Handbook> Electives > Fairfax Program > ACE- A.I. in Inpatient Pediatrics

Electives - Fairfax Program

rulebar

ACE - A. I. in Inpatient Pediatrics - Fairfax

Elective Number: 3306 (away)

Rotation Supervisor: Dr. Meredith Carter

Designated Signer:

Evaluation should be given to: attending on service

Duration: 4 weeks

Available: all Rotations

This elective is not available to visiting students through the University of Virginia

This is considered an away elective and requires an Application for Away Electives.

A pager is required and will be supplied by the department.

Report to: Paula Graham

Time to Report: 8:00 am

Place to Report: Dept. of Pediatrics

Typical day: 7:00 am - 4:30 pm

Attendance: A student may not take time off during an ACE.

Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
    • Specific days missed must be approved by the Attending on Service.

Housing: Housing is not provided

Number of students per rotation: 2

Course Description: The Acting Intern functions as the hospitalized child's primary care physician. He or she performs the initial comprehensive history and physical and, with the supervision of the senior resident, develops the differential diagnosis, determines what lab testing should be ordered and sets forth a treatment plan. The AI interacts closely with the patients and his or her family during the entire hospital stay and sets up an appropriate follow-up upon discharge. The AI functions as the patient's advocate and tends to the patient's emotional well being in addition to whatever illness necessitated the hospitalization.
 

The AI's daily schedule includes Work Rounds with members of his or her team, Intake Rounds in which the new admissions are presented to the senior attending staff, Attending Teaching Rounds, Radiology Rounds, Grand Rounds and problem conference. An evidence-based medicine conference is held one day per month. There will be night call, weekend rounds and weekend call. The Inova Fairfax Hospital functions both as a primary care facility and as a major tertiary care center for Northern Virginia thus enabling the acting interns to take care of patients with a wide variety of maladies.

Goals: The overall goal of this elective is to introduce fourth year medical students to the medical care of hospitalized pediatric patients. The student will work under the supervision of the inpatient attending physicians.

Specific objectives include:

  1. To develop competence in patient assessment, analysis of laboratory data and formulation of therapeutic plans.
  2. To develop skills necessary to obtain a thorough medical history and to perform a comprehensive physical examination.
  3. To develop the ability to recognize disease processes involving all systems including:
    • General: failure to thrive, fever, developmental delay;
    • Cardiovascular: rhythm disturbance, murmurs, shock, syncope, hypotension, chest pain;
    • Dermatologic: rashes, petechiae, purpura, urticaria;
    • Endocrine: normal and abnormal signs of puberty, diabetes mellitus, rickets, abnormalities of growth, thyroid disfunction;
    • Gastroenterology: fluids and electrolytes, dehydration, abdominal pain, abdominal masses, vomiting, diarrhea, jaundice, hematemesis, rectal bleeding;
    • GI: urinary tract infection, scrotal masses, dysuria;
    • GYN: sexual assault, abnormal vaginal bleeding;
    • Hematology/Oncology: hemoglobinaopathies, hepatomegaly, slenomegaly, masses;
    • Musculoskeletal: limp, arthritis, arthralgia;
    • Neurologic: seizure, headache, lethargy, ataxia, head trauma, vertigo, irritability;
    • Psychiatric/Psychosocial: suicide attempt, depression, child abuse;
    • Renal: oliguria, hematuria, edema;
    • Respiratory: tachypnea, wheezing, stridor, hemoptysis, apnea, respiratory failure dyspnea;
    • Infectious Disease: sepsis, viral vs. bacterial infections, AIDS, meningitis, pneumonia;
    • Otolaryngology: otitis media, abnormal speech development;
    • Ophthalmology: trauma, conjuctival injection acute visual changes;
    • Surgery: pre and post operative care.
  4. To develop skills in using consultants, non-physician providers of services, laboratory tests, and diagnostic procedures efficiently, effectively, and in the patient's best interest.
  5. To develop skills in interpretation of tests and imaging studies and therapeutic options for correction of abnormalities:
    • CBC, Platelets, differential, indices; Electrolytes, calcium, magnesium, glucose;
    • Hepatic function tests;
    • Renal function tests;
    • Drug levels;
    • ESR;
    • Coagulation studies;
    • CSF analysis;
    • Urinalysis;
    • Gram stain;
    • Arterial, capillary, and venous blood gases;
    • Stool studies;
    • Cultures for bacterial, fungal, viral, AFB cultures;
    • Chest x-ray;
    • Abdominal film;
    • Lateral neck film
  6. To develop competence in procedural skills and interpretation of monitoring such as but not limited to:
    • arterial, capillary and venipuncture;
    • bladder catherization;
    • lumbar puncture;
    • gastric intubation;
    • injection/medication administration;
    • respiratory tract medication (nebulizer);
    • blood pressure measurement;
    • pelvic exam;
    • child development screening;
    • transillumination of the scrotum;
    • pulse oximetry;
    • cardiorespiratory monitoring;
    • temperature monitoring.
  7. To develop skills in maintaining accurate, timely and legally appropriate medical records.
  8. To develop skills in discharge planning to include but not limited to:
    • appropriate follow-up;
    • identifying community resources when appropriate;
    • identifying home care needs. 

BACK to Electives at UVa Menu