Pediatrics Sub-Internship

ELEC 875 / PPED 680

Department
Pediatrics

Clinical or Non-Clinical Course
Clinical (Sub-I selective)

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Clerkships

Goal
This elective provides a continuation of the required M3 clerkship with increased patient load and clinical responsibility approaching that of an intern. The student will be assigned to one of four teaching services and will be responsible to several attending pediatricians and residents for the care of pediatric inpatients with a variety of problems. The student will attend teaching conferences, patient and family-centered care rounds and other educational exercises along with members of the house staff.

Objectives
Principles essential to providing patient care as a fourth-year medical student:

  1. Taking on primary responsibility for the patient
  2. Focusing histories, physicals, and oral and written communication appropriately
  3. Sharing information effectively with a patient and family
  4. Prioritizing and organizing work effectively
  5. Anticipating what a patient will need during the course of hospitalization (i.e. when they need to be re-examined, when a lab needs to be repeated, when additional therapy is necessary, when additional history needs to be obtained, discharge criteria) and communicating this information effectively in hand-overs
  6. Re-evaluating a patient when you take on their care (i.e. the assessment and plan, as well as the clinical status) and looking further when the clinical picture does not fit
  7. Continuing to think about and re-assess the patient during the course of the day
  8. Coping with uncertainty in patient care issues (i.e. knowing what you know and what you don’t know, accessing
    best resources, and knowing when and how to get help)
  9. Functioning as a “team player” with residents, attendings, nurses, ancillary staff, and all others involved in the care
    of the patient
  10. Coordinating the care of your patients during hospitalization and in planning for discharge

Method of Assessment
Standard Clinical 4wk Elective Evaluation - Honors/High Pass/Pass/Fail

Additional Methods
The faculty and residents will provide day to day feedback if needed and also weekly written formative evaluation/feedback during the course of the elective.A final composite evaluation by the Hospitalists will be then performed which will be based on the student’s overall performance including but not limited to the following areas (these are the six core competencies):

  1. Patient Care: Provide patient care that is compassionate, appropriate, and effective for the treatment of health problems
    • Independently collect both focused and comprehensive, developmentally appropriate patient histories and perform the appropriate exam
    • Recognize patients requiring immediate attention by the supervising senior resident or attending physician
    • Synthesize the information to formulate a primary diagnosis and differentials, formulate an appropriate problem list
    • Demonstrate family-centered approach to patient care
    • Suggest appropriate tests, modify primary diagnosis based on test results, identify discharge needs
    • Reassess patients continuously, write orders under supervision
  2. Medical knowledge
    • Demonstrate knowledge in management of common inpatient pediatric illnesses including but not limited to: febrile infant, dehydration, failure to thrive, asthma, pneumonia, DKA, seizures, etc.
    • Identify criteria for admission to and discharge from the hospital
    • Obtain copies of the inpatient articles and work with your team to present the same
    • Evidence based medicine: select a ‘PICO’ based on a patient seen during the rotation and present at a morning report with your team at the end of the month
  3. Practice based learning: Assimilate scientific evidence and use it to improve patient care practices
    • Demonstrate proper evidence-based decisions
    • Demonstrate ability to appropriately seek and use available educational resources
  4. Systems based practice
    • To become familiar with the roles of different health care professionals and supporting staff and their contributions in caring for the patient and/or patient population
    • Recognize, address, and work to prevent errors and near-misses
    • Identify medical needs, arrange follow up care
    • Professionalism
    • Demonstrate personal accountability towards patients, colleagues, and staff, demonstrate punctuality
    • Demonstrate a humanistic, family-centered approach to the care of each patient, provide culturally effective care
  5. Communication and Interpersonal skills
    • Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
    • Demonstrate relationship building skills
    • Provide education and patient instructions to patients and families using layman terms without medical jargon
    • Include the family in the decision-making process to the extent they desire
    • Explain to patients and families about patient and family centered rounds
    • Communicate patient information accurately to the team in a timely manner • Convey concise, pertinent information during hand-offs

Course Director
Dr. Umair Iqbal

Course Coordinator
Raji Govindraj
rajig@uic.edu
309-624-4542

Location
OSF Healthcare Children’s Hospital at SFMC

Setting
Inpatient

Night Call
Yes

Please Specify
5 Night Shifts

Laboratory
No

Weekends
Yes

Please Specify
1-2 Shifts

House Staff
Yes

Number of Learners per Block
3 students

Duration
4 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
All except winter break.