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Pediatrics

This six-week clerkship introduces students to the broad scope of pediatric medicine. This branch of medicine deals primarily with the growth and development of children. Students are therefore introduced to the difference between providing surgical, medical and behavioral care for children and adults. Pediatrics gives insight to the care of children and human growth and development that is relevant to all fields of medicine. Students spend one week in the Neonatal Intensive Care Unit at Athens Regional Medical Center and one week at the sub-specialty clinics at St. Mary's Hospital. Some students have the opportunity to spend two weeks in the Children's Hospital of Georgia in Augusta, Ga. 

Clerkship Duration: 6 Weeks
Site Clerkship Director: Julie S. Martin, M.D. (jsmartin@uga.edu

Students meet weekly for an academic half day with Dr. Martin. They also take a departmental exam on the fourth Friday of the clerkship to guide students in their studying for the Shelf Exam. There are graded weekly quizzes that lead up to the departmental exam. 

Grading:

  • Quarter 1: 
    •  Shelf Exam (25 %) Score 
      •  Min. Raw Score - 62
      •  Raw Score for a B - 71
      •  Raw Score for an A - 79
      •  Max. Raw Score - 89
  • Quarters 2-4:
    •  Shelf Exam (25 %) Score 
      •  Min. Raw Score - 64
      •  Raw Score for a B - 73
      •  Raw Score for an A - 82
      •  Max. Raw Score - 91
  • Departmental Exam: 15 %
  • Weekly Quizzes: 5 %
  • Evaluations: 55 %
    • Inpatient: 20 %
    • Outpatient: 35 %
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  • Sites

    ARMC Physician Services
    Pediatrics
    1500 Oglethorpe Ave.
    Bldg 600, Ste. A
    Athens, GA 30606
    Phone: 706-475-3665
    Preceptors: Dr. Shilpi Das and Dr. Christian Lindsey

    ARMC Special Care Nursery

    1199 Prince Ave.
    Athens, GA 30606
    Phone: 706-475-3325
    Contact: Deena Ollis
    Preceptors: Dr. Atul Khurana and Dr. Nancy Louis

    Oconee Pediatrics
    1020 Twelve Oaks Place
    Watkinsville, GA 30677
    706-769-7743
    Preceptors: Dr. Carrie Kelly, Dr. Tresa Chappell and Dr. David Sprayberry
    [See Oconee Pediatrics Instructions below]

    Athens Children's Clinic
    1500 Oglethorpe Ave.
    Bldg 600, Ste. B
    Athens, GA 30606
    Phone: 706-549-3426
    Contact: Angie McGinnis
    Preceptors: Dr. Henry Garrard and Dr. Holly Aldridge

    Athens Pediatrics at Resource Medical
    1500 Oglethorpe Ave.
    Bldg 600, Ste. C
    Athens, GA 30606
    Phone: 706-559-4188
    Contact: Connie Newberry
    Preceptor: Dr. Jon Udwadia and Dr. Margaret Sherman

    Medlink-Winder
    122 West Athens Street
    Winder, GA 30680
    Phone: 706-867-6633
    Contact: Jamie Dickerson
    Preceptors: Dr. Jeralyn Smith and Dr. Kathryn McCusker
    [see Medlink Winder Pediatrics Rotation Overview and Frequently Asked Questions listed in the section below]

  • PEDS Competency Based Objectives

    Medical Knowledge

    Medical students are expected to master a foundation of clinical knowledge with integration of basic sciences and the translation of that knowledge to the clinical setting.

    1.1 Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels.

    • Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels as it relates to pediatrics.

    1.2 Identify the pathology and pathophysiology of various diseases and correlate them with clinical signs and symptoms.

    1.3 Demonstrate knowledge of both common or significant, acute and chronic clinical problems.

    • Diagnose common acute and chronic clinical problems in pediatrics.
    • Assess hydration state of a pediatric patient
    • Identify signs of non-accidental injuries and child abuse and know reporting obligations

    1.4 Differentiate between normal and abnormal development and age-related changes across the life span.

    • Explain how the physical manifestations and the evaluation and management of many pediatric illnesses vary with the age of the patient.
    • Accurately plot height, weight and head circumference of BMI on a growth chart.
    • Rate sexual maturity (Tanner stage) on an adolescent patient.

    1.5 Demonstrate comprehension of clinical interventions and agents including pharmaceutical, surgical, genetic, complementary and alternative medicines, and other therapies.

    • Calculate a drug dose for a pediatric patient and write as a prescription or medication.
    • Calculate and write IV orders for a bolus, deficit replacement and maintenance fluids for an infant or child.

    1.6 Demonstrate knowledge and ability to interpret epidemiological and public health contributions to understanding health and disease.

    1.7 Demonstrate knowledge of preventive medicine and current guidelines for health promotion and disease screening.

    • Provide appropriate anticipatory guidance about development, nutrition, safety, and injury prevention.
    • Discuss immunizations with the family of an infant, a toddler or a child about to enter school. Include immunization side effects.

    Patient Care

    Medical students, as members of the healthcare team, are expected to provide patient and family centered care that is compassionate and effective for the promotion of health and the management of illness.

    2.1 Treat patients using a patient and family centered care approach.

    • Treat patients using a patient and family centered care approach.

    2.2 Obtain a complete and accurate medical history that covers essential aspects, also addressing issues related to age, gender, culture, use of complementary medicine, family dynamics and socioeconomic status.

    • Interview sick and well pediatric patients
    • Evaluate patients from infancy through adolescence in a variety of clinical settings, establishing rapport with the patient and family in order to obtain a complete history and physical examination.
    • Obtain a routine diet history on an infant that includes: the type of feeding (breast vs. formula) with amount and frequency, types and approximate amounts of solids, and diet supplements given (vitamins, fluoride, iron).

    2.3 Perform both complete and symptom-focused physical examinations, including mental health status examination.

    • Examine sick and well pediatric patients.
    • Accurately plot height, weight and head circumference or BMI on a growth chart.
    • Rate sexual maturity (Tanner Stage) on an adolescent patient.
    • Perform appropriate developmental screening on patients as part of the health maintenance visit or inpatient evaluation.

    2.4 Perform or participate in routine technical procedures. [Procedures determined by core clerkships]

    • Calculate a drug dose for a pediatric patient and write as a prescription or medication order.
    • Calculate and write IV orders for a bolus, deficit replacement and maintenance fluids for an infant or child.

    2.5 Construct a differential diagnosis for common clinical presentations.

    • 2.5.1 Demonstrate effective identification and analysis of problems and effective inductive thinking when raising plausible hypotheses to explain these problems.
    • 2.5.2 Demonstrate sound judgment in making inferences about findings and synthesizing problems, and in deductive thinking when solving these problems
    • Develop a differential diagnosis and evaluation for common problems in infants through adolescents.

    2.6 Identify and interpret the most useful clinical, laboratory, roentgenologic, and pathologic testing for common clinical presentations.

    • Compare and contrast common laboratory values in sick and well neonates, children, and adolescents.

    2.7 Construct appropriate and efficient therapeutic management and prevention strategies for patients with common conditions, both acute and chronic, including medical, psychiatric, and surgical conditions, and those requiring short- and long-term rehabilitation.

    • Identify common clinical problems in pediatrics and outline an initial diagnostic and therapeutic plan.

    Practice-Based Learning

    Medical students are expected to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their practice of medicine.

    3.1 Demonstrate genuine intellectual curiosity and desire to learn, focused inquisitiveness in asking questions, and enduring persistence in the pursuit of learning.

    • Demonstrate genuine intellectual curiosity and desire to learn, focused inquisitiveness in asking questions, and enduring persistence in the pursuit of learning.

    3.2 Develop strategies for continuous individual improvement through monitoring performance, reflection, engaging in new learning, applying new learning, and monitoring impact of learning.

    • 3.2.1 Demonstrate critical awareness and reflective thinking when evaluating individual or team performance.
    • Complete a mid-rotation feedback form including goals for self-improvement

    3.3 Accept constructive criticism and modify behavior based on feedback.

    3.4 Develop clinical questions related to patients’ problems and demonstrate skills to find evidence that is relevant and valid information to answer clinical questions using medical information technology.

    • Use appropriate resources to answer clinical questions.

    Communication

    Medical students are expected to demonstrate skills that result in effective communication and collaboration with patients, families, and professional associates

    4.1 Demonstrate the ability to establish a positive patient-doctor relationship based on mutual trust and respect for patients’ privacy, dignity, individual integrity and culture.

    4.2 Communicate with others in a respectful, professional and non-judgmental manner and demonstrate effective listening skills (e.g. maintaining eye contact, body posture, verbal and non-verbal facilitation skills).

    4.3 Demonstrate the ability to give a clear, concise, and organized oral presentation and written documentation of a history and physical exam with basic elements of assessment and a plan that addresses the psycho-social and biomedical needs of the patient for a focused or complete patient encounter.

    • Prepare a complete written summary of the history and physical and orally present the case in a focused and chronological manner.

    4.4 Conduct an interview with a limited English-speaking patient through appropriate use of an interpreter.

    4.5 Recognize barriers to effective communication and implement strategies to overcome these barriers (e.g. health literacy, vision/hearing impairment, disabled, pediatric, geriatric).

    • Recognize barriers to effective communication with a pediatric patient and implement strategies to overcome these barriers.

    4.6 Educate patients assuring their understanding on:

    • 4.6.1 Preventive strategies and promoting healthy behavior change, and
      • Provide anticipatory guidance appropriate to the patient's age and parental concerns.
    • 4.6.2 Medical risk and benefits in medical decision-making (e.g. informed consent).
       

    Professionalism

    Medical students are expected to demonstrate professional behavior, commitment to ethical principles, and sensitivity to diverse patient populations.

    5.1 Demonstrate honesty, integrity, and ethical behavior in all interactions with patients and other health care professionals, including:

    • 5.1.1 Describing the importance of protecting patient privacy and identifying personal health information, including when and when not to share information, and
      • Required institutional HIPAA training and assessment.
    • 5.1.2 Identifying the ethical hazard and respond appropriately in situations such as:
      • Acceptance of Gifts
      • Collaboration with industry when courted to prescribe/use their products or being asked to practice beyond legal limits or personal comfort (e.g. when asked to provide medical care to friends or relatives; use of "doctor" title).

    5.2 Fulfill professional commitments in a timely and responsible manner.

    • Complete assignments in a timely manner including assigned CLIPP Cases, direct observations, patient logs, mid-rotation feedback form, end of clerkship evaluations, and notification of absences.

    5.3 Demonstrate respect for one’s self, including maintaining appropriate professional appearance, personal composure, and personal health.

    5.4 Recognize and address personal limitations, attributes or behaviors that might limit one’s effectiveness as a physician and seek help when needed. This would include:

    • 5.4.1 Describe personal responses to stress and employ appropriate stress reduction interventions as needed.

    5.5 Demonstrates sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, race, religion, disabilities and sexual orientation and investigate impact of those on clinical care and medical decisions.

    Systems-Based Practice

    Medical students are expected to develop an awareness of available health care system resources and demonstrate an ability to use them appropriately to provide optimal quality patient care.

    6.1 Demonstrate the ability to work within a multidisciplinary patient care team, with an understanding of the physicians’ role as team leader and the importance of ancillary staff.

    6.2 Examine medical errors and quality problems using a health systems approach and describe available methods to minimize them.

Contact us for more information

Julie Martin

Site Clerkship Director of Pediatrics, AU/UGA Medical PartnershipAssistant Professor of Pediatrics, AU/UGA Medical Partnership

Russell Hall, 139

Y2: Neonatal Intensive Care Unit at Athens Regional Hospital

Second year medical students Kayla Koch, Travis Palmer, Lum Frundi, and Lisa Lima are given instruction on how to give a physical examination to an infant by Dr. Edward Conner, in the Neonatal Intensive Care Unit at Athens Regional Hospital. Hours old Bronx Barnett is the infant that was being examined by the students and doctor.

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