PD513M.J

Pediatric Oncology

Sites: CHMC, DFCI
Director(s): Katie Greenzang, Alan Leichtner
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MULTI - Multi-site (J)
Open to Exclerks: Yes (may be restricted for international students)
Description: Students each function as a member of the oncology consult team at Children´┐Żs Hospital Boston and the Dana Farber Cancer Institute. The team consists of an attending physician, a fellow, and a nurse practitioner. The team consults on patients with new or suspected malignancy on the inpatient medical and surgical services as well as on patients referred to the outpatient clinic at DFCI for evaluation of new or suspected cancer. In addition, the team follows previously diagnosed pediatric cancer patients admitted to the surgical services or in the intensive care units at CHB. Students are assigned patients and follow them with the team. They also present a short didactic session at the end of the month on a topic of their choice to the team.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Evidence Based Medicine: Diagnostic techniques, pathology work up, and treatment plans are based on review of the literature and results of clinical trials. Pediatric oncology has a long tradition of clinical trials, and many of our patients are offered such trials. Students will learn the background of the trials and be able to explain this to the families. If a trial is not available or if the family decides not to participate, the student will participate in the literature review to decide on the proper treatment plan. Our plans are written out in detail, and a written consent form is constructed whether or not a research protocol is used, providing excellent opportunities for leaning. Basic science and molecular medicine: In the course of diagnosis of many childhood malignancies, molecular diagnostics are extremely important for differentiating between tumor types. There has been an explosion of understanding of carcinogenesis, and this understanding is rapidly coming to the bedside in pediatric oncology. The molecular basis of each tumor is discussed along with possible ways to utilize that understanding in treatment of the malignancy.
Grade Criteria:
Honors with Distinction: This student performs far better than expected with regards to the ability to take a patient history, do a physical examination, and work with the larger team to care for pediatric oncology patients. This student is able to contribute to patients and the team more as an intern or resident than as a more typical medical student. This student appears to far exceed the basic thresholds for competence in key areas such as patient care, medical knowledge, interpersonal and communication skills, and professionalism. This student excels in several areas relevant to pediatric oncology such as (but not limited to)the ability to establish rapport with patients and families, the ability to reassure and lead patients and families in crisis, the ability to take initiative to improve the overall function of the larger team, or the ability to use the medical literature to improve patient care. Honors: This student performs better than expected with regards to the ability to take a patient history, do a physical examination, and work with the larger team to care for pediatric oncology patients. This student appears to exceed the basic thresholds for competence in key areas such as patient care, medical knowledge, interpersonal and communication skills, and professionalism. This student excels in some areas relevant to pediatric oncology such as (but not limited to)the ability to establish rapport with patients and families, the ability to reassure and lead patients and families in crisis, the ability to take initiative to improve the overall function of the larger team, or the ability to use the medical literature to improve patient care. Satisfactory: This student performs as expected with regards to the ability to take a patient history, do a physical examination, and work with the larger team to care for pediatric oncology patients. This student appears to meet the basic thresholds for competence in key areas such as patient care, medical knowledge, interpersonal and communication skills, and professionalism. Unsatisfactory: This student performs below what is expected with regards to the ability to take a patient history, do a physical examination, and/or work with the larger team to care for pediatric oncology patients. This student appears to fall below at least one of the basic thresholds for competence in key areas such as patient care, medical knowledge, interpersonal and communication skills, and professionalism.