SYLLABUS
College of Medicine
AY 2015-2016
Course title and number
Term (e.g., Fall 200X)
Meeting times and location
MPED826-CCT – Pediatric Intensive Care
All Year
7:00 a.m.-5:00 p.m. Monday-Friday; McLane Children’s Hospital, 3rd Floor
Course Description and Prerequisites
The faculty will strive to provide:
1. To introduce the student to the care of critically ill children for the purposes of instructing them in
how to approach a critically ill child with multiple problems.
2. A primary focus on teaching the approach to these children and how to apply it to each
individual case.
3. To provide more in-depth teaching of pediatric pulmonary management, acute pediatric
cardiovascular problems, severe systemic infections, and complicated fluid management.
4. To provide a guide for the appropriate use of sub-specialty consultation.
5. To provide further experience in neuro-intensive care.
http://www.tamhsc.edu/education/catalog/
Instructor Information
Elective Director
Bonner, Richard, MD
Name
254-724-2310
Telephone number
Rbonner@sw.org
Email address
By Appointment
Office hours
Pediatric Specialty
Clinic
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:
Accurately assess an infant or child
with acute critical illness and
construct a differential diagnosis
and appropriate diagnostic and
therapeutic management plan.
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Adequately master an approach to
the critically ill child through the use
of both problem-oriented and
system-oriented daily assessment
including the writing of daily
progress notes which adequately
Date Created/Revised: _____ By: _____
COM Competency
Based Learning
Objectives
(CBLO):
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
behavioral
determinants of
health
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
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
ICS2: Discuss
diagnostic and
treatment options
in a manner
comprehensible
to the patient
PC1: Obtain both
complete and
system-focused
medical histories
that include
psychosocial and
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
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
reflect ongoing problems and
anticipated problems and a plan of
approach
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Perform technical procedures to
include phlebotomy, IV placement,
lumbar puncture, suprapubic
aspirations, peripheral arterial
puncture. More complicated
procedures would be at the
discretion of the pediatric resident
and staff.
Show appropriate use of the
literature and consultation services
to pursue a diagnosis and treatment
plan for critically ill children.
Date Created/Revised: _____ By: _____
behavioral
determinants of
health
PC2: Perform
both complete
and systemfocused physical
examinations
PC7: Formulate
an initial
management plan
for critically ill
patients
ICS5: Maintain
accurate medical
records
SBP1: Apply
knowledge of
health care
systems to
improve and
optimize patient
care
SBP7: Recognize
health care
system
deficiencies
regarding social
needs, access to
care issues, and
health disparities
when they arise
and develop
strategies for
optimal care of
each individual
patient.
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
PC3: Develop
appropriate
differential
diagnoses by
integrating
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
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
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The student will be expected to
participate in a pediatric mock Code
Blue and be a team leader in one
mock code.
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Date Created/Revised: _____ By: _____
collected clinical
information
PC4: Develop
contextual and
individualized
diagnostic and
treatment plans
based upon
collected clinical
information
PC8:
Demonstrate an
understanding of
the principles
involved in the
care of patients
across the
spectrum of the
human life cycle
PBLI5: Select,
appraise, and
utilize evidence
from scientific
studies related to
clinical questions
and patients'
health problems
PC6: Recognize
common
immediately lifethreatening
conditions and
initiate therapy
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
PROF6: Work
with other health
professionals in a
collaborative
fashion
PROF7:
Demonstrate an
awareness of
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
Taught AND
Evaluated
Clinical
Performance
Rating/Checklist
Clinical
Performance
Rating/Checklist
leadership roles
in medicine and
society
PROF9:
Demonstrate an
understanding of
peer review and
the expectations
of professional
licensing boards,
including medical
jurisprudence
PROF10:
Demonstrate
knowledge of
responsibilities to
patients, peers,
and other
members of the
health care team
PROF11:
Respond to
conflicts in a
professional
manner
PROF11:
Respond to
conflicts in a
professional
manner
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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. Morning checkout at 6:00 am, daily. Morning report on Monday mornings at 7:00 am. Rounds
with the attending begin at 8:30 am each morning, Monday - Friday. These would be made with
the Pediatric ICU resident, senior staff, respiratory therapist, nursing personnel and pharmacy
personnel.
2. Formal teaching time between 4:00 and 5:00 pm, Monday through Friday, specifically geared to
bedside teaching directly related to the patients on the unit.
3. The student will be expected to present his patients in the Pedi ICU Rounds each morning and
each evening at nighttime checkout at 5:30 pm.
4. The student will be expected to take direct care of children under the direct supervision of the
Pediatric resident, Pediatric staff.
5. The student will perform technical procedures under the supervision of the Pediatric resident
and/or Pediatric staff.
6. Pursue the solution of clinical problems through review of pediatric literature or sub-specialty
consultations.
7. Call will be taken with the night shift PICU resident on a weekly basis to be scheduled at the
beginning of the elective. The student will be responsible for setting up call nights and
presenting the schedule to the senior resident on the service and to the PICU staff.
8. If no call nights are selected the rotation will only count as an elective rotation.
9. Weekend responsibilities will be at the discretion of the student. It would be recommended that,
one weekend out of the month, the student make rounds on Saturday and Sunday and write
progress notes.
Date Created/Revised: _____ By: _____
Textbooks (Required and Recommended Resources)
The following books and case study materials will be used in this course.
1. Levine's Practical Guide to Pediatric ICU.
2. Zimmerman and Gilda's Critical Care Pediatrics.
3. Society for Critical Care Medicine State of the Art.
4. Nelson's Textbook of Pediatrics.
5. A compendium of ICU articles including cardiovascular, respiratory, neurointensive care
sections that is available on the Pedi ICU.
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)
The PICU elective is a 2 or 4 week rotation. Student will adhere to the same work schedule as the
attending and/or resident.
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)
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
Date Created/Revised: _____ By: _____
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
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.
Date Created/Revised: _____ By: _____
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: _____