SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Pediatrics Hematology/Oncology – at Dell Children's Medical Center of Central Texas in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
c form required and should be sent to Judy Terlik at
Responsible Faculty Director:
Donald Wells M.D.
Other Faculty:
Location to Report on First Day
Contact Judy Terlik at or 512-324-7860
Periods Offered
including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 The student will be exposed to the diagnosis and management of malignant diseases and benign hematologic disorders, and develop an appreciation for the diverse nature of common oncologic and hematologic problems in children.

 1. Demonstrate the ability to perform a relevant clinical history in children with known or suspected malignat and hematologic disorders, and improve physical examination skills. 2. Demonstrate knowledge about etiology, pathophysiology, natural history, evaluation, and management of common pediatric malignant and hematologic disorders. Use this knowledge to develop an appropriate differential diagnosis for various presentations of common hematologic or malignant disorders. 3. Understand long term impact of various therapeutic modalities including surgery, chemotherapy, immunotherapy, radiation therapy, and stem cell transplant. 4. Learn to use scientific evidence to guide and improve patient care practices. 5. Develop comfort interpreting common laboratory hematology studies and peripheral blood smears. 6. Learn to work with and appreciate the multidisciplinary team which is required to provide care for a chronically ill child. 7. Develop an appreciation for the ethical problems that may occur in the practice of medicine.

Description of course activities
 Patient care will be delivered in both inpatient and outpatient setting. There may or may not be residents assigned to the service during any rotation.

Type of students who would benefit from the course
 This course is particularly valuable for students interested in Pediatrics, Internal Medicine, Family Medicine, Hematology-Oncology, and Pathology. To enroll, UTMB students should submit a C-form to Judy Terlik at for approval. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PEDU 4049 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Clinic/consultations Clinic/consultations
  Tuesday Clinic/consultations Clinic/consultations
  Wednesday Clinic/consultations Clinic/consultations
  Thursday Clinic/consultations Clinic/consultations
  Friday Clinic/consultations Clinic/consultations
  Average number of patients seen per week: 10-20  
  Call Schedule:   None  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty; +/- residents
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical case presentation format
  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?
    Follow electronic clinic note template, or SOAP
  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

4.  Examination
    Oral   Written multiple choice   Written essay / short answer   OSCE

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)?
    1. Pediatric Cancer Conference (Tumor Board) – Every Wednesday morning at 7:30 am in the surgical conference room (near procedure rooms). Attendance required. 2. Neuro-oncology Tumor Board – 4N conference room every other Friday morning at 7:30. Attendance optional. 3. Review of relevant articles/slide sets available through the course director.

6.  Other Modes of Evaluation
  Please explain below.
    Faculty will complete the standard UTMB evaluation form.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. 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.