Ambulatory Education

Another unique strength of our program is the availability of a wide variety of outpatient educational experiences for our Med-Peds residents. For their continuity clinics, our Med-Peds residents currently alternate between internal medicine and pediatric clinics. Our PGY-1 residents alternate between their medicine and pediatrics clinics every other week for the first year. In the PGY-2 through 4 years, our residents have both medicine and pediatrics clinics the same week while on their elective months, most often on the same day. Both clinics use the same electronic medical record system, and our residents are all provided with their own wireless PC tablet for electronic charting. Our residents are encouraged to transition their older pediatric patients to their medicine clinic where possible. Participating in both the medicine and pediatric clinics enables the Med-Peds residents to feel integrated into both programs and provides them with opportunities to learn from categorically trained attendings as well as Med-Peds faculty. This framework also ensures that they have no trouble meeting the ACGME guidelines for balance of adults and children and minimum numbers of patients.

Our hospital and program leadership also recognizes the value of a combined Med-Peds ambulatory experience. We are excited to announce the recent opening of the Heritage Med-Peds ambulatory faculty practices.  The first practice is located in nearby Simpsonville, SC on the campus of Hillcrest Memorial Hosptial.  This practice, Heritage Pediatrics and Internal Medicine Simpsonville, opened its doors to pediatric and adult patients in September of 2010.  This practice is staffed by four Med-Peds physicians who are graduates of our program.  Our second practice, Heritage Pediatrics and Internal Medicine Wren opened in Wren, SC in the fall of 2012.  Both practices are within 20-25 minutes of the Greenville Memorial Campus.  Our vision is to establish busy Med-Peds outpatient office practices that will serve a variety of educational needs for our Med-Peds residents. Our initial goal is to provide month-long ambulatory experiences for our Med-Peds residents who will work one-on-one with a Med-Peds attending at these sites while still maintaining their primary continuity clinics with the categorical residents. These experiences will provide our residents an excellent perspective on what a practicing Med-Peds primary care physician does on a daily basis. It also provides an excellent opportunity for career guidance and a mentoring relationship with additional Med-Peds faculty. Both Med-Peds faculty practices provide primary care services for adults and children, ambulatory sports medicine, and also care for young adult patients with special health care needs as they transition to adulthood.  Longer term goals include providing transitional care educational experiences, as well as the possibility of resident continuity patients in this setting in the future. 

Internal Medicine Ambulatory Experiences

Our residents’ primary adult medicine ambulatory experience occurs at the Internal Medicine Clinic (IMC). This busy resident practice provides a wide variety of medically complex adult patients and is conveniently located within the Greenville Memorial Hospital complex. Patients whom the residents have treated in the hospital will often follow up in this practice. This practice is staffed with two full-time social workers, clinical pharmacists, as well as diabetic counselors. Teaching at this site is conducted by highly qualified clinician educators in internal medicine and Med-Peds.

Our Med-Peds residents also have ample opportunity for ambulatory medicine experiences in a variety of other settings during their elective months. Our program provides educational experiences in all the major medical specialties and general internal medicine in satellite offices, medical center clinics, as well as private practice settings. Many of our physicians’ ambulatory practices are housed in the state of the art Patewood Medical Office Buildings.   

Pediatrics Ambulatory Experiences

Our Med-Peds residents’ primary pediatric medicine ambulatory experience occurs at the Center for Pediatric Medicine. This very busy ambulatory pediatric practice is located directly across the street from Children’s Hospital in the Cross Creek Medical Complex. The Center for Pediatric Medicine provides residents with valuable experience in managing a wide variety of childhood problems.  Our residents quickly gain confidence managing both common and complex medical, emotional, developmental, and psychosocial problems of childhood. Routine well-child care, anticipatory guidance, and developmental assessment receive strong emphasis. Patient visits include both well and acutely ill children. Residents provide longitudinal comprehensive care in weekly continuity clinics as well as in month-long ambulatory blocks. There is a strong emphasis on treating both medical and psychosocial needs of the child and family unit. Excellent support from Nursing, Social Services, and Child Life departments contribute to a family-centered care philosophy.

Our Med-Peds residents also receive pediatric specialty care education in a variety of other ambulatory settings. Our residents may attend outpatient subspecialty clinics in allergy/immunology, behavior/development, cystic fibrosis, cardiology, infectious diseases, endocrinology, nephrology, genetics, neurology, gastroenterology, pulmonology, psychiatry, hematology/oncology, and cleft lip and palate clinic. Many of these clinics are also housed in the Patewood Medical Office Building complex. 

In addition, our Med-Peds resident currently spend one month in the Pediatric Emergency Center. The Pediatric Emergency Center is a freestanding emergency room staffed 24 hours a day by board-certified pediatric emergency physicians. The Pediatric Emergency Center sees over 23,000 yearly visits.

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