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Dawn Waters is the coordinator for electives in
the Department of Pediatrics.
Visiting students must make arrangements with Ms.Waters at 263-8111.
Title: Pediatric Gastroenterology
Preceptor: Joseph Levy, M.D.
Course Code: 13-21
Telephone #: 263-5407
Prerequisites: Pediatric Clerkship
Description:
Students are exposed to the entire range of congenital and acquired digestive disease in infants, children and young adults. The main objective of the elective rotation is to provide the student with a basic understanding of pathophysiology, diagnosis and management of common forms of GI disease in children. Students will participate in daily teaching rounds, attend pediatric GI outpatient clinics, observe procedures such as diagnostic endoscopy, pH monitoring, and hydrogen breath tests.
Objectives of the Elective:
This elective shall serve to (1) develop a basic understanding of normal gastrointestinal development and correlation of GI disorders with the underlying pathophysiology. (2) Approach to pediatric gastrointestinal history and examination, including appropriate diagnostic evaluation of children with jaundice, diarrhea, constipation, feeding difficulties and chronic functional disorders. (4) Have an understanding of the most common liver disorders, including the differential diagnosis of direct and indirect hyperbilirubinemia, biliary atresia, chronic active-autoimmune-hepatitis, drug-induced hepatitis, congenital cholestatic syndromes, end-stage liver disease and liver failure, indications for liver transplantation (5) Have an understanding of inflammatory bowel disease (Crohn’s Disease and Ulcerative Colitis), the presentation and clinical course, therapeutic options, drugs, biologic agents, indications for surgery; (6) Understand the pathophysiology and lthe basic principles of treatment of the short bowel syndrome and other malabsorption states; (7) Understand the range of radiological diagnostic modalities, including ultrasound, CT scanning, MRI, MRCP, nuclear medicine scans for Meckel’s diverticular bleed, liquid and solid gastric emptying tests, salivagram for aspiration, and ERCP; (8) Common surgical procedures for congenital GI disorders, including T-E fistula and esophageal atresia, omphalocele and gastroschisis, short bowel syndrome with dilated loops, anorectal malformations, Hirschprung’s disease and the basic principles of pre-and post-operative care
Key Responsibilities of the student while on Elective:
- Work up all new patients and consults in conjunction with the Pediatric GI attending. The resident/student must keep abreast with changes in the patient's condition and know current laboratory, and x-ray findings. This will expedite discussion and the educational experience when the patient is presented to the attending.
- Assist the attending in writing notes i.e.; admit, consult, operative and daily progress. Uncomplicated consults may not require follow up notes. Highlight our management plan with reasons for it, and our "expert" recommendations. These should be clearly communicated to the Pediatric Housestaff to ensure a global teamwork approach to the management of the patient.
- Pediatric GI clinic - see under scheduled activities. To maximize the clinical; learning experience, the clinic takes precedence over other clinical activities unless prior arrangements are made with the Pediatric GI attending.
- Prepare short summaries of relevant clinical and basic science questions raised during the evaluation and management of patients, making using of Internet resources and exercising critical judgment during the search and presentation.
- Participate actively during the clinical encounters, both in the office and in clinic, eliciting and amplifying pertinent aspects of the history, and developing a first hand rapport with the patients and parents.
Didactic Program:
These are daily one hour sessions, held on an informal basis, with the GI attending or nurse practitioner. They are designed to encompass the pre-set educational objectives and any patient related issues. Residents/students will be assigned related topics, at regular intervals, and expected to present to the group.
Method of Evaluation:
The GI attending of the month is the students Faculty preceptor.
Evaluation is performed by the attending in conjunction with the GI nurse practitioner.
Scheduling Information:
Months Offered: All Year
Report To: 160 East 32nd Street, Second Floor at pre-set times after discussion with GI attending.
Students Per Period: 2
Duration: Two to Four Weeks
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Title: Adolescent Ambulatory Care
Preceptor: Margaret McHugh,M.D.,MPH
Course Code:13-01
Telephone # 562-6321
Prerequisites: All Clerkships
Description:
This elective provides an intensive experience with an adolescent
population; gives the student an opportunity to work as part of
the adolescent health care team and allows the student to participate
in several unique clinical programs, including the Adolescent Perinatal
Program and the Adolescent Gynecology Clinic.
The student will also attend clinical sessions at The Door, a multidisciplinary
setting for adolescents.
Objectives of the Elective:
This elective will provide the student with an intensive clinical
experience with adolescent issues.
Key Responsibilities of the student while on Elective:
1. Full participation in clinic five days per week.
2. One presentation during elective.
Didactic Program:
Weekly conference prior to clinic session; Individual teaching
sessions based on clinical material.
Method of Evaluation:
Evaluations are based on student's clinical work and student's
presentation.
Scheduling Information:
Months Offered: September - June
Report To: 9AM, Bellevue Hospital 1 East
Students Per Period: 1
Duration: Four Weeks
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Title: Pediatric Emergency Medicine
Preceptor: Dennis Heon, M.D.
Course Code: 13-04
Telephone #: 562-8149
Prerequisites: Pediatric Clerkship
Description:
Bellevue has recently opened a new Emergency Service, permitting
optimal care for our patients in a more spacious, comfortable, efficient
and well monitored setting. We see a wide spectrum of pediatric
disease and trauma in the Pediatric Emergency Service. Students
will function independently, while becoming familiar with history
taking and the pediatric physical exam. Under the supervision of
the Pediatric Emergency Service attending, they will generate a
differential diagnosis and carry out a management plan.
Those who have a particular interest in clinical toxicology may
select to split their rotation, spending two weeks at the New York
City Poison Center.
Objectives of the Elective:
We see a wide spectrum of pediatric disease in the Pediatric
Emergency Department, ranging from otitis media and asthma, to multisystem
trauma, child abuse, and psychiatric illness. Students will become
familiar with history taking and the pediatric physical exam. They
will learn to focus on the chief complaint, while simultaneously
assessing the entire child and looking beyond the obvious. The goals
will be to learn to differentiate between a "well child" and an
"ill child", to recognize the "sick" appearing child and to learn
basic pediatric acute care management.
Responsibilities of the student while on Elective:
- Students will be expected to see patients and perform thorough
physical exams, to write up the cases, and to present the patient
to the Pediatric Emergency attending. The differential diagnosis,
work-up and treatment options will be discussed and management
and disposition plans carried out.
- Students are also expected to attend either the daily Pediatric
Outpatient Conference or the Emergency Department morning rounds,
as well as Pediatric Grand Rounds and/or Emergency Department
Grand Rounds on Tuesday and Wednesday mornings respectively.
- Students schedule will consist of 10-hour shifts, half during
evening hours (12pm - 10pm) 4 days per week. In addition, 2 weekend
shifts per four week rotation.
Didactic Program:
See above conference options.
Method of Evaluation:
Students will be evaluated by each attending in the Pediatric
Emergency Department with whom the student works, and a summary
evaluation will be sent to the Medical School Office of Registration
upon request.
Scheduling Information:
Months Offered: All Year
Report To : 8AM, Peds Emergency Service, Bellevue Hospital
Students Per Period: 1
Duration: Four Weeks
Comments: Students should decide prior to beginning the elective
if he/she interested in two weeks PES and two weeks toxicology at
the Poison Control Center. Students should notify Dr. Heon as soon
as theyŠve made the decision.
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Title: Infectious Disease
Preceptor: William Borkowsky, M.D.
Course Code: 13-07
Telephone #: 263-6513
Prerequisites: Pediatric Clerkship
Description:
Pediatric patients with infections on both the in-patient and
out-patient services serve as the focus of attention. Students are
assigned specific patients and are expected to follow their course
and management together with the house staff. They are expected
to take an active part in regularly scheduled infectious disease
rounds and discussions with their attendings. They will also have
opportunities to attend the infectious disease conferences on the
adult as well as pediatric services, and to see patients with nosicomial
infections anywhere in the institution.
Objectives of the Elective:
The objectives of the elective are to expose the student to:
antibiotic management, AIDS management, tuberculosis management
and to research protocols.
Key Responsibilities of the student while on Elective:
- Accompany the clinical infectious disease fellow as requested
by pediatric or surgical consult.
- Maintain a record of the clinical laboratory, and social progress
of the patient.
- Will be expected to present information to the attending physician
for discussion of case management.
- Student may be asked to write the medical chart consultative
notes supervised by the attending physician.
Didactic Program:
Students will attend the infectious disease journal club every
Thursday (8-9AM), the adult infectious disease conference every
Wednesday (2:30-3:30 PM), the pediatric infectious disease conference
every Friday (1-3 PM), and the monthly pediatric developmental immunology
lecture.
Method of Evaluation:
Discussion among the attending and fellow regarding the studentŠs
interest, knowledge base and work ethic.
Scheduling Information:
Months Offered: August to May
Report to: 9 a.m. New Bellevue 8W51. Call preceptor
1 week prior to start.
Students per period: 2
Duration: Four weeks
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Title: Medical Genetics
Preceptor: John Pappas, M.D.
Course Code: 13-15
Telephone #: 263-5746
Prerequisites: Pediatric Clerkship
Description:
This elective will better acquaint the student with the basic
concepts of medical genetics and their application to the evaluation
and treatment of human disease. Students will see patients in the
prenatal, genetics, and metabolic clinics, in the wards at Tisch
and Bellevue Hospitals, and in the clinical research center. Students
will also participate in the teaching conferences of the Human Genetics
Program.
Objectives of Elective:
The medical student will 1) improve his/her skills for taking
directed histories, including family histories, 2) improved his/her
skills in general physical examination, 3) reviewed basic principals
of genetic transmission, molecular basis of disease, and therapeutics,
4) reviewed the use of genetic markers for determining risk of disease,
5) improved his/her skills for counseling patients and families
about risk of disease.
Key Responsibilities of the student while on Elective:
The medical student will participate in inpatient and outpatient
consultation sessions, genetic counseling sessions, and outpatient
visits for management of patients with genetic disease. He or she
will also rotate through the various clinical genetic diagnostic
laboratories. A schedule will be created to suit the studentŠs needs.
Below is a partial list of Division activities.
Monday 9:15 a.m. - Craniofacial Conference Tisch Hospital
Monday 9:15 a.m.- Genetics Clinic at Hospital for Joint Diseases
CNDD Rm 309
Monday 1:00 p.m. - Genetic Counseling (MSB 136)
Tuesday 9:15 a.m. - Neuromuscular Clinic
Tuesday 9:15 a.m. - Office hours with Dr. Ostrer (MSB 136)
Tuesday 12:30 p.m. - Clinical Case conference (MSB-136)
Tuesday 1:00 p.m. - Reading and problem solving, or Cytogenetics
lab
Wednesday 9:15 a.m. Biochemical Molecular Lab, or Reading and problem
solving
Wednesday 9:15 a.m. - Genetics Clinic Hospital for Joint Diseases
Wednesday 1:00 p.m. Biochemical Molecular lab, or Reading and problem
solving
Thursday 9:15 a.m. Genetics Clinic (BH)
Thursday 1:00 p.m. Genetic counseling (MSB 136)
Thursday 4:00 p.m. Case review
Friday 9:15 a.m. Office hours with Dr. Axelrod (FPO 3A)
Friday 12:00 a.m. Perinatal/Peds/OB clinical Meeting
Friday 1:00 p.m. Reading and problem solving, or Cytogenetics lab
Didactic Program:
The student will participate in weekly case management and clinical
didactic conferences. In addition, he or she will solve a series
of medical genetics problems and will assist in the organization
of at least one clinical genetics conference.
Method of Evaluation:
Through interactive teaching, the student will be evaluated
for his or her ability to apply the concepts of clinical genetics.
The studentŠs ability to solve written problems and the quality
of his or her presentation at a conference will be evaluated.
Scheduling Information:
Months Offered: September - June
Report To: Call preceptor 1 week prior to start.
Students Per Period: 1
Duration: Four Weeks
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Title: Pediatric Cardiology
Preceptor:
Colin Phoon, M.Phil., M.D.
Course Code: 13-02
Telephone #: 263-5940
Prerequisites: Pediatrics Clerkship
Description:
Students are exposed to the entire range of congenital and acquired heart disease in fetuses, infants, children, adolescents, and young adults. The main objective of the elective rotation is to provide the student with a basic understanding of pathophysiology, diagnosis and management of common forms of congenital and pediatric heart disease. Students will participate in daily teaching rounds, attend pediatric cardiology outpatient clinics, observe procedures such as diagnostic and interventional cardiac catheterization, invasive electrophysiology testing, echocardiography, and cardiac surgical procedures. Weekly conferences include a case management conference, core lecture series and an interdisciplinary cardiac catheterization-surgical conference.
Objectives of the Elective:
The student is expected to learn: (1) Essentials of cardiovascular development and correlation of cardiac disorders with genetic syndromes. This includes applied cardiac physiology of fetal, transitional, neonatal, and adult circulation; (2) Pediatric cardiovascular examination, including appropriate diagnostic evaluation of children with murmurs (innocent versus pathological); (3) Common congenital heart defects that result in left-to-right shunts. These include ventricular septal defect, patent ductus arteriosus, atrial septal defect, and AV canal/AV septal defect (endocardial cushion defect); (4) Common cyanotic congenital heart defects. These include tetralogy of Fallot, transposition of the great arteries, tricuspid atresia, truncus arteriosus, pulmonary atresia, total anomalous pulmonary venous connection and hypoplastic left heart syndrome; (5) Common obstructive cardiac lesions such as aortic stenosis, coarctation of the aortic, interrupted aortic arc, and pulmonary stenosis; (6) Pathophysiology and basic principles of cardiac failure; (7) Common acquired pediatric heart diseases, including Kawasaki disease, rheumatic heart disease, viral myocarditis, infectious endocarditis, the cardiomyopathies, and systemic hypertension; (8) Interpretation of pediatric ECG's, and diagnostic and therapeutic approach to common pediatric dysrhythmias (including genetic ion channelopathies); (9) Common surgical procedures for congenital heart disease and the basic principles of pre-and post-operative care; (10) Basic principles of echocardiography and its uses and limitations. Acquisition of clinical skills and medical knowledge is emphasized.
Key Responsibilities of the student while on Elective:
Pediatric Cardiology consultation and in-patient service. The student may follow 1-2 patients, and should keep abreast of changes in the patient's condition and know current laboratory, chest x-ray, ECG findings. This will expedite discussion and one’s educational experience when the patient is presented to the attending.
Congenital Cardiovascular Care Unit (CCVCU) rounds on pre-/post-operative cardiac patients (also NICU, PICU). Not only does this offer an excellent opportunity to observe dynamic changes in the cardiovascular system, but allows participation in the care of patients in an intensive care situation. The student will be expected to present topics relevant to patients on the Cardiology service each week.
Pediatric Cardiology clinic. To maximize the clinical learning experience, the clinic at Bellevue Hospital takes precedence over other clinical activities unless prior arrangements are made with the Pediatric Cardiology attending. The student will also see patients with pediatric cardiology attendings during their office hours at our Faculty Practice 32nd Street offices. Clinical skills, pediatric EKG interpretation, and basic management of pediatric heart disease will be emphasized.
Cardiac catheterization and cardiac surgery. Observation of a couple cases is encouraged, since an understanding of invasive hemodynamic evaluation and assessment of cardiac anatomy, and principles of heart surgery, will be useful in understanding cardiac pathophysiology and the changes that can be anticipated with medical and surgical intervention.
Didactic Program:
Students can avail themselves of the following: (required) Cardiac Catheterization-Surgical Conference, CCVCU CT Surgery Walk Rounds, Bellevue Cardiology Post-Clinic Conference, Case Management Conference; (optional) Journal Club, EP Conference, Echo Conference.
Method of Evaluation:
The Director of the Pediatric Cardiology elective, Dr. Phoon, compiles feedback from the faculty and fellows for the detailed overall evaluation. Students from outside institutions should make sure that Dr. Phoon receives their school's evaluation forms by the end of the rotation.
Scheduling Information:
Months Offered: All Year
Report To:Usually, 8:00 a.m., Tisch Hospital CCVCU (Monday morning rounds, 15W); alternative venue, 160 East 32nd Street, 2nd floor (Faculty Practice offices in the NYU Fink Children's Ambulatory Care Center). Fellow on-call pager: 917-857-3207.
Students Per Period: 1
Duration: Four Weeks
Other notes: Dr. Phoon provides a detailed course syllabus with schedules, and a package of articles for each trainee at the start of the rotation. Students are encouraged to contact Dr. Phoon several days prior to starting the elective to obtain educational packet (colin.phoon@nyumc.org).
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Title: Pediatric Endocrinology
Preceptor: Raphael David, M.D.
Course Code: 13-05
Telephone #: 263-6462
Prerequisites: Pediatric Clerkship
Description:
The aim of the elective will be to allow the student to gain
an overview in the diagnosis and management of pediatric endocrine
disorders. students will participate in all clinical activities
of the pediatric endocrine service, including tow endocrine clinics
weekly, one Diabetes clinic every other week and weekly (1-2/week)
private office sessions. The students will be expected to round
on all in-patients and perform consultations with the fellows. Attendance
at the Friday weekly conference, Research in Progress, Combined
Adult/Pediatric Endocrine conferences and Pituitary conference will
be required. Topics will be assigned for presentation and discussion.
Opportunity for laboratory based and clinical research can be arranged
on an individual basis if the student rotates for more than two
modules.
Objectives of the Elective:
The aim of the elective will be to allow the student to gain
an overview of the diagnosis and management of pediatric endocrine
disorders.
Key Responsibilities of the student while on Elective:
The student will participate in all clinical activities of the
pediatric endocrine service including:
1. Two Endocrine Clinics per week.
2. One Diabetes Clinic every other week.
3. Weekly (1-2 per week) private office sessions.
4. Round on all inpatients.
5. Perform consultations with fellows.
Didactic Program:
Additionally, attendance at the Friday weekly conference, Research
in Programs Combined Adult/Pediatric Endocrine Seminar and Pituitary
Conferences will be required. Topics will be assigned for presentation
and discussion. Opportunity for laboratory based and clinical research
can be arranged on an individual basis if the student rotates for
more than two modules.
Method of Evaluation:
Direct discussion with the preceptor.
Scheduling Information:
Months Offered: All Year except December
Report To : 9AM, Bellevue Hospital, 8W52
Students Per Period: 1
Duration: Four Weeks
Comments: call preceptor one month prior to arrange schedule.
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Title: Pediatric Hematology/Oncology
Preceptor:
Elizabeth Roman, M.D., Linda Granowetter, M.D.
Course Code: 13-06
Telephone #: 263-6428
Prerequisites: Pediatric Clerkship
Description:
Students will participate in the clinical activities of the
Pediatric Hematology-Oncology Service, including clinics and outpatient
therapy sessions. A full schedule of educational activities is offered:
weekly management conferences, weekly morphology reviews, weekly
hematology tutorials, tumor boards and journal clubs. Students will
participate in joint seminars with the Adult Hematology Service,
be assigned new patients for consultation and chronic patients for
follow-up and they will also be exposed to the psychosocial aspects
of chronic care.
It has been our past experience that this clinical rotation provides
a good overview of pediatric hematology and oncology without requiring
a high degree of specific expertise. Students achieve a feel
for the specialty and are exposed to a wide variety of diagnostic
and therapeutic problems.
Objectives of the Elective:
I. The elective rotation in Pediatric Hematology-Oncology
is designed to accomplish the following goals:
- Familiarize the student with the pathophysiology, diagnosis
and management of primary hematologic and oncologic disorders.
- Give the student an overview of the hematologic manifestations
of systemic disease.
- Demonstrate a comprehensive approach to chronic disease by including
the student in case management discussions.
- Integrate molecular biologic/genetic principles with the clinical
diagnosis and management.
II. At the end of the four week rotation the Student will
be able to:
- Give a cogent case presentation including the elements pertinent
to these disorders.
- Perform a system-directed physical examination.
- Interpret the parameters of a full CBC, basic coagulation tests
and a thrombosis work-up.
- Recognize striking features of a blood smear.
- Increase understanding of the molecular basis of disease by
directed literature review.
- Have some appreciation for the techniques employed in the Hematology
Laboratory.
- increase his/her familiarity with the principles of managing
oncology and chronic hematology patients, including the appropriate
use of blood products.
Key Responsibilities of the student while on Elective:
1) No night call on this service.
2) Students act as primary consultants for inpatient consultations,
under the supervision of a Fellow and an Attending.
3) Students are the primary physicians seeing outpatients with
Fellow and attending supervision.
4) Students attend all educational activities (nine sessions per
week) of the Service:
a) Journal Club
b) Tumor Boards
c) Didactic Teaching sessions
d) Patient management conferences
e) Slide review and laboratory teaching sessions
f) Research seminars
5) Students are expected to research and present a selected topic
to the Service.
Didactic Program:
Students are fully integrated into the elective, receiving the
same didactic program as Pediatric Residents on elective.
Method of Evaluation:
Students are evaluated by the faculty with whom they had contact,
by consensus discussion.
Scheduling Information:
Months Offered: September - June
Report To : 9AM, Hassenfeld Center, 317 E34th St, 8th floor
Students Per Period: 2
Duration: Four Weeks
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Title: Pediatric Renal and Hypertensive Diseases
Preceptor: Howard Trachtman, M.D.
Course Code: 13-03
Telephone #: (212) 263-6425
Prerequisites: Pediatric Clerkship – Restricted to NYU Students
Description:
Students will participate in the clinical activities of the Pediatric Renal and Hypertensive Diseases Service, including clinics and outpatient therapy sessions. A full schedule of educational activities is offered: weekly management conferences, weekly morphology reviews and weekly renal tutorials. Students may participate in joint seminars with the Adult Nephrology Service, be assigned new patients for consultation and chronic patients for follow-up and they will also be exposed to the psychosocial aspects of chronic care.
It has been our past experience that this clinical rotation provides a good overview of pediatric Nephrology without requiring a high degree of specific expertise. Students achieve a feel for the specialty and are exposed to a wide variety of diagnostic and therapeutic problems.
Objectives of the Elective:
- The elective rotation in Pediatric Nephrology is designed to accomplish the following goals:
- Familiarize the student with the pathophysiology, diagnosis and management of primary renal and hypertensive disorders.
- Give the student an overview of the nephrologic manifestations of systemic disease.
- Demonstrate a comprehensive approach to chronic disease by including the student in case management discussions.
- Integrate molecular biologic/genetic principles with the clinical diagnosis and management.
- At the end of the four week rotation the Student will be able to:
- Give a cogent case presentation including the elements pertinent to these disorders.
- Perform a system-directed physical examination.
- Interpret the parameters of a full metabolic work-up.
- Recognize striking features of an abnormal urine analysis, blood pressure, etc.
- Increase understanding of the molecular basis of disease by directed literature review.
- Have some appreciation for the techniques employed in the clinical laboratory and un the Dialysis unit.
- Increase his/her familiarity with the principles of managing renal and hypertensive disease patients (acute and chronic), including the appropriate use of blood products.
Key Responsibilities of the student while on Elective:
- No night call required on this service
- Students act as primary consultants for inpatient consultations, under the supervisor of a Resident and an Attending.
- Students are primary physicians seeing outpatient with Residents and Attending supervision.
- Students attend all educational activities of the Service:
- Didactic Teaching sessions.
- Patient management conferences.
- Slide review and laboratory teaching sessions and research seminars.
- Students are expected to research and present a selected topic to the Service.
- Renal Clinics – 3 per week, 2 at Bellevue, 1 at private practice site.
Didactic Program:
Students are fully integrated into the elective, receiving the same didactic program as Pediatric Residents on elective.
Method of Evaluation:
Students are evaluated by the faculty with whom they had contact, by consensus discussion.
Scheduling Information: Months Offered: September - July
Report To: 9:00 a.m., Bellevue Hospital – 8th floor Room 8S4-11
Duration: Four Weeks
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Title: Pediatric Rheumatology
Preceptor: Philip Kahn, M.D.
Email: Philip.Kahn@nyumc.org
Course Code: 13-22
Telephone #: (212) 263-5940, Fax #: (212)263-5808
Prerequisites: Pediatric Clerkship
Description:
Students will participate in the clinical activities of the Pediatric Rheumatology Service, including outpatient clinics, private office hours, infusion visits and inpatient/emergency room consultations. A full schedule of educational activities is offered: weekly management conferences, weekly rheumatology journal clubs, weekly rheumatology seminar series, weekly pediatric grand rounds, and monthly adult rheumatology grand rounds as well as other conferences, including pediatrics morning report and morbidity and mortality conferences if appropriate. Students will participate in joint seminars with the Adult Rheumatology Service, as indicated above, working closely with the adult fellows in pediatric rheumatology clinic. Students will be assigned new patients for consultation and chronic patients for follow-up focusing on their medical care as well as the psychosocial aspects of chronic disease in children and its affect on the patient and family.
This clinical rotation will provide a good overview of pediatric rheumatology without requiring a high degree of prior specific knowledge/experience. Within this four week elective students will be exposed to the breadth and depth of pediatric rheumatic disease, as well as other disease masquerading as rheumatic disease.
Objectives of the Elective:
- The elective rotation in Pediatric Rheumatology is designed to accomplish the following goals:
- Help train the student to perform a guided, yet thorough history, actively sleuthing for rheumatic disease, which may be subtle in children.
- Train students how to perform a thoughtful physical exam, focusing on the musculoskeletal system, as well as looking for signs of systemic disease.
- Provide an overview of musculoskeletal disease in children including common orthopedic issues.
- Update regarding the management of pediatric rheumatic disease, including Juvenile Idiopathic Arthritis, Lupus, Dermatomyositis, Kawasaki’s disease and more.
- Demonstrate a comprehensive approach to systemic disease by including the student in case management discussions.
- Integrate molecular biologic/genetic principles with the clinical diagnosis and management in order to better understand the pathophysiologic mechanisms of disease
- Gain exposure to physical/occupational therapy and rehabilitation medicine.
- At the end of the four week rotation the Student will be able to:
- Increase understanding of the molecular basis of disease by directed literature review.
- Interpretation of laboratory analysis including serology, and knowing when to send certain tests.
- Demonstrate skill in the performance of a thorough musculoskeletal exam, as well other disease systems.
Key Responsibilities of the student while on Elective:
- No night call on this service.
- Students act as primary consultants for inpatient consultations, under the supervision of an Attending. Students are encouraged to pre-round on any inpatients,and communicate with the team in order to begin the process of clinical decision-making prior to speaking with the attending.
- Students are the primary physicians seeing outpatients with Fellow and attending supervision. Student may more likely shadow attending in the private office.
- Students attend all educational activities of the Service:
- Rheumatology Journal Club
- Didactic Teaching sessions, patient management conferences
- Research seminars
- Pediatric Grand Rounds, Morbidity and Mortality conferences
- Rheumatology Grand Rounds
- Students are expected to research and present a selected topic of his/her choice related to rheumatic disease focusing on the key elements in a rheumatic history and physical exam to create a broad differential diagnosis.
Didactic Program:
Students are fully integrated into the elective, receiving the same didactic program as Pediatric Residents on elective. Students are encouraged to write up any topic of interest for abstract or manuscript preparation.
Method of Evaluation:
Students are evaluated by the faculty with whom they had contact.
Scheduling Information:
Months Offered: Year-round
Primary Office: 160 E. 32nd Street, L3 Medical, New York, NY 10016
Students Per Period: Up to 2 students
Duration: Four Weeks
Return to Electives Catalogue
Title: Pediatric Subinternship
Preceptor: Steve Paik, M.D.
Bellevue Hospital Telephone #: 263-6425
Course Code: 13-19
Prerequisites: Pediatric Clerkship
Description:
The objectives of the pediatric in-patient subinternship are:
1) to broaden knowledge of developmental biology and to illustrate
its pertinence to the practice of pediatrics;
2) to develop advanced clinical reasoning and problem solving skills;
3) to improve proficiency in patient management, information management
and procedural skills. Subinterns will assume direct, primary responsibility
for the care of a panel of infants, children and adolescents with
a variety of common medical, surgical or psychosocial disorders
under the direct supervision of the faculty. They will admit patients,
formulate diagnostic and management plans, perform necessary procedures,
and participate in didactic activities as part of an integrated
health care team. Night and week-end call will be essential to the
experience. Eight weeks cancellation notice is required.
Objectives of the Elective:
The subinternship is an in-depth clinical exposure to infants,
children and adolescents requiring in-patient management. At the
completion of this four week rotation at Bellevue Hospital participants
are expected to:
- Master age-appropriate and developmentally-oriented clinical
data-base skills including: history (directed by symptoms), anthropometric
analysis, and physical examination (directed);
- Formulate complete age-appropriate differential diagnoses for
common problems or abnormal findings;
- Understand indications for and appropriately interpret the
results of admission laboratory and imaging tests;
- Develop competency in decision-making skills based on an understanding
of principles of molecular pathobiology, genetics, pathophysiology,
and clinical epidemiology;
- Understand the indications for subspecialty consultation and
recognize the need and criteria for transfer of patients to an
intensive care unit;
- Understand the use and interpretation of non-invasive physiologic
monitoring and special technologies;
- Develop an understanding of multidisciplinary case management,
- Develop proficiency in common bedside procedural skills.
Key Responsibilities of the student while on Elective:
- The student will assume direct responsibility for the diagnostic
evaluation and on-going management of patients admitted to the
8-North in-patient unit under the direct supervision of the senior
pediatric housestaff and the faculty.
- The student will be responsible for establishing a complete
medical database, formulating a diagnostic and management plan,
and interpretinglaboratory data.
- The student will be expected to present patients at teaching
rounds and interactive, problem-based clinical conferences in
order to learn principles of diagnosis and strategies for rational
management.
- The student will function as a pediatric medical consultant
to patients with surgical disorders admitted to the pediatric
in-patient unit.
- The student will take call averaging one in every fourth night
in hospital during the rotation.
Didactic Program:
The student will make work rounds with the senior housestaff
and attend radiology rounds with the faculty daily. Teaching rounds
with the pediatric faculty are scheduled regularly. A general pediatric
teaching conference is scheduled daily at lunchtime. Grand Rounds,
focusing on advances in molecular biology, pathogenesis, and therapeutics
is scheduled weekly.
Method of Evaluation:
The student will be evaluated on clinical knowledge, professional
attitudes and interactions, and proficiency in both database and
cognitive skills including critical thinking and competence in clinical
decision-making.
Scheduling Information:
Months Offered: August - June
report To: 7:45 am, new bellevue 8s4. call preceptor
1 week prior to start
Students Per Period: 1
Duration: Four Weeks
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