SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Acting Internship in Pediatrics-Pediatric Intensive Care Unit at Dell Children's Medical Center of Central Texas in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Pediatric Clerkship Rotation
Responsible Faculty Director:
Alexandra Wilson, MD
Other Faculty:
Location to Report on First Day
Tricia McElligott, or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 The student will, through participation as an acting intern, develop skills in the assessment, stabilization, diagnosis and management of critically ill infants and children.

 Under the supervision of a pediatric intensivist the acting intern should accomplish the following objectives. 1. The student will be able to perform a physical examination on a critically ill infant or child and identify problems quickly and accurately. 2. The student will, under the supervision of an intensivist, devise an appropriate management plan for a critically ill infant or child. 3. The student will, under the supervision of an intensivist, develop the ability to perform the following procedures: Start a peripheral IV, Lumbar puncture, Endotracheal intubation, Venous puncture, Arterial puncture, Urethral catheterization, Nasogastric tube placement, Bag-valve mask airway management. The student will keep a log of procedures and present it to Dr. Wilson at the end of the rotation. 4. The student will take patients in rotation with the other residents and is responsible for the patientsí hospital stay, including the admission physical examination and orders, daily notes, transfer and discharge summary. 5. The student will, under supervision of the intensivists, learn basic mechanical ventilator management and administration of routine respiratory medications.

Description of course activities
 Please refer to the "Objectives" section.

Type of students who would benefit from the course
 To enroll, UTMB students should submit a C-form 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 4037 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 7:00 7:00
  Tuesday 7:00 7:00
  Wednesday 7:00 7:00
  Thursday 7:00 7:00
  Friday 7:00 7:00
  Average number of patients seen per week: 10-18  
  Call Schedule:   Two Friday night calls, two Saturday 24-hour calls (day/night)  

  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 and residents
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical presentation format - See resident guide to the PICU for 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)?
    Daily H&P
  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 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)?

6.  Other Modes of Evaluation
  Please explain below.
    The student will be evaluated by the attending pediatric intensivist on the following criteria: 1. Attitude 2. Willingness to work and seek knowledge 3. Responsibility 4. Working relationships with personnel, patients and other physicians 5. Thoroughness 6. Dedication to learning and ability to apply knowledge 7. Achievement of stated performance objectives of the rotation.
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.