Pediatric Plastic and Oral surgery

Director(s): Ingrid Ganske, 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: Yes (may be restricted for international students)
Description: The advanced clinical elective in Pediatric Plastic and Oral surgery at Boston Children’s Hospital provides clinical exposure to the multi-faceted field of pediatric craniofacial and reconstructive surgery. The student will be exposed to peri-operative and surgical management of a wide variety of anomalies that affect the pediatric population such as cleft lip and palate, craniosynostosis, vascular anomalies, and upper limb congenital defects. During this four-week rotation, the student will work under the mentorship of the Course Director, 4 residents and 11 other faculty members and participate as a member of the service. Student activities include patient evaluation, assisting in the operating room, teaching conferences and rounds. The educational material and programs involved will include three formal one hour lectures and conferences on Monday, Wednesday, and Friday which are currently part of the resident program. The student will attain greater understanding of the principles of plastic surgery as they apply to the pediatric age group, gaining an understanding of the pathogenesis as well as surgical approaches to a wide array of disorders, as well as the postoperative care, family interaction and follow-up that is unique to the care of pediatric patients.
Incorporation of Basic Science Content and Evidence-Based Medicine:
At the outset of the rotation, each student will be provided a syllabus containing references and articles authored primarily by the faculty on clinical and basic scientific articles germane to pediatric plastic surgery. By participating in the multi-disciplinary craniofacial and vascular anomalies clinic, the student will gain insight into the genetic basis and genotype-phenotype correlations in these rare patient populations. These unusual cases will provide insight into the fundamental principles of craniofacial embryology and vascular biology. At each of the 3 one-hour conferences per week that the student will attend, basic scientific articles as well as clinical articles on a variety of topics will be presented and discussed. The evidence-based rationale behind the clinical management of common pediatric problems will be presented to the student as part of the treatment team in the emergency room and operating room.
Grade Criteria:
Honors with Distinction: The student was able to contribute knowledge in operative cases and in the end-of-rotation presentation, as well as demonstrated a substantial amount of effort during the rotation. Honors: The student obtained core of knowledge of pediatric plastic and oral surgery and presented clearly on a topic, but did not provide a personal contribution to cases and topics discussed. Satisfactory: The student was merely an observer and did not demonstrate extensive thought and/or effort, the presentation involved only basic insight and detail. Unsatisfactory: The student was unable to grasp the topics and cases presented and the presentation was hastily and carelessly constructed.