UC COM :: M3/M4 Course Syllabi

M3/M4 Course Offerings

2023-2024 M3/M4 Course Syllabi

Pediatrics

COURSE NUMBER:

16 01 14

TITLE:

CHILD ABUSE OP
Working within the Child Abuse Team at the Mayerson Center for Safe and Healthy Children and the CHECK (Foster Care) Clinic (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, the basics of trauma-informed care, the effects of childhood adversities and the related legal/social evaluation including an overview of the child welfare system and to learn more about medical and community initiatives to combat abuse.

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:

Outpatient

COURSE TYPE:

Clinical

STATUS:

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

COURSE LENGTH:

2 or 4 wks

DIRECTOR:

Pratima Shanbhag
Pratima.Shanbhag@cchmc.org
803-1178
Location D, Floor 5

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

MAX ENROLL:

ROTATIONS:

Rotation	Dates	Max
1	05/29/2023 - 06/23/2023	0
2	06/26/2023 - 07/21/2023	0
3	07/24/2023 - 08/04/2023	2
3	07/24/2023 - 08/18/2023	2
3	08/07/2023 - 08/18/2023	2
4	08/21/2023 - 09/01/2023	2
4	08/21/2023 - 09/15/2023	2
4	09/04/2023 - 09/15/2023	2
5	09/18/2023 - 09/29/2023	2
5	09/18/2023 - 10/13/2023	2
5	10/02/2023 - 10/13/2023	2
6	10/16/2023 - 11/10/2023	0
7	11/13/2023 - 12/08/2023	0
8	12/11/2023 - 01/05/2024	0
9	01/08/2024 - 02/02/2024	0
10	02/05/2024 - 03/01/2024	0
11	03/04/2024 - 03/15/2024	2
11	03/04/2024 - 03/29/2024	2
11	03/18/2024 - 03/29/2024	2
12	04/01/2024 - 04/12/2024	2
12	04/01/2024 - 04/26/2024	2
12	04/15/2024 - 04/26/2024	2

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:

Dr. Shanbhag will contact you by email a few days prior to the start of the elective to give a start time and location for the first day. Please feel free to reach out with any questions (Pratima.Shanbhag@cchmc.org).

INSTRUCTION

LEARNING ACTIVITIES:

Case-Based Instruction/Learning
Clinical Experience - Ambulatory
Clinical Experience - Inpatient
Conference
Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
Discussion- Large Group (>12)
Discussion-Small Group (Small Group (=12)
Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
Journal Club
Lecture
Patient Presentation--Faculty
Patient Presentation--Learner
Peer Teaching
Problem-Based Learning (PBL)
Reflection
Research
Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
Team-Based Learning (TBL) (Workshops, sessions, or activities contributing to the development of teamwork skills)
Team-Building

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:

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

FEEDBACK:

ASSESSMENT:

ASSESSMENT METHODS:
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Participation

FINAL GRADE:

GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :

READINGS:

A full electronic folder of readings is provided to the students at the start of the elective (the readings are suggested but not mandatory).

TEXTS (available in the Fellows' office):

Reece, RM. and Christian, C. Child Abuse, Medical Diagnosis and Management.
Jenny C. Child Abuse and Neglect

Kleinman PK. Diagnostic Imaging of Child Abuse.

Finkel, M and Giardino A. The Medical Evaluation of Child Sexual Abuse

Instructional Methods:

Clinical exposure and patient case-based learning
Independent readings
Small group conferences
Multidisciplinary group meetings
Observing Court
Community events (meetings, lectures)

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. Understand the basic structure, mandates, and goals of the child welfare system (i.e. state vs. county administered systems,goals of safety, permanency, and well-being)

7. To appraise and deal effectively with the ethical issues surrounding abuse.

8. Identify who can provide consent for children in protective custody to receive medical care (i.e. emergency care, routine medical care, surgical care, and medical care for a child of a minor in protective custody)

9. Learning the basics of the trauma informed care approach in medicine.

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

11. Child welfare system

12. Trauma-informed care

Procedures:

  1. To perform a sexual abuse examination with a colposcope.
  2. To perform a physical examination looking for evidence of physical abuse.
  3. To learn proper chart review and documentation.
  4. To evaluate x-ray and laboratory studies.
  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.

Remediation Plan:

Discuss with course director

SAMPLE WEEK

Monday:

8:30AM	12:00PM	CHECK Foster Care Clinic
12:00PM	1:00PM	Noon Conference
1:00PM	5:00PM	Mayersn (Child Abuse) Clinic

Tuesday:

9:00AM	9:30AM	Patient Huddle
9:30AM	11:00AM	Mayersn (Child Abuse) Clinic
11:00AM	12:00PM	Multidisciplinary Team Patient Review
12:00PM	1:00PM	Noon Conference
1:00PM	5:00PM	Mayerson (Child Abuse) Clinic

Wednesday:

9:00AM	9:30AM	Patient Huddle
9:30AM	12:00PM	Mayersn (Child Abuse) Clinic
12:00PM	1:00PM	Noon Conference
1:00PM	5:00PM	Mayerson (Child Abuse) Clinic

Thursday:

9:00AM	10:00AM	Reading Time
10:00AM	11:30AM	Journal Club
12:00PM	1:00PM	Noon Conference
1:00PM	5:00PM	Mayerson (Child Abuse) Clinic

Friday:

9:00AM	9:30AM	Patient Huddle
9:30AM	12:00PM	Mayersn (Child Abuse) Clinic
12:00PM	1:00PM	Noon Conference
1:00PM	5:00PM	CHECK Foster Care Clinic

SCHEDULE NOTE:

What is not on the schedule:

Observing Court

Meetings with other professionals (law enforcement, prosecutors, Children's Services)

Community events

Lectures

These will be added to the student's individual schedule as they happen.

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.