PD520M.7

Pediatric Intensive Care

Sites: CHMC
Director(s): Jennifer Blumenthal, Dennis Daniel, 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: No (HMS only)
Description: The pediatric critical-care rotation in the Medical/Surgical Intensive Care Unit (MSICU) at Children's Hospital Boston is designed to teach students to recognize, prevent and/or treat critical illness in children. Staff, at all levels, emphasize a systematic approach to multiorgan failure assessment and support, while simultaneously addressing the family needs at the time of crisis. Students will be integrated into the care team as part of a 29-bed multidisciplinary pediatric intensive care unit. Opportunities as the principle provider with supervision from critical care staff, fellows and residents will include care of the child with cardiorespiratory failure, neurologic insults, metabolic derangements, surgical emergencies, and other unique physiologic crises. Student will also participate in the critical-care simulator suite located in the MSICU. Here the students will gain hands on skills in airway management, the fibrillation, chest tube placement, and EKG with interpretation emphasizing the pediatric advance life support guidelines. In addition, students will participate in conferences as well as other patient related activities throughout the unit.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Evidence-based medicine and application basic science/physiology are an integral part of the daily core-conference series as well bed-side teaching. A robust curriculum has been developed to address a range of topics in pediatric critical care, ranging from neurologic resiscitation, acute respiratroy distress syndrome, sepsis, and other topics.
Grade Criteria:
Honors with Distinction:
*We utilize a Likert scale of (lowest)1-9(highest)for overall performance and for each course objective as well as integrating qualitative comments from attendings, fellows, and residents. For those who consistently score 8-9 and have supporting comment, Honors with Distinction is given as a grade.
Honors:
*We utilize a Likert scale of (lowest)1-9(highest)for overall performance and for each course objective as well as integrating qualitative comments from attendings, fellows, and residents. For those who consistently score 6-7 and have supporting comment, Honors is given as a grade.
Satisfactory:
*We utilize a Likert scale of (lowest)1-9(highest)for overall performance and for each course objective as well as integrating qualitative comments from attendings, fellows, and residents. For those who consistently score 4-5 and have supporting comment, Satisfactory is given as a grade.
Unsatisfactory:
*We utilize a Likert scale of (lowest)1-9(highest)for overall performance and for each course objective as well as integrating qualitative comments from attendings, fellows, and residents. For those who consistently score <3 and have supporting comment, Unsatisfactory is given as a grade.