Summary
From the hospital to pediatric offices to educational programs, Carilion Children's is all about kids. Our mission is to improve the health of all kids—in every community we serve, in hundreds of different ways. We're here with clinical expertise and compassionate care to make sure each generation is healthier than the last.
About the department
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Virginia Tech Carilion Partnership
The Department of Pediatrics at Carilion Clinic and the Virginia Tech Carilion School of Medicine is a team of 90 providers who treat infants, children and adolescents in pediatric medicine practices, at specialty clinics and at Carilion Children's Hospital. The department's mission is to improve the health and well-being of all children in our community. We work to meet our mission by leveraging research, education, advocacy, access and community health programs and partnerships at the local, regional, state and national levels. Our community of approximately 1 million people is served by Carilion Clinic, with Carilion Children's having more than 100,000 medical encounters each year. Our department strongly supports the concept of integrated teams of health professionals. We see medical students as an important part of health care teams that also include physicians, residents, physician assistants, nurses, respiratory therapists, social workers and child life specialists, among others.
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ALL KIDS

  • Our mission is to improve child health and well-being in the communities we serve.

ALL SERVICES

  • Carilion Children's employs nearly 500 medical professionals who specialize in caring for children. 

ALL IN

  • Carilion Children's is a group of medical professionals, organizations and community members who have come together to care for children in our region.
Message From Leadership

Carilion Children's Professional REACH Network exists to share up-to-date research, education, advocacy opportunities and access initiatives with regional clinicians who are working to improve child health.

 

 

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Donald W. Kees, M.D.
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Donald W. Kees, M.D., interim chair of Pediatrics, Carilion Children's Hospitalist

Dept Spec Program Size
92-bed Children's Hospital (HwH)
350 employed skilled professionals
Dept Spec Specialties within Department
Pediatric Allergy and Immunology
Pediatric Behavioral Medicine
Pediatric Cardiology
Pediatric Therapies
Child Development
Pediatric Endocrinology
Pediatric Gastroenterology
General Pediatrics
Clinical Genetics
Pediatric Hematology and Oncology
Neonatology
Pediatric Neurology
Pediatric Palliative Care
Pediatric and Adolescent Gynecology
Pediatric Critical Care
Pediatric Pulmonology
Pediatric Hospital Medicine
Dept Spec Areas We Serve
Roanoke
Lynchburg
Christiansburg
Daleville
Dept Spec Quick Facts
Largest dedicated Pediatric In-patient hospital in southwest Virginia
Third-largest Neonatal Intensive Care Unit in Virginia
First regional Emergency Department devoted to caring for acutely ill and injured children
Only Pediatric Intensive Care Unit in western Virginia
Dept Spec Awards
4-time Magnet-dedicated facility, Children's Hospital
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Overview

Carilion Children's offers the region's only children's hospital providing intensive care, outpatient services and primary care to southwestern Virginia, West Virginia, Tennessee and North Carolina. Our full-service 92-bed "hospital within a hospital" includes a regional level IIIB Neonatal Intensive Care Unit (NICU) for 60 newborns, a Pediatric Intensive Care Unit (PICU) and an inpatient unit, all specially designed for children. Carilion Children's is western Virginia's only Pediatric Level 1 Trauma Center with advanced medical transport units and a emergency department devoted to acutely ill or injured children. 

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Childhood Adversity
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Building Resilience in Childhood to Battle Adversity
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Originally presented by J. Eric Vance, M.D., associate professor in Psychiatry, Carilion Clinic, VTCSOM, at Carilion Children's Grand Rounds.

Learning Objectives:
1. Identify common risk factors and protective factors for child development.
2. Describe neuroendocrine and brain pathways for stress and resilience.
3. Recommend specific interventions and medical approaches to build resilience.

Category 1 CME credit has been approved for this enduring material from January 1 through December 31, 2019. Click the notes section in the video for the CME link.
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A Sweeping Review
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Primary Ciliary Dyskinesia: A Sweeping Review
Summary
Originally presented at Carilion Children's Grand Rounds by Andrea Garrod, M.D., assistant professor of Pediatrics, Division of Pediatric Respiratory Medicine, UVA Learning

Objectives:
1. Identify patients with clinical features consistent with primary ciliary dyskinesia (PCD)
2. Differentiate clinical, diagnostic, and prognostic features between cystic fibrosis and PCD
3. Recite the appropriate work up to make the diagnosis of primary ciliary dyskinesia

Category 1 CME credit has been approved for this enduring material from January 1 through December 31, 2019. To receive CME credit for watching this video, click on the survey in the "notes" section of the video.
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Hellen Taussig
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Names & Faces from Pediatrics' Past
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Presented at Carilion Children's Grand Rounds by: Hugh Craft, M.D., M.P.H., F.A.A.P., Carilion Pediatric Associates, Carilion Children's

Learning Objectives:
1. Describe some important figures in the history of pediatrics
2. Describe some important historical advances in pediatrics

Category 1 CME credit has been approved for this video. To receive credit please complete the survey in the notes section of this video.
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Publications
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Research
Research Summary
Carilion Children's faculty oversee a range of clinical trials.
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Pediatric Oncology

Newly Diagnosed AML

A Phase III randomized trial for patients with de novo AML using Bortezomib and Sorafenib (IND#114480; NSC# 681239, NSC# 724772) for patients with high allelic ratio FLT3/ITD.
PROTOCOL ID
COG # AAML1031

Protocol Description

This study is for newly diagnosed patients with acute myeloid leukemia (AML). AML is a cancer of the bone marrow, the spongy tissue inside the bones of the body where blood cells are made.

Eligibility Criteria

  • Patients must be less than 30 years of age at the time of study enrollment
  • Be newly diagnosed with AML
  • Agree to have bone marrow specimens sent to special COG labs prior to the start of treatment and at various times during treatment
  • Patients with Down syndrome are not eligible

Primary Investigator: Mandy Atkinson, M.D.

Contact

Wendy McCarty, Clinical Research Coordinator
540-981-7376
wpmccarty@carilionclinic.org

Newly Diagnosed Ependymoma

A Phase III randomized trial of post-radiation chemotherapy in patients with newly diagnosed ependymoma ages 1 to 21 years.
PROTOCOL ID
COG # ACNS0831

Protocol Description

This study is for patients newly diagnosed with ependymoma. Ependymoma is a type of cancer that occurs in the brain. This slow-growing tumor begins in cells that line the fluid-filled spaces of the brain (called ventricles) or the fluid-filled space down the center of the spinal cord (the central canal). The current standard of treatment for newly diagnosed ependymoma includes surgery to remove as much of the tumor as possible, and radiation therapy.


This study wants to see if a short course of chemotherapy therapy can kill any remaining tumor cells for patients whose tumor was only partially removed by surgery. Treatment with chemotherapy after surgery is experimental. This study also wants to see if patients whose remaining tumor was killed by the short course of chemotherapy and/or removed by a second surgery and whose tumor was not in the upper part of the brain and does not have favorable-looking cells. See if treatment with chemotherapy after radiation therapy will work better than standard treatment to keep the tumor from coming back. Treatment with chemotherapy after radiation therapy is experimental.

Eligibility Criteria

  • Patients must be greater than 12 months of age and less than 21 years of age at the time of study enrollment
  • Patients must be newly diagnosed with intracranial ependymoma. Patients with classic ependymoma (WHO II) or anaplastic ependymoma (WHO III) are eligible, as are various subtypes described as clear cell, papillary, cellular or a combination of the above.
  • Patients with evidence of metastatic disease by MRI or CSF cytology are NOT eligible

Primary Investigator: Mandy Atkinson, M.D.

Contact

Wendy McCarty, Clinical Research Coordinator
540-981-7376
wpmccarty@carilionclinic.org

Newly Diagnosed High-Risk B Precursor ALL

A Phase III randomized trial for newly diagnosed high-risk B-precursor acute lymphoblastic leukemia (ALL) testing clofarabine (IND # 73789, NSC # 606869) in the very high risk stratum.
PROTOCOL ID
COG # AALL1131

Protocol Description

This study is for newly diagnosed high-risk and very high-risk acute lymphoblastic leukemia (ALL) with or without Down Syndrome. Leukemia is cancer of blood cells. It develops in the bone marrow, which is the soft, spongy center of the bones that produces the three major blood cells.

Eligibility Criteria

Patients must be enrolled on AALL08B1 prior to enrollment on AALL1131.
White Blood Cell Count (WBC) Criteria

  • Age 1-9.99 years: WBC ³ 50 000/_L
  • Age 10-30.99 years: any WBC
  • Age 1-30.99 years: any WBC with:
    • Testicular leukemia
    • CNS leukemia (CNS3)
    • Steroid pretreatment

Primary Investigator: Mandy Atkinson, M.D.

Contact

Wendy McCarty, Clinical Research Coordinator
540-981-7376
wpmccarty@carilionclinic.org

For additional information on Children's Oncology studies, please visit Children's Oncology Group.

Newly Diagnosed Standard Risk B Precursor ALL

Treatment for patients with newly diagnosed standard risk B-precursor acute lymphoblastic leukemia (ALL).
PROTOCOL ID
COG # AALL0932

Protocol Description

This study is for patients with newly diagnosed standard risk B-precursor acute lymphoblastic leukemia (ALL)

Eligibility Criteria

•    Patients must have newly diagnosed NCI standard risk B-precursor ALL
•    Patients must be older than 365 days and younger than 10 years of age
•    Patients must be enrolled on AALL08B1 prior to enrollment on AALL0932
•    Patients must have an initial white blood count of less than 50,000
•    Patients with Down Syndrome are eligible

Primary Investigator: Mandy Atkinson, M.D.

Contact

Wendy McCarty, Clinical Research Coordinator
540-981-7376
wpmccarty@carilionclinic.org

Treatment of Children with All Stages of Hepatoblastoma

PROTOCOL ID
COG # AHEP0731

Protocol Description

This study is for patients with hepatoblastoma. Hepatoblastoma is a type of cancer that occurs in the liver. Researchers now know that there are some features of hepatoblastoma that may help predict how children will respond to therapy. Factors that affect how well a child with hepatoblastoma will do include:

  • Whether the tumor can be completely removed by surgery
  • Whether the tumor or cancer cells have spread to other parts of the body (metastasized)
  • How quickly a protein in the blood called alpha-fetoprotein (AFP) is decreased during treatment for hepatoblastoma; AFP is often very high in certain cancers, such as hepatoblastoma
  • The appearance of tumor cells under the microscope

Researchers know that children need different treatments based on the factors associated with the tumor. These factors determine the risk of the tumor coming back. This study will group children as having a very low-risk, low-risk, intermediate-risk or high-risk disease. This study will try to learn more about the factors that lead to a good or a poor chance of recovery (prognosis) for children. We want to develop effective treatments that will increase the overall success rate and decrease the side effects of the therapy.

Eligibility Criteria

  • Patients must be ≤ 21 years of age at the time of diagnosis
  • Patients may have had surgical resection of some or all sites of hepatoblastoma prior to enrollment
  • Patients must be newly diagnosed with histologically-proven hepatoblastoma except for patients too ill to undergo a biopsy safely

Primary Investigator: Mandy Atkinson, M.D.

Contact

Wendy McCarty, Clinical Research Coordinator
540-981-7376
wpmccarty@carilionclinic.org

Pediatric Gastroenterology

Eosinophilic Esophagitis (SHIRE 301)

Oral budesonide suspension (OBS) in adolescent and adult subjects (11-55 years of age, inclusive) with eosinophilic esophagitis: A Phase III randomized, double-blind, placebo-controlled study.

Protocol Description

To evaluate the safety and efficacy of OBS treatment administered twice daily for 12 weeks in adolescents.

Eligibility Criteria

Ages 11-17, with histologic evidence of EoE with a peak eosinophil count of >15/HPF, from two of three levels of the esophagus.

Primary Investigator: Michael Hart, M.D.

Contact

Christy Florow, Clinical Research Coordinator
540-985-9723
cmflorow@carilionclinic.org

Functional Constipation (LIN-MD-62)

A multi-center, randomized, double-blind, placebo-controlled, parallel-group, safety and efficacy study of a range of Linaclotide doses administered orally to children, ages 6-17 years, who fulfill modified Rome III criteria for child/adolescent functional constipation (FC).

Protocol Description

Multi-center, randomized, double-blind, placebo-controlled, parallel-group, safety and efficacy study comparing one of three Linactolide doses with placebo in pediatric patients, ages 6 to 17, with a functional constipation diagnosis.

Eligibility Criteria

  • Ages 6-17
  • Able to read and understand the assessments in the e-diary
  • Must meet Rome III criteria for child/adolescent functional constipation
  • Must be compliant with e-diary

Primary Investigator: Michael Hart, M.D.

Contact

Christy Florow, Clinical Research Coordinator
540-985-9723
cmflorow@carilionclinic.org

Irritable Bowel Syndrome and Functional Constipation (LIN-MD-63)

A multi-center, randomized, double-blind, placebo-controlled, parallel-group, safety and efficacy study of a range of Linaclotide doses administered orally to children, ages 7-17 years, with irritable bowel syndrome with constipation (IBS-C).

Protocol Description

Multi-center, randomized, double-blind, placebo-controlled, parallel-group, safety and efficacy study comparing one of three Linactolide doses with placebo in pediatric patients, ages 7 to 17, with IBS and functional constipation diagnosis.

Eligibility Criteria

  • Ages 7-17
  • Able to read and understand the assessments in the e-diary
  • Must meet Rome III criteria for child/adolescent IBS-C
  • Must be compliant with e-diary

Primary Investigator: Michael Hart, M.D.

Contact

Christy Florow, Clinical Research Coordinator
540-985-9723
cmflorow@carilionclinic.org

Ulcerative Colitis (MESALAMINE)

A Phase III, multi-center, randomized, double-blind study to determine the safety and efficacy of MMX® Mesalamine/Mesalazine in pediatric subjects with mild to moderate ulcerative colitis, in both acute and maintenance phases.

Protocol Description

To evaluate the safety and tolerability of a low and high dose of Mesalamine in children and adolescents with mild to moderate ulcerative colitis.

Eligibility Criteria

  • Ages 5-17
  • Diagnosed with mild to moderate ulcerative colitis
  • Able to swallow the study drug whole

Primary Investigator: Michael Hart, M.D.

Contact

Christy Florow, Clinical Research Coordinator
540-985-9723
cmflorow@carilionclinic.org

Bowel Cleansing Prep (BLI800)

A Safety and Efficacy Study of a Bowel Cleansing Preparation (BLI800) in Pediatric Subjects Undergoing Colonoscopy.

Protocol Description

To compare the safety, tolerance and efficacy of BLI800 to NuLytely as bowel preparation prior to colonoscopy in adolescent patients.

Eligibility Criteria

  • Male or female subjects between the ages of 12-16 (inclusive)
  • Undergoing colonoscopy for routinely accepted indications
  • Negative pregnancy test as screening, if applicable

Primary Investigator: Michael Hart, M.D.

Contact

Christy Florow, Clinical Research Coordinator
540-985-9723
cmflorow@carilionclinic.org

Pediatric Pulmonology

Pneumonia Study for Adolescents (CEMPRA)

A Phase 2/3, randomized, open-label, multi-center study to determine the safety and efficacy of Solithromycin in adolescents (12-17 years of age, inclusive) and children (≥2 months to <12 years of age) with suspected or confirmed community-acquired bacterial pneumonia.

Protocol Description

This is a Phase 2/3, randomized, open-label, active control, multi-center study to assess the safety and efficacy of solithromycin in children and adolescents with CABP. After informed consent/assent is obtained, subjects will be randomized to receive solithromycin or a comparator drug, administered by mouth (PO) based on weight and age. Pharmacokinetic samples will be collected to assess solithromycin disposition in subjects with CABP. The duration of participation, from the signing of the informed consent form and assent (if applicable), will be up to 40 days.

Eligibility Criteria

  • Written informed consent from parents or other legally acceptable representatives and informed assent from subject (if age appropriate according to local requirements)
  • ≥2 months to 17 years of age, inclusive
  • Requiring hospitalization, emergency room or urgent care visit
  • Presence of CABP

AND

  • Presence of at least 1 of the following:
    • Leukocytosis (≥12,000 white blood cells [WBC]/mm3)
    • Leukopenia (<5000 WBC/mm3)
    • ≥10% immature neutrophils (bands) regardless of total peripheral WBC
    • Elevated inflammatory markers (C-reactive protein or procalcitonin)
    • Oxygen saturation <97% on room air
    • Organism consistent with a typical respiratory pathogen identified from a blood culture or isolated from an appropriate respiratory culture/polymerase chain reaction (sputum in children old enough to produce an acceptable specimen; sample from the lower respiratory tract airways, if performed [e.g., bronchoalveolar lavage]; or pleural fluid culture)

Exclusion Criteria

  • Confirmed or suspected respiratory tract infection attributable to sources other than community-acquired bacterial pathogens (e.g., ventilator-associated pneumonia; hospital-acquired pneumonia).
  • Received >48 hours of potentially effective systemic antibacterial therapy for CABP immediately prior to randomization (exception: clinical or microbiological treatment failure or progression of signs or symptoms of CABP as determined by the investigator).
  • Confirmed or suspected bacterial meningitis.
  • Known active pulmonary tuberculosis.

Primary Investigator: Andre Muelenaer, M.D.

Contact

Kellie Hirt, Clinical Research Coordinator
540-985-9934
kehirt@carilionclinic.org

Faculty
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Residencies Intro
Our program offers a comprehensive curriculum that prepares residents for general or subspecialty practice. Carilion Children’s Hospital is the only dedicated children’s hospital in southwest Virginia and has a catchment area of 1 million people. The hospital-within-a-hospital has a 24-bed pediatric ward, 8-bed PICU, 60-bed NICU, a dedicated pediatric Emergency Department, a pediatric and neonatal transport team, pediatric therapies, seven primary care clinics and 19 subspecialty care clinics.

The Carilion Clinic - Virginia Tech Carilion School of Medicine Pediatric Residency program is accredited by the American Council for Graduate Medical Education. We also participate in the National Residency Matching Program.

Residents have the opportunity to work closely with the students and research scientists from the Virginia Tech Carilion School of Medicine
and the Fralin Biomedical Research Institute. The public-private partnership leverages Virginia Tech’s world-class strength in basic sciences, bioinformatics and engineering with Carilion Clinic’s highly experienced medical staff and rich history in medical education.

Our focus is to train pediatricians who will be equipped to begin a career in general pediatric practice or to confidently enter into fellowship training. We have six residents per year, which allows for individual attention to each resident's educational needs and professional goals.
Residencies

Pediatrics Residency

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Summary
Our focus is on training pediatricians who will be ready for general practice or fellowship training. We have six residents per year, which allows for individual attention to each resident's educational needs and professional goals.
About the Residency or Fellowship
Virginia Tech Carilion Partnership
Residents have the opportunity to work closely with the students and research scientists from the Virginia Tech Carilion School of Medicine and Fralin Biomedical Research Institute at VTC. The public-private partnership leverages Virginia Tech’s world-class strength in basic sciences, bioinformatics and engineering with Carilion Clinic’s highly experienced medical staff and rich history in medical education.
Mission Goals Strengths

As a program, we endeavor to uphold the mission of Carilion Clinic to improve the health of the communities we serve by training excellent pediatricians. Our goals align with Carilion Clinic’s core values of Collaboration, Courage, Commitment, Compassion and Curiosity.  

  • Collaboration: At Carilion Children’s, our patients are not treated by a doctor, but by an interdisciplinary team of experts who work together to provide the best possible care to reach the best possible outcomes. Our program develops pediatricians who value interprofessional collaboration and team-based patient care that includes patients and their families as part of the team. 

  • Courage: We train pediatricians who have the courage to practice in an ever-changing world, who have the fortitude to represent and protect their patients’ best interests, and who uphold our oath to “do no harm.” 

  • Commitment: We are committed to training residents who are not only knowledgeable about pediatric medicine, but who are skilled in practicing medicine in a humanistic and family-centered manner that recognizes the individual experiences, needs and beliefs of our patients. We are also committed to providing a safe and inclusive learning environment that respects the diverse backgrounds of our residents, faculty, and students, and we value the role that these experiences play in creating outstanding physicians. 

  • Compassion: As pediatric physicians, we practice with the utmost compassion for our patients and families. We are privileged to be entrusted with their care throughout their lives and, particularly, in some of their hardest times.  

  • Curiosity: We believe that curiosity is a key part of training successful pediatricians. We encourage our residents to embrace their curiosity in their daily care by looking at patients and problems holistically, and to nurture it further through taking advantage of the research opportunities available in the hospital and in partnership with Virginia Tech.  

We are seeking applicants who identify with and embody these values. If you feel that you connect with these values, we encourage you to consider becoming a team member in our program. 

Message From Leadership

Welcome to the Carilion Virginia Tech Pediatric Residency! Our program offers a robust clinical experience from a wide socioeconomic and cultural catchment area, while being situated in a beautiful mountain community in southwest Virginia. We are proud to prepare our residents for careers in primary care pediatrics as well as for fellowships across the disciplines. Our small program allows for individualized learning plans that are supported within our own medical community and contain the freedom to explore away electives when auditioning for or exploring fellowship opportunities. We are proud to have a family feel to our program while also offering excellent patient care experiences. Carilion Clinic is a world-class employer, and our faculty and residents benefit from numerous offerings such as our TEACH academy, where a vigorous curriculum supports our teaching skills and knowledge. We are proud of our alumni and current residents, and we are excited to continue building on to this legacy with our next class!

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Dr. Kelly Henchel
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Kelly Henchel, M.D.
Program Director
540-981-7776

Department Specs
Carilion Children’s is the only dedicated children’s hospital in southwest Virginia and serves a referral population of 1 million people. Carilion Clinic is a not-for-profit institution which serves a large rural population as well as urban, suburban and refugee communities.

The pediatric units are composed of a 24-bed pediatric ward, 8-bed PICU, 60-bed NICU and a dedicated pediatric emergency department. Our patients benefit from the services of a pediatric and neonatal transport team, pediatric therapies, seven primary care clinics and over 20 subspecialty clinics as detailed below.

The Carilion Clinic - Virginia Tech Carilion School of Medicine Pediatric Residency program is accredited by the American Council for Graduate Medical Education. We also participate in the National Residency Matching Program.
Dept Spec Program Size
Class size: 6
Current residents: 17 (6/5/6)
Dept Spec Subspecialties
Adolescent Medicine
Anesthesiology
Cardiology
Developmental Pedatrics
Endocrine
Gastroenterology
Genetics
Hematology/Oncology
Neonatology
Nephrology
Neurology
Neurosurgery
Ophthalmology
Orthopedics
Otolaryngology
Pediatric Critical Care Medicine
Physical Therapy/Occupational Therapy/Speech-Language Pathology
Psychiatry/Psychology
Pulmonology
Dept Spec Population Served
Catchment area is 1 million people
Urban, rural, suburban and refugee
Dept Spec Teaching Opportunities
Residents will teach M3, M4, and PA students on all inpatient rotations.
Residents will teach M3 and M4 students in outpatient general and subspecialty clinics. TEACH (Teaching Excellence Academy for Collabotative Healthcare)
Residents lead teaching conferences every Tuesday and Friday.
Opportunities to present scholarly work at local, regional, state and national conferences.
TEACH (Teaching Excellence Academy for Collaborative Healthcare)
Dept Spec Volunteer Opportunities
Read, Feed and Grow
Camp Too Sweet Diabetes Camp
Asthma Camp
Carilion Children's Family Camp
Bradley Free Clinic
Local sports physicals
Dept Spec Quick Facts
We have a total of 68 faculty, with 53 core faculty. Our faculty have fellowship training in:
- Adult Congenital Heart Disease
- Clinical Genetics
- Developmental-Behavioral Pediatrics
- Electroencephalography
- Neonatology
- Neonatal-Perinatal Medicine
- Pediatric Cardiology
- Pediatric Critical Care
- Pediatric Endocrinology
- Pediatric Gastroenterology
- Pediatric Hematology/Oncology
- Pediatric Nephrology
- Pediatric Neurology
- Pediatric Pulmonology
- Pediatric Rheumatology
Graduates from our program have completed fellowships in:
- Cardiology
- Child Neurology
- Global Health
- Hematology/Oncology
- Neonatology
- Palliative Care
- Pediatric Emergency Medicine
- Pediatric Rheumatology
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Pediatric resident with patient
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Pediatric residency life
Pediatric residents in SIM Lab
Pediatric resident retreat
Overview

Welcome to the Pediatric Residency program at Carilion Clinic! At Carilion Children’s, our patients and community are family, making the training of compassionate and competent pediatricians our top priority. Our location in the foothills of the beautiful Blue Ridge Mountains of southwest Virginia gives our residents the unique opportunity to serve the urban communities of Roanoke, as well as the surrounding rural and refugee populations.

As a program, we are deeply committed to the professional and personal growth of our residents. Our comprehensive curriculum aims to prepare excellent pediatricians who are competitive candidates if pursing fellowship and confident in entering practice following graduation. We strive to address the growing challenges facing pediatric physicians, and as such, have emphasized patient advocacy, quality improvement and mental health as key aspects of our training. Carilion Children’s partnership with the Virginia Tech Carilion School of Medicine allows residents to collaborate with other professionals on world-class research opportunities. 

Pediatric Residency is a small program at Carilion Children’s and we value the close-knit relationship between our residents, faculty and staff, who work together to provide excellent care to our patients. We recognize the stressors of training and practicing medicine, particularly as it has changed since the start of 2020, and the toll that it can take on resident health and well-being. Accordingly, we are dedicated to providing a safe and welcoming learning environment that promotes and protects resident wellness.  

We hope you will take some time to look at all our program has to offer, and we look forward to meeting our applicants this year. If you have any questions, please feel free to reach out to us directly through our program manager, Michelle Botelho, at mbrevia@carilionclinic.org

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How to Apply
Admission Requirements

We are looking for candidates with excellent oral and written communication skills who will demonstrate dedication to the holistic care of our patients and their families.

To apply, please submit:

  • USMLE Step 1 or COMLEX Step 1 Score
  • MSPE or Dean's letter
  • Medical school transcript
  • Three letters of recommendation. At least one must be from a pediatrician, and we recommend that at least two be from an academic center.

If you are an international graduate, we require at least six months of direct patient care experience in the U.S., Canadian or British systems and ECFMG certification, if applicable. J-1 visas are sponsored (not H-1).

All application materials must be submitted through the Electronic Residency Application Service (ERAS). Applications will not be accepted via fax, mail or email.

Contact

We look forward to speaking with you further about our program. For more information, please contact: 

Michelle Botelho

Senior Residency Program Manager

Virginia Tech Carilion Pediatric Residency

Carilion Roanoke Memorial Hospital

1906 Belleview Ave. S.E.

Roanoke, VA 24014

800-568-7130

 

mbrevia@carilionclinic.org

Interview Day

We know that your interviews this year aren’t going to be what you had expected all this time, and it’s not what we anticipated either! We’re working to build an interactive, informative and fun interview day for all our candidates. Check back soon for more details on what to expect! 

Admissions Links
Curriculum
Curriculum

Our curriculum is designed to complement our residents’ clinical learning and to provide a more in-depth review of subjects included in the 25 content domains specified by the American Board of Pediatrics (ABP). Our residents have an academic half day on Tuesday afternoons from 12:30 – 5 p.m., and they are protected from all clinical duties during that time. The didactic curriculum is presented on a rotating 18-month schedule to ensure that all topics are covered with repeated sessions on high yield material.  

In addition, Carilion Children’s offers several other resident and faculty led lectures on a regularly scheduled basis. These conferences include: 

  • Morning Report – Tuesday and Friday from 7:30 – 8 a.m. 
  • Case of the Week – Tuesdays from 12:30 – 1:30 p.m.
  • Journal Club – 4th Tuesday of the month from 12:30 – 1:30 p.m. 
  • Board Review – Wednesdays from 7:30 – 8:30 a.m. 
  • Grand Rounds – Thursdays from 7:30 – 8:30 a.m.  
  • NICU Journal Club – monthly 
  • Pediatric Psychiatry Conference – monthly 
  • Pediatric – Emergency Medicine Grand Rounds – quarterly

As part of our development of residents as teachers, residents on inpatient rotations are responsible for presenting our interactive morning reports. Other conferences that residents lead as part of their teaching development include (by year): 

  • PGY-1: Case of the Week (1-2/year), Journal Club (1), Pediatric Psychiatry Conference (1)
  • PGY-2: Case of the week (2-3/year), Journal Club (1) 
  • PGY-3: Case of the week (1-2/year), NICU Journal Club (1), Grand Rounds (1), Pediatric/EM Grand Rounds (1) 
Schedule and Tracks
Schedule Blocks
Schedule

Below you’ll find tables detailing required rotations and electives by academic year. For electives in specialties that we do not have available, we work with our residents to arrange for away rotations so they can have the rounded academic experience they are seeking. Our residents have also created their own electives in the past, some of which have become program favorites! For example, our Transport rotation where they work with the Neonatal and Pediatric Transport Team.  

Our program recognizes the importance of patient access to reliable mental health services, and the growing need for primary care physicians to be able to provide these services. As such, all residents are required to complete inpatient and outpatient child psychiatry rotations prior to graduation. 

Schedule Tables
Rotation Blocks By Year
Inpatient Wards PICU NICU ED General Pediatrics Additional Required Rotations Elective Blocks
PGY-1 4.5 0 1 1 1 (Foundational Outpatient) Nursery; Community Advocacy; Inpatient Child Psychiatry; Surgery 1.5
PGY-2 2-3 1-2 1 1 1 (Acute Care) Adolescent Medicine; Developmental Pediatrics 4
PGY-3 2-3 1-2 1 1 1 (Community Practice) Outpatient Child Psychiatry 5
Electives (Available All Years)
Electives (Available All Years)
Cardiology; Endocrinology; ENT; Gastroenterology; Genetics; Hematology/Oncology; Nephrology; Neurology; Orthopedics; Pediatric Therapies; Palliative; Pulmonology; Rural Medicine
Electives (Available to PGY-2s and PGY-3s)
Adolescent Medicine; Anesthesiology; Community Hospitalist; Nursery; Planned Parenthood; Research; Surgery (inpatient or outpatient); Transport
Residency Life
Gallery Images
Retreat 2019-2020
Retreat 2019
Resident Wedding
Resident Quality Time
2020 Graduates
Thor Leaves the Unit
Peds Residents and Nurses
Retreat 2017
Pediatric Pumpkin Carving
Pediatric Conference 2019
Mini-Retreat 2019
Baby shower
Graduation Party 2019
Chief Camp 2019
Ped Resident Fun
Baby Shower
Halloween 2019
Graduation Party 2019
Peds Residents and Attendings on Helipad
Residents and Pups Hiking
2017-2018 Residents
Pediatric Residents - Interns 2017-2018
Pediatric Resident Retreat 2016-2017
View from Garage
Pediatric Residents supporting chidren at relay race
Pediatric residents picture of resident's t-shirt back for relay race
2016-2017 Pediatric residency graduates
Pediatric residents in Christmas Santa hats
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Chief Resident Intro

As the Pediatric Chief Resident for 2020-2021, I want to welcome you and thank you for your interest in our program! 

While you are all hurriedly attending to ERAS applications and trying to figure out how to make your impression (virtually!) on programs, I hope you know that we are all facing the same challenges! Looking back, it’s hard to imagine navigating the process of residency match during such an unprecedented time, and for that, I say congratulations to all of you for having the strength, patience and determination to continue pursuing your dreams in the face of uncertainty in this pandemic. This isn’t the 4th year that you had imagined, and after at least 20 years of education, it is not the 4th year you have earned. Although we can’t show you all the things we love about Carilion Children’s and Roanoke in person this year, I hope I can give you some insight into the impact that the program and life and Roanoke has had on me. 

Over the past three years, I've grown to love Carilion Children's and value the experiences that I have had here. Let’s start with the basics: clinical knowledge. Everyone’s goal is to leave residency feeling confident in their clinical abilities. I can tell you first-hand that whether you plan to practice general pediatrics or pursue fellowship, the academic and clinical offerings at Carilion will prepare you well to conquer whatever long-term career path you choose. We may be small, and we may be more rurally located, but we have a surprising number of “zebras” that complement our “horses,” and our affiliation with the Virginia Tech School of Medicine provides a renowned academic platform for research and professional development. You will get all of the bread-and-butter pediatric knowledge you need, and you will certainly see more than enough interesting cases to solidify those “must know it for boards” disease processes or to write up as a case report.

Secondly, we have life in Roanoke. No matter what kind of day you’ve had (it’s residency, so you’ll have your fair share of hard days), walking out to the parking deck and seeing the breathtaking views of the Blue Ridge Mountains is therapeutic and restoring. Having lived in D.C. for many years, I can tell you that Roanoke has great restaurants, breweries and festivals so there is always something to do. Not feeling social or just trying to respect social distancing? Go out and walk or ride the roughly 20-mile greenway system of trails in the city, rent a tube and float down the river, take a short drive and hike part of the Appalachian Trail or discover one of the numerous other parks, lakes and hiking/biking trails just minutes from your door. One of the best parts is that with all the money you’ll save (even on a resident salary!) from the lower cost of living, you can put towards your hobbies! 

Finally, I think that anyone will tell you that the one thing that can make or break a program is the people. If you want a cut-throat, “look out for yourself” program, we’re not the place for you. We are a small, close-knit program, and we take care of each other. From co-residents to faculty to nurses and other staff, you will find a home here with people rooting for you and supporting you every step of the way.  

So, if any of the above sounds like a program you’d like, I hope you’ll take some more time to get to know us, and I hope you’ll reach out with any questions you may have so we can get to know you too. Best of luck in your journeys, and I hope we hear from you soon! 

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Anne Callen Washofsky, D.O.
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Anne Callen Washofsky, D.O.

Pediatric Chief Resident

Residency Life Intro

Nestled in the beautiful Blue Ridge Mountains, Roanoke is the perfect place to live during residency. The city offers an affordable cost of living in a variety of family-friendly neighborhoods, and has received numerous accolades for its livability, including being voted Top 100 Best Places to Live (Livability 2019), All-American Hall of Fame City (National Civic League 2019), and Best Place to Raise an Outdoor Family (Blue Ridge Outdoors Magazine 2019, 2020). 

Roanoke has something to offer for everyone. It has the amenities of a big city with a wide variety of restaurants, breweries, museums, farmers’ markets, festivals, and more, but without the traffic. Perhaps Roanoke’s best asset though, is that the outdoors is never far away. Just steps from the hospital, residents have access to the Roanoke Greenways, a network of beautiful hiking/biking trails that run throughout the region. For the outdoor lover who wants to get a bit further away, Roanoke is ideally situated with easy access to the Appalachian Trial, Blue Ridge Parkway, Smith Mountain Lake, Roanoke River and James River. Explore more of what life in Roanoke has to offer using the links below. 

Want to see what's going on now? Connect with us @vtcpediatricsresidency on Instagram, and Carilion Pediatrics Residency on Facebook

Insurance 

  • Carilion Clinic medical plan subsidized by program: employee only, employee + 1 child, employee + spouse, and family coverage available with partial premium paid by resident 
  • Basic dental coverage provided for resident and family (comprehensive plan available at additional low cost) 
  • Disability, life and malpractice insurance provided 
  • We offer coverage under our medical, dental, vision, supplemental spouse life insurance and dependent child life insurance plans to domestic partners of our full-time and regular part-time employees, as well as their eligible children
  • Counseling and support services

Other Benefits 

  • Travel allowance for national, regional, and local educational conferences
  • Travel reimbursement for approved national, regional and local presentations
  • Free membership for residents and family discounts to Carilion Wellness athletic facilities
  • Tickets to Virginia Tech football and basketball games via lottery system 
  • In house meal allowance 
  • Cell phone provided for clinical use (optional $15 charge per pay period for personal use)
  • Free parking adjacent to the hospital 
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Graduates
Graduates Intro
Our graduates have pursued careers practicing in general outpatient pediatrics, traditional practice, community hospitalist and several subspecialties. To learn more about how their time at Carilion Children’s prepared them to successful physicians, check out the Testimonials page.
Gallery Images
2020 Pediatric Residency Graduates
2019 Pediatric Residents
2018 Pediatric Graduates jumping on helipad
2017 Pediatric Resident Graduates
2016 Pediatric Resident Graduates
2015 Pediatric Resident Graduates
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Faculty
Specialty Group
Program Director
Specialty Group
Associate Program Directors
Specialty Group
Department Leadership
Specialty Group
Pediatric Cardiology
Specialty Group
Child Development Clinic and Pediatric Behavioral Health
Specialty Group
Pediatric Critical Care
Specialty Group
Pediatric Endocrinology
Specialty Group
Pediatric Gastroenterology
Specialty Group
Pediatric Genetics
Specialty Group
Pediatric Hematology/Oncology
Specialty Group
Pediatric Neurology
Specialty Group
Pediatric Pulmonology and Allergy
Research
Research Year Collection
Procedural Exposure

As a program that operates without fellows, our residents have ample opportunities to be hands-on in performing procedures on their patients. Residents also utilize the Carilion Clinic Center for Simulation, Research and Patient Safety (SIM Lab), an 11,000-square-foot training facility that includes a birthing suite and neonate care area, single patient room, operating room, trauma bay, debriefing rooms, classrooms and clinical skills lab. Prior to graduation, pediatric residents are required to obtain competency in the following procedures: 

  • Bag mask ventilation
  • Bladder catheterization
  • Circumcision (may opt out to observe only)
  • Delivery room resuscitation
  • Foreign body removal
  • Incision and drainage of superficial abscesses
  • Immunizations
  • IV line placement
  • Intubation of neonates
  • Laceration repair
  • Lumbar puncture
  • Reduction of simple dislocations
  • Splinting of fractures
  • Umbilical artery/vein catheterization
Overview

Continuing Medical Education is critical to positive outcomes when caring for children. At Carilion Children’s we offer multiple formats for you to participate in our CME and MOC programs.

The Carilion Children’s REACH Network connects regional medical professionals to our health system for professional education, communication and patient follow-up. To better connect with you, we offer live weekly webcasts, a weekly e-newsletter, educational recordings released on our YouTube channel, inpatient transport reviews and other patient follow-up as needed. CME credit is offered for qualifying education.

Join the REACH Network

By joining our network of clinicians, you receive:

  • Access to a community with more than 1,000 clinicians from Virginia, West Virginia, Tennessee and North Carolina
  • Weekly invites to join our Pediatric Grand Rounds webcast (Thursdays at 7:30 a.m.)
  • A weekly e-newsletter with important updates for our network and recordings from our previous webcasts
  • CME credits are available for qualifying material
  • Did we mention it's free to join?

Please contact us at outreach@carilionclinic.org to register.

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