PE210.01             PEDIATRIC CARDIOLOGY

Advanced Clinical Clerkship                                     Location: CHS  ...
PE210.02                      PEDIATRIC CARDIOLOGY

Advanced Clinical Clerkship                                        Loc...
PE225.02               ENDOCRINOLOGY & METABOLISM (PEDS)

Advanced Clinical Clerkship                                     ...
PE225.03             PEDIATRIC ENDOCRINOLOGY

Advanced Clinical Clerkship                                    Location: CHS...
PE230.01            PEDIATRIC GASTROENTEROLOGY & NUTR

Advanced Clinical Clerkship                                  Locati...
PE235.01             MEDICAL GENETICS

Advanced Clinical Clerkship                                     Location: CHS      ...
PE235.02              MEDICAL GENETICS

Advanced Clinical Clerkship                                      Location: HARBOR ...
PE235.03              MEDICAL GENETICS

Advanced Clinical Clerkship                                      Location: CS     ...
PE240.01              PEDIATRIC HEMATOLOGY-ONCOLOGY

Advanced Clinical Clerkship                                      Loca...
PE240.02              PEDIATRIC HEMATOLOGY-ONCOLOGY

Advanced Clinical Clerkship                                          ...
PE240.04             PEDIATRIC HEMATOLOGY-ONCOLOGY

Advanced Clinical Clerkship                                       Loca...
PE245.01                PEDIATRIC INFECTIOUS DISEASES

Advanced Clinical Clerkship                                       L...
PE245.02                 PEDIATRIC INFECTIOUS DISEASES

Advanced Clinical Clerkship                                       ...
PE245.03              PEDIATRIC INFECTIOUS DISEASES

Advanced Clinical Clerkship                                      Loca...
PE245.04            PEDIATRIC INFECTIOUS DISEASES

Advanced Clinical Clerkship                                    Location...
PE250.02                         COMBINED COMMUNITY ELECTIVE

Advanced Clinical                Clerkship                  ...
PE250.03            ADOLESCENT HEALTH CARE

Advanced Clinical Clerkship                                   Location: HARBOR...
PE250.05              COMMUNITY ADOLESCENT MEDICINE

Advanced Clinical Clerkship                                       Loc...
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
PE210.01 PEDIATRIC CARDIOLOGY
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PE210.01 PEDIATRIC CARDIOLOGY

  1. 1. PE210.01 PEDIATRIC CARDIOLOGY Advanced Clinical Clerkship Location: CHS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Thomas S. Klitzner, M.D., Ph.D. (310)-825-5296 1. Knowledge of cardiac and cardiovascular disease processes in pediatric age group. 2. Knowledge of persistence/sequalae of congenital heart disease SUPPORTING FACULTY: into late adolescence and adulthood. Dr. Samuel Kaplan and other full time faculty 3. Learning/improving skills of history taking and physical examination of pediatric patients with cardiovascular disease. STUDENT COORDINATOR: PHONE #: Ava Yajima (310)-825-4128 4. Understanding of basic cardiovascular physiology/hemo- dynamics as reflected in clinical findings. REPORT TO: 5. Learning indications for interpretation of non-invasive Pediatric Education Office, 12-335 MDCC, 8:00 AM. diagnostic tools of cardiology: chest x-ray, electrocardiogram, echocardiogram. PREREQUISITES: Pediatrics and Medicine 6. Understanding of hemodynamics as reflected in cardiac catheterization. AVAILABLE TO EXTERNS: yes 7. Learning medical management and pharmacology of cardio- vascular drugs in pediatric cardiac patients. STUDENTS / PERIOD: max 3 min 1 8. Familiarity with surgical management of congenital heart DURATION: 4 weeks disease. 9. Reviewing cardiac pathology. 1998-99 ELECTIVES BEGIN WEEKS: 10. Improving skills of patient presentation, and exposure to basic 1,5,9,13,17,21,25,29,33,37,41. and clinical cardiology research. DESCRIPTON: The student is expected to participate in all activities of the division of Pediatric Cardiology with an emphasis on the ambulatory pediatric cardiology clinics with some in-patient and laboratory (Echo and Cath) exposure. He/she participates in daily conferences including patient discussion, pre-op, Echo, Cath, and didactic conferences. STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 25% CLOSE CONTACT WITH: 1. Congenital heart disease OUTPATIENT: 75% 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 disease INTERNS 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 conference 7:30 Cath conference Pre-op conference Pediatric grand conference rounds 8:30 Combined 8:30 Cardiology clinic Combined Ped/Cardiology clinic AM fac/cardiology clinic fac/cardiology clinic @ Olive View Med Ctr. Cardiology clinic Combined fac/cardiology clinic Cardiac Cardiac catheterization catheterization 13:00 Didactic Conf. 12:15-12:45 Journal Adult CHD Clinic @ 15:00 Patient 13:30 1st Pathology Club 13:00 presentation conf. In-patient, cath, or conference 2nd Quality assurance PM echo observations In-patient, cath or conf. echo observations EKG Reading Conf. ECG review Every 4th Friday ON-CALL SCHEDULE & WEEKEND ACTIVITIES: *See additional comments ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Overall picture of 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. 260
  2. 2. PE210.02 PEDIATRIC CARDIOLOGY Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING 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 disease SUPPORTING FACULTY: George C. Emmanouilides, M.D., Robin W. Doroshow, M.D., 2. Obtain history and physical examination on pediatric cardiac Twyman R. Owens, M.D. patients STUDENT COORDINATOR: PHONE #: 3. Interpretation of pediatric electrocardiograms as well as Iris Mau (310)-222-2301 familiarization with other non-invasive diagnostic techniques, such as M-mode and two-dimensional and Doppler REPORT TO: echocardiography Barry G. Baylen, M.D., Harbor-UCLA Medical Center, 4. Knowledge of pharmacology of drugs used in the management PREREQUISITES: Pediatrics, Medicine, Surgery of infants and children with cardiovascular disease (i.e., digitalis, diuretics, prostaglandins, etc.) AVAILABLE TO EXTERNS: yes 5. Interpretation of cardiac catheterization and angiocardio- graphic data and their correlation with clinical findings STUDENTS / PERIOD: max 2 min 1 6. Indications for surgery and post-operative management of infants and children with heart disease DURATION: 4 weeks 7. 1998-99 ELECTIVES BEGIN WEEKS: 1,5,9,13,17,21,25,29,33,37,41,45,49, by arrangement DESCRIPTON: The student is expected to participate in all activities of the Division of Pediatric Cardiology: on the wards, cardiac clinic, and laboratory. He or she functions as a subintern under supervision of a senior house officer who is assigned to the Division of Pediatric Cardiology. He or she participates in daily bedside rounds as well; attends the weekly combined Pediatric and Adult Cardiology and Cardiothoracic Surgery Conferences. Special patients and patients requiring cardiac surgery are discussed 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 AM 8:30 - 9:30 8 - 12 Cardiac 8:30 - 9:30 8:30 - 9:30 Pediatric 8:30-9:30 Pediatric Work Rounds Catheterization Lab Perinatal Case Conf. Grand Rounds Chief’s Rounds 9:30 - 12 12 - 1 Critical Care 9:30-12 10 - 11:30 10-11:30 Cardiology Clinic Conf. Attending Rounds Work Rounds Attending Rounds Cardiac Surgery Noon Cardiology Case Conf Preop PM 2 - 4 Cardiac Clinic 2 - 4 Work Rounds 1 - 5 Pediatric Conference 3 - 5 Cardiac Cardiology Clinic Catheterization 3 - 5 Review of Echo 4 – 5 Pediatric Conference and Cath Data Cardiac Surgery Conf ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: This course is recommended for 4th year medical students only. 261
  3. 3. PE225.02 ENDOCRINOLOGY & METABOLISM (PEDS) Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING 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 investigation, differential diagnosis and management of thyroid disease, SUPPORTING FACULTY: diabetes mellitus, adrenal disorders, pituitary disorders, Drs. Ipp, Lee, Raum, Salameh, Swerdloff, & Wang reproductive abnormalities, and parathyroid disorders 2. Medical interviewing and physical examination skills STUDENT COORDINATOR: PHONE #: 3. Med. judgment, analysis of med. data & synthesis of med. info. Sally Avancena (310)-222-2503 4. Interpretation of endocrine tests: Thyroid function tests, glucose tolerance tests, hormonal measurements, stimulation and REPORT TO: Clinical Fellow in Endocrinology (5th floor, CSC suppression tests Office) 0900 on the first day. 5. Appropriate format for writing consultations 6. Basic science foundations of pathophysiologic mechanisms PREREQUISITES: Completed Medicine and/or Pediatric Clinical underlying diseases of the thyroid, adrenal, pituitary, pancreas, clerkship gonads, parathyroid, and other metabolic disorders, including nutritional disorders AVAILABLE TO EXTERNS: yes 7. Diag. & mgmt. of complex in-patient problems such as diabetic ketoacidosis, thyrotoxicosis, thyroid nodules, goiter, hypo- STUDENTS / PERIOD: max 2 min 0 thyroidism, obesity, Cushing’s disease, Addison’s disease, etc. 8. Oral presentation of clinical cases DURATION: 4 weeks 9. Library research and interpretation of the literature 10. Outcome of health care, e.g., patient compliance & satisfaction 1996-97 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: Students function as subinterns on the in-patient Endocrine consult service and in the out-patient Endocrine & 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 10:00 Review of 8:30 Pediatric Grand 8:30 Diabetes & thyroid biopsies Rounds Metabolism clinic 9:00 Pituitary or AM thyroid nodule clinic 10:00Attending Rounds 12:00 Basic Science 12:00 Endocrine seminar lecture series clinical conference 1:00 Endocrine clinic PM 2:00 Attending rounds 2:00 Attending rounds 2:00 Endocrine grand rounds 3:30 Attending 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. 262
  4. 4. PE225.03 PEDIATRIC ENDOCRINOLOGY Advanced Clinical Clerkship Location: CHS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Mitchell E. Geffner, M.D. (310)-825-6496 1. Knowledge of pediatric endocrine disorders including diabetes mellitus, hypoglycemia, disorders of the pituitary, thyroid, parathyroid, adrenals, ovaries, testes, and hypothalamus. SUPPORTING FACULTY: Jon M. Nakamoto, M.D., Ph.D., S. Douglas Frasier, M.D., 2. Instruction in appropriate history taking and physical & Kevin Kaiserman, M.D. examination. STUDENT COORDINATOR: PHONE #: 3. Instruction in the physical performance of endocrine tests. Ava Yajima (310)-825-4128 4. Supervision and discussion of interpretation of laboratory tests REPORT TO: of endocrine function. Pediatric Endocrinology Office, 22-315 MDCC, 8:00 AM, first day 5. Familiarity with current literature in the field of pediatric of elective. endocrinology. PREREQUISITES: Pediatrics 6. Coordination of Pediatric Endocrinology with Internal Medicine and Gynecologic Endocrinology. AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 2 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: 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: 10% CLOSE CONTACT WITH: 1. Diabetes mellitus and hypoglycemia OUTPATIENT: 90% 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 Psychologist 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 - 9:00 Pediatric 8:00 - 9:00 Preclinic 8:00 - 9:00 Preclinic 8:00 - 9:00 8:00 - 9:00 Pediatric intake rounds case discussions Case discussions Preclinic case grand rounds discussions 9:00 - 12:00 AM 9:00 -12:00 9:00 - 2:00 Diabetes 9:00 - 12:00 9:00 - 1:00 Endocrine Endocrine Clinic Procedures on in- and and Endocrine clinic Endocrine Clinic clinic (every other week) out-patients 9:30 - 12:00 Review of cases with students 2:00 - 3:00 12:00 - 1:00 Joint 2:00 - 3:00 1:30 - 2:30 1:00 - 4:00 Inpatient ward rounds conf. w/ Internal Med. Inpatient ward rounds Inpatient ward rounds Endocrine Clinic & Gynecologic PM 3:00 - 5:00 Endocrinology 3:00 - 5:00 2:30 - 4:30 Chart review 1:30 - 3:00 Free time for study Free time for study Inpatient ward rounds 3:00 - 4:30 Chart review ON-CALL SCHEDULE & WEEKEND ACTIVITIES: N/A ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 263
  5. 5. PE230.01 PEDIATRIC GASTROENTEROLOGY & NUTR Advanced Clinical Clerkship Location: CHS 1998-99 _________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Marvin E. Ament, M.D. (310)-206-6134 1. To teach the diagnosis and management of common pediatric gastroenterological problems. SUPPORTING FACULTY: 2. To teach the diagnosis and management of hepato biliary Sue McDiarmid, M.D., Jorge Vargas, M.D., G. Martin, M.D., disease as it affects the pediatric patient. Ron Bahar, M.D., George Gershman, M.D. 3. To teach indications and contraindications of various pediatric STUDENT COORDINATOR: PHONE #: gastroenterology procedures: panendoscopy, small intestinal Ava Yajima (310)-825-4128 biopsy, rectal biopsy, liver biopsy, ERCP, polypectomy, procto sigmoidoscopy, transhepatic percutaneous cholangiography. REPORT TO: Pediatric Education Office, 12-335 MDCC, 8:00 AM. 4. To teach how to perform a nutritional assessment in either an infant or a child. PREREQUISITES: Completion of either Medicine or Pediatric 5. To teach how to prescribe and manage parental nutrition in Clerkship. infants and children. AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 1 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: 3,7,11,15,19,25,29,33,37,41 DESCRIPTON: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 50% CLOSE CONTACT WITH: 1. Chronic diarrhea OUTPATIENT: 50% X FULL TIME FACULTY 2. Chronic abdominal pain CLINICAL FACULTY 3. Acute gastroenteritis CONSULTATION: 75% X FELLOWS 4. Acute abdominal pain PRIMARY CARE: 25% RESIDENTS 5. Chronic vomiting 9. Inflammatory bowel INTERNS 6. Constipation disease OTHER 7. Fecal incontinence 10. Acute and chronic 8. Hepatomegaly liver disease Fecal incontinence 9. APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 16 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 250 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 7:30 Divisional Mtg. 7:30 TPN rounds 7:30 Ped. Liver Trans. 8:00 Grand rounds (Haimer Conf. Room) (Haimer Conf. Room.) Mtg (MDCC Conf Rm (Moss Auditorium) (Mandatory) 12-407)(Mandatory) 9:00 GI Clinic AM 9:00 Resident 9:00 GI Clinic 9:00 Resident 8:30 Liver Clinic (Every Other Friday) Rounds/Procedures Dr. Ament Rounds/Procedures Drs. Vargas & Dr. Martin (200 Med. (Wright Library) (Wright Library) McDiarmid (CHC 200 Plaza, Suite 265) Med.Plaza,Ste. 265) 4:00 Liver biopsy 1:00 G.I.Clinics 1:00 TPN clinic 1:00 Journal Club conference Drs. Ament & Vargas Drs. Ament & Vargas Haimer Conf. room (1P-109B CHS) Liver Clinic (CHC - 200 Medical PM Dr. McDiarmid Plaza, Suite 265) 3:00 GI Pathology (CHC - 200 Medical Conf. (1P-109 CHS) Plaza, Suite 265) 4:30 Liver Trans. Rds. (3rd Wed. of Month- 77-132 CHS) ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: OUTSIDE CLINICS: BAKERSFIELD - 1st MONDAY OF EACH MONTH 8 AM-6 PM VENTURA - 2nd MONDAY OF EACH MONTH 12-5 PM OLIVE VIEW - 4th MONDAY OF EACH MONTH 8 AM-12PM KMC - 3rd WED. OF EACH MONTH 8 AM-1PM SANTA CLARITA - 1st MON & 3rd MON OF EACH MONTH 1-4:30 PM 264
  6. 6. PE235.01 MEDICAL GENETICS Advanced Clinical Clerkship Location: CHS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING 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 situations. SUPPORTING FACULTY: 3. Principles of genetic counseling. W. W. Grody, M.D., Ph.D., E. McCabe, M.D., Ph.D., B. Crandall, M.D., L. Schimmenti, M.D., C. Schanen, M.D., Ph.D. 4. Use and interpretation of special laboratory diagnostic tests. STUDENT COORDINATOR: PHONE #: 5. Gain experience with specific genetic diseases through Ava Yajima (310)-825-4128 participation in the genetics clinic and ward consults. REPORT TO: Pediatric Medical Education Office, 12-335 MDCC, 8:00 AM. PREREQUISITES: Medicine and Pediatrics Clerkships AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 2 min 1 DURATION: 4 or 8 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: 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 OTHER 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 and 9:00 - 10:30 7:30 - 9:30 Tay-Sachs 9 - 12 Prenatal (Reading, Consults, consults Chromosome Review Screening Clinic Genetics Clinic AM Lab Experience) 9 - 12 Prenatal Genetics Clinic 1 - 4 Genetics Clinic Genetics Clinic 1 - 4 Craniofacial Independent Study 12 - 1 Genetics Cedars - Sinai Seminar PM 4 - 5 Clinic Review (optional) 11 - 5 Kaiser Second Thursday of 1:30 - 3 Clinical Metabolic Clinic the Month—Genetics Molecular Genetics Journal Club Lab Meeting 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 . 265
  7. 7. PE235.02 MEDICAL GENETICS Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Adam J. Jonas, M.D. (310)-222-3673 To gain experience and understanding with: 1. Evaluation of the patient with possible genetic disease SUPPORTING FACULTY: 2. Current application of biochemical, molecular, and B. Foley, R.N., & Drs. H. Lin, P. Yen, & E. Kakkis cytogenetics techniques 3. Aspects of prenatal diagnosis STUDENT COORDINATOR: PHONE #: Carol Rivera (310)-222-3673 4. Research conducted by the medical genetics faculty REPORT TO: Adam J. Jonas, Bldg. E-4, Division of Medical Genetics, Harbor, 8:00 AM. PREREQUISITES: None AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 2 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: 1,5,9,13,17,21,25,29,33,37,41,45,49. DESCRIPTON: 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 a seminar at the end of the elective. 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 X OTHER Genetic Counselor 7. Prenatal diagnosis APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 25 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 100 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 9:00 Monday/month Genetics Clinic 8:30 Newborn 8:30 - 9:30 Peds 8:30 - 9:30 Pediatric Screening Meeting Grand Rounds Chiefs Rounds AM (Monthly) 4:00 p.m. 2nd & 4th Genetics Consults 12:00 CPC 1 - 5 Genetics Clinic Friday/month (per request on a Journal Club PM daily basis) 2:00 Clinic Review ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 266
  8. 8. PE235.03 MEDICAL GENETICS Advanced Clinical Clerkship Location: CS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) John M. Graham, M.D., ScD. (310)-855-2211 1. Counseling techniques and the approach to the patient and family with hereditary diseases SUPPORTING FACULTY: 2. Historical, physical, and laboratory evaluation of the patient D. Rimoin, R. Lachman, R. Falk, L. Raffel, W. Wilcox with possible genetic disease, including patients with congenital anomalies, dysmorphic features, and mental retardation STUDENT COORDINATOR: PHONE #: 3. Prenatal diagnosis, including amniocentesis and chorionic Lisa Payne (310)-855-4780 villus sampling and discussion of risk factors and teratogenesis REPORT TO: 4. Laboratory techniques in genetics Lisa Payne, Cedars-Sinai Medical Center, Room 4411, 8:30 AM. 5. Current topics in genetics and research interests of the department PREREQUISITES: 6. Opportunities are available for interested students to become involved in research or case reporting AVAILABLE TO EXTERNS: yes 7. Application of genetics to common disease STUDENTS / PERIOD: max 2 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: 1,5,9,13,17,21,25,29,33,37,41,45,49. DESCRIPTON: 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 9. Genetics of common diseases 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 Prenatal diagnosis 8:30 Pediatric Case 9:00 Prenatal Review Grand Rounds 9 - 12 Integrate clinic Conference Conference 9:30 Fetal Path.Conf. Training AM Program 9:00 Genetics Clinic 9:30 - 11 Genetics Conf.* Lecture Dysmorphology Clinic Seminar 11:30 Radiology Conf. or Helmet Clinic 11:30 - 1 Clinical 12:00 Craniofacial Informal Teaching Informal Teaching Conf. / Genetic Conf. and Clinic PM Radiology Conf. 1:00 Neurorad. Independent Study Independent Study Genetic Conf and/or Consultation 1 - 5 Genetics Clinic 2:00 Cytogenetics 4:00 Ward Rounds Review Conf. (Ped. Conf. Rm) ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 267
  9. 9. PE240.01 PEDIATRIC HEMATOLOGY-ONCOLOGY Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Lance Sieger, 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. Dr. Pamlyn Close 2. The interpretation of laboratory studies in the diagnosis of hematologic and oncologic disorders STUDENT COORDINATOR: PHONE #: Iris Mau (310)-222-2301 3. Knowledge of the pharmacology of antineoplastic agents 4. Familiarity with the pathophysiology of hematologic and REPORT TO: oncologic disorders Harbor-UCLA Medical Center-Bldg. J-4, Hematology/Oncology Office, 9:00 AM (1st day only). 5. Familiarity with the psychosocial problems associated with life- PREREQUISITES: Third Year Pediatrics threatening illnesses 6. Diagnosis and management of complex and multi-system problems in the pediatric patient AVAILABLE TO EXTERNS: yes 7. Medical decision making: Analysis of medical data and STUDENTS / PERIOD: max 2 min 1 synthesis of information 8. Knowledge of research techniques, including literature research DURATION: 4 weeks and interpretation 1998-99 ELECTIVES BEGIN WEEKS: 9. Familiarity with procedures (e.g., bone marrow aspiration, By Arrangement only intrathecal drug administration, catheter care) DESCRIPTON: 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 Pediatric 8:00 - 9:00 Chief of New Patients Workup; Pediatric Hematology/ New Patients Workup; Grand Rounds Service Rounds AM Ward Rounds with Oncology Clinic Ward Rounds Resident and Fellow 9:30 - 12:30 10:00 - 12:00 New Patients Workup; Patient Planning Ward Rounds Conference 1:30 - 3:00 1:30 - 2:30 1:30 - 3:00 1:30 - 3:00 Combined 1:30 - 2:30 Attending Rounds; Attending Rounds; Attending Rounds Pediatric/Medical/ Attending Rounds PM New Patient Workup New Patient Workup Hematology Conf. 3:00 - 4:30 Attending Rounds; New Patient Workup 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 administration of chemotherapy) as necessary. Additional teaching conferences are held bi-monthly at Miller Children’s Hospital, Long Beach, CA. 268
  10. 10. PE240.02 PEDIATRIC HEMATOLOGY-ONCOLOGY Advanced Clinical Clerkship Location: CHS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Stephen A. Feig, M.D (310)-825-4128 1. Knowledge of the pathogenesis and natural history, the orderly investigation, differential diagnosis and management of certain disease processes or problems, such as leukemia, sickle cell SUPPORTING FACULTY: disease, hemophilia and common solid tumors of children. Drs. Kathleen Sakamoto, Christopher Denny, Alexis Thompson, Stanley Nelson, Marcio Malogolowkin 2. Medical decision making: analysis of medical data and synthesis of information. STUDENT COORDINATOR: PHONE #: Ava Yajima (310)-825-4128 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 problems. 6. Team approach and utilization of allied health personnel. AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 2 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: 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, supervised 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 Morning 8:00 - 9:00 8:00 - 9:00 8:00 - 9:00 8:00 - 9:00 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 Research 9:00 - 12:00 10:00 Ward Rounds Conference Hematology - 12:00 Ward Rounds Oncology Clinic 1:30 -2:30 BMT team 2:00 - 4:00 Clinical Ward/Patient Work 1:00 - 5:00 Clinic 12:00 - 2:30 Rounds Conference 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 of review teaching materials and discuss specific subjects. The student will attend the various Division conferences and review topics of current interest with the group. 269
  11. 11. PE240.04 PEDIATRIC HEMATOLOGY-ONCOLOGY Advanced Clinical Clerkship Location: CS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Carole Hurvitz, M.D. (310)-855-4423 1. Gain basic understanding of normal and abnormal hematologic problems in children. SUPPORTING FACULTY: 2. Basic understanding of pathogenesis and treatment of cancer M. Kallus, M.D., L.. Sloninsky, M.D., C. Hyman, M.D., N. Fischel- hematologic disorders in children. Ghodsian, M.D., C. Bajck, R.N., S. Arrighi, M.B.A. 3. Inpatient and outpatient management of children with cancer STUDENT COORDINATOR: PHONE #: and hematologic problems. Lisa Payne (310)-855-4780 4. Observation of cohesive team approach to management of REPORT TO: above disorders. Lisa Payne, North Tower, Room 4411, 8:30 AM. 5. Psychosocial implications of these conditions. PREREQUISITES: Medicine, Pediatrics 6. Introduction to clinical cancer research via NIH protocols. 7. How to do consultations. AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 1 min 1 DURATION: 2,4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 40% CLOSE CONTACT WITH: 1. Acute lymphocytic leukemia OUTPATIENT: 60% X FULL TIME FACULTY 2. Pediatric solid tumors X CLINICAL FACULTY 3. Thalassemia CONSULTATION: 50% X FELLOWS 4. Other anemias PRIMARY CARE: 50% X RESIDENTS 5. Neutropenia & sepsis X INTERNS 6. Coagulation disorders X OTHER Nurses, Social Workers, Play Therapists, Psychologists, Psychiatrists 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 8:30 - 10:00 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 AM 10:00 - 11:15 9:30 - 11:00 10:30 - 12:00 9:45 - 12:00 Hem.-Onc. Team Ward Rounds Hem.-Onc. Clinic Ward Rounds Conference 11:00 - 12:00 Brain Tumor Clinic 12:00 Housestaff 12:00 Housestaff 12:00 Housestaff 12:00 Housestaff 12:00 Housestaff Conference Conference Conference Conference Conference Ped. Tumor Board PM 1:00 - 5:00 (3rd Tuesday) 2:00 - 4:30 1:30 - 5:30 Hem.-Onc. Clinic 2:00 - 4:30 Workups, Clinic at CIGNA on Hem.-Onc. Clinic consultations, etc. Alternate Wednesdays ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 270
  12. 12. PE245.01 PEDIATRIC INFECTIOUS DISEASES Advanced Clinical Clerkship Location: CS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Victor Israele, M.D. (310)-855-4471 1. To learn consultation practices in Infectious Disease problems. 2. Management of Pediatric patients with AIDS. SUPPORTING FACULTY: 3. Current areas of research and journal club. Philip Brunell, M.D. 4. Infection control in Pediatrics. STUDENT COORDINATOR: PHONE #: 5. Use of the clinical laboratory. Lisa Payne (310)-855-4780 REPORT TO: Room 4411, North Tower, 8:30. PREREQUISITES: Pediatrics AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 1 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 70% CLOSE CONTACT WITH: 1. Newborn infections OUTPATIENT: 30% X FULL TIME FACULTY 2. AIDS CLINICAL FACULTY 3. Immuno compromised patients CONSULTATION: 100% X FELLOWS 4. Pneumonia PRIMARY CARE: % X RESIDENTS 5. Septicemia X INTERNS 6. Pediatric Outpatient infective diseases X OTHER Social workers, Dietitians, Virology and Microbiology 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 Consultations Clinic Conference Consults Pediatric grand Consults AIDS clinic rounds AM Weekly consult review Microbiology rounds Microbiology rounds Microbiology rounds Microbiology rounds Microbiology rounds 12:15 - 1:00 12:15 - 1:00 12:15 - 1:00 12:15 - 1:00 12:15 - 1:00 Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff Pediatrics Housestaff conference conference conference conference conference PM Multidisciplinary Consults Review consults 1:00 Joint Med-Peds AIDS conference ID conference Review consults ON-CALL SCHEDULE & WEEKEND ACTIVITIES: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 271
  13. 13. PE245.02 PEDIATRIC INFECTIOUS DISEASES Advanced Clinical Clerkship Location: CHS 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) James D. Cherry, M.D. (310)-825-5226 1. Knowledge of the pathogenesis, natural history, differential diagnosis and management of children with acute and chronic infectious disease problems SUPPORTING FACULTY: Yvonne J. Bryson, M.D., Paul Krogstad, M.D. Karen Neilsen, M.D. 2. Interpretation of laboratory studies in the diagnosis of infectious diseases. STUDENT COORDINATOR: PHONE #: 3. Knowledge of doing selected laboratory procedures (gram Ara Yajima (310)-825-4128 stains, skin scrapings, fungal and pneumocystis preparations, tissue culture reading for viral cytopathic effect, and REPORT TO: interpretation of other stain preparations) Pediatric Medical Education Office, 12-335 MDCC, 8:00 AM. 4. Knowledge of the pharmacology of antibiotics PREREQUISITES: None 5. Medical judgement analysis of medical data and synthesis of information AVAILABLE TO EXTERNS: yes 6. Specific knowledge of the management of infectious diseases STUDENTS / PERIOD: max 1 min 1 emergencies such as meningitis, acute epiglottis and septicemia 7. Improved history and physical examination DURATION: 4 weeks 8. Appreciation of the role of the pediatric infectious diseases 1998-99 ELECTIVES BEGIN WEEKS: consultant 1,5,9,13,17,21,25,29,33,37,41,45,49. DESCRIPTON: 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 X RESIDENTS PRIMARY CARE: 0% 5. Antibiotic management for difficult to treat problems X INTERNS 6. Pneumonias 7. The child with frequent infections X OTHER Microbiology lab 8. Tuberculosis and fungal disease personnel 9. HIV-1 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 - 9 Intake Conf. 8 - 9 Intake Conf. 8 - 9 Intake Conf. 8 - 9 Intake Conf. 8 - 9 Grand Rounds 9:30 - 10:15 Ward 9:30 - 10:15 Ward MCIC Clinic Rounds w/ID Fellow 9:30 - 10:15 Ward AM Rounds with ID Fellow 10 - 11 Rounds. Rounds with ID Fellow 10 – 11 Rounds with w/attending 10 - 11 Rounds with 10 - 11 Rounds with attending 11:30 - 12:30 Micro attending 10 - 11 Rounds with attending Lab Rds, Brentwood attending 1:30 - 5:00 Patient 1:30 - 5:00 Patient 1:30 - 5:00 Patient 1:30 - 5:00 Patient 2 - 3 ID Research PM Workups and Care Workups and Care Workups and Care Workups and Care Conference 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 272
  14. 14. PE245.03 PEDIATRIC INFECTIOUS DISEASES Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Joel I. Ward, M.D. (310)-222-2346 1. Evaluation of child and infant with suspected infection 2. Appropriate antibiotic therapy SUPPORTING FACULTY: 3. Recognition and management of infectious disease emergencies J.I. Ward,Chris Mink, K.M. Zangwill 4. Optimal use of clinical microbiology laboratory STUDENT COORDINATOR: PHONE #: 5. Evaluation and management of suspected neonatal and Mary Magee (310)-222-2346 congenital infections. REPORT TO: 6. Evaluation of patient with fever of unknown origin. Mary Magee, Bldg. E-6, Room 102, 8:30 AM. 7. Common viral syndromes. PREREQUISITES: Pediatrics 8. Management of infections in the immunocomprised child. 9. Principles of immunization. AVAILABLE TO EXTERNS: yes 10. Control of hospital infections. STUDENTS / PERIOD: max 3 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: 1,5,9,13,17,21,25,29,33,37,41,45,49. DESCRIPTON: 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: 60 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday 8:30 Consultations 8:15 Journal club (3rd) 8:30 Consultations 8:30 Pediatric grand 8:30 Chief’s rounds 8:30 8:30 Consultations rounds Immunodeficiency 10:00 Infectious AM clinic (2nd) 11:00 Consultations disease clinic (1st & 9:30 Morning report 3rd) daily 12:00 Residents’ ID 1:00 Attending rounds 12:00 Clinical case 1:00 Attending rounds 12:00 Infectious lecture (1st & 3rd) reviews diseases grand rounds 1:30 Med-Pediatric PM 2:00 Attending rounds 1:00 Attending 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. 273
  15. 15. PE245.04 PEDIATRIC INFECTIOUS DISEASES Advanced Clinical Clerkship Location: KDMC 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Stephen Taylor, M.D. (213)-563-5952 (lab) 1. To delineate the epidemiology, pathogenesis, pathophysiology, (310)-668-4870 (ofc) 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, recurrent PREREQUISITES: Core Pediatric Clerkship 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: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: 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 8:30 - 10:00 8:30 - 9:30 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 Clinic Reading and/or new Reading and/or new consults Consults 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: ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 274
  16. 16. PE250.02 COMBINED COMMUNITY ELECTIVE Advanced Clinical Clerkship Location: KDMC 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Betti Jo Warren, M.D. (310)-668-4647 1. To acquire knowledge of the social settings in which common pediatric diseases originate 2. To interact effectively with schools and other agencies which SUPPORTING FACULTY: interface with a pediatric patient and family Drs. Robinson, English, Gains, Dixon 3. To improve skills in eliciting and recording a social history from a patient with a common pediatric outpatient problem STUDENT COORDINATOR: PHONE #: Marilyn Jones (310)-668-4664 4. To work effectively with community workers, social workers, and other members of the health care team REPORT TO: 5. To function effectively in the office setting 5F-27 Main Hospital. 6. To improve the doctor-patient relationship PREREQUISITES: Medicine and Surgery 7. To utilize a home visit to determine the outcomes of a health care visit 8. To improve skills in public health, environmental, and AVAILABLE TO EXTERNS: No preventive medicine STUDENTS / PERIOD: max 1 min 1 9. To function effectively as a member of a mobile, continuous care team DURATION: 4 weeks 10. To acquire skill in assessing status of well child care needs 11. To function effectively as a primary care provider for 1998-99 ELECTIVES BEGIN WEEKS: institutionalized children By Arrangement DESCRIPTON: STUDENT EXPERIENCES COMMON PROBLEMS/DISEASES INPATIENT: 0% CLOSE CONTACT WITH: 1. Adolescent with school problems OUTPATIENT: 100% X FULL TIME FACULTY 2. Adolescent who may be imprisoned X CLINICAL FACULTY 3. Family with multiple child problems CONSULTATION: 0% X FELLOWS 4. Child with developmental delay PRIMARY CARE: 100% X RESIDENTS 5. Child with failure to thrive X INTERNS 6. Child with common problem--chr. otitis media X OTHER Community Workers, Social 7. Adolescent with low self-esteem Workers, etc. 8. Black-related problems APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 40 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 5000 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Health Clinics Health Centers DHO AM SATURDAYS: PIP CLINIC (MLK) UMMA Clinic & Asthma Educational Enrichment Program Cayac Developmental Testing Child Institute R.J. Schlegel Preservation Center PM ON-CALL SCHEDULE & WEEKEND ACTIVITIES: The aforementioned is merely a sample schedule. The format may be changed according to a student’s special interests. Time may be spent in school health, for example. Night & weekend calls are not required. ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: Student must have transportation to make best use of this rotation. Flexible hours will increase the learning experience. To work effectively in the Community, one has to adapt to the hours of the Community. 275
  17. 17. PE250.03 ADOLESCENT HEALTH CARE Advanced Clinical Clerkship Location: HARBOR 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING 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 Graydon Funke, 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 care Paul Shirts (310)-222-2168 teams in diverse settings such as a hospital adolescent clinic, a university, a high school,a runaway home, and a free clinic. REPORT TO: Tony Greenberg, M.D., Harbor-UCLA Medical Center, 1000 W. Carson St., Torrance, Bldg. N-25. PREREQUISITES: Pediatrics and Medicine AVAILABLE TO EXTERNS: yes STUDENTS / PERIOD: max 1 min 1 DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: 5,9,13,23,27,31,35,39. DESCRIPTON: 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 7. Psychophysiologic reaction community 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 Student Health at Student Health at Juvenile Hall Juvenile Hall Student Health at Loyola Marymount Loyola Marymount Loyola Marymount AM University University University School Based Clinic South Bay Free Clinic Adolescent Clinic Los Angeles Free UCLA Adolescent Harbor-UCLA Clinic Clinic PM Medical Center ON-CALL SCHEDULE & WEEKEND ACTIVITIES: 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 start of the elective. 276
  18. 18. PE250.05 COMMUNITY ADOLESCENT MEDICINE Advanced Clinical Clerkship Location: KDMC 1998-99 __________________________________________________________________________________________________________________________________ COURSE CHAIR: PHONE #: LEARNING OBJECTIVES (in order of importance) Michele’ J. Gains, M.D. (310) 668-3850 1. Identify risk behaviors of adolescents 2. Understand normal sexual development and recognize SUPPORTING FACULTY: variations in sexual identity such as transgender, bisexuality, Francine Atterberry, M.D. etc 3. Identify environment factors that influence adolescent behavior STUDENT COORDINATOR: PHONE #: Marilyn Jones (310) 668-4664 4. Identify and/or refer for appropriate management, issues of substance abuse, depression, suicide REPORT TO: 5. Identify and manage sexually transmitted disease Dr. Gaines @ MLK/Drew Med. Ctr. Room 5101 6. Understand preventive health strategies PREREQUISITES: Pediatric clerkship 7. Identify etiology of menstrual irregularity and appropriate management AVAILABLE TO EXTERNS: No 8. Appropriate counsel adolescent with obesity STUDENTS / PERIOD: max 1 - 2 min 1 9. Given a particular health issue, identify problems, resources, psycho-social effects on the adolescent patient and family DURATION: 4 weeks 1998-99 ELECTIVES BEGIN WEEKS: By Arrangement DESCRIPTON: 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: 10% CLOSE CONTACT WITH: 1. Adolescent Care OUTPATIENT: 90% X FULL TIME FACULTY 2. STDs CLINICAL FACULTY 3. Menstrual irregularity CONSULTATION: 30% FELLOWS 4. Depression/Dysthmia PRIMARY CARE: 70% X RESIDENTS 5. Obesity INTERNS 6. Headache OTHER 7. Substance Abuse 8. High Risk Youth APPROXIMATE # OF PATIENTS EVALUATED EACH MONTH/STUDENT: 15 TOTAL # OF PATIENTS EVALUATED EACH MONTH BY ENTIRE SERVICE: 80 TYPICAL WEEKLY SCHEDULE Hour Monday Tuesday Wednesday Thursday Friday Morning Report Grand Rounds Consultation/Self- Clinic Self-Study Study AM Chart Review Consultation/Self- Study Lecture/Didactics Clinic Chart Reivew 12:00 - 5:00 Lecture & Didactic 5:00 - 10:30 p.m. Off Clinic Adolescent Mobile Van PM ON-CALL SCHEDULE & WEEKEND ACTIVITIES: Saturdays 9 am - 2:00 pm - Free Clinic ADDITIONAL COMMENTS AND OTHER SPECIAL REQUIREMENTS: 277

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