Children with Disabilities

Sites: CHMC
Director(s): Elizabeth Barkoudah Buras, Katherine O'Donnell
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered in August.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: Yes (may be restricted for international students)
Description: This elective provides inpatient and outpatient experiences in caring for children with developmental disabilities and special health care needs. The student will participate in interdisciplinary developmental assessment teams for children with a variety of developmental disorders, including developmental delays, mental retardations, autism, cerebral palsy, myelodysplasia, attention deficit hyperactivity disorder, and other conditions. There is opportunity to learn the basics of interdisciplinary developmental assessment, with progressively increasing opportunity to participate as a team member. These clinics may be comprised of attending physicians, developmental-behavioral pediatric fellows and/or neurodevelopmental disabilities residents, as well as pediatric interns. Some of the teams also have psychologists, educators, social workers, physical and occupational therapists, and other disciplines. He/she will also spend time on our inpatient Complex Care Service (CCS) that cares for children with a variety of developmental and genetic disorders and complex medical problems. The student will function as part of the team that is made up of attending physicians, pediatric residents, and a neurodevelopmental disabilities resident. The resident is expected to attend didactic sessions and conferences that are provided on a regular basis during the inpatient and outpatient experiences. Readings will be recommended and resources will be provided.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Evidence-based medicine is incorporated in our didactic sessions, as well as in the recommendations we provide to families in clinical settings, regarding laboratory assessment and optimal management of children with a variety of disorders. Basic science content is incorporated in a number of clinical settings, particularly in our cerebral palsy and myelodysplasia clinics, as well as in didactic session on our inpatient clinical service.
Grade Criteria:
Honors with Distinction: The student takes an active role in the assessment and/or management of patients in all clinical settings. He/she researches relevant clinical topics, participates in case discussions, asks pertinent questions, and displays a basic understanding of clinical issues that have been presented. He/she also shows a high level of maturity and compassion in dealing with patients and their families. Attendance and punctuality is expected. Honors: The student participates in all activities and is actively involved in the assessment and/or management of patients. He/she shows an interest in all the clinical activities. His/her behavior is compassionate and sensitive in dealing with patients and their families. Satisfactory: The student participates in all expected activities, and is involved in the assessment and management of patients. His/her behavior is appropriate with patients and families. Unsatisfactory: The student's attendance is inconsistent and is not always available at expected time. He/she does not show an interest in the clinical activities and does not exhibit appropriate behavior interacting with patients, families, and staff.