Pediatrics
TITLE:
PEDIATRIC NEPHROLOGY -ICE
A combined inpatient and outpatient experience, this 4-week elective introduces students to the broad range of childhood renal disorders. Emphasis is placed on basic topics, such as fluid and electrolyte disorders, acute kidney injury, congenital anomalies of kidney/urinary tract and hypertension, which are part of nearly any physician's daily practice. Concepts developed during the elective are applicable beyond pediatrics. In addition, students will be exposed to medically complex patients who underwent kidney transplants and being followed in the intensive care unit setting. Medical students are expected to present a paper at "Journal Club" during their elective.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)
This rotation will also have other rotators assigned at the same time, including CCHMC residents on elective and international visiting fellows, therefore the limited number of openings for the elective. Also, this rotation is set-up primarily to work with several different faculty so there tends not to be a single faculty with which one works closely.
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GENERAL INFORMATION
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
DIRECTOR:
Elif Erkan, MD, MS
Elif.Erkan@cchmc.org
(513) 803-4877
Location S, Floor 2
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
CCHMC - Liberty Campus
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 |
1 |
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 |
1 |
9 |
12/16/2024 - 01/10/2025 |
1 |
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:
8:00 am - 5:00 pm, Mon.-Fri.
REPORT 1ST DAY:
T Building 6th floor Nephrology Division
Please contact Julie.Rogers@cchmc.org
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Clinical Experience - Ambulatory
- Clinical Experience - Inpatient
- Conference
- Journal Club
- Patient Presentation--Learner
- Research
- 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:
70% |
Attending Physician |
10% |
Senior Resident |
20% |
Fellow Physician |
FEEDBACK:
Staff member on clinical service
ASSESSMENT:
Medical students will be assesed based on their history taking, physical examination, analytic skills, punctuality and adaptation to teamwork. Medical students will function as part of the medical team and they are expected to display initiative for self learning and growth in medical knowledge.
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
- Avner ED, Harmon WE and Niaudet P. Pediatric Nephrology. Sixth Edition. Lippincott Williams & Wilkins, 2009.
-
Geary D, Schaefer F. Comprehensive Pediatric Nephrology. Mosby, 2007.
- Medical students will be provided with review articels on AKI, UTI, hypertension, nephrotic syndrome, glomerulonephritis and kidney transplnatation in the beginnign of their rotation.
Instructional Methods:
- Instructional
- Clinical
experience – inpt and ambulatory
- Conference
- Patient
presentation learner
- Ward rounds
-
Assessment
methods
- Clinical
documentation review
- Oral patient
presentation
- Participation
Knowledge/Skills:
- Collect and evaluate data obtained by history, physical examination, laboratory, imaging, which are pertinent to diseases of the kidney and of fluid and electrolyte disorders in order to make a diagnosis and evaluate plans of therapy.
- Demonstrate knowledge of laboratory and radiologic tests indicated in various clinical situations which will provide maximum information at maximum cost effectiveness. This would include the limitations of such tests both as screening and diagnostic determination.
- Identify the etiologies and treatments of hypertension in children and young adults.
- Discuss general approaches to therapy of such pediatric renal diseases as acute kidney injury, nephrotic syndrome, glomerulonephritis, obstructive uropathy, vesicoureteral reflux, and urinary tract infection.
- Assess the status of patients with chronic kidney disease and with renal transplants with respect to bone disease, acidosis, calcium-phosphorus balance, nutrition, growth and transplant rejection; and describe the therapy of hypertension in this patient population.
- Demonstrate knowledge of the screening and preventive measures pertinent to childhood urinary tract disease and hypertension which should be employed in the primary care setting.
Main Course Topics :
- Glomerulonephritis
- Nephrotic syndrome
- Fluid and electrolyte physiology
- Hypertension
- Dialysis
- Renal transplantation
- Acute kidney injury
- Chronic kidney disease
- Obstructive uropathy and
- Other congenital anomalies of the genitourinary tract
Procedures:
Not applicable
Remediation Plan:
Medical students on pediatric nephrology elective are expected to present a journal club article. They will be mentored by faculty and a senior fellow.
SAMPLE WEEK
Monday:
7:30AM |
11:30AM |
In-patient Rounds (PICU, NICU, Wards) |
12:00PM |
1:00PM |
Pediatric Noon Lunch Conference |
1:00PM |
4:00PM |
Outpatient visits |
4:00PM |
5:00PM |
Ward Rounds |
Tuesday:
8:00AM |
9:00AM |
Pediatric Grand Rounds |
9:00AM |
12:00PM |
Out-patient Clinic |
12:00PM |
1:00PM |
Pediatric Noon Lunch Conference |
2:00PM |
3:00PM |
Outpatient review |
3:00PM |
4:00PM |
Journal Club |
4:00PM |
5:00PM |
Ward Rounds |
Wednesday:
8:00AM |
8:30AM |
Pediatric Morning Report |
8:30AM |
10:00AM |
In-patient Rounds |
10:00AM |
12:00PM |
Inpatient rounds |
12:00PM |
1:00PM |
Pediatric Noon Lunch Conference |
1:00PM |
4:00PM |
Hypertension Clinic |
4:00PM |
5:00PM |
Ward Rounds |
Thursday:
8:00AM |
8:30AM |
Pediatric Morning Report |
8:30AM |
10:00AM |
In-patient Rounds |
10:00AM |
12:00PM |
In-patient rounds |
1:00PM |
2:00PM |
Inpatient review |
2:00PM |
3:00PM |
Mini-seminar |
3:00PM |
4:00PM |
Ward Rounds |
4:00PM |
5:00PM |
Conference Pathology Conference |
Friday:
8:00AM |
9:00AM |
CHMC Professors Rounds |
9:00AM |
11:30AM |
Inpatient rounds |
1:00PM |
2:00PM |
Library |
2:00PM |
3:00PM |
Nephrology lectures |
3:00PM |
4:00PM |
Ward Rounds |
SCHEDULE NOTE:
In addition to scheduled conferences, the division has developed weekly "mini seminars" in pediatric nephrology. These are individually scheduled by the student with the responsible faculty.
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.