SYLLABUS College of Medicine AY 2015-2016 Course title and number Term (e.g., Fall 200X) Meeting times and location MPED 829-AIT, Pediatric War Acting Internship All Year 7:00 a.m.-5:00 p.m. Monday-Friday McLane Children’s Hospital 4th Floor; Call arranged with resident team Course Description and Prerequisites The faculty will strive to provide: 1. Provide support and experience necessary for transition from basic understanding of common pediatric problems to assumption of primary patient care. 2. Encourage student to refine his or her pediatric knowledge and skills. 3. Introduce appropriate use of pediatric specialty and sub-specialty consultants. 4. Encourage further development of skills needed to define and locate valuable sources of information dealing with various aspects of pediatric knowledge. 5. Introduce student to management of uncommon pediatric diseases. 6. Allow in depth look at the specialty of pediatrics as a possible career choice. http://www.tamhsc.edu/education/catalog/ Instructor Information Elective Director Kristy Bybee, MD Name 254-935-5008 Telephone number KBYBEE@sw.org Email address By Appointment Office hours McLane Children’s Hospital Office location 1901 SW H.K. Dodgen Loop Temple, TX 76502 Coordinator Kristen Randolph Name 254-935-5008 Telephone number KRANDOLPH@sw.org Email address By Appointment Office hours Pediatric Specialty Clinic Office location 1901 SW H.K. Dodgen Loop Temple, TX 76502 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 Date Created/Revised: _____ By: _____ Course Objective: Independently assess a child who presents with a common pediatric illness, construct a thorough differential diagnosis, and develop an appropriate diagnostic and therapeutic management plan. 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. Date Created/Revised: _____ By: _____ COM Competency Based Learning Objectives (CBLO): 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 MK2: Describe the basic mechanisms involved in the causation of human disease and their influence on clinical presentation and therapy 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 PC8: Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle Taught (T) and/or Evaluated (E): Evaluation: Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Differentiate uncommon manifestations of common illnesses from rare or unusual pediatric diseases. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Pursue solution of common clinical problems via literature review and/or use of pediatric specialty and subspecialty consultation. Click here to enter text. Click here to enter text. Date Created/Revised: _____ By: _____ 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 PC8: Demonstrate an understanding of the principles involved in the care of patients across the spectrum of the human life cycle PC14: Properly utilize clinical, laboratory, radiologic, and pathologic examinations to diagnose and treat common maladies MK4: Apply evidenced-based methods to clinical problem solving 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 PBLI4: Utilize information resources and available data to Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Click here to enter text. Perform standard pediatric technical procedures including blood-letting, initiation of intravenous fluids, lumbar puncture and suprapubic aspiration. Recognize when consultation is needed. Click here to enter text. support life-long learning PBLI5: Select, appraise, and utilize evidence from scientific studies related to clinical questions and patients' health problems PC9: Perform technical procedures including: venipuncture and arterial puncture; insertion of intravenous, central venous, and urethral catheters; insertion of a nasogastric tube; lumbar puncture; basic suturing; and basic airway management PC4: Develop contextual and individualized diagnostic and treatment plans based upon collected clinical information SBP1: Apply knowledge of health care systems to improve and optimize patient care Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Taught AND Evaluated Clinical Performance Rating/Checklist Textbook and/or Resource Material Course materials are available online 24/7: 1. Attend Pediatric Department rounds, conferences and journal club. 2. Assume primary care responsibilities for patients admitted with common pediatric illnesses, under supervision of resident staff and senior staff pediatrician. 3. Assume on call responsibilities for ward patients every fourth night with residents. 4. Present and discuss cases with ward consultant. 5. Perform technical diagnostic and therapeutic procedures, under supervision of resident staff and senior staff pediatrician. 6. Pursue solution of clinical problems through review of pediatric literature or use of 7. Pediatric specialty or sub-specialty consultation. Date Created/Revised: _____ By: _____ Textbooks (Required and Recommended Resources) The following books and case study materials will be used in this course. 1. 2. 3. Extensive collection of medical reprints dealing with pediatric illnesses. Selected audiovisual presentations about numerous pediatric disorders. Textbook — Nelson Textbook of Pediatrics. Grading Policies GRADING SCALE Satisfactory 70-100 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 Course Schedule (may include in Appendices if available) Pediatric Ward Acting Internship is a 2 or 4 week rotation. Student will adhere to the same work schedule as the attending(s) and/or resident(s). 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 Policies and Procedures (generic information for all campuses) Date Created/Revised: _____ By: _____ 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.” 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 Date Created/Revised: _____ By: _____ 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, 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: _____