotte, NC and Atlanta, GA. Almost everyone who comes to Upstate South Carolina is impressed by what they see here. We would love for you to visit us.