Medical Student Rotations at Seattle Children's

PEDS 613 Pediatric Gastroenterology

Contact Information:

Niviann M. Blondet, MD

Monica Langsted

Pediatric GI & Transplant Hepatology

Location: OB 9.642

Administrative Assistant

Location: OB 9.640

Cell: 787-644-3724, Pager: 206-993-2026

Office: 206-987-1095

Niviann.Blondet@seattlechildrens.org

Monica.Langsted@seattlechildrens.org

Welcome to Pediatric Gastroenterology & Hepatology! We are excited to have you and hope that you enjoy your time learning about some of the most common disorders that we diagnose and manage.

Goals:

Provide medical students with a complete and unified approach for the evaluation and management of patients with common gastrointestinal and liver diseases, both in the inpatient and outpatient setting.

Objectives:

The rotation will provide a well-rounded experience for medical students interested in pediatric gastroenterology and hepatology. During the 4-week rotation, the students will be exposed to the in inpatient and outpatient setting with both the gastrointestinal (GI) and liver and intestinal failure team (LIFT). The will also participate in several of our sub-specialty clinics including inflammatory bowel disease, motility, intestinal rehabilitation, hepatology and liver transplant, among others. They will also shadow our physicians during endoscopies and other procedures.

Students are expected to:

– develop skills to be able to perform a thorough abdominal exam, noting differences in how to approach patients of a variety of age groups;

– demonstrate an analytic thinking approach to clinical situations. These include developing differential diagnosis for vomiting, diarrhea, bloody stools, constipation, abdominal pain, failure to thrive and jaundice, among others.

Student Participation:

First day

Once you complete the required badging and sign-in with the SCH Medical Student Program/GME Office, please check-in with Monica Langsted (OB 9.640) and she will take you to your assigned location for the day.

Outpatient

– The student will be assigned a preceptor to evaluate patients with during each clinic session. The preceptor will determine the level of involvement of the medical student during each session, depending on the experience of medical student and complexity of the patient (i.e. independently obtain history and exam vs observe preceptor).

Clinic Location:  Seattle Children’s Main Campus, Ocean 8

Inpatient

– The student will spend one week in the GI service and one week in the LIFT service. The attending on service will determine the level of involvement of the medical student during each week, depending on the experience of medical student and complexity of the patient (i.e. independently obtain history and exam vs observe).

– Ideally, we would encourage the student to pick a patient to follow through the week and be involved directly in their case, including writing daily progress notes.

Education:

– Clinical teaching will be case-centered and based on the patients that are seen by the student. During the rotation, the student will be exposed to a wide variety of patients with common gastrointestinal problems such as vomiting, diarrhea, constipation, chronic abdominal pain, gastroesophageal reflux disease, feeding and nutritional problems, celiac disease, pancreatitis, inflammatory bowel disease, gastrointestinal bleeding, acute and chronic hepatitis and jaundice, among others. Information about some of the most common diagnosis that we see can be found here.

– Students will learn indications, alternatives, and potential risks for common GI procedures which include upper endoscopy, colonoscopy, manometry/motility testing and liver biopsies.

– Students will be able to spend time with dieticians if dietary intervention is an essential part of the patient’s management.

– Helpful GI related articles can be found here.

Network & EMR Access at SCH, Remote Access Info & WiFi at SCH

Network and EMR Access at SCH: Students on this rotation are required to be up-to-date with any required SCH web-based EMR and safety training modules. You will receive information from the Medical Student Office on how to complete any required modules. Once you have completed the modules and the required sign-in and badging process, you will be given network and EMR access. To log into the Network at SCH, use the username provided by the Medical Student Office and password you set when you completed the web-based training.  You wil be prompted to change your password. SCH passwords must be at least 10 characters and include at least three of the following: one uppercase letter, one lowercase letter, one number, one special character. This is the same username and password you will use to login to the EMR.

Remote Network and EMR Access: In addition to access at SCH, medical students on this rotation have remote network and EMR access through the Okta Verify system. Follow the steps on the Remote Access Help Page to register with Okta Verify.

WiFi Access at SCH: Students can connect to WiFi at SCH through the Personal Device Network (CHILD).

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