Welcome To Pediatrics!Welcome To Pediatrics!

Welcome to Pediatrics!

Clerkship AdministrationClerkshipCe s p Directorecto - Lisasa Martina t MD,, MPH limartin@lumc.edu Pagerg 11368 327327-9101Assistant Clerkship Director – Ellen Sarvida, MD msarvida@lumc.edu Pager 19225Clerkship Coordinator – Ana Juarez ajuarez@lumc.edu 216216-5319

What Makes Pediatrics DifferentOld--Fashioned MedicineOld Less reliance on technology More trust in providers Greater partnership with patients and familiesBenefit Often have better compliance

What Makes Pediatrics DifferentOur patients get better! Frequently infectious disease and/or singleorgan system derangementChildren are resilient.resilient Benefit: Immediate Gratification!

What Makes Pediatrics DifferentPediatriced at c pproviderso de s aareemore fun! The physical examffrequentlyl requiresianentertaining personality. ChildChild--friendly environsare uplifting.Benefit: Relive yourchildhood!

Rotation GoalsObtain knowledge of common pediatric illnesses.Become familiar with key topics covered in wellchild and adolescent visits.Develop an approach to interviewing andexaminingg children of all developmentalpstages.g

Orientation to PediatricsThiss cclerkshipe s p iss a ssmorgasbordo gasbo d oof eexperiences.pe e cesStrengthsp Broad experiences Primarily general pediatric focus Clinical preceptors are very interested inteaching.Weaknesses Multiplel l supervisors/evaluators/l Seasonality A shorth t rotationt ti thatth t moves quickly!i kl !

Clerkship OverviewAmbulatory Pediatrics: 3 weeks – may be nonnon-consecutiveWard: 2 weeksNursery: 1 weekOperation Homefront: 2 sessions

Suggested TextbooksNelson Essentials of Pediatrics - Behrman &KliegmangPediatrics for Medical Students – Bernstein &ShelovBlBlueprintsi t ini PediatricsP di t i - MarinoM iPretest Pediatricsd– practice questions

Internet Education ResourcesCLIPP cases (Computer Assisted Learning inPediatrics) http://www.med-u.org/http://www.med u.org/Bright Futures http://brightfutures.aap.org/index.htmlPediatrics in Review http://www.pedsinreview.orghttp://www pedsinreview orgPediatric Board Game http://www.medgame.orghttp://www medgame org

More Internet ResourcesCOMSEP Curriculum www.comsep.org*** COMSEP Pediatric PhysicalyExam Video *** www.comsep.org Æ Educational Resources ÆMultimedia Teaching Resources Æ PediatricPhysical Examination (under COMSEPCurriculum Support Resources)

Loyola Pediatrics WebsitePeds Page on LUMEN Clerkship schedules (call, lectures) Preceptor evaluations of students Competencies Lecture handoutsh dPeds Dept ullinfo.htmhttp://www meddean luc edu/depts/peds/Usefullinfo htm PowerPoints from old morning reports Schedules: noon conference, resident call, etc

Inpatient ResponsibilitiesWard “Read around patients” (beyond the text) Share with the team (formal and informal) ReadR d aroundd andd see otherh interestingiipatients Primary responsibility on call is new pt. workwork-ups 2 weeks is short, so be aggressive Weekendsk d *** If you are not on call, you must stillround on 1 weekend dayday.

Ward WeekendsO callll FridayF idOn Stay until work is done on Saturday ( noon). Off Sunday,y, back on MondayyOn call Saturday Stay until work is done on Sunday ( noon) Back on MondayOn call Sunday Off Saturday StaySt untiltil workk isi donedon MondayM d ( noon)()No weekend call Pick either Saturdayy or Sundayy ((divide amongg theteam), come in to preround on assigned patients,participate in rounds, and stay until work is done(rarely after noon). ****NoNo full weekends off during IPIP.If you are on callll SaturdaySd duringd i one wardd weekend,k dyou still must come in one morning the other weekend.

Inpatient ResponsibilitiesWardad Students at Loyola - assigned to work withPL--1 by matching up call schedulesPL Call (2(2--3 in 2 weeks) Leave at 10P the night before PCM, study days orswitch daysdays. M – F rounds vary by day and team (butmostlyy 9 – 12)) Be the expert on your patients!g Report/Grandp PrePre-round before MorningRounds (or before rounds on the weekends)

Ambulatory ResponsibilitiesSee a variety of patients – well child and sickvisits Practice otoscopy!When possible, follow up on patients’ lab results.Read about your patient’spatient s problems and sharenew knowledge with your preceptors.Can be fastfast--paced – learn to think on your feetand synthesize information quickly.No weekend responsibilities!p

Nursery Responsibilities Daily attending rounds PrePre--round before Examine ALL babieseveryday WorkWork-up new babies AttendAtt d hihighh riski k deliveriesd li i Neonatology exposure Round one weekendmorning – divide amongth tteam.the

Teaching ConferencesPediatric Weekly Schedule (for LoyolaLoyola--basedstudents and nearby outpatient students) Morning Report (8A) – M, WW--F – Conf. Rm onNorth side of Hospital Cafeteria Grand Rounds (8A) – Tuesdays – SSOM 160 Noon Conference – see schedule fordates/locations – Most in Peds Conf. RmFridayy lecture series – usuallyy starts at 1P inPeds Conf. Rm, but check schedule.

Clerkship AssignmentsHistory and Physical Case Checking Two very complete H & Ps presented orally and theirwrite ups formally reviewed by your attending. Mustbe turned in! You should write H&Ps and daily notes on all patientsyou work up,up even after you’veyou ve turned your two inin.Directly Observed Newborn Exam Head-to-Toe PhysicalyExam reviewed and critiquedq(checklist) by your Newborn Nursery attending. Time limit of 10 min. CommunicationCi ti checklisth kli t fromfroundsd withith parents.t

Clerkship AssignmentsCLIPP cases (www.med-u.org/)() - complete asmany as possible, but the following 8 cases willbe required: Cases 4, 11, 18, 19, 21, 23, 24, 31 NOTE: Failing to complete required CLIPPcases willill affectff t your finalfi l grade!d ! (deduction(d d tiof 0.5 percentage points per CLIPP case)Ope ation HomefrontOperationHomef ont reflectioneflection essaessay – 1 pageEBM/Critically Appraised Topic worksheet

Clerkship AssignmentsPatient logs – (On MyLumen)MyLumen) – See separate info sheet. Yellow cards can be used to track daily talliestallies, butyou must log patients online at least weekly so I canensure that you’re having adequate exposure to pts. Preceptor (attending or resident) must sign off on aprintout of your patients after each rotation block (IP,OP, NBN), and this must be handed in. Additionaldd t o a CLIPPCcases mayay be assassignedg ed to you if youhave not had exposure to key types of patients. (I willsend you an email during the beginning of the 4thweek of the rotation if this is the case.) If you do not log patients in by 2 weeks after the endof the clerkship or turn in your signed printouts, yourProfessionalism Competency will be marked “withconcern”.concern”

Grading PolicySubjective Evaluations65%AmbulatoryWard (2 H Ps)Nursery (newborn exam)30%25%10%Final online exam35%Includes info from Preventive Medicine online curriculum.curriculum(You must pass exam – score of 60 - to get higherthan a Pass for the clerkship.)

EvaluationsYOU are responsible for giving forms to theattendings.Schedule time with attending at end of stint todiscuss evaluation. Ambulatory - One form to evaluating attending. Inmost clinics, you’ll work with multiple physicians, butypy one will collect feedback from theirtypicallycolleagues and complete the evaluation. If you can’t meet with your preceptor or see yourevaluation during the clerkship,clerkship check in with Anaperiodically to see if it’s in. *** I will not change any evaluations completed byother physiciansphysicians. If you disagree with yourevaluation, speak directly with your evaluator.

Evaluations (cont.)You have up to 3 weeks after the clerkship endsto speak to your evaluators about potentialrevisions. No further revisions will be acceptedafter this time.Grades are finalized to the Registrar’s Office nolater than 4 weeks after the end of clerkship. Once grades are finalized, they will not be changed!Grade Inventory Sheet Turn in at end of clerkship so we can help you trackdown missing evaluations.evaluations

AbsencesNotify your preceptor and Dr. Martin/Ana Juarezif you miss time due to illness.Requirements for making up lost time dependon how many days & what part of the rotationwas missed. Will be decided by Dr. Martin oncase--bycaseby--case basis. Less likely to need to make up OP time.Excuses to miss exam due to illness requirewritten note from Student Health andnotificationtifi ti off DDean Wronski’sWki’ office.ffi

Proceduresd

Student FeedbackEnd of Clerkship On-Line System MMustt bbe completedl t d withinithi 2 weeksk off clerkshipl k hicompletion, or the registrar’s office will not releaseyour gradegrade.Real Time Feedback

Nelson Essentials of Pediatrics Nelson Essentials of Pediatrics --Behrman & Behrman & Kliegman Pediatrics for Medical Students Pediatrics for Medical Students –– Bernstein & Bernstein & Shelov Bl i t i P di t iBlueprints in Pediatrics