SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
MPED 821-00T Pediatric Endocrinology and Diabetes
All year
Coordinated to not conflict with resident rotations on endocrinology
8:00 a.m.-5:00 p.m. Monday-Friday; Scott & White Temple Pediatric Clinic-
POD E
Course Description and Prerequisites
The Faculty will strive to:
1. Give the senior medical student exposure to the evaluation and management of common pediatric endocrine problems in an outpatient setting. This includes the impact of chronic illness on tasks of daily living.
2. Both inpatient and outpatient endocrinology is covered, though the rotation is primarily outpatient. http://www.tamhsc.edu/education/catalog/
Instructor Information
Elective Director
Name William Bryant, MD Name
Telephone number
254-935-5048
Telephone number
Coordinator
Kristen Randolph
254-935-5008
Email address Wbryant@sw.org
Email address KRANDOLPH@sw.org
Office hours By Appointment Office hours
Office location
Pediatric Specialty
Clinic
1901 SW H.K. Dodgen
Loop Temple, TX
76502
Office location
Other participating faculty (may include in Appendices)
Matthew Stephen, MD
By Appointment
Pediatric Specialty
Clinic
1901 SW H.K. Dodgen
Loop Temple, TX
76502
Date Created/Revised: _____ By: _____

Learning Outcomes & Objectives
COM Competency Based Learning Objectives: http://medicine.tamhsc.edu/academicaffairs/curriculum/objectives/
Principles and Guidelines for Curriculum Development: http://medicine.tamhsc.edu/policies/pdf/curriculum-principles-guidelines.pdf
Course Objective:
1.
2.
Understand the approach to the child with a suspected growth disorder.
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Clinically assess the stages of pubertal development.
COM Competency
Based Learning
Objectives
(CBLO):
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
MK5:
Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence
PC3: Develop appropriate differential diagnoses by integrating collected clinical information
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
MK1:
Demonstrate knowledge of normal human structure and
Taught (T) and/or
Evaluated (E):
Taught AND
Evaluated
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Evaluated
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Evaluated
Evaluation:
Clinical
Performance
Rating/Checklist
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Performance
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Performance
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Performance
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Performance
Rating/Checklist
Date Created/Revised: _____ By: _____

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3.
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Perform basic auxologic measurements accurately and properly interpret them.
4. Understand common disorders of the adrenal gland and their management. function at the organ-system, tissue, cellular and molecular level; and of the interaction of human systems in maintaining homeostasis
PC8:
Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle
MK1:
Demonstrate knowledge of normal human structure and function at the organ-system, tissue, cellular and molecular level; and of the interaction of human systems in maintaining homeostasis
PC2: Perform both complete and systemfocused physical examinations
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
PC15: Formulate preventive, curative, rehabilitative, and palliative therapeutic strategies for common disorders
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Evaluated
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Evaluated
Clinical
Performance
Rating/Checklist
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Performance
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Performance
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Performance
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Performance
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Date Created/Revised: _____ By: _____

5. Understand the significance of the Texas State Newborn
Screening Program.
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Appreciate the critical significance of diabetes education.
Understand the clinical use of insulin in children with diabetes.
MK5:
Demonstrate an understanding of the epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
Taught AND
Evaluated
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Evaluated
Clinical
Performance
Rating/Checklist
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Performance
Rating/Checklist
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Performance
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Performance
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Performance
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Clinical
Performance
Rating/Checklist
Date Created/Revised: _____ By: _____

Understand the treatment of diabetic ketoacidosis.
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Understand the psychosocial aspects of pediatric diabetes management.
Better understand the pathophysiology of Type I diabetes and its complications.
Have a basic understanding of dynamic endocrine testing. system-focused medical histories that include psychosocial and behavioral determinants of health
PROF3: Act in the patient's best interest and serve as a patient advocate
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
PC7: Formulate an initial management plan for critically ill patients
MK3:
Demonstrate an understanding of how healthy lifestyles, psychosocial factors, and behavioral factors influence heath
PC1: Obtain both complete and
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Date Created/Revised: _____ By: _____
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist

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Describe the approach to treatment of delayed pubertal development.
Understand the approach to a child with a thyroid disorder.
Date Created/Revised: _____ By: _____ presentation and therapy
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
PC15: Formulate preventive, curative, rehabilitative, and palliative therapeutic strategies for common disorders
MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy
PC13: Perform basic health risk assessment and formulate appropriate screening plans
Taught AND
Evaluated
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Evaluated
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Evaluated
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Evaluated
Clinical
Performance
Rating/Checklist
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Performance
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Performance
Rating/Checklist
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Performance
Rating/Checklist
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Performance
Rating/Checklist

Textbook and/or Resource Material
Course materials are available online 24/7:
1. The student will work directly with any of the available endocrinologist, nurses, and dietician in the Pediatric Endocrinology Clinic five days a week. The student will also observe pediatric diabetes nurse educators and nutritionists working with children with diabetes and their families. After a period of observation, the student will perform an initial history and physical examination on an endocrine/diabetes patient.
2. The student will participate in a weekly pediatric endocrine case conference with the entire division staff. There is also a monthly diabetes team meeting.
3. The student will travel with the diabetes team to its satellite clinics in College Station, Killeen and
Waco to see patients, except when that conflicts with other student obligations
4. Hospital rounds on inpatient endocrine/diabetes patients and consults with attendings.
5. Suggested Resources:
a. Clinical Pediatric Endocrinology, by S.A. Kaplan.
b. Pink Panther Book (diabetes education), by P. Chase
Textbooks (Required and Recommended Resources)
No required reading resources prior to this elective.
Grading Policies
Satisfactory
Unsatisfactory
70-100
GRADING SCALE
69 and below
Should the course director determine remediation is required, the remediation plan will be at the discretion of the course director and on a case by case basis depending on the issues involved.
Remediation plans could entail some (or all) of the following examples: Additional clinical shifts, research papers, presentations, article reviews, exams, directed reading, web-based modules, etc. If the student performance results in a failure of the elective, it will be recommended that the elective be taken again in its entirety.
Attendance and Make-up Policies http://student-rules.tamu.edu/rule07 .
Course Topics, Calendar of Activities, Major Assignment Dates
Course Schedule (may include in Appendices if available)
Date Created/Revised: _____ By: _____

Pediatric Endocrinology is a 2 or 4 week rotation. Student will adhere to the same work schedule as the attending and/or resident.
Patient Encounter Logs: (N/A if this does not apply)
Students are required by TAMU COM to log all patient encounters during this elective.
Other Pertinent Course Information
Policies and Procedures (generic information for all campuses)
Professionalism and Ethics: Students are expected to uphold and adhere to the ethical and behavioral standards of the profession of medicine. Information /sources on ethics in pediatrics and general medicine are included below.
Resources:
Texas A&M Health Science Center Medical Student Handbook
Recommended core ethical values at WWW.niee.org/case_of_the_month/ethics3.cfm
AMA Principle of Medical Ethics at www.ama-assn.org/ama/pub/category/2512.html
AMA virtual Mentor at www.ama-assn.org/ama/pub/category/3040.html
Bioethics in Pediatric Practice at www.emedicine.com/PED/topic2769.html
Dress and Appearance: In order to be accepted as a member of the health care team, it is important to assume the same basic manner of dress, appearance and conduct as the other members of the team.
A picture name identification tag must be readily visible on your shirt or coat collar, with introduction of your full name including “Ms.” or “Mr.” or “medical student”. If the parent/patient refers t the student as a “doctor”, it is the student’s duty to correct this error. One should not misrepresent his/her role.
Remembering that you are serving as a role model for children should help one determine an appropriate appearance. With approval from you attending, scrubs may be worn only in the PICU, NICU or on call after 5:00 pm. They are not ideal attire for outpatient clinic visits.
Resource: Texas A&M Health Science Center Medical Student Handbook.
Americans with Disabilities Act (ADA)
The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact Disability Services, in Cain Hall, Room B118, or call 845-1637. For additional information visit http://disability.tamu.edu
Any student with a disability who needs accommodation should inform the instructor at the beginning of the course.
Academic Integrity
For additional information please visit: http://aggiehonor.tamu.edu
“An Aggie does not lie, cheat, or steal, or tolerate those who do.”
Date Created/Revised: _____ By: _____

College of Medicine
Professionalism and integrity Statement (Academic Honesty and Plagiarism)
All College of Medicine students are required to comply with the student code of conduct and the academic integrity and honesty standards published in each component’s Student Handbook. Disciplinary action will be taken in accordance with the policies of each component. Students found guilty of Academic Dishonesty will receive an “F”/Unsatisfactory in the course. For a full list of actions qualifying as academic dishonesty, please review the College of Medicine Student
Handbook at http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
.
According to the Aggie Honor System Office, plagiarism is defined as the appropriation of another person's ideas, processes, results, or words without giving appropriate credit. Intentionally, knowingly, or carelessly presenting the work of another as one’s own (i.e., without crediting the author or creator). Plagiarism and other academic misconduct definitions can be viewed on the Aggie Honor System Office website; http://aggiehonor.tamu.edu/RulesAndProcedures/HonorSystemRules.aspx#definitions .
E-mail Access and FERPA
The College of Medicine is communicating all offic ial information to students through the students’ TAMHSC e-mail accounts. Please check the account frequently during the semester for updates.
This course is supported with web-based and/or e-mail activities. In order to take advantage of these additional resources and participate fully in the course, you have been assigned an e-mail address by the Texas A&M Health Science Center.
This e-mail address is for internal use only, so that faculty may communicate with you and the entire class. By registering for this course, you are agreeing to allow your classmates to have access to this e-mail address. Should you have any quest ions, please contact the TAMU’s Office of the Registrar at 979-845-1031 .
The Family Educational Rights and Privacy Act of 1974 (FERPA), which the HSC complies fully, is intended to protect the privacy of education records, to establish the rights of students to inspect and review their education records and to provide guidelines for the correction of inaccurate or misleading data through informal and formal hearings. Students also have the right to file complaints with the Family Educational Rights and Privacy Act Office of the Department of Education in Washington, D.C., concerning alleged failures by the HSC to comply with the act.
Mistreatment of Students
The College of Medicine is committed to providing a positive learning environment in which students can meet their academic goals based on mutual respect in the teacher/learner relationship. Both parties must be sensitive to the needs of others and differences in gender, race, sexual orientation, religion, age or disability. As outlined in the Student
Handbook under the section titled Standards of Conduct in the Teacher-Learner Relationship, belittlement, intimidation and humiliation are unacceptable for effective learning and undermine self-esteem. Breaches involving student mistreatment may result in a faculty or staff member being sanctioned or the loss of faculty and/or staff appointment.
These policies address student mistreatment involving College of Medicine employees, residents, affiliate staff, or patients. Mistreatment may be reported through the College of Medicine telephone hotline, 1(855)-397-9835 or through an online form at http://medicine.tamhsc.edu/current/student-mistreatment-form.html
. For a full list of reporting avenues, please refer to the Student Handbook under the Mistreatment Policy.
Exposure and Occupational Hazard
The Needle Stick Policy and Bloodborne Pathogen Exposure information for Medical Students may be accessed in the
Student Handbook at: http://medicine.tamhsc.edu/student-affairs/docs/handbook.pdf
Note: More information is available on the aforementioned topics to all students on the College of Medicine website.
Date Created/Revised: _____ By: _____