Women’s and Child’s Health Block
Pediatric Clerkship Course Description
(PE 011, PE 012, PE 013, PE 016)
A required six-week clinical clerkship in Pediatrics is offered in the Departments of Pediatrics at four sites: the UCLA Center for Health Sciences/ Olive View Medical Center, Cedars-Sinai Medical Center, Harbor-UCLA Medical Center, and Kaiser Permanente Sunset Medical Center. Students spend all of their time based at one of the four sites. Although the teaching programs vary somewhat, essentially comparable material in pediatrics is presented at each of the institutions. Students spend time in both inpatient and outpatient settings as defined in the table below.
Clerkship Objectives - Upon completion of the clerkship, you should be able to:
- Obtain pertinent historical data from a parent and/or child interview enabling you to develop the historical basis for a comprehensive evaluation of clinical problems.
- Skillfully perform a physical examination on any age child, including an assessment of physical growth and psychomotor development, while mastering the skills to clearly and concisely record your findings.
- Critically evaluate and integrate data in seeking solutions to clinical problems (i.e., synthesizing and analyzing the information gathered to develop an approach to the differential diagnosis, and the subsequent formulation of evaluation and management plans.)
- Acquire a core fund of knowledge in general pediatrics that may be applied to the evaluation and management of children in both inpatient and outpatient settings.
- Strengthen both your written and verbal communication skills in multiple settings.
- Address the care of each child with an understanding of health care systems and the resources available to the patient.
- Better appreciate the impact of psychosocial factors and stresses (for example, family and domestic violence) on the well-being and subsequent evaluation and management of children.
For all patients encountered in the clinic and on the ward, students are expected to take a thorough history, perform a thorough physical exam, assess development if indicated, formulate a differential diagnosis by synthesis and analysis of the information obtained, and develop diagnostic and management plans. Students will also be introduced to evidence-based pediatric medicine and evaluation of the child as a part of the whole health care system. Attention will be primarily given to illness an disease processes in children, but strategies for prevention and health promotion will also be reviewed. Students are encouraged to be actively involved in the ongoing care and follow-up of their patients.
Teaching, supervision, and evaluation of students are primarily the responsibility of the faculty. Pediatric residents will also play an important role in teaching. Students are evaluated on their performance in the ambulatory setting, on the ward, in the nursery, and on the final written examination. The computer-based examination is given on the last day of the clerkship and is a case-based multiple choice exam. A more detailed description of the exam and information about who will be participating in the evaluation of students’ clinical performance will be provided in the clerkship orientation.
Breakdown of Pediatric Rotations at the UCLA Hospitals
Site |
Ward |
Nursery |
Clinic |
Community Medicine |
OVMC |
Ward |
Nursery |
Nite Call Clinic |
Community Medicine |
OVMC |
|
CHS |
2 |
0.3 |
1.7 |
2** |
Q5th nite until 2200 |
-- |
-- |
2 Weeknight 1 Weekend call until 2200 |
||
|
CS |
3 |
1 |
NEVHC*** |
1* |
-- |
q4th nite ‘til 2200 |
q4th nite 'til 2200 |
|
q4th nite 'til 2200 |
-- |
|
HARBOR |
3 |
1.5 |
1.5 Peds (ED) |
-- |
-- |
q4th nite until 2200 |
1 nite/ rotation till 2200 |
1 nite ‘til 2000 (ED call) 1 wkend day 0800-1600 |
-- |
-- |
|
KAISER |
2 |
2 |
2 |
-- |
-- |
Q4th nite until 2200 |
Q4th nite until 2200 |
Once each week (2 shifts) |
-- |
-- |
* Includes subspecialty clinic experiences
** Olive View-UCLA Medical Center - Acute Care Clinic (Includes subspecialty clinic experiences)\
*** North East Valley Health Corporation
CRITERIA FOR LETTERS OF DISTINCTION IN PEDIATRICS
Students will be evaluated by housestaff and attending staff during the pediatric clerkship. At the conclusion of the rotation, a summative evaluation will be completed by the clerkship site director and will include evaluations of your clinical work in all settings as well as your score on a written examination.
“Pass with Letter of Distinction” will be given to those students whose overall evaluation is in the highly outstanding range, who achieve a score on the written examination of 80% or higher, and who excel in ALL of the following areas:
- Demonstrated ability to apply basic medical knowledge to clinical scenarios
- Demonstrated skill in performing, presenting and documenting history and physical examinations
- Demonstrated ability to critically evaluate and integrate data in seeking solutions to identified problems
- Demonstration of interest and responsibility in participating in patient care
- Demonstrated ability to work as a team and communicate effectively with other staff, including nursing, attending and house staff
- Demonstrated ability to establish rapport with patients and families
- Active and consistent participation in conferences and other teaching sessions
- Evidence of general inquisitiveness, consistency and responsibility
- Presence of a positive general attitude during the clerkship
Course Chair: |
Lee Todd Miller, M.D. |
| Co-Chair: | Kate Perkins, M.D. |
| Coordinator: | Emily Chan 310-825-4128 |
PEDIATRICS |
CLERKSHIP CONTACTS
Hospital Site |
Site Director(s) |
Student Coordinator |
Center for Health Sciences and Olive View CHS/OVH (PE011) |
Angelika Rampal, M.D.
Rona Molodow, M.D. |
Emily Chan |
Cedar Sinai Medical Center CS (PE012) |
Arthur Cho, M.D. |
Esther Tolentino |
HARBOR-UCLA Medical Center HARBOR (PE013) |
Monica Sifuentes, M,.D.
Lynne Smith, M.D. |
Lisa Payne |
Kaiser Permanente Medical Center- Sunset KAISER.SUN (PE016) |
Steven Woods, M.D. |
Alicia Summerlin |