Pediatrics
TITLE:
PED HEMAT-ONCO CLINIC ELEC OP
Students develop the skills and knowledge used in the evaluation of new and follow-up patients referred for hematologic and/or oncologic problems. This is an outpatient clinic-based rotation.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)
N/A
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
YES
COURSE QUALIFICATIONS:
Outpatient
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
COURSE LENGTH:
The Hematology-Oncology clinic elective may be done in a 2- or 4- week block, approximately 40 hrs per week, Monday through Friday, year-round, excepting holidays or other clinic closures.
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
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 |
0 |
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 - 10/18/2024 |
1 |
6 |
10/07/2024 - 10/18/2024 |
1 |
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 - 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:
8:00 a.m. - 5:00 p.m.
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective from the department. Please arrive at the Oncology A1 clinic workroom by 8:15 am.
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)
- 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.)
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:
40% |
Attending Physician |
10% |
Other Faculty |
25% |
Other Allied Health Professional(s) |
25% |
Fellow Physician |
ASSESSMENT:
Students are evaluated in an exit interview with the course director near the end of the rotation. During this interview, students will highlight teaching points from patient cases they encountered. The student is advised to take brief notes throughout their experience to facilitate this discussion. The course director will also receive and summarize feedback from the clinic attendings, fellows, nurse practitioners, and other medical staff that worked with the student.
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 :
- Hematology of Infancy & Childhood. Nathan & OskiPrinciples & Practice of Pediatric Oncology. Pizzo & Poplack
- Online resources are available on Centerlink on the Hem/Onc Team page:
- https://centerlink.cchmc.org/department/residents/team-home-pages/hemeonc-team-home-page
Instructional Methods:
- Instructional
- Clinical
experience – ambulatory; limited inpatient
- Conference
- Patient
presentation learner
-
Assessment
methods
- Clinical
documentation review
- Oral patient
presentation
- Participation
Knowledge/Skills:
- Evaluate a patient referred for a hematologic or oncologic problem by obtaining a history, physical exam, and reviewing the laboratory and radiologic data and outlining specific recommendations to make a diagnosis.
- Present a brief discussion of new cases at Case Conference or Tumor Board.
- Acquire the skills to conduct a literature search, summarize and present a topic conference in pediatric hematology-oncology.
Main Course Topics :
- anemia
- hemoglobinopathy
- bleeding disorders
- thrombocytopenia
- thrombophilia & hypercoaguable states; neutropenia; pediatric malignancy
- brain tumors
- leukemia
- solid tumors
- Langerhans' Cell Histocytoses
- late effects of cancer treatment
- hemangiomas and vascular malformations
- immunodeficiency
- marrow failure
- lymphoma
Procedures:
1. Evaluate peripheral blood smears and imaging studies.
2. Possibly perform diagnostic bone marrow aspirations and biopsies or lumbar punctures under the direct supervision of an attending.
Remediation Plan:
Credit can be earned by attending CBDI tumor boards and case conferences or by viewing online CBDI lectures.
SAMPLE WEEK
Monday:
7:30AM |
8:00AM |
Heme-Onc Resident Lectures (optional) |
8:30AM |
5:00PM |
Onc/Heme Clinic |
Tuesday:
7:30AM |
8:00AM |
Heme-Onc Resident Lectures (optional) |
8:30AM |
12:00PM |
Onc/Heme Clinic |
12:00PM |
1:00PM |
Solid Tumor Board |
1:00PM |
5:00PM |
Onc/Heme Clinic |
Wednesday:
7:30AM |
8:00AM |
Heme-Onc Resident Lectures (optional) |
8:30AM |
12:00PM |
Onc/Heme Clinic |
12:00PM |
1:00PM |
Hematology Grand Rounds |
1:00PM |
2:00PM |
Leukemia/Lymphoma Conf |
2:00PM |
3:00PM |
Onc/Heme Clinic |
3:00PM |
4:00PM |
Neuro-Oncology Tumor Board |
4:00PM |
5:00PM |
Musculoskeletal Tumor Conference |
Thursday:
7:30AM |
8:00AM |
Heme-Onc Resident Lectures (optional) |
8:30AM |
5:00PM |
Onc/Heme Clinic |
Friday:
7:30AM |
8:00AM |
Heme-Onc Resident Lectures (optional) |
8:30AM |
5:00PM |
Onc/Heme Clinic |
SCHEDULE NOTE:
General Hematology and Oncology clinics see patients daily from 8:30 am to 5:00 pm. We begin at 8:15 am in the Oncology A1 workroom to review the schedule for the day. Subspecialty teams are embedded within the clinics and may be joined by permission, including Neuro-Onc (MTh), Onc Survivorship (MWF), Sickle Cell (Th), Coag/Hemostasis (MTh pm), Immunodeficiency (W am), Marrow Failure (F am), and Hemangiomas and Vascular Malformations (T). Heme-Onc procedures are done in the clinic procedure room most days on MTThF 7:30 am to 10:30 am, and W 8:30 am to 10:30 am, and may be observed by permission.
Students are welcome to attend the Heme-Onc morning lectures in the A5 Central resident workroom at 7:30 to 8:30 am. Students should attend the weekly multidisciplinary tumor boards and clinical conferences listed in the schedule.
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.