Pediatrics

Faculty: Dr. Alex Toledo & Faculty

Length of Time: 4 weeks

Offered: Year-round (excluding June & July)

Maximum enrollment: 2

Patient care elective: Yes

Prerequisite: Completion of Pediatric clerkship, which must include both ambulatory and inpatient experience.

Limitations/prerequisites: Pediatric Core Clerkship

Goals:

This rotation will provide you with an exposure to a wide variety of pediatric medical and traumatic emergencies. Clinical teaching will focus on evaluation and management of pediatric primary care problems as well as more serious illnesses and injuries.

Format:

As a student, you will work in the pediatric emergency services/urgent care clinic under the supervision of our faculty. A didactic program (see below) covering essential topics in pediatric resuscitation, trauma care and management of urgent and emergent pediatric illnesses will accompany your clinical experience. Externs will also attend the weekly M&M conference with the Valleywise Health Department of Emergency Medicine.

Lecture Topics:

• Essentials of Pediatric Resuscitation
• Fluid & Electrolyte Management in the PED
• The Febrile Child
• Pediatric Airway & Respiratory Emergencies
• Stabilization & Evaluation of the Pediatric Trauma patient
• Recognition & Reporting of Child Abuse
• Pediatric Infectious Disease Emergencies

Evaluation Methods:

Staff observation of clinical performance.

Faculty: Dr. Mahesh Kotwal & Faculty

Length of Time: 4 weeks

Offered: Year-round

Maximum Enrollment: 1

Patient Care Elective: Yes

Prerequisite: Completion of Pediatric clerkship, which must include both ambulatory and inpatient experience.

Goals:

• Learn resuscitation of the newborn.
• Evaluation, management and follow-up care of the high-risk newborn.

Format:

You will be assigned to the neonatal intensive care unit, where you will be expected to attend high-risk deliveries and participate in the management of critically-ill newborns and healthy premature infants.

Evaluation Methods:

Observation of ability to perform physical exam, obtain history and help in the management of high-risk newborns.

Faculty: Dr. Suresh Lal & Faculty

Length of Time: 4 weeks

Offered: Year-round (excluding June & July)

Maximum enrollment: 1

Patient care elective: Yes

Prerequisite: Completion of Pediatric clerkship, which must include both ambulatory and inpatient experience.

Limitations: Fourth-year medical students only

Goals:

To provide the student with general principles of pediatric critical care, with major emphasis on understanding physiology and pathophysiology in order to provide the appropriate care for the sick child. The student will learn to diagnose and manage common pediatric critical care issues, including shock, respiratory failure (including different models of mechanical ventilation), trauma, burns and postoperative care of the child.

Format:

• Direct care of 1-2 patients under the supervision of the senior pediatric resident and pediatric critical care faculty
• Daily attending rounds in the ICU and direct informal teaching from the attending
• Formal pediatric critical care lectures twice a week

Evaluation Methods:

In-depth review of a critical care topic of interest, guided and supervised by the faculty.

Faculty: Dr. Sheetal Wadera

Length of Time: 4 weeks maximum

Offered: Year-round (excluding June, July & December)

Patient Care Elective: Yes

Prerequisite: Completion of Pediatric clerkship, which must include both ambulatory and inpatient experience.

Goals:

Familiarize trainee with major presentations and evaluations of gastrointestinal, hepatic and nutritional disease. Included will be discussion of malabsorption, GE reflux, cholesteric inflammatory bowel disease, abdominal pain and peptic disease.

Format:

You will participate in a GI clinic, consultative service and nursery rounds. Didactic sessions will be given in major topics in pediatric GI.

Evaluation Methods:

One on one feedback with GI staff on consultations and outpatient evaluations. Trainee generally present a short talk on a GI topic of interest.