2017-2018 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 56
TITLE:
PEDIATRIC NEPHROLOGY -ICE
A combined inpatient and outpatient experience, this 4-week elective introduces students to the broad range of childhood renal disorders. Stress is placed on basic topics, such as fluid and electrolyte disorders, acute kidney injury, and hypertension, which are part of nearly any physician's daily practice. Concepts developed during the elective are applicable beyond pediatrics.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP)

This rotation will also have other rotators assigned at the same time, including CCHMC senior residents on elective and international visiting fellows, therefore the limited number of openings for the elective.  Also, this rotation is set-up primarily to work with several different faculty so there tends not to be a single faculty with which one works closely.

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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 wks
DIRECTOR:
Elif Erkan, MD, MS
Elif.Erkan@cchmc.org
(513) 803-4877
Location S, Floor 2
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727
INSTRUCTOR:
ElizabethJackson, MD
SITE(S):
CCHMC - Cincinnati Children's Hospital
CCHMC - Liberty Campus
CCHMC Satellites
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/03/2017 - 07/28/2017 1
2 07/31/2017 - 08/25/2017 1
3 08/28/2017 - 09/22/2017 1
4 09/25/2017 - 10/20/2017 0
5 10/23/2017 - 11/17/2017 1
6 11/27/2017 - 12/22/2017 1
7 01/02/2018 - 01/26/2018 1
8 01/29/2018 - 02/23/2018 1
9 02/26/2018 - 03/23/2018 1
10 03/26/2018 - 04/20/2018 1
11 04/23/2018 - 05/18/2018 1
12 05/21/2018 - 06/22/2018 1

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 am - 5:00 pm, Mon.-Fri.
REPORT 1ST DAY:
T Building T6.484 8:00 a.m.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Journal Club
  • 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:
Staff member on clinical service
TEACHING:
70% Attending Physician
30% Senior Resident
FEEDBACK:
Staff member on clinical service
ASSESSMENT:
FINAL GRADE:
70% Clinical work performance evaluations
30% Attitude, e.g., professionalism, motivation etc
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

  1. Communicate with precision, honesty, and respect in all interactions with professional staff, patients, and family members.

  2. Appreciate the role of the consultant in patient care.

  3. Demonstrate motivation reflecting of a desire to be a life long learner in medicine.

Curricular Resources :

  Avner ED, Harmon WE and Niaudet P.  Pediatric Nephrology.  Sixth Edition.  Lippincott Williams & Wilkins, 2009.      

  Geary D, Schaefer F.  Comprehensive Pediatric Nephrology.  Mosby, 2007.

 

Knowledge/Skills:

   1. Collect and evaluate data obtained by history, physical examination, laboratory and X-rays, which are pertinent to diseases of the kidney and of fluid and electrolyte disorders in order to make a diagnosis and evaluate plans of therapy.

   2. Demonstrate knowledge of laboratory and radiologic tests indicated in various clinical situations which will provide maximum information at maximum cost effectiveness.  This would include the limitations of such tests both as screening and diagnostic determination.

   3. Identify the etiologies and treatments of hypertension in children and young adults.

   4. Discuss general approaches to therapy of such pediatric renal diseases as acute kidney injury,  nephrotic syndrome, glomerulonephritis, obstructive uropathy, vesicoureteral reflux, and urinary tract infection.

   6. Assess the status of patients with chronic kidney disease and with renal transplants with respect to bone disease, acidosis, calcium-phosphorus balance, nutrition and transplant rejection; and describe the therapy of hypertension in this patient population.

   7. Demonstrate knowledge of the screening and preventive measures pertinent to childhood urinary tract disease which should be employed in the primary care setting.

Main Course Topics :

  glomerulonephritis                                     nephrotic syndrome       
  fluid and electrolyte physiology                    hypertension
  dialysis                                                     renal transplantation
  acute kidney injury                                    chronic kidney disease

  obstructive uropathy and other congenital anomalies of the genitourinary tract

Objectives:

To expose medical students to the breadth of nephrology issues seen with in-patient pediatric care, including intensive care settings (PICU, CICU, NICU), subspecialty care teams, and general pediatric care teams.

To expose medical students to the variety of nephrology issues faced by community pediatricians and potential approaches to care (evaluation, treatment) that may be considered in patients with hematuria, proteinuria, elevated blood pressure, and congenital disorders of the kidney and urinary tract.

Other Resources - Audiovisuals:
n/a
Other Resources - Computer resources:
Medline searching capability
Other Resources - Other :
n/a
Procedures:
 Not applicable

SAMPLE WEEK

Monday:
7:30AM 11:30AM In-patient Rounds (PICU, NICU, Wards)
12:00PM 1:00PM Pediatric Noon Lunch Conference
1:00PM 4:00PM Outpatient visits
4:00PM 5:00PM Ward Rounds
Tuesday:
8:00AM 9:00AM Pediatric Grand Rounds
9:00AM 12:00PM Out-patient Clinic
12:00PM 1:00PM Pediatric Noon Lunch Conference
1:00PM 2:00PM Out-patient Conf
2:00PM 4:00PM Consults or Library time
4:00PM 5:00PM Ward Rounds
Wednesday:
8:00AM 8:30AM Pediatric Morning Report
8:30AM 10:00AM In-patient Rounds
10:00AM 11:00AM Mini-Seminar
11:00AM 12:00PM Mini-Seminar
12:00PM 1:00PM Pediatric Noon Lunch Conference
1:00PM 4:00PM Hypertension Clinic
4:00PM 5:00PM Ward Rounds
Thursday:
8:00AM 8:30AM Pediatric Morning Report
8:30AM 10:00AM In-patient Rounds
10:00AM 11:00AM Nephrology In-patient Review
11:00AM 12:00PM Clinical conference
12:30PM 3:00PM Consults or Library time
3:00PM 4:00PM Ward Rounds
4:00PM 5:00PM Conference Pathology Conference
Friday:
8:00AM 9:00AM CHMC Professors Rounds
9:00AM 12:30PM Clinic
12:30PM 3:00PM Consults or Library time
3:00PM 4:00PM Ward Rounds
SCHEDULE NOTE:
In addition to scheduled conferences, the division has developed a series of 10 "mini seminars" in pediatric nephrology.  These are individually scheduled by the student with the responsible faculty.

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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