2017-2018 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 47
TITLE:
PED HEMAT-ONCO CLINIC ELEC -ICE
Students develop the skills and knowledge used in the evaluation of new and follow-up patients referred for hematologic and/or oncologic problems.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP)

To meet ICE requirements, must be taken in 4 week consecutive block,  Weeks cannot be split.

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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
4 or 2 weeks
DIRECTOR:
Michael Absalon, MD, PHD
michael.absalon@cchmc.org
803-9083
T, 7-476
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727
INSTRUCTOR:
KarenBurns, MD
SITE(S):
CCHMC - Cincinnati Children's Hospital
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 07/03/2017 - 07/14/2017 1
1 07/03/2017 - 07/28/2017 1
1 07/17/2017 - 07/28/2017 1
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 - 12/08/2017 2
6 11/27/2017 - 12/22/2017 2
6 12/11/2017 - 12/22/2017 2
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 - 05/18/2018 0
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:
8:00 a.m. - 5:00 p.m.
REPORT 1ST DAY:
A1 Clinic 1000 8:00 a.m. Oncology work room

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)
  • case discussion with faculty member
  • 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. Michael Absalon, Medical Student Program Leader
TEACHING:
55% Attending Physician
30% Senior Resident
15% Other Allied Health Professional(s)
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
75% Clinical work performance evaluations
10% Attitude, e.g., professionalism, motivation etc
15% Case management problem(s)
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

  1. Appreciate how a multi-disciplinary team approach works as well as to gain experience as a consultant in the evaluation problems of children with various chronic illnesses.

  2. Participate to a limited extent in a small clinical presentation to develop an academic inquisitiveness and self-learning.

  3. Develop the ability to explain potential serious disorders to patients and families.

Curricular Resources :
Hematology of Infancy & Childhood. Nathan & Oski; Principles & Practice of Pediatric Oncology. Pizzo & Poplack;

 

Knowledge/Skills:

  1. Evaluate a patient referred for a hematologic or oncologic problem by obtaining a history, physical exam, and reviewing the laboratory and radiologic data and outlining specific recommendations to make a diagnosis.

  2. Present a brief discussion of new cases at Case Conference or Tumor Board.

  3. acquire the skills to conduct a literature search, summarize and present a topic conference in pediatric hematology-oncology

Main Course Topics :
  anemia
  hemoglobinopathy
  bleeding disorders
  thrombocytopenia
  thrombophilia & hypercoaguable states; neutropenia;  pediatric malignancy
  brain tumors
  leukemias
  solid tumors
  Langerhans' Cell Histocytoses
  late effects of cancer treatment
Objectives:

1. develop a greater knowledge of the presenting signs & symptoms of pediatric blood disorders and cancers

2. learn the initial evaluation of these patients to make a diagnosis

3. understand the initial treatment plan

4. increase knowledge base in pediatric hematologic & oncologic disorders

Other Resources - Audiovisuals:

 Oncology Guidelines will be provided.


Other Resources - Computer resources:
Access to computer in clinic workroom as well as on inpatient and outpatient designated clinical areas, library.
Other Resources - Other :

   1. Leukemia/Lymphoma Tumor Board - multidisciplinary conference to review all newly diagnosed leukemia/lymphoma patients.
   2. Bone Tumor Board - multidisciplinary conference to review all newly diagnosed bone tumor patients
   3. Solid Tumor Board - multidisciplinary conference to review all newly diagnosed solid tumor patients
   4. Pathology conference to review slides
   5. Morphology conferences and slide reviews of peripheral blood smears, bone marrows, etc.

   6. Didactic tumor  board: review one case every 2 weeks with an in-depth discussion
 

Procedures:

  1. Evaluate peripheral blood smear and imaging studies.

  2. possibly perform diagnostic bone marrow aspirations and biopsies or lumbar punctures under the direct supervision of an attending

SAMPLE WEEK

Monday:
8:00AM 8:30AM Heme-Onc didactics
8:30AM 12:00PM Onc/Heme
12:00PM 1:00PM Resident Lectures
1:00PM 5:00PM Onc/Hemophilia
Tuesday:
8:00AM 9:00AM Pediatric Grand Rounds
9:00AM 12:00PM Onc/Sickle Cell
12:00PM 1:00PM Solid Tumor Board
1:00PM 5:00PM Onc/Heme
Wednesday:
8:00AM 8:30AM Heme-Onc didactics
8:30AM 12:00PM Onc/Heme/Immuno
1:00PM 2:00PM Leukemia/Lymphoma Conf
2:00PM 5:00PM Onc Clinic
Thursday:
8:00AM 8:30AM Heme-Onc didactics
8:30AM 12:00PM Neuro-Onc/Heme
12:00PM 1:00PM Resident Lectures
1:00PM 5:00PM Onc/Long-term Survivor/Heme
Friday:
8:00AM 8:30AM Heme-Onc didactics
8:30AM 12:00PM Onc/Heme
12:00PM 1:00PM Solid Tumor Board
1:00PM 5:00PM Onc/Heme
SCHEDULE NOTE:
General Hematology, Oncology and Stem Cell Transplant Clinics run every day from 8:30 am - 5 pm. Vascular Clinic  is all day Tuesday.  Brain tumor clinic is all day Thursday.

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.




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