MEDICINE/PEDIATRICS RESIDENCY PROGRAM
Children's Hospital of Eastern Carolina • University Health Systems of Eastern North Carolina
The Brody School of Medicine • East Carolina University 
The Medicine/
Pediatrics
Program 

Introduction

University Health Systems

Mission

Curriculum

Vital Signs

The Community

Table of Contents

Medicine/Pediatrics
Residency Program

Medicine/Pediatrics
Interest Group

Pediatrics Residency Program

Internal Medicine
Residency Program

Generalist Physician Program

In our residency training program, we strive to balance the educational needs of the resident with the service commitment of the hospital and university. We try to control the clinical workload while maximizing the educational experience. Also, there is considerable flexibility of the curriculum content within the constraints of the guidelines from the respective certifying boards. This allows us to accommodate the differing needs of residents according to their prior training and future career plans. For example, a resident interested in a primary care practice can concentrate on electives in ambulatory experiences and subspecialty rotations (e.g. Dermatology, Outpatient Gynecology). Conversely, the electives could be concentrated in subspecialty hospital-based rotations for a resident desiring further fellowship training. 

The majority of training occurs on the BSOM/PCMH campus, but some experience is obtained at local primary care sites in both specialties, always with supervision by experienced clinicians. This varied exposure allows the resident to acquire the skills and knowledge needed to care for patients from a variety of socioeconomic strata and to learn about different models of medical care delivery.

Nationally, residents who complete Med/Peds programs pass the board examinations at a rate equal to or higher than the graduates of straight internal medicine or pediatric programs. Similar to the national experience, our residents have been very successful in this area. Also following the national trends, the majority of our graduates have entered primary care practice. However, those who have chosen further fellowship training have competed very well for excellent fellowship programs.

Throughout the four years of residency, the residents rotate between medicine and pediatrics every four months. Blocks of this length were selected so that the resident would have the opportunity to gain experience with all of the seasonal diseases in pediatrics. During July and August, each service focuses teaching conferences on acute care issues such as ventilator management, running a code, and fluid and electrolyte management. The four-month block schedule allows the house officer to attend these core conferences in each service on alternating years. 

Each resident is promoted to a supervising resident after 16 months at the internship level. (The schedule that follows demonstrates the content in both specialties according to level of training.) All Med/Peds residents attend a continuity clinic weekly with a personal panel of patients to follow longitudinally. Residents rotate from adult medicine clinic one week to pediatric clinic the alternate week and are usually supervised by Med/Ped trained faculty. This experience is invaluable in teaching the natural evolution of certain diseases and the basics of health maintenance. 

Both departments offer a comprehensive schedule of conferences that complement the learning opportunities provided in patient care. These conferences include morning reports in several settings, noon resident lecture series, and weekly Grand Rounds on each service. In addition, each resident is expected to complete a scholarly project under the supervision of a faculty mentor. The combined program at UHS has the advantage of being small enough to provide for personal mentoring and close relationships between faculty and residents. Scholarly activities are emphasized and faculty subspecialists are available in almost all areas. The faculty is composed of a variety of enthusiastic, dedicated teachers who interact with the residents on a daily basis. The faculty has an open-door policy to encourage a free exchange of ideas and an excellent educational environment.

The combined program also enjoys the enthusiastic support of both departments.
For more information, contact:

 • Dale A. Newton, MD
   Internal Medicine/Pediatrics Program Director
   (Associate Professor of Pediatrics, Adjunct Associate Professor of Medicine) 
  newtond@mail.ecu.edu

 • Jenny Myers
    Housestaff Coordinator
  myerse@mail.ecu.edu

Department of Pediatrics, 3E-139 Brody Medical Sciences Building 
Brody School of Medicine, East Carolina University, Greenville, NC, 27858
Office Telephone:  252-816-3801
 

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