PEDU-4046 SOM Elective

Electives Type:  Clinical

Elective Title
Pediatric Gastroenterology and Nutrition – 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.
Responsible Faculty Director:
Jeff Zwiener, M.D.
Other Faculty:
Kathleen Sanders, M.D.
Location to Report on First Day
Contact Judy Terlik at or 512-324-7860
Periods Offered
NOT including Period 12 (June), NOT including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 Students in this elective will gain clinical experience in the diagnosis and management of digestive diseases in infants and children.

 Upon completion of the elective, a student will: 1. Speak the language of pediatric gastroenterology allowing him/her to effectively communicate with colleagues and parents; 2. Know how to obtain a complete history and perform a GI/liver-specific physical examination; 3. Formulate problem lists, differential diagnoses, and establish treatment plans; 4. Know the proper use of medications such as anti-inflammatory drugs, immune suppressants, antacids, pro-motility agents, and antiviral agents. 5. Evaluate and form a management plan for children with common gastrointestinal complaints including chronic abdominal pain, constipation, vomiting, weight loss, hematemesis, rectal bleeding, jaundice, hepatosplenomegaly and abnormal aminotransferase levels. 6. Have an in-depth understanding of certain G. I. disorders including inflammatory bowel disease, celiac disease, cystic fibrosis, gastroesophageal reflux, neonatal cholestasis, and chronic viral hepatitis; 7. Know the constituents of common infant formulas and the rationale for the use of non-standard formulas; 8. Understand the appropriate use of laboratory testing for the evaluation of gastrointestinal disorders in children; 9. Know the indications for and the basic interpretation of gastrointestinal contrast studies and sonography; 10. Know the indications for and the basic interpretation of pH probes; 11. Know the appropriate indications for gastrointestinal endoscopy and liver biopsy while assisting in these procedures.

Description of course activities
 The student will function as the sub-intern on the Pediatric Gastroenterology Service being the preliminary consultant for both the inpatient and outpatient services. The student will obtain histories, perform physical examinations, and obtain laboratory data. He/she will present these data to the attending to formulate the final consultative report. The student will write daily progress notes under the supervision of the attending. He/she will also attend daily outpatient clinic, assuming a supervised role in the evaluation and management of referred patients. The student will be expected to observe and assist with gastroenterological procedures including endoscopy and liver biopsy.

Type of students who would benefit from the course
 Any student interested in pediatrics, internal medicine, family practice, or surgery. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take PEDU 4046 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday Clinical rounds/consultations Clinical rounds/consultations
  Tuesday Clinical rounds/consultations Clinical rounds/consultations
  Wednesday Clinical rounds/consultations Clinical rounds/consultations
  Thursday Clinical rounds/consultations Clinical rounds/consultations
  Friday Clinical rounds/consultations Clinical rounds/consultations
  Average number of patients seen per week: 30-40  
  Call Schedule:   None  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?
    The student will be observed, mentored and monitored daily and with most patient-student interactions by the attending gastroenterologist.
  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 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?
    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 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)?

6.  Other Modes of Evaluation
  Please explain below.
    The Attending Physician will evaluate students based upon their commitment, responsibility, attitude, self-motivation, knowledge base, and clinical skill. They will use a standard UTMB evaluation form.