Department of Pediatrics

PEDS 402	Pediatric Cardiology
Faculty:	Dr. Blair Robinson
Prerequisites:	Completion of Pediatrics Clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(See notes section)
Meeting Times:	9:00 a.m.
Credit Hours:	6
Learning Objectives:	At the end of this elective, the student will be expected to be proficient in physical diagnosis as related to the cardiovascular system, as well as interpreting electrocardiograms, chest x-rays, and basic echocardiography.
Learning Activities:	The student will attend inpatient rounds; weekly pre-surgical conferences; rounds; outpatient clinics at UNC, Raleigh, Wilmington, and Fayetteville. There are no call requirements.
Evaluation:	The student will be evaluated on his/her proficiency in organizing clinical presentations, cardiovascular physical diagnosis skills, ECG, chest x-ray, and echocardiography interpretations skills and participation in clinics.
Special Notes:	Visiting students should report to the Pediatric Education Office Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students should report to the Children's Heart Center (located on the ground floor of the Children's Hospital at 9:00 on the first day. Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	9/19/2008

PEDS 404	Acting Internship in Pediatric Neonatology, Levine Children's Hospital at Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Docia Hickey
Prerequisites:	Completion of pediatric clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Student will be able to obtain and record a pertinent maternal and delivery history for high risk neonates, perform a complete PE including gestational age, recognize, and accurately record abnormal physical findings, formulate a differential diagnosis, present patients concisely to attending with initial and ongoing management of the high risk neonate, identify common problems on neonatal x-rays, be involved in discussions with parents, become familiar with discharge planning activities for the high risk neonate, and develop an appreciation for ethical issues that arise in a neonatal unit.
Learning Activities:	Daily activities include attending teaching rounds, patient presentations, review of x-rays, updating and formulation of therapy plans, providing planned patient care with required charting, meeting with families, and attending high risk deliveries. Lunchtime pediatric conferences are held daily. Per week: Conference: 5 hours, NICN: 30 hours, Reading: various, Library: various, and Call: every 4th night.
Evaluation:	Evaluation is by the neonatal attending (who will discuss with the student). Based on direct interaction and observation of daily activities by that attending, with input from the admitting and night/weekend neonatologists' observations, as well as the supervising pediatric resident.
Special Notes:	Be advised that background checks and drug screens will take place on the first day.
Date Updated:	3/26/2008

PEDS 405	Pediatric Infectious Diseases
Faculty:	Dr. Thomas Belhorn
Prerequisites:	Completion of Pediatrics clerkship
Offered:	All electives periods
Max. Enrollment:	2 per period
Duration:	One elective period
Meeting Place:	(See notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The Pediatric Infectious Diseases clinical rotation is designed to provide experience in both basic and applied aspects of childhood infectious diseases, thereby increasing proficiency in the recognition and management of such infections. It is our expectation that by the end of the rotation students will have gained expertise in the recognition of clinical manifestations of pediatric infectious diseases and a greater understanding of the etiologic agents themselves, disease epidemiology, the appropriate use of diagnostic testing and treatment and prevention of both common and unusual infections in children.
Learning Activities:	Working primarily with the specialty residents and faculty consultants, the student will be expected to participate in: (1) daily outpatient clinic conference and ward rounds for review of cases and consultation services; (2) infectious disease and pediatric HIV clinics for evaluation and disposition of ambulatory patients; (3) clinical microbiology laboratory rounds; and (4) scheduled infectious disease and chest conferences. Night and weekend call are not required.
Evaluation:	The student performance in the learning activities listed above will be assessed by the Pediatric Infectious Disease faculty working directly with the student with input from other faculty and residents on the service.
Special Notes:	Visiting students should report to the Pediatric Education Office Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172
Date Updated:	6/26/2008

PEDS 406	Pediatric Pulmonology
Faculty:	Dr. Stephanie Davis
Prerequisites:	Completion of pediatrics clerkship
Offered:	Elective periods 1-10
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	1. Develop skills in obtaining a history and performing a physical examination focused on the pulmonary system. 2. Learn basic interpretation of tests of lung function, chest imaging, and sweat testing. 3. Develop knowledge of pulmonary disorders including cystic fibrosis, asthma, upper airway obstruction, pneumonia, GE reflux-associated lung problems, structural lower airway abnormalities, foreign body aspiration and immune dysfunction.
Learning Activities:	1. Participate in in-patient and out-patient consultations (major emphasis). 2. Participate in evaluation of out-patients in pulmonary clinic (major emphasis). 3. Participate in in-patient rounds of pulmonary team (optional). 4. Observe pulmonary function testing, sweat testing, and flexible bronchoscopy. 5. Attend weekly pediatric chest conference, division conference, and grand rounds. 6. Read selected material from standard texts of pediatric pulmonology. 7. Identify literature concerning patients and review findings with in-patient team. 8. Prepare and give a 10-minute presentation on a clinical topic at chest conference.
Evaluation:	Direct observation by faculty and fellows. Written assessments of student's performance by faculty and of elective by the student will be performed at the conclusion of the elective.
Special Notes:	Visiting students should report to the Pediatric Education office Medical School Wing D, Room 78 at 9:00 a.m. on the first day and ask for Kelly Lear. UNC students should report to the 5th floor of the NC Children's Hospital and ask that Pediatric Pulmonary Attending/Fellow on service be paged. Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	6/26/2008

PEDS 407	Developmental-Behavioral Pediatrics
Faculty:	Dr. William Coleman
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Credit Hours:	6
Learning Objectives:	The student will: (1) review fundamental stages and theories of child development; (2) learn about principals and techniques of pediatric neuro-developmental assessment; (3) observe how the dynamic interplay between "nature" and "nurture" influence children's developmental and behavioral (D-B) progress, (4) gain awareness of education implications for children with D-B dysfunctions, (5) learn about the differential diagnosis and management for common conditions that are often associated with difficulties in learning, development, and/or behavior, and (6) become aware of a range of community services and agencies that provide support and intervention to children with D-B problems and their families.
Learning Activities:	Along with a pediatric preceptor, students will participate in and observe evaluations and follow-up of children ranging in age from infancy through adolescence, some involving only a pediatrician, others as part of an interdisciplinary team. Other activities include attending regular meetings with the pediatric faculty to discuss cases and developmental issues; reading from suggested articles and books that are made available, watching videotapes illustrating a variety of developmental-behavioral issues and how they relate to pediatric care, participating in visits to community programs (e.g., School for the Blind, TEACCH program for autistic individuals, preschool classroom, specialty outpatient clinics at UNC and Duke for children with spina bifida, prematurity, etc.). Hours are generally for 8 am to 5pm. There are no on-call requirements.
Evaluation:	Student evaluations will be based on: (a) participation in discussions with preceptors and (b) initiative in exploring in-depth at least one developmental/behavioral issue of interest via additional reading and discussion with a mentor.
Special Notes:	On the first day, all students should report to the Center for Development and Learning (CDL) at 7:45 a.m.: Meadowmont Exchange East Building, 1450 Raleigh Road, Chapel Hill. The CDL occupies the entire first floor of the Meadowmont Exchange East Building. From UNC campus go east on Hwy 54 (toward intersection with I-40). Turn right onto Friday Drive (4th light after 15-501). Stay in far right lane. Go short block to the first street on the right (no name, but sign indicated "WUNC"). Turn right, go one block, past Park and Ride lot, to end, and turn right. Go one block. You will see our3 story red brick building straight ahead. Park anywhere in surrounding lot except in spaces directly adjacent of the building. See CDL receptionist (on left side of building lobby). Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	3/26/2008

PEDS 408	Pediatric Hematology/ Oncology
Faculty:	Dr. Stuart Gold
Prerequisites:	Completion of pediatrics clerkship
Offered:	by permission only
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	Overall Educational Goals: The rotation is geared mostly toward students who expect to go into general pediatrics upon leaving the training program but also toward encouraging potential hematologist/oncologists. Thus, the student should: a) be able to recognize the major signs and symptoms of common hematologic and oncologic diseases in children and adolescents, b) interpret normal and abnormal hematologic laboratory values and initiate appropriate evaluations on patients with abnormal values, c) understand when to refer patients to an academic practice and how to partner with the tertiary care center in the management of patients with cancer and blood diseases, d) get a feel for the emotional issues encountered by families and physicians in this field, e) have an appreciation of clinical and basic research opportunities in the field. Objectives: 1. Recognize the signs and symptoms of common childhood and adolescent blood disorders (anemia, neutropenia, thrombocytopenia, coagulopathies, hemoglobinopathies) 2. Recognize the signs and symptoms of childhood and adolescent cancer. 3. Know the side effects and mechanism of action of the common chemotherapies. 4. Demonstrate the ability to interpret a complete blood count, PT, PTT, and relate abnormalities to specific disease processes. 5. Demonstrate the ability to manage common emergencies such as fever/neutropenia, blood product transfusions. 6. Understand the concept of the Cooperative Childhood Cancer Groups and the need to refer patients for care in tertiary centers. 7. Demonstrate competence and/or understanding of procedures and skills: venipuncture, establishment of emergent IV access, handling of central lines, basic evaluation of peripheral blood smears, working with a multidisciplinary team. 8. Develop an ability to speak with patients with cancer and their families. 9. Understand the approach to the long-term survivor of childhood cancer and the role of the generalist in that process. 10. Become familiar with research opportunities in the field, at UNC, and elsewhere.
Learning Activities:	1. Self-study: Students are provided with a teaching file which includes selected reading materials and an optional self-administered quiz 2. Hands-on teaching: bedside rounds, morning work rounds, and in the clinics. 3. Didactic sessions by divisional faculty: topics chosen by the faculty, students and by house staff. 4. Microscope-based slide review (oriented to patients followed by the team). 5. Research and small project opportunities are offered.
Evaluation:	Evaluation of the student is a dynamic process involving day to day feedback regarding performance (clinical competence, interactions with staff and patients, note writing), expectations, strengths and weakness. Often, multiple attendings will cover the service during any given month-long rotation and the departmental evaluation will reflect a consensus. Whenever possible, this evaluation will be discussed with the student. A self-administered "test" involving multiple aspects of hematology/oncology is included in the teaching packet (below) and can be submitted as an objective evaluation of competence, although this is voluntary.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students should contact Dr. Stuart Gold (pager: 216-5610 or stuart_gold@med.unc.edu) or Dr. Julie Blatt (pager: 216-5610 or julie_blatt@med.unc.edu) one week prior to rotation to arrange a meeting time and place.
Date Updated:	6/26/2008

PEDS 410	Pediatric Neurology
Faculty:	Drs. Robert Greenwood
Prerequisites:	Completion of Pediatrics clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	3
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The objectives for this learning experience are: 1. To learn to perform a neurological examination on children and infants. 2. To learn how to localize neurological problems. 3. To learn normal developmental milestones. 4. To learn how to diagnose and treat some of the common neurological problems including: headaches, seizure, attention, deficit disorders, developmental delay, and cerebral palsy and common movement disorders. 5. To learn how to find information rapidly and efficiently using computer techniques. 6. To learn about when and how to order laboratory tests used in Child Neurology and how to interpret them.
Learning Activities:	The student will attend daily in-patient rounds, Child Neurology clinics, and basic and clinical science lectures. The student will participate in the Child Neurology weekly conference on Thursday mornings at 8:30 (Neurology Department, Bioinformatics Building.
Evaluation:	Students will be evaluated by: 1) their history and neurological examination skills, 2)their case presentation and note writing skills, 3) their problem solving skills, and 4) their participation in weekly Child Neurology conferences.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students meet the Child Neurology inpatient team on the 6th floor of the Children's Hospital at 8:30 a.m.
Date Updated:	6/26/2008

PEDS 411	Acting Internship in Neonatology, Wake Medical Center
Faculty:	Dr. Thomas Young
Prerequisites:	Completion of all clinical clerkships
Offered:	August, October, December
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	On the first day, report to Kim Seibel (phone 919-350-8494) Andrews Center WakeMed, Suite 307
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	1. Recognize diseases of pre-term and sick infants and learn about interventions used to treat those diseases. 2. Recognize needs of families of infants in the Intensive Care Nursery. 3. Learn about supporting infants at delivery (well and at-risk babies).
Learning Activities:	Rounds, conferences, daily interaction with staff. Will be responsible for a set of patients (with supervision). Will work Monday - Friday and every 4th night on-call with resident.
Evaluation:	Participation in rounds, patient records, observed interaction with staff and families.
Date Updated:	7/12/2007

PEDS 412	Endocrinology, Medicine and Pediatrics
Faculty:	Dr. Joseph D'Ercole
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Min. Enrollment:	2
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	1. To understand the basics of endocrine physiology. 2. To recognize endocrine disorders. 3. To learn an approach to the diagnosis of endocrine disorders. 4. To become familiar with laboratory tests to evaluate and manage endocrine disorders. 5. To learn to manage common endocrine disorders, especially diabetes mellitus.
Learning Activities:	Attend pediatric and medicine endocrinology and Diabetes clinics, attend endocrinology clinical conferences and seminars, attend in-patient rounds on pediatric and medicine endocrinology services, and prepare for and participate in problem solving exercises on endocrine disorders. The latter will provide an overview of endocrine diseases for students. Hours are generally 8:00 am to 5:00 pm. There are no on-call requirements.
Evaluation:	Student evaluations will be based on: a) skills in interviewing patients, doing physical exams, and evaluation clinical and laboratory data, b) participation in problem solving exercises, c) presentations and case conferences, d) patient write-ups, and e) participation on rounds.
Special Notes:	Prior to the rotation, Nanette Coulon from the Peds Endocrinology Division will contact you to set up your schdule. Contact her with any questions - nanette_coulon@med.unc.edju. You will need your own transportation for this elective.
Date Updated:	3/26/2008

PEDS 413	Nephrology, Medicine and Pediatrics
Faculty:	Dr. Ronald Falk
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	1) To perform and interpret urinalysis. 2) To learn etiology, evaluation, and treatment of hypertension. 3) To understand the differential diagnosis of acute and chronic glomerulopathies. 4) To understand tubular/acid-based disorders and fluid and electrolyte management. 5) To learn the differential diagnosis of and obstructive.
Learning Activities:	This elective will provide an in-patient and out-patient experience in the broad area of Nephrology, including a program of supervised reading and tutorial sessions designed to meet the interests and needs of the student. He/she may have the opportunity to learn about the special techniques of Nephrology including: renal biopsy (along with an understanding of the indications and interpretation), the use of artificial kidney, peritoneal dialysis, and common lab procedures. He/she will work in the outpatient department once a week. He/she will work up approximately three in-patients a week. He/she will be assigned to the faculty Nephrology consultant in Medicine and Pediatrics. He/she will be encouraged to find out from each member of the division something of the nature of their research activities. The first two weeks will be spent on the medicine adult service and the last two weeks will be spent on the pediatrics service. He/she will attend weekly post clinic conferences and weekly nephrology grand rounds. He/she will also participate in the discussions taking place at the in-patient rounds. Expected hours are Monday through Friday 8-5, no on call or weekend duties are expected.
Evaluation:	The student will be evaluated in several ways: observed procedures, interviewing patients, presentation at case conference, participation in rounds, and patient . Feedback will be given to the students at mid-rotation and at the end of the rotation.
Special Notes:	This elective is comprised of two weeks adult nephrology and two weeks of pediatric nephrology. Please contact the Nephrology office for first day instructions - (919) 966-2561. Dr. Maria Ferris is the pediatric contact and Dr. Ronald Falk, the adult medicine.
Date Updated:	3/26/2008

PEDS 414	Acting Internship in Neonatology, UNC Hospitals
Faculty:	Dr. Diane Marshall
Prerequisites:	Completion of all clinical clerkships
Offered:	All periods except period 1.
Min. Enrollment:	Total of two students in the NICU at any one time except for blocks 2, 3, 6 and 8 where the max is 1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The course will acquaint the student with the physiology of term and preterm newborns as it relates to common neonatal problems, such as hyperbilirubinemia, as well as common diseases of the critically ill neonate, such as respiratory distress syndrome, persistent pulmonary hypertension, necrotizing enterocolitis and surgical problems. The student will learn to approach the management of the sick neonate, including the development of differential diagnoses, use of laboratory and imaging studies, and the risks and benefits of therapeutic modalities used in the NICU.
Learning Activities:	The student will function at the intern level, with supervision from residents, fellows and attendings. Patient load will be individualized. Expectations include: daily weekday rounds and tasks associated with management of assigned patients, attendance at deliveries, participation with procedures, every 4th night call and some weekend days, NICU conference 3 days per week and appropriate pediatric conferences. An intern handbook with references will be provided and outside reading is expected.
Evaluation:	The student will be evaluated based on presentations on rounds, case discussions with the attending and a formal presentation at the end of the period.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students should report to the NICU on the 4th floor of the Children's Hospital at 8:00 on the first day and ask for the attending on duty. Note: Students intending to go into Pediatrics are encouraged to request this elective as their Critical Care Selective
Date Updated:	6/26/2008

PEDS 417	The Science and Clinical Management of Common Hemoglobinopathies
Faculty:	Rupa Redding-Lallinger, M.D. (course director); Kenneth Ataga, M.D.; Frances Wright, PNP; Dell Strayhorn, FNP
Prerequisites:	Completion of Pediatrics Clerkship and the Medicine Clerkship
Offered:	All except period 6
Min. Enrollment:	2
Duration:	one elective period
Meeting Place:	Sickle Cell Program Office, 132 MacNider Building
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	1. Learn the pathophysiology of sickle cell disease as it is now understood. 2. Learn to make an accurate diagnosis of the various sickle cell syndrome. 3. Learn to recognize the common acute and chronic complications of sickle cell disease as seen in the outpatient clinic, ED and inpatient setting. 4. Learn the management of the common complications of sickle cell disease, as well as preventive therapies. 5. Learn about the impact of race and culture in the care of this population of patients.
Learning Activities:	1. Pre-test of knowledge of SCD and related hemoglobinopathies 2. See patients in Pediatric Sickle Cell Clinic on Monday's, 8:30 - 5:00 3. See patients in Adult Sickle Cell Clinic on Tuesdays, 8:30 - 1:30 4. Round daily on pediatric and adult sickle cell inpatients 5. See all of the sickle cell patients who are in the ED between hours of 8:30 and 4:30 6. In-depth observation and interviews of patients about the impact of race on their care. 7. Attend the patient care conference on Thursdays, 9:30 - 10:30 8. Prepare case report with goal of publication or investigate a topic in sickle cell disease in depth and prepare a written report, or conduct a QI project. 9. Review the literature as related to cases seen and the case report prepared. 10. Discuss observations about race and culture weekly with supervising physician. 11. Spend one day with a sickle cell educator-counselor visiting families in their homes. 12. Post-test (primarily for evaluation of course effectiveness) Note that all activities are expected of all learners. Internal Medicine residents will see pediatric patients in the Pediatric Sickle Cell clinic and in the Children's Hospital and pediatric residents will see adult patients in the Adult Sickle Cell Clinic and on the medicine wards. Expected hours: Monday thru Friday, 8:30 a.m. through 5:30 p.m.. No night or weekend hours.
Evaluation:	1. Clinical work as observed by supervising physicians during rotation. 2. Knowledge of sickle cell disease as assessed by interactions with supervising physicians. 3. Written case report or other written investigation into an aspect of sickle cell disease, or substantial presentation of a case or topic and critical literature review. 4. Post-test (primarily for evaluation of the rotation).
Special Notes:	Visiting students should report to the Pediatric Education Office on the 3rd floor of the NC Women's Hospital at 9:00 a.m. on the first day and ask for Kelly Lear. UNC students should report to the Sickle Cell Program Office, 132 MacNider Building at 8:30 a.m.
Date Updated:	3/26/2008
Clinical:	Y

PEDS 418	Subspecialty Elective in Pediatric Cardiology at Levin Children's Hospital at Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Donald Riopel and Pediatric Cardiology Staff
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	The objective of the elective is to acquaint the student with the anatomy and physiology of pediatric cardiac problems, pathological and innocent murmurs, preventative cardiology, interpretation of pediatric EKG's and dysrhythmias. The student may also become acquainted with the care of critically ill children in an intensive care setting if he/she wishes.
Learning Activities:	This elective is mainly an outpatient elective so that the student can see as many patients with pediatric heart disease as possible in a one-month elective. However, Cath Lab and Operating Room observations are available if desired. There is no night call, however, there is an opportunity to come in for consults or emergencies with the on-call attending cardiologist. Lunchtime departmental conferences are held daily.
Evaluation:	Evaluation will be based on all academic and clinical activities during the month.
Special Notes:	Be advised that background checks and drug screens will take place on the first day.
Date Updated:	3/26/2008

PEDS 420	Transition to Pediatric Internship
Faculty:	Kenya McNeal-Trice, M.D.; Julie Byerley, M.D., MPH
Prerequisites:	Completion of Pediatrics Clerkship, Application to Residency in Pediatrics, Med/Peds or Family Medicine
Offered:	March 23 - April 17, 2009 only
Max. Enrollment:	20
Duration:	one elective period
Meeting Place:	See notes section
Meeting Times:	9:00 a.m.
Credit Hours:	6
Learning Objectives:	Develop skills essential to becoming a successful pediatric intern Practice clinical and procedural skills Explore attitudes on doctoring, mentoring and professionalism Develop skills to become an effective teacher *Explore expectations for chosen career paths
Learning Activities:	Work clinically in a variety of settings delivering pediatric care Conferences specific to the rotation Teaching Center Workshops Procedure Skills Workshops *Critical review of journal articles
Evaluation:	*Pass/Fail evaluation will be assessed based on the student's attendance and participation in clinical and didactic work.
Special Notes:	Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	3/26/2008

PEDS 421	Pediatric ICU, UNC Hospitals
Faculty:	Dr. Cherissa Hanson
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	To be arranged
Credit Hours:	6
Learning Objectives:	To gain an understanding and knowledge for the recognition and treatment (multi) organ dysfunction in critically ill medical and surgical infants, children, and adolescents in a multidisciplinary PICU. Students are expected to be able to gather historical data, physical findings, and complex laboratory studies and communicate this information to the multidisciplinary team. A treatment plan is then created and implemented. Students are expected to review current literature specific to their patients and present that information succinctly on rounds.
Learning Activities:	A wide variety of lectures are given including shock, care of congenital cardiac disease, mechanical ventilation management, ethics and end of life issues.
Evaluation:	Students are given verbal feedback half way through the elective and a written comprehensive evaluation is given at the conclusion of the rotation. Students are evaluated based on motivation and interest in patient care, use of learning skills (literature reviews and verbal presentations), communication skills, and growth of knowledge in the field of pediatric critical care.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students should report to the PICU on the 2nd floor of the Women's Hospital at 7:00 a.m. Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	6/26/2008

PEDS 422	Acting Internship in Neonatal ICN, Moses H. Cone Memorial Hospital
Faculty:	Dr. Laurence Ransom
Prerequisites:	Completion of all clinical clerkships
Offered:	By arrangement with course director
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	ICN, 2nd floor, Women's Hospital of Greensboro
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	This elective is ideal for the student interested in Pediatric of Family Medicine residency.
Learning Activities:	The student will attend lectures on physiology and management of preterm and full term infants during the first week of their rotation. He/she will then care for patients under the supervision and direction of the attending neonatologist. The student will take night call with the nurse practitioner assigned to the NICU.
Evaluation:	The student will be evaluated on participation in patient care, documentation of patient history, and interaction with the clinical team.
Date Updated:	2/2/2006

PEDS 424	Pediatric Rheumatology/ Immunology
Faculty:	Dr. Leonard Stein
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	1. Accomplish proficiency in the musculoskeletal exam of children. 2. Accomplish proficiency in recognition, diagnosis and management of common rheumatologic/immunologic diseases of children. 3. Acquire competence in understanding rheumatologic diagnostic tests. 4. Acquire up-to-date knowledge on the established treatments and the latest advances in treatment of rheumatologic diseases. 5. Acquire knowledge and understanding of computer-based interactive educational modules in rheumatology.
Learning Activities:	1. Attend Pediatric Rheumatology clinics at UNC-CH and at Duke University Medical Center. 2. Attend in-patient rounds. 3. Participate in teaching conferences, seminars, and special lectures. 4. Participate in computer based learning activities. 5. Participate in guided readings in rheumatology/immunology. 6. Hours: generally 8:00 am - 6:00 pm 7. No on-call requirements.
Evaluation:	Student evaluation is based on: 1. Observation of skill in interviewing patients, performing exams, and evaluating clinical and lab data. 2. Knowledge acquisition evaluated by written mini-exams. 3. Presentations of patients and at conferences. 4. Participation in clinical and at rounds.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students should contact Dr. Stein by pager (216-4461) on first day of elective to arrange meeting location and time.
Date Updated:	6/26/2008

PEDS 426	Pediatric Nephrology
Faculty:	Drs. W. Conley, M. Ferris, D. Gipson, and W. Primack
Prerequisites:	Completion of pediatrics and medicine clerkships
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Credit Hours:	6
Learning Objectives:	1) To perform and interpret urinalysis. 2) To learn etiology, evaluation, and treatment of hypertension in children. 3) To understand the differential diagnosis of acute and chronic glomerulopathies. 4) To understand tubular/acid-based disorders and fluid and electrolyte management. 5) To learn the differential diagnosis of hematuria and proteinuria in children.
Learning Activities:	This elective will provide an inpatient and outpatient experience in Pediatric Nephrology, including a program of supervised reading and tutorial sessions designed to meet the interests and needs of the student. He/she may have the opportunity to learn about the special techniques of Nephrology including: renal biopsy (along with an understanding of the indications and interpretation), the use of artificial kidney, peritoneal dialysis, and common lab procedures. He/she will work in the outpatient department once a week. He/she will work up approximately three in-patients a week. He/she will be assigned to the faculty Nephrology consultant in Pediatrics. He/she will attend weekly post clinic conferences and weekly nephrology grand rounds. He/she will also participate in the discussions taking place at the in-patient rounds. Expected hours are Monday through Friday 8-5, no on call or weekend duties are expected.
Evaluation:	The student will be evaluated in several ways: observed procedures, interviewing patients, presentation at case conference, participation in rounds, and patient. Feedback will be given to the students at mid-rotation and at the end of the rotation.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 am on the first day and ask for Kelly Lear. UNC Students should present to the Green Team rounds on the 6th floor of the Children's Hospital at 8:30 a.m. on the first day.
Date Updated:	6/26/2008

PEDS 443	Medical Genetics
Faculty:	Dr. Cynthia Powell
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods (July & August by permission)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	See notes section
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	1. Review basic principles of medical genetics and integrate this knowledge into medical practice. 2. Learn to diagnose and manage individuals with a variety of genetic disorders, including common conditions such as Down Syndrome and PKU. 3. Learn practical applications of the new information being provided by the Human Genome Project. 4. Learn how to explain complex genetic concepts to patients and their families. 5. Learn appropriate utilization and interpretation of genetic tests. 6. Develop an understanding of ethical issues raised by new advances in genetic testing and knowledge. 7. Learn to use library and web-based resources in medical genetics.
Learning Activities:	One primary focus of Medical Genetics practice in the Department of Pediatrics is on children with the common diseases of childhood, namely birth defects, mental retardation, and short stature. A second major focus of our division is on the diagnosis and management of children with inborn errors of metabolism. The student will also be exposed to a wide range of genetic issues including prenatal diagnosis , non-genetic birth defects, dysplasia involving the connective tissues and ectodermal derivatives, neurogenetics, cancer genetics, and other genetic disorders of adults. Students will participate in the weekly Division of Genetics and Metabolism clinics all day Wednesdays and Fridays in-patient and out-patient consultations, and weekly conferences including Clinical Genetics Case conferences, Medical/Human Genetics Conference, Center for Maternal and Infant Health conference, and the Craniofacial Center Team conference. Students are expected to make arrangements early in the rotation to spend time in the Cytogenetics and Biochemical Genetics laboratories. Opportunities also exist for students to attend satellite clinics and/or work on a clinical research project, with permission of the course director.
Evaluation:	Evaluation will be based on participation in division activities, demonstration of active learning through presentations in conferences and on rounds, knowledge of basic principles of medical genetics, and demonstration of skills in evaluating patients referred to the division for diagnosis and/or management.
Special Notes:	Visiting students should report to the Pediatric Education Office, Medical School Wing D, Room 78 at 9:00 on the first day and ask for Kelly Lear. UNC students shouild report to the Genetics Office - 1st floor, Med School Wing E. Contact Kelly Lear with any questions - klear@med.unc.edu or 966-3172.
Date Updated:	6/26/2008

PEDS 445	Pediatric Gastroenterology
Faculty:	Dr. Steven Lichtman
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	1. To understand the basics of pediatric gastroenterology and liver disease (hepatology). 2. To recognize common pediatric gastroenterology and liver disorders. 3. To learn an approach to the diagnosis of gastroenterology and liver disorders. 4. To become familiar with laboratory tests to evaluate and manage gastroenterology and liver disorders. 5. To learn to manage common gastroenterology and liver disorders.
Learning Activities:	Attend pediatric gastroenterology clinics, attend pediatric gastroenterology clinical conferences and seminars, attend endoscopy and liver biopsy procedures, attend in-patient rounds on the pediatric gastroenterology service and work with the ward team on the clinical service. Hours are generally 8:00 am to 5:00 pm. There are no on-call requirements.
Evaluation:	Student evaluations will be based on: A. Skills in interviewing patients, doing physical exams, and evaluating clinical and laboratory data. B. Presentations, C. Patient write-ups. D. Participation on rounds.
Special Notes:	Visiting students are not eligible to participate in this rotation. UNC students please contact Kelly Lear - klear@med.unc.edu or 966-3172 for first day instructions.
Date Updated:	7/9/2008

PEDS 448	Subspecialty Elective in Pediatric Nephrology, Levine Children's Hospital at Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Susan Massengill
Prerequisites:	Completion of pediatrics clerkship
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At completion of the elective experience, the student should be able to recognized the common presenting signs and symptoms of renal disease, become proficient in the initial evaluation of hematuria, proteinuria, nephrotic syndrome, hypertension, and glomerulonephritis. The student will also learn appropriate diagnostic radiographic studies for specific renal evaluations. The student will become proficient in evaluating and managing disorders of fluids/electrolytes, and acid-base derangements. Additionally, the student will be able to proficiently perform manual blood pressures and review using microscopy. The student will also become familiar with the evaluation and management of acute and chronic renal failure including end stage renal replacement therapies.
Learning Activities:	The student will round on the in-patients daily (weekdays) with the attending nephrologist. The student will have the opportunity to initiate consultation evaluations. The student will attend a minimum of 6 half-day pediatric nephrology clinic sessions per week. During these clinic sessions the student will be directly supervised by the attendng nephrologist. The student will be provided with a teaching syllabus which includes 40-50 current pertinent articles in the field of pediatric nephrology which may be kept for personal reference following the elective. Select articles will be reviewed during the elective month. The student will also be expected to complete written fluid/electrolyte and acid-base problems which will be reviewed with the nephrologists. A final didactic activity will require that the student research topic of interest and make a brief presentation to the nephrology staff at the end of the month. There is no scheduled on call or weekend activity. However, should the student desire to do so, call opportunities can be arranged and the student may participate in weekend clinical activities with the on-call nephrologist. As time allows students may also attend general pediatric conferences.
Evaluation:	The student will be given feedback frequently during the rotation on clinical presentations and the quality of patient evaluations. The student will also be provided in-depth feedback and teaching in regards to the fluid/electrolytes and acid-base problems. The student will be provided a comprehensive written and verbal evaluation at the end of the elective. The student is provided a description of the goals and expectations of the elective at the beginning of the month, as well as a copy of the written evaluation form which will be used for the final evaluation at the end of the month.
Special Notes:	Be advised that background checks and drug screens will take place the first day.
Date Updated:	3/26/2008

PEDS 449	Acting Internship in Pediatric Critical Care, Levine Children's Hospital at Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Ed Young
Prerequisites:	Completion of all clinical clerkships
Offered:	All elective periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Gather, organize, and present patient information of critically ill or injured children. Begin to recognize ill/toxic children and formulate medical plans for appropriate intervention.
Learning Activities:	Function in same capacity as a rotating PICU resident.
Evaluation:	Evaluation will be based on all academic and clinical activities during the month.
Special Notes:	Be advised that background checks and drug screens will take place on the first day.
Date Updated:	3/26/2008

PEDS 450	Acting Internship in Ambulatory Pediatrics, Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Dan Neuspiel
Prerequisites:	Completion of pediatrics clerkship
Offered:	All periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	This experience helps the fourth year student further develop their clinical skills and knowledge about a wide variety of out-patient pediatric problems (acute illnesses, chronic medical problems, well child care, and subspecialty problems). The student also gains more confidence in working with children and their families.
Learning Activities:	The clinic acting intern works as a full member of the resident clinic team in a busy general pediatric (acute care) teaching clinic and a variety of pediatric subspecialty clinics. The clinics primarily serve a low income, multi-cultural population. Upon request the student's assignments can be modified to accommodate interest in a special area of pediatrics (contact Dr. Neuspiel). This includes the opportunity to become more knowledgeable about community resources that benefit children and their families. The student is responsible for independently evaluating patients and for presenting patients to a clinic preceptor (who must see all student patients). Together they make treatment and management decisions. The student is also responsible for presenting a brief (10-15 minute) presentation to the clinic team on an ambulatory pediatric medicine topic. The student is also expected to attend daily lunch time didactic conferences in the Department of Pediatrics and a weekly Pediatric Grand Rounds at CMC. Although there are no required on-call responsibilities, many students choose to spend some after-hours time on the in-patient wards or in the emergency department shadowing a pediatric resident. Arrangements can usually be made for the acting intern to spend some time in the term newborn nursery at CMC (arrange through Dr. Neuspiel). The typical clinic day runs from 8:15 am to 5:30 pm. Monday - Friday.
Evaluation:	The student's evaluation is based on observed clinical skills, oral patient presentations, decision making abilities, professional attributes (interest in learning, enthusiasm, work ethic, knowledge base, etc.), interpersonal skills (with patients and their families, the clinic team, and clinic staff), quality of patient clinic notes, and presentation of an informal clinic conference.
Special Notes:	Students need an automobile for this rotation. This elective is intended for students who are planning to enter pediatrics. Be advised that background checks and drug screens will take place on the first day.
Date Updated:	3/26/2008

PEDS 452	Clinical Genetics - Levine Children's Hospital at Carolinas Medical Center, Charlotte, N.C.
Faculty:	Dr. J. Edward Spence (edward.spence@carolinashealthcare.org)
Prerequisites:	Completion of pediatrics clerkship
Offered:	All periods
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Please report to Ms. Kathy Adams, Site Coordinator, in room 401 MEB on the first day of the rotation. Ms. Adams' contact information: kathy.adams@carolinashealthcare.org or (704) 381-6804
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	As a result of this experience the student will be able to: recognized clinical genetic disorders and initiate the evaluation of such patients with appropriate patient medical history and family history, lab testing, referral; understand the basics of genetic counseling; understand the basic performance of a genetic evaluation; understand the basic concept of chromosome analysis and genetic lab tests available; learn how to obtain a three generation pedigree and appropriate family history.
Learning Activities:	In the Clinical Genetics elective based in the Dept of Pediatrics and Levin Children's Hospital at Carolinas Medical Center, the fourth year student will be an active participant in all aspects of Clinical Genetics. Our program annually encounters over 1,000 pediatric genetics referrals, 3,000 prenatal patients, and processes over 3,000 samples for cytogenetic, molecular, and molecular-cytogenetic analysis. Clinical experience will include participation in Pediatric Genetics clinic: 6 half days per week, Inpatient consultation Services, Prenatal Diagnosis clinic, Down Syndrome clinic, MDA clinic, and other specialty clinics as available. Laboratory experience will include time spent in the Parke Cytogenetics Lab and the Molecular Pathology Lab. Didactic encounters will be drawn from a list of topics of the student's choosing. The student will also attend and participate in regular Clinical Genetic program seminars, journal clubs, and patient presentations/discussions. At the time of making the fourth year schedule, the prospective student should contact the Clinical Genetics Program (704-318-6810) to ensure the elective can be offered in the time frame desired by the student.
Evaluation:	Evaluation by patient interview and presentation in the clinic and on consults, consult patient write-ups, and participation in teaching sessions.
Special Notes:	Be advised that background checks and drug screens will take place on the first day.
Date Updated:	3/26/2008

PEDS 453	Pediatric Acute Care
Faculty:	Dr. Ki Abel
Prerequisites:	Completion of pediatrics clerkship
Offered:	All periods (by permission only)
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	(see notes section)
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	1. Students will be able to take a history and appropriately examine a pediatric patient who presents for acute care. 2. Students will be able to generate a differential diagnosis and initial management plan for common pediatric acute illnesses. 3. Students will develop their skills at judging severity of illness in the pediatric patient. 4. As appropriate, students will develop their skills of routine procedures in evaluation of children with acute illness or injury. These skills could include obtaining throat cultures, obtaining blood or urine specimens, suturing, reading radiographs, etc.
Learning Activities:	The student will work in the Pediatric Acute Care clinic (Pediatric Emergency Room) for 16 shifts of 8 hours each, from either 8am - 4pm or 4pm-midnight. Students will be able to arrange their schedules with faculty approval, and they will be encouraged to work a variety of shifts including weekdays, week nights, weekend days, and weekend nights. Student will see patients who come in for acute illnesses or problems and care for those patients with the help of an attending. They will be expected to take the history, examine the patient, generate a differential diagnosis and management plan, and present to the attending. They will be expected to participate in procedures as judged appropriate by the attending. The student will be expected to attend the morning conferences from 8-9 am on the weekday shifts they work. The student will prepare a brief presentation, approximately 10 - 15 minutes, on a pediatric acute care topic of their choice which they will resent to residents and attendings at a morning conference.
Evaluation:	Students will be working directly with attendings who will evaluate them on their skills with history taking and physical examination of children, presentations, differential diagnosis development, and management plans. Students will also be evaluated on their procedural skills as appropriate. Their participation in the morning conference and their planned presentation will also be evacuated by the attendings and will be factored into their final grade.
Special Notes:	Students need access to the t-system to work efficiently in the Pediatric ED. Please contact Kelly Lear a month before your rotation to assure you have t-system access and training in time for the rotation. Visiting students should report to the Pediatric Education Office on the 3rd floor of the NC Women's Hospital at 9:00 on the first day and ask for Kelly Lear. UNC students should contact Kelly Lear - klear@med.unc.edu or 966-3172 to set up schedule prior to rotation start date.
Date Updated:	9/9/2008