Pediatrics Clerkship Erin McMaster, MD Pediatrics Clerkship - PDF document

1/23/2013 Pediatrics Clerkship Erin McMaster, MD Pediatrics Clerkship Director Course Structure • 2.5 weeks inpatient pediatric unit ─ University ─ Baystate ─ Milford • 2.5 weeks outpatient primary care pediatric office 1

1/23/2013 University • Inpatient pediatric unit on 5 th floor ─ 3 teams comprised of one intern (or subintern), one resident and two medical students ─ Round with general pediatric hospitalists and pediatric subspecialists • Wide variety of patients (newborn-adult, generalist and subspecialist care, range of complexity of diagnosis) Baystate Medical Center • Inpatient pediatric and adolescent units ─ 4 teams comprised of one intern, one resident and one medical student (1 from UMass, 3 from Tufts) ─ One hospitalist rounds with two teams • Wide variety of patients (newborn-adult, generalist and subspecialist care, range of complexity of diagnosis) 2

1/23/2013 Milford Regional Medical Center • No pediatric residents • 24/7 hospitalist coverage- students work directly with hospitalists • Small pediatric inpatient unit for mostly straightforward admissions • Round in newborn nursery and attend deliveries/assist in resuscitation • ED consults • Student take their weekend call at University to allow exposure to subspecialty patients Call • No overnight call at any site • 3 calls during inpatient – 2 weekdays, 1 weekend • Students stay until 10pm and then return the following day at 8am • Only work weekends if they are on call 3

1/23/2013 Outpatient • Variety of locations from Boston to Berkshires • Variety of offices (size, patient diversity, practice type) • Students spend two mornings in newborn nursery • Students have two shifts in pediatric ED at University (one weeknight, one weekend) 4

MOST FREQUENTLY ASKED QUESTIONS ABOUT CCE CLERKSHIPS UMass Memorial Children’s Medical Center Hospital/Site: P EDIATRICS Department: What makes a 3 rd year clerkship at your site/hospital unique? Please define terms that you use, i.e., Attending, Team PGY-1, Rounds, etc. Medical students are assigned to work with 1 intern/1 senior resident. They are directly involved in pt care, admissions, rounding, calling consults, etc. Very close interaction with attendings. Large variety of patient conditions – both generalist and subspecialist care. Typical Day  Time it starts 6:45 am  Time it finishes (when not on-call) 6:00 pm  Are Call Rooms available – no overnight call, done by 10:00 pm when on call. Team  Structure of Team – each team has 1 senior resident and 1intern  How many patients assigned to each student – on average 3  To whom does student report – either to intern or their senior resident Patients  Patient population served – age newborn – 17 yrs. Diverse Worcester population, many with English as a Second Language or who need interpreter services. Varied pt populations in ambulatory setting as well. Time  How is time divided (how much Ward time, E.R. time, Clinic time) – 2.5 weeks inpatient, 2.5 weeks ambulatory in pediatrician’s office, Pedi ER approximately 9 hours, 2 mornings newborn nursery Evaluation  Who evaluates the student – Inpatient: senior residents/intern teams; hospitalist attendings); Ambulatory: Preceptor in the office Logistics  Location – inpatient floor is 5 th floor, 5E at UMass.  Meals – not included  Parking – UMass fees apply 5

MOST FREQUENTLY ASKED QUESTIONS ABOUT CCE CLERKSHIPS M ILFORD R EGIONAL H OSPITAL Hospital/Site: P EDIATRICS Department: What makes a 3 rd year clerkship at your site/hospital unique? Please define terms that you use, i.e., Attending, Team PGY-1, Rounds, etc. Medical students work directly with attending pediatric hospitalists. Excellent 1 on 1 teaching. Round on pediatric inpatients (smaller volume, non-specialized care), care for newborns, emergency room consults Typical Day  Time it starts 7:30 am  Time it finishes (when not on-call) 5:00 pm  Are Call Rooms available – no overnight call, generally done by 10:00 pm when on call. Team  Structure of Team – students work directly with pediatric hospitalists  How many patients assigned to each student – on average 2  To whom does student report – the hospitalists Patients  Patient population served – age newborn – 17 yrs. Time  How is time divided (how much Ward time, E.R. time, Clinic time) – 2.5 weeks inpatient, 2.5 weeks ambulatory in pediatrician’s office, Pedi ER approximately 9 hours, 2 mornings newborn nursery Evaluation  Who evaluates the student – Inpatient: Attending hospitalists; Ambulatory: Preceptor in the office Logistics  Location – Milford Regional Hospital  Room and Board - no  Parking – lot off of Route 140  Travel Reimbursement – no  Meals - no 6

MOST FREQUENTLY ASKED QUESTIONS ABOUT CCE CLERKSHIPS B AYSTATE M EDICAL C ENTER Hospital/Site: P EDIATRICS Department: What makes a 3 rd year clerkship at your site/hospital unique? Please define terms that you use, i.e., Attending, Team PGY-1, Rounds, etc. Medical students are assigned to work with 1 intern/1 senior resident. They are directly involved in pt care, admissions, rounding, calling consults, etc. Very close interaction with attendings. Large variety of patient conditions – both generalist and subspecialist care. Typical Day  Time it starts 7:00 am  Time it finishes (when not on-call) 5:00 pm  Are Call Rooms available – no overnight call, generally done by 10:00 pm when on call. Team  Structure of Team – each team has 1 senior resident and 1 intern  Student’s Place on Team – students work with 1 intern and take call with that intern  How many patients assigned to each student – on average 3  To whom does student report – either to intern or their senior resident Patients  Patient population served – age newborn – 17 yrs. Diverse Springfield population, many with English as a Second Language or who need interpreter services. Varied pt populations in ambulatory setting as well. Time  How is time divided (how much Ward time, E.R. time, Clinic time) – 2.5 weeks inpatient, 2.5 weeks ambulatory in pediatrician’s office, Pedi ER approximately 9 hours, 2 mornings newborn nursery Evaluation  Who evaluates the student – Inpatient: senior residents/intern teams; hospitalist attendings); Ambulatory: Preceptor in the office Logistics  Location – Pediatric inpatient unit – Baystate Medical Center  Room and Board - provided  Parking – free 7