Pediatric Teaching Program: Rotations

Pediatric Inpatient Service

The primary learning activity is the supervised care of children on the pediatric inpatient service. Upper-level pediatric residents supervise the first year UNC Pediatric and Moses Cone Family Medicine residents and UNC medical students in the management of children admitted to the pediatric ward and seen in the Emergency Department. First-year residents have primary responsibility for the day-to-day management of children on the inpatient service and will also have opportunities to teach medical students on their third-year pediatric clerkship. There is a week of night shifts.

Newborn Nursery

During this rotation, you will provide primary care for the infants admitted to the Moses Cone Pediatric Teaching Service in central nursery, attend high-risk deliveries with the neonatal team in order to practice resuscitation skills and attend low-risk deliveries and assign APGAR scores. There is one week of night shifts on the Pediatric floor.

Pediatric Outpatient Clinic

The primary learning activity is the supervised care of children at Guilford Child Health. Moses Cone Family Medicine residents and UNC Pediatric residents will work with preceptors at all three Guilford Child Health locations as schedules permit. Children are discussed with the preceptor as they are seen regarding assessment and management of common general pediatric problems. Residents will also participate in sub-specialty clinics that are held on Wednesdays. Residents also present a noon conference on a common pediatric ambulatory problem of their choice. There is no pediatric call for Moses Cone Family Medicine residents during this rotation.

Continuity Clinic (Primary Care Residents)

Continuity ClinicResidents will have continuity clinic at Cone Health Center for Children at least one half-day per week, developing a longitudinal relationship with their patients and their primary care preceptors.  Here, they get to manage medically and socially complex patients with the close supervision of faculty pediatricians In addition to this continuity experience, residents will have an additional block month for intense exposure to community practitioner office environments in a rural health setting.

Integrated Primary Care Blocks (Primary Care Residents)

Integrated Primary Care BlocksThese blocks are longitudinal experiences and residents have 3 to 4 of these every year. A typical day consists of seeing new babies in the newborn nursery, followed by a morning at Cone Health Center for Children. Afternoons are filled with a variety of experiences critical for primary care pediatricians: developmental pediatrics, advocacy, diabetes, adolescent clinic, sports medicine, or additional acute care. The advantages of this approach is that is allows for continuity. A resident could see a newborn on Monday morning, then schedule her in his own clinic on Wednesday. Because there is flexibility in the schedule, residents will also be able to see patients they have referred to a subspecialist. This level of continuity is a unique aspect of the Primary Care Track curriculum. For interns, these months include a week of night or dayfloat on the inpatient ward.

Schedule Overview:

First Year

  • 2 Primary Care/GCH Units (Greensboro)
  • 2 Primary Care/Outreach & Advocacy Units (Greensboro)
  • Newborn Nursery (Greensboro)
  • ED (Greensboro)
  • 3 UNC Ward Units (Chapel Hill)
  • NICU (Chapel Hill)
  • Cone Ward (Greensboro)
  • Elective (Greensboro or Chapel Hill)

Second Year

  • 2 PICU Units (Chapel Hill)
  • Hem/Onc (Chapel Hill)
  • NICU (Chapel Hill)
  • Cone Ward (Greensboro)
  • Adolescent (Greensboro)
  • Behavior (Greensboro)
  • ED (Greensboro)
  • Primary Care (Greensboro)
  • 3 Elective Units (Greensboro or Chapel Hill)

Third Year

  • 2 Primary Care Units (Greensboro)
  • 2 Primary Care/GCH Units (Greensboro)
  • Rural Health
  • 3 Elective Units (Greensboro or Chapel Hill)
  • UNC Ward (Chapel Hill)
  • 2 Cone Ward Units (Greensboro)
  • Nursery & Delivery (Greensboro)