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The third year Core Pediatric and Adolescent Clerkship will provide the student with broad exposure to both the inpatient and ambulatory aspects of general pediatric care. There are four components to the clerkship: an orientation portion, three weeks of ambulatory pediatrics, three weeks of in-patient pediatrics (days, nights, and newborn), and synthesis and assessment week.
A. Orientation
1. The clerkship will commence with 3 half-days of
orientation material. We will begin by defining
the expectations and reviewing important
procedural components and resources that
students will be expected to utilize throughout
the rotation. Topics include prevention and well
care visits, issues unique to the newborn and
adolescent period, fluids, electrolytes, and
nutrition management. Tuesday will be spent in
the Simulation Center, focusing on procedures
and simulated patients.
B. Three Weeks of Ambulatory Pediatrics
1. Placements are in the community or the WMed
General Pediatric Clinic.
2. Main tasks of the rotation are accomplished
through observation of doctor-patient, doctorfamily
and doctor-staff interactions, and direct
patient care with a focus on patient and family
interviewing and physical examination. Staffing
of jointly attended encounters with medical
students and attendings may occur at the time
of patient care in the exam room, but students
will have an opportunity to further discuss the
case later in the day.
3. Goals of the ambulatory component are:
i. Compare and contrast the basis for well child care
from newborn through adolescence (growth,
development, nutrition, safety, anticipatory
guidance) and how these tasks change throughout
maturation.
ii. Develop differential diagnoses and discuss initial
management plans for common pediatric illness
and disease processes.
iii. Practice oral presentation skills.
4. Utilizes COMSEP's national pediatric third year
curriculum.C. Three Weeks of Inpatient Pediatrics
1. One week of Inpatient Pediatrics Days (6a to 6p).
2. One week of Inpatient Pediatrics Nights
(5:30p to 6:30a).
3. One weekend of Inpatient Call (7 am to 6 pm,
Saturday or Sunday of Inpatient Days week).
4. Three to five days of Normal Newborn
(7am to 6:30pm)