2024-2025 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 46
TITLE:
PED HEMATO-ONCOL INPATNT ROT -ICE
Students will function as acting interns in the management of children and adolescents undergoing treatment for cancer, sickle cell disease, hemophilia, and other hematologic disorders.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)

Completion of Pediatric Core Clerkship; senior student.
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
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: NO
COURSE LENGTH:
Elective may be done in either a 2- or 4- week block, approximately 40 hours per week, offered year-round.
DIRECTOR:
Benjamin Mizukawa, MD
Benjamin.Mizukawa@cchmc.org
636-1335
T Building, 482
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
513-636-0339
Kasota Building, 7th Floor at CCHMC, BN7.722
SITE(S):
CCHMC - Cincinnati Children's Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/17/2024 1
1 05/06/2024 - 05/31/2024 1
1 05/20/2024 - 05/31/2024 1
2 06/03/2024 - 06/14/2024 1
2 06/03/2024 - 06/28/2024 1
2 06/17/2024 - 06/28/2024 1
3 07/01/2024 - 07/26/2024 1
3 07/15/2024 - 07/26/2024 1
4 07/29/2024 - 08/09/2024 1
4 07/29/2024 - 08/23/2024 1
4 08/12/2024 - 08/23/2024 1
5 08/26/2024 - 09/06/2024 1
5 08/26/2024 - 09/20/2024 1
5 09/09/2024 - 09/20/2024 1
6 09/23/2024 - 10/04/2024 0
6 09/23/2024 - 10/18/2024 0
6 10/07/2024 - 10/18/2024 0
7 10/21/2024 - 11/01/2024 1
7 10/21/2024 - 11/15/2024 1
7 11/04/2024 - 11/15/2024 1
8 11/18/2024 - 11/29/2024 1
8 11/18/2024 - 12/13/2024 1
8 12/02/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 1
9 12/30/2024 - 01/10/2025 1
10 01/13/2025 - 01/24/2025 1
10 01/13/2025 - 02/07/2025 1
10 01/27/2025 - 02/07/2025 1
11 02/10/2025 - 02/21/2025 1
11 02/10/2025 - 03/07/2025 1
11 02/24/2025 - 03/07/2025 1
12 03/10/2025 - 03/21/2025 1
12 03/10/2025 - 04/04/2025 1
12 03/24/2025 - 04/04/2025 1
13 04/07/2025 - 04/18/2025 1
13 04/07/2025 - 05/02/2025 1
13 04/21/2025 - 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.. - 5:00 p.m., No overnight Call
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective from the department.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Lecture
  • Patient Presentation--Learner
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
  • 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:
35% Attending Physician
40% Senior Resident
15% Other Faculty
10% Fellow Physician
FEEDBACK:
ASSESSMENT:
 The student will meet with course director for an end-of-rotation debriefing interview to discuss patients that were managed by the student. We will review case notes and teaching points that are representative of the student's experience on the rotation. A multisource assessment will also be prepared by the director using feedback from the inpatient service attendings, fellows, residents, NP/hospitalist team, and other medical staff with direct interaction with the student during the rotation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Narrative Assessment
Oral Patient Presentation
Participation
Self-Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  1. Principles & Practice of Pediatric Oncology.  Pizzo & Poplack
  2. Hematology of Infancy & Childhood.  Nathan & Oski
  3. Online resources available at Centerlink:
     https://centerlink.cchmc.org/department/residents/team-home-pages/hemeonc-team-home-page
Instructional Methods:
  • Instructional
  • Clinical experience – inpatient service and consultations
  • Conference
  • Patient presentation learner
  • Ward rounds
  • Assessment methods
  • Clinical documentation review
  • Oral patient presentation
  • Participation
Knowledge/Skills:
  Learning Objectives

  1. Develop an understanding of the presenting features, diagnostic work up and treatment of pediatric cancers and hematologic disorders.
  2. Develop management skills for the problems/complications of children/adolescents with cancer and hematologic disorders.
  3. Acquire the skills to conduct a literature search, summarize and present a topic conference in an area of Pediatric Hematology/Oncology.
  4. Develop an understanding of the biological basis for cancer and serious blood disorders in children and young adults
  5. Develop an appreciation of complete patient care both on the inpatient ward as well as follow-up care once discharged.
  6. Develop an understanding of the scope and management of related issues in pediatric patients with serious chronic illness; medical issues such as nutrition, pain management, supportive care and psychosocial and ethical issues.

  Specific Objectives

  1. Present his/her patients to oncology-hematology rounds daily, present his/her patient to tumor board or any other problem-solving conference and be able to participate regarding future plans for evaluation and treatment by being knowledgeable about the specific tumor or blood disease in his/her patient;
  2. Be able to interpret abnormal blood smears and in a general way bone marrow samples (be able to interpret normal versus abnormal marrow); and
  3. Review the literature of a cancer or blood disease (selected by the student) and present the review to the hematology-oncology ward team.
Main Course Topics :
  •   Pediatric oncology
  •   Pediatric hematology
  •   Sickle cell disease
  •   Hemophilia
  •   Chemotherapy
  •   Transfusion medicine
  •   Leukemia
  •   Immunodeficiency
Procedures:
  Optional: perform bone marrow aspirations and biopsies, lumbar punctures under the direct supervision of the hematology-oncology faculty and fellows.
Remediation Plan:
 Online lectures from CBDI can be viewed, followed by brief discussion of content with preceptor.

SAMPLE WEEK

Monday:
7:00AM 7:30AM Pre-Rounding
7:30AM 8:00AM Heme-Onc Morning Lectures
8:00AM 8:30AM Pre-Rounding
8:30AM 11:30AM Heme-Onc Inpatient Rounds
12:00PM 1:00PM Resident Lecture
1:00PM 4:30PM Inpatient Wards (A5S/A5C): visit patients with attending/fellow; assist resident team; follow up labs, imaging, path.
5:00PM 5:30PM Sign-Out
Tuesday:
7:00AM 7:30AM Pre-Rounding
7:30AM 8:00AM Heme-Onc Morning Lectures
8:00AM 8:30AM Pre-Rounding
8:30AM 11:30AM Heme-Onc Inpatient Rounds
12:00PM 1:00PM Solid Tumor Board
1:00PM 4:30PM Inpatient Wards (A5S/A5C): visit patients with attending/fellow; assist resident team; follow up labs, imaging, path.
5:00PM 5:30PM Sign-Out
Wednesday:
7:00AM 7:30AM Pre-Rounding
7:30AM 8:00AM Heme-Onc Morning Lectures
8:00AM 8:30AM Pre-Rounding
8:30AM 11:30AM Heme-Onc Inpatient Rounds
12:00PM 1:00PM Hematology Grand Rounds
1:00PM 2:00PM Leukemia Lymphoma Tumor Board
2:00PM 3:00PM Inpatient Wards
3:00PM 4:00PM Neuro-Oncology Tumor Board
4:00PM 5:00PM Musculoskeletal Tumor Conference
5:00PM 5:30PM Sign-Out
Thursday:
7:00AM 7:30AM Pre-Rounding
7:30AM 8:00AM Heme-Onc Morning Lectures
8:00AM 8:30AM Pre-Rounding
8:30AM 11:30AM Heme-Onc Inpatient Rounds
12:00PM 1:00PM Resident Lecture
1:00PM 4:30PM Inpatient Wards (A5S/A5C): visit patients with attending/fellow; assist resident team; follow up labs, imaging, path.
5:00PM 5:30PM Sign-Out
Friday:
7:00AM 7:30AM Pre-Rounding
7:30AM 8:00AM Heme-Onc Morning Lectures
8:00AM 8:30AM Pre-Rounding
8:30AM 11:30AM Heme-Onc Inpatient Rounds
12:00PM 1:00PM Resident Lecture
1:00PM 4:30PM Inpatient Wards (A5S/A5C): visit patients with attending/fellow; assist resident team; follow up labs, imaging, path.
5:00PM 5:30PM Sign-Out
SCHEDULE NOTE:

 1) New patients or admissions will be assigned in the morning with redistribution as is necessary.  Students may also attend the outpatient clinic for continued follow-up of their patients once discharged.

 2) There are three separate inpatient services: Hematology, Onc-Leukemia/Lymphoma, Onc-Solid Tumor. All Hematology and Oncology teams begin rounds at 08:30. Students may follow the attending/fellow to round on patients in the PICU; times vary. Students are encouraged to join the attending/fellow in the afternoon to see their primary patients, and they are welcome to visit other patients as time and interest allow. Sign-out rounds are at 4-5 p.m. each day.  

 3) The ward attending may review bone marrow studies, tissue biopsies, and imaging studies as applicable to the patients on the ward. Students are welcome to join so that they can gather information on their patients firsthand. 

4) Students will participate in the didactic morning lecture series with the Heme-Onc resident team. Students are also encouraged to attend the multidisciplinary tumor boards, particularly when their primary patients will be discussed.

5) Students assist in communicating with consulting services, such as ID, Surgery, Palliative Care, etc. Students may also observe other ancillary services involved in their patients' care, such as Child Life, Social Work, PT/OT/Speech, Music Therapy, Integrative/Holistic Health, Behavioral Medicine, and Pharmacy.

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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