SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship in Pediatrics-Inpatient-Dell Children's Medical Center of Central Texas in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Inpatient pediatric experience is preferred but not required. See additional information below.
Responsible Faculty Director:
Valli Annamalai, M.D.
Other Faculty:
Valli Annamalai, M.D.
Location to Report on First Day
Tricia McElligott, or 512-324-7860
Periods Offered
including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 The student will develop skills in the care of hospitalized children and will learn an approach to the management of complex illnesses. The key concept to this elective is that the student will be facing many of the same challenges as an intern.

 At the completion of this course the student should: 1. Feel comfortable obtaining a complete history and a physical examination on a pediatric patient. 2. Formulate a problem list and a pertinent differential diagnosis and develop a therapeutic plan for common pediatric problems. 3. Establish priorities in formulating plans. 4. Identify rationale for diagnoses and plans. 5. Utilize appropriately a consultantís opinion. 6. Be able to admit and enter orders on new patients. 7. Be comfortable with patient presentations during family-centered rounds.

Description of course activities
 The student will have the opportunity to function as a pediatric intern on the inpatient service at Dell Childrenís Medical Center of Central Texas. He/she will be assigned to a team consisting of an attending, a senior resident, two junior residents, and third year medical students. The student will be assigned patients for whose care he/she will be responsible. The student will round with their inpatient team daily and attend morning reports and noon conferences. The student will have the opportunity to interact with the attendings, subspecialists, and other members of the healthcare team.

Type of students who would benefit from the course
 Students interested in a residency in Pediatrics or Family Medicine, or other fields that involve caring for children. To enroll, UTMB students should submit a C-form and a letter of intent to Tricia McElligott via e-mail at or fax at 512-324-7988 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 4034 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Morning conference/Ward rounds Patient care/conferences
  Tuesday Morning conference/Ward rounds Patient care/conferences
  Wednesday Morning conference/Ward rounds Patient care/conferences
  Thursday Morning conference/Ward rounds Patient care/conferences
  Friday Morning conference/Ward rounds Patient care/conferences
  Average number of patients seen per week: 10-15  
  Call Schedule:   3 wks Mon ĖFri 6A-6P; 1 wk Sun-Fri nights 6P-6A  

  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?
    Daily rounds
  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 physician
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical 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?
    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.?
    Case presentations, senior-resident selected cases
  F. Audience - Who assesses the studentís 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)?
    Participation in team case presentation at morning conference

6.  Other Modes of Evaluation
  Please explain below.
    Students will be evaluated by the Pediatric Attending Physician.
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.