|Academic Year||2016-2017 Academic Year|
|Sponsoring Department||Pediatric and Adolescent Medicine|
|Other Departments|| |
|Involved in Clerkship||None|
|Course Duration||2 or 4 weeks|
|Visiting Students Accepted||Yes|
|Eligibility||Students from LCME or AOA-accredited schools|
|Prerequisites||Successful completion of all Year 3 required clerkships|
|Scheduling Information||All visiting student electives are scheduled by Resident Affairs through VSAS. Check the WMed Website for exceptions to this policy. WMed Scheduling Coordinator 269.337.6040.|
|Course Directors||Myrtha Gregoire-Bottex, MD|
|Course Instructors||Myrtha Gregoire-Bottex, MD|
Polly Hollenbeck, RT
|Program Coordinator||Allison Breisach|
|Sites Available||WMed Clinic|
Bronson Methodist Hospital
|Description||This rotation is primarily an outpatient experience but student will participate in all Pediatric activities including Morning reports and conferences. The student will have ample opportunity to interview patients, perform physical examinations and discuss management of the most common pulmonary disorders: cough, Cystic Fibrosis, Asthma, allergic rhinitis, recurrent pneumonia, airway anomalies. They will on occasion be exposed to other systemic illnesses causing pulmonary complication including sickle cell, neuromuscular disorders. They will observe bronchoscopy and spirometry or other pulmonary function testing. The student will participate in inpatient rounds and consults on patient admitted at Bronson hospital. They will have opportunity to observe a multidisciplinary team during the Cystic Fibrosis and Ventilation clinics. Emphasis is also placed on general pediatric issues: growth, immunization, risk of smoking or exposure to tobacco smoke, and infection control, patient education, safety and planning of care.|
|Objectives||At the end of the rotation, student will be able to|
- Demonstrate progress in obtaining a pediatric pulmonary history.
- Demonstrate age appropriate pediatric pulmonary examination
- Discuss the genetics, pathophysiology and management of cystic fibrosis, including most common complications and other impairment of airway clearance
- Describe two types of airway clearance techniques or devices in cystic fibrosis.
- Discuss the pathophysiology and classify severity of asthma.
- Explain the difference between controller and rescue medications for asthma.
- Discuss asthma management using the NIH / EPR guidelines based on asthma severity and degree of control.
- Discuss the basic interpretation of spirometry and other test of pulmonary function.
- Discuss the general approach to management of chronic cough, stridor,
- Understand the care of a child with chronic lung disease: including prematurity, aspiration and immunodeficiency
- Understand the role of a multidisciplinary team in planning the care for a patient with chronic lung disease
- Participate in the quality improvement projects in the Clinic
|Grading||Honors / Pass / Fail|
|Assessment||Not all inclusive|
|X||Multiple-choice, true/false, matching questions|| ||Laboratory practical items|
| ||Fill-in, short answer questions||X||Problem-solving exercises|
| ||Essay questions or papers||X||Presentations|
| ||Oral examinations||X||Preceptor ratings|
| ||OSCE or standardized patient exam|| ||Other (describe) PREP question|