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ClerkshipMajor Objectives Grading & Honors CLIPP and CORE Cases COMSEP Policies Related Links Fargo Students
- Pediatric Clerkship Requirements
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Sanford Children's Hospital
Your eight week experience in Pediatrics in Fargo should provide you with a broad and exciting introduction to clinical pediatrics. You will be working as a part of a team including pediatric hospitalists and nurse practitioners, community pediatricians, pediatric subspecialists, nurses, therapists, pharmacists and social workers. Your involvement in patient care will be a graduated experience and will be dependent to a great extent on the individual student's attitude, availability and achievement. The next eight weeks can be a great learning experience for you, varying in scope from pediatric intensive care to ambulatory well child and sick child care to normal and high risk newborn care.
The pediatric charge nurse or clinical coordinator will conduct an orientation to General and Intensive Care Pediatrics for the students on the first day of the clerkship. Pediatric nurses, by virtue of their specialization in pediatric are, have a great deal of experience and knowledge to offer students. You will find them willing to help in all aspects of your pediatric clinical experience. Students, likewise, should be available and willing to help when such help is requested from the nursing staff.
There may be opportunities to participate in entering orders into the EMR under the direct supervision of your attending physician.
Interaction of Students with Parents
The establishment of proper relationships between physician and parents is extremely important in Pediatrics. The student must always identify himself/herself to the parents as a medical student. Student conversations with parents are to be encouraged. In this way the student can begin to understand the impact of pediatric illness on the family unit. Much valuable information about each child is gained by speaking with the parents on a day-to-day basis. ALL information about each patient is confidential and cannot be communicated to anyone who is not involved in the medical care of the patient. Furthermore, medical information given to the family by the students must be restricted to that which is thoroughly discussed with the patient's attending pediatrician. Any violation of confidentiality of patient information constitutes grounds for student dismissal. A brochure, developed by Sanford Children’s Hospital entitled “Physicians Providing Care for Your Child”, is given to the family when admitted that clearly explains the role of the medical student in their child’s care.
Each student will spend 3 weeks on the Pediatric Unit at Sanford Children's Hospital. The student will work as part of the interdisciplinary pediatric hospital team. The student should work-up and follow 2-3 patients per week. He/she should observe and participate in procedures. E-mail write-ups as a Microsoft Word attachment to Kathy Kraft at firstname.lastname@example.org and Dr. Tiongson at Chris.Tiongson@sanfordhealth.org for review. Do not use patient names or identifiers as these write-ups are CONFIDENTIAL. One write-up per week is required. The student should strive towards complete and pertinent but concisely written write-ups. At the end of each write-up a one to two paragraph learning issue or topic discussion regarding the patient’s diagnosis and/or management should be included. Also include your references. Please see the written instructions included in your orientation packet for additional details. You will also meet with Dr. Tiongson during your first week of inpatient to go over the expectations for your formal write-ups. Patient write-ups done by the student are not part of the permanent patient record. On the other hand entering daily patient progress notes in the patient chart is encouraged and should be reviewed and counter-signed by the hospitalist. The hospitalist is the physician responsible for managing the care of most of the patients that you follow at Sanford Children's Hospital. The hospitalist will include you in daily patient work rounds and may assign to you patient care and educational responsibilities.
It is very important that students become familiar with and strictly adhere to the policies of Pediatric Infection Control and Isolation Procedures. Nosocomial viral and bacterial diseases are a major Infectious Disease problem on any Pediatric ward, including Rotovirus, RSV, Enterovirus, Varicella, Pertussis and enteric pathogens. Immunosuppressed patients and infants represent those at greatest risk.
Subspecialty Experiences/Normal Newborn
You will be assigned to 2 subspecialty experiences/clinics Monday and Tuesday of your Normal Newborn Nursery week. You will spend each morning (8:00 a.m.-12:00 N) Wednesday through Friday with the community attending pediatrician in the Normal Newborn Nursery. The student will examine the assigned newborns, discussing normal and abnormal findings with the pediatricians. Along with the attending pediatrician the student will make daily rounds to the mothers’ rooms.
Pediatric Grand Rounds
All students are required to attend Pediatric Grand Rounds. Pediatric Grand Rounds are held each Tuesday from 12:00-1:00 pm in a Sanford Hospital conference room. Grand Rounds is also teleconferenced to the Sanford Children’s Clinic SW, 2701 13th Avenue So., Fargo, in the basement conference room. Pediatric Grand Rounds is available via Skype at the Sanford Moorhead Clinic, 4000 28th Ave. So., Moorhead. Each student will be required to present a case at an assigned Pediatric Grand Rounds while on their inpatient rotation.
Separate from daily ward work rounds with the hospitalist, all students will participate in Professor Rounds weekly. It will be the student's responsibility to be prepared to present completely and in detail one or more of their patients for teaching purposes. Your clerkship director will discuss the expectations for Professor Rounds with you during orientation.
All students on Pediatrics are required to attend seminars.
Each student will be on call approximately every third or fourth night while on inpatient service. Students will always be under the supervision of the "on-call" pediatrician. The student will have the opportunity to work-up new admissions, participate in the care of unstable patients and share in the performance of necessary procedures. When assigned weekend call it is extremely valuable to contact the “on-call” pediatrician the day prior to weekend call in order to determine the time and location to meet and commence rounds. The unit clerk will have the pediatrician call schedule, contact phone numbers and pager numbers.
Each student will spend three weeks in a private ambulatory pediatric clinic, either at Sanford Children’s Clinic SW, Sanford Moorhead Clinic or Essentia Health South University. Students will observe and assist pediatricians, pediatric nurse practitioners and pediatric nurses in the busy office practice of Pediatrics. These patients may include children with acute illnesses, chronic illnesses, behavioral/developmental disorders or children receiving care in subspecialty clinics, as well as infants and children attending well-child care visits. Students will also be assigned to the Children's Walk-In clinic to broaden their exposure to acute illness and injuries.