PD528M.3

Primary Care Pediatrics in a Neighborhood Health Center

Sites: MGH
Director(s): Wanda Gonzalez, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered June, July, August.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: No (HMS only)
Description: Students may add themselves to the waiting list for this course during add/drop periods but not during lottery periods. Written permission must be obtained from the Course Director 4 months prior to registering for this clerkship. Spanish proficiency is preferred. Please contact Dr. Wanda Gonzalez, wigonzalez@partners.org, for approval to enroll. The course offers students the opportunity to explore community medicine at MGH Chelsea Healthcare Center. Chelsea is an small city with a high percentage of immigrants and low income households. Approximately half their time will be spent directly seeing patients in an outpatient setting under the supervision of the pediatric providers at the Health Center. They will learn how to evaluate and treat children in an outpatient setting. Students may attend pertinent conferences at the Health Center or at MGH. The rest of their time will be spent working with the various community programs and services at the health center, including, but not limited to Speech and Language, Nutrition, Refugee Program, the Student Health Center at the local high school and programs aimed at curbing the impact of Domestic Violence on our patients. Although no call is required, students may be scheduled for evening clinics. Completion of a community health project is a requirement of the course. The ultimate goal is to provide students with an understanding of a community pediatrician's role in coordinating care, including any special medical, education and social services as needed.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Students will evaluate and treat patients in an outpatient setting using the current guidelines and recommendations in pediatrics. They will be encouraged to practive Evidence-Based Medicine.
Grade Criteria:
Honors with Distinction: Student performs exceptionally considering level of training and demonstrates outstanding ability to take a history and evaluate patients, developing a plan for patient care. Shows great initiative in following up with their patients. Level of professional performance with staff and families exceeds expectations. In developing a community project, the student shows great insight into the problems of the community and demonstrates a tremendous amount of initiative into developing a creative solution. The final product has the potential for great and longlasting impact on our patients. Honors: Student performs above accepted training level ability and demonstrates above average ability to take a history and evaluate patients, developing a plan for patient care. Shows initiative in following up with their patients. Level of professional performance with staff and families exceeds expectations. In developing a community project, the student shows some insight into the problems of the community and develops a final product that has the potential for longlasting impact on our patients. Satisfactory: Student performs at expected for level of training in their ability to take a history and evaluate patients, developing a plan for patient care. Interacts with staff and families in a professional manner. The student develops a community project that may be useful in the care of our patients. Unsatisfactory: A student who fails to come to appointed sessions as previously determined, who fails to complete a final project, or whose project demonstrates little effort, a student who has less than satisfactory clinical work.