UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2017-2018 M3/M4 Course Syllabi

Pediatrics

COURSE NUMBER:

16 01 14

TITLE:

CHILD ABUSE
Working within the Child Abuse Team at the Mayerson Center for Safe and Healthy Children (at CCHMC), the student will gain experience in the recognition of child abuse, the evaluation (inpatient and outpatient consultation) of child abuse, the medical differential diagnosis, and the related legal/social evaluation.

PREREQUISITES:

26961373 (PEDIATRICS CORE CLKSP)

Must have passed the Year III Pediatric Core Clerkship

expand all

GENERAL INFORMATION

COURSE YEAR:

CREDIT HOURS:

CREDIT WEEKS:

DOMESTIC VISITING:

YES

INTERNATIONAL VISITING:

GRADED:

Honors/High Pass/Pass/Fail

COURSE QUALIFICATIONS:

COURSE TYPE:

Clinical

STATUS:

Full-Time
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES

COURSE LENGTH:

2 or 4 wks

DIRECTOR:

Kathi Makoroff, MD, MEd
kathi.makoroff@gmail.com
636-0060
Mayerson Center for Safe & Healthy Children, SEB-5

ADMINISTRATIVE SUPPORT PERSON:

Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727

INSTRUCTOR:

Kathi Makoroff, MD, MEd

SITE(S):

CCHMC - Cincinnati Children's Hospital

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	07/03/2017 - 07/28/2017	0
2	07/31/2017 - 08/11/2017	1
2	07/31/2017 - 08/25/2017	1
2	08/14/2017 - 08/25/2017	1
3	08/28/2017 - 09/08/2017	2
3	08/28/2017 - 09/22/2017	2
3	09/11/2017 - 09/22/2017	2
4	09/25/2017 - 10/06/2017	2
4	09/25/2017 - 10/20/2017	2
4	10/09/2017 - 10/20/2017	2
5	10/23/2017 - 11/03/2017	2
5	10/23/2017 - 11/17/2017	2
5	11/06/2017 - 11/17/2017	2
6	11/27/2017 - 12/22/2017	0
7	01/02/2018 - 01/12/2018	2
7	01/02/2018 - 01/26/2018	2
7	01/16/2018 - 01/26/2018	2
8	01/29/2018 - 02/09/2018	2
8	01/29/2018 - 02/23/2018	2
8	02/12/2018 - 02/23/2018	2
9	02/26/2018 - 03/09/2018	2
9	02/26/2018 - 03/23/2018	2
9	03/12/2018 - 03/23/2018	2
10	03/26/2018 - 04/06/2018	2
10	03/26/2018 - 04/20/2018	2
10	04/09/2018 - 04/20/2018	2
11	04/23/2018 - 05/04/2018	2
11	04/23/2018 - 05/18/2018	2
11	05/07/2018 - 05/18/2018	2
12	05/21/2018 - 06/22/2018	0

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)

WORKING HOURS:

9:00 a.m. - 5:00 p.m., Monday - Friday

REPORT 1^ST DAY:

SEB-5; Mayerson Center for Safe & Healthy Children Coordinator will provide Coordinator will provide Please call 636-7233 and ask for Dr. Makoroff

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Inpatient
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Journal Club
attendance of seminars ; observing interviews and court appearances
Patient Presentation--Faculty
Patient Presentation--Learner
Research

LEARNING ENVIRONMENT POLICIES:

UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.

ORIENTATION:

Dr. Makoroff (Elective Director)

TEACHING:

70%	Attending Physician
20%	Senior Resident
10%	Other Allied Health Professional(s)

FEEDBACK:

Elective director

ASSESSMENT:

FINAL GRADE:

45%	Clinical work performance evaluations
20%	Attitude, e.g., professionalism, motivation etc
20%	Case management problem(s)
15%	Journal club, critical review of literature

GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

  1. To interact with families.
  2. To interact and work effectively with social workers, police officers and prosecutors.
  3. To learn to take care of yourself while dealing with a difficult subject matter.

Curricular Resources :

TEXTS:
Reece, RM. and Christian, C. Child Abuse, Medical Diagnosis and Management.

Jenny C. Child Abuse and Neglect

Kleinman PK. Diagnostic Imaging of Child Abuse.

READINGS:

A full printed binder of readings (and a CD of the articles for the students to keep) is available for the students for the elective.

Knowledge/Skills:

  1. To recognize the different types of child abuse.
  2. To appraise "at risk" situations for child abuse.
  3. To distinguish the medical diagnoses that can be confused with abuse.
  4. To learn about community abuse prevention and mental health resources.
  5. To learn the mandatory reporting laws and processes.
  6. To identify community prevention and mental health resources.
  7. To appraise and deal effectively with the ethical issues surrounding abuse.

Main Course Topics :

   1. Understanding and identifying child physical abuse and sexual abuse
   2. Examination skills
   3. Interviewing skills
   4. Evaluation of laboratory studies and Radiographs
   5. Chart documentation
   6. Child abuse reporting laws
   7. Differential diagnosis of child abuse
   8. Interacting with families and other disciplines
   9. Child abuse prevention
  10. Mental health issues

Objectives:

Other Resources - Audiovisuals:

Observing student-patient and student-family interactions with instructor comments.

Other Resources - Computer resources:

CD-ROM: Sexual Abuse
Physical Abuse

CD-ROM: Sexual abuse examinations

CD-ROM: Readings on child physical and sexual abuse

CD-ROM: Forensic Examinations

CCHMC Website (Child Abuse Resources)

Blackboard Module

Teaching Cases

Other Resources - Other :

   Radiology Studies: Pain film
     CT
     MRI
     Bone scan
     Interviewing Skills
   Autopsy

Observing court

Observing Children's Services

Procedures:

  1. To perform a sexual abuse examination with a colposcope.
  2. To perform a forensic examination looking for evidence of physical abuse.
  3. To learn proper chart documentation.
  4. To evaluate X-ray and laboratory studies in the detection of child abuse.
  5. To take a social history from patients and families.
  6. To learn forensic protocols.
  7. To execute a successful literature search and review/presentation on a topic related to child abuse.

SAMPLE WEEK

Monday:

9:00AM	10:00AM	Meet with course director
10:00AM	11:30AM	Reading and library time
11:30AM	12:30PM	Lunch
12:30PM	5:00PM	Sexual Abuse Outpatient Clinic

Tuesday:

8:00AM	9:00AM	General Pediatrics Grand Rounds
9:00AM	11:00AM	Literature Review
11:00AM	11:30AM	Lunch
11:30AM	1:00PM	Multidisciplinary Team Meeting
1:00PM	5:00PM	Sexual Abuse Outpatient Clinic

Wednesday:

9:00AM	9:30AM	Reading and library time
9:30AM	11:30AM	Interviewing skills with Social Services
11:30AM	12:30PM	Lunch
12:30PM	5:00PM	Sexual Abuse Outpatient Clinic

Thursday:

9:00AM	10:00AM	Reading and library time
10:00AM	12:00PM	Fatality Review or CD-ROM review
12:00PM	12:30PM	Lunch
12:30PM	5:00PM	Sexual Abuse Outpatient Clinic

Friday:

9:00AM	10:30AM	Reading and library time
10:30AM	12:00PM	Case Review
12:00PM	12:30PM	Lunch
12:30PM	5:00PM	Sexual Abuse Outpatient Clinic

SCHEDULE NOTE:

ATTENDANCE AND ABSENCE POLICY

Session Attendance for M4 Students

Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.