Rotations & Training Sites

Residents function as active members of the inpatient pediatric care team under the supervision of MUSC pediatric hospitalists and subspecialists. They perform admission histories and physical examinations, participate in daily management of hospitalized pediatric patients with common conditions such as bronchiolitis, asthma exacerbations, pneumonia, dehydration, and febrile illnesses, and engage in interdisciplinary rounds that emphasize family-centered care.

Residents develop clinical reasoning skills through case-based discussions and apply evidence-based management while learning appropriate monitoring, escalation of care, and discharge planning to ensure safe transitions. This experience provides structured exposure to pediatric inpatient workflows, interprofessional team communication, and care coordination within a large academic health system.

Residents perform age-appropriate histories and physical examinations, conduct health maintenance visits, and develop competency in immunization delivery, growth and developmental surveillance, anticipatory guidance, and screening for social determinants of health. Emphasis is placed on evidence-based preventive care, appropriate use of diagnostic testing, and family-centered communication.

Residents also gain experience in recognizing conditions that require escalation of care or referral to pediatric subspecialists. The clinical setting allows residents to work closely with pediatric faculty and office staff to understand outpatient workflow, care coordination, and documentation requirements specific to pediatric populations. This experience supports development of efficiency, preventive care planning, and continuity principles that are reinforced in the Family Medicine Practice.

Residents participate in comprehensive outpatient care including chronic disease management (such as diabetes, hypertension, and hyperlipidemia), acute visits, preventive screening, medication management using low-cost formularies, and coordination of care with community resources. The rotation emphasizes cost-conscious, high-value care, population health principles, and the impact of social determinants of health on clinical decision- making. Residents develop skills in resource stewardship, care prioritization, and adapting evidence-based guidelines to settings with limited diagnostic and therapeutic options.

The clinical experience is interprofessional and team-based, involving collaboration with volunteer nurses, pharmacists, social workers, and community support services. Residents also gain experience in care transitions, referral coordination for specialty services, and patient education tailored to varying levels of health literacy. This longitudinal experience reinforces continuity, access, and community engagement while preparing residents to care for vulnerable populations in resource-limited environments.