PD504M.7a

Pediatric Cardiovascular Disease

Sites: CHMC
Director(s): Alan Leichtner, Mary Mullen
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month. Closed to international students May-October
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: Yes (may be restricted for international students)
Description: The Pediatric Cardiolovascular Disease clerkship at Boston Children´┐Żs Hospital is an advanced, sub-internship level clerkship designed to give students a flavor of the depth and breadth of diseases encountered in pediatric cardiology, an opportunity to participate in patient management, and exposure to the various subspecialties within cardiology. Students spend dedicated time on the Inpatient Cardiology service as well as the Cardiology Consult service, and are given the opportunity to observe rounds in the Cardiac Intensive Care Unit, select outpatient clinics, cases in the catheterization and electrophysiology laboratories, and in the cardiac operating theater. In addition, they are encouraged to attend a range of lectures and conferences available through the Departments of Medicine and of Cardiology, including a month-long series of daily lecture on a broad range of topics in congenital heart disease, many of which include the application of current research and state-of-the-art science as it guides current clinical management. Prior to their arrival, students are expected to have a basic understanding of pediatrics and experience in patient/parent interviews, physical examination, generation of differential diagnoses, and oral presentation and documentation of patient histories and progress notes. Evaluations at the rotation end will be commensurate with clinical performance and the successful student will function at the level of an intern, taking ownership of their patients, demonstrating the desire and ability to supplement clinical experience with self-directed learning throughout the month, and integrating well with all members of the care team. As this is an advanced level rotation, fluency in English is an absolute must and prior experience in US-type medical systems encouraged.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science content and evidence-based medicine is incorporated at multiple levels of the rotation, including content in the daily lecture series (as an example, one lecture includes current management of pulmonary hypertension as informed by the results of recent molecular advances and the latest results of therapeutic trials), as well as the inclusion of basic science and evidence-based medicine in teaching rounds, divisional conferences, and so forth.
Grade Criteria:
Honors with Distinction: Exceptional performance in the many clinical arenas as part of the rotation. This would include evidence of exceptional fund-of-knowledge, exceptional ability to take a pediatric congenital disease history, perform a physical exam, interpret test results and formulate management plans for patients. Exceptional interpersonal skills in relating to patients and families and other members of the medical care team. Honors: Consistently above average ability to take a pediatric congenital disease history, perform a physical exam, interpret test results and formulate management plans for patients. Above average presentations on rounds. Performing beyond the level expected for a fourth year medical student. Satisfactory: Good attendance at the required clinical venues of the rotation including lectures, rounds, and divisional conferences. Average ability to take a pediatric congenital disease history, perform a physical exam, interpret test results and formulate management plans for patients. Average presentations on rounds. Unsatisfactory: Poor attendance at required lectures, ward rounds, and consult service rounds. Inadequate performance on taking pediatric congenital disease history, performing a physical exam, interpreting test results and formulating management plans for patients. Poor presentations on rounds. Poor interpersonal skills in relating to patients and families and other members of the medical care team.