Thanakorn Jirasevijinda, MD
The Pediatric Clerkship is a six-week rotation offered at five different sites: NewYork-Presbyterian Hospital-Weill Cornell Campus, Brooklyn Hospital Center, Lincoln Medical and Mental Health Center, New York Hospital Medical Center of Queens, and New York Methodist Hospital. Each student spends six weeks at one of these sites. Clinical time is divided as follows: three weeks on the in-patient ward, two weeks in the outpatient setting and the well-baby nursery, and one week in the emergency department.
The goals of this rotation are to introduce students to the clinical practice of Pediatrics, and to encourage them to continue to develop clinical skills and professional attitudes essential to the practice of medicine. Core objectives can be found by clicking on the “Course Learning Objectives” link in the upper right. For the complete list of learning objectives, see the Council on Medical Student Education in Pediatrics curriculum at www.comsep.org.
Didactic teaching occurs during Morning Report, Attending Round, House Staff Conference, Grand Round, Core Curriculum Day, and Tutorials. Students are expected to attend all rounds and conferences with their respective teams.
All students meet at NewYork-Presbyterian Hospital on the first day of the rotation and the next four Thursdays for Core Curriculum lectures. We suggest that students read on the respective topics prior to the lectures.
Students at each site are assigned to a pediatric faculty member for Tutorials. Tutorials convene two to three times per week to review cases and general topics in Pediatrics. Students are expected to submit two write-ups and to make an oral presentation on an additional patient case in Tutorial during the clerkship.
Students can select their patients for write-ups and presentation from the ED, nursery, outpatient or in-patient ward. Write-ups should demonstrate an understanding of the complete differential and work-up of the presenting problem. Also, they must address all other active issues, including lab or vital sign abnormalities, psychosocial problems.
The inpatient block lasts three weeks. Students are expected to function as an integral part of the inpatient team without interruptions to their daily schedule on the floor, with the exception of Core Curriculum Thursdays and Tutorials, Each student is expected to care for two to three patients at a time, presenting patients on rounds, performing daily histories and exams, and documenting them. The Senior Residents will help decide which patients are most suitable for the students to follow.
Newborn Nursery Block
The newborn nursery block lasts one half-week. Students are expected to practice and become proficient in the newborn exam. They also attend deliveries.
Outpatient and ED Blocks
Students rotate through the ED, and general pediatrics and sub-specialty outpatient clinics. In these settings, they are expected to evaluate patients and write notes. The general pediatric outpatient clinics provide an opportunity for students to follow children’s growth and development, focus on preventive care, and care of the chronically ill child in an ambulatory setting. In the ED, students evaluate acutely ill pediatric patients.
Evening and Weekend On-Call Schedule
Call schedule is as follows:
- Two short calls on the in-patient ward,
- One Friday or Saturday overnight call on the ward
- Three short calls in the ED
Work-Up of Patients
Students are expected to write an admission note and complete daily progress notes on each of their inpatient ward patients. It is the student’s responsibility to make sure that all notes are co-signed.
Students are expected to read an abbreviated Pediatric text from cover to cover to gain a broad general fund of knowledge in Pediatrics. The recommended text is the smaller “baby” version of Fundamentals of Pediatrics, edited by Rudolph and Kamei. In addition, students are expect to read relevant sections of major textbooks and the current literature when working up patients on the floor and preparing for Tutorials. Please see below for suggested resources.
Weill Library: Electronic Resources for Pediatrics
- AAP Red Book
- Harriet Lane
- Current Pediatrics
- Pediatrics in Review
- Journal of Pediatrics
- Contemporary Pediatrics
- Archives of Pediatrics and Adolescent Medicine
- Pediatric Clinics of North America
Computer-assisted Learning in Pediatrics Program (CLIPP)
CLIPP is an interactive on-line computer program available to all Weill Cornell students through their CWID. CLIPP’s 31 patient cases are designed to cover the learning objectives of the COMSEP curriculum. These virtual cases may be used to supplement students’ learning of core signs and symptoms.
Structured Clinical Observations (SCOs)
SCOs are used to assure direct observation of student performance. Each student is observed in a clinical encounter by a resident or faculty member and given immediate feedback. The observation is documented on a SCO form. A minimum of three SCOs must be completed by the end of the clerkship.
Students meet with their tutor for mid-clerkship feedback during the third or fourth week of the clerkship. They are required to fill out the Mid-Clerkship Self Assessment Form prior to their meeting. Students discuss feedback on their performance, review their patient case log and Structured Clinic Observations (SCOs) at this meeting.
Methods for assessing student achievement of course learning objectives include the following:
- Evaluations of performance in tutorial sessions by the tutor, including evaluation of two formal write-ups and one power point presentation demonstrating an understanding of the complete differential, work-up and management of each patients’ problems.
- Completion of a mid-clerkship self-assessment, discussed with a tutor.
- Clinical evaluation completed by health care team members, including evaluation of student’s notes and presentations.
- Completion of three Structured Clinical Observations
- Completion of Clinical Encounter Log
- Written NBME Shelf Examination
33% Tutor Evaluation
33% Clinical Performance Evaluations
33% Final Exam (NBME Shelf Exam)
To pass this clerkship, students must pass the written examination.
All students are asked to evaluate the clerkship on E-value.
Three to four weeks after the completion of the clerkship, each student is invited to an exit interview with the clerkship director or associate clerkship director. At this meeting, the student and faculty member review evaluations and the shelf exam score, discuss plans for further learning, and give feedback on the clerkship.