OHSU

Electives

Student Photo

The pediatrics department at OHSU offers a wide array of elective experiences for OHSU and visiting students.


Calendar:

Rotation Start Date End Date
1 6/30/2014 7/25/2014
2 7/28/2014 8/22/2014
3 8/25/2014 9/19/2014
4 9/29/2014 10/24/2014
5 10/27/2014 11/21/2014
6 11/24/2014 12/19/2014
7 1/5/2015 1/30/2015
8 2/2/2015 2/27/2015
9 3/30/2015 4/24/2015
10 4/27/2015 5/22/2015

VSAS students need to contact Jolene Tuski, (503)494-3195 or tuskij@ohsu.edu, for placement, these are not listed as an option on VSAS.

There is detailed information about each elective further down the page. There is also specific instructions for each student on their first day. There are also links to any materials required for the elective courses. Students may receive additional handouts and readings when they report to their elective.

OHSU Students

A few weeks before the start of their rotation students will be sent an e-mail confirmation with their elective course information and instructions. Students are encouraged to look over any materials provided in the elective links down the right side of this page. 

If there is a problem with elective registration or if a student wants to drop the elective, please get a hold of Jolene Tuski, pediatric student coordinator, tuskij@ohsu.edu, 503-494-3195.

During much of the year, visiting students are being placed in open elective slots. This means that some openings listed at the Dean's office may actually be filled by a visiting student. The best thing to do is contact Jolene Tuski, pediatric student coordinator, tuskij@oshu.edu, 503-494-3195 to make sure electives are actually available. Students may also want to check the elective availability and assignments sheet.

709 A Pediatrics Ward Sub I

This rotation is intended to prepare students for internship. Students will develop skills in a variety of areas important to the care of hospitalized children, including: history taking, physical exam skills, patient presentations, clinical reasoning and assessment, problem solving, and discharge planning. Four call nights (7 am-11 am the next day) are required, with one of these nights taken on either a Saturday or Sunday. These call nights provide students continuity of care with their patients, and allow them “middle of the night” decision-making experience. Students should work out their call schedule with the senior resident on the first day of the rotation. Students will pre-round on their patients daily, give bedside presentations on rounds, attend morning report and noon conferences, and, if possible, present one patient for morning report. Students should receive feedback from the ward attending or senior resident at the end of each week. Students will be placed on either the Hood Team, where they will work with the OHSU team, or the Coast Team, where they will work with the Kaiser Permanente Team.

This course fulfills the fourth year sub internship requirement for OHSU Students.

Instructions for first day:

OHSU Students-Hood

Report to the Hood Team, Doernbecher Ninth Floor North (Sun) physician work room (DCH 9N) at 7:00 am. Your team will be expecting you.

OHSU Students-Coast

Report to the Coast Team, Doernbecher Ninth Floor South (Moon) physician work room (DCH 9S) at 7:00 am. Your team will be expecting you.

Visiting Student-Hood

Report to the Hood Team, Doernbecher Ninth Floor North (Sun) physician work room (DCH 9N) after your morning orientation andafter you get your ID badge; your team will be expecting you.

Visiting Student-Coast

Report to the Coast Team, Doernbecher Ninth Floor South (Moon) physician work room (DCH 9S) after your morning orientation and after you get your ID badge; your team will be expecting you.

Please realize that you will need to be excused from your rotation to attend required computer training during your first few days on the rotation.

Course Director:
Jared Austin, M.D.
Assistant Professor
Course Director for Pediatric Ward Sub Internship
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 2234
Email: austinja@ohsu.edu
Phone: 503-494-2226

Fax: 503-494-1542

Course Material

Ward Sub I
Note ExpectationsWord Icon


Articles:

AAP Pneumonia Guidelines
AAP UTI Guidelines
ALTEPDF Icon
Asthma 2001 Chest ReviewPDF Icon
Bacterial MeningitisPDF Icon
Bone and Joint InfectionsPDF Icon
Bronchiolitis-AAP Diagnosis & ManagementPDF Icon
Failure to ThrivePDF Icon
Febrile Infants Unpredictability of SBI in BirthPDF Icon
Febrile SeizuresPDF Icon
Kawasaki Dz-AAP GuidelinesPDF Icon
Osteomyelitis-IV vs PO AntibioticsPDF Icon
Physical AbusePDF Icon
UTI-Clinical & Demographic FactorsPDF Icon

UTI-Length of Intravenous Antibiotic Therapy and Treatment Failure

 

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709 B Neonatal Medicine

This course exposes students to neonatal problems encountered in a tertiary care center. With previous training in the recognition and management of the normal newborn, the student will be more intimately involved in this elective in the care of the sick neonate. Students are primary physicians for certain cases under the guidance of residents and staff. This course fulfills the fourth year sub internship requirement for OHSU Students.

Course Director:

Jamie Warren, MD
Assistant Professor, Neonatology
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 3110A
Email: warrenja@ohsu.edu
Phone: 503-494-5368
Fax:      503-494-1542

Instructions for reporting to the rotation on the first day:

OHSU students need to report to the Doernbecher Neonatal Care Center, 12th Floor, Oregon Health & Science University Main Hospital at 8:00 am on the first day of the rotation. When you arrive, introduce yourself to the unit secretary and ask to meet with the fellow on service. The fellow will introduce you to the senior pediatrics resident, who will help to assign your patient list.

Visiting students should go to the Doernbecher Neonatal Care Center, 12th Floor, Oregon Health & Science University Main Hospital after they get their ID badge. When you arrive, introduce yourself to the unit secretary and ask to meet with the fellow on service. The fellow will introduce you to the senior pediatrics resident, who will help to assign your patient list. Students will need to alert their team if and when they will need to be excused from the rotation to attend required computer training.

Doernbecher Neonatal Care Center (DNCC)

Doernbecher Children's Hospital was built in 1926. In 1950, the first nursery for premature infants was built; the current DNCC, located on 12A of University Hospital, opened in August, 1994. 

The DNCC has 46 beds, including 2 isolation rooms. Patient care is provided by neonatologists, fellows, pediatric and family medicine residents, neonatal nurse practitioners, physician assistants, nurses, respiratory therapists, a dedicated case manager and social worker, occupational therapy, and numerous other ancillary health care personnel.

DNCC Admissions

The majority of admissions to the DNCC are born at OHSU, but the DNCC also admits patients transferred from other hospitals throughout Oregon and Southwest Washington, and occasionally, patients are admitted that have been home. The DNCC is a Level III NICU and admits infants with a wide range of neonatal disease processes, including prematurity, sepsis, respiratory distress syndrome, hypoxic ischemic encephalopathy, and a wide range of surgical disorders (cardiac, GI, neurological, etc.). A dedicated resuscitation team attends deliveries on the Labor & Delivery ward and includes a neonatal resuscitation nurse, respiratory therapist, neonatal advanced practitioner, pediatrics and/or family medicine resident, and for higher acuity deliveries, the neonatal fellow and/or attending. The majority of transports are handled by PANDA, Doernbecher’s dedicated pediatric and neonatal transport team. The Family Medicine Service, and occasionally, Pediatrics Service, will also admit patients to the DNCC, with the neonatal team acting as a consulting service if needed. The neonatal attending or fellow and charge nurse must know about all admissions to the DNCC.


DNCC Routines

A 2-minute scrub is required of all staff on entering the unit (before providing patient care). Remove watches, bracelets, and rings, and roll up sleeves to elbows. White coats are not permitted in the patient care areas of the DNCC. OHSU OR scrubs may be worn. Cover gowns must be worn over surgical scrubs when entering and leaving the surgical suites, as per hospital policy. 

Glove for all patient contact. Wash hands before and after patient contact. 

A stethoscope is provided for each infant at the bedside. An otoscope and ophthalmoscope is available on a portable pedestal in the DNCC.

DNCC Rounds

Sign-out between the night and day teams occurs every day at 0700.

Formal teaching rounds begin promptly at 0900, and begin in the DNCC attending office with a review of the radiology images for the day (except for Tuesday mornings, when we have formal radiology rounds with a pediatric radiologist in the DNCC attending office beginning at 0830).

Rounds begin with the highest acuity patients, and involve all team members. Depending on the acuity in the unit, the full team may split into 2 in order to complete rounds in a timely fashion.  

Sign-out between the day and night teams occurs every evening at 1800, except for Wednesdays and Thursdays, when sign-out occurs at 1900.  

Night rounds occur every night at 2100 with the on-call team, and are led by the on-call neonatal fellow.

Conferences

Students are encouraged to attend pediatric morning report and noon conference, as well as Pediatric Grand Rounds (Thursday mornings at 0800). The attending and/or fellow will provide at least one didactic lecture to the team on a weekly basis; timing of this will be determined based on the schedule and acuity for the week. Depending on the week, there may also be the opportunity to attend neonatal M&M conference, research in progress seminar, or journal club. Ask the fellow on service for this schedule of meetings.

NRP Certification

Students have the opportunity to become NRP certified depending on their rotation schedule. If interested, email Jamie Warren, MD, MPH (warrenja@ohsu.edu) at the beginning of the elective rotation. We will be able to provide access to the NRP certification textbook for any interested student.

Objectives of the Elective

The objectives of this rotation are the following: 

  1. 1. Master oral and written presentations of pediatric patients. Remember that effective presentations succinctly communicate the essential components of a patient's medical condition, offer a reasoned assessment, and, when possible, a plan. 
  2. 2. Improve your medical knowledge base in topics relevant to Neonatology. Areas of special focus include neonatal resuscitation, prematurity, sepsis, growth and nutrition, and respiratory distress syndrome. 
  3. 3. Improve skills in communicating complicated disease processes with the families of your patients.


Other expectations

Contact by phone or directly talk to the parents of your infants ideally on a daily basis, but at least every other day. 

Prepare a presentation for your fellow team members on a selected topic in Neonatology. The presentation should be about 20 minutes in length and does not have to be PowerPoint (but can be, if desired)!

Cardiac Patients in the DNCC

Rounds on the cardiac patients in the DNCC are done in conjunction with the Pediatric Cardiology team.  

Surgical patients are managed in conjunction with the surgical teams. Communication with these teams occurs on a daily basis.


We hope that your DNCC rotation will provide a variety of educational experiences in a positive environment. Please contact Dr. Warren (warrenja@ohsu.edu) with any questions.

Course Materials

Hand Outs

Topics to Know (Word)

LO Sub-Intern (Word)

Powerpoints

Birth Injuries
Breastfeeding
Fluids and Electrolytes
HSV
Hyperbilirubinemia
Hypoglycemia
Inborn Errors or Metabolism
Infants of addicted mothers
IVH in Preterm Infants
Meconium Aspiration
Neonatal Resuscitation Program Update 2006
Necrotizing enterocolitis
Neonatal Anemia
Neonatal Cardiology
Neonatal Seizures
Neonatal Sepsis
Neonatal Surgical Issues part 1
NeonatalSurgical Issues part 2
Polycythemia
Premie outcomes
Resuscitation
SGA-IUGR
Thrombocytopenia
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709 D Pediatric Intensive Care

The PICU elective will allow students to perform at a subintern level. The elective includes PICU procedures, direct supervision, as well as a full lecture schedule and topics of interest. In-house call is required.This course fulfills the fourth year sub internship requirement for OHSU Students.

Lead Preceptor

Aileen Kirby, MD
Pediatric Intensive Care Unit
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 1203
Email: kirbya@ohsu.edu
Phone: 503-494-1544
Fax:      503-494-4951

Instructions for reporting to the rotation on the first day

OHSU students

Report to the Pediatric Intensive Care Unit  (PICU) at 7:30 am on the first day of the elective. It is located under the Sunflower Icon on the 8th Floor of Doernbecher Children's Hospital (DCH).

Visiting students

After your complete orientation and get your ID badte report to the Pediatric Intensive Care Unit, Doernbecher Children's Hospital (DCH) 8th floor under the Sunflower icon and find the PICU attending or resident.

Please realize that you will need to be excused from your rotation to attend required computer training during your first few days on the rotation.

Course Materials

PICU HandbookPDF Icon

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709 F Pediatric Cardiology

Students participate in congenital heart clinics, cardiac consultations, journal club, and patient care. Reading ECGs, observing echocardiograms, and cardiac catheterizations are also part of this experience.

Lead Preceptor

Robin Shaughnessy, MD
Pediatric Cardiology
Oregon Health & Science University
MC: CDRCP
707 SW Gaines St
Portland, Oregon 97239
Office: CDRC 3259
email: shaughne@ohsu.edu
Phone: 503-494-2195

Fax:  503-494-2824

Course Materials: Will be provided

Instructions for Cardiology students:

Krista Gaeta is the student / resident administrative contact, in support of Dr. Robin Shaughnessy, for our Division.  Please feel free to contact her at any time with any questions or concerns.  Her extension is 4-2192 and her office CDRC 3226. 

Krista will email an information packet to all students. If students do not receive an email from Ms. Gaeta, they should contact her via email at gaetak@ohsu.edu  or phone 4-2192.

OHSU Students

Please come to Child Development and Rehabilitation Center (CDRC) room 3220 on your first day at 8:30 am for Monday morning sign-in.  You will also want to talk with Dr. Robin Shaughnessy on your first day.  She will likely be at sign-in, but in the event she is not, please page her.  Her pager number is 10314, or you can call our operators 4-9000 and ask them to page Dr. Shaughnessy while you wait on the line.  They will connect you.

Visiting students

After your orientation and any initial computer classes, please connect with Dr. Robin Shaughnessy.   Her pager number is 10314, or you can call our operators 4-9000 and ask them to page Dr. Shaughnessy while you wait on the line.  They will connect you. Please realize that you will need to be excused from your rotation to attend required computer training during your first few days on the rotation.

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709 G Pediatric Pulmonology

Students acquire an important clinical exposure to a number of pediatric lung diseases including cystic fibrosis, asthma, pneumonia, and acute respiratory failure in the ICU. This rotation includes rounds and consults on pediatric wards and PICU, two clinics per week, and conference.

Lead Preceptor

Holger Link, MD
Pediatric Pulmonology
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 2237
Email: linkh@ohsu.edu
Phone: 503-494-8023

Fax:      503-494-8898

Course Materials: Contact Student Coordinator for Articles.

Instructions for Pulmonology Students:

OHSU students

On the morning of the first day of your rotation dial the OHSU paging operator at 4-9000. Ask them to page the pediatric pulmonary attending on call. They will connect you. Find out where to meet your team.

Visiting Students

On the first day of your elective dial the OHSU paging operator at 4-9000. Ask them to page the pediatric pulmonary attending on call. They will connect you. Find out where to meet your team. Keep in mind you may have computer training for much of the first day.

Clerkship Materials:

CF New Therapies review AJRCCM 2012
Chronic cough Guidelines CHEST 2006
Chronic wet cough. PED PUL 2007
Diagnosis and Management of Sleep Apnea Children Guideline AAP PEDIATRICS 2012
Diagnostic test of lung function REview PED REV 2006
Evaluation of children with refractory respiratory Sx. ANN ALL IMM
Global Initiative Asthma Pocket Guide 2006
Guidelines care of infant with CF 2009
Hypersensitivity Pneumonitis Review AJRCCM 2012
ILD Review CURR OP PED 2011
Lung Disease and Aspiration Review PED ALL PUL 2012
Managing Cystic Fibrosis
Nice bronchoscopy anantomy review
Office based spirometry children J PED 2006
Pediatric lung transplantation N CL PED 2010
Pneumonia Radiology Review 2011
Respiratory Managment of SMA, 2009
Status asthmaticus Treatment Res Care 2008
Ventilator troubleshooting CCN 2011
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709 H Pediatric Endocrinology

This subspecialty offers an opportunity for a clinical experience in pediatric endocrinology. Outpatient clinics occupy three days a week. The elective emphasizes the pathophysiology, clinical manifestations and treatment of endocrine disorders with reading and review sessions in relevant areas. Assignments include in-hospital consultations and review of laboratory  results.

Lead Preceptor

Kara Connelly, MD
Pediatric Endocrinology
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 1248
Email: connellk@ohsu.edu
Phone: 503-494-0868

Fax:      503-494-1933

Instructions for students on their first day:

OHSU students

On the morning of the first day of your rotation dial the OHSU paging operator at 4-9000. Ask them to page the pediatric endocrinology attending on call. They will connect you. Find out where to meet your team.

Visiting Students

On the first day of your elective, after orientation and after you get your ID badge, dial the OHSU paging operator at 4-9000. Ask them to page the pediatric endocrinology attending on call. They will connect you. Find out where to meet your team.

Please realize that you will need to be excused from your rotation to attend required computer training during your first few days on the rotation.

Course Materials

Endocrinology Description  

Learn Opportunities

Reading List
Problem Set (Talk with Student Coordinator for Password)

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709 I Pediatric Infectious Diseases

The objective of this elective is to provide experience in several aspects of pediatric infectious diseases. Students will review basic microbiology, learn to perform a complete evaluation of a patient with a possible or proven infectious disease, and gain knowledge in managing these patients. Patients will be seen in outpatient subspecialty clinic and as inpatient consultations.

Lead Preceptor

Dawn Nolt, MD
Pediatric Infectious Diseases
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Email: noltd@ohsu.edu 

Phone: 503-494-9690

Instructions for Infectious Disease Students:

OHSU students

On the morning of the first day of your rotation dial the OHSU paging operator at 4-9000. Ask them to page the Pediatric Infectious Disease attending on call. They will connect you. Find out where to meet your team.

Visiting Students

On the first day of your elective, just after your orientation and after you get your ID badge, dial the OHSU paging operator at 4-9000. Ask them to page the Pediatric Infectious Disease attending on call. They will connect you. Find out where to meet your team.

Please realize that you will need to be excused from your rotation to complete required online computer training during your first few days on the rotation.

Course Materials

Readings: Text Book

  • Students can borrow Principles and Practice of Pediatric Infectious Diseases from Rob Bogacz, Pedaitric Student Coordinator.
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709 J Pediatric Hematology Oncology

OHSU Third Year Elective Students

The objective of this course is to provide the student with fundamental understanding of the pathophysiology, clinical characteristics and treatment of hematologic and oncologic conditions occurring in childhood. While there is an emphasis on the most common childhood cancers such as leukemias and brain tumors, the student has the opportunity to learn the full spectrum of malignant solid tumors in children and common hematologic conditions such as aplastic anemia, coagulation disorders and the hemoglobinopathies. Students will spend time in the clinic or on the ward depending on their learning objectives and the census of the clinic or ward. Students are evaluated by a written evaluation based on observation of performance and attendance at and contributions to the Division's rounds and conferences.

OHSU Fourth Year and Visiting Elective Students

The objective of this course is to provide the student with fundamental understanding of the pathophysiology, clinical characteristics and treatment of hematologic and oncologic conditions occurring in childhood. While there is an emphasis on the most common childhood cancers such as leukemias and brain tumors, the student has the opportunity to learn the full spectrum of malignant solid tumors in children and common hematologic conditions such as aplastic anemia, coagulation disorders and the hemoglobinopathies. In addition, the student is involved in the stem cell transplant program and its role in the treatment of hematologic, oncologic, immunologic and genetic disorders, and will learn the treatment of infection in the immuno compromised patient. Students are evaluated by a written evaluation based on observation of performance and attendance at and contributions to the Division's rounds and conferences. This course fulfills the fourth year sub internship requirement for OHSU Students.

Lead Preceptor

Susan Lindemulder, MD
Assistant Professor
Division of Pediatric Hematology/Oncology
Department of Pediatrics
Doernbecher Children's Hospital
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 1150
Email: lindemul@ohsu.edu
Phone: 503-494-5456

Fax:     503-494-0714

Instructions for Hematology/Oncology Students:

OHSU Students:

Meet Dr. Susan Lindemulder at the Doernbecher (DCH)10th Floor Conference room on the first day of your rotation at 8 am.

Visiting Students:

On the first day of the elective, after you get your name badge, you will need to dial the OHSU paging operator at 4-9000. Ask them to page the Pediatric Hematology/Oncology attending on call. They will connect you. Find out where to meet your team. Keep in mind that you will need to be excused from your elective a few times during the first week to attend required computer training.
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709 K Neurodevelopmental / Behavioral Pediatrics

Provides experience in a broad spectrum of neurodevelopmental, behavioral, learning and emotional problems in children from infants to 18 years. Clinics include the following: Genetics, Metabolic, Neurodevelopmental, Child Development, Spina Bifida, Neonatal Intensive Care follow-ups, Autism, ADHD, Medication Management and others. Clinic assignments can be adjusted to the interests of the student to some extent. Because the rotation consists of outpatient clinics, there is no night call or weekend duty.

Eugene:

There is also an option to do the elective at the CDRC facility in Eugene. The clinics are very similar. Housing is free and provided through our Peace Health extension program in Eugene.

Lead Preceptor

Peter Blasco, MD
Neurodevelopmental Pediatrics
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239
Office: CDRC 3217
Email:blascop@ohsu.edu
Phone: 503-494-2756

Fax:      503-494-6868

Instructions for Developmental/Behavioral Students:

OHSU students

On the morning of the first day of your rotation dial the OHSU paging operator at 4-9000. Ask them to page Peter Blasco, MD (12069). They will connect you. Find out where to meet your team.

Visiting Students

On the first day of your elective, after you are done with orientation and have your name badge,  dial the OHSU paging operator at 4-9000. Ask them to page Peter Blasco, MD (12069). They will connect you. Find out where to meet your team.

Course Materials

Infant Growth and DevelopmentPDF Icon
Normal and Abnormal Motor DevelopmentPDF Icon
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709 L Pediatric Neurology

This course exposes the student to a wide spectrum of neurologic problems affecting children from the neonate to young adult. The student will see and examine patients with epilepsy, cerebral palsy, chronic headaches, neurogenetic disorders, movement disorders (e.g. tics), symptomatic brain injury, and other disorders of neurodevelopment. The rotation will combine experiences of the in-patient consultation service and out-patient clinics (including general neurology and sub-specialty clinics). Students will also be exposed to weekly pediatric neuroradiology and EEG sessions. Weekly didactic teaching sessions will supplement a suggested reading list.

SPECIAL NOTE

This pediatric neurology elective doesn't offer any opportunities for call. If call is a required component of a student's neurology requirement, then this course will not fulfill that requirement.

Lead Preceptor

Jason Coryell, MD
Pediatric Neurology
Department of Pediatrics
Oregon Health & Science University
MC: CDRCP
707 SW Gaines Street
Portland, Oregon 97239

Instructions for Neurology Students:

OHSU Students:

If you have received your schedule by email in advance, you may go directly to clinic on the first day of the rotation. If the clinic space is not listed, contact Andie Elliott (pediatric neurology program administrator) @ 4-9113 for directions.

Visiting Students:

On the first day of the rotation after orientation and after you get your badge report to Child Development and Rehabilitation (CDRC) room 1260. Links to supplemental readings are included below.

Please realize that you will need to be excused from your rotation to attend required computer training during your first few days on the rotation.

Course Materials

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Contact Information

Mailing Address:
OHSU Dept. of Pediatrics
Mail Code: CDRCP
707 SW Gaines Street
Portland , OR 97239-2901
Phone: 503-494-3195
Fax: 503-494-7447

Physical Location:
Child Development and
Rehabilitation Center (CDRC)
Office 3107
Campus Map