Dear Year Three Students:
The entire Pediatric faculty join me in hoping that your eight-week Pediatric rotation will be a great learning experience and you will also have some fun.
Children are constantly growing, developing, and changing. I hope that during your Pediatric clerkship you will learn what is normal for children at various ages. You will help care for children with common illnesses and learn how to diagnose and treat these illnesses. You will also see a variety of less common illnesses. I encourage you to play with your patients. This is a great way to learn about normal growth and development. For those of you who choose a field of medicine other than Pediatrics, it is hoped that your rotation with us will provide you with an understanding of what makes Pediatrics unique and fun. For those of you who choose to become Pediatricians, your clerkship will provide you with the essential foundation necessary to become an excellent Pediatric Resident.
If we can be of any help, please let us know.
Jamie Sutherell, M.D.
Course Director Pediatrics
|Course Director||Educational Coordinator|
|Jamie Sutherell, M.D.
Cardinal Glennon Children's Medical Center
Fax: (314) 577-5379
Cardinal Glennon Children's Medical Center
|Clinical Sites Used for Third Year Clerkships|
|Cardinal Glennon Children's Medical Center (Floor)||13||4|
|Cardinal Glennon Children's Medical Center (Clinic)||11
|St. Mary's Health Center (Nursery)||4||1
This is an eight-week Year 3 clerkship offered by the Department of Pediatrics at Cardinal Glennon Children's Medical Center. The clinical experience includes inpatient wards, ambulatory pediatrics, and newborn nursery. In addition, there are a series of didactic lectures and conferences.
The goal of the course is to acquaint the students with general aspects of growth, development, physical and mental health, and illness of infants, children, and adolescents. At the end of the course the student should be cognizant of: the normal patterns of growth and development and assessment thereof: effective techniques of history-taking in the pediatric setting; techniques of physical and neurological examination of infants, children, and adolescents; and common pediatric disease processes and their evaluation, management, and expected outcome.
The Department of Pediatrics assigns students to each of the following experiences:
The Inpatient Clinical Experience is a four week floor service. The student is a member of one of the inpatient ward teams composed of one or two attending physicians, a senior pediatric resident, and two to three first year pediatric residents or rotating interns. During this month, the student will participate in the evaluation and management of patients one day to eighteen years of age who require hospitalization for a variety of acute and chronic disease processes, including those that require intensive care. Call is every fourth night with the team. One student will spend the night with the on-call team on a rotating basis. Other students are allowed to go home on call nights after 9:30 p.m. to do more reading on the patient they worked-up and complete the write up. There are approximately seven call nights during a four week period. While on the in-patient rotation, students will have every Sunday off, unless their team is on-call, in which case Saturday is off.
The Ambulatory Clinical Experience is three weeks long and is held in the Ambulatory Care Center (University Pediatrics) and selected pediatricians' offices. Students will have an opportunity to participate in well baby examinations and the care of common acute illnesses. In addition, several one-half day sessions in various subspecialty clinics will allow students to become familiar with these subspecialties. Also, during the ambulatory rotation students will be allotted time to work through computer-based patient cases.
The Neonatal Clinical Experience is a six day rotation, Monday through Friday and Saturday or Sunday, and held at St. Mary's Medical Center. The student will be assigned to the newborn nursery and will participate in the evaluation and management of normal and premature newborn infants. The student will have an opportunity to attend cesarean sections with a resident and/or attending and to learn the delivery room management of stressed infants.
Orientation is held on the first day of each rotation at 9:00 a.m. in Danis Auditorium located at Cardinal Glennon Children's Medical Center. A letter regarding orientation is emailed to the student prior to the rotation.
A series of lectures in General Pediatrics will be given by the Pediatric faculty. Lectures take place at 12:00 noon. The lecture schedule and outlines for most lectures are part of the syllabus. Grand Rounds take place at 8:00 a.m. on Wednesday in Danis Auditorium.
The department provides Nelson's Pediatrics for students to use while on service. A rental fee of $5.00 will be collected when the books are issued. The books are to be picked up in Room 1204 after orientation and returned on the last day of the rotation. Should a book become lost or stolen, the student will be responsible for replacing it. A CD containing review articles and other material to supplement the clerkship is given to students at orientation.
Quizzes and Tests
A National Board of Medical Examiners' written subject examination will be given on the last day of the rotation. An oral exam based on your clinical experiences and key topics is given the last week of the rotation. A minimum of 25 CLIPP cases and quizzes are required during the ambulatory experience.
Projects and Papers
Two admission histories and physicals are completed per week (at least five are required for the in-patient rotation) one which is na EBM project); orders are written with the house officer; a copy of each write-up is given to the attending for critique. It is expected that students will present to the attending six days per week. Daily progress notes are to be submitted to residents/attendings. An observed history and physical is completed for the inpatient, outpatient, and nursery rotations. A FACTS form must also be completed during your eight week pediatric rotation.
Evaluation and Grading Procedures
Grades for the clerkship are based on scores for six evaluation components: the shelf exam, CLIPP cases quizzes, the evaluation forms, filled out by both faculty attendings and senior residents, the oral exam, and the outpatient evaluations.
TYPICAL CALL, AND WEEKEND ACTIVITIES:
Inpatient Clinic: On call every fourth night and one student on the team will spend the night. Sundays off unless on call, then Saturday off. No weekend duty 4th or 8th week of the clerkship.
Outpatient Clinic: No weekend duty.
Nursery Clinic: Each student will take call (4:00 p.m. to 9:00 p.m.) at least once during the week. Monday through Friday; and Saturday or Sunday.