Pediatric Nephrology

Sites: CHMC
Director(s): Michael Ferguson, Katherine O'Donnell, Deborah Stein
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Not offered Jul and August.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: Yes (may be restricted for international students)
Description: The course will provide a working knowledge of clinical nephrology, including principles to integrate natural history, immunopathology and methods of patient evaluation ( renal biopsy, special studies, response to therapy and follow-up) in diagnosis and management. The Nephrology Program at CHB is divided into 2 Services (1) General Consult Renal and (2)Dialysis and Transplantation. The Renal Clinics offer extensive exposure to a wide variety of congenital and acquired renal problems and fluid and electrolyte abnormalities. The Student will see patients and participate in patient care under the supervision of the Attending Physician on the General Consult Service. The Student will see patients awaiting renal transplant and in transplant follow-up. He/she will be expected to attend Grand Rounds and 2 Clinical nephrology conferences per week at in the Division. Attendance is expected at the 2 practical working seminars for fellows in training each week The Student will prepare and present clinical findings from both their outpatient and inpatients for discussion and planning during working ward rounds. These presentations are used as basis for ongoing formative direction and evaluation. One formal case based presentation during the elective month will be expected - this case will demonstrate both underlying basic science and evidence based decisions in a patient managed.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Weekly pathological review conferences examine recent renal biopsies and discuss the correlations between pathological changes and clinical symptomatology. Discussion and review of radiological, clinical and chemical data is addressed on Ward rounds. The student will be expected to make a patient focused presentation of a patient followed during this rotation emphasizing basic science correlations and evidence-based medicine principles.
Grade Criteria:
Honors with Distinction: Observed performance: Honors with Distinction: in addition to the skills of a satisfactory performance the student shows initiative, that allows full member involvement in the working team. Able to take increase responsibility and results in increase in knowledge and technique applied to urinalysis-recognition of basic sediment types and the use of tests in investigation and implications of normal and abnormal results. Seeks out references and answers to questions and formulates appropriate questions and searches for the answers. Incorporates formative evaluation feedback into daily practice Honors: Observed performance: Honors: in addition to the skills of satisfactory performance the student shows facility with examination of basic urine sediment types. Seeks out references and answers to questions and formulates appropriate questions. Demonstrates ability to identify learning activities and to set learning and improvement goals. Is able to apply formative feedback. Satisfactory: Observed performance : comparison with the described elements in evaluation plan Satisfactory: performance shows the student to behave in a professional and responsible manner. (see evaluation plan) Act as a team member. Seeks out references and answers to questions. Formulates appropriate questions. Learns to use the investigations appropriately in the evaluation of patient and assessment of treatment response. Acquires skill in basic urinalysis. Unsatisfactory: Observed performance: below satisfactory requirements Unsatisfactory grade will result from: Lack of work to examine the basic references provided to expand basic database. Inability to modify history and physical exam to include nephrological features. Insensitivity or lack of respect to patients and caregivers. Poor or inaccurate presentations. Consistent lack of punctuality to rounds, clinics or completion of documentation.