2020-2021 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 21
TITLE:
CARE NORM & HI RSK NEWBRN GSH -ICE
The elective will provide a student the opportunity to recognize, manage and understand the pathophysiology of neonatal disease. It offers the opportunity to learn therapeutic procedure and related family-centered dynamics in a community level III facility.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP)

To meet ICE requirements, can only be taken in one 4 week consecutive block.  Cannot be taken for 8 weeks to fulfill ICE requirements.
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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
4 weeks
DIRECTOR:
Jennifer Brady, MD
Jennifer.Brady@cchmc.org
(513) 862-2125
Location T, Floor 11, Ste. 533
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727
SITE(S):
Good Samaritan Hospital
MAX ENROLL:
1  MAX/YR: 12
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 0
2 08/03/2020 - 08/28/2020 0
3 08/31/2020 - 09/25/2020 1
4 09/28/2020 - 10/23/2020 1
5 10/26/2020 - 11/20/2020 1
6 11/23/2020 - 12/18/2020 1
7 01/04/2021 - 01/29/2021 1
8 02/01/2021 - 02/26/2021 1
9 03/01/2021 - 03/26/2021 1
10 03/29/2021 - 04/23/2021 1
11 04/26/2021 - 05/21/2021 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:
7:00 a.m. - 4:00 p.m.
REPORT 1ST DAY:
Rhonda Berte - Good Samaritan NICU - 9th Floor Rm. 976.32

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Journal Club
  • 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.
TEACHING:
60% Attending Physician
30% Senior Resident
10% Other Allied Health Professional(s)
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Neonatal-Perinatal Medicine: Diagnosis of the fetus and infant 9th edition (Martin, Fanaroff and Walsh)

Neonatal Resuscitation Program AAP 6th edition

Manual of Neonatal Care 7th edition (Cloherty, et al)
Knowledge/Skills:

  1) Recognize illness in newborns.
  2) Become competent in history taking and performing physical examinations in well and sick newborns.
  3) Manage and understand the pathophysiology of common illnesses of newborns.
  4) Become proficient in common neonatal diagnostic and therapeutic procedures.
  5) Describe historical information, physical exam findings and laboratory data helpful in developing the differential diagnosis for a newborn with the following situations: seizures, jaundice, lethargy, respiratory distress, cyanosis, bilious vomiting, hypoglycemia, sepsis, respiratory distress syndrome, meconium aspiration
  6) Demonstrate knowledge of Perinatal Syphilis, HIV infection, identify diseases detected in blood screening.
  7) Describe special methods and maneuvers involved in performing a newborn examination, (assessment of hip dysplasia)
  8) Identify evaluation of gestational age at birth and the APGAR score
  9) Identify what medications are routinely given to all newborns (i.e., Vit k, Hepatitis B vaccine, erythromycin ointment)
  10) Describe current neonatal literature to include review of RDS, hypoglycemia, neonatal jaundice, infant of diabetic mothers, sepsis, etc.
  11) Present to the neonatal team 20 minute topic using relevant neonatal literature.
  12) Relate issues of Cost-efficiency, effective medical decision-making, and relevant managed care issues.
  13) Assess risk-benefit issues derived from review of an informed consent tape at NICU.
  14) Describe preventive measure on the proper use of a car seat, immunization schedule, accident prevention program.
  15) Apply medical ethical principles using as an example a recent case (perinatal) brought up to the Medical Ethical Committee.
Main Course Topics :
Sepsis 
Neonatal Resuscitation
Substance abuse,withdrawal syndrome
Hyperbilirubinemia,Kernicterus
Respiratory distress syndrome
Meconium aspiration
Respiratory distress ,cyanosis
Perinatal infections
Bilious vomiting,intestinal obstruction
Hypoglycemia
Procedures:
 1) Understand the indications for procedures such as a lumbar puncture, parenteral fluids; umbilical arterial and venous catheters, partial exchange - and double volume - exchange - transfusions, and everyday procedures such as intubation.  The technical aspects will be introduced and the student will have an opportunity to perform these procedures under proper supervision and guidance.

SAMPLE WEEK

Monday:
7:30AM 8:00AM Pre-round data collection
8:00AM 8:30AM Teaching Sessions
8:30AM 9:00AM Green team attending rounds
9:00AM 9:30AM X-ray rounds
9:30AM 10:00AM Green team attending rounds
10:00AM 11:30AM Purple team attending rounds
11:30AM 12:30PM Lunch
12:30PM 4:00PM Attend deliveries/meet with residents and preceptor/attend family conferences
4:00PM 5:00PM Literature search and reading
Tuesday:
7:30AM 8:00AM Pre-round data collection
8:00AM 8:30AM Teaching Sessions
8:30AM 10:00AM Green team attending rounds
10:00AM 11:30AM Purple team attending rounds
11:30AM 12:30PM Lunch
12:30PM 4:00PM Attend deliveries/meet with residents and preceptor/attend family conferences
4:00PM 5:00PM Literature search and reading
Wednesday:
7:30AM 8:00AM Pre-round data collection
8:00AM 8:30AM Teaching Sessions
8:30AM 9:00AM Green team attending rounds
9:00AM 9:30AM X-ray rounds
9:30AM 10:00AM Green team attending rounds
10:00AM 11:30AM Purple team attending rounds
11:30AM 12:30PM Lunch
12:30PM 4:00PM Attend deliveries/meet with residents and preceptor/attend family conferences
4:00PM 5:00PM Literature search and reading
Thursday:
7:30AM 8:00AM Pre-round data collection
8:00AM 8:30AM Teaching Sessions
8:30AM 10:00AM Green team attending rounds
10:00AM 11:30AM Purple team attending rounds
11:30AM 12:30PM Lunch
12:30PM 4:00PM Attend deliveries/meet with residents and preceptor/attend family conferences
4:00PM 5:00PM Literature search and reading
Friday:
7:30AM 8:00AM Pre-round data collection
8:00AM 8:30AM Green team attending rounds
8:30AM 9:00AM OB conference
9:00AM 9:30AM X-ray rounds
9:30AM 10:00AM Green team attending rounds
10:00AM 11:30AM Purple team attending rounds
11:30AM 12:30PM Lunch
12:30PM 4:00PM Attend deliveries/meet with residents and preceptor/attend family conferences
4:00PM 5:00PM Literature search and reading
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.




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