2024-2025 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 21
TITLE:
CARE NORM & HI RSK NEWBRN GSH -ICE
This Neonatal Intensive Care Unit (NICU) elective provides students the opportunity to recognize, understand, and manage neonatal disease. This NICU elective affords the opportunity to learn about neonatal medical management, therapeutic procedures, and family-centered dynamics in a busy community level III NICU.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)

To meet ICE requirements, can only be taken in one, consecutive 4 week 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:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
4 week rotation working full time Monday through Friday.
DIRECTOR:
Morgan Hill
Morgan.Hill@cchmc.org
517-7142
T Building, 11th Floor Ste. 535
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
513-636-0339
Kasota Building, 7th Floor at CCHMC, BN7.722
SITE(S):
Good Samaritan Hospital
MAX ENROLL:
1  MAX/YR: 12
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 1
2 06/03/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 0
4 07/29/2024 - 08/23/2024 1
5 08/26/2024 - 09/20/2024 1
6 09/23/2024 - 10/18/2024 1
7 10/21/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 0
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 1
11 02/10/2025 - 03/07/2025 1
12 03/10/2025 - 04/04/2025 1
13 04/07/2025 - 05/02/2025 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 (When you exit the Clifton Elevators on the 9th floor, Rhonda's office is the door immediately to the left of the elevator doors).
COMMENTS:
The medical student will join a team comprised of pediatric residents, a neonatal perinatal medicine (NICU) fellow, a nurse practitioner, and a neonatal attending. They will have the opportunity to interact with dieticians, respiratory therapists, clinical pharmacists, and nurses throughout the month.

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)
  • Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Problem-Based Learning (PBL)
  • Simulation
  • Ward Rounds
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:
50% Attending Physician
20% Senior Resident
10% Other Allied Health Professional(s)
20% Fellow Physician
FEEDBACK:
ASSESSMENT:
Students will be evaluated by the service attendings and fellows they work with during their 4 week elective block.

ASSESSMENT METHODS:
Narrative Assessment
Other: Describe other methods not listed above:
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  • Neonatal Resuscitation Program AAP 8th edition
  • Manual of Neonatal Care 8th edition (Cloherty, et al)
  • Neonatal-Perinatal Medicine: Diagnosis of the fetus and infant 11th edition (Martin, Fanaroff and Walsh)
  • MedEd On the Go: Neonatal-Perinatal "Neo Flip" (https://www.mededonthego.com/Pediatrics/noncertified)
Instructional Methods:
A large component of learning takes place while performing adequately supervised patient care activities. Students will learn through presenting patient care plans on rounds and providing supervised care to patients throughout their elective experience. These experiences will be supplemented with daily lectures, case based discussions and bedside teaching.
Knowledge/Skills:
  1) Recognize illness in newborns.
  2) Develop competency in obtaining a history and performing a physical examination on both well and ill newborns.
  3) Describe the pathophysiology of common illnesses and their management in 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: seizures, jaundice, lethargy, respiratory distress or respiratory distress syndrome, cyanosis, bilious vomiting, hypoglycemia, sepsis, meconium aspiration
  6) Demonstrate knowledge of the pathophysiology and management of common perinatal infections such as congenital syphilis, HIV, Hepatitis B.
  7) Describe special methods and maneuvers involved in performing a newborn examination (example: assessment of hip dysplasia).
  8) Understand and perform the methods to assess gestational age at birth.
  9) Demonstrate competency in assigning an APGAR score at birth and understand the Neonatal Resuscitation Program (NRP) Algorithm. 
  10) Identify what medications are routinely given to all newborns (i.e., Vitamin K, Hepatitis B vaccine, erythromycin ointment)
  11) Become familiar with current neonatal literature to include review of respiratory distress syndrome, hypoglycemia, neonatal jaundice, infant of diabetic mothers, sepsis, etc.
  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 to cases of periviability. Become familiar with the key principles important in perinatal counseling. 
Main Course Topics :

  • Neonatal Resuscitation
  • Substance abuse, neonatal opioid withdrawal syndrome
  • Hyperbilirubinemia, Kernicterus
  • Respiratory distress syndrome, respiratory distress, cyanosis
  • Meconium aspiration syndrome
  • Perinatal infections
  • Bilious vomiting, intestinal obstruction
  • Hypoglycemia
  • Sepsis
  • Prematurity
  • Extremely low birthweight infant
  • Periviability 
Procedures:
  • Describe the indications for and articulate the steps of common neonatal procedures, including, but not limited to: lumbar puncture, umbilical arterial and venous catheter placement, chest tube placement, and intubation. 
  • The technical aspects will be introduced and the student will have an opportunity to perform these procedures under proper supervision and guidance as opportunities arise.
Remediation Plan:
Individualized self-directed assignments as needed.

SAMPLE WEEK

Monday:
7:00AM 8:00AM Pre-Round Data Collection
8:00AM 8:30AM Teaching Session
8:30AM 9:00AM Radiology Teaching Rounds
9:00AM 11:30AM Team 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:
7:00AM 8:00AM Pre-Round Data Collection
8:00AM 8:30AM Teaching Session
8:30AM 11:30AM Team 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:
7:00AM 8:00AM Pre-Round Data Collection
8:00AM 8:30AM Teaching Session
8:30AM 11:30AM Team 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:
7:00AM 8:00AM Pre-Round Data Collection
8:00AM 8:30AM Teaching Session
8:30AM 9:00AM Radiology Teaching Rounds
9:00AM 11:30AM Team 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:
7:00AM 8:00AM Pre-Round Data Collection
8:00AM 8:30AM Team Rounds
8:30AM 9:00AM OB conference
9:00AM 11:30AM Team 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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