Electives General Information

PEDIATRICS

PRESBYTERIAN HOSPITAL

PE02P Adolescent Medicine
Course Director: Dr. Karen Soren, (212) 342-3233, ks23@columbia.edu
Dr. Betsy Pfeffer, (212) 342-3215
Given: All year except August and December
Maximum: 1 student per month
Start Date/Time: First weekday of the month (contact course director)
Site/Location: (contact course director)
Description: Objective: This elective is designed to expose the student to the care of the adolescent patient.
Learning Experience: This will include primary, episodic, and gynecologic care, as well as contraceptive management, diagnosis and treatment of sexually transmitted diseases and management of chronic medical problems.  The student will act as a medical provider under the supervision of an adolescent medicine specialist.  He/she will see patients primarily in an ambulatory care setting and will be able to follow them as inpatients if they are admitted. The goal is for the student to learn an approach to the adolescent patient with specific skill development in history-taking, doing a complete physical exam including a pelvic examination, and providing anticipatory guidance and preventive health education to the patient.
Feedback: Multiple informal lectures will be given and feedback will be continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.
 
PE03P Adolescent/Young Adult Health
Course Director: Dr. David Bell, (212) 304-7737, dlb54@columbia.edu
Given: September, October, November, February, March, and April
Maximum: 1 student per month
Start Date/Time:

First weekday of the month, 10:00 AM (Please confirm with Dr. Bell, email is best)

Site/Location: Center for Community Health and Education, 60 Haven Avenue, B-3
Description:

Objectives: 1) To learn about the health needs of an inner city adolescent and young adult population and to become familiar with the health care resources available to them, with a particular focus on males; 2) To develop appropriate techniques for the clinical assessment and management of the adolescent and young adult male; 3) To obtain skills in health education which are particularly useful for working with these patients; 4) To gain an appreciation public health issues related to reproductive health care for adolescents domestically and globally.
Learning Experience: The student will engage in direct patient care in the Young Men's Clinic, as well as in Project STAY. The schedule will be designed according to the student's particular interests but will include a minimum of three clinical sessions per week. He/she will participate in satellite programs in adolescent health care at educational, recreational, or residential settings for youth in the Washington Heights and Harlem communities.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.

 
PE04P Pediatric Allergy
Course Director: Dr. David Resnick, (212) 305-2300, djr2@columbia.edu
Course Coordinator: Ms. Paula Colagrande, (212) 305-2300, colgran@nyp.org
Given: All year, except July and August
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: CUMC, Children's Hospital of New York North, Room 107
Description: Provides training in management of allergic diseases.
Objectives: Be able to recognize and understand from history, physical examination and testing, common allergic diseases and organize and implement treatment.
Learning Experience: Participate in allergy clinic, allergy rounds and office practice experiences with members and fellows of the Allergy Division. Opportunity for clinical research with newer agents in the treatment of asthma. Participation in a residential care program for chronic asthma at St. Mary's Hospital can be part of the program.
Feedback: Continuous throughout elective participation in group discussions and rounds. Basic and advanced reading will be recommended.
Evaluation: By presenting patients to the physicians. A final discussion of diagnosis and management of asthma, allergic rhinitis, urticaria, eczema will be informal at the end of the elective.
 
PE05P Pediatric Nephrology
All interested Columbia P&S students MUST have approval from the course director for this elective.
Course Director: Dr. Martin A. Nash, (212) 305-5825, man2@columbia.edu
Given: September, November, January, February, and May.
Elective may be available other months through special arrangement with course director.
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: CUMC, Children's Hospital of New York North, Room 701
Description: The elective is primarily an outpatient experience.
Objective: To gain familiarity with some of the more common renal disorders.
Learning Experience: The student observes the care of patients with a wide range of renal diseases and has the opportunity to discuss the clinical problems and treatment options with the faculty. There are frequent formal conferences. Independent reading is expected.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.
PLEASE NOTE THAT ALL STUDENTS MUST CONTACT THE COURSE DIRECTOR PRIOR TO ENROLLING IN THIS ELECTIVE.
 
*PE06P Pediatrics Advanced Clerkship
Course Director: Dr. Andrew Mutnick, (212) 305-8504, am312@columbia.edu
Course Coordinator: Ms. Jacqueline Outlaw, (212) 305-8504, jo9@columbia.edu
Given: All year
Maximum: 2 students per month
Start Date/Time: First day or weekday of the month, time to be determined
Contact the course coordinator one week prior to the start of the elective to confirm
Site/Location: CUMC, Children's Hospital of New York, Room 5-517 North
Description: Description: This elective provides the student with the opportunity to function as a physician with responsibility for in-hospital patient care under appropriate supervision.
Objectives: Approach the pediatric patient in a manner consistent with his/her age; perform pediatric physical exam and take a history; formulate appropriate problem list and appropriate plan of action including diagnostic and therapeutic measures and perform common physical procedures; the student should develop an appreciation for, and some understanding of, the interrelationship of developmental, emotional, socioeconomic and organic factors as they affect the child's health or illness.
Learning Experience: Serve as subintern on a general pediatric ward, with appropriate supervision, workup own patients as admitted, gather and interpret data relative to problems and direct diagnostic and therapeutic management. With appropriate supervision 102 carry out necessary technical procedures. Participate in all teaching and patient care rounds and in decision making processes involving his/her patients.
Feedback: ward resident and attending will keep the student informed as to the appropriateness, correctness and thoroughness of the manner in which he/she works up and manages his/her cases. Areas of weakness in the student's performance will be pointed out and opportunity for correction provided. Students are invited and encouraged to discuss this with the Course Director during the elective.
Evaluation: Student will be evaluated by the house staff and the ward attendings in three areas: 1) medical knowledge and academic ability, 2) clinical skills and abilities, 3) interpersonal and communication skills and professionalism.
 
PE08P Preceptorship in Pediatric Emergency Medicine
Course Director: Dr. Robert Best, robest2@aol.com
Course Director Office:

Morgan Stanley Children’s Hospital of New York Presbytarian, Columbia University          
Medical Center, Room 5-517 North

Course Director Phone: 212-305-8504
Course Director Fax: 212-305-8881
Course Coordinator:

Ms. Jacqueline Outlaw, jo9@columbia.edu

Course Coordinator Contact Information: Same as above.
Given: All year
Maximum:

2 students per month (may be able to accommodate 3)

Start Date/Time:

First day or weekday of the month, time to be determined.
Contact the course director and coordinator two weeks prior to the start of the elective to confirm

Site/Location: CUMC, Children’s Hospital of New York, Room 5-517 North
Rotation Schedule:

17 shifts including 3 daytime, (8a to 6p) 2 weekend, (1p to 1a) 6 evening, (4p to 1a) and 6 overnight, (11p to 8a) shifts

Where to go on first day of elective: Pediatric Emergency Department
Description:

Objective: This four-week elective will provide the student with the opportunity to participate in the care of pediatric patients who utilize the Pediatric Emergency Department as a source of primary and emergency care. 
Learning Experience: The student will be exposed to true emergency encounters as well as the management of acute and non-acute problems.  This experience will strengthen the ability of the student to gather clinical information, conduct rapid assessment of the patient, make appropriate clinical decisions, and formulate treatment plans. The rotation includes daytime, evening, overnight, and weekend work.  The preceptorship is under the direction of Dr. Robert Best and the faculty of the Department of Pediatrics.   
Feedback:
Continuous throughout the elective. 
Evaluation:
Will be based on a consensus of all faculty members involved in the student's education in this course.

 
PE09P Pediatric Pulmonary Medicine
Course Director: Dr. Michael Bye, (212) 305-6551, mb255@columbia.edu
Given: All year
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 8:00 AM
Site/Location: CUMC, Children’s Hospital of New York, 7 Central Room 752
Rotation Schedule: M-F 8am-6pm (may vary)
Description:

Objective: This course will provide training in the diagnosis and management of the common respiratory disorders encountered in pediatrics. 
Learning Experience:
Students will spend time with inpatients and outpatients. The inpatient experience consists of rounds and consultations on the wards at the Children's Hospital.  The student will be expected to do consultations and follow those patients, as well as patients admitted to the Pulmonary service. These rounds will be conducted with the attending and fellow.  Outpatient management will be learned in the Faculty's private office hours as well as a more hands-on experience one half-day a week.  Students will attend bronchoscopies and learn the indication, methods and interpretation of pulmonary function and exercise tests.  Students will be given the opportunity to present a small discussion of a topic of their choosing at the end of the rotation. 
Feedback:
  During inpatient rounds, bidirectional feedback occurs continuously as the patients are discussed and reviewed. 
Evaluation:
  Bidirectional evaluation is ongoing throughout the month.
Division Chief:
Dr. Michael Bye

 
PE10P Pediatric Endocrinology
All interested Columbia P&S students MUST have approval from the course director for this elective.
Course Director: Dr. Sharon Oberfield, (212) 305-6559, seo8@columbia.edu
Given: September through November, and January through July. Start date flexible.
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 8:30 AM
Site/Location: CUMC, Children's Hospital of New York
Pediatric Endocrinology, Presbyterian Hospital 522E
Description: The elective will offer exposure to the clinical problems in pediatric endocrinology and the opportunity to take part in a clinical research project.
Objective: Student should be able to identify major endocrine disorders of childhood, e.g. short stature, Diabetes Mellitus, hypothyroidism, abnormal puberty. He/she will learn how to evaluate and treat disorders of pediatric endocrinology.
Learning Experience: The student will attend Pediatric Endocrine Clinics and private offices weekly. Student will see all patients admitted to the hospital and take part in all consults and clinical procedures. Student will be assigned a specific research project during the elective, which will involve data gathering, help in performance of procedures, literature review and/or data collation. Presentation will be either written or oral. Student will be required to read articles from a prepared syllabus.
Feedback: Periodic meeting with preceptor for review and follow-up of patients/projects.
Evaluation: Student will be evaluated in an ongoing manner, as well as, after completion of project. All interested students MUST contact the course director prior to enrolling for this elective.
 
*PE11P Sub-Internship in Neonatal Intensive Care
Course Director: Dr. Richard A. Polin, (212) 305-5827, rap32@columbia.edu
Coordinator: Ms. Yariella Miller, (212) 305-8500, yem2001@columbia.edu
Given: All year
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 7:45 AM
Site/Location: CUMC, Children's Hospital of New York, Tower 7, NICU
Description: Objective: This rotation is designed to introduce students to the Neonatal Intensive Care Unit.
Learning Experience: The students will work in parallel with the first year houseofficers and be assigned 2-3 sick newborn infants. Students will be expected to examine each infant daily, write progress notes, present to the attending neonatologist on rounds, and perform procedures with the assistance of more senior physicians. The student will take call every fourth night until 10:00 PM. They will however be encouraged to stay beyond that time if there are new admissions or interesting occurrences. As part of this rotation, students will have many opportunities to go to the labor and delivery room with an experienced fellow. Students will be expected to attend all divisional conferences during the month they are assigned to the NICU and formally review a topic, which they will present during rounds.
Feedback: Continuous throughout the elective.
Evaluation: At the end of the rotation the students will be given a formal evaluation by the attending neonatologist.
 
*PE12P Pediatric Critical Care
Course Director: Dr. Marilyn Morris, (212) 305-8458, mcm2113@columbia.edu
Course Coordinator: Ms. Tina Rosengarten, (212) 305-9717, cvr6@columbia.edu
Given: All year
Maximum: 4 students per month (exchange students permitted)
Start Date/Time: First weekday of the month, 7:00 AM
Site/Location: CUMC, Children's Hospital of New York, Tower 9
Description: Objective: The goals of this sub-internship are 1) for the student to be exposed to the varied and complex medical, surgical, and emotional issues of caring for critically ill children, and 2) for the student to learn the art and science of making difficult medical decisions, drawing strongly from fundamental concepts of physiology.
Learning Experience: The pediatric ICU is a 32 bed complex caring for children with critical illnesses or injuries, as well as patients with chronic illnesses manifesting an acute life-threatening event.  The student’s experience will focus on evaluation and management of pediatric critical illnesses including cardiopulmonary failure, neurologic compromise, septic shock, and severe fluid and electrolyte disturbances in children of all ages, including many with congenital cardiac disease. Seven overnight calls, including 24 hour weekend shifts are expected over the one month rotation.
Feedback: Continuous throughout the elective.
Evaluation: Based on presentation on rounds, knowledge, motivation, participation as a team member. The elective has been well received by previous 4th year students, particularly those with a strong interest in pediatrics.
 
*PE14P Program in Pediatrics and Bioethics
All interested Columbia P&S students MUST have approval from the course director for this elective.
Course Directors: Dr. Helen M. Towers
Dr. Kristina Orfali
Given: All year
Maximum: 2 students per month
Start Date/Time: First day of the month, 9:00 AM
Site/Location: Morgan Stanley Children’s Hospital of New York
Babies Hospital Central Room 1202
Description:

The Program in Pediatrics and Bioethics is designed to explore the physician’s ethical responsibility to the child as patient, the role and rights of parents, and ethical and legal principles which guide decisions when there is conflict.

Objective:
The student will discover the unique bioethical and legal aspects of the fetus, child and adolescent and role of the parents as surrogate decision maker.

Learning Experience: Students and director will meet 2-3 times weekly and jointly select a topic from the following areas to investigate in greater depth, with an expectation of a publishable paper by the end of the month:
Informed consent/ surrogate
Parental Decision making
Communication skills/ Interactions with Family/Child
End of Life Issues/DNR/Futility
Cross cultural Issues and diversity of beliefs in Pediatics
Maternal/Fetal conflict
Professional ethics
Clinical Ethics
Ethics in Research and Experimentation

The student will attend the monthly Department of Pediatrics Bioethics Meeting and will be included on the Pediatric Ethics Consultation service for the month.

Feedback will take place during meetings with the directors.

Evaluation
 will be done based on participation in tutorials, and the merit of the paper
Required Reading: Introduction to Clinical Ethics, by  Fletcher, Miller, Lombardo and Marshall. 2nd Ed.  Decisions about Treatment in Newborns, Infants and Children p181-204.

 
PE16P Insights into Global Health: HIV-Infected Children and Their Families in the Dominican Republic
All interested Columbia P&S students MUST have approval from the course director for this elective.
THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS.
Course Director:

Dr. Stephen Nicholas, swn2@columbia.edu

 

Course Coordinator: Ms. Sabrina Hermosilla, sabrinahermosilla@gmail.com
Given: All year
Maximum: 2 students per month
Start Date/Time: To be determined (contact course director)
Site/Location: To be determined (contact course director)
Primary Goal: To provide a clinical experience that will allow insight into the medical, social and economic challenges inherent in the global AIDS crisis. Site of Rotations: Students will work with the International Family AIDS Program in La Romana, Dominican Republic under the direct clinical supervision of Dr. José Román and Dr. José Lopez. Clinical sites include Complejo Micaeliano, an outpatient facility for HIV-infected sex workers; Clinica de la Mujer, an obstetrical clinic treating HIV-infected pregnant women; Hospital Dr. Francisco A. Gonzalvo, a public hospital; and Centro Medical Central Romana, a private corporation hospital.
Description: Students will participate in and observe many aspects of community-, clinic-, and hospital-based care for HIV-infected children and their families, including diagnosis and treatment.
Objectives: Students will become familiar with current treatments used in resource poor settings to prevent mother-to-child HIV infection or to treat HIV-infected individuals. They will also participate in the provision of health care in the sugar cane bateyes, where families are predominantly Haitian. The elective will provide insight into not only the medical but also the social, psychological, and legal aspects of the pediatric AIDS epidemic. The influence of associated variables, such as racism, poverty, stigma, barriers to health care, medication adherence, disclosure, sexual behavior and chronic illness will be analyzed.
Feedback: Continuous throughout elective.
Evaluation: Will be based on medical knowledge and academic ability; clinical skills and abilities; and interpersonal relationships. Will also include quality, thoughtfulness and creativity of summary report at end of elective.
Final Report: A summary of the elective experience is required. Students are encouraged 105 to document, in as many ways as possible (whether by daily journal, essay, photographs, video) their experiences and, most importantly, their insights. This report is due one week after the end of the rotation and should be submitted to Dr. Nicholas. This program received funding from the Louis and Rachel Rudin Foundation, which pays students' airfare and a $500 stipend.
 
 
 
PE18P Insights into Global Health: HIV-Infected Orphans in Ethiopia, Vietnam, and Other Countries
All interested Columbia P&S students MUST have approval from the course director for this elective.
THIS ELECTIVE IS NOT OPEN TO VISITING STUDENTS.
Course Director: Dr. Jane Aronson, Director, International Pediatric Health Services and Medical Director and Founder, Worldwide Orphans Foundation (WWO), (212) 207-6666, orphandoctor@aol.com
Given: All year
Maximum: 2 students per month
Start Date/Time: To be determined (contact course director)
Site/Location: To be determined (contact course director)
Primary Goal: To provide a clinical experience that will allow insight into the medical, social and economic challenges inherent in the global AIDS crisis, with a particular focus on orphans and other vulnerable children.  Site of Rotations:  (1) Tam Binh Center is an orphanage in Ho Chi Minh City run by the government.  Students will work under the direction of Dr. Jane Aronson in New York and Dr. Nguyen Trong Hau, Medical Director for WWO in Viet Nam.  (2) WWO-AHF Family Health Center is a healthcare center in Addis Ababa run by the Worldwide Orphans Foundation, in collaboration with the AIDS Healthcare Foundation.  Students will work under the direction of Dr. Jane Aronson in New York and Dr. Sophia Mengistu, Country Director for WWO in Ethiopia.  In addition, opportunities may arise in other countries in which WWO provides services (e.g., Serbia, Bulgaria, Azerbaijan).  Availability of these locations will be determined at time of application.  These rotations would be more psycho-social in focus, and would provide insight into the challenges faced by younger children living in orphanages who may be physically disabled or developmentally delayed.  Students working in these countries would be under the direction of Dr. Jane Aronson in New York, Dr. Jill Cole in Seattle, and locally-based providers.  WWO is a non-profit organization based in New York that develops and funds projects to treat HIV-infected orphans and train/mentor healthcare professionals in developing countries in HIV/AIDS pediatric treatment and care.
Description: Students will participate in and observe many aspects of orphanage, clinic and hospital-based care for HIV-infected orphans and other children, and families affected by HIV/AIDS, including diagnosis, treatment and follow-up care. Students will also assist in the training/mentoring/supporting of in-country health care providers to help enhance local capacity to provide comprehensive pediatric care. 
Objectives:  Students will become familiar with current treatments and obstacles to care used in resource poor settings to treat HIV-infected orphans.  They will participate in the provision of health care at an orphanage or clinic for HIV-infected children, including HIV/AIDS diagnosis and treatment, development assessments, nutritional evaluations and primary care.  This will provide insight into not only the medical, but also the social, psychological, cultural and economic aspects of the pediatric AIDS epidemic.  The influence of associated variables, such as poverty, stigma, orphanage life, barriers to health care, mother-to-child transmission, medication adherence, disclosure and chronic illness will be analyzed. 
Feedback:  Continuous throughout elective. 
Evaluation:  To be based on medical knowledge and academic ability,clinical skills and abilities, cultural sensitivity and interpersonal relationships. 
Final Report:  A summary of the elective experience and the formulation of a research question is required and due within two months of arrival back in the United States to be submitted to Dr. Aronson.  Students will be required to create a journal of their experiences suitable for publication on the WWO website, www.wwo.org and for inclusion in a bound edition of the Orphan Ranger Archive.   
All P&S students interested in participating in the elective must complete the application found online at www.wwo.org.
 
CR02P Participation in Patient Care of Infants and Children with Congenital Heart Disease
  See Cardiology.
 
GN01P Clinical Genetics
  See Genetics.
 
HM02P Pediatric Hematology and Oncology
  See Hematology.
 
IN02P Clinical Infectious Diseases - Pediatric Section
  See Infectious Diseases.
 
NU03P Pediatric Neurology
  See Neurology.
 
PS03P Child and Adolescent Psychiatry
  See Psychiatry.
 
PS11P Intermediate Care: Child and Adolescent Psychiatry
  See Psychiatry.
 
RH02P Child with Long-Term Illness
  See Rehabilitation Medicine.
 
*SU01P Pediatric Surgery Advanced Clerkship
  See Surgery.
 
*UR02P Pediatric Urology Advanced Clerkship
  See Urology.


HARLEM HOSPITAL

PE40H Adolescent Medicine
Course Director: Dr. Fred M. Donkoh, (212) 939-4036, fd28@columbia.edu
Given: All year for one or two month rotations except June and August.
Maximum: 2 students per period
Start Date/Time: First day of the month, 10:00 AM
Site/Location: Harlem Hospital Center, 135th St. and Lenox Ave., Martin Luther King Pavilion, 17-140
Description: Objectives: 1) To provide familiarity with the particular medical concerns found in an inner city adolescent population. 2) To increase knowledge about normal adolescent growth and development as a basis for understanding adolescent behaviors. 3) To enhance awareness of the important role of psychosocial factors in morbidity and mortality among adolescents. 4) To facilitate communication with adolescents about general as well as sensitive issues.
Learning Experience: 1) Under supervision, the student will function as primary care provider for patients seen during each of the five Adolescent clinic sessions. This will involve performing an initial history and physical examination, requesting necessary lab tests, utilizing information garnered to come up with a treatment plan, updating immunizations, providing gynecological and contraceptive services. 2) During the school year, the student will have an opportunity to engage in patient care in one of Harlem Hospital's school health programs. 3) The student will be expected to participate and make presentations during teaching rounds conferences with the course director.
Feedback: Will be provided to the student on an ongoing basis. Evaluation: Evaluation will be shared with the student at the end of the elective.
 
PE43H Pediatric Allergy and Clinical Immunology
All interested Columbia P&S students MUST have approval from the course director for this elective.
Course Director: Dr. Vincent E. Hutchinson, (212) 939-4021, veh2@columbia.edu
Given: September through June
Maximum: 1 student per month
Start Date/Time: First day of the month, 9:00 AM
Site/Location: Harlem Hospital Center, 135th St. and Lenox Ave., Martin Luther King Pavilion, 17-110
Description: Objectives: This elective is designed to provide training in the recognition, evaluation and management of common allergic and immunologic diseases in children and adolescents.
Learning Experience: The student will participate in three (3) weekly Allergy/Asthma clinics, consultation rounds and conferences with the course director. This elective offers the unique opportunity for the student to manage chronic, severe asthmatic children. The student will gain insight into the socio-economic, environmental and cultural factors that play a crucial role in the adherence to asthma treatment regimens.
Feedback will be given throughout the elective.
Evaluation: The student's performance will be assessed from case presentations and discussions.
 
PE44H Pediatric Ambulatory Care: Pediatric Practice in an Ethnic Community
Course Director: Dr. María Suárez, (212) 939-8003, mss9@columbia.edu
Given: October through May
Maximum: 1 student per month
Start Date/Time: First day of the month, 9:00 AM
Site/Location: Harlem Hospital Center, 135th St. and Lenox Ave., Ron Brown Pavilion, Room 1120
Description: Objectives: Emphasis in this elective will be two fold: 1) In the broad scale, achieving a comprehensive but practical understanding of the clinical, epidemiological, cultural and political elements of Primary care practice in an ethnic urban neighborhood; 2) For the individual patient and family, developing a facility for discovering all factors (medical, social, etc.) relevant to the patient's health in the context of the family and planning an appropriate array of intervention, on all levels, to move the child toward better health.
Learning Experience: The student will begin an array of exposures to a full range of pediatric care facilities serving this community. Elements chosen can include, according to the student's interests: 1) Municipal Hospital Outpatient and Emergency Departments; 2) Neighborhood Health Centers; 3) School Health Programs; 4) Pediatric Subspecialty Clinics. In each setting, the student will be paired with a pediatrician or other specialist (all selected by the Course Director), who will take direct responsibility for supervising the student's learning. The student and the Chief of Ambulatory Pediatrics should meet one month prior to the starting date to select those elements most appropriate to the student's own learning objectives, to devise an appropriate schedule and to designate preceptors for each activity. Feedback and Evaluation: Will be done by the course director.
Faculty: Pediatric Attending Staff.
Students should contact the course director one MONTH prior to beginning of elective to determine student interests.

PE45H   Pediatric Emergency Services

Course Director: Dr. Fred Agre, (212) 939-2240, (212) 939-2240, AgreG@nychhc.org
Given: All year
Maximum: 1 student per month
Start Date/Time: First weekday of the month, 9:15 AM
Site/Location:

Harlem Hospital Center, 135th St. and Lenox Ave., Pediatric Emergency Room

Description:

Objective: This elective provides supervised training in the recognition, evaluation, and management of emergency conditions in children and adolescents. 
Learning Experience:
Harlem Hospital is a Trauma Center, a Burn Center, a '911' ambulance receiving station, and has a Pediatric Emergency Service that is separate from Adult Emergency. We see over 25,000 patients a year in a fully staffed (Attending level) Emergency Service. The student will receive instruction in the management of common, urgent, and emergent problems and participate in the conferences and clinics of the Pediatric Service. There is no overnight call, but periodic evening call will be expected about every fourth day. 
Feedback:
Will be given weekly.
Evaluation:
Performance will be assessed from case presentations and discussions.





ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ROOSEVELT SITE

EM61R Pediatrics Emergency Medicine
  See Emergency.
 
IN60R Infectious Diseases and Allergy-Clinic Immunology
  See Infectious Diseases.
 
NU60R Pediatric Neurology
  See Neurology.

ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ST. LUKE'S SITE

*PE52L Neonatal-Perinatal Medicine Advanced Clerkship
Course Director: Dr. Farrokh Shahrivar, (212) 523-3760, fshahriv@chpnet.org
Course Coordinator: Ms. Virginia Calderon, (212) 523-8306, vcalderon@chpnet.org
Given: All year, night call is optional.
Maximum: 1 student per month
Start Date/Time: First day of the month, 9:00 AM
Site/Location: Roosevelt Hospital Center, NICU, 12th Floor, Neonatology Division
Description: To provide experience in management of sick newborns.
Objective: to teach students, resuscitation and management of infants in delivery room; examination of healthy infants in nursery and sick neonates in the intensive care unit, treatment and follow-up plan.
Learning Experience: Students will work under the direct supervision of attending neonatologists. He/she will be responsible for their patients in taking history, physical examination, collecting lab data and case presentation. Students are expected to attend all teaching sessions; such as: daily neonatology bedside rounds, weekly neonatology lecture series, bi-weekly perinatology/neonatology combined conference and case discussion, weekly social/ethical rounds.
Feedback and Evaluation are provided on a regular basis by the attending neonatologist, focusing on the issues of patient care, technical skills and management plans.
 
PE54L Sickle Cell Diseases
Course Director: Dr. Edwin B. Robins, (212) 523-3103, (212) 523-4876, erobins@slrhc.org
Given: October through May
Maximum: 1 student per month
Start Date/Time: First weekday of the month, time to be arranged (contact course director)
Site/Location: St. Luke's-Roosevelt Hospital Center, St. Luke's Hospital
1090 Amsterdam Ave., Third floor
Description:

Not Offered in 2006-2007

The elective will provide the student with clinical experience, both in the pediatric and adult Sickle Cell programs at the Comprehensive Sickle Cell Center at St. Luke's/Roosevelt Hospital Center.
Objectives: Student will be taught to recognize clinical signs and symptoms of sickle cell diseases, including homozygous sickle cell anemia, and variant diseases; to interpret relevant test results; and to distinguish most common complications; as well as how to prepare treatment/management plans for any age patient, for steady state, and for acute and chronic manifestations of the disease. By the end of the elective, he/she should be able to provide genetic as well as health management counseling to the patient, and the family.
Learning Experience: The student will attend sickle cell clinics, both pediatric and adult, and will make daily rounds with attendings on sickle cell patients admitted on the pediatric and adult wards. The student will thus have exposure to patients in the steady state as well as with acute problems of varying degrees of severity, so that there is opportunity to learn preventive as well as crisis management. The student will attend weekly pediatric grand rounds, professorial lectures, sickle cell team meetings, patient care conferences, as well as genetic counseling sessions. The student will have exposure to technical modalities such as maintenance of indwelling venous access devices, pumps used for iron chelation, and patient-controlled analgesia for pain management. Emphasis will be on newer approaches to the diagnosis and management of sickle cell diseases. The student can participate in patient management by team approach with semi-monthly discussion of patients, involving in-depth reviews of pediatric or adult cases by a variety of professionals including hematologists, social workers, nurses, and genetic associates. He/she will also work with the Newborn Screening Program Coordinator, pediatricians, and public health nurse in the follow-up and counseling of families whose infants are diagnosed with a hemoglobinopathy through the New York State Newborn Screening Program. He/she will be actively involved in one or two of the research projects in progress during the elective. The student will be expected to write a paper on his/her clinical research involvement, or on a case or cases seen during the rotation, together with a review of the recent literature.
Feedback: Student will receive feedback during consultation rounds, and after clinic sessions.
Evaluation: The student will be evaluated on his/her work during the month, and on the quality of the written assignment. Evaluation will be directly by the course directors, with input from other members of the Sickle Cell Program, and from sickle cell families and patients.
 
PS51L Child Psychiatry
  See Psychiatry.

STAMFORD HOSPITAL

PE30S General Pediatrics in the Community
THIS ELECTIVE IS NOT AVAILABLE TO VISITING STUDENTS.
Course Director: Dr. Harry Romanowitz, (203) 325-7082, hromanowitz@stamhealth.org
Given: All year
Maximum: 2 students per month
Start Date/Time: First weekday of the month, 9:00 AM
Site/Location: Children's Health Center, 26 Palmer's Hill Road, Stamford, CT
Description: Objective: This clinical elective is designed to expose the medical student to varied aspects of a general pediatric practice in a nearby community. Average Number of inpatients: 15 – 20. Number of Clinics Per Week: 9 (2 – 3 hour sessions per clinic). Number of Patients per Clinic: 25 – 30. Learning Experience: Ongoing involvement is offered in one of several busy general pediatric practices, as an opportunity to expose the student to the challenges and rigors of such practice (as well as to expose the practitioners to the skills of the student). Also, active participation in general and subspecialty pediatric clinics (including pediatric neurology, pediatric rheumatology, pediatric cardiology, pediatric pulmonary, pediatric gastroenterology). Direct close teaching with the Attending Staff is assured. Regular teaching conferences geared mainly to practical aspects of general pediatrics (both inpatient and outpatient) are 111 included. Night and weekend call responsibilities: Offered on an individual basis (up to once weekly). For other information contact Harry Romanowitz, M.D., Director, Ambulatory Pediatrics, The Stamford Hospital, P.O. Box 9317, Stamford, CT 06904, (203) 325-7082. For further specific information regarding choice of individual practices, specific specialty areas and any other details. Feedback during this elective is expected to be ongoing.
Evaluation: Provided upon conclusion of the elective.