PD529M.7

Pediatric Emergency Medicine

Sites: CHMC
Director(s): Alan Leichtner, Debra Weiner
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 student will learn to care for children with a wide variety of illnesses and injuries and will gain an appreciation of aspects of pediatric primary and tertiary care practice unique to the emergency setting. Students, under the direct supervision of pediatric emergency medicine attendings, will assume primary responsibility for emergency department patients with medical, surgical and trauma related conditions. The student will be responsible for the initial assessment, history and physical examination of patients and for generating differential diagnoses, treatment and follow- up plans. In addition the student will perform skills such as venipuncture, urine catheterization, lumbar puncture, incision and drainage, splinting and suturing. Students will attend daily teaching sessions, conferences, case presentations, workshops and mock codes given by faculty in the Division of Pediatric Emergency Medicine at Children's Hospital and the Division of Emergency Medicine at Harvard Medical School. Achievement of a High Honors grade in this elective will require the production of a scholarly work by the student. This may include, but is not limited to the following: � A written, evidence-based literature review and assessment of a clinical problem � A publishable case report and discussion � A presentable scholarly educational offering This work is a minimum requirement for consideration of the High Honors grade, but does not ensure a High Honors grade for this elective. This requirement for eligibility for High Honors applies to all EM and PEM clerkships offered through HMS.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science content and evidence based medicine are integrated into course at the bedside and in the classroom by supervising faculty and easily accessible computerized resources including content generated and collected for the clerkship by the clerkship director.
Grade Criteria:
Honors with Distinction: The Honors with Distinction grade will be awarded to students who are deemed to be clinically outstanding, have an exceptional fund of knowledge, and demonstrate superior interpersonal and communication skills and professionalism, as well as a commitment to practice-based learning. It is anticipated that approximately one-third of students will achieve the Honors with Distinction grade. In addition, consideration for a Honors with Distinction grade will require the production of a scholarly work by the student. This may include, but is not limited to the following: � A written, evidence-based literature review and assessment of a clinical problem � A publishable case report and discussion � A presentable scholarly educational offering This work is a minimum requirement for consideration of the Honors with Distinction grade, but does not ensure a Honors with Distinction grade for this elective. This requirement for eligibility for Honors with Distinction applies to all EM and Pediatric EM clerkships offered through HMS, and must be submitted in electronic format (preferably Microsoft Word) on or before the last Friday of the clerkship. Honors: The majority of students are expected to achieve the Honors grade. To do so, a student must demonstrate sound medical knowledge and its application in the clinical setting; compassionate, appropriate and effective patient care; professionalism; an affinity for practice-based learning and improvement; and effective interpersonal and communication skills. An Honors student performs thorough and efficient histories and physical exams, delivers succinct yet complete patient presentations, generates appropriate differential diagnoses and management plans, reliably carries through on care plans, communicates effectively with the healthcare team and patients, and independently engages in practice-based learning. Satisfactory: Examples of performance meriting a Satisfactory grade include: performing histories and physical exams that are in general complete but occasionally miss relevant details, exhibiting a passable depth of medical knowledge, delivering verbal presentations that convey relevant material but that are sometimes rambling or disjointed, demonstrating an immature ability to formulate a differential diagnosis or follow through on a plan of care, employing adequate communication skills, demonstrating a modest interest in practice-based learning and improvement. Unsatisfactory: Examples of performance meriting an Unsatisfactory grade includes, but is not limited to: performing histories and physical exams that miss important details or require excessive time to complete, delivering patient presentations that do not focus on the clinical situation at hand or that lack relevant information, demonstrating an inability to generate appropriate differential diagnoses or carry out patient plans, exhibiting superficial medical knowledge without a demonstrated interest to develop a deeper knowledge base, utilizing ineffective communication skills, engaging in unprofessional or dishonest behavior, failing to show up for lectures.