Pediatric SubinternshipThe acting-internship rotation at Children's Memorial Hospital is challenging and quite rewarding. We anticipate that your time will be well spent and you will enjoy the educational experience. OrientationService assignment and materials will be emailed prior to the rotation start, which will include the location to report 6 am your first day. You will also meet with Grace Alvarado in room M-121 at 7:30 am to go over logistics regarding pagers, ID badges, computer passwords, etc. You will receive a formal orientation from Dr. Jennifer Trainor, the Clerkship Director, on the first day at 12 pm.
Conferences
You will be meeting for case conferences weekly and on an individual basis twice during your time at Children's. Those individual meetings are for discussion of your evaluations, your progress and to obtain our feedback regarding your rotation and the educational program.
Goals
To learn how to efficiently diagnose, evaluate, and manage both common and unusual pediatric illnesses in the inpatient setting. To assume primary patient care responsibility for all patients admitted by the sub-intern to his/her service. Objectives- Efficiently perform detailed histories and physical exams on a wide variety of pediatric patients.
- Generate appropriate differential diagnoses for acutely ill patients.
- Recognize and treat respiratory distress, altered mental status, and hemodynamic deterioration in pediatric patients.
- Independently prepare care plans for the patients the student is managing.
- Prioritize patient care responsibilities appropriately.
- Handle cross-cover call on all patients on his/her service overnight.
- Actively participate in patient care and attending rounds.
- Coordinate care for inpatient pediatric patients with consultants and ancillary services.
- Efficiently prepare and accept sign-outs for the patients on his/her service.
- Write organized and informative H & P’s, admit orders, daily progress notes, transfer/accept notes, and discharge summaries for his/her patients.
Course Format and Proposed Schedule:The student is a member of a CMH inpatient team for 4 weeks during the course of their sub-internship. Placement will occur on the general medicine, pulmonary-allergy, kidney diseases, and hematology/oncology services depending on the time of the year and the number of students enrolling in the sub-internship. Students will work 3 weeks of day shifts (6am-6pm) and 5 days of overnight shifts with their teammates (5pm to 7am), and one weekend day shift (6am-6pm) during their 4 week clerkship. The student takes call with a senior resident and an intern, but admits and carries their own patients throughout the month. The student is expected to participate in all facets of inpatient service, including attendance at all lectures which their team attends. Department conferences such as morning report, firm rounds, grand rounds, and noon conference are also included in the student’s schedule. A separate sub-internship case conference with Dr. Trainor and the chief residents will be substituted for some 12pm conference time. In addition, there will be 1-2 pediatric acute illness simulation experiences during the rotation. This rotation should not be taken when residency interviews are planned because there are no weekdays off during the four week rotation. The call schedule is difficult to change once disseminated. Any special call requests should be made at the time the clerkship is arranged. We cannot guarantee that these special requests will be honored. Evaluation and Persons Performing the Evaluation
Standard Northwestern student evaluations will be completed by the attending physicians and the senior residents on the service. The students will be graded on the basis of their clinical performance and professionalism on the inpatient wards. The student will also be evaluated by the clerkship director on the basis of written H & P’s, Discharge summaries, and quality of presentation and interaction at case conferences. Each student will complete an individual learning plan at the start of the clerkship, which will be reviewed at the midpoint and the end of the clerkship with the clerkship director. Students will also receive in-person feedback from their senior residents at the mid-point and end-point of the rotation. | 
