PE210.01 PEDIATRIC CARDIOLOGY

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PE210.01 PEDIATRIC CARDIOLOGY

  1. 1. PE210.01 PEDIATRIC CARDIOLOGY 2003-2004 Advanced Clinical Clerkship Location: CHS 5/27/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Thomas S. Klitzner, M.D., Ph.D. (310) 825-5296 1. Identify and understand the health, including psychosocial, issues of the young adult university population, such as sports medicine, nutrition, skin and chronic health issues. SUPPORTING FACULTY: 2. Learn about the organizational factors that influence Full-time faculty in Cardiology delivery of care in a managed care setting. 3. Learn the components of quality care for this population. STUDENT COORDINATOR: PHONE #: Kesha Eason (310) 825-4128 4. Learn to function on a health care team. E-MAIL: keason@mednet.ucla.edu 5. Further development of medical judgement, gathering, analyzing, synthesizing information to apply to the needs REPORT TO: of the patient. Pediatric Education Office, 12-335 MDCC, 8:00 AM. 6. Learn skills in musculo-skeletal examination. PREREQUISITES: Pediatrics and Medicine 7. Apply interview skills and other clinical skills in a time- sensitive ambulatory environment. AVAILABLE TO EXTERNS: Yes 8. Participate in outreach programs. STUDENTS / PERIOD: max 3 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: This elective allows the student to construct a unique educational experience in ambulatory university health services focused on the health issues of university student patient population. The student is expected to participate in all activities of the Division of Pediatric Cardiology, with an emphasis on the ambulatory pediatric cardiology clinics, ECG, and laboratory (Echo and Cath) exposure. He/she participates in daily conferences, including patient discussion, pre -op, Echo, Cath, and didactic conferences. A brief didactic presentation is required. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 0% CLOSE CONTACT WITH: 1. Congenital heart disease OUTPATIENT: 100% X FULL TIME FACULTY 2. Functional/innocent murmurs CLINICAL FACULTY 3. Congestive heart failure CONSULTATION: 25% X FELLOWS 4. Arrhythmias PRIMARY CARE: 75% X RESIDENTS 5. Infectious/inflammatory cardio-vascular INTERNS disease OTHER APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 107 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 75 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 7:00 Case Discussion 7:30 Echo 7:00 Quality Pre-Op Conference Transplant Conference Conference Improvement conf. Ped/Cardiology Conference 8:30 Combined 8:30 Cardiology (1 st Wed./month) Clinic @ Olive View Pediatric Grand Rds AM Fac/Cardiology Clinic - Combined 7:30 Cath Conf. Med Ctr. Clinic Fac/Cardiology Combined Cardiac Cardiology Clinic Clinic Fac/Cardiology Catheterization Clinic Cardiac Catheterization 13:00 Didactic Conf. 1300 - 1400 15:00 Patient Journal Club Presentation In-Patient, Cath, or In-Patient, Cath or Conference PM Echo Observations Echo Observations Adult CHD Clinic @ w/Dr. Perloff 13:00 Ecg Review ON-CALL SCHEDULE & WEEKEND ACTIVITIES: *See additional comments ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Overall distribution of students’ time on our service: 50-60% direct patient contact; 10-15% interpretation non-invasive studies; 15-20% clinical conference. *On Call: The student is encouraged to participate in our call schedule with and under supervision of our fellows and faculty in that a significant aspect of our initial patient contact is emergency care of the cyanotic newborn or the infant or young children with severe failure or arrhythmias. 256
  2. 2. PE210.02 PEDIATRIC CARDIOLOGY 2003-2004 Advanced Clinical Clerkship Location: HARBOR 12/05/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Barry G. Baylen, M.D. (310) 222-4000 1. Knowledge of the pathophysiology and clinical aspects of diagnosis and management of infants and children with heart disease and particularly those with congenital heart SUPPORTING FACULTY: disease. Drs. George C. Emmanouilides and Twyman R. Owens 2. Obtain history and physical examination on pediatric STUDENT COORDINATOR: PHONE #: cardiac patients. Iris Mau (310) 222-2301 E-MAIL: huclapeds@aol.com 3. Interpretation of pediatric electrocardiograms as well as familiarization with other non-invasive diagnostic REPORT TO: techniques, such as M-mode and two -dimensional and Barry G. Baylen, M.D., Harbor-UCLA Medical Center, Doppler echocardiography. PREREQUISITES: Pediatrics, Medici ne, Surgery 4. Knowledge of pharmacology of drugs used in the management of infants and children with cardiovascular disease (i.e., digitalis, diuretics, prostaglandins, etc.). AVAILABLE TO EXTERNS: Yes 5. Interpretation of cardiac catheterization and angiocardio- STUDENTS / PERIOD: max 2 min 1 graphic data and their correlation with clinical findings. DURATION: 3 weeks 6. Indications for surgery and post -operative management of infants and children with heart disease. 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: The student is expected to participate in all activities of the Division of Pediatric Cardiology: on the wards, cardiac clinic, and laboratory. He/ she functions as a subintern under supervision of a senior house officer who is assigned to the Division of Pediatric Cardiology. He/she participates in daily bedside rounds as well as attends the weekly combined Pediatric and Adult Cardiology and Cardiothoracic Surgery Conferences. Special patients and patients requiring cardiac surgery are disc ussed during these conferences. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 30% CLOSE CONTACT WITH: 1. Acyanotic congenital heart disease OUTPATIENT: 70% X FULL TIME FACULTY 2. Cyanotic congenital heart disease X CLINICAL FACULTY 3. Infant or child with a heart murmur CONSULTATION: 70% X FELLOWS 4. Newborn with suspected CHD PRIMARY CARE: 30% X RESIDENTS 5. Rheumatic heart disease X INTERNS 6. Arrhythmia X OTHER Technicians APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 25 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 150 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 - 9:30 9:00 8:30 8:30 8:30 Clinical Case Work Rounds Cardiac Pediatric Grand Conference Catherization Lab Combine Perinatal Rounds 10:00 Attending AM 9:30 - 12:00 Cardiology Rounds Cardiology Clinic 1:00Clinical Care Conference 9:00Cardiac 12:00 Cardiology Conference Catheterization Case Conference 2:00 - 4:00 3:00 1:00 Cardiac Clinic Catheterization Cardiology Clinic Conference and Conference PM Cardiac Surgery Conference ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This course is recommended for 4th year medical students only. 257
  3. 3. PE225.02 ENDOCRINOLOGY & METABOLISM (PEDS) 2003-2004 Advanced Clinical Clerkship Location: HARBOR 3/12/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) J.A. Brasel, M.D. (310) 222-1971 To become familiar with the following: 1. Pathogenesis and natural history, the orderly investi gation, SUPPORTING FACULTY: differential diagnosis and management of thyroid disease, Drs. Gianoukakis, Ipp, Lee, Mao, Salameh, Smith, Swerdloff, diabetes mellitus, adrenal disorders, pituitary disorders, and Wang reproductive abnormalities, and parathyroid disorders. STUDENT COORDINATOR: PHONE #: 2. Medical interviewing and physical examination skills. Sally Avancena (310) 222-2503 3. Med. judgment, analysis of med. data & synthesis of med. E-MAIL: avancena@gcrc.rei.edu info. 4. Interpretation of endocrine tests: Thyroid function tests, REPORT TO: Clinical Fellow in Endocrinology (5th floor, glucose tolerance tests, hormonal measurements, GCRC Office) 0900 on the first day. stimulation and suppression tests. 5. Appropriate format for writing consultations. PREREQUISITES: Completed Medicine and/or Pediatric 6. Basic science foundations of pathophysiologic mechanisms Clinical clerkship underlying diseases of the thyroid, adrenal, pituitary, AVAILABLE TO EXTERNS: Yes pancreas, gonads, parathyroid, and other metabolic disorders, including nutritional disorders. STUDENTS / PERIOD: max 2 min 1 7. Diag. & mgmt. of complex inpatient problems such as diabetic ketoacidosis, thyrotoxicosis, thyroid nodules, goiter, DURATION: 3 weeks hypo-thyroidism, obesity, Cushing’s disease, Addison’s disease, etc. 2003-2004 ROTATIONS BEGIN WEEKS: 8. Oral presentation of clinical cases. By Arrangement 9. Library research and interpretation of the literature. DESCRIPTION: Students function as subinterns on the in-patient Endocrine consult service and in the out-patient Endocrine, Thyroid, Pituitary, & Diabetes clinics. They function as members of a team consisting of 1 pediatric resident, 2-3 medicine residents, the Endocrine Clinical Fellow, and the Endocrine Faculty Attending. Students also attend the Endocrine Division Conferences and Seminars and Attending Rounds. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 20% CLOSE CONTACT WITH: 1. Diabetes mellitus & hypoglycemia OUTPATIENT: 80% X FULL TIME FACULTY 2. Disorders of growth X CLINICAL FACULTY 3. Hypothyroidism &Thyrotoxicosis CONSULTATION: 80% X FELLOWS 4. Thyroid nodule & cancer PRIMARY CARE: 20% X RESIDENTS 5. Hypocalcemia & Hypercalcemia INTERNS 6. Disorders of puberty X OTHER Diabetes Nurse Educators 7. Obesity, R/O Cushing’s disease 8. Pituitary tumors APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 20 -25 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 200-250 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 Pediatric Grand 8:30 Diabetes & Rounds Metabolism Clinic 9:00 Pituitary or 10:00 Review of AM Thyroid Nodule Thyroid Biopsies Clinic or Nuclear Medicine Rounds 12:00 Basic Science 12:00 Endocrine Seminar Lecture Clinical Conference 1:00 Chart Review Series 1:00 Endocrine 2:00 Endocri ne PM 2:00 Attending Clinic Grand Rounds Rounds 2:00 Attending 2:00 Attending 3:30 Attending Rounds Rounds Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This elective provides an outstanding opportunity for the student to see a broad spectrum of endocrine disorders. The student participates in an organized program of conferences, outpatient clinics, subspecialty consultations, and attending rounds, supervised at all times by a senior endocrine fellow. The student also has significant contact with the full-time faculty. 258
  4. 4. PE225.03 PEDIATRIC ENDOCRINOLOGY 2003-2004 Advanced Clinical Clerkship Location: CHS 3/3/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Phillip D.K. Lee, M.D.. (310) 825-6244 1. Knowledge of pediatric endocrine disorders including diabetes mellitus, hypoglycemia, disorders of the pituitary, SUPPORTING FACULTY: Drs. Pinchas Cohen, S. Douglas thyroid, parathyroid, adrenals, ovaries, testes, and Frasier, Solomon Kaplan, and Kuk-Wha Lee hypothalamus. 2. Instruction in appropriate history taking and physical STUDENT COORDINATOR: PHONE #: examination. Kesha Eason (310) 825-4128 E-MAIL: keason@mednet.ucla.edu 3. Instruction in the physical performance of endocrine tests. REPORT TO: 4. Supervision and discussion of interpretation of laboratory Pediatric Endocrinology Office, 22-315 MDCC, 8:00 AM, first tests of endocrine function. day of elective. PREREQUISITES: Pediatrics 5. Familiarity with current literature in the field of pediatric endocrinology. AVAILABLE TO EXTERNS: Yes 6. Coordination of Pediatric Endocrinology with Internal Medicine and Gynecologic Endocrinology. STUDENTS / PERIOD: max 2 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: The elective provides an excellent opportunity to learn about disorders of the endocrine system in pediatrics. Practical experience and direct contact with patients is the setting in which the learning process takes place. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 5% CLOSE CONTACT WITH: 1. Diabetes mellitus and hypoglycemia OUTPATIENT: 95% X FULL TIME FACULTY 2. Growth disorders X CLINICAL FACULTY 3. Thyroid disorders CONSULTATION: 80% X FELLOWS 4. Parathyroid disorders PRIMARY CARE: 20% X RESIDENTS 5. Adrenal disorders X INTERNS 6. Ovarian disorders X OTHER Dietitian, Nurse Specialist, 7. Testicular disorders Nurse Practitioners, Research Personnel 8. Obesity APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 160 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:00 - 12:00 8:00 - 12:00 Endocrine 8:00 - 12:00 8:00 - 9:00 9:30 -12:00 Diabetes Clinic Endocrine Pediatric Grand Rounds Journal Club Or Or AM Obesity Clinic Diabetes Clinic 10:30 - 12:00 Clinical Conference 12:00 - 1:00 1:00 - 5:00 1:30 - 5:00 1:00 - 5:00 Joint Conf. w/ Internal Inpatient Ward Rounds, Inpatient Ward Rounds, Endocrine Clinics 1:00 - 5:00 Med. & Gynecologic Free Time For Study Free Time for Study PM Diabetes, Praderwilli Endocrinology and Charting and Charting and/or Growth Hormone Clinic 1:30 - 5:00 Inpatient Ward Rounds, Chart Reviewing ON-CALL SCHEDULE & WEEKEND ACTIVITIES: N/A ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 259
  5. 5. PE235.01 MEDICAL GENETICS 2003-2004 Advanced Clinical Clerkship Location: CHS 1/02/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Stephen Cederbaum, M.D (310) 825-0402 1. Genetic approach to clinical problems. 2. Review of genetic principles applicable to clinical SUPPORTING FACULTY: W. W. Grody, M.D., Ph.D., E. McCabe, situations. M.D., Ph.D., B. Crandall, M.D.,K. Dipple, M.D., Ph.D. 3. Principles of genetic counseling. STUDENT COORDINATOR: PHONE #: 4. Use and interpretation of special laboratory diagnostic Kesha Eason (310) 825-4128 tests. E-MAIL: keason@mednet.ucla.edu 5. Gain experience with specific genetic diseases through REPORT TO: participation in the genetics clinic and ward consults. Pediatric Medical Education Office, 12-335 MDCC, 8:00 AM. PREREQUISITES: Medicine and Pediatri cs Clerkships AVAILABLE TO EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: The student will function as a member of the genetics team. He/she will see patients independently, present them to the faculty and be responsible for the report. There will be extensive exposure to a variety of genetic patients and laboratory methods, and hands on laboratory experience as desired. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 35% CLOSE CONTACT WITH: 1. Birth Defects OUTPATIENT: 65% X FULL TIME FACULTY 2. Mental Retardation X CLINICAL FACULTY 3. Chromosome Disorders CONSULTATION: 100% X FELLOWS 4. Inborn Errors of Metabolism PRIMARY CARE: 0% RESIDENTS 5. Genetic Neurological Disease INTERNS 6. OTHER 7. 8. APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 6 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 25 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Independent Study Independent Study 9:00 - 10:30 7:30 - 9:30 9:00 - 12:00 (Reading, Consults, and consults Chromosome Review Tay-Sachs Prenatal Genetics AM Lab Experience) Screening Clinic Clinic 9:00 – 12:00 11:30 - 12:30 Prenatal Genetics Seminar Clinic 1:00 - 4:00 Genetics Clinic 1:00 - 4:00 Independent Study 1:30 – 3:00 Genetics Clinic Cedars - Sinai Craniofacial Consults Clinical Molecular PM (optional) Genetics Lab 4:00 - 5:00 11:00 - 5:00 Kaiser Meeting Clinic Review Metabolic Clinic ON-CALL SCHEDULE & WEEKEND ACTIVITIES: There are no night or weekend call responsibilities ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Attempts are made to individualize the experience based upon the student’s background, interest, and plans for use of genetics in the future. 260
  6. 6. PE235.02 MEDICAL GENETICS 2003-2004 Advanced Clinical Clerkship Location: HARBOR 12/5/2001 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Henry J. Lin, M.D. (310) 222-3756 To gain experience and understanding with: 1. Expand fund of knowledge on the most common chromosomal, Mendelian (including biochemical), and SUPPORTING FACULTY: sporadic malformation syndromes. Gain experience in the B. Foley, R.N., Dr. A. Jonas diagnosis and medical management of such patients, STUDENT COORDINATOR: PHONE #: including newborn screening strategies and genetic Carol Rivera (310) 222-3756 counseling. E-MAIL: crivera@rei.edu 2. Become proficient in obtaining family histories and REPORT TO: recognizing Mendelian pattterns of inheritance (dominant, Dr. Henry J. Lin, Bldg. E-4, Division of Medical Genetics, recessive, x-linked, mitochondrial). Harbor, 9:00 AM. 3. Become proficient with assessment of dysmorphic features, PREREQUISITES: None including use of standard measurements and trerminology. AVAILABLE TO EXTERNS: Yes 4. Become familiar with laboratory tests used in clinical STUDENTS / PERIOD: max 2 min 1 practice for diagnosis of genetic disorders, such as chromosomes, spectral karyotypes, FISH, DNS tests for DURATION: 3 weeks specifi c mutations, and DNA sequencing tests. 5. Become familiar with standard textbooks, journals and 2003-2004 ROTATIONS BEGIN WEEKS: electronic databases in medical genetics through 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 performing literature searches and preparing discussions DESCRIPTION: The student will be exposed to various aspects of clinical genetics, including diagnosis, treatment, counseling, and screening. Application of biochemical, molecular and cytogenetics to patient care will be emphasized. Patients will be evaluated in both out- and inpatient settings. Students will be expected to accompany fellows and faculty for inpatient consultations. Students are required to present and discuss cases in regularly scheduled conferences. There may be opportunities for focused research projects. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 50% CLOSE CONTACT WITH: 1. Dysmorphic syndromes OUTPATIENT: 50% X FULL TIME FACULTY 2. Chromosomal Disorders X CLINICAL FACULTY 3. Inborn errors of metabolism CONSULTATION: 100% X FELLOWS 4. Teratogens PRIMARY CARE: 0% X RESIDENTS 5. Genetic counseling X INTERNS 6. Genetic screening OTHER 7. Prenatal diagnosis APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 20/elective period TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 60+ TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 7:45 - 8:00 7:45 - 8:00 7:45 - 8:00 7:45 - 8:00 7:45 - 8:00 Morning Report Morning Report Morning Report Morning Report Morning Report 8:30 – 9:30 8:30 - 9:30 AM 10:00 - 10:30 Newborn Screening 8:30 - 9:30 Clinical Case Case Review with Meeting (Monthly) Pediatric Grand Rounds Conference Attending 9:00 - 12 noon Genetics Clinics 10:00 - 10:30 Clinic Review 12 noon Genetics Rounds Genetics Rounds Genetics Conference 1:00 – 5:00 Genetics Rounds (hour varies) (hour varies) 1:30 - 2:00 Genetics Clinic (hour varies) PM Clinic Preview Genetics Rounds (hour varies) ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 261
  7. 7. PE235.03 MEDICAL GENETICS 2003-2004 Advanced Clinical Clerkship Location: CS 12/03/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) John M. Graham, M.D., ScD. (310) 423-9909 1. Counseling techniques and the approach to the patient and family with hereditary diseases. SUPPORTING FACULTY: 2. Historical, physical, and laboratory evaluation of the D. Rimoin, R. Lachman, R. Falk, W. Wilcox, M. Schemer patient with possible genetic disease, including patients with congenital anomalies, dysmorphic features, and STUDENT COORDINATOR: PHONE #: mental retardation. Lisa Payne (310) 423-4780 E-MAIL: lisa.payne@cshs.org 3. Prenatal diagnosis, including amniocentesis and chorionic villus sampling and discussion of risk factors and REPORT TO: teratogenesis. Lisa Payne, Cedars-Sinai Medical Center, Room 4400, 8:45 AM. 4. Laboratory techniques in genetics. PREREQUISITES: 5. Current topics in genetics and research interests of the department. AVAILABLE TO EXTERNS: Yes 6. Opportunities are available for interested students to STUDENTS / PERIOD: max 2 min 1 become involved in research or case reporting. DURATION: 3 weeks 7. Application of genetics to common disease. 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 (By Arrangement) DESCRIPTION: The student will obtain a broad exposure to the clinical aspects of medical genetics, especially in regard to the diagnosis of genetic disease, dysmorphology, genetic counseling, prenatal diagnosis, treatment of genetic disease, and community genetic screening programs. Work up inpatient genetic consultations; see patients in genetic clinic . Relative emphasis on Pediatric vs. Reproductive Genetics vs. Internal Medicine genetics will be tailored to student needs. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 25% CLOSE CONTACT WITH: 1. Chromosomal syndromes OUTPATIENT: 75% X FULL TIME FACULTY 2. Skeletal dysplasias X CLINICAL FACULTY 3. Syndrome identification/Dysmorphic CONSULTATION: 100% X FELLOWS 4. Genetic counseling PRIMARY CARE: 0% X RESIDENTS (ONLY) 5. Congenital anomalies X 6. Prenatal diagnosis X OTHER: Genetic Counselors 7. Carrier detection/screening 8. Teratogens APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 25 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 125 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 - 9:30 Pediatric 9:00 – 1:00 Genetics 8:30 Pediatric Case 9:00 Cytogenetic Grand Rounds Metabolic Clinic Training Program Conference Review Conf. 9:30 – 10:30 Ward AM Lectures Rounds 9:00 Genetics Clinic 9:30 – 11:00 10:30 – 11:30 Dysmorphology Genetics Seminar . Clinic or Helmet Clinic Genetic Risk 12:00 – 1:00 Clinic Clinical Conference 12:00 Craniofacial Informal Teaching Genetic Risk Clinic 4:00 – 5:00 Conf. and Clinic PM Prenatal Case 1:00 – 5:00 Independent Study Review Conference Genetics Clinic 1:00 – 5:00 3:00-4:00 Dysmorphology Genetic Risk Clinic Conference ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 262
  8. 8. PE240.01 PEDIATRIC HEMATOLOGY-ONCOLOGY 2003-2004 Advanced Clinical Clerkship Location: HARBOR 12/5/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Pamelyn Close, M.D. (310) 222-4154 1. Knowledge of the pathogenesis, natural history, clinical investigation, differential diagnosis, and management of children with Acute Leukemia, other malignancies, and SUPPORTING FACULTY: hematological diseases. Lance Sieger, M.D. 2. The interpretation of laboratory studies in the diagnosis of STUDENT COORDINATOR: PHONE #: hematologic and oncologic disorders. Iris Mau (310) 222-2301 3. Knowledge of the pharmacology of antineoplastic agents. E-MAIL: huclapeds@aol.com 4. Familiarity with the pathophysiology of hematologic and REPORT TO: Harbor-UCLA Medical Center-Bldg. N-25, oncologic disorders. Hematology/Oncology Office, 9:00 am (1 st day only). 5. Familiarity with the psychosocial problems associated with PREREQUISITES: Third Year Pediatrics life-threatening illnesses. 6. Diagnosis and management of complex and multi -system AVAILABLE TO EXTERNS: Yes problems in the pediatric patient. 7. Medical decision making: Analysis of medical data and STUDENTS / PERIOD: max 2 min 1 synthesis of information. DURATION: 3 weeks 8. Knowledge of research techniques, including literature research and interpretation. 2003-2004 ROTATIONS BEGIN WEEKS: 9. Familiarity with procedures (e.g., bone marrow aspiration, By Arrangement intrathecal drug administration, catheter care). DESCRIPTION: This course serves as an introduction to pediatric hematology/oncology and stresses basic principles of pathophysiology necessary to understand hematologic and oncologic disorders in neonates, children, and adolescents. There is close interaction with resident and staff. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 40% CLOSE CONTACT WITH: 1. Acute Leukemia/Lymphoma OUTPATIENT: 60% X FULL TIME FACULTY 2. Anemia -General Workup CLINICAL FACULTY 3. Sickle Cell Anemia & Complications CONSULTATION: 70% FELLOWS 4. Common Childhood Solid Tumors PRIMARY CARE: 30% X RESIDENTS 5. Granulocyte Function Disorders X INTERNS 6. Evaluation for Immunodeficiency OTHER 7. Coagulopathies 8. Neonatal Hematology APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 120 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 - 12:00 8:30 - 12:30 8:30 - 12:00 8:30 - 9:30 8:00 - 9:00 New Patients Work-up; Pediatric Hematology/ New Patients Work-up; Pediatric Grand Rounds Chief of Service AM Ward Rounds with Oncology Clinic Ward Rounds Rounds Resident and Fellow 9:30 - 12:30 New Patients Work-up; 10:00 - 12:00 Ward Rounds Patient Planning Conference 1:30 - 3:00 1:30 - 3:00 1:30 - 2:30 1:30 - 3:00 Combined 1:30 - 2:30 Attending Rounds; New Attending Rounds; New Attending Rounds Pediatric/Medical/ Attending Rounds PM Patient Work-up Patient Work-up Hematology Conf. 3:00 - 4:30 Attending Rounds; New Patient Work-up ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Attend Hematology/Oncology Procedure Clinic held daily. Assist with patients scheduled for clinic on Tuesdays (i.e., physical exams, bone marrow procedures, intrathecal/intravenous administrati on of chemotherapy) as necessary. Additional teaching conferences are held bi-monthly at Miller Children’s Hospital, Long Beach, CA. 263
  9. 9. PE240.02 PEDIATRIC HEMATOLOGY-ONCOLOGY 2003-2004 Location: CHS 12/03/2002 Advanced Clinical Clerkship COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Stephen A. Feig, M.D (310) 825-6708 1. Knowledge of the pathogenesis and natural history, the orderly investigation, differential diagnosis and management of certain disease processes or problems, SUPPORTING FACULTY: such as leukemia, sickle cell disease, hemophilia and Drs. Kathleen Sakamoto, Christopher Denny, Theodore common solid tumors of children. Moore, Jacqueline Casilllas, Wendy Tchang 2. Medical decision making: analysis of medical data and STUDENT COORDINATOR: PHONE #: synthesis of information. Kesha Eason (310) 825-4128 E-MAIL: keason@mednet.ucla.edu 3. Performance and interpretation of bone marrow aspiration, bone marrow biopsy, and lumbar puncture. Also, the REPORT TO: interpretation of blood smears. Pediatric Education Office. 12335 MDCC, 8:00 a.m.. 4. Basic science foundation of pathophysiologic mechanisms. PREREQUISITES: Pediatrics 5. Diagnosis and management of complex inpatient AVAILABLE TO EXTERNS: Yes problems. STUDENTS / PERIOD: max 2 min 1 6. Team approach and utilization of allied health personnel. DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: The goal of this rotation is that the student develop a systematic approach to the analysis of hematologic and oncologic problems and the infectious and metabolic disorders which complicate their treatment. The student will assume primary responsibility for all Division patients, supervi sed by the Division faculty. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 50% CLOSE CONTACT WITH: 1. Leukemia OUTPATIENT: 50% X FULL TIME FACULTY 2. Solid tumors X CLINICAL FACULTY 3. Sickle cell disease CONSULTATION: NA X FELLOWS 4. Anemia PRIMARY CARE: NA X RESIDENTS 5. Bleeding disorders X INTERNS 6. Transplants X OTHER Allied Health 7. Aplastic anemia APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 50 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 200 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:00 - 9:00 8:00 - 9:00 8:00 - 9:00 8:00 - 9:00 8:00 - 9:00 Morning Report Morning Report Morning Report Morning Report Pediatric Grand 9:00 - 10:00 9:00 - 12:00 9:00 Ward Rounds 9:00 Ward Rounds Rounds AM Conference Hematology – Ward/pt work Oncology Clinic Ward/patient Work 12:00 - 1:00 9:00 - 12:00 10:00 Ward Rounds Research Hematology - 12:00 Ward Rounds Conference Oncology Clinic 1:30 -2:30 2:00 - 4:00 Ward/Patient Work 1:00 - 5:00 12:00 - 2:30 BMT team Rounds Clinical Conference Clinic Clinic Conference PM 2:30 - 4:00 Ward Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: If student elects call every 4th night, the course switches to PE340.0 ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: We aim for the student to become proficient in the diagnostic and therapeutic subspecialty procedures (chemotherapy administration and a familiarity with the pathophysiology of hematology-oncology and the principles of chemotherapy). The student will meet regularly with a member of the division to review teaching materials and discuss specific subjects. The student will attend the vari ous Division conferences and review topics of current interest with the group. 264
  10. 10. PE240.04 PEDIATRIC HEMATOLOGY-ONCOLOGY 2003-2004 Advanced Clinical Clerkship Location: CS 1/28/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Carole Hurvitz, M.D. (310) 423-4423 1. Gain basic understanding of normal and abnormal hematologic problems in children. SUPPORTING FACULTY: 2. Basic understanding of pathogenesis and treatment of M. Kallus, M.D., L.. Sloninsky, M.D., C. Hyman, M.D., N. cancer hematologic disorders in children. Fischel-Ghodsian, M.D., C. Bajck, R.N., S. Arrighi, M.B.A. 3. Inpatient and outpatient management of children with STUDENT COORDINATOR: PHONE #: cancer and hematologic problems. Lisa Payne (310) 423-4780 E-MAIL: lisa.payne@cshs.org 4. Observation of cohesive team approach to management of above disorders. REPORT TO: Lisa Payne, North Tower, Room 4400, 8:30 AM. 5. Psychosocial implications of these conditions. 6. Introduction to clinical cancer research via NIH protocols. PREREQUISITES: Medicine, Pediatrics 7. How to do consultations. AVAILABLE TO EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 30% CLOSE CONTACT WITH: 1. Acute lymphocytic leukemia OUTPATIENT: 70% X FULL TIME FACULTY 2. Pediatric solid tumors X CLINICAL FACULTY 3. Thalassemia CONSULTATION: 20% X FELLOWS 4. Other anemias PRIMARY CARE: 80% X RESIDENTS 5. Neutropenia & sepsis X INTERNS 6. Coagulation disorders X OTHER Nurses, Social Workers, Play Therapists APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 100 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 175 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 9:00 - 10:30 8:30 - 9:30 8:30 - 10:30 8:30 - 9:30 8:30 - 10:00 Ward Rounds Clinical Conference Ward Rounds Grand Rounds Ward Rounds 9:30 - 11:00 AM 10:30 - 11:30 9:30 - 11:00 10:30 - 12:00 Ward Rounds 10:00 - 11:00 Hem.-Onc Team Ward Rounds Hem.-Onc Clinic Hem-Onc Clinic Conference 12:00 Housestaff 12:00 Housestaff/ 12:00 - 1:00 12:00 Housestaff 12:00 Housestaff /Student Conference Student Conference Tumor Board /StudentConference /StudentConference PM 2:00 - 6:00 2:00 - 6:00 2:00 - 3:30 2:00 - 6:00 3:00 - 4:00 Hem.-Onc Clinic Hem-Onc Clinic. Hem-Onc Teaching Hem.-Onc Clinic Hem-Onc Rounds Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 265
  11. 11. PE245.01 PEDIATRIC INFECTIOUS DISEASES 2003-2004 Advanced Clinical Clerkship Location: CS 12/3/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importanc e) Deborah Lehman, M.D. (310) 423-4471 1. Exposure to infectious disease problems of pediatric inpatients and outpatients. SUPPORTING FACULTY: 2. Management of Pediatric patients with AIDS. Drs. Moshe Arditi and Ozlem Equils 3. Infection control in Pediatrics. STUDENT COORDINATOR: PHONE #: Lisa Payne (310) 423-4780 4. Use of the clinical microbiology laboratory. E-MAIL: lisapayne@cshs.org 5. Judicious use of antimicrobial agents. REPORT TO: Room 4400, North Tower, 8:30 a.m. PREREQUISITES: Pediatrics AVAILABLE TO EXTERNS: Yes STUDENTS / PERIOD: max 2 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: During the rotation in pediatric infectious diseases, you will be exposed to a variety of inpatient and outpatient infectious disease issues. You will learn to approach infectious disease problems in an organized and systematic way and learn rational use of antibiotics. This will benefit you in any medical specialty and expose you to all parts of the pediatric service: wards, NICU, PICU, and Infectious Diseases Outpatient Clinic. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 70% CLOSE CONTACT WITH: 1. Newborn infections OUTPATIENT: 30% X FULL TIME FACULTY 2. Pediatric HIV CLINICAL FACULTY 3. Immuno compromised patients CONSULTATION: 100% X FELLOWS 4. Pneumonia PRIMARY CARE: 0% X RESIDENTS 5. Septicemia INTERNS 6. Meningitis 9. Infections in X OTHER Social workers, Dietitians, intensive Virology and Microbiology 7. Endocarditis care patients APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 65 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Morning Report Clinical Conference Morning Report Pediatric Grand Morning Report Pediatric HIV Clinic Rounds ID Clinic AM ID Divisional Journal Weekly Consult Club Review 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00 12:00 - 1:00 Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff Conference Conference Conference Conference Conference PM Pediatric HIV Clinic Consults 1:00 Joint Med-Peds ID Conference ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 266
  12. 12. PE245.02 PEDIATRIC INFECTIOUS DISEASES 2003-2004 Advanced Clinical Clerkship Location: CHS 12/05/2002 _ COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Yvonne J. Bryson, M.D. (310) 825-5235 1. Knowledge of the pathogenesis, natural history, differential diagnosis and management of children with acute and chronic infectious disease problems. SUPPORTING FACULTY: 2. Interpretation of laboratory studies in the diagnosis of Drs. James Cherry, Paul Krogstad, Karen Neilsen, Jaime infectious diseases. Deville STUDENT COORDINATOR: PHONE #: 3. Knowledge of doing selected laboratory procedures (gram Kesha Eason (310) 825-4128 stains, skin scrapings, fungal and pneumocystis E-MAIL: keason@mednet.ucla.edu preparations, tissue culture reading for viral cytopathic REPORT TO: effect, and interpretation of other stain preparations). Pediatric Medical Education Office, 12-335 MDCC, 8:00 4. Knowledge of the pharmacology of antibiotics. AM. 5. Medical judgement analysis of medical data and synthesis PREREQUISITES: None of information. 6. Specific knowledge of the management of infectious AVAILABLE TO EXTERNS: Yes diseases emergencies such as meningitis, acute epiglottis and septi cemia. STUDENTS / PERIOD: max 1 min 1 7. Improved history and physical examination. DURATION: 3 weeks 8. Appreciation of the role of the pediatric infectious diseases consultant. 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: This elective offers the student the opportunity to function as a member of the pediatric infectious diseases consulting team. The student will have the opportunity to participate in consultations, infectious diseases conferences, and research discussions related to ID problems. Students will also have the option of attending the Maternal Child Immunology Clinic (MCIC) on Tuesday, where we evaluate mothers and children with HIV-1 infection. Students will function as members of the clinical Infectious Diseases team as subconsultants. They will be under the guidance of the ID research fellow and ID attending physician. Students will be expected to present and discuss their cases and participate in discussion of other infectious disease problems STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 80% CLOSE CONTACT WITH: 1. Infection in immunocompromised host OUTPATIENT: 20% X FULL TIME FACULTY 2. Meningitis X CLINICAL FACULTY 3. FUO CONSULTATION: 100% X FELLOWS 4. Osteomyelitis and arthritis PRIMARY CARE: 0% X RESIDENTS 5. Antibiotic management for difficult to treat X INTERNS problems X OTHER Microbiology lab 6. Pneumonias personnel 7. The child with frequent infections APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 30 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 100 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:00 – 9:00 8:00 – 9:00 8:00 - 9:00 Intake 8:00 - 9:00 8:00 - 9:00 Intake Conference Intake Conf. Conf. Intake Conf. Grand Rounds 9:30 - 10:15 9:30 - 10:15 9:30 - 10:15 AM Ward Rounds w/ ID MCIC Clinic Ward Rounds w/ID Ward Rounds w/ID Fellow Fellow 10:00 - 11:00 Fellow 10 :00 – 11:00 10 :00 – 11:00 Rounds. Rounds with Attending 10:00 - 11:00 10:00 - 11:00 Rounds with Attending w/Attending Rounds with Attending Rounds with Attending 11:30 - 12:30 Micro Lab Rds, Brentwood 2:00 - 3:00 ID Research 1:30 - 5:00 1:30 - 5:00 1:30 - 5:00 1:30 - 5:00 Conference PM Patient Workups and Patient Workups and Patient Workups and Patient Workups and Care Care Care Care 3:00 - 5:00 Patient Workups and Care ON-CALL SCHEDULE & WEEKEND ACTIVITIES: On call every day for new patient consultations. Night call and weekend call are to be arranged with fellow and attending physician. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS:. They will be expected to investigate one clinical infectious diseases problem in depth and present it to other members of the consulting team 267
  13. 13. PE245.03 PEDIATRIC INFECTIOUS DISEASES 2003-2004 Advanced Clinical Clerkship Location: HARBOR 12/5/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Margaret A. Keller, M.D. (310) 222-4175 1. Evaluation of child and infant with suspected infection. 2. Appropriate antibiotic therapy. SUPPORTING FACULTY: 3. Recognition and management of infectious disease Drs. J.I. Ward, K.M. Zangwill, B. Kennedy, M. Keller, S. Yeh emergencies. STUDENT COORDINATOR: PHONE #: 4. Optimal use of clinical microbiology laboratory. Iris Mau (310) 222-2301 5. Evaluation and management of suspected neonatal and E-MAIL: huclapeds@aol.com congenital infections. REPORT TO: 6. Evaluation of patient with fever of unknown origin. Mary Magee, Lin Research Bldg., at 8:30 a.m. 7. Common viral syndromes. PREREQUISITES: Pediatrics 8. Management of infections in the immunocomprised child. AVAILABLE TO EXTERNS: Yes 9. Principles of immunization. STUDENTS / PERIOD: max 1 min 1 10. Control of hospital infections. DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 80% CLOSE CONTACT WITH: 1. Meningitis OUTPATIENT: 20% X FULL TIME FACULTY 2. Neonatal sepsis X CLINICAL FACULTY 3. Bone and joint infections CONSULTATION: 100% X FELLOWS 4. Pneumonia PRIMARY CARE: 0% X RESIDENTS 5. Acute gastroenteritis INTERNS 6. Tuberculosis OTHER 7. Congenital syphilis 8. Infection in immunocomprised host APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 20 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 45 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 Consultations 8:30 Consultations 8:30 Consultations 8:30 Pediatric Grand 8:30 Chief’s Rounds Rounds 8:30 10:00 Infectious AM Immunodeficiency 11:00 Consultations Disease Clinic (1st & Clinic (2nd) 3rd) 9:30 Morning Report Daily 12:00 Residents’ ID 1:00 Attending 12:00 Clinical Case 1:00 Attending 12:00 Infectious Lecture (1st & 3rd) Rounds Reviews Rounds Diseases Grand Rounds PM 2:00 Attending 1:00 Attending 1:30 Med-Pediatric Rounds Rounds Infectious Disease Conf. (2nd & 4th) 3:00 Attending Rounds ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: The student is directed to the most pertinent textbooks and scientific literature, but independent and critical inquiry is encouraged. The student may prepare an informal seminar on a subject of the student's choice. Library and laboratory research and chart reviews are available for students with special interests. 268
  14. 14. PE245.04 PEDIATRIC INFECTIOUS DISEASES 2003-2004 Advanced Clinical Clerkship Location: KDMC 1/28/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Stephen Taylor, M.D. (213) 563-5952 (lab) 1. To delineate the epidemiology, pathogenesis, (310) 668-4870 (ofc) pathophysiology, etiologic agents, clinical manifestations, and sequelae of common pediatric infectious disorders. SUPPORTING FACULTY: Dr. S. Shacks 2. To obtain a working knowledge of the concept of the immunocompromised host, e.g., AIDS, SCID, etc., and the resultant opportunistic infections. STUDENT COORDINATOR: PHONE #: Marilyn Jones (310) 668-4664 3. To develop thought processes for the rational selection of specific and empiric antibiotics. REPORT TO: Stephen Taylor, M.D., Room 5G-22, KDMC 4. To appropriately evaluate a pediatric patient with a given clinical presentation, e.g., fever of unknown origin, PREREQUISITES: Core Pediatric Clerkship recurrent infections, TORCH infections, etc. 5. To review some fundamental microbiology and virology for AVAILABLE TO EXTERNS: No practical use in clinical practice. STUDENTS / PERIOD: max 3 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: By Arrangement DESCRIPTION: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 80% CLOSE CONTACT WITH: 1. Fever of unknown origin OUTPATIENT: 20% X FULL TIME FACULTY 2. Meningitis CLINICAL FACULTY 3. Pneumonia CONSULTATION: 100% X FELLOWS 4. Soft tissue infections PRIMARY CARE: 0% X RESIDENTS 5. Osteomyelitis/septic arthritis X INTERNS 6. Immunocompromised hosts OTHER 7. Mononucleosis syndromes 8. Torch infections APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 8-10 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 50-70 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 9:00 - 10:00 8:00 - 9:00 9:30 - 11:00 8:30 - 11:00 8:30 - 11:00 Work Rounds on I.D. Grand Rounds Work Rounds Work Rounds Work Rounds Consultations 9:30 - 11:00 AM Work Rounds 11:00 - 12:00 11:00 - 12:00 11:00 - 12:00 10:00 - 11:30 11:00 - 12:00 Attending Rounds Attending Rounds Attending Rounds Attending Rounds Attending Rounds 1:00 - 3:00 1:00 - 3:00 1:00 -5:00 1:00 - 3:00 1:00 - 4:00 Reading and/or new Reading and/or new Pediatrics Oasis Reading and/or new Reading and/or new Consults Consults Clinic consults consults PM 3:00 - 4:00 3:00 - 4:00 3:00 - 4:00 Lecture on topics in Lecture on topics in Lecture on topics in I.D. I.D. I.D. ON-CALL SCHEDULE & WEEKEND ACTIVITIES: None ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: None 269
  15. 15. PE250.03 ADOLESCENT HEALTH CARE 2003-2004 Advanced Clinical Clerkship Location: HARBOR 12/5/2002 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Tony Greenberg, M.D. (310) 222-2168 An overview of: 1. The physical and psychological aspects of adolescence. SUPPORTING FACULTY: 2. The common disorders of adolescents. Monica Sifuentes, M.D. 3. The approach to the health assessment of the adolescent. STUDENT COORDINATOR: PHONE #: 4. There will be opportunities to work on adolescent health Mele Lei-Sam (310) 222-2168 care teams in diverse settings such as a hospital REPORT TO: Tony Greenberg, M.D., Harbor-UCLA Medical adolescent clinic, a university, a high school,a runaway Center, 1000 W. Carson St., Torrance, Bldg. N-25. home, and a free clinic. PREREQUISITES: Pediatrics and Medicine AVAILABLE TO EXTERNS: Yes STUDENTS / PERIOD: max 1 min 1 DURATION: 3 weeks 2003-2004 ROTATIONS BEGIN WEEKS: 2,5,8,11,14,17,20,27,30,33,36,39,42,45,48 DESCRIPTION: The course gives students an opportunity to interact with adolescents and learn about the most common health- related concerns involving them. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 0% CLOSE CONTACT WITH: 1. Adolescent adjustment reaction OUTPATIENT: 100% X FULL TIME FACULTY 2. Birth Control X CLINICAL FACULTY 3. Obesity CONSULTATION: 0% FELLOWS 4. Adolescent Pregnancy PRIMARY CARE: 100% X RESIDENTS 5. Sexually Transmitted Disease X INTERNS 6. Acne X OTHER Personnel in community 7. Psychophysiologic reaction agencies 8. Depression APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 64 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: NA TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday School-based Clinic School-based Clinic School-based Clinic Student Health Seminar in Clinic Adolescent Medicine AM School Based Clinic Los Angeles Free Adolescent Clinic Los Angeles Free UCLA Adolescent Clinic Harbor-UCLA Clinic Clinic PM Medical Center ON-CALL SCHEDULE & WEEKEND ACTIVITIES: N/A ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Students must have own transportation. The students who enroll should call Dr. Greenberg at least two weeks prior to the st art of the elective. 270
  16. 16. PE250.05 COMMUNITY ADOLESCENT MEDICINE 2003-2004 Advanced Clinical Clerkship Location: KDMC 4/28/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Michele’ J. Gains, M.D. (310) 668-3850 1. Identify risk behaviors of adolescents. E-MAIL: Migains@cdrewu.edu FAX: (310) 898-1846 2. Understand normal sexual development and recognize SUPPORTING FACULTY: variations in sexual identity such as transgender, Glenda Lindsey, M.D., Kimberly J. West, M.D. bisexuality, etc. 3. Identify environment factors that influence adolescent STUDENT COORDINATOR: PHONE #: behavior. Marilyn Jones (310) 668-4664 4. Identify and/or refer for appropriate management, issues of REPORT TO: substance abuse, depression, suicide. Dr. Gains @ MLK/Drew Med. Ctr. Room 5101 5. Identify and manage sexually transmitted disease. PREREQUISITES: Pediatric cl erkship 6. Understand preventive health strategies. 7. Identify etiology of menstrual irregularity and appropriate AVAILABLE TO EXTERNS: No management. STUDENTS / PERIOD: max 2 min 1 8. Appropriate counsel adolescent with obesity. DURATION: 3 or 4 weeks (2 weeks with approval) 9. Given a particular health issue, identify problems, resources, psycho-social effects on the adolescent patient 2003-2004 ROTATIONS BEGIN WEEKS: and family. By Arrangement DESCRIPTION: The Adolescent Medicine Rotation offered at KDMC has an emphasis on the diverse nature of adolescent healthcare. Patient interaction focuses on identification of high risk behaviors, preventive and intervention strategies, and effects of environment on adolescent health. Student will interact with adolescents in traditional and non-traditional settings. Independent study of adolescent topics and problems is an important component. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 20% CLOSE CONTACT WITH: 1. Adolescent Care OUTPATIENT: 80% X FULL TIME FACULTY 2. STDs X CLINICAL FACULTY 3. Menstrual irregularity CONSULTATION: 40% FELLOWS 4. Depression/Dysthmia PRIMARY CARE: 60% X RESIDENTS 5. Obesity/ Eating DOS INTERNS 6. Headache OTHER 7. Substance Use 8. High Risk Youth, Violence APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 15 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 80 - 100 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Morning Report School Base Consultation/Self- School Base Adolescent Cl inic High School Study High School AM Chart Review Lecture/Didactics Clinic 12:00 - 5:00 Schedule B Clinics UMMA Free Clinic Lecture Off Adolescent Clinic Chart Ref. PM ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Saturdays 9 am - 2:00 pm - Free Clinic - 3 rd Saturday ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Consultations on demand. Presentation on adolescent/community/advocacy issue at end of rotation. 271
  17. 17. PE250.06 CHILD DEVELOPMENT 2003-2004 Advanced Clinical Clerkship Location: KDMC 1/13/2003 COURSE CHAIR: PHONE #: COURSE OBJECTIVES (in order of importance) Kerry L. English, M.D. (310) 668-4872 1. To develop a working knowledge of normal child development as it relates to the primary care of children. 2. To be able to diagnose developmental disabilities and SUPPORTING FACULTY: suggest intervention strategies. Drs. Calmes, Delangel, and Reid-Green 3. To be able to describe different intervention strategies for a variety of developmental problems including cerebral palsy, behaviora l problems, mental retardation, and STUDENT COORDINATOR: PHONE #: language difficulties. Carmen Guerrero (310) 668-4872 4. To be able to counsel and advise parents of well children E-MAIL: cguerrero@dhs.co.la.ca.us in common areas of child growth and development including child care, sleep problems, discipline, sibling REPORT TO: rivalry, toilet training and developmental stimulation. Kerry English, Room 5F-13, 9:00 am. 5. To develop a working knowledge of the differences between primary care intervention and psychiatric PREREQUISITES: None intervention in the management of behavioral problems and to be able to use that knowledge in making a AVAILABLE TO EXTERNS: No competent psychiatric re ferral where appropriate. STUDENTS / PERIOD: max 2 min 1 6. To develop a knowledge of the roles and capabilities of the various professionals working with handicapped children and to be able to use such knowledge in DURATION: 3 weeks participating on a service team. 7. To develop an understanding of the influences of culture, 2003-2004 ROTATIONS BEGIN WEEKS: race and economics on the development of children within By Arrangement their families and in relationship to the wider society. DESCRIPTION: The course will focus on those issues of developmental pediatrics essential for providing comprehensive care to well children as well as to children with specific developmental diagnoses. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 20% CLOSE CONTACT WITH: 1. Developmental delay OUTPATIENT: 80% X FULL TIME FACULTY 2. Language problems CLINICAL FACULTY 3. Physical abuse CONSULTATION: 80% X FELLOWS 4. Cerebral palsy PRIMARY CARE: 20% X RESIDENTS 5. Failure to thrive INTERNS 6. Attachment disorders OTHER 7. Learning problems 8. Parenting problems APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 25 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 250 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Patient Workups 8:00 Peds Grand 8:30 Peds Lecture 9:30 Community 8:30 CCS Clinic for Rounds Site Visits to Child children with 11:00 Seminar 9:30 High Risk Infant Development cerebral palsy AM 9:00 – 12:00 Follow-up Clinic Programs or Child Development Clinic Life on ward 1:30 Attending 1:30 PIP Child 2:00 Child Life on 1:30 Infant Follow- 1:30 Attending Rounds and Scan Abuse Cl inic ward up Clinic Rounds and Seminar Team Meeting PM ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 272

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