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Electives - Pediatrics

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Pediatric Endocrinology & Diabetes (Clinical)

Elective Number: (Oasis E62b) 2403

Rotation Supervisor: Dr. David Repaske

Rotation Coordinator: Helen Madison (HMD4A@virginia.edu)

Duration: 4 weeks maximum, 2 weeks minimum

Available: All rotations

Report to: Pediatric Endocrinology Attending

Time to Report: 8:00 am

Place to Report: Battle Building, 6C conference room

Typical day: 8:00 am - 4:30 pm

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: 1

Course Description: The intent of this elective is to provide 4th year students with a broad exposure to pediatric endocrine problems and diabetes care. The students will function as interns. They will see and evaluate endocrine and diabetes patients in clinic and as inpatient consultations under the supervision of faculty attendings. They will be responsible for seeing patients and gathering information, development of an appropriate care plan and presenting the patient to the attending. Students will be considered an active and essential part of the clinical team! They will observe new onset diabetes and new insulin pump teaching. They will determine areas of need for better patient education. A sound background in normal versus abnormal growth and pubertal development will be emphasized, in addition to learning diagnostic and management strategies for common pediatric endocrine disorders. The AI will prepare a clinical case with case discussion including a summary handout to present at our divisional case conference on the last Tuesday of the rotation.


Learning Objectives:
1. Be familiar with the patient care and medical knowledge required for the management of children with diabetes, including:
a. Diagnosis and treatment of type 1 versus type 2 diabetes in children
b. Troubleshooting abnormal blood glucose readings and insulin dose adjustments
c. Diabetes-specific anticipatory guidance
d. Age-specific differences in management strategies
e. Monitoring for diabetes-related complications
f. Sick day guidelines

2. Be able to diagnose and manage common endocrine problems, including:
a. Congenital and acquired hypothyroidism, as well as hyperthyroidism
b. Precocious and delayed puberty
c. Congenital Adrenal Hyperplasia
d. Polycystic Ovary Syndrome
e.Short stature
f. Pituitary disorders

3. Develop communication/interpersonal skills and demonstrate professionalism necessary to develop effective working relationships with patients, families and colleagues.