Electives - Pediatrics
Elective Number: 2421
Rotation Supervisor: Dr. Coleen Druzgal
Designated Signer: Karen Vest, 2709 North Tower (West Complex)
2nd Floor, email@example.com
Duration: Maximum 4 weeks, Minimum 2 weeks
Available: All Rotations
Report to: report on morning of first day of the rotation
at 7:45am at 7th floor peds conference room. And, then
find peds heme onc inpatient team afterward at 8:30am to start rounds
Time to Report: 7:45am
Place to Report: on 1st day, 7th floor peds conference room
Typical day: 7:45 am - 5:00 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 division consists of four full time faculty,
four nurse practitioners, a social worker, two data managers,
and an education specialist. It is one of the busiest in the department
of Pediatrics. In the outpatient setting we see approximately 50 new
of pediatric cancer each year. We follow approximately 125 patients with
cancer, 70 with sickle cell anemia and 113 with inherited bleeding disorders.
Most of the patients with cancer are treated on or according to national
protocols developed through the Children's Oncology Group (COG) of which
we are a full member. The COG is a large multi-institutional cancer treatment
organization that includes approximately 200 institutions that care
children with cancer. The group seeks to foster a standardized approach
to treatment for patients with uncommon disorders, and seeks to ask
answer specific questions about etiology and therapy.
We also see a large number of patients on a referral basis from outside
Pediatricians and Family Medicine practices for evaluation of anemia,
thrombocytopenia, neutropenia, lymphadenopathy, and some genetic disorders.
The inpatient service is usually quite busy with 8 - 12 patients in the
hospital at any given time.
- Develop an understanding of the common hematological and oncological
disorders of infancy and childhood.
- Develop a logical and systematic approach to the diagnostic evaluation
of children with these disorders (surgery, radiation therapy, and chemotherapy).
- Observe and develop a compassionate and thoughtful approach to children
and their families who suffer from malignancies and hematological diseases.
- You should assist with the consultations, evaluate newly referred
patients, and help formulate management plans for established patients.
- You may participate in every aspect of our patients' care and in
all family conferences.
- You should read as much as you can about the disorders that you encounter
while with us. The two primary comprehensive textbooks used in the field
of Pediatric Hematology/Oncology are Nathan and Oski's Hematology
of Infancy and Childhood and Pizzo and Poplack's Pediatric Oncology.
Copies of these texts can be found in the clinic and in the residents'
library as well as the Medical School Library and in the offices of
the attendings. Please use these textbooks and return them. We have
also provided a notebook containing several important articles on specific
problems in Pediatric Hematology/Oncology. You are encouraged to read
the articles, make copies, add to the selection if you find more articles
that are germane to some area of Hematology/Oncology that is particularly
interesting to you, and return the articles to the notebook.
- You are expected to attend and participate in our conferences. You
are encouraged to present an article at one of the regular Journal Club
conferences and to present a newly diagnosed patient to our Tumor Board
conference. We will give you more detailed information about these presentations
and we will help you with their preparation. A list of our weekly and
monthly conferences is provided.
First Wednesday of each month - Tumor Board - 4 pm - Cancer
Center Conference Room 4th Floor Old Hospital.
Thursday - Grand Rounds - 8 am in the Camp Heart Auditorium
Friday - 2 pm Radiology conference
3 pm Patient Care conference
- You will have an opportunity to
see patients in the outpatient clinic during the rotation.
This allows you to see a broad selection of hematological
and oncologic disorders that might be seen in a primary care setting.
You will not be expected to rotate on the inpatient service
have a special reason or desire to do so. During your time on the
outpatient service you should participate in the evaluation of
all new patients
who come to the clinic and see the regularly scheduled clinic
with the attending. In so doing you should obtain and record a
focused history, perform a complete physical examination, review
the laboratory data, develop an assessment of the patients current
problems(s), and with the guidance of the clinic attendings
set forth a plan of treatment.
- Special Clinics:
Sickle Cell Clinic - fourth Tuesday - Pediatric Primary
Hemophilia Clinic - second Tuesday
of the month - morning - Primary Care Clinic
Benign Heme - 3rd
Tuesday - Pediatric Primary Care
Late Effects Clinic - first
Tuesday of the month - Primary Care Clinic
- You are encouraged to perform diagnostic and therapeutic procedures
(bone marrow aspiration and biopsy and lumbar puncture with administration
of intrathecal medications) under the direct supervision of the attending.
Supervision: One of the attendings is always on call and available by
beeper. All evaluations and treatment of patients on the pediatric hematology/oncology
service should be carried out under the direction of the attending.
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