IU School of Medicine Student Portal

Elective Title: 93KI880 — PEDIATRIC WARD

Description:

This elective rotation is designed to provide additional exposure to inpatient pediatrics for students that have completed their pediatric clerkship rotation. Students are assigned to inpatient Pediatric teams that care for patients in a general or sub-specialty ward setting. These teams include Pediatric Hospital Medicine, Pediatric Hematology/Oncology, Pediatric Pulmonology, Pediatric Gastroenterology, Pediatric Cardiology, or Complex Care Pediatrics. Students can indicate their preference however assignment to a specific service is not guaranteed. Students are given primary patient care responsibilities with a closely guided experience in clinical decision-making of diagnostic and therapeutic management of typical medical conditions related to pediatrics. Close supervision is provided by the team's attending physician and resident where applicable. The primary method of teaching is active participation in patient care activities with daily teaching attending rounds. Daily conferences and morning reports will provide complementary educational venues. Weekly schedule will mirror that of the assigned inpatient team (40 - 45 hours/week). As this course is elective there are no specific on call requirements. Students will participate in scheduled resident morning report and noon conferences.

---

Learning Objectives

• 1) Independently collect both focused and comprehensive, developmentally appropriate patient histories (PC1)
• 2) Independently perform both focused and comprehensive, developmentally appropriate physical examinations (PC1)
• 3) Synthesize information to formulate a differential and primary diagnosis (PC2)
• 4) Recognize patients requiring immediate attention by supervising physician (PC1)
• 5) Suggest appropriate diagnostic tests for the patient’s chief complaint and other medical problems (PC3) 6) Demonstrate family-centered approach to patient care (e.g., incorporating patient and family perspectives into the management plan) (SBP2)
• 7) Describe the signs and symptoms that suggest deterioration (including signs of shock and respiratory failure) or improvement of a patient’s clinical condition (MK1)
• 8) Describe the epidemiology, pathophysiology, and clinical findings of common pediatric conditions that require hospitalization (MK3)
• 9) Describe how age and development influence clinical findings and epidemiology of common pediatric conditions (MK3)
• 10) Describe principles of pain assessment and management (MK4)
• 11) List drugs of choice and rationale for their use in common pediatric illnesses (MK4)
• 12) Calculate doses of medication based on age, weight, body surface area, and diagnosis (MK4)
• 13) Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds (ICS1)
• 14) Provide education and patient instructions to patients and families, using written or visual methods, taking into account their health literacy level (ICS1, ICS3, ICS4, SBP2)
• 15) Recognize the situations in which interpreter services are needed and demonstrate how to use these services effectively (ICS1)
• 16) Identify one's own reactions to patients and families, recognize when these reactions interfere with effective communication, and manage these reactions properly (ICS1)
• 17) Communicate patient information accurately and efficiently to all health care team members, including the primary care provider (ICS4)
• 18) Deliver organized, appropriately focused, and accurate oral patient presentations (ICS3)
• 19) Convey concise, pertinent information at the time of hand-offs (ICS4)
• 20) Frame a question for a consultant and communicate the patient information and clinical question effectively (ICS4)
• 21) Write organized, appropriately focused, and accurate patient notes, including admission, progress, cross-cover, and discharge notes and summaries (ICS4)
• 22) Demonstrate the appropriate utilization of consultants, including social workers, nutritionist, and physical therapists, during hospitalization (SBP1)
• 23) Recognize, address, and work to prevent errors and near-misses (SBP4)
• 24) Demonstrate understanding of roles of various professions in the care team and works with them effectively (SBP1)

---

Assessment

• Clinical Performance Evaluation Form; (Direct observation of clinical performance 100%)

---

Enrollment Information

Prerequisites: 4th year status; Pediatric clerkship must be completed

Availability with Max Students per Month:

Apr	May	June	July	Aug	Sept	Oct	Nov	Dec	Jan	Feb	Mar
0	0	0	0	0	0	2	2	2	1	1	1

Duty Hours: 40-45

Time Distribution: 90% Clinical, 10% Library /Research

Elective Type Category: AC - Advanced Clinical

Notes and Enrollment Information:

Add/Drop Contact Person: Allison Webb (alliwebb@iu.edu) and Kellie Hindman (kmhindma@indiana.edu)

Third Year Elective? No

---

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: Students that are assigned to inpatient rotations at Riley Hospital work in interdisciplinary teams from day one. Rounds almost always include a combination of several of the following: social worker, clinical pharmacist, bedside nurse, and case manager. Additional interaction with nursing, psychology, occupational therapy, physical therapy, music therapy, onsite school teachers, and the like occur frequently outside of rounds. Students and/or residents from these professions are often present as well.

Service Learning Included: None