Pediatrics

Course #: PEDS-821

 Title: Pediatric Emergency Medicine

 Instructor: Jana Upshaw, M.D.

 Location: Medical University of South Carolina

Charleston, SC

 Number of students: 1

 Duration: 4 weeks

 Credit hours: 5

 Course offered:  Year Round

Description

Student will function in role of intern, taking history and performing physicals on patients and performing minor procedures. Students will develop assessments and will learn to manage acute pediatric problems.

Course objectives

• Recognize a sick child and initiate diagnostics and therapy
• Manage minor trauma and have an understanding of major trauma in the pediatric patient

Instructional methodology (approximate # of hours per week)

• Lectures -  
• Rounds/Discussions -  
• Patient Contact -  
• Lab -  
• Patient Load -  
• Call -

Description

Physiology of lactation will be discussed in the context of mother/infant dyad, maternal and infant health condition. The mechanics of breastfeeding will be understood through didactic and bedside teaching and interaction with Dr. Wagner during rounds and with MUSC's lactation consultants. The structure and bioactive/protective effect of human milk will be discussed in terms of epidemiological studies. Lastly, the students will spend one afternoon in the lab processing a milk sample, staining the cells and looking at the human milk under the microscope.

Course objectives

• Understand the physiology of lactationUnderstand the mechanics of breastfeeding and how to problem solve through didactic and bedside teaching and observation
• Understand the health implications of human milk feedings in terms of short and longterm health benefits
• Counsel the breastfeeding mother in a variety of clinical situations

Instructional methodology (approximate # of hours per week)

• Lectures - 5
• Rounds/Discussions -10-12
• Patient Contact - 10
• Lab - 1-2
• Patient Load - 5-8
• Call - none

Course #: PEDS-852

DescriptionPediatric nephrology outpatient clinic and inpatient consultations.

Course objectives

• Learn presenting signs of common pediatric nephrology
• Learn the management of common pediatric nephrology problems
• Become familiar with issues particular to pediatric fluids and electrolytes
• Become familiar with issues involving pediatric dialysis and renal transplantation

Instructional methodology

• Lectures
• Rounds/Discussions
• Patient contact 
• Patient load - mostly outpatient
• Call - none

Course #: PEDS-853

Description

The student will learn to diagnose and treat common pediatric problems. Weill also learn how to be a competent and compassionate physician.

Course objectives

• Daignose common pediatric problems
• Treatment of common pediatric problems
• Learn compassionate approach to patients
• Interview patients

Instructional methodology

• Lectures - 5
• Rounds/Discussions - 1-5
• Patient contact - 40
• Patient load - 25/day
• Call - none

Course #: PEDS-855

Description

Students will learn the impact of genomics in medical practice now and in the future.

Course objectives

• Access and analyze information from computer/internet based sources of genetic information
• Perform simple pedigree analysis and apply it to medical practice
• Appreciate the social/legal/ethical implications of predictive testing using genetic markers
• Appreciate the advantages and limitations of gene-based testing

Instructional methodology

• Self directed learning - 10-15
• Rounds/Discussions - 5-10
• Patient contact - 20
• Lab - none
• Patient load - 3-4/day
• Call - none

Description

Student will round daily with an attending on term and pre-term infants requiring Level II care.  Student will participate in high risk deliveries and infants born by caesarian. section.

Course Objectives

• Assessment and management of Level II neonates
• Review neonatal resuscitation and stabilization
• Review pathophysiology of newborn diseases
• Participate and perform lumbar punctures on neonates
• Optional involvement with OB service to learn circumcision 

Instructional Methodology (approximate # of hours per week)

• Lectures -  10
• Rounds/Discussion - 7
• Patient contact - 10 
• Lab - 0  
• Patient Load - 3 
• Call - 5 nights/week

DescriptionThe extern will be  exposed to pediatric patients with acute and chronic diseases and  will participate in the complete care of the patient as part of the general pediatric team where they will learn to communicate with patients, families, staff and referring physicians. Clinical emphasis will include enhancement of interviewing and physical examination skills, discussions of pathophysiology, formulation of diagnostic and treatment plans and performance of commonly used procedures under the supervision of senior residents and attendings. 

Course Objectives

• Enhance interviewing and physical exam skills
• Pathophysiology discussion
• Formulation of diagnostic and treatment plans
• Performance of commonly used procedures while under supervision
• Communicate with patients, parents, staff and referring physicians 

Instructional Methodology (approximate # of hours per week)

• Lectures - 12
• Rounds/Discussions - 10
• Patient Contact - 8
• Lab - none Patient Load - 4
• Call - every 4th or 5th night

DescriptionInpatient care of cardiology patients.

Course objectives

• Learn anatomy and physiology of congenital heart and acquired heart diseases
• Learn physical exam of the heartLearn coordinated management of medical care 

Instructional methodology (approximate # of hours per week)

• Lectures - 4
• Rounds/Discussions - 10
• Patient contact - 30
• Lab - none
• Patient load - 5
• Call - 2-3 nights per week

DescriptionThis rotation is in an ambulatory pediatric center which will allow the student to provide acute care and preventative health screenings to children ages 0 - 18 years of age.

Course Objectives

• Develop knowledge base in outpatient pediatrics
• Evaluate sick and well children, formulate a diagnosis and treatment plan
• Develop approaches to examining children of many developmental ages
• Learn age appropriate health supervision principles
• Learn effective communication skills for children and parents 

Instructional Methodology (approximate # of hours per week)

• Lectures - 2
• Rounds/Discussions - 8
• Patient contact - 30
• Lab - none
• Patient load - 6/day
• Call - 0

Course #: PEDS-870

DescriptionA hands-on rotation on the clinical hematology/oncology services.  The student will participate in rounds, tumor board, consults and teaching sessions.

Course objectives

• Become familiar with pediatric oncology diseases
• Learn about common hematological disorders
• Learn to present relevant clinical information
• Learn how to interact with families of children suffering from chronic diseases 

Instructional Methodology (approximate # of hours per week)

• Lectures - 3
• Rounds/Discussions - 10
• Patient Contact - 25
• Lab - 2 Patient
• Load - 3-4
• Call - 2 nights per week 

DescriptionThis course allows the student to gain additional fundamental knowledge of common genetic disorders encountered in day-to-day practice and to gain experience in analyzing the complex psychosocial and emotional aspects of genetic disorders and counseling.  Students will attend clinics at the Children's Hospital and outreach sites (Florence, Beaufort and Georgetown), perform supervised patient assessments, prepare case summaries and literature search assignments.

Course Objectives

• Basics of dysmorphology assessment
• Principles and practice of genetic counseling
• Use of genetic tests in clinical practice
• Ethics of genetic medicine 

Instructional Methodology (approximate # of hours per week)

• Lectures - 2
• Rounds/Discussions - 4
• Patient Contact - 20
• Lab - optional
• Patient Load - 30-40
• Call - none 

DescriptionA rotation in pediatric critical care encompasses the multiple facets applying intensive care techniques to pediatric patients with life-threatening problems. Pathophysiology and advanced diagnostic and therapeutic modalities will be stressed.

Course objectives

• Pathophysiology of respiratory, circulatory, hepatic and renal failure
• Ventilator management
• ICU decision making
• Neurologic emergencies
• Trauma ICU management

Instructional methodology (approximate # of hours per week)

• Lectures - weekly
• Rounds/Discussions - weekly
• Patient Contact - weekly
• Lab - none
• Patient Load - 2-3 
• Call - 2 nights per week 

DescriptionThe NICU (Newborn Intensive Care Unit) externship provides the extern, wanting to go into pediatrics or obstetrics, intensive exposure to pathophysiology of newborn disease.

Course Objectives

• Learn pathophysiology of neonatal problems
• Day to day management of sick newborns
• Learn about neonatal nutrition
• Learn about neonatal pharmacology 

Instructional Methodology (approximate # of hours per week)

• Lectures
• Rounds/Discussions
• Patient Contact
• Lab - none Patient load - 2
• Call - every 4th night 

DescriptionThis elective is designed to provide an in-depth and intensive exposure to both common and unusual infectious diseases of children.

Course objectives

• Provide an in-depth understanding of the epidemiology, pathogenesis, clinical manifestations, diagnosis and treatment of common pediatric infectious diseases
• Introduce trainees to subspecialty literature in pediatric infectious diseases and provide a basis for future independent learning
• Provide an approach to complicated patients with infectious diseases and to the evaluation of serious or unusual infectious diseases

 Instructional methodology (approximate # of hours per week)

• Lectures - none
• Rounds/Discussions - 10
• Patient Contact 12
• Lab - none
• Patient Load - 4-5 consults, 1-2 admissions and 10-12 clinical patients per week
• Call - none

Description

An overview of adolescent medicine with clinical experiences including Adolescent Clinic, a school-based clinic, Young Mother-Baby clinic and an adolescent substance abuse treatment program.

Course Objective

• Become familiar with adolescent physical and cognitive development
• Identify risk taking behaviors in the interview of an adolescent patient 

Instructional Methodology (approximate # of hours per week)

• LecturesRounds/Discussions
• Patient Contact
• Lab - none
• Patient Load - none
• Call - none

---

Course #MED-820