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Jefferson Medical College Alpha Omega Alpha Guide to the Clinical Years
Pediatrics is the study of young people or the “youngins’” if you are from the South. Among other things, you will learn about care and nutrition of newborn infants, developmental milestones, immunization schedules, well-child care, and disease states in children. It is important to learn what is normal and abnormal in child development and health.
Some say there are two patients in the room during a pediatric encounter – the child and the parent. Parents will often be anxious when their child is sick. Reassurance is a big part of the job. During your pediatrics rotation, you may rotate through the inpatient ward, the NICU, outpatient offices, and/or the emergency department.
Textbooks – bold texts are recommended
Modules: The modules consist of a packet of patient scenarios that you will review with attendings during the clerkship. These can be time-consuming, but they address a vast amount of relevant pediatric information.
Written Exam: The written exam is a standard multiple-choice NBME shelf examination. A suggested topics list should be available for some guidance of what to study. As mentioned above, the modules should be helpful in studying for the exam.
Videotaped H & P. You are required to have one patient encounters videotaped to review with an attending. One visit should be done at the beginning of the outpatient time and the other visit should be done near the end. The purpose of this is to assess and show improvement in your patient interviewing skills. These are not intended to provoke anxiety; rather they should be helpful for your clinical development.
Notes are written in the standard SOAP format with a few modifications. Always ask early how the resident/attendings like the notes to be written. When a child's parent is not available when you are pre-rounding, it is especially helpful to ask the nurses how the patient did overnight and read the nursing notes. Daily weights should be recorded since medications are mostly weight-based. Plotting a child's measurements on a growth chart may be important. For fluid intake, "ins" are written as both total and in "cc/kg/day" values. For "outs", both total and "cc/kg/hour" values are calculated. Also, be aware that there are different normal values for vital signs such as respiratory rates, heart rates, and blood pressure depending on the age of the child.
The call schedule varies depending on where you are rotating but required call is rare during your pediatrics rotation.