More about Fourth Year Electives

PEDS-401C. ADVANCED CLERKSHIP IN PEDIATRICS. This course is designed to provide the student with an intensive, in-depth exposure to the diagnosis and management of pediatric patients hospitalized at Duke. Students are responsible for admission histories, physical examinations, and management throughout the hospitalization. The student serves as an acting intern throughout the rotation. Night call is expected every fourth night. This is a sole-enrollment course and cannot be taken in conjunction with any other course. Course director: Drucker  ^Up

PEDS-410C. ADVANCED PEDIATRICS. This course permits the student to elect an in-depth experience within pediatrics. Each student has a specific faculty preceptor who develops and implements the curriculum tailored to the individual's needs. Listed below are the faculty representatives to contact. Arrangements for the elective must be made with these individuals prior to enrolling in the course. The name of the preceptor with whom a student is working must be designated during web registration. Credit: 2 to 8. Enrollment: max 1. Drucker and selected departmental representatives. Division Faculty Telephone: Emergency Department Karen Frush, M.D. 684-5537* Gastroenterology Martin Ulshen, M.D. 681-4841 Pulmonary Richard Kravitz, M.D. 684-2289 Rheumatology Egla Rabinovich, M.D. 684-6575 Sports Medicine Deborah Squire, M.D. 477-4297 * In the Emergency Department, the student participates in the initial evaluation, stabilization and management of pediatric medical and surgical patients.  Special emphasis is placed on the approach to the pediatric trauma victim. Weekly didactic lectures and case review conferences are offered. The student is expected to research a relevant topic of his/her interest and lead a brief discussion with faculty and house staff during the elective. The student is evaluated by the ED Attending staff and receives ongoing feedback throughout the rotation as well as a formal exit interview. Course director: Drucker (Credits 1 – 8)  ^Up

PEDS-421C. PEDIATRIC INFECTIOUS DISEASES. This course provides experience in the clinical and laboratory diagnosis of infectious diseases and in their therapy. The student works closely with the infectious disease fellow and participates actively in evaluation of patients. Daily rounds in microbiology laboratory. Students planning to enroll for fewer than 4 credits should contact Dr. Cunningham in advance. Course faculty: Cunningham, Katz, Drucker, McGann, McKinney, Jhaveri, St. Geme, Seed, Steinbach and Benjamin (Credits 1 – 8)  ^Up

PEDS-425C. ENDOCRINE DISORDERS IN CHILDREN. Students attend in the Pediatric Endocrine, Diabetes, and Insulin Resistance/Obesity Clinics and assume active roles in the evaluation and management of in-patients admitted to the Endocrine Service. Emphasis is placed upon the evaluation of growth and sexual development as indices of endocrine status during childhood. Students also participate in a monthly endocrine journal club and in weekly intra- and interdepartmental endocrine clinical and research conferences. Students will make a presentation to the endocrine group at the end of the rotation. Course director: Freemark (Credits 1 – 8)  ^Up

PEDS-426C. NEONATOLOGY. Students have patient care responsibilities and experiences in the Duke North Intensive Care Nursery. The course involves direct participation in patient care under the supervision of the faculty and housestaff. Emphasis is placed on the initiation of parent-child relationships and a pathophysiologic approach to assessment and management of the critically ill neonate. This is a sole-enrollment course and, as such, cannot be taken in conjunction with any other course. Course director: Goldberg (Credits 5)  ^Up

PEDS-427C. PEDIATRIC HEMATOLOGY AND ONCOLOGY. Includes all aspects of clinical and laboratory hematology as well as the diagnostic evaluation, care, and treatment of patients with malignant diseases. Emphasis is placed on fundamental concepts. Students will accompany the inpatient team on the ward rounds for 2 weeks of the rotation with the remaining time spent in the clinic evaluating new patients and seeing established patients. Students also are expected to attend divisional teaching conferences. Students will be asked to research a specific topic and present a short presentation at the end of their rotation. Course directors: Kinney, Chung (Credits 4)  ^Up

PEDS-431C. CLINICAL PEDIATRIC CARDIOLOGY. This Medical Student rotation provides an intensive learning experience in the clinical diagnosis and management of childhood heart disease. Emphasis is placed upon inpatient and outpatient management. The inpatient section includes a pre and post operative management of children with heart disease via a step-down/Ward environment. The outpatient section includes exposure to cardiovascular procedures including interventional techniques and echocardiography as well as management of children referred for a cardiology evaluation or follow-up via clinic or consultation. The Medical Student also is exposed to pediatric acute care medicine and the modalities available to maintain cardiovascular function in the extremely ill child. Scope: history, physical examination, and special diagnostic techniques (echocardiography, electrocardiography, cardiac catheterization and cineangiography). Students participate on daily ward rounds, out-patient clinics four days per week, and all clinical and didactic teaching conferences of the division. Course faculty: Rhodes, Armstrong, Herlong, Kanter, Camitta, Barker, Delaney and Carboni (Credits 1-4; 8 with permission)  ^Up

PEDS-433C. ALLERGY AND CLINICAL IMMUNOLOGY. Clinical evaluation and practice in use of methods of diagnosis and treatment of allergic and immunologic disorders including the atopic diseases, immunologic deficiency states, and bone marrow transplantation. Scope: in-depth seminars, history, physical examination, skin testing, a variety of clinical immunologic tests, and Clinical Research Unit experience. Course faculty: Burks, Markert, Williams, Robert, Frank, Buckley, Lee and Mankad (Credits 1 – 8)  ^Up

PEDS-434C. CLINICAL GENETICS AND METABOLISM. The student becomes familiar with evaluation and management of various genetic disorders including malformation syndromes and biochemical disorders. History-taking, pedigree construction and analysis, specialized aspects of the dysmorphological physical examination, diagnostic techniques, routine and specialized laboratory methods (cytogenetic, biochemical, molecular), and reference materials (texts and computer programs) are covered. Students participate in weekly teaching and clinical conferences. Course director: McDonald (Credits 1 – 4)  ^Up

PEDS-436C. PEDIATRIC NEUROLOGY. Students will partake in the evaluation and management of both hospitalized and ambulatory pediatric patients with neurological disorders. Emphasis is placed on the neurodevelopmental history, neurological examination, the use of laboratory tests and radiological tools and pharmacotherapy in the diagnosis and management of childhood neurological disorders. Course director: Lewis (Credits 1 – 8)  ^Up

PEDS-440C. PEDIATRIC INTENSIVE CARE UNIT. This advanced course is designed to allow students a four-week experience as a subintern in the Pediatric Intensive Care Unit. Under supervision of faculty attendings, fellows, and residents, the senior student assumes responsibility for the care of critically ill children admitted to the medicine and surgery services in the Pediatric Intensive Care Unit. Emphasis is placed on the development of the pathophysiologic approach to the diagnosis and therapy of a broad spectrum of pediatric illnesses as they present in acute care settings. Advanced concepts in pediatric critical care are emphasized. Students are expected to take night call with pediatric house staff. Course faculty: Cheifetz, Kern, Meliones, Schulman, Turi, and Weldon (Credits 5)  ^Up

PEDS-441C. PEDIATRIC NEPHROLOGY. The course is designed to provide experience in diagnosis, interpretations of laboratory tests, natural history, and treatment of acute and chronic disorders of the kidney in children. The student also is exposed to the management of fluid and electrolyte disorders in infants and children. Course instructors: Foreman and Wigfall (Credits 1 – 4)  ^Up

PEDS-443C. ADOLESCENT MEDICINE. Students participate in a weekly seminar on Tuesday mornings with an emphasis on the behavioral and developmental aspects of adolescence, substance abuse, contraception, and eating disorders. Patient interactions are arranged at Duke Children's Primary Care on Monday and Friday afternoons. Optional clinic time may be arranged at Wake Teen Medical Services in Raleigh on Wednesday afternoons, or at the Sports Medicine Clinic on Friday afternoons. Tutorial and supervisory time to discuss specific patients and pertinent literature is arranged. A brief, informal presentation on the student's adolescent topic of choice is expected at the end of the clerkship. Course director: Bravender (Credits 2)  ^Up