General Pediatrics & Adolescent Medicine


University Pediatricians | Michigan

About the Divisions of General Pediatrics & Adolescent Medicine

Our Pediatric Practice provides primary care service for patients 0-22 years of age. This includes preventive, adolescent and complex care service. Our Medical Home Team coordinates care for complex care children with developmental, cognitive and physical disabilities. Our interdisciplinary behavioral health service facilitates the identification and management of children with attention deficit disorder, anxiety, autism, depression, eating disorders, lead exposure, co-morbidities of prematurity and sensory deficits. We also provide primary care for children with congenital disorders of cardiac, respiratory, endocrine, metabolic and musculoskeletal organ systems. Chronic medical conditions include asthma, nutritional deficiencies, obesity and hypertension.  Our providers come from diverse ethnicities and have varied interests.


Our Division is responsible for the provision of General Pediatric education for residents in Pediatric, Family Medicine and Internal Medicine-Pediatric training programs. At least 30% of each graduating residency class chooses a career in General Pediatrics—including Primary Care (private office, health care systems), Academic Pediatrics and Hospital Medicine.


Our practice is open Monday –Friday, 8 am – 6 pm. Our RN triage service is also  available  Monday-Friday, 8 am – 6 pm. Same day or next day acute appointments are available. After hour service is provided by answering service and one of our practitioners on beeper call.

General Pediatrics

The Children’s Hospital of Michigan (CHM) treats the most children for inpatient pediatric care in the state of Michigan.


The Division of General Pediatrics at CHM treats children from newborn to 21 years of age. In addition to providing parent education, immunizations and well child check-ups, pediatricians on staff see patients for a variety of acute and chronic illnesses. This is often the first stop for patients requiring a diagnosis and treatment, or a referral to a specialist if necessary.


In addition, primary care specialists on staff evaluate and treat attention deficit disorder, developmental delays, special needs and maltreatment. A Lead Treatment Clinic is also offered through the department. The department offers a training site for medical assistants, nurses, nurse practitioners, medical students and pediatric residents. The staff participates in local, state and federal advocacy endeavors in order to ensure the continuation of quality service for patients and families and serves as a key site for Michigan's largest pediatrician training program.

Adolescent Medicine

The Adolescent Medicine Division at CHM specializes in the care of adolescents from ages 11 through 21. The division provides comprehensive adolescent health care services to all male and female adolescents, including complete school, camp, sports and routine physical examinations and immunizations. Other services include full pelvic examinations and pap smears, and management of chronic illnesses such as asthma, diabetes, seizure or bowel diseases in close cooperation with other specialists.


Special programs include the Adolescent Transition Clinic designed to assist special needs patients in transitioning from the Adolescent Clinic in a pediatric hospital to an Internal Medicine setting and psychological services.


Leadership

Division Chief: Yvonne M. Friday, MD


General Pediatrics & Adolescent Medicine Clinical Programs

  • Adolescent Transition Clinic:

    With advances in diagnosis, surgical and medical treatment of pediatric conditions, more and more children are surviving into adulthood that previously did not. It is estimated that over 90% of children born with chronic or disabling conditions will live beyond their 20th birthday. There are now equal numbers of patients with congenital heart disease over the age of 21 as there are younger than 21. It is estimated that one of every 640 adults between the ages of 20 and 39 are survivors of cancer. People with Down syndrome will likely live into their 40’s to 50’s. Similarly, most children with cerebral palsy will reach adulthood. These persons will continue to need specialized care from either pediatric subspecialists or adult subspecialists who are expert in their conditions. However, they also will require a medical home with care provided by a primary care provider who is not only familiar with their chronic conditions, but who is familiar with the assessment of acquired “adult” conditions as well as preventive medicine.


    The Adolescent Transition Clinic was designed to assist special needs patient's in transitioning from the Adolescent Clinic in a pediatric hospital to an Internal Medicine setting. Special needs patient's in their twenties continue to be seen for two to three years in the same Adolescent Clinic but instead of being seen by the Adolescent providers, they are seen by internists with specialization in Internal Medicine/Pediatrics.


    Clinic Mission


    The overall goal of the DMC/WSU/Children’s Hospital of Michigan Transitional Care Clinic is to provide a medical home for these growing number of patients. Specifically, the clinic aims to:

    • Provide uninterrupted health care that is patient centered, age and developmentally appropriate, flexible, and comprehensive
    • Educate the patient about his/her disease
    • Educate the patient about the differences between adult-centered care and pediatric-centered care
    • Educate families regarding potential legal issues regarding insurance and guardianship
    • Promote skills in communication, decision-making, self-care, and self-advocacy
    • Promote personal and medical independence, to promote sense of control over one’s health, health care decisions, and psychosocial environment
    • Maximize quality of life and future potential

    In addition to monitoring the patient’s chronic conditions, the Transition Clinic also addresses general medical issues that apply to all adults including:

    • Healthy lifestyles such as exercise and diet
    • Alcohol, tobacco, and substance abuse counseling
    • Sexual health
    • Cardiovascular risk assessment including monitoring of blood pressure and cholesterol levels
    • Appropriate cancer screening
    • Adult Immunizations
  • Integrated Behavioral Health Program:

    The Division of General Pediatrics and Adolescent Medicine (GPAM) at the Children’s Hospital of Michigan offers an Integrated Behavioral Health Program providing comprehensive, fully integrated care that allows medical and behavioral heath services to work together to meet the unique needs specifically for GPAM patients. The program has a proud 20 year history in developing and providing high quality integrated behavioral health care to patients at Children’s Hospital of Michigan and continues to expand and improve services to meet an ever growing need.


    Integrated Behavioral Health, also known as Collaborative Care, in GPAM begins with screening tools given to patients at their medical visits. The feedback from these tools, and the subsequent conversations physician’s have with patients/families, often result in families working with one of the GPAM clinical social workers to address the concerns raised. A social work assessment is focused on identifying the specific needs of a child/family. Once needs are identified, intervention options are discussed and a comprehensive intervention plan is cooperatively developed. This plan can include medical follow up, referral to community resources or, in the event of a need for behavioral health support, a direct referral to a GPAM behavioral health program therapist.


    Community Partners


    Behavioral health therapists are drawn from three distinct behavioral health provider groups within the program.


    The first group is a collaborative with Wayne State University’s (WSU) Psychology program. With the support of The Children’s Foundation, supervised WSU Psychology doctoral students provide direct service to clinic patients at no charge. These providers meet weekly with clinic social workers for care coordination, collaborate with physicians and meet with patients in the clinic space. With this high level of integration these providers are able to meet many of the patients’ needs.


    The second therapist group is through a cooperative with The Children’s Center’s Community Outreach Division. Through this cooperative, a Children’s Center therapist is designated to see GPAM patients in the clinic. This allows for co-located, insurance based services for children who require higher intensity services. GPAM social workers meet weekly with the Children’s Center therapist to review patients and facilitate communication with physicians directly as needed.


    The third therapist group of our integrated program is provided by Starr Commonwealth and is supported by a grant through the Michigan Health Endowment Foundation. This program allows patients who are experiencing significant emotional disruption as a result of traumatic experiences to receive specialized therapeutic support. These patients are able to be referred to the Starr Commonwealth Trauma Clinic for comprehensive evaluation and research based intervention proven to be effective for children with trauma. The GPAM social work team meets weekly with the clinical director at Starr to review patient needs and coordinate care. Starr Commonwealth is the newest partner with the program and there are plans to expand their services to include on site visits and a focused trauma clinic for GPAM patients.


Faculty

Want to learn more about our distinguished specialists? Click the button below to be taken to our Faculty Directory.

Faculty Directory →

Education

Undergraduate Medical Education

Children’s Hospital of Michigan provides medical student education for all levels of undergraduate medical education. During the first two years of Medical School, we are available for mentoring and pre-clinical exposure by arrangement. Clinical rotations for both third year clerkships and fourth year electives are also available. We are especially proud of our fourth year Subinternship that provides preparation for those planning a Pediatric Residency training.  Our current Medical School affiliation is with Central Michigan University. We also train students from schools such as, Meharry Medical College, Michigan State University College of Medicine and Wayne State University School of Medicine.

Residency & Fellowship Programs

Learn more about the residency program and fellowships offered in affiliation with the Children's Hospital of Michigan.


Research

Recent Faculty Publications

  • Bradley Norat, MD

    • Mitchell IC, Norat BJ, Auerbach M, Bressler CJ, Como J, Escobar MA Jr, Flynn-O'Brien KT, Lindberg DM, Nickoles T, Rosado N, Weeks K, Maguire S. Identifying Maltreatment in Infants and Young Children Presenting with Fractures: Does Age Matter? Acad Emerg Med. 2020 Sep 5. doi: 10.1111/acem.14122. Epub ahead of print. PMID: 32888348.
  • Sumita Roy, MD

    • IMMU-18. FAVORABLE OUTCOME IN REPLICATION REPAIR DEFICIENT HYPERMUTANT BRAIN TUMORS TO IMMUNE CHECKPOINT INHIBITION: AN INTERNATIONAL RRD CONSORTIUM REGISTRY STUDY Eric Bouffet, Sumedha Sudhaman, Jiil Chung, Jacalyn Kelly, Ailish Coblentz, Melissa Edwards, Tatiana Lipman, Cindy Zhang, Ayse Bahar Ercan, Lauren Sambira, Anne Bendel, Stefan Bielack, Elisabeth Koustenis, Deborah Blumenthal, Daniel Bowers, Alberto Broniscer, Annika Bronsema, Sara Carroll, Stefano Chiaravalli, Kristina Cole, Shlomi Constantini, Rebecca Loret De Mola, Gavin Dunn, Charlotta Fröjd, David Gass, Karen Gauvain, Ben George, Nobuko Hijiya, Lindsey Hoffman, Jeffrey Knipstein, Ted Laetsch, Valérie Larouche, Alvaro Lassaletta, Scott Lindhorst, Alexander Lossos, Sandra Luna-Fineman, Vanan Magimairajan, Gary Mason, Warren Mason, Maura Massimino, Oz Mordechai, Enrico Opocher, Michal Oren, Michael Osborn, Alyssa Reddy, Mark Remke, Sumita Roy, Magnus Sabel, David Samuel, Kami Schneider, Santanu Sen, Duncan Stearns, David Sumerauer, Gregory Thomas, Patrick Tomboc, An Van Damme, Margaret Wierman, Ira Winer, Lee Yi Yen, Michal Zapotocky, David Ziegler, Stefanie Zimmermann, Rina Dvir, Gidi Rechavi, Carol Durno, Melyssa Aronson, Michael Taylor, Peter Dirks, Trevor Pugh, Adam Shlien, Cynthia Hawkins, Daniel Morgenstern, Uri Tabori. Neuro-Oncology, Volume 22, Issue Supplement_3, December 2020, Page iii363,https://doi.org/10.1093/neuonc/noaa222.374  Published: 04 December 2020
    • Survival Benefit for Individuals with CMMRD Undergoing Surveillance. Submitted to Journal of Clinical Oncology, under review

Recent Faculty Abstracts/Presentations (National)


Recent Faculty Grants

  • Sumita Roy, MD

    Children’s Foundation; Community Benefit and Education Grant 

    R1-2020-51 (01/01/2020-12/31/2020) 

    R1-2021-33 (01/01/2021-12/31/2021) 

    Received $5000 to reimburse honoraria for guest speakers giving grand rounds at the Children’s Hospital of Michigan.



Recent Faculty Awards & Other Professional Accomplishments

  • Yvonne Friday, MD

    Awards: 

    • Hour Magazine "Top Doc" 2020 
  • Sumita Roy, MD

    Other Professional Accomplishments:

    • Participated in AAP QI project: Optimize Infant and Toddler Feeding, completed in November 2020 
  • Nadia Tremonti, MD

    Awards:

    • Hour Magazine "Top Doc" 2020 
    • Health Care Hero, Crains Detroit

    Other Professional Accomplishments:

    • Featured in two documentaries, “Palliative” and “Dying in your mother’s arms.” “Palliative” was featured in the Detroit Freep Film Festival and has been screening nationally to organizations. “Dying in Your Mother’s Arms” was created for the New York Times Op-Docs and was recognized as the most watched documentary of 2020, nearing 10 million views on Facebook, and received the elite recognition as Vimeo’s Best of the Month award in September, 2020.
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