Pediatrics

Chair: Chet Johnson, M.D.
The Department of Pediatrics gives the student a comprehensive exposure to primary care and subspecialty pediatrics. The experience ranges from exposure to a sick newborn to care of an adolescent patient. Inpatient and outpatient services are available. Student participation includes history-taking and examination of pediatric patients, making daily ward rounds with the staff physician, and rotation through general and subspecialty outpatient clinics and the full-term nursery. Electives are available in the Children’s Rehabilitation Unit, Behavioral Pediatrics, and all other subspecialties in pediatrics. Research electives are also available with department faculty members.

PED 860 Family Violence (2). The seriousness and pervasiveness of family violence in our society are discussed and attitudes related to family violence are explored in an effort to sensitize the health professional to the significance of this problem and the impact on health care. Assessment techniques to identify victims of family violence are examined and intervention strategies are described. Theoretical and research literature related to family violence will be reviewed as a basis for the development of health care therapeutics and outcomes. LEC

PED 861 Violence: The Forensic Perspective (2). This course is designed as in-depth exploration of the seriousness and pervasiveness of interpersonal violence (IPV) in our society and the impact violence has on health care. Assessment techniques to identify victims of interpersonal violence and intervention strategies are described. The forensic principles and standards of clinical practice and the role of health care providers in this new field are integrated throughout the course via case studies and lectures. Prerequisite: Enrolled in School of Medicine. LEC

PED 915 Pediatric Cardiology (4). Inpatient and outpatient clinical experience in children with cardiac disease will be provided. Daily pediatric cardiology ward rounds are conducted by the senior staff. Active participation in the pediatric cardiology clinics each week highlight the outpatient experience. Personal instruction will be given in cardiac physical diagnosis with stress on cardiovascular hemodynamics, evaluation of heart sounds and murmurs, electrocardiograms, and cardiac radiology. Significant responsibility in patient management will be delegated to the student who will function as a member of the pediatric cardiology team. The student will attend the various pediatric cardiology conferences and will follow children through the cardiac catheterization laboratory and the operative procedures. Opportunity will be available for participation in clinical investigative projects if the student so desires. Teaching conferences, seminar, and patient rounds will be made on the scheduled basis by a member of the senior pediatric cardiology staff. Offered in modules I-XII. Prerequisite: PED 900. FLD

PED 916 Pediatric Subinternship Selective-Inpatient/Outpatient-Distant Site (4). This selective is an extension of the basic pediatric clerkship. It is designed to permit senior medical students to take increasing responsibility of patient care and management by active participation in the daily activities of a private pediatric practice. This selective is entirely clinical. The student will work with clinical faculty at a distant site. Most of the experience will likely be in an outpatient setting with some inpatient experience. Student performance will be evaluated by the faculty based on factual knowledge, practical skills, problem-solving abilities and personal behavior and values. Offered in all modules if sites are available. Prerequisite: PED 900 or equivalent and permission of the Pediatric Clerkship Director. LEC

PED 917 Pediatric Hematology-Oncology (4). This course will include involvement in the diagnosis and care of children with hematologic and oncologic diseases. The student will be involved directly with these patients under the supervision of the pediatric hematology fellows. During this time, he or she should become conversant with the general area of pediatric hematology and be trained in the diagnostic procedures including bone marrow examination and other routine and special procedures used in this subspecialty area. The special emphasis placed on the psychological aspects of these diseases for the child and the family will be part of the training experience. The complications that commonly occur in patients on chemotherapy make these patients particularly appropriate for a broad experience. Offered in Modules I-XII. Prerequisite: PED 900. FLD

PED 918 Pediatric Subinternship Selective—Outpatient (4). This selective is an extension of the basic pediatric clerkship. It is designed to permit senior medical students to take increasing responsibility of patient care under close supervision of the faculty. Students will learn skills in patient care by active participation in the daily activities of the pediatric outpatient clinic. This selective is entirely clinical. The student will work in the Pediatric Outpatient Clinic at KUMC in a variety of clinics. The specific clinics will be assigned by the Chief of the Ambulatory Pediatric Section after consultation with the student. Student performance will be evaluated by the faculty based on factual knowledge, practical skills, problem-solving abilities, and personal behavior and values. This course can still be taken for elective credit even if a student already has met the subinternship selective requirement. Prerequisite: PED 900 or equivalent. FLD

PED 919 Behavioral Pediatric Ambulatory Care (2-4). Students will be given the opportunity to work in the outpatient department. Emphasis will be placed on assessment and treatment of children and adolescents (with and without chronic health conditions) who present with behavioral and adjustment problems. The student will be involved in outpatient clinic appointments and inpatient consultations. Appropriate readings will also be available to students. Offered in Modules I-XII a.m. or p.m. Prerequisite: PED 900 and permission of instructor. FLD

PED 920 Pediatric Subinternship Selective-Inpatient (4).Students will participate in the evaluation and management of children with infectious diseases. Laboratory aspects of infectious diseases will be emphasized. Students will attend teaching conferences and seminars on various aspects of infectious diseases. Offered in modules I-XII. Prerequisite: PED 900 and permission of instructor. FLD

PED 921 Pediatric Neurology (4). This module will serve to acquaint the student with the wide spectrum of neurological diseases of infancy, childhood, and adolescence. The student will become familiar with the neurological examination of the newborn, as well as assessment of the infant and child. During the elective rotation the student will become actively involved in the diagnosis and treatment of seizure disorders. The student will be exposed to routine laboratory procedures, such as lumbar puncture, EEG and brain scan, as well as special procedures, such as arteriography and pneumoencephalography. The student will be supervised by pediatric residents rotating through the pediatric neurology service and by staff physicians throughout all aspects of the module. Offered in modules I-XII. Prerequisite: PED 900. FLD

PED 922 Pediatric Gastroenterology (4). The Pediatric Gastroenterology course will provide exposure to diseases of the gastrointestinal tract, liver and pancreas in infants and children. The student will obtain histories, physicals, and present cases on all Pediatric Gastrointestinal clinic and in-patients brought in for consultations. During endoscope, motility, and biopsy of the small bowel and liver, the student will learn the indications and technique as applies to patients they have worked up. Each student will be required to present a 30-45 minute paper on a specific Pediatric Gastrointestinal subject at the end of the course. Evaluation for the course will be based on assessment of performance of patient care and oral presentation and knowledge of literature. Prerequisite: Completion of third year. LEC

PED 925 Research in Pediatrics (4-8). Students will work on research programs arranged between them and the instructor. The purpose of the elective is to provide the student an opportunity to become familiar with clinical research involving children and pediatric problems, and to learn about research protocols and methods. Available areas of research include the newborn, cardiology, hematology, allergy, nephrology, neurology, endocrinology, infectious disease. Offered in modules I-XII. Prerequisite: Permission of instructor. IND

PED 927 Pediatric Endocrinology and Metabolism (4). Students will participate in the diagnosis and management of pediatric-age patients with endocrine-metabolic problems. Emphasis is placed on the clinical problems that are unique to pediatric-age patients such as puberty, abnormalities of growth, and juvenile diabetes mellitus. Students are encouraged to become involved in patient management by participating in rounds, clinic, conferences, consultative evaluation and care of the inpatients, and other functions of the endocrinology-metabolism staff. Offered in modules I-XII. Prerequisite: PED 900. FLD

PED 929 Allergy, Immunology, and Rheumatology (4). The Pediatric Immunology course will provide exposure to children with allergies, asthma, immunodeficiencies, autoimmune disease and arthritis. The approach to children with these disorders and the management of children with multisystem disease and chronic disease are emphasized. Students will be involved in the clinic and with consultations. The students will have exposure to ongoing research in these areas and will attend teaching conferences. Offered in modules I-XII. Prerequisite: PED 900. FLD

PED 931 Nephrology (4). Students will participate in the evaluation and management of children with urinary tract diseases and fluid and electrolyte disorders. This elective will give the students the opportunity to develop clinical skills in assessing a child's hydration status and in assessing the effect of the child's kidney disease or metabolic disorder on other organ systems. Students will also have the opportunity to review radiologic imaging studies of the urinary tract, to perform urinalyses, and to participate in the care of patients who require acute hemodialysis, peritoneal dialysis, or continuous arterio-venous hemofiltration. Prerequisite: PED 900. FLD