2011 A CLOSER LOOK AT MUSC CHILDREN’S HOSPITAL Acknowledgments MUSC Children’s Hospital and the MUSC Department of Pediatrics would like to thank the following individuals who provided guidance to this project. David Habib, M.D. Routt Reigart, M.D. Fred Tecklenburg, M.D. Wanda Bazemore Philippe Gresle Lori Upshur We would also like to thank Drs. Darby, Randazzo, Wagner and Wu for sharing their remarkable stories; Paul Hulsey for reminding us all that giving back is what life is all about; and Matthew Chase and his family for inspiring us to remain steadfast in our commitment to provide the best possible pediatric care. Design and Copywriting – Trio Solutions Inc. • Photography – Brennan Wesley & Travis Dew © 2011 MUSC Children’s Hospital. All rights reserved. LETTER from Department Chair, Medical Director and Administrator Thank you for your interest in the Department of Pediatrics and MUSC Children’s Hospital. Together, we are honored to provide you a closer look at the education, research and patient care that occurs inside our hospital walls. As with each delicate child, every day presents new challenges—challenges that we spend our careers preparing to address. It is because of our dedication to solving the challenges of pediatric care that we continue to be honored as one of the country’s leading children’s hospitals by U.S. News & World Report. We owe this success to the tremendous commitment displayed by all of our physicians, nurses, employees and volunteers, who continually demonstrate their compassion, dedication and thoughtfulness to the children and families we serve. On behalf of everyone within the Department of Pediatrics and MUSC Children’s Hospital, we would like to thank them explicitly for their valuable contribution to our community, the state of South Carolina, our nation and those we serve around the globe. Thank you, David M. Habib, MD J. Philip Saul, MD John M. Sanders, MHA Interim Chair Medical Director Administrator MUSC Department of Pediatrics MUSC Children’s Hospital MUSC Children’s Hospital table of contents Behind the Vision 3 Cardiothoracic Surgery Surgery HIGHLIGHTED PROGRAMS 7 South Carolina 7 Transplant Program 8 Burn Center for Children 9 International Adoption Clinic 9 Advanced Airway Surgery for Children 10 Child Life 10 Pediatric Emergency Department 12 MEDUCARE 12 Clinical Services 13 23 23 Orthopedic Surgery 23 Rheumatology 24 Ophthalmology 24 Otolaryngology (ENT) Endocrinology 25 26 Neonatal-Perinatal Maternal–Fetal Medicine Infectious Diseases Adolescent Medicine 19 Epidemiology 27 General Pediatrics 19 Pulmonology 28 Children’s Care Clinics 19 Radiology 20 Pediatric Neurosurgery 20 Pediatric Epilepsy Clinic 21 Faculty Development 39 Continuing Medical Education 39 Resources 40 Darby Children’s Research Institute 43 45 Clinical & Translational Research Making a Referral 17 Psychiatry Education 36 46 & Obstetrics 26 Genetics Pediatrics 20 Medical Student Letter from Director 26 Children’s Faculty 15 Developmental & Behavioral 34 Research 41 25 Hematology & Oncology Medicine Residency & Fellowship 25 Gastroenterology & Nutrition Education 31 Programs Anesthesia & Perioperative Medicine Children’s Heart Program of 22 27 27 Advocacy 47 Center for Child Advocacy 49 Community Outreach 49 Giving 53 Children’s Hospital Fund 55 Critical Care 29 Getting Involved 59 Violence Intervention & Volunteer Programs 28 Emergency Medicine Prevention (VIP) 29 30 59 Volunteer Advisory Committee 59 facts & figures 60 Nephrology 21 Urology 22 Cardiology 23 Without Charles Darby, the BEHIND the vision “Outstanding physicians generally want to be involved with cutting-edge research, and for this reason we opened the Children’s Research Institute.” - Dr. Charles Darby 3 BEHIND the vision Without Charles Darby, MUSC Children’s Hospital would not exist and thousands of South Carolina’s children would have gone without access to the quality health care they deserved. It is because of one man’s vision that the citizens of South Carolina can rest assured that South Carolina’s children have one of the country’s leading children’s hospitals in their backyard. Early in his career, Dr. Darby merely was setting out to improve the care at the Medical University of South Carolina. Little did he know that his efforts would yield a world-renowned, multidisciplinary health organization that would provide care for children in South Carolina and around the globe. Dr. Darby began his profession in medicine in the mid-1950s when there were only three faculty members in MUSC’s pediatric department and zero pediatric subspecialists in the state. Over the course of nearly half a century, Dr. Darby dedicated himself to improving health care for South Carolina’s children—building the best facilities and cultivating a team of exceptional doctors who always endeavor to provide an unprecedented level of care. Because of Dr. Darby’s unfaltering efforts to develop a comprehensive children’s health system at MUSC, the Medical University was able to recruit some of the brightest and most talented pediatric physicians in the country. By having the best pediatric providers associated with the hospital, MUSC was able to improve education and training opportunities, patient care and research efforts. This continuum of care created the optimal environment to allow MUSC Children’s Hospital to make a positive impact on health care for children, far and wide—all because of one man’s vision and incessant commitment to make a difference. Now retired, Dr. Darby continues his advocacy for children by leading the efforts of MUSC’s Center for Child Advocacy, as well as playing an instrumental role in making the Darby Children’s Research Institute a reality. In Dr. Darby’s own words: “Outstanding physicians generally want to be involved with cutting-edge research and for this reason we opened the Children’s Research Institute.” Excellent pediatric care must be fortified through new ideas and innovations in medicine and technology. For that reason, Dr. Darby, along with numerous donors, expanded his commitment to the next level through a world-class children’s research institute. Dr. Darby forever will be regarded as an integral part of this organization and honored for his vision—a vision for which thousands of children and their families will be forever grateful. 4 Great hospitals are defined by its programs and people. MUSC Children’s Hospital and our team of health care providers have been recognized as leaders in pediatric care by U.S. News & World Report, America’s Best Doctors and Child magazine. MUSC Children’s Hospital is a member of the National Association of Children’s Hospitals and Related Institutes. 5 6 HIGHLIGHTED PROGRAMS Children’s Heart Program of South Carolina Our nationally recognized MUSC Children’s Heart Center serves as the tertiary referral center for the highly respected Children’s Heart Program of South Carolina. Recognized by U.S. News & World Report as one of America’s top pediatric cardiology programs, the Children’s Heart Program is a network of pediatric cardiology providers and outreach centers throughout the state that offers comprehensive inpatient and outpatient cardiovascular care to South Carolina’s children, as well as children from surrounding regions. The program performs nearly 400 open heart surgeries a year and 650 catherization cases each year. The mission of our heart program is to provide the best possible coordinated cardiac care. A multidisciplinary team of professionals, all with advanced pediatric training, is available for each patient and their family. Additionally, each clinical laboratory, inpatient unit and operating room is dedicated to, and designed especially for, pediatric cardiology patients. Heart Health Program The Heart Health Program at MUSC Children’s Heart Center is both a pediatric weight management program and preventive cardiology service. As a family-centered and lifestyle-oriented program, Heart Health is appropriate for any child who has experienced abnormal weight-gain and associated cardiovascular risk factors, such as high cholesterol, high blood pressure and pre-diabetes. This program strives to teach families how to improve their diet and lifestyle in order to manage weight and improve cardiovascular risk factors through a series of one-on-one counseling sessions, fitness lessons and group education sessions. www.MUSCkids.com/heart/health 7 Pediatric Cardiac Intensive Care Unit Our state-of-the-art pediatric cardiac intensive care unit (PCICU) is a 12-bed unit specifically designed and staffed with award-winning experts in the pediatric cardiology field. The PCICU is also the only unit of its kind in the Carolinas, and one of only a few in the country dedicated exclusively to pediatric heart care. Equipped to provide the highest complexity of care, our PCICU team has a specific cardiac focus and includes specialized nurses, respiratory therapists, pharmacists, clinical assistants and clinical nutritionists, as well as specifically trained physicians in both pediatric cardiology and critical care medicine. transplant center The MUSC Transplant Center offers a multidisciplinary team for each surgery that includes nationally ranked, experienced and dedicated surgeons, physicians, anesthesiologists and nurses. It is the only comprehensive transplant center for pediatric patients in South Carolina, and exceeds national standards for transplant outcomes through the use of standardized protocols, research and data-driven quality improvement. Each transplant program provides coordinators who educate and support family members before, during and following their child’s transplant, as well as social workers and financial counselors. Pediatric Heart Transplant Program The only one of its kind in South Carolina, our program is ranked in the top 20 percent of heart transplant programs in the nation, in terms of volume, with consistently excellent outcomes. Additionally, our clinical trials program provides access to the latest investigational therapies. Pediatric Kidney and Pancreas Transplant Program Among the nation’s best, our program performed South Carolina’s first simultaneous pancreas and kidney transplant and offers among the nation’s shortest length of stays, as well as the shortest waiting times for organs. Additionally, our program boasts 30- and 90-day graft and patient survival rates for kidney transplants near 100 percent since 2005. Pediatric liver transplant program Initiated in 1992, it remains South Carolina’s only liver transplant program. A multidisciplinary team allows for excellent outcomes as well as patient and family satisfaction. The program performs both living donor and split liver transplant and has performed close to 200 transplants. This past year, the liver program was awarded the Bronze Award by CMS for high transplant rates, which translates into short-waiting times. 8 Pediatric Blood and Marrow Transplant Program MUSC Children’s Hospital is home to South Carolina’s only pediatric blood and marrow transplant center. Our program offers services certified by the Foundation for the Accreditation of Cellular Therapy (FACT). As a member of the Pediatric Blood and Marrow Transplant Consortium and the Bone Marrow Transplant Clinical Trials Network, we offer cutting-edge clinical trials for malignant and non-malignant conditions. We are proud to offer all forms of stem cell transplantation including: bone marrow, cord blood, peripheral blood, stem cells, related and unrelated donors, and even haploidentical (half-matched) donors—providing a chance of a cure for children with otherwise life-threatening diseases. burn center for children As South Carolina’s only pediatric burn referral center, MUSC Children’s Hospital provides specialized burn treatment to injured children who have suffered burns, while also offering community education to help prevent burns. Our team has treated more than 350 hospitalized children over the past five years and conducted more than 400 outpatient visits each year in a facility that is recognized as one of the top centers in the Southeast. Our burn center combines pediatric surgery and burn care, an approach that gives age-specific care to young burn patients. Our unique approach focuses on the quality of life during hospitalization and outpatient care. The team is also active in burn research projects, including clinical work on temporary skin substitutes and outcomes of scald burn injuries. International Adoption Clinic MUSC Children’s Hospital is home to the International Adoption Clinic which specializes in comprehensive medical and developmental evaluations for internationally adopted children. While most internationally adopted children do very well, they may initially face unique medical, developmental and behavioral issues not typically seen in children born in the United States. Through our interdisciplinary clinic, which includes pediatrics, occupational therapy, speech therapy and family therapy, we provide comprehensive medical services to assist parents through their exciting journey. The goal of the International Adoption Clinic at MUSC Children’s Hospital is to emphasize that recognition and early intervention of these issues will improve a child’s transition into their new home. 9 Advanced Airway & Aspiration Surgery for Children The Airway and Aspiration Center for Children at MUSC Children’s Hospital provides world-class, comprehensive medical care for children with airway and swallowing problems. Our center is multidisciplinary and provides the latest in treatment for patients, the most advanced care for educational training and collaborative research opportunities at MUSC Children’s Hospital. Our facility also offers state-of-the-art equipment for airway, voice and swallowing evaluation including fiberoptic laryngoscopy, videostroboscopy, and flexible endoscopic evaluation of swallowing. child life Hospital and medical experiences can be upsetting for children and may interfere with normal childhood activities. Child life specialists facilitate play opportunities at the bedside and in playrooms, which enhance continued growth and development. Through our child life specialists, we can create a sense of normalcy by helping children maintain their independence, selfesteem and control. By encouraging positive coping behaviors, we strive to minimize stress on children, prepare them for their medical procedures and provide a healthy understanding of their experiences. Our child life specialists are members of an interdisciplinary team, which may include physicians, nurses, social workers, therapists, counselors, teachers, parents and others involved with the care of a patient. Through the use of play, education and support, child life specialists work to minimize stress and to help children, adolescents, and their families cope during their visit to MUSC Children’s Hospital. Our child life specialists support patients and their families in inpatient units, ambulatory clinics, the pediatric emergency department, and in diagnostic and surgical areas. 10 Children’s Heart Program of South Carolina Why Are Child Life Services so Important? Because children process information from the world around them much differently than adults, they have distinct needs for managing the effects of stress and trauma. Research shows that stress can be a major inhibitor in the ability of a patient to heal and to stay healthy. Child life specialists help children and their families overcome life’s most challenging events and promote effective coping and healing through play, preparation, education and self-expression activities. Additionally, they provide emotional support for children, parents, siblings and other family members and play a vital role in the quality medical care provided at MUSC Children’s Hospital. 11 Pediatric Emergency Department MUSC Children’s Hospital emergency department has been ranked the ninth best pediatric emergency care facility in America by Child magazine, and has the largest team of boardcertified pediatric emergency physicians on staff in South Carolina. Our 12-bed emergency department was South Carolina’s first full-service, pediatric emergency department. It is open 24 hours a day and staffed by physicians trained in pediatric emergency medicine and nurses certified in pediatric life support. The pediatric emergency team has access to experts in every pediatric subspecialty for consultation and treats children for everything from minor injuries to life-threatening illnesses. Our child-friendly emergency department is designed to minimize fears and provide a calming atmosphere. Private patient rooms are colorfully decorated, and our child life specialists make patients and families more comfortable. MEDUCARE The MEDUCARE pediatric flight team is the only dedicated air ambulance service for pediatric and neonatal critical care patients in and around Charleston, South Carolina. Our pediatric flight team transports patients throughout the state utilizing a BK-117 helicopter, fixed-wing aircraft or mobile intensive care unit. MEDUCARE supports Charleston’s only Level 1 pediatric trauma center, the pediatric burn center and South Carolina’s only Pediatric Cardiac Intensive Care Unit (PCICU), as well as MUSC Children’s Hospital’s Pediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU). Our flight team is configured with a highly trained registered nurse, registered respiratory therapist and emergency medical technician. MEDUCARE works closely with communication specialists who follow the pilots to ensure a safe environment for all patients and crew during transport. MEDUCARE helicopter flights are available for transports within a 150-mile radius of Charleston. The mission of the program is to save lives and reduce injury mortality through rapid transport of patients to and from MUSC Children’s Hospital. 12 CLINICAL SERVICES “Everyone at the Children’s Hospital was incredible. They treated the whole family as if we were all patients. They’re very caring, they know what they’re doing and they don’t give up.” - Christie Chase, Matthew’s Mother 13 CLINICAL services You Have to Have a Heart to Save a Heart During a mid-term ultrasound, Christie and her husband John learned their unborn baby had a serious heart condition that would require a series of high-risk surgeries. They put their faith in MUSC Children’s Hospital, knowing it was the best place for the difficult surgeries—thanks to a multidisciplinarian team of specialists, including pediatric surgeon Dr. Scott Bradley and pediatric cardiologist Dr. Andrew Atz. Born without the left side of his heart, newborn Matthew underwent surgery days after his birth, as doctors took the first of three steps that would eventually compensate for his missing chamber by rerouting his heart. “Matthew had hypo-plastic heart syndrome, one of the most common congenital heart defects,” says Dr. Bradley, who performed the three operations on the baby boy. “It’s very challenging, both for the children who have it and us who take care of it. It’s one of the most complicated, riskiest pediatric surgeries.” With each surgical procedure, Dr. Bradley and his team successfully re-circuited Matthew’s ventricular system; he underwent the final surgery at age four. “Done! I’m here!” exclaims Matthew, now 10 years old and an outgoing spokesperson for the MUSC Children’s Hospital, the American Heart Association and life in general. “Everyone at the Children’s Hospital was incredible, from the moment we got there,” says Christie. “They treated the whole family as if we were all patients. They’re very caring, they know what they’re doing and they don’t give up.” Not giving up is something this family can relate to. Recently chosen as the Children’s Miracle Network representative for South Carolina and MUSC Children’s Hospital, Matthew has become a fund-raising dynamo at his school and beyond. “We have to help the doctors get the latest technology they need to help the kids,” he says, adding his famous statement: “You have to have a heart to save a heart.” 14 Children’s Faculty developmental & behavioral pediatrics Endocrinology Janice Key, M.D. Lynn Manfred, M.D. Laura Arnstein Carpenter, Ph.D. Remberto C. Paulo, M.D. Jane M. Charles, M.D. Sakamuri V. Reddy, Ph.D. Kasey Hamlin-Smith, Ph.D. Srinivasan Shanmugarajan, Ph.D. Mary C. Kral, Ph.D. Kumaran Sundaram, Ph.D. Adolescent Medicine Cardiology Andrew M. Atz, M.D. George Hamilton Baker, M.D. Varsha M. Bandisode, M.D. Geoffrey A. Forbus, M.D. Eric M. Graham, M.D. Deborah Bowlby, M.D. Michelle Lally, M.D. Michelle M. Macias, M.D. Eve G. Spratt, M.D. Angela Larosa Teufel, M.D. Dieter Haemmerich, Ph.D. Epidemiology Thomas C. Hulsey, Ph.D. Lydia Buxbaum King, Ph.D. William B. Pittard III, M.D., Ph.D. Tony M. Hlavacek, M.D. Developmental neurogenetics Kyu-Ho Lee, M.D., Ph.D. Mushfiquddin Khan, Ph.D. Gastroenterology & Nutrition John H. Reed, M.D. Ajaib Singh Paintlia, Ph.D. R. Bhanu V. Pillai, M.D. J. Philip Saul, M.D. Avtar K. Singh, M.D. Andrew Savage, M.D. Inderjit Singh, Ph.D. Melissa H. Henshaw, M.D. Mark Scheurer, M.D. Girish S. Shirali, M.D. Sinai C. Zyblewski, M.D. Ear, NOse & throat otolaryngology General Pediatrics William T. Basco Jr., M.D. Mary Margaret Dugan, M.D. Kristina K. Gustafson, M.D. Christopher Discolo, M.D. Timothy H. Hartzog, M.D. Cardiothoracic Surgery Lucinda A. Halstead, M.D. Anne Lintzenich Andrews, M.D. Scott Bradley, M.D. David R. White, M.D. Patricia G. McBurney, M.D. Minoo Kavaranna, M.D. Emergency Medicine Center for Child AdVOcacy Jennifer Michele Braden, M.D. Charles P. Darby Jr., M.D. Benjamin Felder Jackson, M.D. Maggie Michael Joseph D. Losek Jr., M.D. Joseph Vanlear Dobson, M.D. Keith Borg, M.D. Children’s Care Clinics Ana Arias-Pandey, M.D. Henry M. Lemon, M.D. Cynthia L. Murphy, M.D. Sheref Han Unal, M.D. Critical Care Lance Scott, M.D. W. Scott Russell, M.D. Sarah Sterner, M.D. M. Olivia Titus, M.D. Rachel Tuuri, M.D. Jana Upshaw, M.D. James T. McElligott, M.D. Sarah H. Mennito, M.D. David M. Mills, M.D. William Salvator Randazzo, M.D. John Routt Reigart II, M.D. James R. Roberts, M.D. Sara E. Schuh, M.D. Andrea P. Summer, M.D. Ronald J. Teufel, M.D. Genetics G. Shashidhar Pai, M.D. Joel B. Cochran, D.O. Hematology & Oncology Melissa C. Evans, M.D. Shayla Bergmann Ellenberger, M.D. David M. Habib, M.D. Michelle Phillips Hudspeth, M.D. S. David McSwain, M.D. Sherron M. Jackson, M.D. Fred W. Tecklenburg, M.D. Jennifer Jaroscak, M.D. Sally A. Webb, M.D. Jacqueline M. Kraveka, D.O. 15 Infectious Diseases Neurology Surgery Terry Dixon, M.D., Ph.D. Samir Karia, M.D. Andre Hebra, M.D. Sandra L. Fowler, M.D. Stephen Kinsman, M.D. H. Biemann Othersen, M.D. Rebecca Lehman, M.D. Charles D. Smith, M.D. Maternal-Fetal Medicine & Obstetrics Robert Turner, M.D. Christian Streck, M.D. Mark Alanis, M.D. Neurosurgery Gene Chang, M.D. Steven S. Glazier, M.D. Robert Cina, M.D. Prabhakar Baliga, M.D. Laura Goetzl, M.D. Donna Johnson, M.D. Ophthalmology Kevin Chavin, M.D. Jill Mauldin, M.D. Millicent Peterseim, M.D. Angelo Lin, M.D. Roger Newman, M.D. Richard Saunders, M.D. Charles Rittenberg, M.D. Ronald Teed, M.D. Chris Robinson, M.D. Edward Wilson Jr., M.D. Peter Van Dorsten, M.D. Orthopedics James F. Mooney III, M.D. Neonatal-Perinatal Medicine Richard H. Gross, M.D. David J. Annibale, M.D. Pulmonology John E. Baatz, Ph.D. Charles M. Bowman, M.D., Ph.D. John B. Cahill Jr., M.D. Isabel Virella-Lowell, M.D. Bruce W. Hollis, Ph.D. Dorothea Denise Jenkins, M.D. Radiology Lakshmi Devi Katikaneni, M.D. Jeanne G. Hill, M.D. Frances Rowinsky Koch, M.D. Paula J. Keslar, M.D. Kimberly Gronsman Lee, M.D. Anil Rao, M.D. Rebecca Jane McPherson, M.D. Celeste Hunt Patrick, M.D. Rheumatology Dilip M. Purohit, M.D. Murray H. Passo, M.D. W. Michael Southgate, M.D. Natasha M. Ruth, M.D. Sarah N. Taylor, M.D. Carol L. Wagner, M.D. Nephrology Robert J. Kolb Jr., Ph.D. John K. Orak, M.D. David J. Sas, D.O. Ibrahim F. Shatat, M.D. Urology Ian Aaronson, M.D. J. Todd Purves, M.D. Scott Sullivan, M.D. 16 Transplant Surgery Violence Intervention & Prevention Anne Elizabeth Abel, M.D. Michelle I. Amaya, M.D. Making a Referral Early referrals can make a vital difference in the life of a sick child and are proven to be advantageous for patients at MUSC Children’s Hospital. Healthier patients are simply stronger for surgery and recovery. Early evaluation, before secondary complications progress, increases the likelihood of positive patient outcomes. There are several tools to help physicians from the community refer a patient to MUSC Children’s Hospital for both inpatient and outpatient needs. MUSC’s Physician Portal allows community physicians and MUSC physicians to work together to ensure that their patients receive the best care possible. Making a Clinic Appointment To make an appointment for a patient at any of our pediatric clinics, please call the central scheduling line for MUSC Children’s Hospital and the Department of Pediatrics. Phone: (843) 876-0444 Online Referral Form An online referral form is available for physicians to refer a patient to MUSC Children’s Hospital. An MUSC representative will then contact you within one business day of receiving the form. Online form can be found at www.musckids.com/referral MEDUCARE MUSC’s MEDUCARE medical transport service is available for patients who need immediate medical intervention as a result of severe, life-threatening or potentially disabling conditions. MEDUCARE can help referring physicians determine which mode of transportation and medical team is best for their patients’ specific situation. Phone: (843) 792-3311 or (800) 423-1330 MEDULINE MEDULINE is MUSC’s consultation line exclusively for health care professionals. MEDULINE is available 24 hours a day, seven days a week to connect you with MUSC faculty members. MEDULINE handles approximately 4,000 calls from physicians each month. You can discuss cases, share ideas with colleagues, make referrals or get emergency information. Phone: (843) 792-2200 or (800) 922-5250 17 18 Adolescent Medicine adolescent@musc.edu Our adolescent medicine division was established 20 years ago and is dedicated to assisting adolescents with the transition between childhood and adulthood. The division has grown to include several clinical teaching sites and has developed a school– and community-based obesity treatment and prevention program. The program, known as the Lean Team is located in schools throughout the Charleston County School District. Our adolescent medicine division also has several ongoing research projects including a community intervention program to prevent teen pregnancy, the Sea Islands Teen Opportunities for Prevention Program (STOPP). General Pediatrics genpeds@musc.edu Our general pediatrics division at MUSC Children’s Hospital provides inpatient, nursery and outpatient care. Our faculty members are a dedicated team of highly trained academic pediatricians, committed to providing the highest quality care to our pediatric patients. We focus on many areas of expertise, all contributing to quality of care and medical education. Areas of clinical expertise and research interests include environmental health and toxicology, adverse affects of chemicals on the environment and potential treatments, international health and adoption, health disparities in South Carolina, medical education and quality improvement. Our division uses state-of-the-art medical informatics to improve care in numerous areas, such as patient safety and efficiency. We also have several outreach efforts, including schoolbased health care, behavioral health, distance education and telemedicine efforts across the Lowcountry. Children’s Care Clinics childrenscare@musc.edu The Children’s Care Clinics consists of two regional clinic sites. The clinics are located in North Charleston and Moncks Corner and are designed to provide pediatric primary care to predominantly underserved populations, with approximately 97 percent of our patients insured by Medicaid. Most of our clinical and office staff members are bilingual, and we have a language line available to help non-English speaking patients. Note: Several divisions offer general e-mail accounts to the public. If one is available it has been provided in this section. 19 Developmental & behavioral Pediatrics childdevelopment@musc.edu The Vince Moseley Developmental Evaluation Center provides a complete network of resources for children with developmental, behavioral, learning or genetic disorders. Since its inception nearly 50 years ago, the center has functioned as a diagnostic, evaluation and treatment facility involved in extending the limits that often surround children with developmental disabilities. Because the center is a part of the MUSC Children’s Hospital, children and their families have access to a level of care found only at an academic medical center, including advanced knowledge and novel approaches in the fields of genetics, diagnostics, developmental pediatrics, autism spectrum disorders, pediatric psychology, child psychiatry, physical therapy and assistive technology. Psychiatry The youth services division at MUSC’s Institute of Psychiatry offers programs tailored to the individual behavioral and mental needs of children and their families. Highly trained child psychiatrists, psychologists, social workers and experienced nursing staff ensure that each child receives an intensive evaluation and the most advanced treatment available. Leaders in each field provide specialized treatment for many conditions, including eating disorders, anxiety disorders, response to trauma and problems in infancy. Pediatric Neurosurgery MUSC Children’s Hospital provides comprehensive services to children for conditions that may require neurological surgery. We also provide prenatal consults to answer questions for parents when fetal diagnoses found during pregnancy may require neurological services after birth. Pediatric neurosurgery offers clinics for patients with brain tumors, craniofacial disorders, spina bifida and those who use a Baclofen pump. The pediatric neurosurgery team performs minimally invasive cranial reconstruction using a variety of endoscopic and computer-guided surgical techniques. Additionally, our pediatric neurosurgery team utilizes MRIs and other advanced visual imagery techniques to provide the highest level of medical care to our patients. 20 Pediatric Epilepsy Clinic The Pediatric Epilepsy Clinic is the outpatient component of MUSC Children’s Hospital’s Level 4 epilepsy center. From infancy to young adulthood, our center provides the more complex forms of intensive neurodiagnostics monitoring as well as more extensive medical, neuropsychological and psychosocial treatment. The goal of the clinic is to develop a partnership with referring physicians so that each child receives optimal long-term care. Specialty services, such as speech language pathology and neuropsychology, are available as well as diagnostic services, such as inpatient and outpatient video EEG monitoring. Nephrology pedsneph@musc.edu MUSC Children’s Hospital’s nephrology division provides comprehensive diagnostic and therapeutic services for children with various types of kidney disease. Our division follows and evaluates proteinuria, hematuria, hypertension, tubular and glomerular disease, acute and chronic renal failure, as well as congenital kidney problems, voiding dysfunction and cystic diseases of the kidney. As a member of the Midwest Pediatric Nephrology Consortium, we participate in ongoing clinical research and are able to provide cutting-edge treatment for complex kidney disease. Our specialists form a highly skilled team that treats children with chronic renal failure and end-stage renal disease, offering hemodialysis, peritoneal dialysis and renal transplantation. We provide acute renal replacement therapy in critically ill children and also perform evaluation of pediatric hypertension with 24-hour ambulatory blood pressure monitoring and a pediatric kidney stone clinic, specializing in comprehensive evaluation and management. 21 Urology MUSC Children’s Hospital, through our close partnership with the MUSC urology department, offers pediatric urological care for children with genital and urinary disorders. We are able to assist patients with developmental problems affecting the kidneys, bladder, and urethra or genital tracts. Our team routinely repairs conditions such as hypospadias, undescended testicles, hydroceles and hernias, as well as a variety of numerous complex conditions. Unique to MUSC Children’s Hospital, our urology department has one of the only urologists in the Southeast solely dedicated to pediatric urology. Cardiology pedscard@musc.edu Our pediatric cardiology specialists continuously demonstrate their commitment to excellence in patient care, research and education. This nationally recognized division provides innovative care to children with congenital heart disease or acquired cardiac conditions. We provide the specialized expertise for the Children’s Heart Program of South Carolina which provides coordinated cardiac care to children throughout the state via a network of pediatric cardiologists and outreach clinics. We also provide care for infants in our state-of-the-art Pediatric Cardiology Intensive Care Unit (PCICU), as well as preventive cardiology initiatives through our Heart Health program. Cardiothoracic Surgery Cardiothoracic surgeons at the MUSC Children’s Heart Center excel in the full range of pediatric surgical procedures for acquired and genetic cardiac disorders. More than 350 major operations are performed annually. Our comprehensive surgery program is the only one in South Carolina, and, with an overall 30-day survival rate of 99 percent, ranks among the best in the world. The combination of specialized, advanced technology and an individualized approach to each patient in an intimate, attentive environment ensures our program’s continued success. 22 Surgery The pediatric surgery program at MUSC Children’s Hospital has grown to employ four award-winning surgeons who are the only pediatric surgeons in South Carolina trained on the da Vinci® Robotic Surgical System. The da Vinci robot allows the surgeon to perform all delicate and complex minimally invasive procedures with great precision and superb 3D visualization. Our pediatric surgery program is also a one-stop surgery location for pediatric outpatients. Through a new streamlined system at MUSC Children’s Hospital, pediatric patients in need of a variety of ambulatory surgical procedures now can receive their preoperative evaluation and surgical procedure on the same day. Anesthesia & Perioperative Medicine The pediatric anesthesiologists at MUSC Children’s Hospital have special training and experience that allows them to meet the unique medical, surgical and psychosocial needs of infants, children and their families. The members of our pediatric anesthesia division, several of them voted “Best Doctors” in the country by their peers, thoroughly evaluate each patient’s medical condition in order to create an optimal anesthetic and pain management plan for each patient. If needed, they also direct a variety of other critical and life-sustaining therapies. On average, our pediatric anesthesia team provides care to more than 8,100 patients. Orthopedic Surgery Pediatric orthopedics was once devoted solely to the care of children with spine and limb deformities. However, this specialty was expanded from the correction of deformities in children to embrace all aspects of diagnosis, treatment, rehabilitation and prevention of injuries and diseases of the musculoskeletal system. Pediatric orthopedic surgery services are provided through MUSC’s wellknown, distinguished Department of Orthopedic Surgery. The expert team provides care to children and young adults with a wide range of developmental disorders, congenital, neuromuscular and posttraumatic problems of the musculoskeletal system. Our pediatric orthopedic surgeons are dedicated to helping our children and their families address their needs as they grow and develop. 23 Rheumatology pedsrheum@musc.edu Pediatric rheumatology at MUSC Children’s Hospital is a subspecialty offering expertise in the diagnosis of autoimmune diseases, musculoskeletal pain syndromes, periodic and prolonged fever conditions, multi-system inflammatory conditions and connective-tissue diseases. Treatment strategies are designed to address all aspects of the child’s life through multidisciplinary, comprehensive and compassionate care provided by our pediatric rheumatology team. Juvenile idiopathic arthritis and lupus are common disorders treated by our health care team. The division is also actively involved in research relating to pediatric rheumatologic diseases and participating and recruiting for nationally recognized clinical trials for research studies in juvenile arthritis, fibromyalgia and lupus. Additionally, the Becky DeRose Endowed Lectureship in pediatric rheumatology is presented once a year at grand rounds by a visiting pediatric rheumatologist focused on a special aspect of the subspecialty. Ophthalmology The Storm Eye Institute works closely with MUSC Children’s Hospital to offer the most advanced treatments for pediatric eye care. Pediatric ophthalmologists at MUSC offer comprehensive pediatric eye care services, from routine eye examinations to the treatment of the most complex pediatric ophthalmic conditions. Our pediatric ophthalmologists have particular expertise in complex strabismus and eye movement disorders and pediatric cataract surgery. Services also include the management of retinopathy for premature infants. Offering the most modern equipment and advanced technology makes Storm Eye Institute the leading pediatric referral center in South Carolina for pediatric ophthalmology services. 24 Otolaryngology (ENT) Our team of experts within the ear, nose and throat division at MUSC Children’s Hospital provides outstanding care for children with a broad range of medical issues. Our services include: clinical evaluations of ear, nose and throat disorders; hearing aids for hearing–impaired children; multidisciplinary evaluation of complex speech, voice and airway problems; cleft palate repair and cochlear implants. Our division is also closely aligned with the Airway and Aspiration Center for Children, the Allergy Center, the Craniofacial Abnormalities Clinic and the Down Syndrome Clinic, all at MUSC. Endocrinology pedsendo@musc.edu Our pediatric endocrinology division provides a comprehensive range of diagnosis and treatment programs for children dealing with physical growth and sexual development issues—treating more than 600 diabetic patients in 2010 alone. In addition to health care services, we also provide diabetes education and nutrition services. We treat Type 1 and Type 2 diabetes, obesity, short stature, puberty issues, thyroid disorders and bone problems and are dedicated to providing state-of-the-art care within a compassionate and caring environment. Our team of specialists includes physicians, nurse practitioners, a certified diabetes educator and a nutritionist, and we work closely with social work and mental health services professionals. Through our clinical trials and research in growth and diabetes, we are able to deliver the latest in treatment options for our patients. Gastroenterology & Nutrition pedsgi@musc.edu The nationally recognized MUSC Digestive Disease Center brings together a diverse group of specialties involved in evaluating and treating digestive disease in children. Our pediatric gastroenterologists provide specialized and personalized care for children with both common and uncommon digestive disorders. Our team at the Digestive Disease Center provides both inpatient and outpatient nutrition services for our pediatric patients. Registered dieticians provide nutritional assessment, calculate nutrition requirements and offer counseling to children throughout their stay at MUSC Children’s Hospital. We also provide registered dieticians for outpatients who may need medical nutrition therapy recommendations, education on specialized diets and someone to work with the patient’s primary physician to answer nutrition management questions. 25 Hematology & Oncology pedshonc@musc.edu The pediatric cancer program at MUSC’s Hollings Cancer Center—South Carolina’s largest researchbased cancer center and the state’s only National Cancer Institute-designated cancer center—offers hope for effective treatment for childhood cancer and a return to normal life and possibly a cure. Our pediatric cancer team offers care rooted in experience and unmatched skill in the treatment of cancer affecting children, teenagers and young adults. Pediatric oncologists, surgeons, radiation oncologists, pathologists, and other subspecialists work together to maximize each patient’s chance of a cure. Our team has years of expertise in blood and marrow transplantation, clinical trials and childhood cancer research. Patients have access to more than 50 pediatric transplant, oncology, sickle cell and hemophilia clinical trials for promising new therapies. The goal of these research efforts is to bring effective new treatments to patients as quickly as possible. Neonatal–Perinatal Medicine neonatology@musc.edu The MUSC Children’s Hospital is recognized as the premier provider of care for high-risk newborns in the region. Our neonatal-perinatal specialists provide care for term and preterm infants requiring Level 3 care, which includes high-frequency ventilation and extracorporeal membrane oxygenation (ECMO) in our Neonatal Intensive Care Unit (NICU). We have been treating infants with ECMO since 1988 and are one of only two centers in the state that offer this treatment. The division also oversees the high-risk developmental follow-up clinic and the infant home monitoring program. We also serve healthy newborns and Level 2 care for infants requiring extra assistance. Maternal–Fetal Medicine & Obstetrics With more than 2,400 annual deliveries, MUSC perinatal services represents the Regional Perinatal Center of the Lowcountry area of South Carolina. Our services encompass the normal newborn nursery, the NICU, and low- and high-risk obstetrics. Our team of specialists work closely with a multidiscplinary team of health care providers including experts in neonatology, cardiology and surgery to provide the highest level of care to our prenatal patients and their mothers. Additionally, our patients and referring physicians rate our services in the 90th percentile for customer service satisfaction, largely due to access to care and exceptional, seamless experience. Furthermore, the maternal-fetal medicine and obstetrics team is recognized for our significant work in reducing the rate of preterm deliveries across the state and for our management of extreme prematurity among newborns. 26 Genetics genetics@musc.edu MUSC Children’s Hospital’s genetics specialists help children and families faced with hereditary and genetic factors that cause disease, defects or potential health issues. The genetics clinic incorporates a review of family medical history, diagnostic physical examination, appropriate genetic laboratory services, genetic counseling and referrals for subspecialty evaluation. Infectious Diseases pedsid@musc.edu The infectious diseases division at MUSC Children’s Hospital performs consultations for diagnostic evaluations and management of children with known or suspected infectious diseases and some immunodeficiencies, including HIV. Our physicians are board certified in pediatrics and pediatric infectious diseases. Our HIV/AIDS clinic offers comprehensive pediatric HIV care with a multidisciplinary team including a nurse case manager, social worker, child life specialist, educational psychologist and peer advocate. Epidemiology pedsepid@musc.edu The division of pediatric epidemiology conducts population based research on children’s health issues, collaborating with faculty in clinical research, and providing an infrastructure and shared resources for clinical research, database management and statistical analysis. The team of epidemiologists is committed to improving the health of women and children, to sustaining an academic environment that encourages teaching and research, and to working collaboratively with other members of the health care team. Additionally, the division is involved with many departments at MUSC, local community services, state institutions, and national and international investigations in addressing issues of maternal and child health care. 27 Pulmonology pedspulm@musc.edu The pediatric pulmonology division at MUSC Children’s Hospital provides comprehensive multidisciplinary care for children and families with all types of breathing issues. The primary areas include asthma, cystic fibrosis (CF), chronic lung disease and sleep issues. The division’s clinical team includes two subspecialty-certified faculty members, two certified nurse practitioners and two specialtytrained nurses. Both inpatient and outpatient care are provided at the MUSC campus, and patients come from all over the state. Our Cystic Fibrosis Center is widely recognized for its research accomplishments and the asthma program focuses on asthma in the inner city and optimizing asthma care throughout the state. Team members are a scarce regional resource and are widely recognized for the quality of their care and the effectiveness of their teaching and research activities. Radiology The members of the pediatric radiology team are dedicated to providing children with exceptional radiological care. Every patient, from the premature newborn to the elite athlete, receives specialized care with imaging studies tailored to the specific problem. To minimize radiation exposure, we use state-of-the-art, low radiation dose equipment during fluoroscopic procedures and CT examinations. We have child-friendly facilities, faculty and staff, including child life specialists, to make a child’s experience with radiology as enjoyable as possible. 28 Emergency Medicine pedsemergency@musc.edu The MUSC Children’s Hospital emergency department is a pediatric-focused department separate from the general emergency department at MUSC. It is open 24 hours a day and is staffed by physicians trained in pediatric emergency medicine and nurses certified in pediatric life support. Our pediatric emergency medicine team has access to in-house experts in every pediatric subspecialty available to them at all times. Our 12-bed emergency department treats children that come in with everything from minor injuries to life-threatening illnesses. The emergency department offers a large trauma and resuscitation area, convenient bedside registration and other enhancements designed to streamline care. Our department has a threebed fast-track service, known as “Quick Care.” Quick Care is available evenings and weekends and designed to provide faster service to children who have less urgent illnesses and injuries, eliminating long waits and uneasiness. Among other features are private patient rooms, each colorfully decorated to follow a different theme. We also have child life specialists on staff to help ease the fears of young patients and make them feel more comfortable. Critical Care pedscritical@musc.edu The division of pediatric critical care medicine at MUSC Children’s Hospital is responsible for the care of critically ill children in the Charleston area. The interdisciplinary pediatric intensive care unit (PICU) at MUSC is an 11-bed, medical-surgical unit staffed by five pediatric intensivists as well as specially trained nurses, respiratory therapists, pharmacists, child life specialists and nutritionists. Additionally, the pediatric intensivists and three critical care nurses comprise our uniquely trained pediatric sedation team, which provides moderate and deep sedation services to more than 600 children annually for procedures throughout the hospital. We are currently working to help organize a pediatric care consortium, including PICUs across the state, for the purposes of improving education, patient safety, health outcomes and critical care research in the state of South Carolina. 29 Violence Intervention & Prevention (VIP) pedsvip@musc.edu The division of violence intervention and prevention (VIP) at MUSC Children’s Hospital provides care to more than 1,600 children, adolescents, and their families when any type of abuse or neglect has been suspected. The division includes two of only four subspecialty-certified child abuse pediatricians in the state, as well as three specially trained nurse practitioners, and four pediatric nurses trained in sexual assault evidence collection in order to provide consultation 24 hours a day, seven days a week. They respond to consultation requests in clinics held at MUSC, at area outreach clinic, child advocacy centers, as well as consultation requests in the pediatric emergency room and for hospitalized children. Our mission includes training professionals to recognize and manage abuse and neglect. Additionally, our division seeks to develop and implement prevention strategies to reduce the frequency and severity of child abuse and neglect by research and innovative approaches. The Sara Schuh Child Abuse Conference is just one innovative approach to educating the community on the management and prevention of child abuse and neglect. It is held annually in collaboration with area child abuse professional agencies, such as health care professionals, social service professionals, mental health professionals, attorneys, advocates, guardian ad litems, and law enforcement professionals from around the state. Our division values its integral role within MUSC, our region and the state in meeting the needs of children and adolescents for whom there is a concern for abuse or neglect. 30 EDUCATION “The Sim Lab is the embodiment of the Department of Pediatrics’ commitment to pushing the boundaries of medical technology, and opening those doors to its students.” - Dr. Chang Wu 31 EDUCATION Cultivating the continuum of education Launched in June 2008, the Simulation Center at MUSC has played an unprecedented role in the Department of Pediatrics’ efforts to cultivate the continuum of education. For Dr. Chang Wu, the opening of the Simulation Center (or the Sim Lab, as it is commonly called) played a vital role in his development from a resident to junior faculty. For third-year medical students, the expansion of their access to the Sim Lab has played an innovative role in giving them exposure to clinical procedures and skills they might not have experienced until residency. While the Sim Lab offers exposure to students, residents and physicians from a variety of medical disciplines, the Department of Pediatrics, led by the relentless efforts of Dr. Joe Dobson, an associate professor of pediatric emergency medicine, has truly paved the way for other departments in developing and incorporating the Sim Lab as a resource for medical students, residents and MUSC physicians. Two years after its launch, the Sim Lab continues to play a vital role in the education continuum. As chief resident, Dr. Wu offered a unique perspective on its impact. “When I first participated in skills training in my second year as a resident, I was given the opportunity to learn and practice skills, such as IV placement, lumbar punctures and basic resuscitation protocol on simulated patients. I was able to practice these skills without the fear of compromising the health of a patient. My experience was recorded, and afterward, I reviewed it with a chief resident, who offered a critique on my performance. I reveled in the privilege I had to be a part of a process that helps shape skills for the next generation.” The Department of Pediatrics takes advantage of this invaluable resource at every level of education. Third-year medical students spend two half-days in the Sim Lab, as part of their pediatrics rotation. Residents train at least once a year in the Sim Lab, practicing skills that they would have less opportunity to practice otherwise. For faculty members, the Sim Lab also presents 32 opportunities for further practice and sophistication in these skill sets. One goal for the Sim Lab involves allowing community pediatricians to practice these same skill sets, within this environment, as many of these situations rarely occur in a general pediatrics setting. In addition to Dr. Dobson’s role in instigating the department’s use of the Sim Lab, Dr. Wu identifies Dr. David Mills as being a driving force behind the residency program’s ownership of the Sim Lab. “Two years ago, we decided to do a fund-raiser for the Sim Lab, as no formal funding stream from the department was in place. Our Beards for Babies contest was so popular and raised so much funding and support for the Sim Lab that we decided to continue each year. While we aim to give the funding to different areas each year, the birth of Beards for Babies was grounded in our desire to support and preserve the residency program’s use of this vital resource,” explains Dr. Wu. In recent years, the combined effects of decreasing working hours for residents and the increased emphasis on patient safety have cut back on clinical exposure for residents. The Sim Lab offers an alternative solution—a solution that is not only innovative for MUSC but also sets the pediatric residency program a step ahead. The experience of clinical practice through simulation represents a shift toward the future of medical practice, and the department of pediatrics has placed itself strategically at the forefront of this way of teaching. Dr. Wu comments, “The Sim Lab is the embodiment of the Department of Pediatrics’ commitment to pushing the boundaries of medical technology and opening those doors to its students. I feel honored to have spent my residency in the type of environment that encourages the use of the latest technology, offers the utmost of mentorship, allows me to teach those coming behind me and believes that I will take all I’ve learned and all the tools I’ve been given and really make a difference as a pediatric physician.” The Department of Pediatrics operates under the philosophy that “teaching the teacher” holds as much value as teaching the student or the resident— that the best physicians are not only products of exceptional education, but that the best physicians are the best educators. Cultivating the continuum of education is business-as-usual for the Department of Pediatrics, and that’s the story from students, residents and faculty members alike. 33 Residency and Fellowship Programs The Department of Pediatrics offers residency programs in pediatrics and internal medicine-pediatrics (Med-Peds). With more than 40 residents in the pediatrics track and eight residents in internal medicinepediatrics, along with a diversity of physicians in various fellowship programs, the department’s commitment to cultivating future pediatric physicians remains at the heart of everything we do. Pediatric Residency Program The residency program in pediatrics is devoted to training the next generation of young physicians, delivering academically and medically equipped leaders to the field of pediatrics. MUSC Children’s Hospital is South Carolina’s largest and most comprehensive pediatric health care center, and we expose our residents to a vast array of diagnoses that range from the straightforward to the rare and complex. Our location in Charleston allows our residents to learn to deliver medical excellence by providing care to children with a wide spectrum of cultural and socioeconomic backgrounds. By limiting the size of the program, residents evolve in a personal and professional environment. Pediatric Residency Program — Primary Care Track MUSC is excited about the new $1.9 million federal grant for adding a primary care track to our existing residency program. The new primary care track emphasizes learning in community primary care settings. South Carolina is currently in significant need of primary care pediatricians, and this program is going to be a great first step in filling that need. The first interns enrolled in July 2011, with their community training focused in Georgetown and North Charleston. Internal Medicine — Pediatric Residency Program Our combined residency program in internal medicine and pediatrics consolidates two excellent programs at MUSC and provides a unique training experience. This rigorous track is designed to educate general physicians on a complete range and depth of complex illnesses across a person’s life span. Continuity clinical experience is offered throughout each rotation with alternating weeks in the internal medicine and pediatric continuity clinics. 34 Fellowship Programs MUSC’s Department of Pediatrics offers seven unique fellowship programs, all of which provide an opportunity to physicians to continue post-graduate education in the specialized care of pediatric patients. Fellowship programs are offered in the following subspecialty divisions: pediatric cardiology, developmental and behavioral pediatrics, pediatric emergency medicine, general pediatrics, pediatric hematology and oncology, neonatal-perinatal medicine and pediatric rheumatology. Web-based Curriculum Nearly every educational experience has a presence on our educational website. Within each individual site are the goals and objectives for the rotation, recommended articles and links to other specialty-specific educational and clinical care sites. An increasing number of divisions/rotations are providing lectures, slide presentations and both pre- and post-tests. Evidence-Based Medicine Program A team of physicians, health care professionals and a medical librarian instruct staff in evidencebased medicine (EBM). Residents provide presentations at weekly EBM conferences and are evaluated by peers, fellows and attendees for their ability to access, appraise and apply medical literature in clinical settings. Residents are instructed in the vocabulary, theory, principles and practical application of EBM throughout their residency. Residents build upon this foundation through direct application during their assigned EBM conference, while on clinical services and through a mentored project. Each resident works in a small group with a faculty mentor on a capstone research project suitable for submission as an abstract for presentation in the third year. These efforts are expected to result in presentations at regional or national meetings or publications. A.M. Reports (Case-based Clinical Discussion Wiki Site) A.M. reports are disseminated through our case-based clinical discussion wiki site, a locally developed resource. Every case presented at morning report is available online with the case presentation, group discussion, associated Microsoft PowerPoint™ summation of the topic and pertinent references. Residents can access these reports at any time from home, the clinic or the hospital. 35 Simulation Program The MUSC Simulation Laboratory (Sim Lab) is a highly structured experience for residents using state-ofthe-art facilities. The Sim Lab has 50 advanced adult and pediatric simulators used to provide clinical training to nurses, medical and allied health trainees as well as continuing education for practicing health care professionals. Simulation training includes acute care, trauma, CPR, mock codes and procedures—valuable practice in a controlled, risk-free environment. The Sim Lab is now incorporated as a part of our pediatrics residency program, as well as the emergency medicine curriculum. Advocacy Our advocacy program is spearheaded in two ways—school-based clinics and an added primary care track. Through these programs, residents receive increased exposure to community and primary care medicine. Six different community medical homes help in training these residents providing crucial hands-on experience. Global Health Opportunities MUSC’s pediatric residency program supports and encourages our residents interested in pursuing learning opportunities in global health. A curriculum was recently developed that focuses on common medical and public health problems that impact children in less developed countries. In the past, residents have completed research in Honduras and clinical work in Greece and Tanzania. Medical Student Education The Department of Pediatrics offers a clerkship for all third-year medical students. The clerkship exposes students to a variety of pediatric clinical settings, while also incorporating training in evidence-based medicine practices, simulation experiences and the latest technological resources. Our faculty members have received numerous recognitions for excellence in teaching. Twelve pediatric faculty members were recognized for excellence in teaching at the 2010 College of Medicine Faculty Excellence Awards Ceremony. These accolades simply underscore the department’s commitment to the pediatric exposure and education of medical students. Consider some of the features of our pediatric clerkship as offered through the following programs. Web-based Curriculum (moodle) The materials for the pediatric clerkship for all third-year medical students is housed on Moodle, MUSC’s web-based training system. The syllabus, schedules, evaluation forms and learning resources are all included. 36 Online Simulation The online simulated cases at www.med-u.org provide a comprehensive review of the pediatric curriculum developed by the Council on Medical Student Education in Pediatrics. Our pediatric clerkship students are currently required to complete at least 20 of the 31 cases. MUSC Simulation Center Starting with the 2010-11 academic year, the department designed and led a simulation sub-course to the pediatric clerkship. Students spend two afternoons working through three stations, which emphasize vascular access, lumbar puncture and bag-valve mask resuscitation. On the first day, the students learn the techniques. On the second day, they learn how to apply their new skills in simulated scenarios. The pediatric residents are able to further practice their technical skills and also their teaching skills by serving as preceptors for the stations. One hundred percent of the medical students have recommended that the College of Medicine and the Department of Pediatrics continue to support this effort. Evidence-Based Medicine (EBM) Program Evidence-based medicine is emphasized during the pediatric clerkship. All third-year students perform literature searches to answer clinical questions. At the start of the rotation and in the small group sessions, the clinical scenarios and questions are provided to the students. At the end of the clerkship, all students must develop a question relevant to a patient that the student provided care for during the rotation. The students work in groups to perform literature searches and then make a presentation to teach their peers, faculty and house staff. The students are supported in this effort by a librarian who rounds with the pediatric hospitalists’ ward teams. On the ward teams, the librarian, faculty and trainees routinely work together to find real-time answers to help the pediatric patients. Pediatric Medical Home Training The pediatric clerkship has been very successful in providing primary care training for the medical students. Students are able to spend their primary care block at either the MUSC Pediatric Primary Care Clinic, MUSC Children’s Care or at one of five private pediatric practices in the Charleston area. The Department of Pediatrics is very proud of this partnership with Charleston Pediatrics, Sweetgrass Pediatrics, Wheaton Pediatrics, Sandlapper Pediatrics and Parkwood Pediatrics. Because of the commitment of the general pediatricians and their office staff to medical education, students gain not only important knowledge and skills but also appreciation for the benefit of pediatric medical homes. 37 38 Faculty Development Since 2009, the department has developed an innovative faculty development initiative to support junior faculty in career development. Presently, the program focuses primarily on personal career coordination and accomplishments, departmental research support infrastructure, broadened faculty mentoring, improvement of teaching skills and effectiveness and strategies to assure successful work-life balance. Faculty promotion has been widely celebrated. Initiative goals include a clear understanding of promotion requirements, augmented support for clinical and translational research, and widespread remote access to departmental teaching for trainees and community caregivers. More diverse and effective individual career mentoring will assure individual career success and satisfaction. Continuing Medical Education Continuing medical education (CME) is an important service to our health care professionals at MUSC, especially for the professionals involved with the unique level of care required to treat children. MUSC Children’s Hospital offers annual conferences, postgraduate seminars, updates, reviews, faculty outreach presentations and clinical preceptorships to keep our staff up to date with each other and other professionals from around the country. The Accreditation Council for Continuing Medical Education accredits MUSC to sponsor CME opportunities for our physicians. Through our rich CME course offerings, MUSC physicians continue to be involved in the latest health care innovation and advancements. Grand Rounds The education development group, routinely presents grand rounds as a key component to the overall educational pediatric training experience. Faculty members present clinical problems in medicine by focusing on current or interesting cases. Audience members participate in the discussion and analysis of the medical topic. Community physicians are always welcome to attend the Department of Pediatrics grand rounds. Annual Conferences • Annual Frontiers in Pediatrics • Annual Pediatric Neuroscience Update • Updates in General Internal Medicine in Primary Care • Sara Schuh Child Abuse Conference • Cardiology for the Primary Physician: Evidence-Based Management • Margaret Jenkins Memorial Lecture 39 library Resources The MUSC Library serves the campus, affiliated professional staff and state health professionals as a database and knowledge center, an academic computing support unit, an electronic education center and a leader in information planning. Collections exceed 215,000 bound volumes and include subscriptions to 2,462 journal and serial titles, both print and electronic. The library serves as a resource library within the National Network of Libraries of Medicine and is a major health sciences resource library for the state of South Carolina as well as the Southeast. The library program includes the Waring Historical Library, which houses a collection that chronicles the history of the health sciences; a biomolecular computing resource, which is a robust suite of gene-sequencing and molecular modeling databases and programs; an educational technology lab, which provides faculty assistance in developing web-based instruction and curriculum evaluation; and, an informatics lab, which provides more than 200 computers and peripheral equipment for student and faculty use, plus electronic classrooms are available for discussion. Extensive online resources include MUSC’s online catalog for books, audiovisuals and journals, as well as major biomedical databases such as MEDLINE, CANCERLIT, HealthSTAR and others. Additionally, the Department of Pediatrics has developed an interactive Web page for MUSC and community physicians at www.musc.edu/pediatrics/physicians. 40 RESEARCH “Teaching medical students and residents the importance of translating research into visible clinical results has been a focus of mine for years.” - Dr. Carol Wagner 41 RESEARCH Translating lab findings into real-life results Dr. Carol Wagner, a pediatric professor in the division of neonatology, has spent the last 10 years delving into the multi-faceted subject of vitamin D in human milk. Surrounded by mountains of books, journals, photos and posters encouraging women to breastfeed, Dr. Wagner speaks in a down-to-earth language. Her modesty is clear in her nonchalant, yet impressive, presentation of the many groundbreaking findings she, Dr. Bruce Hollis and Dr. John Baatz have discovered and translated into real-life results for women and children. “It’s been more than 80 years since the importance of vitamin D has been researched in mainstream scientific studies,” explains Dr. Wagner. This is largely due to some misconceptions about vitamin D, which Dr. Wagner is quick to identify: • For years, scientists didn’t understand that humans needed more than just a trace of vitamin D. • Vitamin D is a preprohormone, which means that the body generates its own vitamin D when it is exposed to sunlight. Due to a rather abrupt change in lifestyle for most humans over the last 50 years, the majority of our time is spent out of the sun, leaving a deficit in the body’s ability to naturally produce a healthy amount of vitamin D. • Vitamin D positively affects immune function. Through funding from the National Institutes of Health (NIH) and the Thrasher Research Fund, Drs. Hollis and Wagner’s team has executed two pilot studies and two large-scale studies. The large studies incorporated 700 subjects each, giving randomized vitamin D supplements to pregnant and lactating women. The results of the two large pregnancy studies were presented at the annual Pediatric Academic Societies conference in Vancouver, BC, Canada. The findings: Appropriate levels of vitamin D improve pregnancy outcomes. The results: Dr. Wagner is crusading as hard as ever to educate the community on the importance of vitamin D throughout pregnancy, lactation and early childhood. “Teaching medical students and residents the importance of translating research into visible clinical results has been a focus of mine for years. Future pediatricians need to understand the intersection between basic science research and its impact on their patients’ health and treatment options. Bridging that gap is part of why I am so passionate about both aspects of my work, the research findings and the clinical implementation of treatments and protocol based on those findings.” 42 Dr. Wagner, who also serves as associate director of the South Carolina Clinical and Translational Research Institute (SCTR), shares the spotlight with Dr. Hollis, director of the Darby Children’s Research Institute’s pediatric nutritional science division. The two scientists, along with Dr. Sarah N. Taylor, have recently published a book divulging the findings of their research, New Insights Into Vitamin D During Pregnancy, Lactation & Early Infancy. This publication, while not targeting lay audiences, provides a great resource to physicians and other health care professionals and scientists with an interest in learning more about the many positive facets of vitamin D. Darby Children’s Research Institute The Charles P. Darby Children’s Research Institute (DCRI) is the largest and most comprehensive pediatric research facility in the Carolinas and one of only 15 in the country. Our work at MUSC Children’s Hospital is continually fortified through new ideas and innovations in medicine and technology, and we have taken our commitment to children to the next level with a seven-story institute that houses 150 state-of-the-art laboratory modules, 11 research programs and 150 investigators and staff members. The mission of the DCRI is to improve the lives of children, their families and communities by conducting high-quality children’s research, training superior physicians and scientists, and fostering innovation through discovery and application. The DCRI enhances the level of care provided for children by recruiting and retaining specialists drawn to the cutting edge of discovery and innovation. The DCRI enables its scientists and physicians to compete efficiently for grants, which generates more money for children’s medical research. It provides MUSC Children’s Hospital patients with access to the most modern facilities and technologies available anywhere. By integrating pediatric research programs across South Carolina, the institute promotes greater collaboration among scientists and physicians, resulting in a more efficient and productive approach to research. Finally, by applying our findings rapidly, the DCRI provides our patients with cutting-edge, innovative treatment options. The work being performed at DCRI raises the level of care not only at MUSC Children’s Hospital, but also throughout the entire Medical University, certainly throughout the state of South Carolina, and could potentially assist children around the world. 43 44 Dear Friends & Colleagues, When I began my research at MUSC Children’s Hospital, Dr. Charles Darby, then chair of the Department of Pediatrics, had a vision for creativity and intercommunication between clinical, translational and basic science research findings and clinical treatments and results. I found this notion to be quite forward thinking and it resonated with my goals as a scientist. Twenty years later, I have the great privilege of serving as scientific director of the Charles P. Darby Children’s Research Institute (DCRI), a seven-story structure, which houses top biomedical scientists and the latest in research technologies. Science requires interaction and communication among scientists. Researchers need one place where they can meet and discuss new ideas. With the establishment of the DCRI, the researchers here are enabled to make faster, more efficient progress in a variety of pediatric research fields. The DCRI offers an invaluable asset to the physicians at MUSC Children’s Hospital: knowledge. Real doctors learn new knowledge, teach new knowledge and practice new knowledge. Science should be hands-on. Because of the DCRI, doctors at MUSC gain more knowledge and use it to care for their patients. Bringing scientific findings into real-life settings is one of the greatest advantages that MUSC Children’s Hospital patients receive. With the help of community and corporate leaders, such as Nucor Steel and Blue Cross Blue Shield, Linda Gadsden and Dave Kreber, and the many other members of our community who have made the DCRI a priority in their giving, MUSC has not only created the premier children’s research facility in South Carolina but also made the commitment to continuing the growth and development of the Institute, its researchers and facilities. With the continued help of our community of friends and supporters, the DCRI will continue to pioneer new research, teach new generations of physicians and scientists and bridge the gap between science and clinical treatment—ultimately providing the best possible treatment options and care for the patients of MUSC Children’s Hospital and the children of South Carolina. Sincerely, Inderjit Singh, Ph.D. Scientific Director Charles P. Darby Children’s Research Institute 45 Clinical & Translational Research MUSC participates in a large number of clinical trials for our pediatric patients. New trials are added on a routine basis, but many clinical trials accept only a limited number of participants. We do our best to ensure that each child that qualifies for a clinical trial is appropriately placed and receives the best treatment options available at MUSC Children’s Hospital. Search for current clinical trials at www.MUSCheroes.com. Epidemiology The division of pediatric epidemiology also houses the clinical research unit (CRU). The function of this unit is to provide resources for clinical research for the project development phase and throughout the project. The CRU coordinates studies designed to obtain preliminary data for a subsequent grant submission; direct projects to establish the ability of the research team to conduct an investigation; organize short-term projects to help define outcomes, develop protocols, or establish data collection techniques; support exploratory projects for hypothesis generation; and provide resources for student, fellow or faculty short-term projects. Genetics / Developmental & behavioral pediatrics The division of genetics, as well as the division of developmental and behavioral pediatrics, have engineered an extensive body of work in the genetic basis of developmental disorders. By identifying genetic predispositions and the pathophysiology of a small, well-defined group of related disorders, our researchers are pioneers, making an impact on the future treatment of children with developmental disabilities, including autism spectrum disorders and related genetic syndromes. South Carolina Pediatric Practice Research Network MUSC Children’s Hospital is proud to support the South Carolina Pediatric Practice Research Network (SCPPRN), a practice-based network organized to conduct clinical research that is pertinent to primary care. SCPPRN is a growing network, ranging between Georgetown to Hilton Head, and as far inland as Columbia and Barnwell. It currently consists of 14 practices, representing more than 250,000 patient visits per year and a wide range of socio-demographic characteristics. We recently completed the Vaccine Delivery Improvement Project (VDIP), aimed at increasing providers’ immunization rates. We’ve also studied a range of other relevant issues, including headaches, obesity, tobacco exposure and fruit juice consumption. SCPPRN is an ideal organization in which to conduct clinically relevant research in a real-world setting. 46 ADVOCACY “When children care more about themselves, it changes their lives. The rewarding part is truly ours, in that we get to witness that change.” – Dr. William Randazzo 47 ADVOCACY Cultivating a connection to the community Dr. William Randazzo beams as he describes one of the most innovative and vibrant parts of his job—his work with advocacy and community outreach through the Department of Pediatrics. It is evident that his heart is in the field as he describes a program he began three years ago at Mitchell Elementary School in Charleston. Many schools in the Charleston County School District have clinics staffed by nurses, but most don’t see the potential for what those clinics can provide. When Dr. Randazzo began visiting Mitchell Elementary School’s clinic, the need for collaboration with physicians and others interested in student health was apparent. Seeing how school budget cuts impacted the clinic, he found a solution in a grant from the American Academy of Pediatrics. What began as an effort to support the school clinic has become a crusade to offer routine medical care to children in the school environment. Many of these children otherwise would not see a physician on a regular basis. Through the clinic, their everyday needs are taken care of, perhaps preventing larger problems, and those children who have conditions, such as asthma, that need closer follow-up are referred to specialists at MUSC Children’s Hospital. Additionally, Dr. Randazzo is working to increase the amount of behavioral health management offered through school clinics. With other grants, he made it possible to have daily physical education programs geared toward addressing childhood obesity. At the same time, Dr. Randazzo and MUSC pediatric residents are studying how physical education affects academic scores, behavior in children and body mass index. Dr. Randazzo sees school-based clinics as a true area in which physicians can make a difference for students and communities, and the potential for growth is exponential if those clinics can be expanded to serve community members who might not otherwise have the opportunity to see a physician regularly. Dr. Randazzo has spearheaded other like-minded efforts outside schools as well. For example, medical residents take an advocacy course in which they are sent into the community to gain experiences that cannot be replicated in a hospital clinic, and as part of the course, they must develop and complete projects they feel passionate about. The added hope is that the exposure might help erase South Carolina’s deficit of primary care pediatricians by inspiring more residents to follow that track. 48 Further, Randazzo wants to inspire a culture of advocacy, and he notes that the need for school-based clinics, where 90 percent of patients are on Medicaid, is relentless. “Teaching our students and residents the necessity of advocacy and community outreach is vital to truly cultivating future leaders in pediatrics,” says Dr. Randazzo. “When children see that we care about them—that we care about keeping them healthy—they care more about themselves. When children care more about themselves, it changes their lives. The rewarding part is truly ours, in that we get to witness that change.” Center for Child Advocacy Children are important to MUSC Children’s Hospital both in and out of the hospital. As an effort to help ensure children’s safety and well-being in the community, the Center for Child Advocacy was established in 2001. The Center works collaboratively with many advocacy organizations on legislative and children’s safety issues and provides a variety of government relations, advocacy, and development services in support of the MUSC Children’s Hospital. The Center also provides management services to the South Carolina Children’s Hospital Collaborative, a nonprofit association represented by the state’s four children’s hospitals. Community Outreach The Boeing Center for Promotion of Healthy Lifestyles in Children & Families A generous donation by the Boeing Company in 2011 established a multidisciplinary center to promote healthy lifestyles and fitness among our community’s children and their families. The Center combines treatment through MUSC Heart Health and the Lean Team with a portfolio of prevention strategies in the schools and community. Lean Team www.musc.edu/leanteam The goal of the Lean Team is the prevention and treatment of childhood obesity through individual, family and community change. Our objective is to establish community partnerships and outreach programs to reduce health disparities. Through these partnerships, we work to improve the health and fitness of children, families and teachers in the Charleston County School District, with specific emphasis on the JROTC programs. Thanks to these outreach prevention programs, the Lean Team has already evaluated over 1,000 students and teachers, improved school lunches, and developed wellness programs at more than 53 schools. 49 50 STOPP The Sea Island Teen Opportunity for Prevention Programs (STOPP) was developed in 2004 to address the unmet needs of rural southern Charleston County, where a countywide assessment documented the highest teen pregnancy rate but with very few services or resources. Since then, STOPP has worked with the school district and local community members of the Sea Islands to develop and implement this initiative. During the past six years, we have seen a decline in the number of teen pregnancies. Safe Kids Accidental injury is the number one cause of death for children age 14 and under in the United States. Each year, one in four children will receive medical attention for an injury. As many as 90 percent of these injuries could be prevented. Safe Kids Trident Area, which covers Berkeley, Charleston and Dorchester counties, that brings together health and safety experts, educators, corporations, foundations, governments and volunteers to protect children from injury. Family Literacy MUSC Children Hospital offers a family literacy program, that is a free service provided to families that reside in Berkeley, Charleston and Dorchester counties. The program is based on the idea that parents are supported as the first teachers of their children. Since its inception, Trident United Way has been a strong advocate and funding partner. Reach Out and Read Reach Out and Read Charleston is an innovative clinic-based literacy program and supported by the American Academy of Pediatrics. The program is a collaborative effort among MUSC College of Nursing, Department of Pediatrics, the Child Life Department, MUSC Volunteer Services and the Trident Literacy Association. Children 0-5 years of age receive a new book at every well visit in the pediatric primary care clinic. The program recognizes that literacy is a part of overall health and that the ability to read is integral to personal health and well-being. 51 Medical Home Project The medical home project predominantly serves Medicaid-eligible and uninsured children, ages 0-17 years residing in the tri-county area. Enrollment efforts are targeted at children without an existing primary care physician, and especially children under the age of 6. Our provision of comprehensive medical services targets children living in households whose family monthly income is at or below 200 percent of the federal poverty level. Medicaid-eligible children are targeted so that they can be enrolled in a Medicaid sponsored health benefit plan. Some target families may not know they qualify for Medicaid or may need assistance with the application process. Our program specifically targets newborns and very young children because they require a higher frequency of periodic health screenings, vaccinations and physical exams to meet the American Academy of Pediatrics’ health supervision and immunization guidelines. We also target Hispanic children because of our ability to provide bilingual services and their difficulty in finding culturally competent care. Adopt–a–School Finally, collaboration with Charleston County School District and the Charleston County Medical Society has resulted in the development of the Adopt-a-School program, which assigns physicians to area school-clinics. Residents, as well as community physicians throughout Charleston, will “adopt-a-school” and serve an important role through their guidance with the school’s wellness committee. 52 giving “It is gratifying to know that through our efforts, lives of little children have been forever altered by the miracle of their recovery at the caring hands of the Children’s Hospital.” – Paul Hulsey 53 giving MUSC Children’s Hospital would not exist if it were not for its faithful community of supporters. Giving to the children’s hospital has many faces. Whether it’s through volunteering in the hospital or with the Children’s Hospital Fund, through donating or serving as a member of the various advisory councils or board of directors, once you have given to MUSC Children’s Hospital, you are a member of our family—a member of a family that saves lives everyday. Local attorney Paul Hulsey of Hulsey Litigation Group served as chairman of the Children’s Hospital Fund Advisory Board for the 2011-2012 year. His thoughts on giving to the Children’s Hospital, while unique to his experience, resonate with the many people who have answered the call to join our family of supporters in giving life to so many who visit MUSC Children’s Hospital. “I have been involved with MUSC Children’s Hospital for more than five years now. My commitment is consistent with my belief that success carries with it the responsibility of helping others less fortunate. Because I believe in miracles, my involvement with the Children’s Hospital provides the opportunity to make a positive difference in the life of a child in a very profound way. Every day, we see children who have been given the gift of life, had tragedy turned to triumph, hopelessness replaced by happiness through the miracles performed by our exceptionally skilled and dedicated physicians and staff. “It is gratifying to know that through our efforts, lives of little children have been forever altered by the miracle of their recovery at the caring hands of the Children’s Hospital. Interaction with the children who have experienced the miracle of MUSC will open your heart to positively change your life. One of my fondest memories is little Sam Stephens reaching out to grab my finger at the Bulls Bay fund-raiser saying, “Thank you, Mr. Paul.” One of my prized possessions is my picture of Brandon Peek cutting the ribbon with us at the MUSC Children’s Hospital Miracle House. “Volunteering your time and donating resources to support the Children’s Hospital is a spiritually rewarding experience in which your efforts truly make a difference in the lives of both the families and children who call upon us for help. As much as the children represent our future, your generosity today ensures the continuity of our legacy of miracles for generations to come.” Paul Hulsey Chairman, Advisory Board Children’s Hospital Fund, 2011-2012 54 Children’s Hospital Fund The Children’s Hospital Fund helps to provide the children we care for, and their families, with the best possible health care experience through the facilitation and development of programs within the Children’s Hospital. Since its inception, the Children’s Hospital Fund has enlisted community support for three primary purposes. The first is to support research in the prevention and treatment of childhood diseases. The second purpose is to support the development of treatment programs within the Department of Pediatrics. This function includes the recruitment of specialized physicians in order to expand the range of treatment available to our patients. The third purpose is to support the child life division at MUSC Children’s Hospital with toys, games, art supplies and other materials to entertain children and make their visit more pleasant. Over the years, generous donors have provided more than $30 million to make possible the establishment of outstanding divisions, such as hematology/oncology, endocrinology, gastroenterology/nutrition, critical care, cardiology and the pulmonology division. Our current commitments are geared toward the expansion of the nephrology and oncology divisions and establishing an endowed chair in pediatric cardiac advanced imaging. The community has also played a significant role in the building of the Darby Children’s Research Institute, which is one of 15 research centers in the country dedicated to children’s research. This campaign provided $18 million in funding and over the past five years there have been more than 600 new research discoveries. All of this has been made possible through the generous support of donors who have given unselfishly, often knowing they will never need our help. Each gift, large or small, to the Children’s Hospital Fund makes it possible for us to carry on our work, and we appreciate the support of all of our friends in the community and across the region. 55 56 children’s hospital fund board A heart-felt thank you to the following Children’s Hospital Fund board members for their tireless efforts and commitment to the children of South Carolina and beyond. Jimmy Bagwell Meredith Dunnan Paul Hulsey Sallie Pritchard Tommy Baker Robert Faith Jim Keyes Carolyn Rider Ronnie Banks Tom Finnegan David J. Kreber Neil Robinson Eric Bradshaw Dave Gabriel Christine Landers Darius Rucker Peter Bristow Helen Geer Greg Ley Beth Rucker Peter Brown Dr. Steve Glazier Doug McElveen H.S. Russell Frank Bullard Mary Greenwell John McGrath Dr. J. Philip Saul George Bullwinkel Alene Grevey Brett McKee Beth Simmons John Ashley Cooper Jeannie Hall Earl McMillen Dr. Inderjit Singh Sue Crawford Elizabeth Hancock Mike McShane Jim Smith Bobby Cremins Bobby Harrell John Mistretta Laurie Lynn Smith Charles Dana Cathy Harrell Buddy Morgan Doug Warner C.P. Darby, III Jennifer Hebra Sandra Oberman Lisa Weitz Spencer Deering Terri Henning Michael Porcaro Tony Woody Circle of Champions MUSC Children’s Hospital Circle of Champions is a group of parents, businesses and other friends united by one mission. That mission and common motivation is to ensure that young people in South Carolina have access to the world’s best medical care and treatment options, through MUSC Children’s Hospital. Members of the Circle of Champions help us: • Provide our physicians, nurses and other caregivers with the resources they need to perform their jobs at the highest level possible • Create a warm and comforting environment for our young patients and their families • Build and maintain state-of-the-art facilities, allowing us to manage highly complicated cases that perhaps could not be treated elsewhere • Explore new treatments and cures for serious childhood illnesses such as cancer, diabetes, heart disease and others • Develop new ways to reach and serve our young patients, not only here in our hospital but also throughout the entire state. 57 Friends of MUSC Children’s Hospital The purpose of the Friends of MUSC Children’s Hospital is to raise funds for, and enhance community awareness of, the exceptional care delivered at the MUSC Children’s Hospital. Friends of MUSC Children’s Hospital provide a social fabric for individuals to participate in fun-filled activities that benefit the Children’s Hospital. To learn more about the Friends of MUSC Children’s Hospital and to view a calendar of upcoming events, visit www.friendsofmuscchildrenshospital.org. Children’s Hospital Fund Events The Children’s Hospital Fund offers a variety of special fundraising events throughout the year that benefit MUSC Children’s Hospital and the Department of Pediatrics. You can get involved through a corporate sponsorship, in-kind donations, organizing your own fundraiser or attending one of these fun events. January April June November • Change Bandits • Rite Aid Children’s • Publix Children’s • Holiday Card Sales Start • Radiothon with Miracle Network Miracle Network Program Campaign • ESPN Charleston Classic WEZL & Y102.5 • Cooper River February • Chase After a Cure Gala • Darius Rucker Big Band Concert • Wal-Mart Day at the Children’s Hospital, MUSC Wellness Center • National Pancake Day at IHOP March • Beards for Babies • Bi-Lo Round Up for Kids • Charleston Fashion Week Luncheon • Chick-fil-A Round Up Campaign • College of Charleston Dance Marathon • Masterminds for Life 58 Bridge Run • Nucor Steel Golf Tournament Miracle Network December Campaign • Reindeer Run • Knology Golf Tournament May • Banana Open Jr. Basketball Tournament • Food Lion Children’s • Klays for Kids Sporting Klays Tournament • Sixth Annual MercedesBenz/Baker Motor Company Golf Challenge at Bulls Bay Tennis Challenge in Hilton Head • Wal-Mart and Sam’s Club Children’s Miracle July For information on how • Monica Kreber Golf to participate, volunteer Tournament Network Campaigns • Costco Children’s Miracle Network Campaign or sponsor one of these events, contact Wanda August Bazemore, director • Fishing for Miracles of major events at October • Children’s Miracle Network Fall Conference • Holiday Card Program Kick-off bazemore@musc.edu. Get Involved We would not be the successful pediatric health care organization that we are today without the generous support of so many individuals, groups and businesses. Through donations of time, funds, goods and services, our children’s hospital remains a thriving, growing and caring institution, built by and for our community. Many members of our community support our child life division by giving toys, games, art supplies and other materials to entertain children and make their visits more pleasant. While, others give monetarily to the Children’s Hospital Fund, providing essential funds to allow researchers at the Charles P. Darby Children’s Research Institute to discover ways to prevent and treat childhood diseases. There are so many ways to donate to MUSC Children’s Hospital. To learn more about supporting MUSC Children’s Hospital, visit www.musckids.com/giving. Volunteer Programs At MUSC Children’s Hospital, we treasure our volunteers. From providing companionship for our children to assisting clinical and hospital staff with administrative tasks, our volunteers help fulfill our mission of providing the best quality health care for the children and families we serve. Volunteers develop and implement programs to meet many otherwise unmet physical and emotional needs of patients and their families. There are a variety of volunteer opportunities available for anyone over the age of 16. For more information, or to learn more about the application process for volunteering at MUSC Children’s Hospital, please visit our website at www.musckids.com/volunteers. Weekly Placements: Short-Term Opportunities: • Atrium • MUSiC • Family Meals • Therapy Dolls • Born to Read • Outpatient Placements • Heart Health • Blankets • Gentle Journeys • Pet Therapy • Lean Team • Happy Halls • Happy Wheels • Special Care Volunteers • Sewing Projects • Healing Hands • Unit-based Placements • A Case for Smiles • Lunch Buddies Volunteer Advisory Committee The Volunteer Advisory Committee is a group of volunteer community leaders dedicated to MUSC Children’s Hospital and the patients we serve. Members help develop and implement programs and activities that enable MUSC Children’s Hospital volunteers and staff to provide best-in-class service to patients and their families. Notably, the committee awards more than $10,000 annually in grants to hospital projects dedicated to improving the care of patients and the hospital experience for all that visit. 59 FACTS & figures patient care research education Admissions: 5,340 Number of grants: 93 Ambulatory visits: 69,153 Principal Investigators: 43 Number of residency tracks: 23 Anesthesia cases: 8,100 Researchers & staff: 150 Number of fellowship programs: 7 Child abuse & neglect cases: 1,600 New discoveries since 2007: 600+ Number of residents: 49 Pediatric ER visits: 20,135 Laboratory modules: 150 Number of fellows: 28 Clinical faculty: 97 Number of beds: 185 Clinic visits: 100,000 MUSC Children’s Hospital provides all the transplants for children in the state. MUSC Children’s Hospital is home to South Carolina’s Heart Center. MUSC Children’s Hospital is home to the state’s only burn program for children. MUSC Children’s Hospital emergency department was ranked as the ninth best pediatric emergency care facility in America by Child magazine. No child, rich or poor, is denied the finest medical care available. Interested in learning more?? Visit musckids.com 60 Follow us on: MUSC Children’s Hospital department of pediatrics 135 rutledge avenue • charleston, sc 29425 • 843.792.3876 www.musckids.com
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