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Pediatrics

Pediatrics

The Department of Pediatrics offers several electives:

Research

Length of Time:
4 weeks 
Offered: year round 
Maximum enrollment: Maximum enrollment not applicable 
Patient care elective: This may be a Patient Care or non-Patient Care elective.
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.
Requirement: This elective requires that the student have the approval of the course director prior to signing up for the elective so that an appropriate research experience can be planned.

Goals: 
Determined by mutual agreement of student and faculty member. 

Format: 
The student will be afforded an opportunity to synthesize, develop and execute a research project of clinical or basic nature in any of the sections of the Department in which such an interest is demonstrated. At the present time, participating sections include Inpatient and Outpatient Pediatrics, Adolescent Critical Care, Gastroenterology Infectious Diseases, Immunology, Allergy, Neurology, Nutrition, Clinical Pharmacology, Pulmonary, Sexual Abuse, Neonatology, Gynecology and Child Abuse. However, such an elective needs to be arranged at least four months in advance so that a suitable research project can be planned. 
 
Evaluation Methods:
  • Written report summarizing research progress. 
  • Observation of skills in performing assigned research. 
* This elective requires that the student have the approval of the course director prior to signing up for the elective so that an appropriate research experience can be planned. 
 
Pediatric Emergency Medicine 

Faculty:
Dr. Alan Frechette & Faculty 
Length of Time: 4 weeks; 
Offered: year round (excluding June & July)
Maximum enrollment: 2 
Patient care elective: Yes 
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.
Limitations/prerequisites: Pediatric Core Clerkship 

Goals: 
This rotation will provide students with an exposure to a wide variety of pediatric medical and traumatic emergencies. Clinical teaching will focus on the expeditions evaluation and management of pediatric primary care problems as well as more serious illnesses and injuries. 
 
Format: 
Student will work in the pediatric emergency services/ urgent care clinic under supervision of faculty. A didactic program (see below) covering essential topics in pediatric resuscitation, trauma care and management of urgent and emergent pediatric illnesses will accompany the clinical experience. Externs will also attend the weekly M&M conference with the Department of Emergency Medicine. 

Lecture Topics: 
  • Essentials of Pediatric Resuscitation 
  • Fluid & Electrolyte Management in the PED 
  • The Febrile Child 
  • Pediatric Airway & Respiratory Emergencies 
  • Stabilization & Evaluation of the Pediatric Trauma patient 
  • Recognition & Reporting of Child Abuse 
  • Pediatric Infectious Disease Emergencies 
  • Dermatology in the PED 
Evaluation Methods: 
Staff observation of clinical performance. 
 
Inpatient Pediatrics 

Faculty:
Dr. Prabodh Hemmady & Faculty 
Length of: 4 weeks 
Offered: year round 
Maximum enrollment: Maximum enrollment of 1 
Patient care elective: yes 
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.


Goals: 
The primary goals for senior medical students who take this elective are as follows:
  • To understand the continuum of care for children with acute illness, from initial presentation through discharge planning. 
  • To understand how to assess and manage common signs and symptoms associated with acute illness and hospitalization. 
  • To develop a logical and reasonable clinical approach to the care of hospitalized children, applying principles of decision making and problem solving. 
  • To learn how to function as part of an interdisciplinary team on a general pediatric inpatient unit. 
  • To develop skills to provide psychosocial support to acutely ill children and their stressed families.  
Format:
Evaluation and care of patients admitted to pediatric service. Responsibility will be commensurate with abilities and previous experiences. Night call will be included. 
Active participation in routine teaching sessions: ward rounds (attending and resident work rounds), clinical and x-ray conferences, grand rounds and subspecialty conferences. 
 
Evaluation Methods:
Attainment of individual goals, improvement of problem-solving skills, patient presentations on rounds and observation of history and physical exams. Evaluations will include interns, senior residents, and the attending pediatrician with input from interdisciplinary team members. 
 
 
Neonatology 

Faculty:
Dr. Mahesh Kotwal & Faculty 
Length of Time: 4 weeks 
Offered: year round 
Maximum Enrollment:
Patient Care Elective: Yes
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.

Goals:
  • Learn resuscitation of the newborn. 
  • Evaluation, management and follow-up care of the high risk newborn. 
Format: 
Student will be assigned to the neonatal intensive care unit where he/she will be expected to attend high-risk deliveries and participate in the management of critically ill newborns and healthy premature infants. 
 
Evaluation Methods: 
Observation of ability to perform physical exam, obtain history and help in the management of high risk newborns.

Pediatric Critical Care 

Faculty:
Dr. Kote Chundu & Faculty 
Length of Time: 4 weeks 
Offered: year round (excluding June & July) 
Maximum enrollment:
Patient care elective: Yes 
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.
Limitations: Fourth year medical students only 
 
Goals: 
To provide the student with general principles of pediatric critical care with major emphasis on understanding physiology and pathophysiology in order to provide the appropriate care for the sick child. The student will learn to diagnose and manage common pediatric critical care issues including shock, respiratory failure (including different models of mechanical ventilation), trauma, burns and postoperative care of the child. 

Format: 
Direct care of 1-2 patients under the supervision of the senior pediatric resident and pediatric critical care faculty. 
Daily attending rounds in the ICU and direct informal teaching from the attending. 
Formal pediatric critical care lectures twice a week  

Evaluation Methods: 
In depth review of a critical care topic of interest by the student, guided and supervised by the faculty. 

Pediatric Gastroenterology and Nutrition 

Faculty
: Dr. Roxanne Hecht 
Length of Time: 4 weeks , Maximum of 4 weeks 
Offered: Year round (excluding June, July & December)
Patient Care Elective: Yes 
Prerequisite: Completion of Pediatric clerkship which must include both ambulatory and inpatient experience.

Goals: 
Familiarize trainee with major presentations and evaluations of gastrointestinal, hepatic and nutritional disease. Included will be discussion of malabsorption, GE reflux, cholesteric inflammatory bowel disease, abdominal pain, peptic disease. 

Format: 
Participation in GI clinic, consultative service and nursery rounds. Didactic sessions will be given in major topics in pediatric GI. 

Evaluation Methods: 
One on one feedback with GI staff on consultations and outpatient evaluations. Trainee generally present a short talk on a GI topic of interest.
 
 
 
 
 

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