Direct Observation:  Each student will be directly observed completing a problem focused history and physical exam on a patient the FIRST day of Clinic.
	Varies by season, but students are encouraged to fully participate in the care of as many patients as possible.  These patients will be logged in under the ONE systematic category that best fits the patients major problem.
	HEEADSSS psychosocial review of systems (ROS):  one adolescent patient must fill out the SCAG form after you complete your interview and examination.  To receive credit for this required activity, you must place the following documentation in your folder in the Student Conference Room in the clinic: Copy of the completed clinic record (yellow sheet) Completed SCAG form.  Write your name and the patient's name in the top right corner A summary of the interview on Progress Note paper including each HEADS category.  Don't forget to write patient's name in the top right corner and legibly sign the summary.

III.  Reading Assignments:  These assignments are part of your required reading while in the Clinic portion of the clerkship.  These pages from Nelson Textbook of Pediatrics complement the assigned cases from Case Files. Students will be quizzed on these reading assignments (including Immunizations and Car Seat Safety) during the Clinic portion of their rotation.   

	ADHD Pages 146-150, Chapter 31
	Lead Poisoning Pages 2913-2917, Chapter 709
	Anemia Pages 2004-2006, Chapter 447  Page 2009, Section 451.1 Pages 2014-2017, Chapter 455 Pages 2017-2018, Chapter 456 Pages 2033-2037 Thalasemia syndromes, Section 462.9
	Immunizations 2008 Immunization Schedules  0-6 years of age 7-18 years of age Catch-up Recommendations for Childhood and Adolescent Immunizations Pages 1058-1070, Chapter 170 NOT Figures 170-2, 170-3, 170-4
	Allergic Disease & Atopic Dermatitis Pages 938-940, Chapter 140 (stop at Diagnostic testing) Pages 942-944, Chapter 141 (stop at Pharmacologic Therapy) Pages 970-975, Chapter 144 Page 988 (Skin manifestations) Page 2277 (atopic dermatitis)
	Acne vulgaris Pages 2759-2764, Chapter 668
	Kawasaki Disease Pages 1036-1041, Chapter 165 Page 1966 Page 1987, section 444.1 Page 2657
	Asthma Booklet from Merck (will be distributed in clinic) Page 953-970, Chapter 143 NOT tables 143-9, 143-10, 143-11
	Otitis Media Pages 2632-2646, Chapter 639
	Seizures in Childhood & Febrile Seizures Pages 2457-2460, Chapter 593 (stop at Partial seizures) Pages 2473-2475 (Status Epilepticus), Section 593.8
	Rickets Pages 253-262, Chapter 48 (stop at hypervitaminosis D) Page 2895, Table 701-2
	Car Seat Safety Car Safety Seats Infant Passenger Safety

IV.  Student Seminars will be assigned during this portion of the rotation.  Seminars will be presented on the 2nd Tuesday of the Ambulatory Care Clinic portion of the clerkship in the Pediatric Clinic conference room.

V.  Self Study:  No test questions will come from these assignments.

Acne

Expert Committee Recommendations for Acne Management   Pediatrics. Vol 118, no 3, September 2006: 1188-1199.

 

ADHD

Gephart HR, Leslie LK. ADHD Pharmacotherapy: Prescribe with safety in mind and monitor results with vigilance.    Contemporary Pediatrics. December 2006; 23: 46-54. 

 

Adolescent Medicine (self study)

Goldenring JM, Rosen DS.  Getting into adolescent heads:  An essential update.    Contemporary Pediatrics.  January 2004; 21: 64-90.

Anemia (self study)

Atopic Dermatitis

 

Febrile Seizures

Duffner PK, Baumann RJ. A Synopsis of the AAP's Practice Parameters on the Evaluation and Treatment of Children with Febrile Seizures.   Pediatr Rev. August 1999; 20: 285-287.

 

Kawasaki Disease

Milana C, Chandran L. What's new in Kawasaki disease-Revised guidelines.   Contemporary Pediatrics. July 2006; 23.

 

Lead Poisoning (self study)

Markowitz M.  Lead Poisoning.    Pediatrics in Review.  October 2000; 21: 327-335.

Otitis Media

 

Rickets

Taylor SN, Wagner CL, Hollis BW. Vitamin D: Benefits for bones and beyond.   Contemporary Pediatrics. November 2006; 23: 70-81.

 

Seizures

Fisher PG. First and second seizures: What to do.   Contemporary Pediatrics. April 2007.

	Patient encounters Each student is required to complete a written admit history and physical exam on FOUR babies during the 2-week portion of the clerkship. Direct Observation:  Each student will be directly observed completing a complete neonatal physical exam on a baby the 2nd week of the Nursery rotation.
	Case Files:  28 required cases.  Students will be quizzed on these cases during the Nursery portion of the rotation.
	Neonatal Cases:  6 scenario-based cases students discuss with Dr. D. Bienvenu or her designee on Thursdays at 11am in the Nursery classroom.

	Patient encounters Varies by season, but students are encouraged to fully participate in the care of as many patients as possible (typically 3-5 patients per day).  These patients will be logged in under the ONE systematic category that best fits the patients major problem. Each student is required to complete a written admit history and physical exam while on call on THREE patients during the 4-week Ward rotation. Resident Teaching Rounds Week #1:  Complete Respiratory Exam Week #2:  Developmental Assessment Week #3:  Complete Neurologic Exam on Toddler Week #4:  Tour of the NICU (optional) Direct Observation:  Each student will be directly observed completing a problem focused history and complete physical exam on a patient.
	Conferences:  Morning conference or Morning Report according to the resident schedule
	Professor's Rounds Every Tuesday at 11:00 am, the students from both teams should meet in the Medical School classroom 5-333. Students should have selected one (1) interesting patient and be prepared to present them to Dr. Bocchini (Chairman of Pediatrics). Students should have available any pertinent X-rays or lab results on the patients presented.
	Case Files:  12 required cases.  Students will be quizzed on these cases at 1 PM on the 3rd Wednesday of the Ward rotation.
	Article: Driscoll, MC.  Sickle Cell Disease.  Pediatr. Rev., Jul 2007; 28: 259 - 268.     **Questions from this article are included on the Case Files quiz listed above.
	HARVEY:  See Orientation schedule.
	Pediatric Junior Clerkship Ward Assignments At-A-Glance

Conferences:  Attendance is mandatory. Noon Lectures Respiratory Therapy Conference 1st Wednesday of the clerkship in room 5-301 from 1:30-2:00 pm Nutrition Conference 1st and 5th Wednesday of the clerkship in room 5-301 at 2:00 pm Journal Club Wednesdays (week 2, 3, 4) in room 5-301 at 1:30 pm Evidence Based Medicine (EBM) Conference  Wednesdays (week 6, 7, 8) in room 5-301 at 1:30 pm Student Seminars 2nd Tuesday of your clinic rotation in the Clinic Conference room

Patient encounters Below is a list of your MINIMUM requirements to complete the Clerkship. Make sure you complete all required assignments (# minimum).   You must also see and fully participate in the care of at least 10 more patients.  These will be logged in under the ONE systematic category (the categories below with a minimum of "0") that best fits the patients major problem.   You will only receive credit for the first 2 patients per category.  Patients in the same category must have different diagnoses.  This restriction ensures a diverse patient population during your Pediatric Junior Clerkship. All patient encounters must be logged into My Evaluations.

 

"Patient Encounters Log"	# Minimum	# Certified
Adolescent Medicine	0	2
Allergy And Immunology	0	2
Cardiology	0	2
Child Development	0	2
Dermatology	0	2
Development Assessment	1	1
Endocrinology	0	2
Gastroenterology	0	2
Genetics	0	2
Gyn	0	2
HEEADSSS	1	1
Hematology	0