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Pediatrics

The Pediatric Clerkship at Goryeb Children’s Hospital – Atlantic Health System exposes students to general pediatrics and pediatric subspecialties in the in- and out-patient settings. In addition to improving clinical skills, students learn from an exemplary medical staff and superb house staff, who serve as mentors in learning the art, as well as the science, of medicine. AHS offers a variety of pediatric experiences, including inpatient Pediatric Sub-Internships: Inpatient, Pediatric Clinical Care, and Neonatal Intensive Care, as well as electives in pediatric specialties such as Developmental Pediatrics; Endocrinology & Diabetes; Gastroenterology & Nutrition; Genetics; Hematology & Oncology; and Pulmonology. 

Pediatric Critical Care Sub-Internship

Director(s)

Toah Alafita, DO

Erin Johnson, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • August–February
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The pediatric critical care sub-internship studies the pathophysiology and treatment of organ system failure and provides a better understanding of the complex interaction between the patient, the patient’s family, the disease process, and the pediatric critical care team.

Learning Experience

Students will:

  • Follow individual patients, under the supervision of house staff and pediatric intensivists, in a 15-bed pediatric intensive care unit
  • Round with the multidisciplinary pediatric critical care team and attend daily pediatric intake rounds
  • Take an active role in the discussion of pathophysiology and management
  • Prepare 2-3 brief presentations on patient-related topics
  • Read material distributed to supplement discussions on sepsis, systemic inflammatory response syndrome, cerebral resuscitation, circulatory support, trauma, ventilator management, and other critical care topics

Goals & Objectives

  • To be exposed to critically ill pediatric patients
  • To learn pathophysiology of disease process
  • To understand clinical management of disease process

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Developmental Pediatrics

Director(s)

Bernard Maria, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • Throughout the academic year
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The developmental pediatrics rotation exposes 4th year medical students to a broad variety of pediatric developmental disorders. The importance of coordinated interdisciplinary care of these complex patients is emphasized.

Learning Experience

Students will:

  • Work in the Child Development Center, providing evaluation and treatment services to infants, children, and adolescents with developmental concerns or disabilities
  • Areas of emphasis include: 
    • follow-up of high-risk infants from the neonatal intensive care unit; 
    • the evaluation of autism, 
    • Attention Deficit Hyperactivity Disorder,
    • other behavioral, developmental, and learning disorders; 
    • the evaluation of infants adopted internationally, and 
    • a psychotropic medication follow-up program.
  • Work with a team consisting of neurodevelopmental pediatricians, nurse practitioners, social workers, speech, physical, and occupational therapists, psychologists, and special education consultants
  • Learn the elements of the neurodevelopmental evaluation of children with a variety of developmental disorders and treatment options for them

Goals & Objectives

  • To recognize typical vs. atypical developmental milestones
  • To learn diagnosis and treatment options for Attention Deficit Hyperactivity Disorder
  • To understand appropriate referral services based on laws protecting persons with disabilities

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Pediatric Endocrinology and Diabetes

Director(s)

Barbara Cerame, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • Throughout the academic year
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description:

The pediatric endocrinology and diabetes rotation offers students a one-on-one training experience in pediatric and adolescent endocrinology and diabetes. Emphasis will be on the diagnosis and management of common endocrine disorders.

Learning Experience

Students will:

  • Participate in ongoing research
  • Share in the interdisciplinary management of young patients with diabetes mellitus, emphasizing psychosocial concerns

Goals & Objectives

  • To receive an overview of pediatric/adolescent endocrinology and diabetes
  • To participate in the diagnosis and treatment of common endocrine disorders

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Pediatric Gastroenterology and Nutrition

Director(s)

Tammy Feldman, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • Throughout the academic year
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The pediatric gastroenterology and nutrition rotation exposes 4th year medical students to a variety of gastrointestinal, hepatic, and nutritional disorders of children. 

Learning Experience

Students will:

  • See patients with attending physicians in ambulatory and hospital settings
  • Perform consultations and follow-up visits for all inpatients in inpatient and outpatient settings
  • Have the opportunity to observe procedures in the pediatric GI suite

Goals & Objectives

  • To learn about diagnostic and therapeutic approaches to common pediatric gastrointestinal problems
  • To receive an overview and comprehension of the pathophysiology behind these disorders

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Genetics

Director(s)

Darius Adams, MD

Location

Morristown Medical Center

Duration

4 or 8 weeks

Offered

  • All year
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships, specifically medicine and pediatrics

Description

The genetics rotation familiarizes 4th year medical students with the field of medical genetics and its role in the diagnosis, management, and education of patients and their families regarding genetic conditions. Medical genetics encompasses a wide range of disorders, including congenital anomalies, familial diseases, and inborn errors of metabolism. Students will have the opportunity to experience the full spectrum in both the inpatient and outpatient settings and to attend other clinics, including the craniofacial clinic. Other outpatient clinical experiences in prenatal genetic counseling and cancer genetics can also be arranged, if desired. Inpatient consultations will be addressed as they arise. Emphasis is placed on a rational and sophisticated approach to the use of common antimicrobial agents.

Learning Experience

Students will:

  • Perform and document age and developmentally appropriate dysmorphic examination
  • Gain an appreciation for the wide-range of typical/normal features as well as specific physical examination features important in syndrome/disorder recognition
  • Be able to take a clear, complete, and appropriate genetic family history and be able to draw pedigrees
  • Recognize and explain the common modes of inheritance: AR, AD, XL, mitochondrial, and multifactorial
  • Be familiar with other important genetic phenomenon, including imprinting, uniparental disomy, and chromosome translocations and with the wide variety of genetic resources available for physicians and families (support groups, databases, and internet sites)
  • Have an appreciation for the complexity of genetic testing, including the ethics of testing in various situations
  • Become familiar with the primary areas of testing as well as their advantages and limitations: cytogenetics, including chromosome analysis and FISH; molecular testing, including comparative genomic hybridization, SNP Microarray analysis, next generation genomic sequencing, and mutation analysis; population based and directed (ethnic) screening; and biochemical testing, including screening, analytes and enzymes

Goals & Objectives

  • To enrich knowledge of normal and atypical physical examination features (dysmorphic examination)
  • To realize the importance of a genetic family history and the importance of genetic counseling
  • To know genetic testing methodologies and ethical, legal, and social issues regarding genetic testing
  • To understand the range of medical genetics

Feedback & Evaluation

The residents, attending physicians, and course directors will evaluate students and provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Pediatric Hematology and Oncology

Director(s)

Karen Willis, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • August–February
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The pediatric inpatient sub-internship gives students advanced training in general pediatrics, while functioning as an intern on a 34-bed general pediatric floor. A high faculty/student ratio facilitates individual attention and teaching.

Learning Experience

Students will:

  • Care for patients under the supervision of senior house officers and full-time teaching attending physicians
  • Be expected to assume major responsibility for the evaluation and management of patients
  • Attend daily rounds and teaching conferences along with pediatric house officers
  • Participate in the preparation of cases for formal presentation

Goals & Objectives

  • To function as an intern on a general pediatrics floor
  • To evaluate and manage pediatric patients
  • To assist in preparation of patient presentations

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Neonatal Intensive Care Sub-Internship

Director(s)

Michael Pollaro, DO

Location

Morristown Medical Center

Duration

4 weeks

Offered

  • August–February
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The neonatal intensive care sub-internship allows 4th year medical students to participate in the evaluation, diagnosis, and treatment of high-risk infants in the neonatal intensive care unit (NICU).  The NICU is a 34-bed unit under the direction of full-time, hospital-based neonatologists.

Learning Experience

Students will:

  • Function as interns in the newborn ICU, which serves 4,000 infants born annually at Morristown Medical Center, as well as mothers and infants transferred from all areas of Northern New Jersey
  • Be encouraged to evaluate infants in the regular newborn nursery with problems of lesser acuity, not requiring admission to the neonatal intensive care unit

Goals & Objectives

  • To acquire knowledge of fetal growth and development
  • To develop an understanding of the normal process of labor and delivery and the effects of pathologic events on the fetus and the newborn during labor
  • To obtain necessary skills for delivery room management of depressed newborns
  • To learn the common aberrations, course, and management of the high-risk infant
  • To become familiar with normal variability in structure and development of the full-term and large pre-term neonate
  • To ascertain the variations in the clinical course of the growing, low birth weight infant (pre-term or SGA), the factors influencing it, the common aberrations, and their management
  • To recognize, diagnose, evaluate, and manage the commonly occurring disorders of the neonate:
    • jaundice
    • respiratory distress
    • infection
    • metabolic disturbances–hypoglycemia and hypocalcemia
    • infant of the diabetic mother
    • SGA infant
  • To cultivate skills for basic supportive care of the sick neonate
  • Umbilical artery catheterization
  • Peripheral artery catheterization
  • Lumbar puncture
  • Percutaneous puncture of arteries and veins
    • To attain familiarity with the management of the infant requiring mechanical ventilation
    • To evaluate early infant-mother relationships and to counsel parents in infant care

Feedback & Evaluation

The attending preceptor will provide feedback throughout the rotation. A final, written evaluation will be completed at the end of the rotation.

Pediatric Pulmonology

Director(s)

April Wazeka, MD

Location

Goryeb Children’s Hospital

Duration

4 weeks

Offered

  • Throughout the academic year
  • 1 student per rotation; rotation starts on the first Monday of the month

Prerequisites

Successful completion of all 3rd year clerkships

Description

The pediatric pulmonology rotation provides 4th year medical students an overview of pediatric pulmonology, including asthma, cystic fibrosis, and bronchopulmonary dysplasia, as well as inpatient and outpatient consultations and pulmonary function testing.

Learning Experience

Students will:

  • Be given direct patient-related responsibilities for evaluation of pulmonary symptoms

Goals & Objectives

  • To observe and understand pulmonary function testing
  • To gain insight into the diagnosis and treatment of pediatric pulmonary diseases

Feedback & Evaluation

The attending preceptor will provide. Evaluations will be based on overall improvement in the knowledge of pediatric pulmonary medicine as well as attitude and desire to learn. A final, written evaluation will be completed at the end of the rotation.