N201 Pediatric Endocrinology (Bronx Lebanon Hospital)
This is a full-time elective in clinical endocrinology and diabetes mellitus. While the basic emphasis is flexible, clinical materials are stressed unless otherwise stated. Exposure to clinical research is offered with emphasis on the pituitary-hypothalamic function. The clinical aspects consist of out-patient and in patient experiences including patients on research protocol who have growth hormone deficiency. Basically, however, the course may be altered to suit individual needs.
Dr. Yolaine St. Louis
718-817-7939 or 646-673-3209
Student(s) required to arrange with Dr. St. Louis in advance
On the first day students report to: Milstein Building 1650 Selwyn Ave. #6G Pediatric Office at 9:00
N202 Neonatal Intensive Care Unit (Bronx Lebanon Hospital)
In this elective, students will be involved in the care of sick or premature newborn in the neonatal intensive care unit. Under attending and senior resident supervision the student will participate in epidemiological research in PM, joining the daily round and delivery room attendance with resident and one NNP (neonatal nurse practitioner) or NICU junior attending; HP(House Physicians) in AM. Students will make daily rounds with the staff and attend all scheduled conferences.
Dr. Jing J. Yoon
First day: Meet at the floor Neonatal Unit-Bronx Lebanon Hospital-1650 Grand Concourse
N203 Neonatal Intensive Care Unit (Jacobi Medical Center)
**Student must get Dr. Nagourney's approval before registering**
In this elective, students will be involved in the care of sick or premature newborns in the neonatal intensive care unit. Under attending supervision, the student will participate in all aspects of neonatal care. The students will be responsible for devising and implementing a management plan for each of their patients. They will be responsible for it all patient care issues, including fluid management, ventilatory management and drug therapy in the NICU. In addition, the student will attend high risk deliveries and will participate in delivery room management. Students will make daily rounds with the staff, write progress notes and attend all scheduled conferences. Students are encouraged to take night call on an every fourth night basis. Also, teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.
Dr. Beth Nagourney, 718-918-6655, Beth.firstname.lastname@example.org
Dr. Jeffrey Gershel, 718-918-5304, Jeffrey.email@example.com
N205 Pediatric Infectious Diseases (Children's Hospital at Montefiore)
This elective is offered for students who would like to gain an understanding of a variety of Pediatric Infectious Disease issues. These include: Nosocomial and Community Acquired Infectious; Infection Control; Infectious in the compromised host; The Functions of the Microbiology Laboratory; Rational basis for antibiotic selection; Pathophysiology of common infectious diseases; Vaccine usage and the development of new vaccines. The elective centers on Pediatric Infectious Diseases consultants with the guidance of the ID Fellow and Attending. Attending rounds are held on a daily basis. Students are expected to familiarize themselves with basic texts and journals pertinent to Pediatric Infectious Disease. Students also attend ID Grand Rounds, Seminars, Journal Club, and Clinic.
Suggested texts include:
American Academy of Pediatrics, Pickering LK, et al editors. Red Book: 2012 Report of the Committee on Infectious Diseases Mandell GL, Bennett JE, Dolin R eds. Principles and Practice of Infectious Diseases Long S, et al eds. Principles and Practice of Pediatric Infectious Diseases.
Dr. David Goldman
Students to contact Dr. Goldman for time and place to meet the first day
N206 Pediatric Mineral, Heavy & Trace Metal Metabolism (Children's Hospital at Montefiore)
**Contact Dr. Markowitz for approval before registration**
The elective aims to introduce the student to metal toxicology, specifically childhood lead poisoning. This can be accomplished through attendance at the Lead Clinic and participation in lead related research and educational outreach activities. Clinical Experience, Clinical Research, Readings and Tutorials.
1. Calcium, Phosphate and Vitamin D Metabolism.
2. Trace metal metabolism related to heavy metals, nutrition and various disorders in mineral metabolism.
Be able to identify sources of lead exposure
Be able to describe routes of entry
Understand measures of lead in the environment and in humans
Learn the specific of lead metabolism in humans
Be able to formulate a treatment plan for childhood lead poisoning
Attend Lead Clinic (meets weekly)
Attend Health fairs or presentations at Head Starts for dissemination of lead/healthy homes information (1-2 a month)
Possibility to develop and complete a research project
Method of student feedback and evaluation: Oral and written evaluations
Textbook information: Important documents will be provided during elective
Morri Markowitz, MD
First day student should meet at the Lead Safe House, E. Mosholu Parkway.
N207 Pediatric Infectious Disease (Jacobi Medical Center)
**Student must get Dr. Dobroszycki's approval before registering**
This 4-week elective introduces the fourth year medical student to the fundamentals of Pediatric Infectious Diseases, with a focus on children with HIV infection. Through active participation in daily consultation rounds on hospitalized infants, children and adolescents, twice-weekly HIV ("PCS") clinics, as well as Infectious Diseases clinics, students will learn the prevention, diagnosis and treatment of a broad range of diseases. Formal didactics will include core lectures, joint Einstein-Montefiore Infectious Disease Grand Rounds, Jacobi HIV Grand Rounds, and Center for AIDS Research seminars at Einstein. A microbiology laboratory mini-rotation will introduce the fundamentals of microbiological diagnosis. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.
Dr. Joanna Dobroszycki
N209 Community Pediatrics (Jacobi Medical Center)
**Student must get Dr. Robert's approval before registering**
The goals of this elective are: Develop an understanding of the importance of non-medical issues on pediatric health. Be aware of the impact of cultural issues on the medical encounter and health in general. Be aware of the impact of economics on children’s health and the resources available to families. Be aware of the impact of environmental issues on children’s health and development. Learn to identify problems in community and design-implement solutions through advocacy. To accomplish these goals, the student will: Attend pediatric clinic in an ethnically-diverse primary care setting. Spend a day in Family Court with lawyers specializing in representing and advocating for disenfranchised families. Conduct a shopping trip to “purchase” pediatric items. Become familiar with health insurance options and the impact of access to care on health needs. Assist in preparing and serving lunch at a center for homeless families. Conduct a home visit (with attending physician) with emphasis on the home environment. Accompany a case manager to visit a technology-dependent child at home. Participate in teen parenting classes conducted at JMC. Spend a day at St. Mary’s Hospital-a long term care facility for children. Participate in Stop Urban Violence, a clinic dealing with victims of adolescent gang violence. Attend an international travel clinic. Spend a day with a lactation consultant. Attend the Family Advocacy Program with Dr. Olga Jimenez (center for abused children at JMC). Participate in a program teaching about healthy choices to local elementary school children.
Dr. Kirsten Roberts
On the first day students report to Jacobi Medical Center, Building #8, Room 1B-158 at 9am
N210 Family Advocacy (Jacobi Medical Center)
**Student must have Dr. Jimenez-Scheer's approval before registering**
The Family Advocacy Program (FAP) is a Child Advocacy Center dedicated to the identification, assessment and treatment of children and adolescents who present with a history of sexual abused/sexual assault and/or physical abuse and/or neglect. FAP is a member of the National Children's Alliance and member of the Bronx Multidisciplinary Team on Child Physical and Sexual Abuse. FAP consists of a diverse and culturally sensitive staff with vast knowledge and experience in working with children that have been abused. The scope of services provided at FAP include but are not limited to expert forensic evaluations, medical evaluations, forensic sexual assault examinations, psychosocial assessments, expert court testimony, expert consultation, trainings, case-tracking, assistance with crime victims services, advocacy and individual, family and group therapy. During this rotation, the student will accompany Dr. Jimenez-Scheer and/or other team members during every stage of the evaluation and management process: initial contact, interview, physical examination, and liaison with other agencies (law enforcement, child protection, lawyers, family and criminal court). There will be an opportunity to observe joint interviews, medical evaluations, consultations and attend case review, trainings and borough wide meetings. Teaching conferences in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.
The medical student will participate in the evaluation of children when there is a concern for possible physical or sexual abuse and/or neglect. The medical student will spend time with the multidisciplinary team at FAP learning each team member’s role and responsibilities. The student will join the social workers during psychosocial assessments of the families, will observe forensic interview of the children and will join the child abuse pediatrician during the medical evaluations at the Family Advocacy Clinic. The medical student will accompany the child abuse pediatrician when consultations are requested from the inpatient unit, clinics or emergency department. The medical students will participate in the weekly case review meetings and monthly borough-wide multidisciplinary team meeting. The medical student will receive education on child abuse pediatrics and will be provided with educational materials to enhance his/her knowledge about the child abuse topics. The student will be invited to any training offered during the FAP rotation. At the end of the rotation the student will give a presentation on a child abuse topic. The goal of this elective is to obtain general knowledge of the reporting and evaluation of children when there is a concern for possible child abuse or neglect.
Measurable learning objectives:
-Know how to report a case of suspected child abuse.
-Learn how to perform a medical evaluation when abuse is suspected.
-Learn possible signs and symptoms of physical abuse.
-Learn possible signs and symptoms of sexual abuse.
-Learn some of the conditions commonly confused with child abuse.
-Learn when to refer a child to a child advocacy center.
-Students will be present at FAP from Monday through Friday 9-5 PM.
-Students will receive a schedule describing their activities during their rotation at FAP.
-Students will attend clinic sessions at FAP.
-Students will participate in case review/discussion with FAP team.
-Students will attend training scheduled during their FAP rotation.
-Students will be responsible for preparing and presenting a lecture on a child abuse topic.
-Students will meet with each member of the FAP team to learn about the child abuse evaluation and each member’s role and responsibilities.
-Students will have dedicated time to review the educational materials provided at FAP.
Method of student feedback and evaluation: Student will meet with child abuse pediatrician at the end of their rotation for feedback and evaluation. An evaluation will be completed by director of the rotation and returned to the medical school.
Title: Child Abuse Medical Diagnosis & Management
Authors: Robert M. Reece and Cindy Christian
Edition: 3rd edition
Published by the American Academy of Pediatrics
Dr. Olga M. Jimenez-Scheer
On the first day students report to: the Family Advocacy Program office located at: Jacobi Medical Center Bldg. #1, 3rd floor North Suite A 1400 Pelham Parkway South Bronx NY 10461 at 9AM.
N211 Pediatric Endocrinology (Jacobi Medical Center)
**Student must get Dr. Silfen's approval before registering**
The Pediatric Endocrinology service at Jacobi cares for children with a wide variety of endocrine diseases, such as Type I and Type II diabetes, short stature, failure to thrive, pubertal disorders, menstrual disorders, polycystic ovary syndrome, thyroid disorders, and obesity. The student in this elective will work under the supervision of the Pediatric Endocrinology attending in both the inpatient and outpatient settings. The majority of the rotation will occur in the various outpatient clinics: Endocrinology, Endocrine Testing, and Diabetes. The student will be expected to see patients independently, but will be closely supervised by an attending. Less than one quarter of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as the daily follow-up of all patients on the endocrinology service. The student will present the patient to the attending and the differential diagnosis, management and treatment options will be further discussed. Additionally, reading topics will be assigned and further discussed with the attending. The student will be expected to give a 45-minute presentation on a selected pediatric endocrine topic to a small group at the end of the rotation. Students will attend the outpatient endocrinology conferences, as well as the other teaching conferences in the Pediatrics Department (Grand Rounds, Chairman's Rounds, noon conference, etc.).
Miriam Silfen, MD
Student should contact Dr. Silfen 2 weeks prior to start date to confirm where to report on first day of elective.
N212 Pediatric Pulmonary (Jacobi Medical Center)
**Student must get Dr. Serebrisky's approval before registering**
The Pediatric pulmonary service at Jacobi cares for children with a wide variety of pulmonary diseases. The student in this elective will work under the supervision of the Pediatric Pulmonary attending in both the inpatient and outpatient settings. About half of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as, the daily follow up of all patients on the pulmonary service. The patients will be presented to the attending and the differential diagnosis, management plans and treatment options will be further discussed. In addition, the student will assist the pulmonologist during bronchoscopies. The other half of the rotation will occur in the Jacobi Pediatric Asthma Center, as well as, the Pulmonary and Allergy clinics. The student will be expected to see patients independently, but will be closely supervised by one of the attendings. Students will attend the bimonthly outpatient pulmonary conferences, the monthly radiology conference and other teaching conference elsewhere in the Pediatric Department (grand rounds, Chairman's Rounds, noon conferences, etc.). Method of student feedback and evaluation will be an oral presentation at the end of the rotation.
Denise Serebrisky, MD
Contact Dr. Serebrisky by email for meeting time and location.
N301 Pediatric Endocrine (The Children's Hospital at Montefiore)
The goal of the elective experience is to familiarize the students with the evaluation of common clinical problems in pediatric endocrinology and Diabetes. Familiarity with the diagnoses and managements of common endocrine disorders, such as short stature, delayed or precocious puberty, and thyroid dysfunctions. Familiarity with comprehensive care of pediatric patients with diabetes mellitus. This full time elective offers students both in-patient and ambulatory experiences at the Children’s Hospital at Montefiore. Students taking this elective will attend outpatient clinics, inpatient rounds, and weekly endocrine conferences. Monday and Tuesday afternoons are devoted to educational sessions held at our office at CHAM. Selected pediatric inpatient and outpatient cases will be discussed during these sessions followed by didactic teaching and/or journal club. Students will be invited to joint weekly clinical conferences of the pediatric and adult endocrine services which are usually followed immediately by research seminars sponsored by the Diabetes Center at the Albert Einstein College of Medicine. These activities are held on the Einstein campus on Friday mornings. Short research projects may also be arranged at CHAM.
Feedback and evaluation will be based on collective opinions of service attendings, fellows, and staff who worked most with the student. We pay specific attention to the student learning progress and engagement.
A formal presentation, which could be based on a case or a specific endocrine topic, is expected from each student near the end of the rotation. Pre and/or post-rotation exams will be administered. These exams will be viewed as part of your learning but not as part of your evaluation.
Textbook(s) information (if applicable, please provide as it is mandated by the U.S. Department of Education):
1. Williams Textbook of Endocrinology
2. Sperling Pediatric Endocrinology
Dr. Ping Zhou
Phone #: 718-920-4664
Contact: Ms. Nancy Ruiz, firstname.lastname@example.org, 718-920-5473
On the first day of the elective students should go to 3411 Wayne Avenue, 4th floor, Bronx, NY 10467 at 9 AM.
N302 Pediatric Gastroenterology & Nutrition (Montefiore Medical Center)
** Approval Required Prior to Registration**
The Pediatric Gastroenterology and Nutrition Program at Montefiore Medical Center serves the growing demands for specialized diagnosis and management of infants and children with complex and uncommon gastrointestinal disorders, as well as more commonly encountered problems such as diarrhea, constipation, vomiting, and abdominal pain. This elective program offers the student a comprehensive exposure to all aspects of pediatric gastroenterology and nutrition through readings, observation and participation in the management of inpatients and outpatients. The student will gain a fundamental understanding of the followings: 1) basic functions of the hollow and solid digestive organs; 2) diagnosis and management of common gastrointestinal hepatobiliary and pancreatic diseases; 3) nutritional requirements and assessments during infancy and childhood; 4) different types of nutritional support (enteral vs. parental). The student will be required to: 1) make daily rounds with pediatric GI staff on the inpatient service; 2) attend weekly pediatric GI outpatient clinics; 3) participate in all pediatric GI procedures such as esophagogastrodudenoscopy (EGD), colonoscopy, and percutaneous liver biopsy; 4) attend all pediatric GI conferences including radiology, pathology, and journal club; 5) present cases selected topics and journal articles for discussion.
Dr. Anthony Loizides
First day students meet at Rosenthal 308 at 9:00am.
N303 pediatric Emergency Medicine (Children's Hospital at Montefiore)
The MMC pediatric ED at CHAM offers a full month or half a module senior elective in Pediatric Emergency Medicine which will introduce the student to all phases of acute care of ill and injured children. The student will become part of the PED staff, which includes subspecialty trained PEM attending physicians, PEM fellows, pediatric and general EM residents and third year medical students. The PED at CHAM cares for approximately 150-160 children a day presenting with a variety of urgent and emergent problems. Students will see patients independently with close supervision by the PEM Attendings and/or PEM fellows. Through one-on-one case-based learning centered around PED patients, the student will gain skills in focused history taking, directed physical examination, generating differential diagnosis, appropriate use of consultation and laboratory tests, as well as patient management. There will be opportunity to participate, first hand, in a variety of emergency procedures. Students will also be expected to attend daily teaching conferences given by the Division. At the completion of the elective, the student will have experience in handling most of the common emergencies seen in the Pediatric ED as well other ambulatory settings.
Measurable learning objectives of elective:
Recognition of the acutely ill or injured pediatric patient
Explain the management of common pediatric emergencies
Development of the ability to interact effectively with acutely ill children and their parents
Students evaluate patients of all acuity levels in the Pediatric ED under the supervision of a Pediatric Attending physician. Each week, students work seven 4-hour daytime shifts in the ED and also attend a variety of resident level conferences including: pediatric resident core conferences, PED resident conference and Professors’ Rounds.
Method of student feedback and evaluation: Students receive real-time feedback by the precepting Attending during and after each case presentation.
Cost $252 new
Title: Textbook of Pediatric Emergency Medicine
Author: Fleisher and Ludwig
This reading is optional (a copy is available for use in the Pediatric ED)
Dr. Christopher S. Cavagnaro, email@example.com
Dr. Jeffrey Avner, firstname.lastname@example.org
Administrative Support: Irma Gonzalez, IRGonzal@montefiore.org, 718-920-5312
Modules: 1A – 3B; 5B – 6B
On the first day students report to: CHAM Pediatric ED at 9AM
N304 Pediatric Medical Genetics (Children's Hospital at Montefiore and satellite clinics)
During the course of this one month elective, by working hand-in-hand with the staff of the Division of Genetics in the Department of Pediatrics, the student will gain experience in approaching children and adults with congenital malformations and genetic diseases. Experience is gained by working with our staff at CHAM, as well as at the Division's outreach sites, including Jacobi Medical Center, the Rose F. Kennedy Center, and Stamford Hospital. The experience will emphasize history-taking, the physical exam, techniques of syndrome identification, the laboratory work-up, and most importantly, genetic counseling of the family. Ethical, legal and social implications of genetic testing will also be emphasized. Students will be encouraged to keep a diary of their day-to-day experiences.
Suggested textbook information:
Title: Smith's Recognizable Patterns of Human Malformation
Edition: 6th or 7th
Author: Kenneth L. Jones
Dr. Robert Marion
718-741-2323 (Tricia Elliott, secretary)
Contact Dr. Marion for first day reporting information.
N305 Pediatric Allergy and Immunology (Montefiore Medical Center)
The goal of the elective experience is to acquaint the student with the various aspects of allergies and immunological disease. This includes experience with patients with rhinitis, sinusitis, asthma, atopic dermatitis, HIV infection, and other immunological disorders. The student will have the opportunity to participate in various clinics and private practice situations with attendings and fellows, as well as participate in conferences and journal clubs that are part of the division's monthly activities. The student will have the opportunity to learn the approach to diagnosis and management of allergic and immunological disorders.
Dr. Larry Bernstein
Modules: All, except 1A & 1B
Contact Ms. Nicole Karcich, email@example.com, 718-405-8530 x2204 for location of first day.
N306 Clinical Rotation in the Child Protection Center (Children's Hospital at Montefiore)
**Not Available to Visiting Students
**Einstein Students must contact Dr. Cahill for pre-approval before registration**
The child abuse elective at the J.E. and Z. B. Butler Child Advocacy Center of the Children's Hospital at Montefiore introduces the 4th year medical student to the multidisciplinary approach to evaluation and treatment of abused and neglected children in a large Bronx multidisciplinary evaluation and treatment program. The student will have opportunities to observe psychosocial assessments of families as well as forensic interviews and medical evaluations of children. The student will participate on site with the child protective specialists, law enforcement and legal professionals involved in the multidisciplinary team evaluation of the child. This program provides opportunities to observe skilled evaluation of physical abuse, sexual abuse and neglect of children and to work with their families. Students will be encouraged to do in-depth research on a topic of interest in the field. When possible, students will observe the courtroom process.
Dr. Linda Cahill
Modules: All, except 2A, 2B
On the first day students are to meet at the Child Advocacy Center, 3314 Steuben Avenue, (between E. 208th St and E. 210th St.) Bronx, NY 10467
501A Pediatric Nephrology (Children's Hospital at Montefiore)
The student will gain experience in the fundamentals of clinical pediatric nephrology with rotations through the inpatient and outpatient services of the Division of Pediatric Nephrology. Emphasis will be placed on the normal contribution of the kidneys to growth and development and common disturbances of fluid and electrolyte physiology in infants and children. In addition, the student will become familiar with the major causes of acute and chronic kidney failure and hypertension in infants and children. The elective will provide the student the opportunity to participate with the Pediatric Nephrology Team, consisting of Pediatric Nephrology Attendings, Renal Fellows, Pediatric Urologist, Pediatric Nephrology Social Worker, Transplant Nurse Coordinator, Dialysis Nurse Specialist, Nutritionist and Child Psychiatrist, in the medical management of pediatric nephrology patients including the Children's Dialysis and Transplantation Center. The student will become knowledgeable in the medical and psychosocial aspects of clinical pediatric nephrology by participation in a program of formal biweekly teaching rounds, seminars and journal clubs, and by the distribution of core educational material that will complement their practical experience. The student will be encouraged and supported to initiate a research project for presentation at the annual Student's Research Day. Goals of Elective: To understand the principles of clinical pediatric nephrology in terms of maturation of renal function, fluid and electrolyte homeostasis and pathophysiologic states, common acute and chronic renal disorders including pediatric nephrologic emergencies with acute renal failure and hypertension, and congenital and acquired abnormalities of the genitourinary tract and kidneys.
Title: Pediatrics for Medical Student
Author: Daniel Bernstein, MD and Steven P. Shelov, MD, MS
Frederick Kaskel, MD, PhD
On the first day student report to: The Children’s Kidney Center, 3326 Bainbridge Ave at 9AM
501B Pediatric Nephrology Research (Children's Hospital at Montefiore)
The student will gain experience in the fundamentals of basic investigation as it relates to common problems in clinical pediatric nephrology. The elective will provide the student the opportunity to participate with the other researchers in the Pediatric Nephrology Research Laboratory and to become familiar with state-of-the-art techniques in basic cellular and molecular biology. Routinely used methodologies include: polymerase chain reaction, mutagenesis, manipulation of DNA, RNA, and protein, expression of foreign genes in vitro and in vivo, cell and tissue culture techniques, immunofluorescent and confocal microscopy, immunocytochemistry, protein interaction assays, and apoptosis assays. Goals of elective: To understand the principles of basic investigations underlying the cellular and molecular mechanisms of: renal development and cell injury in experimental in vitro and in vivo models of acute and chronic renal failure, various progressive glomerular diseases including focal segmental glomerulosclerois and lupus nephrities, and kidney transplant rejection.
Title: At the Bench: A Laboratory Navigator
Author: Kathy Barker, PhD
Frederick Kaskel, MD, PhD
On the first day student report to: The Children’s Kidney Center, 3326 Bainbridge Avenue at 9AM
N503 Pediatric Emergency Room (Jacobi Medical Center)
**Students should contact Dr. Chou at least 2 weeks in advance of the start of the rotation for further instructions**
The student in this elective will work along with pediatric and emergency medicine house staff in the Jacobi Pediatric Emergency Department. This is a busy service with approximately 125 patient visits per day. The elective is structured to give the student first-hand experience in the recognition and management of common acute illnesses of children, and will allow the student to learn basic emergency procedures such as suturing, and other minor surgical procedures. Opportunities for involvement in the care of children with serious illness and injury are ample. The student will be expected to see patients independently with close attending instruction and supervision. The student will learn to use the electronic medical record and have the ability to write notes and orders under direct supervision of attending physicians, and be able to review the medical record including all laboratory and radiographic studies. The student will complete approximately 20 shifts for the rotation divided between day and evening shifts. Day shifts are from 9AM to 5PM on weekdays, and evening shifts are from 1p-10p on weekdays. Overnight and weekend shifts are not required but may be arranged with the course director if the student requests the opportunity. The student is expected to attend pediatric Grand Rounds on Tuesdays and the daily noontime conferences. The student will receive ongoing feedback from attending physicians, and will have a formal written evaluation completed at the end of the rotation.
Clinical Manual of Emergency Pediatrics, 5th ed. (EC Crain and JC Gershel, Eds, Cambridge University Press, 2010)
Textbook of Pediatric Emergency Medicine, 6th ed. (GR Fleisher and S Ludwig, Eds, Lippincott Williams and Wilkins, 2010)
Dr. Kathy Chou
Modules: All except 1B
N504 Pediatric Cardiology (Children's Hospital at Montefiore)
The Pediatric Heart Center at the Children’s Hospital at Montefiore Medical Center is the center of activity for the Division of Pediatric Cardiology. Here, students on this elective will have exposure to the evaluation and treatment of children with heart disease by noninvasive as well as invasive methods.
-gain a basic understanding of the pathology and physiology of common congenital heart diseases
-gain confidence in the assessment of pediatric patients for various forms of heart disease
-gain exposure to the technical modalities employed in the diagnosis and treatment of heart disease in children.
Learning experience: Each morning students will participate in rounds on pediatric cardiology patients in the Pediatric ICU or CHAM 8. They will be expected to spend time in the outpatient clinic, see echocardiograms performed, gain experience in reading pediatric ECG’s, participate in exercise stress tests and tilt table tests, and assist with consultations and inpatient cases. They should also attend hemodynamic and interventional catheterizations and electrophysiology studies and ablations, and go to the operating room to observe intraoperative transesophageal echocardiograms and watch surgical procedures. Students will also attend weekly Pediatric Heart Center Grand Rounds and the weekly Medical Surgical Conference, at which presurgical and difficult cases are discussed.
Method of student feedback and evaluation: Einstein evaluation form by Attending on Service and/or Course Director; Face-to-face meeting at end of elective with Elective Director
Title Pediatric Cardiology: The Requisites in Pediatrics
Author Victoria L. Vetter
Christine A. Walsh, MD
On the first day students report to: Dr. Walsh or her Assistant in the Pediatric Cardiology Office on Rosenthal 1 at 9:00 am
N505 Pediatric Rheumatology (Children’s Hospital at Montefiore)
The elective is designed to introduce the student to the field of pediatric rheumatology. The student will shadow or be precepted by the attending physician in outpatient clinic four half day sessions a week. The student will perform initial consultations on inpatients and round on all inpatients with the pediatric rheumatology fellow and attending. All outpatients are reviewed at a weekly team meeting which the student attends. A didactic curriculum focused around clinical case discussions ensures that that student has exposure to the most commonly encountered pediatric rheumatology diagnoses. The student will attend Pediatric Grand Rounds on Wednesday mornings, Pediatric Professorial Rounds, and Pediatric Rheumatology Grand Rounds on Friday mornings. The student will attend monthly pathology, radiology and combined Pediatric Nephrology/Rheumatology conferences. The student will be expected to prepare and present a short presentation about a topic in pediatric rheumatology mutually agreed upon with the course leader.
Dr. Jay Mehta
First day: report to 3334 Bainbridge Ave, 9 am
N506 Child Development in Pediatric Practice (Children’s Evaluation and Rehabilitation Center)
**Students must receive pre-approval from Dr. Benenson before Registration**
In this elective, the student learns about normal and aberrant child development through experiences at the Children's Evaluation and Rehabilitation Center, primarily located at the Rose F. Kennedy Center at Van Etten. The student is exposed to children and adolescents with neuromuscular abnormalities, mental retardation, language disorders, learning disabilities, school problems and autism spectrum disorders. Students have the opportunity to observe different facets of the multidisciplinary evaluation of children who present with developmental problems; as well as intervention strategies aimed at improving the child's functional skills and/or behavior. Along with pediatric residents, students participate in a series of didactic sessions dealing with topics in child development and behavior. Visits to schools or sites offering other interventions can be arranged. Students will also be encouraged to undertake an independent study of a topic of interest. The goal of this elective is to emphasize the role of the pediatrician and family physician in identification, evaluation and follow up of children with disabilities, through working with the family and functioning as a child advocate within the community. Students are expected to fulfill the time commitment to activities scheduled during their elective period, weekdays 8am – 6pm (some days may start later or end earlier) unless arranged with course director in advance of registration.
Dr. Blanche Benenson
Modules: All, except 2A
Please email Dr. Benenson (firstname.lastname@example.org) and Ms. Martinez (email@example.com) at least two weeks prior to the scheduled start of the elective to arrange meeting place and time.
N508 Neonatal Intensive Care Unit (Weiler Hospital)
The elective in Neonatal Intensive Care is designed to serve as an introduction of the student to epidemiologic, physiologic and therapeutic aspects of neonatal medicine, by developing an understanding of the physiology of the normal neonate and the pathophysiology of the sick newborn. The student will gain experience in counseling families, counseling women in labor, immediate management, resuscitation and stabilization of the newborn, learn and experience diagnosis and assessment of neonatal illness, learn different techniques of mechanical ventilation, perform basic procedures, e.g. endotracheal intubation, insertion of venous and arterial lines, etc., learn appropriate dosage and administration of medications, learn discharge planning. All the above will occur under the supervision of the neonatal fellows or attending faculty. Students will be expected to write admission notes on 1-2 patients each week, to follow their clinical course, write daily notes and to present them at rounds and conferences. To further their clinical experience, they are encouraged to take calls and to participate in the various divisional educational conferences. Prerequisite: Clerkship in Pediatrics
Deborah Campbell, MD
Contact: Ms. Leslie Johnson, firstname.lastname@example.org, 718-904-4105
First day of elective students meet at 7:30am on the 5th Floor/ 5 North-NICU, 1825 Eastchester Road, Bronx, NY 10461.
N509 Neonatal/Pediatric ICU (Children's Hospital at Montefiore/ Weiler Hospital)
This combined elective in Neonatal and Pediatric Intensive Care is offered in the Neonatal Special Care Unit at the Jack D. Weiler Hospital at AECOM and the Pediatric Critical Care Unit at Montefiore. It is designed so as to provide the student with an appreciation and understanding of critical care medicine in the neonatal and pediatric patient. The rotation can be equally divided between the two units, or a student may spend one month in either the NICU or the PCCU. Students will be involved in the care of patients under the supervision of the senior residents, fellows, and attending faculty. They will assume responsibility for 1 to 2 patients each week, write admission notes and present their patients on rounds. They are encouraged to attend the many available conferences including: Review and Management, Morbidity and Mortality, Ethics, Journal Club, X-Ray, Perinatology, Research Seminars and Case Reports. Students are encouraged to assume night.
Deborah Campbell, MD
Lewis Singer, MD
Contact Ms. Leslie Johnson, email@example.com, 718-904-4105
Weiler Hospital: First day of elective students meet at 7:30am on the 5th Floor/ 5 North-NICU, 1825 Eastchester Road, Bronx, NY 10461
Children's Hospital: First day of the elective, students meet at 7:30am on the 10th Floor (3415 Bainbridge Ave Bronx, NY).
N510 Pediatric Hematology-Oncology (Children's Medical Center)
The Division of Hematology/Oncology at The Children's Hospital at Montefiore cares for children with a wide variety of cancers and non-malignant blood disorders. The program is large and dynamic, but elective students will be given individual attention during their rotation. The pediatric hematology oncology attending staff will closely supervise and provide individual teaching to each student. For two weeks, students will participate in the care of our pediatric hematology/oncology inpatient unit and will participate in daily teaching rounds. They will also assess and help manage patients on the inpatient consultation service. During the other two weeks, students will attend daily outpatient clinic sessions, where they will see patients on their own, precepted by an attending physician. One morning per week, they will participate in outpatient procedures (bone marrow aspirations/biopsies; lumbar punctures with administration of chemotherapy). When not in clinic, they will continue participation in the inpatient consultation service. Elective students will be encouraged to participate in a wide array of educational and patient care activities of the division, including weekly Tumor Board, lectures, bone marrow and blood morphology reviews, and clinical care conferences, as well as, monthly journal club, hematopathology conference and oncology protocol review. Short research or case reports may be available to interested students. All students receive oral feedback on the inpatient service and in the outpatient clinics
Course Director: Michael Roth, MD
Administrative support: Annette Pedro, firstname.lastname@example.org, 718-741-2301
Maximum 1 (exceptions can be made for an additional student)
Students should report to the Pediatric Hematology/Oncology offices in Rosenthal 3 at 8:30am on the first day of the elective.
N511 Adolescent Medicine (Jacobi Medical Center)
**Student must get Dr. Fried's approval before registering**
The Adolescent Medicine Division in the Dept. of Pediatrics at Jacobi serves a dynamic population of young people 11 to 20 years of age. The goal of the rotation is for the student to initiate familiarity with the challenges and rewards of provision of health care to adolescents. The student in this elective will work directly under the supervision of the Director, primarily in the outpatient setting, though exposure to adolescent in-patients will also occur. Teenagers with a wide variety of issues will be evaluated, including morbidity from high-risk behaviors confronting urban youth and their families (violence, drugs, alcohol, unplanned pregnancy, and STI’s for example) as well as general adolescent growth and development needs. The student will become familiar with routine health issues for all adolescents such as nutrition, acne and other dermatological care, common orthopedic problems, menstrual disorders and routine gynecology as well as psychosocial stressors involving family, the educational system and the peer group. Involvement in the Babies Together Program will also allow the student to understand some of the unique issues related to teenage parents and their children. Teaching conferences elsewhere in the Lewis M Fraad Dept. of Pediatrics at JMC are also open to the student.
-Obtain a complete medical history of the adolescent patient including in-depth psychosocial assessment (supervised closely by the Director).
-Do a complete physical examination of the adolescent (including maturational index staging (tanner) of the breasts and genitals) under the supervision of the Director.
-Provide accurate, objective written documentation of the adolescent assessment via the electronic medical record, including appropriate differential diagnoses, reviewed by the Director.
-Review any laboratory data obtained on the patients with the Director and recommend appropriate patient follow-up plans.
-Research and present a 45-60 minute power point discussion on a student’s area of interest in adolescent medicine with a focus on up-to-date strategies, treatments, etc.
Learning experience: Students will actively participate in all aspects of patient care for adolescent in the out-patient and in-patient arenas 5 days/week (excludes weekends). Under the supervision of the Director the student will evaluate the patients, perform appropriate exams (determined by the nature of the patient visit/complaint), present the patients to the Director and include a differential diagnosis. They will then recommend appropriate lab studies and document the evaluation in the electronic medical record. Students should come to realize that providing care to the adolescent patient can at times be challenging but it should always be rewarding and even fun. This elective seeks to optimize the medical students’ experience with this vital population.
Method of student feedback and evaluation: oral feedback providing continually with written feedback provided at the end of the elective.
Textbook(s) information: the students are provided with a packet of relevant, updated articles pertaining to the healthcare of adolescents.
Dr. D. Clare Fried
Maximum 2 Students
N512 Pediatric Pulmonary Medicine (Children's Hospital at Montefiore)
The Pediatric Pulmonary Elective is a month long course that is open to residents of all levels. It centers around the care of the patient with pulmonary disease in both inpatient and outpatient settings, including the intensive care unit. Residents have the opportunity to experience continuity by following patients in both the inpatient and outpatient clinics.
Measurable learning objectives of elective:
-The physiology of lung function testing
-Evaluation of chest x-rays
-Respiratory disorders of the newborn with emphasis on bronchopulmonary dysplasia
-Common respiratory infections of the respiratory tract in children
-Pneumonia and management
-Asthma-NIH guidelines and management
-Sleep disorders in children
Learning experience: This one month elective provides the opportunity for students to develop skills in the field of pediatric pulmonology. The student will see a range of inpatient and outpatient pathology with an emphasis on asthma, obstructive sleep apnea, dysplasia and evaluation of the child with chronic cough, wheezing or stridor.
Method of student feedback and evaluation: Evaluation to be completed using New Innovation
Cost: $ 168 (Kindle)
Title: Disorders of the Respiratory Tract in Children
Author: Kendig and Chernick's
Dr. Raanan Arens
On the first day students report to: House Staff at 8:30am (If ID is needed), then 3330 Bainbridge side door entrance at 9:00am
N519 Adolescent Medicine (Children's Hospital at Montefiore)
**Contact course director prior to scheduling**
During the Adolescent Medicine rotation students will experience caring for patients aged 13 through 21 years in a wide variety of settings within a nationally recognized adolescent medicine program. The student will be part of the clinical team that includes three postdoctoral fellows, eight core faculty physicians and 6 affiliated physicians. Students will participate in the subspecialty practice at the children's hospital providing primary care as well as consultations related to gynecologic, eating disorder and behavioral concerns. In addition students will participate in our multidisciplinary weight management program (B’N Fit) for obese teens, our Adolescent HIV/AIDs program, our Adolescent Long Acting Reversible Contraceptive (LARC) practice, and the 28-bed adolescent inpatient floor all at CHAM. Other opportunities for interested students include participation in a college-health service, an outpatient clinic for foster care adolescents, and residential schools for foster care youth with psychiatric and behavioral problems. During the elective, students will learn about the physical, sexual and psychosocial development of adolescents as well as issues surrounding consent, confidentiality, communication skills and compliance strategies. In addition, students will have an in-depth experience in adolescent gynecology, including menstrual disorders, sexually transmitted infections, and contraception as well as learning to manage common adolescent problems such as acne, sports injuries, and abdominal pain. Students will participate in approximately seven clinical sessions per week and will attend two didactic sessions throughout the elective with the course director. Students will also be required to complete a write-up of an interesting case encountered during the rotation.
Dr. Sofya Maslyanskaya
Maximum: 1-2, varies each module
N600 Inpatient Pediatrics (Children's Hospital at Montefiore)
**Student must contact Course Director for pre-approval prior to registration**
During this 4 week elective, the student will be assigned to one of the inpatient floors at the Children's Hospital at Montefiore (Infants, Childrens / Hem-Onc, or Adolescents) to function in an intern's role as an integral part of the house staff team. Students will be the primary provider for patients with a wide range of pediatric illnesses requiring inpatient treatment. They will be responsible for all aspects of care, working under the supervision of senior residents and hospitalist attending. Students will gain experience and proficiency in obtaining pediatric histories, performing physical exams, formulating differential diagnoses and management plans, managing psychosocial issues, evaluating test results and interacting with multiple services and disciplines involved in the care of the child. They will attend all house staff teaching conferences and meet weekly with the course director. Call will be on a night float system similar to that of the interns - one week of night shifts during the 4 week rotation. This elective is open to students from other medical schools with approval of Dr. Douglas, and based on availability depending on the number of Einstein students assigned to the service for the required subinternship.
Dr. Lindsey Douglas
Modules: varies depending on schedule
Maximum: 1-2, varies depending on schedule
N601 Inpatient Pediatrics (Jacobi Medical Center)
A comprehensive experience is provided on the Pediatric Inpatient Service at Jacobi Medical Center. During the 4 week elective emphasis is placed upon obtaining a complete medical history, examining sick or injured children and developing a differential diagnosis and care plan for a multitude of pediatric complaints. In addition, the student will have the opportunity to develop basic procedural skills. The student will function as a team member, admitting and caring for their own patients, while supervised by residents, chief residents and an attending physician. The student will participate in all the inpatient educational activities such as, morning work rounds, daily radiology and attending rounds, family centered rounds, noon conference, and Grand Rounds. The student will work overnight for 5 consecutive days in the 4 week period, in addition to one weekend dayshift. Availability of this elective depends upon the number of Albert Einstein students already assigned to the pediatric inpatient service for their required sub-internship rotation. The Office of the Registrar will assign students to this elective based upon availability and timing of the request. Thank you for your interest in our program.
Dr. Scott Miller
Maximum: 1-2, varies each module
The Office of the Registrar will assign students to this elective based upon availability and timing of the request