Handbook> Electives > Pediatrics > Infectious Disease

Electives - Pediatrics

rulebar

Pediatric Combined Allergy/Immunology and Infectious Disease Elective

Elective Number: 2406 (Lottery) (Oasis E62j)

Rotation Supervisor: Dr. Steve Zeichner

Coordinator: Sharon Holland

Duration: 4 weeks only

Available: All Rotations

Time to Report: 7:45 am

Place to Report: Pediatric morning report classroom

Typical Day: 7:45 am - 5:00 pm - see schedule below

Attendance: 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.

Number of students per rotation: 2

Course Description: Allergy/Immunology: The elective offers experience and instruction in the outpatient evaluation and management of pediatric asthma, food allergy and other allergic and immunologic disorders.

Disease Characteristics: Students who choose this rotation will become knowledgeable in the diagnosis and management of common allergic diseases including (but not necessarily limited to): asthma, food allergy, eosinophil gastrointestinal disorders, allergic rhinitis, allergic conjunctivitis, insect venom hypersensitivity, atopic dermatitis, urticarial, drug reactions, immunodeficiency and anaphylaxis.

Clinical Procedures: Additionally they will be exposed to the common diagnostic and therapeutic modalities used in the practice of allergy (pulmonary function testing, peak flow monitoring, intravenous immunoglobulin administration, skin testing and immunotherapy). An important learning objective is to understand key components of a child’s history which indicate that a referral for an allergy or immune deficiency evaluation is needed. Students will also learn whether allergy/immunology is of interest to them as a career choice.

Allergy/Immunology Attending’s: Drs. Peter Heymann and Julia Wisniewski. Clinics are currently held at the Northridge Building (3rd floor allergy clinic) on Monday mornings (8:30-12:30), all day on Wednesdays (8:30-5:00) and the 4th Tuesday of each month. Students are also invited to attend an all-day pediatric allergy clinic in Lynchburg held on the 4th Wednesday each month and IVIG infusions for patients with humoral immune deficiencies throughout the month at the Primary Care Clinic (4th floor). Additionally, a weekly allergy lecture and journal club is held on Fridays (10:00-noon in the 4th floor conference room in Building MR4).

Recommended Reading Reference:
1. Primer in Allergic Diseases. Supplement to The Journal of Allergy and Clinical Immunology 2010; 125 (#2): pages S1-S394.

Learning Objectives:

  1. Given the opportunity to evaluate patients in the ambulatory pediatric allergy clinic setting, the fourth year medical student will be able to demonstrate the following at the end of the rotation:
    1. Construct an accurate differential diagnosis for children and adolescents presenting with common allergic issues including asthma, food allergy, environmental allergies and congenital immunodeficiencies.
    2. Select appropriate diagnostic evaluation tests for children and adolescents with the following common allergic diseases: asthma, food allergy, eosinophil gastrointestinal disorders, allergic rhinitis, allergic conjunctivitis, insect venom hypersensitivity, atopic dermatitis, urticarial, drug reactions, immunodeficiency and anaphylaxis.
    3. Select appropriate treatments and evaluate their efficacy for children and adolescents with the following common allergic diseases: asthma, food allergy, eosinophil gastrointestinal disorders, allergic rhinitis, allergic conjunctivitis, insect venom hypersensitivity, atopic dermatitis, urticarial, drug reactions, immunodeficiency and anaphylaxis.
  2. Given the opportunity to evaluate patients in the inpatient hospital setting, the fourth year medical student will be able to demonstrate the ability to perform the initial evaluation of pediatric patients with potential allergic or congenital immunodeficiency diagnoses.

Course Description: Infectious Disease:  The elective offers experience and instruction in the outpatient and inpatient evaluation and management of viral, bacterial, fungal and parasitic infections ranging from minor disease to life threatening skin, bone, joint, bloodstream, central nervous system, pulmonary, renal, hepatic, gastrointestinal and disseminated infection.
Disease Characteristics: Students who choose this rotation will become knowledgeable in the diagnosis and management of common and uncommon infections caused by viruses, bacteria, fungi, rickettsia and parasites.
Laboratory Teaching: Each Wednesday from 9:00-10:00 there are microbiology laboratory plate rounds that provide a key learning opportunity for better understanding the methods and processes required for identification of pathogens in the specimens that we submit to the laboratory.
Infectious Disease Attending’s: Drs. Leigh Grossman, Ron Turner, Owen Hendley, Linda Waggoner-Fountain, and James Nataro. We see out-patients on an as needed basis and usually in the clinic where they are cared for or in the emergency room. In-patients are managed on a consultant basis and followed through their infection. There is a weekly Adult/Pediatric Infectious Disease Conference held Mondays from 3:00-4:30 in MR-6, Pediatric ID Argument Rounds from 1:00-2:00 in the 7N Conference Room, and a monthly ID Conference held at noon in the 7N Conference Room on the 2nd Friday of the month.

Recommended Reading Reference:

  1. The Primer is a collection of journal articles and chapters selected to represent the best overview of infectious disease in children http://www.healthsystem.virginia.edu/pub/childrens/intranet/housestaff
    (click on Residency Goals and Objectives and then on Infectious Disease)
  2. Redbook, Report of The Committee on Infectious Disease 29th edition, American Academy of Pediatrics 2012
  3. Principles and Practice of Pediatric Infectious Disease, editors S. Long, L Pickering, and C. Prober, 3rd edition, Churchill Livingstone, 2008.

Learning Objectives:

  1. Given the opportunity to evaluate patients in the inpatient hospital settings (including acute care and ICU settings), the fourth year medical student will be able to demonstrate the following at the end of the rotation:
    1. Construct an accurate differential diagnosis for children and adolescents presenting with common infectious diseases including infections caused by viruses, bacteria, fungi, rickettsia and parasites
    2. Select appropriate diagnostic evaluation tests for children and adolescents with common infectious caused by viruses, bacteria, fungi, rickettsia and parasites.
    3. Select appropriate antimicrobial treatments and evaluate their efficacy for children and adolescents with common infectious caused by viruses, bacteria, fungi, rickettsia and parasites.
  2. Given the opportunity to evaluate patients in the ambulatory setting, the fourth year medical student willb e able to demonstrate the ability to perform an evaluation and create a differential diagnosis of patients referred for evaluation of uncommon pediatric infections or infections that present in an atypical manner.

WEEKLY SCHEDULE:

MONDAY 0745-0830 Morning Report -- UH 7614 (7th Floor Education Room)
0830-1500 Allergy/Immunology Clinic -- Battle
1500-1700 Adult/Pediatric ID Case Conference -- MR6, Rooms 2501-2502


TUESDAY 0745-0830 Morning Report -- UH 7614 (7th Floor Education Room)

0830-0930 ID Rounds
1300-1400 ID Argument Rounds -- 7th Floor, Room 7614

1400-1700 reading/patient care


WEDNESDAY 0745-0830 Morning Report -- UH 7614 (7th Floor Education Room)

0900-1100 Microbiology Lab Rounds -- Microbiology Laboratory (112 11th Street, ground floor)
1100-1700 Allergy/Immunology Clinic -- Battle


THURSDAY 0800-0900 Pediatric Grand Rounds -- Leonard Sandridge Auditorium -- McKim Hall
0900-1000 ID Rounds
1300-1700 reading/patient care


FRIDAY 0745-0830 Morning Report -- UH 7614 (7th Floor Education Room)

0830-9:30 ID Rounds
1000-noon Allergy/Immunology Lecture and Journal Club -- MR-4, 4th Floor Conference Room
1300-1700 reading/patient care


Black - Joint
Red - Allergy/Immunology Clinics -- call 982-3654 or 924-2227 to confirm there is a clinic
Lecture and Journal Club -- ALWAYS check with Allergy Attending to confirm

Blue - Infectious Disease