Rotation – Pediatrics

Avg. time commitment – 35-45 hours/week

Clerkship Director
Charles Kantrow, MD

Assistant: Tammy Nocito

Clerkship Coordinator: Jaclyn Ostrander

Program Director (Tulane-Ochsner): John Carlson, MD, PhD

Dress Code

  • Clinic attire for clinic and wards
  • Scrubs in the ED and on surgery

Typical Schedule

Varies among services

Peds Wards (1 or 2 weeks)

  • 0600-0730 – handover and pre-rounds
  • 0730-0830 – Morning Report (Conference Room on 4th floor pediatrics ward)
  • 0900-1200 – rounds with attending and F/U on patients
  • 1200-1600 – F/U patients, occasional teaching rounds with residents

Peds Clinic (1 or 2 weeks)

  • 0730-0830 – Morning Report (if on Main Campus)
  • 0900-1700 – clinic schedule

Nursery (1 week) – Baptist or Kenner

  • 0700-1500 – Nursery duties

Peds ER (1 week)

  • Can be either morning, afternoon, or evening shifts
  • Schedule will be given at beginning of rotation

Peds Surgery (1 week) – General Surgery, Urology, ENT (schedule is much like a normal schedule on surgery)

  • 0530-0700 – pre-rounds
  • 0700-1700 – OR or clinic

PICU

  • 0630-0730 – pre-rounds and write a note
  • 0730-0830 – Morning Report
  • 0830-1130 – round with ICU attendings
  • 1130-1500 – often learning opportunities/lectures with the attendings

Relevant locations

  • Clinics are held on the 1st floor (general peds) and 2nd floor (specialties) of the Peds building across Jefferson Highway
  • Wards, ICU and Morning Report are on the hospital 4th floor
  • Grand Rounds on Thursday mornings at 0730 in Monroe Hall

Recommended pocket resources

  • Stethoscope
  • Pen light
  • Alcohol wipes
  • Tongue depressors

Most used clinical skills

  • Much like on Medicine – physical exams are paramount!
  • ENT exam
  • History-taking skills
  • Developmental exam (language, social, fine and gross motor) – must know

Recommended study resources

  • POLIE cases
  • Lange Case Files for Pediatrics
  • Nelson’s Essentials of Pediatrics
  • Blueprints Pediatrics
  • UWorld Step 2 CK QBank
  • Blackboard Resources

Assessments

  • Mini-CEX #1 (neonate well baby exam) – 10%
  • Mini-CEX #2 (short case exam) – 10%
  • Mini-CEX#3 (Long case exam) – 10%
  • MCQ (1 hour) – 30%
  • OSCE stations x4 – 40%
  • CPA x3 – P/F
  • Weekly Attendance Logs – P/F

Pearls for success

  • There are many differences between Peds and adult medicine. It’s not easy to learn what is the same and what is different, but once you do, it all gets much easier
  • Be sure to practice the physical exams
  • The physical exams for Peds patients are similar to those you would do for adult patients – with the exception of neuro. Be sure to study a Peds neuro exam, and observe your residents performing one
  • Use Morning Report as a chance to learn new material and figure out what to cover. Common presentations of diseases are covered during this time by knowledgeable people
  • Study the POLIEs for the exam. They are very high yield.
  • The surgery on the exam is related to when you would consider surgery – emergent vs. elective – guidelines, etc.
  • If you follow the rubric for the Neonatal Exam item-by-item, you should do fine on the final exam in the nursery