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Tripler Guide 2015
Tripler Guide 2015


(Includes: Adolescent; Cardiology, Developmental, Endocrinology; Gastroenterology; Genetics; Hematology & Oncology; Infectious Disease; Nephrology; Neurology, Pulmonary and Outpatient Clinic.)


  • The specific rotation 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.


  • 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 from 0730 to 0800 (7:30 A.M. to 8:00 A.M.) and morning conference from 0800 to 0900 (8:00 A.M. to 9:00 A.M.) on Mondays through Fridays.
  • A lecture series is also scheduled every noon except Wednesday.
  • 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.


  • 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.


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