PGY-4 Curriculum

PGY-4 is the last year of the Med-Peds program. The chief resident works closely with the PGY-4 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.

Unique Features

  • Greer Med-Peds Hospitalist Rotation
    The Greer Memorial Hospital is managed almost entirely by Med-Peds hospitalists and many alumni of the GMH Med-Peds program
  • 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 Prisma Health Pediatrics and Internal Medicine practice (Greenville)
  • 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 awards for original research and QI projects
  • Teaching and Mentoring Opportunities
    The PGY-4 residents will serve as the Pediatric Clinic Chief resident for one 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
    • A Pediatric Morning Report
  • Tailoring your schedule to your specialty with the help of the Med-Peds chief resident

Required Rotations

Greer Med-Peds Hospitalist Rotation
PGY-4 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 7 a.m.-7 p.m. hospitalist schedule during the week with weekends off. To learn about timely disposition, they will work closely with:

  • Medical coders
  • Social work
  • Case management
  • Physical therapy

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 PGY-2 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 PGY-1 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 four to five night clinic shifts at the Rapid Access Pediatric clinic (RAP). This is a full but rewarding month.

Additional Rotations

Elective Rotations

PGY-4 residents typically have two to three electives in both pediatrics and internal medicine. Residents often choose electives in the fourth 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 fourth year as well.

Click here to see a sample PGY-4 curriculum.