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Electives - Pediatrics

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Camp Holiday Trails

Elective Number: 2416 (Lottery)

Rotation Supervisors: Tina LaRoche & lead attending physicians

Coordinator: Tina LaRoche, (434) 977-3781, tina@campholidaytrails.org

Evaluation should be given to: Medical Director

Duration: Maximum 2 weeks, Minimum 2 weeks (for Elective credit)

Available: 4B, 5A, 5B, 6A

Report to: Camp Attending Physician

Time to Report: 10:30am on each session's opening day

Place to Report: Camp Holiday Trails - MedKorner

Typical Day: 7:00 am - 3:00 pm or 3:00 pm - 11:00 pm as determined during orientation (some split schedules)

Attendance: A student may not take time off during this rotation.

Number of students per rotation: 8

Course Description: Camp Holiday Trails is a beautiful year-round camp located ten minutes from the University of Virginia Medical Center, just past the Ragged Mountain hiking area. This elective allows medical students to participate as part of the MedKorner medical staff serving CHT’s summertime overnight camp sessions. These one and two-week camps are offered to campers ages 5-17 who have chronic medical conditions that would otherwise preclude them from a rustic camping experience. With a capacity of sixty campers per session, Camp Holiday Trails serves campers with diabetes, asthma, epilepsy, cerebral palsy, HIV infection, hemophilia, cystic fibrosis, cardiac abnormalities, renal disease, malignancy, organ transplants, genetic diseases and other chronic medical conditions.

Medical students are expected to work hard, play hard, and learn a lot. With supervision, students will learn the ins and outs of insulin adjustment, recognizing and managing the signs of hyper- and hypoglycemia. Asthma rescue and maintenance meds are given throughout the day as well. The real-life challenges of medication administration are encountered during the four medication distribution times (breakfast, lunch, dinner and bedtime.) Venipuncture technique can be practiced with Factor infusion for our campers who have hemophilia. Physical exam skills and interview techniques are constantly being worked on as campers come in to MedKorner with acute, chronic and psychological complaints.

Overnight tent camping trips and night-time Angel duty will require some overnight shifts at the camp. The medical students are required to stay at camp during their work week. Medical students will work 40 hours per week with a full 24 hours off at some point during each students week. Shifts are staggered with overlap during the busy times of day. MedKorner is staffed 24 hours per day by attending physicians, nurse practitioners, physician assistants, nurses and EMTs. The medical students are an integral part of the MedKorner team, being the first to evaluate and formulate treatment plans for our campers. Medical students are also encouraged to participate in the campers’ daily activities, including swimming, arts and crafts, hiking, fishing, rock wall climbing, ropes course, etc. Meals and snacks are provided in our excellent (not kidding) Dining Hall.

This is not a rotation for everyone. Please note - the schedule is created to meet the needs of Camp and includes split shifts. The work is hard and the hours can be long, but Camp Holiday Trails is a life-changing experience for so many people who participate. Please check out our website for more information: Camp Holiday Trails. For addition information, contact Tina LaRoche, 434-977-3781 or 434-760-1120 (cell).

Also, check out the great videos from past Med Staff speaking about their experience at camp: http://www.campholidaytrails.org/med-korner/what-is-med-korner

Learning Objectives
• Diagnose and manage acute illnesses or injuries that occur in a camp setting
• Manage chronic conditions, such as diabetes mellitus, asthma, cystic fibrosis, epilepsy, hemophilia, sickle cell disease, post-transplant patients, and HIV infection in a rural camp setting
• Demonstrate ability to work with other medical staff, counselors, and other camp staff as an interprofessional team member to support the needs of the campers
• Discuss the impact of interacting with children with chronic illnesses in a non-clinical setting


Responsibilities:
• Assist in Med Korner activities
• Take a medical history and perform camp intake with families on the first day
• Coordinate care of campers with other medical students, residents, EMTs, nurses, other Med Korner staff, and camp counselors and staff
• Familiarize yourself with each camper’s medical condition(s) and therapies
• Triage campers as they come into Med Korner
• Document brief notes on clinical encounters with individual campers
• Organize and distribute medications to campers throughout your shift and at meal times
• Review daily meal menus to do “carb counts” for the campers with diabetes
• Review diabetic flow sheets to assess insulin dosing
• Report directly to the attending medical director or resident regarding clinical issues
• When possible, participate in camp activities
• Attend didactic talks with the attending physicians and medical directors
• On last day, redistribute meds to campers and their parents


Medical Student Requirements:
• Complete pre-reading from required reading list
• Attend all scheduled shifts
• Completion of camp “passport” documenting clinical activities, camp activities, and didactics attended
• Participation in weekly group reflection sessions

Provisional Daily Schedule

Weekday Schedule