Course Director for Child Health 2 Selectives: Laura Ibsen, MD
Dr. Ibsen is specifically charged with addressing Child Health 2 Selective and Elective issues. She is a great resource in terms of grading and evaluation, faculty and resident issues and work environment concerns. Her approval is required for any special elective or selective rotations or considerations. As the Director of Medical Education, Dr. Ibsen is also valuable support for students are are uncomfortable addressing pediatric education issues with Trevor Monteith or Dr. Phillipi.
Tracy Bumsted, MD, MPH Director of Medical Student Education Course Director for Child Health 2 Selective Department of Pediatrics Oregon Health & Science University MC: CDRCP 707 SW Gaines Street Portland, OR 97239
Course Director for Child Health 2 General Ped. Sites: Carrie Philllipi, MD, PhD
Dr. Phillipi is primary support for Child Health 2 students who have chosen a general pediatric outpatient experience. If students are uncomfortable addressing issues with Trevor Monteith, they should feel free to contact Dr. Phillipi. Her approval is required for all special rotations and considerations for general pediatric experiences. She is a great resource in terms of grading and evaluation, faculty and resident issues and work environment concerns.
Dr. Phillipi, MD, PhD Course Director for Child Health 2 General Pediatric Sites Department of Pediatrics Oregon Health & Science University MC: CDRCP 707 SW Gaines Street Portland, OR 97239
Pediatric Medical Student Coordinator: Trevor Monteith
Trevor is the "go to" person for all the housekeeping and logistical support. He can also help troubleshoot problems and offer advice on how to proceed when issues crop up. He is the first place to go when students need information, have issues, concerns or suggestions.
Trevor Monteith Medical Student Coordinator Department of Pediatrics Oregon Health & Science University MC: CDRCP 707 SW Gaines Street Portland, OR 97239
**You must be registered for JCON 721 (Child Health 2) to meet the graduation requirements. You will select your options through the Department of Pediatrics.
CLERKSHIP DESCRIPTION Child Health 2 builds on and expands the knowledge and skills that were acquired during the third year. The rotation includes several options to address the individual career goals and objectives of each student.
OPTION 1: Rotations at General Pediatrics Clinics Although clinics vary from month to month, depending on availability, these are the sites we typically use:
OHSU Clinics: Doernbecher OPC, Sellwood/Westmoreland, Beaverton, Oregon City Kaiser Clinics: Beaverton, East Interstate Legacy Emanuel OPC Eugene, Clackamas (DeGregorio)
OPTION 2: Develop Your Own General Pediatric Site If you have identified a pediatrician with whom you would like to work, we encourage you to contact him/her about the rotation. Several students set up their own rotations every year. If you would like to develop your own site, please identify a preceptor and submit your request, along with a schedule and the name of your preceptor, to Dr. Carrie Phillipi (phillica@ohsu.edu).
OPTION 3: Pediatric Subspecialty Selectives The pediatric selective rotation has been developed to allow for more individualized experiences to meet students varying career goals while continuing to provide an ambulatory experience to complement the inpatient, CHI rotation. It is understood that each selective experience will be structured somewhat differently, but the overall goal is to further expose senior students to pediatric general and specialty patients and to allow those students to use this experience to more fully understand the field of pediatrics and pediatric surgical specialties, as well as to improve their ability to care for children. Descriptions of available rotations are described below.
OPTION 4: Develop Your Own Pediatric Subspecialty Selective Identify a preceptor and submit your request, along with a schedule and the name of your preceptor, to Dr. Laura Ibsen (ibsenl@ohsu.edu).
Fourth year students will review and build upon the knowledge and skills they learned in the third year. The major shift in emphasis will be to the outpatient setting, with its undiagnosed problems, quicker pace, common and mild problems and emphasis on prevention and well-child care.
GOALS
To continue to acquire knowledge of the physiologic, social and developmental changes in children. To understand how these affect the child’s health and manifestation of illness.
To continue to sharpen clinical skills in the care of children.
To understand the child in relationship to the family and community.
To be knowledgeable about health systems and community resources.
To be accomplished in the outpatient setting.
EVALUATION AND GRADING Evaluation and grading of student performance is provided principally by the precepting community pediatrician or General Pediatric faculty members. If residents supervise students, their input will be taken into consideration. Final grade determinations will be assigned by the course director.
The selective experience may consist of some combination of outpatient clinic, inpatient consult or service, operating room time, or time with various inpatient services (ie, pain and sedation).
SUBSPECIALTY SELECTIVE OPTIONS
CDRC/Child Development The student will spend time in the evaluation and follow-up clinics of the Child Development and Rehabilitation Center. The focus is on child development and the spectrum of neurodevelopmental disabilities—mental retardation, learning disabilities, autism, cerebral palsy, spina bifida, and others. Interdisciplinary team evaluation and management planning are emphasized.
Peds Heme/Onc The student will spend time in the outpatient Hematology and Oncology Clinics at Doernbecher Children’s Hospital. The rotation will primarily focus on outpatient and inpatient oncology patients.
Peds Pain/Sedation The student will spend time with the sedation service, pain service (consult service), and ambulatory anesthesia. This is primarily a hospital-based service but serves many outpatients.
Child Neurology During this month, the student will become facile at the pediatric neurological examination and will be comfortable with basic concepts including anatomic localization of neurologic deficits and normal developmental milestones. The student will see a variety of neurologic problems, including epilepsy, headache, movement disorders such as cerebral palsy/spasticity and tic disorder, neuromuscular disorders, neurometabolic and genetic diseases. The student will spend time in the child neurology clinics at Doernbecher Children’s Hospital and Shriners Outpatient Center, as well as with the inpatient consult service at Doernbecher. Additional time may be spent on observation of occupational and physical therapy, interpretation of EEG and neuroimaging studies, and involvement with patients in the surgical epilepsy program who have been admitted for long-term EEG monitoring. Time will also be allowed for discussion and preparation of a project.
Pediatric Pulmonary Students will be exposed to children with various lung diseases including cystic fibrosis, asthma, pneumonia, chronic cough, and aspiration. Students will attend 2 CF Clinics and 1 Pulmonary Clinic per week. They will round with the team on inpatients 3-4 days per week. They will attend various clinical conferences. There will be assigned reading materials and videotapes. Early in the rotation the student will choose a project and will present it to the Pulmonary faculty at a division meeting.
Pediatric General Surgery The students will attend the pediatric surgical clinics and spend time in the operating room. There are 2 clinic days per week. For inpatients, the students will follow the patients through their post-operative recovery. The student will be based with the inpatient pediatric surgery service, and will follow inpatient surgical patients with the surgical team and see new consults in the ED and the wards or PICU. This may be a fairly time intensive rotation and may entail late evenings as the service demands vary. There is no overnight call.
Pediatric Congenital Heart Surgery/Cardiology The student will attend pre and post operative clinics, follow ward patients on a consulting basis, and will have extensive experience in the operating room in pediatric and adult congenital heart surgery. The student will receive extensive teaching regarding proper OR procedure and operative techniques. The student will have the opportunity to follow some patients from their pre-op visit, through the operation, and finally their post-op course. This is primarily a surgical rotation, though the cardiac surgeons and cardiologists work closely together and the student will have exposure to the combined service. This will be a fairly time intensive rotation that may entail late evenings or weekends. There is no overnight call.
Otolaryngology (ENT) The student will attend the Pediatric ORL clinics and spend time in the operating room.
Pediatric Neurosurgery The students will attend the Pediatric Neurosurgery clinics, spina bifida clinic, craniofacial clinic, and spend time in the operating room. This may be a fairly time intensive rotation and may entail late evenings as the service demands vary. There is no overnight call.
Pediatric Urology The student is expected to participate in the Pediatric Urology clinics, surgery, and inpatient care. Attendance at Grand rounds and Saturday conference is expected. Patients with common pediatric conditions as UTI’s, enuresis, vesicoureteral reflux, hydronephrosis and genital anomalies will be seen and presented to the staff attending. The student is expected to make a PowerPoint presentation on a subject of interest seen on the clinical rotation at Urology Grand Rounds on the last Monday of their rotation.
Pediatric Orthopedics The student will attend the Pediatric Orthopedic clinics and spend time in the operating room.
Pediatric Emergency Medicine The student will work shifts in the Pediatrics section of the Emergency Department and will participate in departmental didactics.
EVALUATION AND GRADING
Clinical evaluation done by primary preceptor or designee (70% of grade).
Appropriate reading materials will be provided. Students are encouraged to complete assigned CLIPP cases and complete a "project" that would be agreed upon by the service and the student. Such a project could be a case report paper, a review paper, a presentation to a group, an advocacy project, and educational project (ie, educational poster or handout to be used by the service for patients or caregivers). Each rotation should decide which types of projects would be appropriate for their students and guide them accordingly. The projects should be evaluated by the preceptor or group and turned in to the clerkship director at the end of the clerkship. (30% of grade)
Paper—turn in graded paper
Talk—send copy of PP slide and evaluation form
“Project”—send in summary of project (written by student) and written evaluation from preceptor.
Final grades will be assigned by Dr. Ibsen.
Exceptions to these guidelines can be discussed with Dr. Ibsen
