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Department: MEPED-Pediatrics
Course: 547-Pediatric Sub-Internship TCH

Course Coordinator: Dr. Mary Rocha
Course Faculty: Dr. Mary Rocha
Elective Location: TCH
Periods Elective offered: Qtr: 1,2,3,4
Min. Number of Students:Max: 4
Course Level: Clinical Elective: Counts toward 32-credit graduation requirement
Credit: 8
Pre-requisites: 4th Year Baylor Students Only
Visiting Student Elective: No
Open to International Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 6:00a-5:00p Inpatient Ward: 90
Night Call: Avg every 5th night Inpatient consultations: 0
Number on-call nights: 6 Outpatient clinics: 0
Weekends: Yes Surgery: 0
    Laboratory 0
  Didactic: 10
  Other: 0
Statement of Goals:
SATISFIES THE REQUIREMENT FOR 3rd/4TH YEAR EXTERNSHIP - The Student is assigned to one of the Texas Children's Hospital's Pediatric Hospital Medicine (PHM) teams, consisting of an attending, 1-2 supervising residents, 2-3 interns, and 1-2 clerkship students. The sub-I admits patients, evaluates all medical problems, and formulates a therapeutic plan under supervision. S/he writes and pends orders for co-sognature prior to implementation. Sub-interns are on call an average of every fourth night and are directly supervised by a resident. A faculty member is available at all times. During call, the sub-I is responsible for cross-cover issues on his/her teams patients. Family-centered rounds are conducted daily. Attendance at educational conferences is highly recommended. The resident lecture series is held noon on weekdays. Morning report is held Monday through Thursday and Grand Rounds are on Friday. The exact time and location for these conferences varies and may be confirmed with the house staff office.
Learning Activities
1. 3 days off (4th day off is the Sunday between rotations) 2. Email schedule requests to the Course Coordinator a minimum of 21 days prior to the first day of the rotation. 3. Requests for specific days off are not guaranteed and will be determined by the needs of the team. 4. Sub-Is are responsible for 4-6 patients (1/3 to 1/2 of all patiens on the team. 5. Sub-I chart documentation is to be reviewed by the supervising resident (not intern). 6. Sub-Is are responsible to contact the supervising resident after evaluating a new patient, and at other times as requested by resident to ensure patient safety. 7. After presenting new patients to the supervising resident, Sub-I may then present directly to the attending, work-flowing permitting. 8. Sub-Is take full responsibility for patients as demonstrated by: making an assessment and plan, leading the discussion on rounds, calling consults, following-up studies, updating patient list daily, giving effective check-out, facilitating discharges. 9. Sub-Is take full responsibility for the team's patients when on call and perform first-line cross-cover for questions or ocncerns that arise. 10. Sub-I write orders that are pended and signed by a physician. CALL: 1. Overnight call six times, on average every 4 to 6 days. 2. Call no more frequently than every 3rd night. 3. Four calls Monday-Friday, and two call Saturday-Sunday. 4. Call begins 6 a.m. - ends after you have safely handed off all of your patients the following day after rounds, but no later than 11:00 a.m. 5. Participate in sign-out rounds, midnight rounds (with nursing staff), and sign-in rounds
Evaluation Methods
Your final grade is determined by: 90% direct observation by faculty and supervising residents 10% thoughtful and timely completion of a multi-step individualized learning plan (ILP) At the end of the rotation, the Sub-I will select faculty (a minimum of 2) and supervising resident to evaluate his/her performance. A final grade (Honor, High Pass, Pass, Marginal Pass, or Fail) will be determine by a composite of the grades as well as the performance on the ILP. If you receive a final grade of FAIL, you may be given an opportunity to repeat the sub-I at the discretion of the course director. If you receive a Marginal Pass, you may be given the opportunity to repeat or remediate the sub-I at the discrection of the course director. Sub-Is will meet with the Director individually at the rotation's midpoint to discuss progress toward knowledge, attitudes and skills of pediatric interns as specified by the Sub-I's ILP and comments from the faculty and supervising residents.
When and Where to report on first day of service:
Texas Children's Hospital, Abercrombie Building, Suite A210 "Pediatric Emergency Medicine"
For additional information regarding this elective contact:
Contact Name: Charmaine Savage
Contact Phone: 832-824-5829
Contact Fax: 832-825-5424
Contact Location: TCH Ambercrombie Buildgin, Suite A210
Address: 6621 Fannin St., Suite A210, Houston, TX 77030
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