Pediatric Clerkship

Developmental/Behavioral Pediatric Medicine

TITLE: Developmental/Behavioral Pediatric Medicine

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children a division of Orlando Health

FACULTY COORDINATOR: Stephanie Spinelli OTR/L

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: The student will participate in a structured experience in normal and abnormal behavior and development. This program emphasizes the use of multiple disciplines and community resources that specialize in developmental issues. Participants are scheduled for two half-day assignments each day. Assignment sites include but are not limited to special education programs, early intervention agencies, neurology clinics and developmental evaluation clinics. Speech and language evaluations, as well as occupational and physical therapy sessions will also be attended. Participants will be given the opportunity to learn about normal and abnormal developmental issues of children – premature through adolescence. Opportunities for hands on experience with special needs children and their families are provided. Didactic components of this rotation are designed to reinforce key points of the clinical experience. The student will be expected to attend scheduled conferences and participate in discussions related to patients seen.

At the completion of the course, the student will be able to: 1) Recognize age appropriate behavior and development. 2) Demonstrate knowledge of age appropriate developmental testing. 3) Describe community based services available to evaluate and treat children with developmental delays. 4) Demonstrate knowledge of counseling parents about common behavioral problems, to include, enuresis, sleep disturbances, temper tantrums, and need for discipline/limit setting. 5) Demonstrate knowledge of the evaluation of a child with muscle tone abnormalities. 6) Demonstrate knowledge of the evaluation and management of children with developmental and behavioral disorders including but not limited to: suspected attention deficit hyperactivity disorder (ADHD), and autism.

COURSE MATERIALS: To be assigned at start of rotation

FACULTY PARTICIPANTS: Multiple

METHODS OF EVALUATION: Participant evaluation will be based on their ability to complete required: clinical work, oral presentation, time management responsibilities, didactic responsibilities, team and community interactions.

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

LOCATION: Multiple sites (transportation is provided)

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Neonatology

TITLE: Neonatology
 
SPONSORING UNIT: Department of Neonatology/Winnie Palmer Hospital for Women & Babies, a division of Orlando Health

COURSE DIRECTOR: Jose A. Perez, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: The student will be exposed to normal physiology and a wide variety of diseases that affect the term and preterm newborn. Patient care activities will take place in the Neonatal Intensive Care Unit. The student will be expected to participate in rounds and scheduled conferences.
At the completion of the course, the student will be able to: 1) Demonstrate proficiency in health care principles for the care of the critically-ill newborn (e.g. evaluation, diagnosis, and treatment). 2) Explain or demonstrate the proper use of ventilator management. 3) List the factors that contribute to a “high-risk” pregnancy. 4) Demonstrate proficiency in assisting in the performance of specialized procedures. 5) Demonstrate counseling skills in care conferences with parents regarding their critically ill newborn. 6) Discuss ethical issues that arise in the care of the critically ill newborn. 7) Demonstrate team skills in the neonatal intensive care unit.

COURSE MATERIALS: To be assigned at start of rotation

FACULTY PARTICIPANTS: Ana Diaz- Albertini, M.D.; Gregor Alexander, M.D.; David Auerbach, M.D.; Shannon Brown, M.D.; Jose Gierbolini, M.D.; Douglas Hardy, M.D.; Brian Lipman, M.D.; Michael McMahan, M.D.; Angelina Pera, M.D.; Lindsey Kahn, M.D.

METHODS OF EVALUATION: Clinical work (100%)

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Variable

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

 

 

Newborn Nursery 

TITLE: Newborn Nursery

 

 

SPONSORING UNIT: Department of Pediatrics/Winnie Palmer Hospital for Women and Babies, a division of Orlando Health

COURSE DIRECTOR: Jamee Walters, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: The student will be exposed to the normal newborn infant and common problems experienced by the newborn, to include jaundice, feeding problems, exposure to sexually transmitted diseases, and infectious diseases. The student will become proficient in the newborn examination, anticipatory guidance, breastfeeding support, and discharge planning. Patient care activities will take place in the normal newborn nurseries. The student will be expected to participate in rounds and scheduled conferences and to develop and give a presentation on a newborn topic. The student is also expected to provide anticipatory guidance to families.
 
COURSE MATERIALS: Nursery patients at Winnie Palmer Hospital

FACULTY PARTICIPANTS: David Skey, M.D., Jaya Suruidyal, D.O., Suha Alkadry, M.D., Adaobi Okobi, M.D., Hanane Dahoui, M.D.,  Jamee Walters, M.D., Jean Moorjani, M.D., Annabella Torres, M.D., Chief Residents.

METHODS OF EVALUATION: Based on clinical work, presentations, documentation, teamwork with the nursery team.

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Variable

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Pediatric Maxillofacial & Craniofacial Surgery

TITLE: Pediatric Maxillofacial & Craniofacial Surgery

 

 

SPONSORING UNIT: Division of Pediatric Craniomaxillofacial Surgery, Department of Children's Surgery /Arnold Palmer Hospital for Children, a division of Orlando Health


COURSE DIRECTOR: Ramon L. Ruiz D.M.D., M.D.

COURSE PREREQUISITES: Fourth year medical

COURSE GOALS: The primary objective of this rotation is to provide trainees with expanded clinical training in the areas of Cleft, Craniofacial, and Pediatric Oral and Maxillofacial Surgery. The day to day clinical practice of the program director is currently devoted to all phases of cleft lip and palate repair, craniofacial surgery for congenital malformations, skull base surgery, management of facial trauma, orthognathic surgery, pathology, and a variety of oral and maxillofacial procedures in medically compromised children. The rotating student will be completely integrated into this daily routine and work closely with the program director in the evaluation, surgical repair, and postoperative convalescence of these patient groups. Of particular importance is the opportunity for the trainee to gain exposure to the areas of primary cleft surgery and craniofacial procedures involving trans-cranial access.

METHODS OF EVALUATION: Ward work (70%), oral presentations (30%)

FACULTY PARTICIPANTS: Jogi Pattisapu, M.D.; Christopher Gegg, M.D.; Greg Olavarria, M.D.; Keyna Johnson, M.D.; Michael Langan, D.D.S.; Scott Wenk, D.D.S., M.D.; Rick Kapitan, D.D.S.; Pat Ricalde, D.D.S., M.D.

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 West Underwood Street, 1st Floor Lobby, 8:00a.m.

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Pediatric Critical Care and ICU

TITLE: Pediatric Critical Care and ICU

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health

COURSE DIRECTOR: Shoba Srikantan, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: This course is designed to give students the experience of caring for critically ill children in a well-equipped, 17-bed pediatric ICU and 26-bed Special Care Unit (SCU). The student will care for patients ranging from infancy through adolescence with a variety of critical medical and surgical conditions. The unit is part of the only Level I Trauma Center in central Florida. In addition to patient care responsibilities, the student will be expected to attend scheduled PICU lectures and conferences.

At the completion of the course, the student will be able to: 1) Explain/describe the initial approach to management of the critically ill child. 2) Explain/describe the basic concepts of airway management in children. 3) Demonstrate proficiency in the pre-operative assessment of pediatric patients (i.e. how to prepare the child for the O.R.). 4) Demonstrate proficiency in the post-operative management of the child. 5) Demonstrate proficiency in the exposure to resuscitation and stabilization of the critically ill child. 6) Demonstrate effective collaboration skills in the health care team managing the critically ill child.

FACULTY PARTICIPANTS: Shoba Srikantan, M.D., Mary Farrell, M.D., Larry Spack, M.D., William Patten, M.D., J. Gene Chen, MD, and Jenna Wheeler, M.D.

METHODS OF EVALUATION: Clinical work (70%), oral presentation (30%)

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 Maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Pediatric Gastroenterology

TITLE: Pediatric Gastroenterology

 

 

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health

COURSE DIRECTOR: Karoly Horvath, M.D., PhD.

COURSE PREREQUISITES: Fourth Year Medical Student

 

 

COURSE GOALS: On this rotation the student will be exposed to a wide spectrum of pediatric gastrointestinal and liver diseases. Patient care and consultation experience will be provided in the pediatric gastroenterology clinic, inpatient service and intensive care units. The student will observe the full range of endoscopic, manometric and biopsy procedures. A basic “core” of material covering the most common areas of pediatric gastroenterology will be presented in the form of required reading, didactic sessions and teaching conferences held in conjunction with the Departments of Radiology and Pathology. At the completion of the course, the student will be able to: 1) Describe normal feeding patterns from infancy through adolescence. 2) Explain how differential diagnosis and work-up is used for the evaluation of chronic recurrent abdominal pain in the pediatric patient. 3) Evaluate a child with abnormal liver function tests. 4) Evaluate a child with gastroesophageal reflux. 5) Manage a child with gastroesophageal reflux. 6) Describe a diagnostic approach for the child with vomiting or hematochezia.

FACULTY PARTICIPANTS: Jeffery Bornstein, MD; Devendra Mehta, MD; Shaista Safder, MD; Yamen Smadi, MD; Akash Pandey, MD; Nishant Patel, MD; Karoly Horvath, MD

METHODS OF EVALUATION: Clinical work 100%

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Pediatric Endocrinology

TITLE: Pediatric Endocrinology

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health

COURSE DIRECTOR: Joshua Yang, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: This rotation is designed to familiarize the student with the spectrum of endocrinology and diabetes seen in a large referral center. Both inpatient and outpatient experience will be gained on thyroid disorders, hypothalamic pituitary problems, diabetes, adrenal and sexual differentiation disorders, precocious puberty, growth disorders, etc. The student will learn a variety of screening and stimulation tests and how to interpret them. This course is an introduction to clinical pediatric endocrine disorders.

 

 

At the completion of the course, the student will be able to: 1) Explain the pathophysiology of selected endocrine and metabolic diseases in children. 2) Describe the diagnostic evaluation for common pediatric endocrine problems. 3) Explain the management of Type 1 diabetes. 4) Distinguish between normal and abnormal patterns of growth in infancy, childhood, and adolescence. 5) Describe physiologic events in puberty and identify abnormal pubertal patterns. 6) Identify which endocrine conditions require referral to a specialist.

FACULTY PARTICIPANTS: Richard Banks, M.D.; Paul Desrosiers, M.D.; Joshua Yang, M.D.; Jennifer Villar, M.D.; Penelope Pauley, M.D.

METHODS OF EVALUATION: Clinical work (70%), oral presentations (30%)

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

 

 

BASIC OR CLINICAL SCIENCE: Clinical


Pediatric Hematology/Oncology

TITLE: Pediatric Hematology/Oncology

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health

COURSE DIRECTOR: Alejandro G. Levy, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student and Pediatric Residents

COURSE GOALS: On this rotation the student will be exposed to a wide spectrum of pediatric hematology and oncology diseases. Patient care and consultation experience will be provided primarily in the pediatric hematology/oncology clinic, as well as through inpatient consults, and inpatient experience can be obtained if desired. The student will observe lumbar puncture and bone marrow examination procedures. In addition, students will spend approximately one day with the hematopathologist examining normal and abnormal peripheral blood smears and bone marrow slides. A basic "core" of material covering the most common areas of pediatric hematology/oncology will be presented in the form of required reading, didactic sessions and teaching conferences held in conjunction with the pediatric residency program at Winnie Palmer Hospital for Women and Children.

METHODS OF EVALUATION: Clinical work 100%

FACULTY PARTICIPANTS: Vincent Giusti, M.D., Don Eslin, M.D., and Robert Sutphin, M.D., Susan Kelly, M.D., Amy Smith, M.D., Ana Aguilar-Bonilla, M.D.

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

Pediatric Nephrology

TITLE: Pediatric Nephrology

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health

COURSE DIRECTOR: Jorge Ramirez, M.D.

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: This rotation is designed to familiarize the student with the wide range of pediatric kidney diseases encountered in the intensive care unit, inpatient service and outpatient departments. Patient care will range from common outpatient signs and symptoms suggesting kidney disease in children to renal disease encountered in patients requiring more intensive evaluation. In addition to clinical responsibilities, the student will learn diagnostic and therapeutic approaches to common fluid and electrolyte problems presenting in pediatric inpatients as well as those with specific renal disease. The student will become familiar with various dialysis techniques and basic considerations in the management of kidney transplant patients.

At the completion of the course, the student will be able to: 1) Describe the diagnosis, evaluation and management of hypertension and congenital uropathy including interpretation of prenatal screening. 2) Diagnosis, evaluate and manage patients with chronic kidney disease (CKD) and end stage kidney disease (ESKD). 3) Familiarize the student with various modalities for renal replacement therapy in patients with ESKD including peritoneal, hemodialysis, and continuous renal replacement therapy (CRRT). Also with the complication of CKD/ESKD including anemia, HTN, cardiovascular disease, lipid abnormalities, growth and nutrition, and mineral bone disorders (MBD). 4) Familiarize with various immunization strategies in the management of the renal transplant recipient.

 

 

At the completion of the course, the student will be able to: 

  1. Describe age related changes in renal function
  2. Describe fluid and electrolyte management and correction of fluid and electrolyte abnormalities
  3. Demonstrate proficiency in evaluation and managing a child with proteinuria
  4. Demonstrate proficiency in evaluation and managing a child with hematuria
  5. Describe the diagnosis, evaluation, and management of a child with a urinary tract infection.

FACULTY PARTICIPANTS: Jorge Ramirez, M.D.; Jeffery Johnson, M.D.

METHODS OF EVALUATION: Consults and clinical work (70%); oral presentations (30%)

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

 

 

Pediatric Pulmonary

TITLE: Pediatric Pulmonology

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health
 
COURSE DIRECTOR: Carlos Sabogal, M.D.

 

 

COURSE PREREQUISITES: Fourth Year Medical Student

COURSE GOALS: This clinical course will be based on basic respiratory physiology and will include a variety of clinical pulmonology experiences such as infectious disease of the lungs, hypersensitivity lung disease, cystic fibrosis, asthma, pulmonary reactions to chemical injury and trauma, radiologic evaluation of lung disease, pulmonary pathology, flexible bronchoscopy, pulmonary function testing, exercise physiology, sleep disordered breathing, apnea of prematurity/infancy, congenital disorders of the respiratory tract, home ventilation and chronic lung disease of infancy. Patient care and consultation experience will be gained on the inpatient services, intensive care units and in the pediatric pulmonology clinic. In addition, the student will spend time in the pediatric pulmonary function and sleep laboatories.

At the completion of the course, the student will be able to: 

  1. Describe normal patterns of breathing in infants and children
  2. Demonstrate proficiency in the examination of the respiratory system
  3. Diagnose and treat asthma according to national guidelines
  4. Demonstrate proficiency in the management of children with cystic fibrosis
  5. Describe strategies for managing the complexities of the treatment of BPD
  6. Interpret basic pulmonary function testing in children. 7) Basic evaluation of a patient with sleep problems and when to order a sleep study

 

 

FACULTY PARTICIPANTS: Daniel Garcia, M.D.; Carlos Sabogal, M.D.; Mark Weatherly, M.D.; and Luis Faverio, MD

METHODS OF EVALUATION: Clinical work

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical

General Pediatric Inpatient Sub-Internship / Acting Internship

TITLE: General Pediatric Inpatient Sub-Internship/Acting Internship

SPONSORING UNIT: Department of Pediatrics/Arnold Palmer Hospital for Children, a division of Orlando Health
 
COURSE DIRECTOR: David Skey, M.D.

 

 

COURSE PREREQUISITES: Fourth Year Medical Student; Completion of Core Pediatric Rotation

DESCRIPTION OF COURSE: The student will function in the role of sub-intern on the team. The student will be exposed to the wide range of pediatric illnesses in a busy children's regional referral hospital through direct patient care, lectures and discussions. The course is designed to solidify the student's knowledge of hospital care of common pediatric illnesses as well as complex pediatric diseases.

COURSE GOALS: At the completion of the course, the student will be able to:

  1. Demonstrate proficiency in the management of ill children
  2. Order and interpret appropriate diagnostic tests and procedures
  3. Demonstrate proficiency in counseling ill children and their families, including patient education
  4. Describe strategies for managing the complexities of dealing with the hospitalized child and the psychological issues surrounding hospitalization
  5. Demonstrate effective collaboration and communication skills as a member of a health care team

 

 

FACULTY PARTICIPANTS: Suha Alkadry, M.D., David Skey, M.D., Jean Moorjani, M.D. Jamee Walters, M.D.,Adaobi Okobi, M.D., Chief Residents

METHODS OF EVALUATION: Ward work (70%), oral presentations (30%)

MEETING PLACE AND TIME: Graduate Medical Education, Medical Education Building, 86 W. Underwood Street, 1st Floor Lobby, 8:00 a.m. (day one)

LENGTH: 4 weeks

ENROLLMENT LIMITS: 1 maximum per 4 week block

OFFERED: Every period

CREDIT OFFERED: 100% of 4 weeks = 4 credits

BASIC OR CLINICAL SCIENCE: Clinical