Pediatrics
TITLE:
PEDIATRIC CRITICAL CARE MED -ICE
The elective introduces the student to the recognition of the critically ill child. It emphasizes a multidisciplinary approach to the child with multi-organ system failure. It offers hands-on experience in managing respiratory failure, shock, and multi-organ system failure in children.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)
Must have passed all core clerkships. Email Mimi Pence and Dr. Amy Guiot for enrollment.
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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:
Steve Standage
steve.standage@cchmc.org
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 - 05/31/2024 |
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:
7:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Please contact Dr. Standage by email (steve.standage@cchmc.org) at least 48 hours prior to the start of your rotation for first day instructions.
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)
- Patient Presentation--Learner
- 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:
20% |
Attending Physician |
40% |
Senior Resident |
40% |
Fellow Physician |
ASSESSMENT:
Students will be evaluated by ICU residents, fellows, and attending physicians according to their clinical performance.
ASSESSMENT METHODS:
Narrative Assessment
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
Rogers Textbook of Pediatric Intensive Care
(A paperback synopsis of this text is provided)
Instructional Methods:
- Instructional
- Clinical experience – inpatient and ambulatory
- Conference
- Patient presentation learner
- Ward rounds
- Assessment methods
- Clinical documentation review
- Oral patient presentation
- Participation
Knowledge/Skills:
1. Recognize physiologic instability in the pediatric patient.
2. Understand the pathophysiologic mechanisms underlying critical illness.
3. Formulate a therapeutic plan to treat acute organ dysfunction.
Main Course Topics :
- Shock
- Respiratory failure
- Mechanical ventilation
- Cardiopulmonary support
- Renal support therapy
- Postop critical care management
- Sedation in critically ill children
- Nutrition in critically ill children
Topics included in lecture schedule and other didactic formats:
- Ventilators
- Oxygenation
- Septic shock
- Electrolyte management
- Sedation in PICU
- Muscle relaxants
- Nutrition
- Ethics
- Status asthmaticus
- Death & dying
-
Blood gas interpretation
- Management of increased ICP
Procedures:
1. Observe
a. arterial line placement
b. central venous line placement
c. tracheal intubation
d. bag/valve mask airway management
e. lumbar puncture
2. May perform
a. venipuncture
b. intravenous catheter (peripheral)
c. Foley catheter placement
d. bag/value mask airway management
Remediation Plan:
Guided supervision by senior resident as needed.
SAMPLE WEEK
Monday:
7:30AM |
10:00AM |
PICU Rounds |
10:00AM |
12:00PM |
Inpatient Care |
12:00PM |
1:00PM |
Resident Noon Conference |
1:00PM |
5:00PM |
Inpatient Care |
Tuesday:
7:30AM |
10:00AM |
PICU Rounds |
10:00AM |
11:00AM |
Inpatient Care |
11:00AM |
12:00PM |
Teaching Conf. |
12:00PM |
1:00PM |
Resident Noon Conference |
1:00PM |
5:00PM |
Inpatient Care |
Wednesday:
7:30AM |
10:00AM |
PICU Rounds |
10:00AM |
11:00AM |
Inpatient Care |
11:00AM |
12:00PM |
Teaching Conf. |
12:00PM |
1:00PM |
Resident Noon Conference |
1:00PM |
5:00PM |
Inpatient Care |
Thursday:
7:30AM |
10:00AM |
PICU Rounds |
10:00AM |
11:00AM |
Inpatient Care |
11:00AM |
12:00PM |
Teaching Conf. |
12:00PM |
1:00PM |
Resident Noon Conference |
1:00PM |
2:30PM |
PICU Fellows' Rounds |
2:30PM |
5:00PM |
Inpatient Care |
Friday:
7:30AM |
10:00AM |
PICU Rounds |
10:00AM |
12:00PM |
Inpatient Care |
12:00PM |
1:00PM |
Resident Noon Conference |
1:00PM |
5:00PM |
Inpatient Care |
SCHEDULE NOTE:
No weekend duties are required. Staying ~1-2 times during the month until early evening (8-9 PM) will enhance the learning experience by working one on one with the PICU fellows, but is not required.
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.