2021-2022 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 41
TITLE:
PED GASTRO, HEPATO & NUTRITN -ICE
Students will participate in the assessment and management of pediatric patients with gastrointestinal tract diseases in both in and out-patient settings. The nutrition requirements of healthy and ill infants and children will also be a focus. Relevant diagnostic and therapeutic tests will be discussed.
PREREQUISITES:
Students may meet with Dr. Mallon at the beginning of the rotation.  Please call Jennifer Wahoff at 513-803-0707 a month in advance to schedule the 30 minute introductory meeting.

Students will participate on inpatient Gastroenterology Consult team for at least 1 week, typically 1/2 of the rotation.

To meet ICE requirements, must be taken in one 4 week consecutive block.  Cannot take for 8 weeks to fulfill ICE requirements.


expand all

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: NO
COURSE LENGTH:
2-4 weeks
DIRECTOR:
Daniel Mallon, MD
daniel.mallon@cchmc.org

ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
636-0339
Kasota Building, 7th Floor at CCHMC, BN7.727
SITE(S):
CCHMC - Cincinnati Children's Hospital
CCHMC - Liberty Campus
CCHMC - Mason
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 06/01/2021 - 06/11/2021 1
1 06/01/2021 - 06/25/2021 1
1 06/14/2021 - 06/25/2021 1
2 06/28/2021 - 07/09/2021 1
2 06/28/2021 - 07/23/2021 1
2 07/12/2021 - 07/23/2021 1
3 07/26/2021 - 08/06/2021 1
3 07/26/2021 - 08/20/2021 1
3 08/09/2021 - 08/20/2021 1
4 08/23/2021 - 09/03/2021 1
4 08/23/2021 - 09/17/2021 1
4 09/06/2021 - 09/17/2021 1
5 09/20/2021 - 10/01/2021 1
5 09/20/2021 - 10/15/2021 1
5 10/04/2021 - 10/15/2021 1
6 10/18/2021 - 11/12/2021 0
7 11/15/2021 - 11/26/2021 1
7 11/15/2021 - 12/10/2021 1
7 11/29/2021 - 12/10/2021 1
8 01/10/2022 - 01/21/2022 1
8 01/10/2022 - 02/04/2022 1
8 01/24/2022 - 02/04/2022 1
9 02/07/2022 - 02/18/2022 1
9 02/07/2022 - 03/04/2022 1
9 02/21/2022 - 03/04/2022 1
10 03/07/2022 - 03/18/2022 1
10 03/07/2022 - 04/01/2022 1
10 03/21/2022 - 04/01/2022 1
11 04/04/2022 - 04/15/2022 1
11 04/04/2022 - 04/29/2022 1
11 04/18/2022 - 04/29/2022 1
12 05/02/2022 - 05/27/2022 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:
8:00a.m.- 5:00 p.m. Monday - Friday
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective or contact Jennifer Wahoff- 803-0707.

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)
  • Library time
  • 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
10% Other Allied Health Professional(s)
30% Fellow Physician
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Pediatric Gastrointestinal and Liver Disease - Wyllie, Hyams, Kay

Liver Disease In Children - Suchy, Sokol and Balistreri

Curbside Consultation in Pediatric GI: 49 Clinical Questions - Rosh, Bousvaros

Pediatric Gastrointestinal Disease - Walker et al

General GI for for the Practitioner CR-ROM - CCHMC
Instructional Methods:
* Students typically will be assigned to 1/2 of the weeks of the rotation on the GI consult service, which consists of a GI fellow and GI attending, and the student will actively engage in patient care, follow patients longitudinally. The other half of the rotation is typically spent in a variety of general gastroenterology clinics and subspecialty clinics like Hepatology/Transplant, IBD, NASH/Obesity, Celiac, Eosinophilic disorders, Intestinal Rehab, etc, or a dedicated 1/2 day in the OR observing procedures.

* Students are encouraged to go to procedures (Endoscopies and Radiological tests) with any patient on the consult service, especially those they are following.

* Specialized Lumen and Liver Conference take place respectively on Wednesdays at 12:00, and Thursday at 11:30, for an hour each. Students are encouraged, but not required to attend

* Radiology Rounds take place the first Friday of the month at 07:30 am in the Radiology Conference Room (A building). Student attendance encouraged.

* Conferences listed on the Sample week are encouraged for students.
Knowledge/Skills:
  1. Demonstrate familiarity with the evaluation (including history & physical exam) and management of pediatric age patients with complaints referable to gastrointestinal  tract including diseases of:

      a.  esophagus
      b.  stomach
      c.  small intestine
      d.  colon
      e.  liver
      f.  gall bladder
      g.  pancreas

  2. Know the indications and contraindications for common gastrointestinal procedures.
  3. Demonstrate familiarity with nutritional requirements of healthy and ill infants and children and teach methods to attain these goals.
  4. Recognize cost containment opportunities.
Main Course Topics :
·       Clinical evaluation of GI symptoms in children

·       Surgical assessment of the child’s abdomen

·       Evaluation of liver disease in the pediatric patient

·       Neonatal cholestasis

·       Clinicopathologic features of biliary atresia

·       Intrahepatic cholestasis

·       Inherited metabolic diseases of the liver

·       Viral hepatitis in children

·       Inflammatory bowel disease

·       Chronic recurrent abdominal pain

·        Constipation in children

·        Constipation in infants and children

·        Evaluation and treatment of GERD in infants and children

·        Gastritis/Peptic acid disease

·       Allergic disorders of the GI tract

·       Ulcers and GER

·       Failure to thrive – Post-natal onset

·       Management of acute and chronic infantile diarrhea

·       Treatment of severe malnutrition

·       The refeeding syndrome: a review

·       Short gut syndrome

·       Obesity

·       Pancreatitis

·       Career planning for pediatric residents
Procedures:
N/A

SAMPLE WEEK

Monday:
8:00AM 12:00PM GI Consults/Procedures OR GI/Liver Outpt clinic
12:00PM 1:00PM Pediatrics Noon Conference
1:00PM 5:00PM GI consults/procedures/reading OR GI/Liver clinic OR observe procedures
Tuesday:
8:00AM 9:00AM Pediatric Grand Rounds
9:00AM 12:00PM GI Consults/Procedures OR GI/Liver Outpt clinic
12:00PM 1:00PM Pediatrics Noon Conference
1:00PM 5:00PM GI consults/procedures/reading OR GI/Liver clinic OR observe procedures
4:00PM 5:00PM Reading
Wednesday:
7:30AM 8:30AM GI Grand Rounds
8:30AM 12:00PM GI Consults/Procedures OR GI/Liver Outpt clinic
12:00PM 1:00PM Weekly lumen meeting
1:00PM 5:00PM GI consults/procedures/reading OR GI/Liver clinic OR observe procedures
4:00PM 5:00PM Reading
Thursday:
8:00AM 12:00PM GI Consults/Procedures OR GI/Liver Outpt clinic
12:00PM 1:00PM Pediatrics Noon Conference
1:00PM 3:00PM GI Consults/Procedures OR GI/Liver clinic
3:00PM 5:30PM GI Academic Conferences (Fellows' conference, Pathology, Med/Peds)
Friday:
8:00AM 12:00PM GI Consults/Procedures OR GI/Liver Outpt clinic
12:00PM 1:00PM Pediatrics Noon Conference
1:00PM 5:00PM GI consults/procedures/reading OR GI/Liver clinic OR observe procedures
SCHEDULE NOTE:

* Students typically will be assigned to 1/2 of the weeks of the rotation on the GI consult service, which consists of a GI fellow and GI attending, and the student will actively engage in patient care, follow patients longitudinally. The other half of the rotation is typically spent in a variety of general gastroenterology clinics and subspecialty clinics like Hepatology/Transplant, IBD, NASH/Obesity, Celiac, Eosinophilic disorders, Intestinal Rehab, etc, or a dedicated 1/2 day in the OR observing procedures.

* Students are encouraged to go to procedures (Endoscopies and Radiological tests) with any patient on the consult service, especially those they are following.

* Specialized Lumen and Liver Conference take place respectively on Wednesdays at 12:00, and Thursday at 11:30, for an hour each. Students are encouraged, but not required to attend

* Radiology Rounds take place the first Friday of the month at 07:30 am in the Radiology Conference Room (A building). Student attendance encouraged.

* Conferences listed on the Sample week are encouraged for students.


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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