SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
MPED 824-00T Pediatric Hematology/Oncology
All Year Clinical Rotation
Meeting times and location 8:00am McLane Pediatric Specialty Clinic 5 th Floor
The faculty will strive to provide:
Course Description and Prerequisites
1. An introduction to the diseases and common complications seen in the practice of Pediatric
Hematology/Oncology.
2. A reinforcement of the basic concepts regarding the pathophysiology, clinical evaluation, and management of the problems common in this practice.
3. A familiarity to the student of proper utilization of physical assessment, laboratory, and radiologic tools in diagnosis of hematologic and oncologic childhood diseases.
4. An introduction to the concept of cancer chemotherapy and the rationale of investigational treatment.
5. A strengthening of the student’s ability to assess morphology of peripheral blood and bone marrow, to understand coagulation studies, and to interpret abnormalities of each. http://www.tamhsc.edu/education/catalog/
Instructor Information
Elective Director Coordinator
Name Melissa DeLario, MD Name Kristen Randolph
Telephone number 254-935-5181 Telephone number 254-935-5008
Email address mdelario@sw.org
Email address
Office hours
By Appointment
Office hours
Office location
Pediatric Specialty
Clinic
1901 SW H.K. Dodgen
Loop Temple, TX
76502
Office location a. Other participating faculty (may include in Appendices)
Dr. Javier Kane and Dr. Guy Grayson
KRANDOLPH@sw.org
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. and symptoms of cancer and blood problems in children.
Click here to enter text.
Click here to enter text.
2. on blood smears of common types of anemias in childhood.
Click here to enter text.
3.
Recognize the clinical signs
Characterize the morphology
Click here to enter text.
Discuss the pathophysiology of the most common forms of anemia and be able to manage these problems.
COM Competency
Based Learning
Objectives
(CBLO):
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
PC6: Recognize common immediately lifethreatening conditions and initiate therapy
Choose an item
PC3: Develop appropriate differential diagnoses by integrating collected clinical information
PC5: Interpret the results of commonly used laboratory and radiologic studies
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
Taught (T) and/or
Evaluated (E):
Taught AND
Evaluated
Taught AND
Evaluated
Evaluation:
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Choose an item Choose an item
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Date Created/Revised: _____ By: _____

Click here to enter text.
Click here to enter text.
Click here to enter text.
4.
Click here to enter text.
aspiration slides for patients with leukemia, solid tumors, and childhood I.T.P.
5.
Interpret bone marrow
Interpret the standard screening coagulogram and recognize the indicators of coagulopathy.
6. Outline the initial evaluation and necessary laboratory, radiologic and surgical procedures required to establish a diagnosis of leukemia, neuroblastoma, brain tumors,
Hodgkin's and non-Hodgkin's lymphoma and other less common childhood malignancy. diagnostic and treatment options in a manner comprehensible to the patient
PC5: Interpret the results of commonly used laboratory and radiologic studies
PC5: Interpret the results of commonly used laboratory and radiologic studies
PC1: Obtain both complete and system-focused medical histories that include psychosocial and behavioral determinants of health
PC2: Perform both complete and systemthe epidemiology of common diseases within a population and the approaches which are useful in reducing their incidence and prevalence
PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information
PC7: Formulate an initial management plan for critically ill patients
PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies
ICS2: Discuss
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
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
Clinical
Performance
Rating/Checklist

Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
7. To discuss the types of therapy used with the various forms of childhood malignancy and the anticipated success from that therapy. focused physical examinations
PC3: Develop appropriate differential diagnoses by integrating collected clinical information
PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information
PC5: Interpret the results of commonly used laboratory and radiologic studies
PC7: Formulate an initial management plan for critically ill patients
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
MK4: Apply evidenced-based methods to clinical problem solving
PC8:
Demonstrate an understanding of the principles involved in the care of patients across the
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
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
Clinical
Performance
Rating/Checklist

Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
8. Effectively communicate with patients and family members spectrum of the human life cycle
PC15: Formulate preventive, curative, rehabilitative, and palliative therapeutic strategies for common disorders
ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient
ICS3:
Communicate effectively with patients, patients' family members, peers, and other members of the health care team
ICS1:
Demonstrate effective listening skills
ICS2: Discuss diagnostic and treatment options in a manner comprehensible to the patient
ICS3:
Communicate effectively with patients, patients' family members, peers, and other members of the health care team
ICS4: Educate patients, patients' family members, peers, and other members of the health care team at an appropriate level using appropriate technologies Click here to enter text.
9. Complete documentation that is accurate, well organized, and appropriate for the level of care provided.
ICS5: Maintain accurate medical records
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
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
Clinical
Performance
Rating/Checklist
Date Created/Revised: _____ By: _____

10. making
Practice ethical decision
Click here to enter text.
11. Work in a collegial manner with all members of the healthcare team.
Click here to enter text.
PROF2: Display honesty, integrity and ethical behavior
PROF3: Act in the patient's best interest and serve as a patient advocate
PROF6: Work with other health professionals in a collaborative fashion
PROF10:
Demonstrate knowledge of responsibilities to patients, peers, and other members of the health care team
PROF11:
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
Click here to enter text.
Respond to conflicts in a professional manner
Taught AND
Evaluated
Textbook and/or Resource Material
Course materials are available online 24/7:
Clinical
Performance
Rating/Checklist
1. Participate in the initial work-up of a new patient referral including making the recommendations for diagnostic studies and developing a therapy plan.
2. Work as an acting intern in the specialty clinic following patients for return visits by performing physical assessment, laboratory and x-ray analysis, and assisting in the determination of ongoing therapy requirements.
3. Participate in morning rounds of the hospitalized patients, at the discretion of rotation attendings, based on patients, inpatient and in outpatient clinic.
4. Attend the weekly pediatrics grand rounds and core curriculum lectures.
5. Participate in psycho-social multidisciplinary meetings when held.
6. Observe performance of bone marrow aspirate biopsy and lumbar punctures.
7. Demonstrate facility in assessing peripheral blood smears and marrow aspirates.
Textbooks (Required and Recommended Resources)
The following books and case study materials will be used in this course.
1.
2.
Poplack and Pizzo Principles & Practice of Pediatric Oncology.
Nathan and Oski’s Hematology of Infancy and Childhood.
Grading Policies
Date Created/Revised: _____ By: _____

70-100
GRADING SCALE
Satisfactory
Unsatisfactory 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. http://student-rules.tamu.edu/rule07
Course Topics, Calendar of Activities, Major Assignment Dates
Pediatric Heme/Onc is a 2 or 4 week rotation. Student will adhere to the same work schedule as the attending and/or resident, with the exception of no expected weekend or on call coverage.
XII. 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
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)
Date Created/Revised: _____ By: _____

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.”
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 official 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 questions, pleas e 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
Date Created/Revised: _____ By: _____

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: _____