SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
MPED 820-00T Pediatric Gastroenterology
All Year
8:00 a.m. -5:00 p.m. Monday-Friday; Scott & White Temple Clinic Desk 4B
Course Description and Prerequisites
The Faculty will strive to:
1. Teach a broad spectrum of pediatric gastroenterology outpatient care including failure to thrive,
abdominal pain, constipation, inflammatory bowel disease, cystic fibrosis, pediatric nutrition, and
liver transplantation (pre- and post- operative) care.
2. Teach the indications of pediatric endoscopy including expectation of attendance to all morning
and endoscopic procedures
3. Provide both spontaneous lectures and scheduled pediatric gastroenterology lectures.
Teach pediatric chronic medical care including gastrostomy tube care and attendance in both the
cerebral palsy and pediatric cystic fibrosis clinic.
http://www.tamhsc.edu/education/catalog/
Instructor Information
Elective Director
Jonathan Ramprasad,
Name
MD
254-935-5031; cell
Telephone number
904-200-0785
Jramprasad@sw.org
Email address
By Appointment
Office hours
Pediatric Specialty
Clinic
Office location
1901 SW H.K. Dodgen
Loop Temple, TX
76502
Name
Coordinator
Kristen Randolph
Telephone number
Email address
Office hours
Office location
254-935-5008
KRANDOLPH@sw.org
By Appointment
Pediatric Specialty
Clinic
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:
1 Determine a differential diagnosis
and attempt a treatment plan for
basic pediatric gastroenterology
disease.
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2. Understand how to care for
pediatric gastroenterology
outpatient diseases including
abdominal pain, constipation,
gastroesophageal reflux, and
pediatric liver disease.
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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
PC2: Perform
both complete
and systemfocused 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
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
PC8:
Demonstrate an
understanding of
the principles
involved in the
care of patients
across the
spectrum of the
human life cycle
PC10: Discuss
the principles of
pain management
Taught (T)
and/or
Evaluated (E):
Evaluation:
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Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Evaluated
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Performance
Rating/Checklist
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Performance
Rating/Checklist
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3. Understand how to plan for
pediatric gastroenterology inpatient
care including treatment of pediatric
gastrointestinal bleeding,
inflammatory bowel disease
exacerbation, cystic fibrosis
exacerbation, and neonatal
cholestasis (in the NICU).
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and formulate a
basic
multidisciplinary
care plan
PC15: Formulate
preventive,
curative,
rehabilitative, and
palliative
therapeutic
strategies for
common
disorders
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
MK4: Apply
evidenced-based
methods to
clinical problem
solving
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
PC6: Recognize
common
immediately life-
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
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Performance
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4. Understand the indications for
pediatric gastroenterology
procedures including endoscopy,
liver biopsy, and anorectal
manometry.
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threatening
conditions and
initiate therapy
PC7: Formulate
an initial
management plan
for critically ill
patients
PC8:
Demonstrate an
understanding of
the principles
involved in the
care of patients
across the
spectrum of the
human life cycle
PC12: Educate
patients in
personalized
health
maintenance
PC14: Properly
utilize clinical,
laboratory,
radiologic, and
pathologic
examinations to
diagnose and
treat common
maladies
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
PC10: Discuss
the principles of
pain management
and formulate a
basic
multidisciplinary
care plan
PC14: Properly
utilize clinical,
laboratory,
radiologic, and
pathologic
examinations to
diagnose and
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
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Performance
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Performance
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5. Understand infant and toddler
nutrition, especially specific formula
usage.
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6. Effectively communicate with
patients and family members
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treat common
maladies
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
PC8:
Demonstrate an
understanding of
the principles
involved in the
care of patients
across the
spectrum of the
human life cycle
PC12: Educate
patients in
personalized
health
maintenance
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
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
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Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
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Performance
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Evaluated
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Performance
Rating/Checklist
7. Complete documentation that is
accurate, well organized, and
appropriate for the level of care
provided.
8. Practice ethical decision making
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9. Work in a collegial manner with all
members of the healthcare team.
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ICS5: Maintain
accurate medical
records
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
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Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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Evaluated
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Performance
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Evaluated
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Performance
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Evaluated
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Performance
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Performance
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Textbook and/or Resource Material
Course materials are available online 24/7:
1. Presentation of pediatric gastroenterology patients, especially new patients, to section
attendings with an expectation to determine a differential diagnosis and treatment plan.
2. Daily rounding with pediatric gastroenterology attendings on the inpatient service.
3. Participation of seeing patients, especially new patients, in the pediatric gastroenterology clinic.
4. Attendance during morning pediatric gastroenterology procedures.
5. Attendance in the following pediatric multi-discipline clinics: Cerebral Palsy Clinic, Pediatric
Cystic Fibrosis Clinic
6. Teaching files in the Pediatric Gastroenterology Clinic
7. Pediatric Gastroenterology journals and textbooks in Pediatric Gastroenterology Clinic.
8. On-line gastroenterology resources available in clinic including the Crohn’s and Colitis
Foundation, American Academy of Pediatrics and North American Society of Pediatric
Gastroenterology Hepatology and Nutrition. www.naspghan.org & www.gikids.org
9. Exposure to three (3) pediatric gastroenterology nurses who are expected to help teach medical
students and gastrostomy tube care.
10. Exposure to a pediatric nutrition nurse that is expected to help teach medical students on infant
and toddler nutrition.
Textbooks (Required and Recommended Resources)
The following books and case study materials will be used in this course.
1) GI chapter in either Rudolph’s or Nelsons’ general pediatric textbooks
Date Created/Revised: _____ By: _____
2) NASPGHAN guidelines
Students rotating in Pedi GI will be given a USB drive with pertinent GI articles to review.
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.
Attendance and Make-up Policies
http://student-rules.tamu.edu/rule07 .
Course Topics, Calendar of Activities, Major Assignment Dates
Pediatric GI is a 2 or 4 week rotation. Student will adhere to the same work schedule as the attending
and/or resident.
Course Schedule (may include in Appendices if available)
Pediatric GI 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 Information
Date Created/Revised: _____ By: _____
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.”
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
Date Created/Revised: _____ By: _____
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, 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: _____