|SOM Elective Brochure|
|Electives Type: Clinical|
Pediatric Gastroenterology and Nutrition – at Dell Children's Medical Center of Central Texas in Austin
Successful completion of Year 2
Additional Requirements: Successful completion of Pediatric Clerkship.
|Responsible Faculty Director:
Jeff Zwiener, M.D.
Kathleen Sanders, M.D.
|Location to Report on First Day
Contact Judy Terlik at JETerlik@seton.org or 512-324-7860
NOT including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
|Students in this elective will gain clinical experience in the diagnosis and management of digestive diseases in infants and children.|
|Upon completion of the elective, a student will: 1. Speak the language of pediatric gastroenterology allowing him/her to effectively communicate with colleagues and parents; 2. Know how to obtain a complete history and perform a GI/liver-specific physical examination; 3. Formulate problem lists, differential diagnoses, and establish treatment plans; 4. Know the proper use of medications such as anti-inflammatory drugs, immune suppressants, antacids, pro-motility agents, and antiviral agents. 5. Evaluate and form a management plan for children with common gastrointestinal complaints including chronic abdominal pain, constipation, vomiting, weight loss, hematemesis, rectal bleeding, jaundice, hepatosplenomegaly and abnormal aminotransferase levels. 6. Have an in-depth understanding of certain G. I. disorders including inflammatory bowel disease, celiac disease, cystic fibrosis, gastroesophageal reflux, neonatal cholestasis, and chronic viral hepatitis; 7. Know the constituents of common infant formulas and the rationale for the use of non-standard formulas; 8. Understand the appropriate use of laboratory testing for the evaluation of gastrointestinal disorders in children; 9. Know the indications for and the basic interpretation of gastrointestinal contrast studies and sonography; 10. Know the indications for and the basic interpretation of pH probes; 11. Know the appropriate indications for gastrointestinal endoscopy and liver biopsy while assisting in these procedures.|
|Description of course activities|
|The student will function as the sub-intern on the Pediatric Gastroenterology Service being the preliminary consultant for both the inpatient and outpatient services. The student will obtain histories, perform physical examinations, and obtain laboratory data. He/she will present these data to the attending to formulate the final consultative report. The student will write daily progress notes under the supervision of the attending. He/she will also attend daily outpatient clinic, assuming a supervised role in the evaluation and management of referred patients. The student will be expected to observe and assist with gastroenterological procedures including endoscopy and liver biopsy.|
|Type of students who would benefit from the course|
|Any student interested in pediatrics, internal medicine, family practice, or surgery. Visiting students should submit an application through VSAS: https://services.aamc.org/20/vsas/public/school/instID/174 Select UTMB at Galveston as the host institution and indicate you wish to take PEDU 4046 on the application.|
|Clinical Activities (please insert estimated schedule here)|
|Day of Week||AM||PM|
|Monday||Clinical rounds/consultations||Clinical rounds/consultations|
|Tuesday||Clinical rounds/consultations||Clinical rounds/consultations|
|Wednesday||Clinical rounds/consultations||Clinical rounds/consultations|
|Thursday||Clinical rounds/consultations||Clinical rounds/consultations|
|Friday||Clinical rounds/consultations||Clinical rounds/consultations|
|Average number of patients seen per week: 30-40|
|Call Schedule: None|
|Research Activities (please insert estimated schedule here)|
|Activity||Hours per Week|
|Faculty contact time||
|1. Clinical Observation|
|A.||Where are students observed on this elective?|
Patients simulators Other
|B.||Frequency - How often are students observed clinically?|
|The student will be observed, mentored and monitored daily and with most patient-student interactions by the attending gastroenterologist.|
|C.||Format - What method(s) are used to document the student's clinical performance?|
End of period
|2. Oral Presentation|
|A.||Audience - To whom does the student present?|
|B.||Frequency / duration of presentation(s)?|
|C.||Format - What guidelines are set for the student's presentation?|
|Clinical case presentation|
|D.||Assessment - Who assesses the student's presentation performance?|
|Self-assessment Peer assessment Faculty assessment|
|E.||Method of content selection|
|Current cases Student-selected topic Assigned topic|
|3. Written Assignment (H&P's, notes, papers, abstracts, etc.)|
|A.||Frequency of written assignment(s)?|
|B.||Format - What guidelines are set for the student's written work?|
|Clinical SOAP format|
|C.||Length of written assignment(s)?|
|Abstract Annotated bibliography 1 - 2 page paper 3+ page paper|
|D.||Are recent references required? No If yes, how are they selected?|
|E.||Method of content selection - e.g. student-selected, relate to cases, etc.?|
|F.||Audience - Who assesses the student’s written performance?|
|Peer Assessment Faculty Assessment Other|
essay / short answer
|5. Extra Course Activities|
|What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?|
|6. Other Modes of Evaluation|
|Please explain below.|
|The Attending Physician will evaluate students based upon their commitment, responsibility, attitude, self-motivation, knowledge base, and clinical skill. They will use a standard UTMB evaluation form.|
|7. If this course is an Acting Internship, please complete the following:|
Specify how the student will be given formative feedback on their clinical skills.
List advanced clinical skills that a student will be assured an opportunity to practice.
List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
How will this course help prepare a student enter an internship in this field or a related field?
How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.