Pediatric Nephrology

Sites: MGH
Director(s): Alberto Puig, Amita Sharma
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered July and August.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: Student will participate in clinical activities, including clinics and in-patient consultations. The student will spend two weeks each in outpatient and in-patient setting with no night or weekend calls. The pediatric nephrology team consists of an attending, and may have a medical resident. 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. When on an in-patient rotation students will round on each of their consults daily and write progress notes until discharge or sign off. The student may carry maximum three patients at a given time. Students will be required to do core reading and optional reading depending on the diagnosis they come in contact with. The didactic teaching will involve core teaching and weekly patient management conferences designed to improve clinical decision-making. Students are expected to give at least one comprehensive talk during the course of one month about a patient or a problem that they encountered with particular emphasis placed on practicing evidence-based medicine and understanding basic science and physiology as it applies to a clinical problem. At the end of the rotation, the student should be able to know when to refer a patient to a pediatric nephrologist. Further, student will gain core knowledge of renal physiology, interpretation of relevant tests and management of common renal/urological disorders in various settings.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Renal physiology and pathophysiology will be a key component of every discussion/presentation.Students are expected to incorporate basic science into at least one formal presentation during the course. Evidenced based medicine will be discussed with every consult.
Grade Criteria:
Honors with Distinction: Consistently above appropriate level. Honors: Most often above appropriate level. Satisfactory: Appropriate to level of training. Unsatisfactory: Consistently below appropriate level.