Clinical Pediatric Hematology

Sites: CHMC
Director(s): Matthew Heeney, Alan Leichtner
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: US/Canadian
Description: The course will develop awareness and experience of non-malignant clinical hematology of infants, children and adolescents. The format is a clinical consult service. Students with closely with the hematology fellow and attending in the inpatient setting, and they see ambulatory patients with hematology attendings. He/She will observe the full range of clinical pediatric hematology and meet daily with the senior hematologist in charge. Each student will deliver a series of brief reports during the weekly hematology rounds relating either to patients seen during the week, or to advances in the current literature.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Hematology offers a mix of disorders for which high-grade evidence from clinical trials may be available for adults, but not for pediatric patients. Many of the genetic disorders of pediatric hematology are the paradigms for science-based assessments (thalassemia, sickle cell disease, hemophilia). At Friday AM rounds, students will give one formal presentation during their four weeks, presenting a recent paper from the literature to an experienced and expert faculty. Opportunities for scientific side projects (sequencing candidate genes for rare disorders encountered in clinic) are also available. Please see aim 3.
Grade Criteria:
Honors with Distinction: A level of performance across all areas of assessment (see above) surpassing that of a typical Harvard Medical School fourth year student; OR honors performance in most areas plus special distinction in one or more area, for example care of particularly complicated patient(s) or top-tier presentation at our weekly Friday conferences. Honors: Excellent performance across most or all areas described in the evaluation plan. Most HMS students who have taken this rotation over the past 15 years have been of very high caliber, and grades of at least Honors are common. Satisfactory: Adequate performance across most or all areas mentioned in the evaluation plan. Unsatisfactory: Poor (and unexcused) attendance; lack of follow-through for data collection and assessment; missing or sub-standard notes.