660G Pediatric Endocrinology

This rotation is not accepting international students

Course Description: The student will attend all pediatric endocrine clinics at the two main sites (UC Irvine Medical Center and MCH). At these clinics, the student will take an initial history and perform a physical exam, present to the attending at that clinic, and assist in forming treatment, laboratory test and follow up plans. The student will attend noontime pediatric conferences and pediatric grand rounds. At the conclusion of the rotation, the student will make a brief presentation on a topic of chosen interest with review of the literature.

Course Objectives: At the end of this rotation the student will be ...

Knowledgeable about the principles and management of pediatric endocrine illnesses
Able to recognize normal and abnormal patterns of growth
Able to characterize the importance of bone age in the different diagnosis of growth problems
Able to review the ages and stages of normal puberty
Able to define and review the differential diagnosis of precocious and delayed puberty
Able to outline an approach to the problem of failure to thrive
Understand thyroid function tests and of causes of disordered thyroid function in childhood
Discuss keys to recognition of congenital adrenal hyperplasia as one of the causes of intersex in newborns
Knowledgeable in the overview of the causes, characterizations and consequences of neonatal hypoglycemia
Able to identify patterns of disease presentation as related to various electrolyte disturbances.
Assess anomalies of calcium/phosphate metabolism and the skeletal system
Able to highlight issues fundamental to the understanding of metabolic bone disease and rickets
Knowledgeable of the pathogens and management of type I diabetes
Able to review the diagnosis and treatment of diabetic ketoacidosis.

Key Topics:

Growth and development
Diabetes Mellitus in childhood
Pediatric disorders of thyroid function
Normal and abnormal puberty
Calcium and phosphorus/Rickets
Glucorticoid hormones
Endocrine causes of Hyponatremia
Cushings Syndrome (hypercortisolism)
Intersex
CAH recognition and management
Childhood overweight
Neonatal hypoglycemia

Competencies:

Understand the medical information and develop the medical skills necessary to perform an appropriate history and physical exam for patients with pediatric endocrine concerns.
Development of differential diagnoses for each of the endocrine topics listed above
Outline diagnostic and treatment objectives for each of the endocrine topics listed above
Work with others on the pediatric endocrine team in a professional, competent manner always keeping patient best interests as first priority
Do extra reading from the medical literature and present one topic of review/research interest to members of the pediatric endocrine faculty
Become familiar with pediatric endocrine handouts and test practice materials

Attitudes and Commitment:

Professionally appropriate
cognitively informed

Educational Activities

Monday	MCH
Tuesday AM	MCH Specialty
Tuesday PM	SMMC Private Office
Wednesday AM	UCIMC Pavilion I
Thursday	MCH
Friday AM	UCIMC Pavilion I
Friday PM	FV Clinic

What students should do to Prepare for the Rotation: Obtain handout materials from Site Coordinator.

Clinical Responsibilities of the Student: The attending will be responsible for all patient care

Patient Care Responsibilities: The attending will be responsible for all patient care, but the student will assist

Call Schedule of the Student: None

Procedures to be Learned by the Student: None

Percentage of Time Student will Participate in Ambulatory Setting: 50%

Standardized Instructional Material: Students are provided with standardized case studies that they review and discuss with the faculty member. Cases include

Growth
Diabetes Mellitus in childhood
Pediatric disorders of thyroid function
Normal and abnormal puberty
Calcium and phosphorus/Rickets
Glucorticoid hormones
Endocrine causes of Hyponatremia
Cushings Syndrome (hypercortisolism)
Intersex
CAH recognition and management
Childhood overweight
Neonatal hypoglycemia

Conference/Lecture/Small Group Sessions: There are no standardized lectures for this elective

Course Hours Weekly Summary:

2.5	Case Based
.5	Computer Assisted Learning
5.0	Conferences
2.0	Grand Rounds
.5	Examination
25.0	Inpatient
.5	Laboratories
2.0	Lectures
1.50	Review
1.0	Other
40.0	Total

Content Theme Integration: None

Recommended Readings:

Clinical Pediatric Endocrinology, SA Kaplan ed., WB Saunders, 1990.
Pediatric Endocrinology F. Lifshitz ed. Dekker, Inc. 1990
Pediatric Endocrinology J. Bertrand ed. Williams & Wilkins, 1993

Official Grading Policy: The student will receive a grade of Honors, Pass or Fail. The student's final grade will be submitted on the standard UC IRvine elective form. The student will be evaluated by attendings and residents in the area of clinical performance, clinical skills, formal presentation, learning accomplishments, attendance, attitude and effort. The student will be provided with midcourse feedback by the attending. If the student fails the elective a grade of "F" will be permanently recorded on his/her transcript. The student can repeat the course for a second grade, however, the "F" will not be removed from the transcript.

Department: Pediatrics

Site: CHOC and Miller Children's Hospital

Elective Director:
Millers-based rotation: Mario Brakin, M.D., UC Irvine Medical Center, Department of Pediatrics, 3rd Floor, Room 336, Building 2, 101 The City Drive South, Orange Ca 92868, (714) 456-5631, FLCuller@uci.edu
CHOC-based rotation: Mark Daniels, M.D.

Scheduling Coordinator: UC Irvine students please email comsched@uci.edu or call (714) 456-5176 to make a scheduling appointment. Please read the following information carefully. Any student enrolled at a U.S. LCME medical school will use VSAS to apply. To apply please refer to this website http://www.aamc.org/programs/vsas/

Site Coordinator: Pediatrics Elective Coordinator, pedselective@uci.edu (714) 456-5631 or (714) 456-8469, fax (714) 456-6660

Instructing Faculty: Mario Brakin, M.D., David Mosier, M.D., Mary Haghi, M.D., Ajanta Naidu, M.D.

Periods Available: Contact Coordinator

Duration: Minimum of 4 weeks

Number of Students:
Millers-based rotation: 1
CHOC-based rotation: 1

Prerequisites: UC Irvine students must have successfully completed the basic science curriculum. Extramural students must be in their final year of undergraduate medical education. All students must get prior approval for all CHOC based rotations.

Restrictions: The student must have the elective directors approval prior to enrollment. This rotation is not accepting international students

Course Website: None

Location to Report on First Day:
Millers-based rotation: Miller Children's Hospital (In-patient Rounds)

CHOC-based rotation: students should show up on the first day at 8am to Paula Carroll's office.
Paula Carroll, Administrative Assistant
Visiting Fellows/Residents, Medical Students and Observers
CHOC Children's Hospital
Academic Affairs Department
455 S. Main St. Orange, CA 92868
P: 714.204.3219 / F: 714-289-4010
pcarroll@choc.org

Time to Report on First Day:
Millers-based rotation: Call Dr. Brakin's Office at (562) 595-0166

Who to Report to on the First Day:
Millers-based rotation: Dr. Mario Brakin or Dr. Ajanta Naidu