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Facilities and Rotations

Atrium Health Levine Children’s Hospital

Atrium Health Levine Children's Hospital (AHLCH) is located on the campus of Carolinas Medical Center. We are very much a freestanding children's hospital; except for the cafeteria and the laboratory, all services are pediatric-specific. We have Child Life specialists, pediatric phlebotomy, pediatric medical assistants, and medical interpreters assigned solely to the children’s hospital. AHLCH serves as a primary and secondary source of healthcare for children in the city of Charlotte. The hospital also acts as a tertiary care regional referral center for the greater Charlotte metropolitan area which has a population of over one million people. We are the busiest children’s hospital in the Carolinas, located in the biggest city in the Carolinas.

Children’s Hospital Inpatient Pediatric Specialists

Our Children’s Hospital Inpatient Pediatric Specialists (CHIPS) teams see over 11,500 patients annually. There are two attending-APP teams and two resident teams. Patients are distributed evenly in the order of presentation, allowing for variety in diagnosis and acuity on each team. The resident teams consist of one PL-2, one family medicine PL-1, and one pediatrics PL-1. Each PL-1 is capped at 8 CHIPS patient +1 endocrinology teaching patient staffed directly with our Endocrinology faculty. The PL-3 serves on the admitting team during the day. At night, our PL-3 “Nighthawk” covers the heme-onc, newborn nursery, GI, and nephrology services, as and assists the CHIPS resident teams. There is 24-hr in-house CHIPS attending coverage for the hospitalist teams. The most common conditions we see on CHIPS are BRUE, neonatal fever, hyperbilirubinemia, bronchiolitis, asthma, suicidal ideation, suspected child abuse, and disordered eating. Our residents complete 8 months of CHIPS: 3 months as PL-1s and 3 months as team-leading PL-2s, and 2 months of Ward Chief / Nighthawk as PL-3s.

Pediatric Intensive Care Unit

The Ricky Hendrick Center for Intensive Care is a combined PICU/CVICU with 1500 annual admissions. We have a Level I Pediatric Trauma designation and see all pathophysiology, including complex pediatric trauma including traumatic brain injury, multisystem organ failure, solid organ transplant, complex BMT, severe septic shock, ARDS, and renal failure, utilizing all methods of critical care support including ECMO, high frequency oscillatory ventilation (HFOV), neutrally adjusted ventilatory assist (NAVA), and continuous renal replacement therapy (CRRT). Our PICU severity of illness ranks in the top 5% nationally. There is 24-hr in-house attending coverage of the PICU. The CVICU is staffed by CVICU-trained intensivists and an Advanced Practice Provider (APP).

 The PICU team is comprised of two pediatric residents, one or two emergency medicine residents, medical students, and an attending ICU physician. PICU Rounds are multidisciplinary featuring the intensive care physician, charge nurse, respiratory therapist, and pharmacist, as well as the bedside nurse, resident, and the patient’s family. Our residents complete 2 months of PICU, one as a PL-2 and one as a PL-3.

Newborn Nursery

There are approximately 7,000 deliveries at CMC each year. On a typical day, our newborn nursery team consists of 2 attending physicians, 3 advanced practice providers, a Family Medicine PL-1, a Pediatrics PL-1, and a Pediatrics PL-3 residents. The on-call resident attends low-risk deliveries in the mornings along with the NICU delivery team.

The 53-bed Neonatal Intensive Care Nursery (NICN) admits about 1,000 infants each year. The nursery serves as a regional referral center for the subspecialty care of all newborns including those who have need for ECMO, pediatric surgery, and pediatric cardiology evaluation and surgery. NICU infant care is provided by a team of neonatal nurse practitioners (NNPs) and a team of residents and is supervised by neonatologists. The PL-1 and PL-2 function independently and typically carry 10 patients. The PL-1 is assigned to a general neonatal nursery, while the PL-2 is assigned to the cardiac neonatal nursery. The neonatologist rounds with one NNP and one intern. One of residents’ favorite educational experiences is the morning lecture. The residents are usually outnumbered by NICU attendings, and they cover topics including an orientation to the delivery room, neonatal circulation, and the transition to

The 32-bed Neonatal Progressive Care Nursery (NPCN) serves as a "step down" unit for the NICN and provides care for growing neonates who no longer need intensive care. This is staffed by neonatal nurse practitioners.

Pediatric Clinics

Atrium Health Myers Park Pediatrics

Serving as the site for the Levine Children’s Hospital Pediatric Residency’s continuity clinic, Myers Park Pediatrics is the largest safety net provider in the region. Our patient base is primarily Medicaid and Self pay, and we see patients from birth until 18 years old. Providing both well child preventive care and acute care visits, Myers Park averages approximately 27,000 visits per year and provides approximately 41,000 immunizations per year. Support services include on site social workers, a nutritionist, in house Spanish interpreters, clinical pharmacists, and community case managers.

The continuity clinic experience is an important part of the residency curriculum. Each resident is assigned to a team and will see their own panel of patients one ½ day per week. This allows for the opportunity to establish and maintain relationships with their patients and families.  Ambulatory months are spent seeing a combination of acute care visits and visiting different subspecialty clinics. 

The residents in our program make a significant contribution to the many quality initiatives going on at Myers Park Pediatrics. This includes projects such as Reach Out and Read, Toxic Stress and Resilience, Blood Pressure Monitoring, MeckBasics, Firearm Safety, and more. Residents will also have the opportunity to participate in great programs including the 5210 Childhood Healthy Habits Clinic, Asthma Clinic, Medical Legal Partnership, Integrative Behavioral Health, and more. 

Children’s Specialty Center

Atrium Health Levine Children’s Subspecialty Center is the located on the campus of Carolinas Medical Center. While all of our pediatric clinics have satellite locations in greater Charlotte, this is the central location for most of our subspecialty clinics. Cardiology, Gastroenterology, Genetics, Infectious Disease, Nephrology, Orthopedics, Pulmonology, Rehabilitation, Rheumatology, and Surgery hold clinic in the subspecialty center. In addition to elective opportunities, our residents rotate through select subspecialties as part of their ambulatory clinic months.

Teen Health Connection

Teen Health Connection is the leading provider of specialized medical and mental healthcare for adolescents and young adults, ages 11-25, in the Charlotte region. Our physicians and adolescent experts provide comprehensive, integrated care and support services to meet those needs in a safe, family-oriented environment. Teen Health Connection also offers consultative services to help primary care providers in the community offer reproductive healthcare, and depression and anxiety medication management.

Teen Health Connection is also the home of the Atrium Health Levine Children’s Center for Gender Health. Our physicians and mental health clinicians use an integrative, gender affirming approach to provide quality, comprehensive and compassionate family-centered care to transgender and gender- expansive children, adolescents and young adults up to 25 years old.

Residents complete their Adolescent medicine rotation as PL-1s, and have the option to complete an office-based preceptorship at Teen Health Connection.