Our Primary Care Residency curriculum will offer residents a comprehensive, primary care-focused training program working alongside faculty at Moses Cone Hospital, the Tim and Carolynn Rice Center for Child and Adolescent Health, and UNC’s North Carolina Children’s Hospital in a wide variety of clinical settings.

CURRICULUM

Integrated Primary Care Blocks:

These blocks are longitudinal experiences and residents have 3 to 4 of these every year. A typical day consists of seeing continuity patients at the Rice Center in the morning. 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 across disciplines. This level of continuity is a unique aspect of the Primary Care Track curriculum. For first year residents, these months include a week of night or dayfloat on the inpatient ward. For upper level residents, primary care months include longitudinal experiences in adolescent and behavior and development.

Other ambulatory experiences:

Rural Health: In addition to continuity clinic at CHCC, residents will have an additional block month for intense exposure to community practitioner office environments in a rural health setting in the second or third year of the program.

Newborn nursery: The newborn nursery is located at Women’s Hospital of Greensboro. The teaching service includes about half of the babies born at Women’s. During this rotation, residents provide primary care for these infants. By the end of the rotation, residents master the newborn exam, get extensive experience managing hyperbilirubinemia and other common newborn conditions, and attend high-risk deliveries with the neonatal team in order to practice resuscitation skills. For first year residents, this month will include a week of night or dayfloat on the inpatient ward. Upper level residents will return to the nursery during primary care months to maintain their nursery skills and to serve as a teaching resident for the UNC medical students.

Inpatient experiences:

The inpatient experience will occur primarily at Moses Cone Hospital. Moses Cone provides an outstanding opportunity to see a broad variety of diagnoses, take a leadership role on the inpatient team, and be a part of family centered care. Residents are encouraged to take the lead in making management decisions with close supervision by faculty. The PICU and ward are a single service, so hassles and paperwork associated with transfers are minimized and continuity is maximized. In addition, there is a close relationship with the Pediatric ED so that a resident could potentially see a patient in the emergency room, follow them to the PICU, and continue their care on the ward. This makes for a rewarding experience for residents, as well as providing outstanding care for families and children. There is one week of night shifts during this month. Subspecialty ward teams at NC Children’s Hospital and intensive care experiences in the Neonatal and Pediatric Intensive Care units will occur at UNC and mirror those of the traditional categorical program.

Additional curricular experiences:

Our Primary Care residents will be supported by relevant curriculum outside of their clinical work including, a journal club concentrated on evidence based medicine and cost effective strategies for primary care pediatrics, and quality improvement initiatives focused on the medical home. Each residency class completes a team QI project by the completion of residency. UNC’s Gillings School of Global Public Health is internationally renowned, and the School of Medicine’s close relationship with Public Health is well illustrated by the Health Care and Prevention program, the nation’s largest joint MD-MPH program, co-directed by one of our pediatrics faculty members. Our unusually strong medicine-public health cooperation means that residents in the Primary Care Residency will have an exceptional opportunity to expand their understanding of primary prevention and the population sciences. All Primary Care first years also get to participate in monthly support seminars. After lunch with their fellow residents, they join in innovative, interactive seminars on a variety of primary care topics and skills. Support seminars continue throughout the remainder of residency.

SCHEDULE OVERVIEW

  • First Year:
    • 2 Primary Care Clinic Units (Greensboro)
    • 2 Primary Care/Outreach & Advocacy Units (Greensboro)
    • Newborn Nursery (Greensboro)
    • ED (Greensboro)
    • 1 UNC Ward Units (Chapel Hill)
    • 2 NICU (Chapel Hill)
    • UNC Warn Night Floact/Subspecialty (Chapel Hill)
    • Cone Ward (Greensboro)
    • Subspecialty Unit (Greensboro or Chapel Hill)
  • Second Year:
    • PICU (Chapel Hill)
    • Hem/Onc (Chapel Hill)
    • 2 UNC Ward Upper Level (Chapel Hill)
    • Cone Ward (Greensboro)
    • ED (Greensboro)
    • 3 Primary Care Units (Greensboro)
    • 3 Subspecialty Units (Greensboro or Chapel Hill)
  • Third Year:
    • 2 Primary Care Clinic Units (Greensboro)
    • PICU (Chapel Hill)
    • Rural Health
    • ED (Greensboro)
    • 3 Subspecialty Unit (Greensboro or Chapel Hill)
    • UNC Ward (Chapel Hill)
    • 2 Cone Ward Units (Greensboro)
    • Primary Care/Delivery Unit (Greensboro)

TEACHING SITES

In addition to the North Carolina Children’s Hospital and affiliated sites, primary care track residents will rotate at:

  • The Moses H. Cone Memorial HospitalMoses Cone Hospital is the flagship institution of Cone Health. From its beginnings in 1911 as a trust established by Bertha Lindau Cone, Cone Health has grown into one of the premier healthcare institutions in North Carolina. Today, Cone Health consists of five hospitals and numerous free-standing outpatient facilities, including Moses Cone MedCenter High Point and Moses Cone MedCenter Kernersville. Cone Health is a member of The HealthCare Alliance. Cone Health is a not-for-profit health system serving people in Guilford, Forsyth, Rockingham, Alamance and Randolph counties. In 2013, Cone Health provided nearly $245 million in uncompensated care to the community.
  • The Women’s Hospital of Greensboropart of the Cone Health network, is home to one of the area’s most experienced neonatal intensive care teams. The hospital’s level II and III unit has been providing care to critically ill newborns for 20 years. In 2017, the parents of 6,100 newborns trusted The Women’s Hospital for one of life’s biggest moments. The newborn nursery rotation is based here.