DEPARTMENT OF PEDIATRICS
AMBULATORY PEDIATRICS CLERKSHIP
(Includes: Adolescent; Cardiology, Developmental, Endocrinology;
Gastroenterology; Genetics; Hematology & Oncology; Infectious Disease; Nephrology; Neurology, Pulmonary and Outpatient Clinic.)
MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE. One (1) to three (3).
LENGTH OF ROTATIONS. Two (2) to six (6) weeks.
WILL TAKE STUDENTS FOR TWO WEEKS ONLY? Yes.
LEVEL OF STUDENTS ACCEPTED. Last quarter of third year, entire fourth year.
TIME OF YEAR OFFERED. Flexible start dates throughout the year.
PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.
- Offered primarily to medical students with an Army obligation (HPSP and USUHS)
- Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
- All students (except USUHS and University of Hawaii) will apply for a clerkship utilizing the form entitled “ Request for Approval of Clinical Clerkship Training.”
- USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request
- The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.
OBJECTIVES/DESCRIPTION OF CLERKSHIP.
- The specific clerkship objectives will be determined by the subspecialty attending physician and the general pediatric attending. In general, the medical students working in ambulatory subspecialty rotations will participate in the evaluation and management of outpatients seen in the subspecialty clinic and participate in the evaluation and management of inpatient consultations.
- Medical students working in the ambulatory general pediatric clinic and adoles-cent clinic will evaluate outpatients and discuss the evaluation and management of the outpatient with the pediatric attending and senior pediatric residents.
FREQUENCY OF CALL.
- Although the pediatric ambulatory subspecialty rotations are primarily outpatient-based, the medical student is encouraged to take call at least once a week.
- Call can be taken with either the ward/ER/PICU call team or the NICU/Nursery call team. This is recommended so the medical student will have greater exposure to different aspects of the program and also allows more members of the department to interact with the medical student.
REQUIRED READINGS. Reading assignments will vary depending upon the specific subspecialty rotation.
- Each student is expected to attend morning report each morning (0730-0800) and morning conference (0800- 0900) on Mondays through Fridays.
- A medical student lecture series (designed primarily for third year medical students) is also scheduled every noon except Wednesday.
- Fourth-year medical students are highly encouraged to attend this lecture series; it consists of a small-group discussion with an Attending Pediatrician (1215-1300).
- The medical student will also have the opportunity to present a case at morning report. This presentation can involve an inpatient or outpatient and should be coordinated with the appropriate pediatric subspecialty staff or subspecialty resident.
HOW ARE STUDENTS EVALUATED?
- Ongoing feedback should be given throughout the rotation.
- The final clerkship evaluation will be completed by the appropriate attending physician.
- The students will be evaluated for general medical knowledge (via direct questioning, quizzes, PREP questions, etc.), patient management skills, professionalism, and interpersonal skills. We use the PRIME evaluation system (professionalism; reporter – interpreter – manager – educator).
- Depending upon the number of students at any given time, it is possible to arrange a "split" rotation, meaning that two to three weeks could be spent in one ambulatory subspecialty discipline and the other two to three weeks in a second ambulatory subspecialty discipline.
- Likewise, a portion of the rotation may be in an ambulatory pediatric clinic and a portion of the rotation may be in an inpatient discipline. Again, this allows the student to have a greater exposure to different aspects of the program and also allows more members of the department to interact with the medical student.
- Medical students must confirm with their medical school authorities to determine if this "split" rotation is acceptable. Some medical schools do not authorize "split" rotations, but instead require a full four to six weeks in the same discipline.