The Division of Pediatric Endocrinology offers two (2) electives for fourth year Pediatric clerkships: Pediatric Endocrinology (PE 1208) and Pediatric Endocrinology Diabetes Camp (PE 1221). 

Pediatric Endocrinology (PE 1208)

Faculty Coordinator: Bryan A. Dickson, M.D.
Hospital: Children's Medical Center of Dallas
Periods Offered: All
Length: 4 weeks
Maximum Number of Students: 1 (may be able to take 2 in special circumstances)
First Day Contact: Bryan A. Dickson, M.D. at (214) 456-5952
First Day Time: 9:00 a.m.
First Day Place: Endocrinology Clinic in the Pavilion building, 4th floor
Prerequisites: Successful completion of the 3rd year Pediatric Clerkship

Course Objectives

Have the student become familiar with the diagnosis and treatment of diabetes and the endocrine disorders in children.  To understand the methods of diagnosis and treatment of:

• Diabetes
• Children with short stature
• Thyroid, adrenal, pituitary disorders in children
• Disorders of sexual maturation and sexual differentiation

Course Goals and Objectives: (based on ACGME competencies for resident education and modified for medical student education)

Patient Care

Students must demonstrate the ability to manage patients under supervision at the level to prepare them for internship. Students must demonstrate compassionate, appropriate and effective patient care in health problems and promotion of continuity of care.

Objectives: Students are expected to

• Follow their own patients and be responsible for these patients at a level commensurate with their training.
• Collect, assemble and interpret relevant history and physical findings.
• Create and maintain complete and accurate medical records.
• Order and evaluate diagnostic studies under supervision.
• Manage the patient’s problem in the hospital, including writing orders under supervision.
• Communicate with the other health care professionals and referring physicians.

Medical Knowledge

Students must become familiar with the major pediatric endocrine diagnoses requiring inpatient care and outpatient evaluation and treatment, which promote the development of clinical problem-solving skills.

Objectives: Students are expected to

• Demonstrate knowledge that would allow for independent assessment and appropriate problem solving skills both inpatient and outpatient pediatric endocrine patients.
• Demonstrate knowledge in the management of inpatients and outpatients with common endocrine diseases. For Example: Diabetes (Type 1 and 2), Hypothyroidism, Hyperthyroidism, Precocious Puberty, Pediatric Brain Tumors with endocrine manifestations, and Short stature.

Practice-Base Learning and Improvement

Students must be able to assimilate scientific evidence to improve their patient care practices.

Objectives: Students are expected to

• Demonstrate proper evidence based decisions.
• Demonstrate appropriate use of educational resources for self-education, including medical literature and on-line medical information.

Interpersonal and Communication Skills

Students must be able to demonstrate interpersonal and communication skills that result in effective information exchange with health care professionals and families.

Give case presentations in a clear, concise, organized and relevant manner.

• Communicate appropriate information to the family (and patient) concerning management and clinical course.
• Be an integral member of the medical care team and exchange information effectively with other health care professionals.

Professionalism

Students must demonstrate attitudes and professional behavior appropriate for clinical practice, which encompass professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations.

Objectives: Students are expected to demonstrate

• Accurate representation of data
• Ethically sound decisions
• Professional appearance
• Attendance at rounds and conferences on time
• Respect for patients’ confidentiality
• Mature behavior
• Sensitivity to culture, genders and disabilities

Methods of Instruction

• Didactic (schedule, topic, faculty):  Teaching will be primarily through clinical experience.  The student will attend clinic daily.   The student may also make rounds in the morning with the attending Pediatric Endocrinologist, Pediatric Endocrinology fellow on inpatient rotation and with the Pediatric house staff who take the Pediatric Endocrine elective if this is desired. 
• Clinical (schedule, faculty teaching, house staff teaching)
• Student Responsibilities (and to whom accountable):  Student will see patients in Diabetes and Endocrine Clinics.  Each patient will be reviewed by the attending physician.  The student may also see patients on rounds.  The student will present the patient to the attending and each work-up will be evaluated and approved by the attending physician.  Students will also be expected to attend conferences scheduled during the rotation.

Method of Evaluation of Students

Students will be evaluated on the achievement of the objectives of the course.  The attending physician will evaluate the student's performance and submit both a grade and a written evaluation.  Similarly, evaluation of the elective by the student will include achievement of the stated objectives of the course.

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 Pediatric Endocrinology Diabetes Camp (PE 1221)

Faculty Coordinator: Jon D. Oden, M.D.
Hospital: Camp Sweeney, Gainesville, TX
Periods Offered: Periods 1 and 12 (June and July)
Length: Four (4) weeks
Maximum Number of Students: variable
First Day Contact: Call (214) 456-5952
First Day Time: 9 a.m.
First Day Place: Camp Sweeney, Gainesville, TX (directions to be provided)
Prerequisites: Successful Completion of the 3rd year Pediatric Clerkship; Students must have prior approval from Faculty Coordinator before signing up.  Students participating at Camp during the first and second years will have higher priority.

Course Objectives

• The student rotating will become familiar with management of both Type 1 and Type 2 Diabetes in a camp setting.  Students will help manage all aspects of care for up to approximately 240 children with diabetes.  This care will include insulin adjustment and administration, insulin pump management, glucose monitoring, and management of acute hypoglycemia.  The student will also be involved in diagnosing and managing general pediatric problems including minor trauma, minor respiratory, and gastrointestinal illnesses during daily sick call at the Camp Hospital. 

Course Goals and Objectives: (based on ACGME competencies for resident education and modified for medical student education.)

Patient Care

Manage patients under supervision at the level to prepare for internship. Students must demonstrate compassionate, appropriate and effective patient care in the setting of medical management of diabetic children in a camp environment.

Objectives: Students are expected to

• Follow their own group of diabetic campers and be responsible for these campers at a level commensurate with their training.
• Collect, assemble and interpret relevant history and physical findings.
• Create and maintain complete and accurate medical records of diabetic management in a camp setting.
• Order and evaluate diagnostic studies in the appropriate setting under supervision.
• Manage the diabetes care of campers under direct supervision.
• Communicate with the referring physicians and family members in a timely manner.

Medical Knowledge

Become familiar with all aspects of outpatient diabetes care, basic general ambulatory pediatric diagnoses and physical exam skills, which promote the development of clinical problem-solving skills.

Demonstrate knowledge that would allow for independent assessment and appropriate problem solving skills of outpatient pediatric patients.

• Demonstrate knowledge of the management of outpatients with Diabetes (Type 1 and 2) and general pediatric diseases seen in the outpatient setting. For example: otitis media, otitis externa, head lice, viral respiratory and gastrointestinal diseases, asthma, and minor orthopedic injuries.

Practice-Base Learning and Improvement

Students must be able to assimilate scientific evidence to improve their patient care practices.

Objectives: Students are expected to

• Demonstrate proper evidence based decisions.
• Demonstrate appropriate use of educational resources for self-education, including medical literature and on-line medical information.

Interpersonal and Communication Skills

Students must be able to demonstrate interpersonal and communication skills that result in effective information exchange with health care professionals and families.

Objectives: Students are expected to

• Give case presentations in a clear, concise, organized and relevant manner.
• Communicate appropriate information to the family (and patient) concerning management and clinical course.
• Be an integral member of the medical care team and exchange information effectively with other health care professionals.

Professionalism

Students must demonstrate attitudes and professional behavior appropriate for clinical practice, which encompass professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations.

Objectives: Students are expected to demonstrate

• Accurate representation of data
• Ethically sound decisions
• Professional appearance
• Attendance at rounds on time
• Respect for patients’ confidentiality
• Mature behavior
• Sensitivity to culture, genders and disabilities

Methods of Instruction

• Didactic (schedule and faculty):  Teaching will be primarily through clinical experience.  The student will be responsible for a specific group of campers and their insulin management.  Using a computerized database, the student will review daily glucose monitoring and make insulin dose changes under the supervision of the attending physician.  The student will round with the attending physician on a daily basis to review the diabetic management of those campers.  The student will also help prepare lecture on diabetes care for daily medical lecture to campers.  The student will also help prepare lecture on diabetes care for daily medical lecture to campers.  Students will receive direct instruction from the attending physician on all aspects of diabetes care. 
  
• Clinical:  The student will participate in daily sick call and will make an assessment and management plan for campers presenting with minor trauma, illnesses, and other problems under the supervision of the attending physician.  The students will directly participate in diabetes management including insulin administration, insulin pump management, glucose monitoring, and treatment of acute hypoglycemia and hyperglycemia. 
  
• Student Responsibilities:  Students will be responsible for a specific group (cabin) of diabetic campers for their insulin management.  The student will meet daily with the attending physician and discuss the management.  Daily progress notes will be entered using the computer database.  During daily sick call, the student will present to the attending physician and formulate a plan of management.  Students will also participate in preparing daily medical lectures to campers and prepare a final examination at the end of the camp session.

Method of Evaluation of Students

Students will be evaluated on the achievement of the objectives of the course. The attending physician will evaluate the student’s performance and submit both a grade and a written evaluation. Similarly, evaluation of the elective by the student will include achievement of the stated objectives of the course.

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