Pediatric Gastroenterology/Nutrition

Sites: CHMC
Director(s): Christine Lee, Katherine O'Donnell
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent. Verbal and written English proficiency is required.
Offered: Fulltime every month
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: US/Canadian
Description: This course is designed to provide the student in-depth exposure to the wide range of gastrointestinal and hepatic disease encountered in infants, children, and adolescents. The student will rotate on the inpatient gastroenterology service for two weeks and be responsible for admitting and managing children with gastrointestinal problems, under the guidance of a team of two junior residents, a fellow, and an attending physician. The student will present each of his or her patients on rounds and write daily progress notes. For the second two weeks, the student will join the gastroenterology consult team of two fellows and an attending, and learn to perform consultations. The student will perform one consult each day and present his or her findings, both written and oral, to the attending each day for review and feedback. Students will round on each of their consults daily until discharge or signoff, and write a note documenting the visit. Students will also have an opportunity to observe and participate in outpatient visits and endoscopic procedures. In addition to bedside teaching and teaching on rounds, the student will participate in a morning didactic series, and weekly case-based clinical, pathology, and inter-hospital gastroenterology conferences. These conferences all stress the relationship between basic science disciplines and clinical care. The attending will supervise each student�s work on a daily basis and will provide ongoing feedback. In addition, the student will meet with the course director three times over the course of the month to monitor the student�s progress and provide feedback about the rotation. The student will prepare one in-depth talk on a gastrointestinal topic of their choice and receive feedback from the attending, on both content and delivery. This course is open to students enrolled at US medical schools only.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Daily didactic sessions and weekly conferences all emphasize basic science in relation to understanding clinical diseases. Students will be expected to incorporate basic pathophysiology in their in-depth talk.
Grade Criteria:
Honors with Distinction: Performs complete histories and PEs and actively participates in patient management at the level of an intern. Contributes to team through provision of current relevant literature, beyond that required for patient management. Actively seeks additional activities and plays an active role in conferences. Gives a presentation at our interhospital conference in addition to required presentation, and demonstrates clear understanding of basic science relevant to cases presented. Honors: Performs complete histories and PEs and contributes to patient management. Able to seek literature relevant to patient management. Actively participates in required conference. Successfully prepares and delivers the required presentation. Satisfactory: Needs some help obtaining complete histories and PEs. Able to assist with elements of patient management. Attends required conferences. Required conference includes only basic elements of subject. Unsatisfactory: Has difficult evaluating patients. Lacks interest and motivation to follow patients carefully. Attends conferences only sporadically. Does a poor job with or fails to prepare required presentation.