SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Pediatric Emergency Medicine Elective - at Dell Children's Medical Center of Central Texas in Austin
Course Number
Prerequisites: Successful completion of Year 3 
      Additional Requirements:
To enroll, submit a C-Form to Judy Terlik at for approval.
Responsible Faculty Director:
Timothy Ruttan, MD
Other Faculty:
Location to Report on First Day
Contact: Judy Terlik at or 512-324-7960
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 For the student to develop practical skills in the efficient and accurate diagnosis and management of children with a wide range of urgent and emergent problems.

 The student will learn techniques of suturing, cast and splint application, x-ray diagnosis and clinical lab assessment, in addition to diagnosis and management skills.

Description of course activities
 This is a very active rotation. The Children's Emergency Center has over 76,000 patient visits per year. This is the only children's emergency department available in Central Texas, and one of only 3 level 1 pediatric trauma centers in the state. The student will work approximately 32 hours per week with a full-time attending physician staffing the patients with them. To the extent of the student's demonstrated ability, they will be an active participant in the assessment, planning of management, and the treatment of trauma, acute medical emergencies, and minor medical/surgical, drop-in patients.

Type of students who would benefit from the course
 Students who plan a career in Emergency Medicine, Pediatrics or Family Medicine. 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-4033 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Tuesday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Wednesday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Thursday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Friday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Saturday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Sunday assigned 12 10-hour shifts assigned 12 10-hour shifts
  Average number of patients seen per week: 25-30; *shifts vary  
  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?
  B. Frequency / duration of presentation(s)?
  C. Format - What guidelines are set for the student's presentation?
    Clinical case presentations
  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?
    Patient care notes
  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)?
    Attendance at weekly Wednesday lecture series which includes cored didactics, radiology and simulation.

6.  Other Modes of Evaluation
  Please explain below.
    Observation by faculty and completion of UTMBís elective 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.