PD520M.3

Pediatric Intensive Care

Sites: MGH
Director(s): Alberto Puig, Phoebe Yager
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: Students will rotate as team members in the Pediatric Intensive Care Unit at Massachusetts General Hospital. The Team consists of an attending, a fellow, and 3-4 residents in pediatrics and emergency medicine. Students will admit patients into the pediatric intensive care unit with the help of a resident or fellow. Students will round on their patients daily, participate in their daily care, including arranging consults, studies and procedures, and expect to present them in morning rounds. A full admission note as well as daily progress notes for the medical record is expected for each patient followed by the student. The attending physician will supervise the student�s work on a daily basis and provide ongoing feedback on the student�s performance. Students will participate in daily lectures on pediatric intensive care topics as well as mock codes to expand the students� knowledge base of critical illness. The opportunity to attend daily pediatric conferences and weekly Grand Rounds presentations is also available.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Daily rounds incorporate a vast degree of basic science teaching and evidence based medicine as it applies to the critically ill child. Applications of basic science and physiology will become a daily practice. Further reinforcement of basic scientific concepts and literature based review of practice is incorporated into daily lecture schedule in a formal curriculum as well.
Grade Criteria:
Honors with Distinction: Student performs exceptionally well considering level of training and demonstrates exceptional ability to gather history, perform physical exam, and assess patient illness. Student is proactive and assumes leadership in the care of patients, as well as management plans and decisions. Participates in daily lectures. Professional performance with staff and among families. Honors: Student exceeds expected level of performance based on level of training. Demonstrates ability to gather history, perform physical exam, and assess patient illness. Actively participates in the care of patients, as well as management plans and decisions. Participates in daily lectures. Professional performance with staff and among families. Satisfactory: Student performs at accepted training level ability and demonstrates ability to gather history, perform physical exam and assess patient illness. Participates in care of patients, as well as management plans and decisions. Participates in daily lectures. Professional performance with staff and among families. Unsatisfactory: Student does not demonstrate ability to gather history or perform exam in children and is unable to assess patient at appropriate training level. Does not participate in daily rounds or patient care. Does not participate in daily lectures. Unprofessional behavior with families or staff.