Pediatrics
TITLE:
Outpatient Pediatric Allergy and Immunology OP -ICE
This elective provides an experience focused on outpatient care of general allergy and immunology patients.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP)
Completion of core pediatric clerkship in third year.
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE, Outpatient
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
DIRECTOR:
Stephanie Logsdon, MD
stephanie.ward2@cchmc.org
513-636-3889
S6, 419
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 |
3 |
07/01/2024 - 07/12/2024 |
1 |
5 |
08/26/2024 - 09/06/2024 |
1 |
6 |
09/23/2024 - 10/04/2024 |
1 |
7 |
11/04/2024 - 11/15/2024 |
1 |
10 |
01/13/2025 - 01/24/2025 |
1 |
11 |
02/10/2025 - 02/21/2025 |
1 |
12 |
03/10/2025 - 03/21/2025 |
1 |
13 |
04/07/2025 - 04/18/2025 |
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 Monday - Friday
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective. Please contact Dr. Ward at stephanie.ward2@cchmc.org if you have not received an email by the Friday prior to your start date. If Allergy conference is listed, the conference is in-person this year - on the rare occasion that it is held virtually, you will receive a Teams invitation via email. Monday morning conference is held at 8am at CCHMC, and the location will be sent to you in your welcome email.
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
- 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:
90% |
Attending Physician |
5% |
Other Allied Health Professional(s) |
5% |
Fellow Physician |
ASSESSMENT:
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
Warrington R, Silviu-Dan F. “Drug Allergy”. Allergy Asthma Clin Immunol. 2011 Nov 10;7 Suppl 1:S10. Doi 10.1186/1710-1492-7-S1-S10.
PMID 22165859
Waserman S, Watson W. “Food Allergy”. Allergy Asthma Clin Immunol. 2011 Nov 10;7 Supple 1:S7. Doi: 10.1186/1710-1492-7-S1-S7.
PMID: 22166142
Watson W, Kapur S. “Atopic Dermatitis”. Allergy Asthma Clin Immunol. 2011 Nov 10;7 Supple 1:S4. Doi: 10.1186/1710-1492-7-S1-S4.
PMID: 22166055
Small P, Kim H. “Allergic Rhinitis”. Allergy Asthma Clin Immunol. 2011 Nov 10;7 Suppl 1:S3. Doi: 10.1186/1710-1492-7-S1-S3.
PMID: 22166009
Search by references above, or by PMID number to obtain papers through PubMed.
Instructional Methods:
One-on-one bedside teaching while seeing patients in outpatient Allergy and Immunology clinic.
Knowledge/Skills:
1. Perform a comprehensive, problem-based evaluation of pediatric allergy and immunology patients.
2. Identify and describe the evaluation and management of patients with common allergic disorders, including food allergy, asthma, eczema, allergic rhinitis, urticaria and drug allergy.
3. Describe differential diagnosis of wheezing in pediatric patients.
4. Describe differential diagnosis of urticaria and rashes in pediatric patients.
5. Discuss the applications of non-medical interventions in pediatric food allergy, including nutrition and psychiatric consultation.
6. Identify and describe indications to perform allergy skin or serum IgE testing.
7. Learn interpretation of skin testing and serum IgE testing.
8. Identify and discuss medications typically used for treatment of common allergic diseases.
1. Arrive to clinic and conferences on time.
2. Complete clinic notes by end of day.
3. Interact with physician and non-physician healthcare team members in a respectful manner.
Main Course Topics :
Allergic conjunctivitis, Allergic rhinitis, Allergen immunotherapy, Allergy skin testing, Anaphylaxis, Asthma, Atopic dermatitis, Food allergy, Immunodeficiency, Medication allergy, Pulmonary function testing, Urticaria, Venom allergy, Interviewing skills, Physical exam skills.
Procedures:
1. Complete a thorough allergy-based history.
2. Perform an appropriate physical exam, including skin and ENT exam.
3. Interpret skin prick test results with supervision of attending faculty member.
4. Interpret pulmonary function testing with supervision of attending faculty member.
5. Model use of epinephrine auto-injectors.
Remediation Plan:
Remediation plan would be self-directed assessments, will work with M4 leadership team to add any additional clinical time if needed.
SAMPLE WEEK
Monday:
8:00AM |
11:30AM |
Allergy/Immunology Conference |
12:30PM |
5:00PM |
Allergy/Immunology Clinic |
Tuesday:
8:00AM |
12:00PM |
Allergy/Immunology Clinic |
12:30PM |
5:00PM |
Allergy/Immunology Clinic / PFTs / Shadow / Self study |
Wednesday:
8:00AM |
12:00PM |
Allergy/Immunology Clinic |
12:30PM |
5:00PM |
Allergy/Immunology Clinic |
Thursday:
8:00AM |
12:00PM |
Allergy/Immunology clinic |
12:30PM |
5:00PM |
Allergy/Immunology Clinic or self study |
Friday:
8:00AM |
12:00PM |
Allergy/immunology Clinic or Self-study |
12:30PM |
5:00PM |
Allergy/immunology Clinic or Self-study |
SCHEDULE NOTE:
Clinic schedule will vary per week, therefore options given - schedule will be based on clinic availability.
Monday morning conference is in-person, however some weeks may be virtual. Students will be assigned either clinic or conference on Monday's. Students should review their schedule for their assignment - there is no set starting time/place for the rotation.
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.