Pediatrics

Courses

MDR 841: CCS: Pediatric Intensive Care Unit

Credits 2

The Critical care selective is mandatory for Phase 3 students who have successfully completed their clerkships. The purpose of this selective is to provide the student a robust and educational introduction to critical care concepts; aligned with their career of choice. This selective is designed to allow students to recognize the early signs of a critically ill patient who would benefit from specialized care and learn the necessary interventions to stabilize a patient during the initial critical phase of their illness. Advanced physiological concepts will be introduced in a critical care setting, building upon concepts taught in Phase 1.

The primary objective of this rotation is to promote the development and mastery of clinical critical care pediatric competencies. The environment of the PICU affords the student a broad exposure to clinically relevant physiological and pathophysiological principles and multisystem disease. The practice of evidence-based medicine is promoted by encouraging students to conduct literature searches, with an emphasis on the basic principles of recognition and management of respiratory failure and shock in the pediatric population-infancy to 22 years.

MDR 880: Adolescent Medicine

Credits 2
The goals of this elective clinical rotation are to broaden the student’s general knowledge of Adolescent Medicine, with emphasis on learning diagnosis and treatments of unique physical, developmental, and psychosocial problems of patients ages 10 – 25 years. The student will participate in the multidisciplinary team approach to adolescent health care, gain experience in communicating and interacting with a wide variety of inpatient and outpatient adolescents, and attend all aspects of the Adolescent Medicine teaching program.

MDR 881: Child Protection Team

Credits 2
The Child Protection Team elective is designed to familiarize the students to all aspects of child abuse. The students will learn to assess and document physical abuse and neglect, attend court hearings and participate in case staffing. This elective is geared to meet the needs of all medical students (independent of their career goals) and introduce them to the community resources available for children and their families.

MDR 883: ACE: Neonatology

Credits 4

The student will be part of the team headed by an attending and will follow and manage one or two patients together with one of the residents on the team. Teaching rounds will be conducted 5 times a week, work rounds 7 days a week.

During the first 2 weeks of the rotation, the student will refresh and refine his/her physical examination skills. He/she will become familiar with the nutritional needs of neonates and infants and with how these needs can be met by feedings and parental alimentation. How to prevent and correct imbalances in body water and electrolytes will be stressed. Problems with anemia, hyperbilirubinemia, infection (congenital or acquired after birth), hypoglycemia and hypocalcemia and their management will be explained.

During the second two weeks of the rotation, the focus of training will change to infants with respiratory and cardiovascular failure. The student will become familiar with the different causes of respiratory failure, how to judge the severity of respiratory failure by interpreting arterial blood gases and acid base status, and how to support the infants with supplement O2 or mechanical ventilation. Furthermore, the students will be exposed to signs and symptoms of cardiovascular failure, impaired regulation of breathing, and the consequences of hypoxic ischemic brain injury.

MDR 885: Pediatric Cardiology

Credits 2
The student is exposed to the physiology, clinical and laboratory diagnosis, and management of the infant and child with congenital and acquired heart disease. Physical examination skills are emphasized during participation in the out-patient clinics at Jackson Memorial Hospital. Cardiology ward rounds are conducted daily providing the opportunity to follow hospitalized patients from clinical diagnosis to cardiac catheterization to cardiac surgery. Interpretation of pediatric electrocardiograms and echocardiograms are included the individual patient's evaluation. Fundamentals of cardiac electrophysiology and pulmonary physiology, as it relates to heart disease, will be discussed in scheduled tutored session.

MDR 887: Pediatric Emergency Medicine

Credits 2
The student will be the primary physician for pediatric patients presenting with acute problems in the emergency facility of Jackson Memorial Hospital. The student will evaluate and treat patients with an extensive variety of acute illnesses under supervision of pediatric faculty and house staff.

MDR 889: ACE: Pediatric Gastroenterology, Hepatology, and Nutrition

Credits 4
The student will be able to participate in the care for inpatients and outpatients; to participate in daily rounds on inpatients as well as consults with the attending physician, fellow and pediatric resident team. Opportunities to conduct patient interviews and examinations as well as to observe/participate in GI procedures will be an integral part of the elective. The student will review indications/risks for particular procedures and surgeries as they relate to pediatric gastroenterology. Students will also participate in weekly outpatient clinics. Students will also learn care of gastrostomy tubes. The 4 week rotation will consist of 2 weeks inpatient and 2 weeks outpatient.

MDR 891: Pediatric Infectious Diseases and Immunology

Credits 2
The 2-week rotation in Pediatric Immunology and Infectious Disease is designed to give the student a broad experience in the immunological and infectious disease problems of children. The student will participate in both the inpatient and outpatient care of children with such problems by rounding daily with the attending fellow and the clinical pediatric infectious disease faculty. The student will also have the opportunity to assist in the care of children with HIV-1 infection as well as other immunodeficiency diseases.

MDR 894: ACE Pediatric Nephrology

Credits 4
This course will emphasize the clinical approach to health maintenance and diseased states of the renal and urologic systems. We aim to provide a review of renal pathophysiology through representative outpatient and consultative clinical encounters, as well as educational conferences. By the end of the course, you should have an understanding of the abnormal findings, diagnostic evaluation and therapeutic approach for a given disease process. In addition, we hope that you will develop an appreciation for the scientific evidence behind current clinical practice in pediatric nephrology.

MDR 895: ACE: Pediatric Pulmonary

Credits 4
The objective of this rotation is to provide the students with the clinical exposure to acute and chronic, acquired and congenital, respiratory diseases from infancy to adolescence in both in-patient and out-patient venues. These conditions include but are not limited to asthma, chronic cough, chronic lung disease of infancy, cystic fibrosis, congenital lung abnormalities, recurrent and complicated pneumonia. The student will participate in the in-patient rounds or activities, ambulatory clinics and didactic conferences.

MDR 897: Pediatrics Sub-I

Credits 4
The sub-internship (Sub-I), a 4-week experience, offered during Phase 3 of the NextGen curriculum, will provide a learning experience for the student that prepares them to serve as competent interns and effective members of an interdisciplinary team. Students will be assigned to one of two general inpatient pediatric ward teams (Red or Purple). The senior student will be placed in the regular PGY1 rotation functioning as part of the ward team and directly supervised by the pediatric residents and attending physicians.

MDR 973: Pediatric Allergy and Immunology

Credits 2

The pediatric allergy and immunology elective is designed to give senior medical students exposure to the spectrum of diseases seen in the field of Allergy and Immunology. The student will predominantly rotate through the outpatient clinic and inpatient consults, and see patients and procedures based on the emphasis of that location.

MDR 1018: Pediatric Mobile Clinic

Credits 2

This is an out patient rotation on the University of Miami Pediatric Mobile Clinic (PMC). The PMC is a clinic on wheels that delivers comprehensive pediatric primary care primarily to uninsured children from birth to 21 years of age throughout Miami Dade County free of charge. The PMC provides care for some of the neediest children in communities including Little Havana, Hialeah, Homestead, Florida City, Little Haiti/North Miami, Doral, Kendall. Patients encountered reflect the diverse population of Miami-Dade County. Many are new immigrants and non-English speaking patients accessing medical care for the first time.

Clinic activities include childcare and follow-up for chronic conditions. Students will work independently
and responsibilities will include taking histories, conducting physical exams and discussing assessment and plans of care with the entire unit team including resident and attending physicians, nurse practitioners, social
worker/mental health counselor, and psychologist. Students also have the opportunity to do basic procedures such as throat swab, urinalysis, phlebotomy and administration of immunizations and provide counseling and education to patients and families. The students will have an opportunity to participate in telehealth clinics on the unit as well as special projects that are taking place. In addition, students will learn about the public health issues related to caring for uninsured, underserved populations and the social determinants that play a role in health and accessing healthcare. They will also learn about community resources available to underserved populations.

MDR 1032: Pediatric Palliative Care

Credits 2
This is a 2 week elective intended to expose the senior medical student to a spectrum of life-threatening and complex medical illnesses in pediatrics. The student will work directly with a faculty physician and the Palliative Care Nurse Coordinator and interface with a broad spectrum of pediatric sub-specialties.

MDR 1035: ACE: Maternal/Child Health: Research, Advocacy, and Leadership

Credits 4
This is a 4-week elective to expose the medical student to a variety of clinical and didactic experiences in maternal and child health, with a focus on developmental and behavioral pediatrics. The student will join pediatric residents and other interdisciplinary trainees in the Leadership Education in Neurodevelopmental Disabilities (LEND) curriculum at the Mailman Center for Child Development, rotate through different clinic/community settings in child and maternal health, and participate in didactic sessions specifically designed to enhance skills in research, advocacy, and leadership in maternal/child health.