The University of Tennessee Health Science Center

Department of Pathology

PAT1-4010/F PATHOLOGY

Location: Regional One Health

Size: 2

This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Please contact Dr. Mary Gupta (448-1393) for approval to schedule elective.
The student(s) will be involved with both the gross and microscopic aspects of surgical and/or autopsy pathology. Correlation of gross, histopathologic, and cytopathologic (when applicable) findings with the clinical presentation of the patient, as well as the pathophysiologic mechanisms involved, will be emphasized. The student(s), along with the residents and staff members, will participate in conferences, and suggested readings will be provided during the rotation.
PAT1-4014/F Pathology-Advanced Elective

Course Coordinator: TBD

Location: Various

Size: 1

PAT9-4010/F VISITING ELECTIVE IN PATHOLOGY

Department of Pediatrics

Clerkship Director Dr. Valerie Jameson

Location: Memphis
This is a face to face clinical rotation offered in the fall and spring and receiving 14 credit hours.
Core Clerkship in Pediatrics (14 credit hours). This eight-week clerkship is required of all medical students. Four weeks of this experience are in an ambulatory setting that includes: general outpatient care, subspecialty clinic experience, St. Jude clinics, an NICU experience and primary care in a private office setting. The other four weeks are spent on inpatient service, providing direct "hands-on" patient management. In the eight-week case conference series students, discuss common pediatric issues with clinicians from all pediatric subspecialties. Regular rounds with faculty and house staff provide opportunities for interaction with all members of the health care team as well as active participation in managing the pediatric patient. Students also engage in computer simulated patient experiences through the CLIPP cases online. This clerkship is also offered in Chattanooga (PED3-3001/F).

PED1-3010/F JI ANY - SENIOR CLERKSHIP IN PEDIATRICS

Location: LBCH

Size: 4
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
“ATTENTION JUNIOR INTERNS: We are extremely excited that you decided to rotate with the pediatrics department! To ensure a smooth transition into your JI clerkship, please give the Pediatric Chief Residents a call at (901) 287-5923 or (901) 287-5920 prior to your first day! This is how you will find out about call schedules, etc. We look forward to working with you!”
This clerkship offers increased responsibility in inpatient general pediatrics utilizing the facilities of the Le Bonheur Children's Hospital. The student will be assigned ward service and will be responsi­ble, under the direct supervision of the faculty, for admitting patients, writing orders, and performing the procedures necessary to carry out a plan for the diagnostic evaluation and treatment of assigned patients. The student will be under the immediate supervision of the senior resident of the assigned service and directly responsible to one or more attending faculty. The student will attend daily ward (work) rounds with the residents, daily teaching rounds with the medical staff, special teaching rounds in which the patients assigned to the student may be presented, and all scheduled weekly conferences, including infectious disease, radiology, pathology, grand rounds and subspecialty conferences. Great emphasis is placed on the junior intern displaying all the desirable attributes of sound professionalism, including effective use of evidence based medicine, compassion, efficiency, love of learning and ease of integration into team care.

PED1-4010/F MEDICAL GENETICS

Location: 523 CDD

Size: 2 (maximum)
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: Availability is limited in Blocks 10/11 due to National Meeting (end Block 10/early Block 11); check with Course Director at (901) 448-6595.
Note: This elective can be half-time (PED1-4010/H)
This elective offers a clinical rotation with emphasis on in depth evaluations of patients and their families referred for genetic evaluation and consultation. The student will be taught to obtain three generation pedigree; to evaluate family and patient history, and to perform a detailed genetic physical examination as goals for this rotation. Current on-line genetic resources are emphasized. It is a block rotation which includes exposure to and the evaluation of a variety of patients with genetic disorders. Weekly patient conferences are held; laboratory tutorial experiences are available if requested in the clinical and molecular cytogenetics laboratory & the inborn errors of metabolism laboratory. Principles and skills learned during the evaluation of families with genetic disorders and patients with congenital anomalies and metabolic disorders seen during this rotation are applicable to all aspects of medicine. This is a fun rotation.

PED1-4011/F NEURODEVELOPMENTAL DISABILITIES

Location: CDD

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Please get approval from Toni Whitaker, MD at least 2 months prior before you sign up for this course.
This elective in neurodevelopmental disabilities provides an intensive one-month interdisciplinary clinical exposure to the detection, diagnosis, evaluation, support and community integration of children with neurodevelopmental disabilities. These disabilities include autism spectrum disorders, intellectual disability (mental retardation), developmental language disorders, school learning and behavioral problems, cerebral palsy, and other disabilities. Under faculty supervision, students will evaluate new patients, serve as members of the interdisciplinary team and participate in team conferences. They will be actively involved in discussing with families the diagnoses, recommendations and management issues. The student will present a short seminar to pediatric faculty and residents. Opportunities to adapt the rotation to meet the student’s particular goals are available and should be discussed with faculty. Specific focused projects will be considered.

PED1-4012/F PEDIATRIC NEUROLOGY

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: This elective can be halftime (PED1-4012/H)
This elective is designed to provide the student with a broad neurological experience in an inpatient and an outpatient rotation through the Le Bonheur Children's Hospital. The student will evaluate patients on the neurology service as well as those on other services requesting a neurology consultation. Clinical history, neurological examination, neurodiagnostic studies (EEG, Ct Scan MRI, EMG, Nerve Conduction) and management will be stressed. Outpatients will be seen in staff offices and the Muscular Dystrophy Association Clinic. The student will be required to attend Grand Rounds in Pediatrics, Neurology and Pediatric Neuroscience Conference round each week.

PED1-4019/F RESEARCH IN PEDIATRICS

Location: Variable

Size: Variable
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
A specially arranged elective in applied research with a preceptor in the Department. The course director will assist students in identifying a faculty research mentor at least 3 months in advance of starting the elective. The student will meet with the mentor and arrange the content and exact dated of the elective at this time.
PED1-4020/F Pediatric Dermatology Elective

Course Coordinator: Teresa Wright, MD and Kathryn Schwarzebberger, MD

Location: Le Bonheur

Size: 1

Distinguish findings that are normal, transient from those that are abnormal or require evaluation or treatment.

Medical Knowledge

Learn to accurately describe skin lesions, abnormal or require evaluation or treatment. Become familiar with various topical medications used in dermatology and describe how to choose an appropriate vehicle and strength.

Pursue answers to clinical questions using medical literature. Identify standardized guideline for common skin conditions and adapt them to suit the needs of the patients.

Provide effective patient education for common skin conditions. Counsel patients and families on appropriate dry skin care and photo protection. Demonstrate personal accountability to the well-being of patients. Ask for feedback and show willingness to improve.

Recognize and advocate for families who need assistance dealing with systems. Understand the economic and psychological costs of treatment.

PED1-4030/F PEDIATRIC EMERGENCY MEDICINE

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Note: Students need approval of course director to schedule this rotation. The student can email Dr. Hertz at ALHertz@comcast.net or call the ED administration office (287-5986) before 3:00 PM and the secretary will get the message to her.
The purpose of this elective is to provide the student with an experience in acute care pediatrics. The student should improve his/her assessment skills in caring for the acutely ill or injured child. An approach to common pediatric emergencies will be taught. Students will gain experience in procedures such as pediatric phlebotomy and IV, spinal taps, and splinting and laceration repair. The student will work as a sub intern in the Department under direct supervision of the Emergency Department Attending Physician. He/she will perform the initial evaluation of patients, necessary tests, and provide appropriate therapy after consultation with the Emergency Department faculty. The student will attend the Department's teaching conferences.

PED1-4035/F NEWBORN MEDICINE

Location: Crump Women's Hosp. Rm. 201

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The care of critically ill infants is under direct ongoing supervision of faculty and/or fellows. Evaluation, diagnosis, and treatment of neonates are based upon pathophysiologic principles. The relationship of infants' disorders to intrauterine events is stressed. The student participates in rounds and supervised patient care on the same basis as the pediatric intern. This includes delivery room management of distressed infants, admission of inborn and transported neonates, management of respiratory support, fluids and electrolytes and all other considerations that comprise multisystem support of sick infants, as well as procedures inherent to such care. Ongoing communication with perinatal social workers, whose activities are concerned with high-risk infants and their mothers, will expose the student to the highly sensitive psychosocial ramifications experienced by the families of babies in intensive care units.

PED1-4036/F PEDIATRIC ICU

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
Available: Via approval of Coordinator (287-3132)

Note: No longer offered as a JI.
This elective introduces the 4^th-year medical student to the care of critically ill children in the sophisticated, technologically-rich environment of the pediatric intensive care unit (PICU). The student will encounter life-threatening pediatric conditions such as sepsis, trauma, status asthmaticus, and DKA; post-operative care for a variety of cases such as spinal fusions and brain tumor resections; and a range of other conditions which require children to have intensive care monitoring. The student may be exposed to extracorporeal support modalities such as ECMO and continuous renal replacement.
While assuming care of patients under the supervision of Pediatrics residents as well as Pediatric Critical Care fellows and faculty, the student will participate in rounds and implement care plans just like a resident, fully integrating with the multidisciplinary team. S/he will learn to recognize concepts of physiology and pathophysiology in clinical presentations, and apply them in monitoring and management strategies. Fundamentals of critical care such as airway and hemodynamic stabilization will be reviewed. The student will gain familiarity with invasive procedures common in the PICU. Finally, this rotation will provide experience with families who are under the duress of having a critically ill child.

PED1-4040/F COMMUNITY PEDIATRICS

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: Available in Blocks 1, 2, 3, 4, 8, 9, 10 and 11

This elective can be half-time (PED1-4040/H)

Because of the scheduling of activities with schools and other agencies that decrease or change activities in the summer/holiday months, the rotation is only offered during eight months – August through November and January through April. The student who signs up for this rotation must have a highway safe vehicle and gas money for travelling to the various West Tennessee outreach locations. Trips to Nashville when scheduled are provided.

PED1-4050/F PEDIATRIC ALLERGY - CLINICAL IMMUNOLOGY

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: This elective can be half-time (PED1-4050/H)
This clinical allergy/immunology elective is designed to give the student an understanding of the basic principles of diagnosis and management of children with allergic and immunologic diseases. The emphasis of this elective will be on the evaluation and treatment of the following atopic diseases: asthma, allergic rhinitis, atopic dermatitis, food allergy, urticaria, and insect sensitivity. Another part of the elective is the evaluation and treatment of children with recurrent infections. Appropriate reading assignments will be given during the elective. In addition, the student will participate in the weekly allergy immunology conference, fellow’s asthma clinic, and allergy/immunology journal club.

PED1-4060/F PEDIATRIC CARDIOLOGY

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: This elective can be halftime (PED1-4060/H)
The student will learn basic principles of pediatric cardiology, which will increase understanding of the diagnosis, management and treatment of the patient with heart disease. The student also will learn the basics of graphics interpretation (EKG; m-mode, 2d and Doppler echocardiography; exercise testing) hemodynamic data and x-ray, will be able to observe cardiac catheterizations and cardiac surgery, and will be intimately involved in the care of both inpatient and outpatient medical and surgical patients. This elective includes several weekly clinical/didactic sessions. Emphasis will be placed on the outpatient evaluation of children referred for heart murmurs, if so desired by the student. Other areas of emphasis are available upon request to Dr. Jones.

PED1-4070/F PEDIATRIC ENDOCRINOLOGY-METABOLISM

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The elective in pediatric endocrinology is designed to teach students to evaluate and manage the most common problems of pediatric endocrinology and metabolism and to acquaint them with some of the less common problems. It is also meant to serve as an introduction to the discipline for those who intend to seek further training in pediatrics or endocrinology. Students will evaluate and treat both hospitalized and ambulatory patients under the direct supervision of an attending physician. Emphasis is placed on the efficient use of laboratory studies in diagnosis. A faculty member will meet with the students on a regularly scheduled basis to discuss their patients. The students will participate in the academic exercises of the Division. If students have other, specific educational goals, the elective may be individualized by prior arrangement to fulfill those.

PED1-4079/F PEDIATRIC ENDOCRINOLOGY - DIABETES RESEARCH

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
The student will participate in ongoing clinical and basic research in the area of general endocrinology or diabetes.

PED1-4080/F PEDIATRIC GASTROENTEROLOGY

Location: LBCH

Size: 1
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This clinical elective offers an experience in both outpatient and inpatient pediatric gastroenterology and nutrition. Owing to the large referral population of the division, participants can be expected to encounter patients with a wide variety of gastrointestinal and hepatic disorders. Normal physiology, pathologic physiology, techniques of evaluation, histologic pathology, and therapy will be discussed. Participants will be able to observe different diagnostic procedures such as endoscopy, colonoscopy, liver biopsy, etc. Participants will also be expected to be actively involved in the evaluation and management of hospitalized patients.

PED1-4102/F ST. JUDE ELECTIVES

Course Coordinator: Dr. Joan Chesney

Location: St. Jude Children’s Research Hospital

Size: 4
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.

PED1-4110/F PEDIATRIC INFECTIOUS DISEASES

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 7 credit hours.
This elective offers the student hands-on experience in the diagnosis and treatment of children with both common and uncommon pediatric infectious diseases. In addition, the student learns the principles of effective and judicious use of antimicrobial agents and has the opportunity to hone his/her diagnostic skills by evaluating challenging cases. The student will generally have first contact with new patients on the inpatient consultation service and will also evaluate selected outpatients. The Le Bonheur consultation service sees approximately 40-50 new inpatients per month. In addition, approximately 3-6 patients per week are evaluated in the Pediatric Infectious Diseases Clinic. The Infectious Disease Service works closely with the microbiology, virology and serology laboratories and the infection control/hospital Epidemiology service at Le Bonheur, and the student will have educational opportunities in these areas. Students will also attend several weekly infectious disease conferences.

PED1-4120/F PEDIATRIC NEPHROLOGY

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: This elective can be half-time (PED1-4120/H)
The Pediatric Nephrology elective provides students with an opportunity to apply their basic knowledge of renal physiology, acid-base balance, laboratory medicine, renal pathology, history taking and physical examination in diagnosing and children with renal disease. From 30 to 60 outpatients per week 12 patients in hemodialysis unit and 3 to 6 hospitalized patients at all times are available for teaching. Hematuria-proteinuria, glomerulonephritis, nephrotic syndrome, acute and chronic renal failure, hypertension, congenital genitourinary disorders, renal transplantation and fluid-electrolyte disorders are the most common renal disorders to be evaluated. Principles of both hemodialysis and peritoneal dialysis will be discussed. Observation of the renal biopsy procedure and review of the resulting histology are available. Weekly and monthly renal conferences and seminars are provided.

PED1-4130/F PEDIATRIC PULMONOLOGY

Location: LBCH

Size: 2
This is a face to face clinical rotation offered in the fall and spring and receiving 3.5 or 7 credit hours.
Note: This elective can be half-time (PED1-4130/H)
The elective in Pediatric Pulmonary Medicine provides students with an opportunity to see a variety of infants, children and adolescents with lung problems, including asthma, cystic fibrosis, chronic lung disease of infancy (BPD), as well as ventilator and technology-dependent children. The outpatient clinics include 40-50 patients per week and include common new patient complaints such as chronic cough, recurrent pneumonia, wheezing, sleep problems and exercise difficulty. Students will have an opportunity to observe and learn about useful diagnostic studies including pulmonary function testing in both infants and older children, flexible bronchoscopy, and polysomnography (sleep studies). Approximately 3-8 patients per week are admitted on the Pediatric Pulmonary service, including cystic fibrosis, and the student has the opportunity to participate in multidisciplinary team meetings dealing with complicated patients as well as several clinical and research conferences per week. Students are strongly encouraged to participate in ongoing clinical research or quality improvement projects of the section.

PED9-4010/F VISITING ELECTIVE IN PEDIATRICS