SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Pediatric Rheumatology in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of Pediatric Clerkship.
Responsible Faculty Director:
Ruy Carrasco MD
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

 Student will become familiar with common rheumatic conditions. Student will then be able to take initial intake history, evaluation and management of common rheumatologic conditions and conditions which may mimic rheumatologic conditions (i.e. infections, malignancies, overuse syndromes).

 1. The student shall conduct a musculoskeletal intake history and perform a thorough musculoskeletal exam 2. The student shall describe the pathophysiology of common rheumatologic disorders and the respective immunologic reactions/processes. 3. The student shall explain the indications for ordering laboratory studies and/or radiographic studies in the evaluation of suspected rheumatologic disorders. 4. The student shall counsel patients and families about the administration and adverse/side effects of commonly used pediatric rheumatologic medication 5. The student shall provide appropriate expectant guidance to patients with pediatric rheumatologic disorders and their families.

Description of course activities
 Students will perform history and physical exams on rheumatology patients, primarily in the outpatient setting. Students shall perform history, physical exams and management plans on inpatient consults (usually 1 per week). They will follow inpatients and will be responsible for data collection, performing follow-up histories and physical exams and developing a working management. Students will be asked to read top articles of pediatric rheumatology (to be provided at start of clerkship). Students may be asked to prepare case presentations and relevant literature reviews (15 minute presentation). Students will be required to attend Pediatric Grand Rounds from 730-830AM Friday mornings.

Type of students who would benefit from the course
 Highly motivated student with interest in pediatrics, rheumatology and complex cases. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PEDU-4059 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8:30-noon clinic 2:30-3:30 clinic, consults
  Tuesday 8:30-noonclinic Self-Directed Study
  Wednesday 8:30 - 11:30 1:00-4:00
  Thursday 8:30-noon clinic
  Friday 8:30-12:30 Self-Directed Study
  Saturday n/a n/a
  Sunday n/a n/a
  Average number of patients seen per week: 50  
  Call Schedule:   n/a  

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

  Self-directed study

See Below

  Data collection/analysis

  Other Students will have 2 half-days per week of self-study to review articles and content specifications given the first day of the clerkship.

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?
    Current cases will be discussed and presented in front of attending.
  B. Frequency / duration of presentation(s)?
    One presentation at the end of the month, 15 minutes in length.
  C. Format - What guidelines are set for the student's presentation?
    Powerpoint or handout 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?
  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)?
    Pediatric Grand Rounds on Fridays, pediatric lectures 12-1pm

6.  Other Modes of Evaluation
  Please explain below.
    1. Mini-CEX. 2.
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.