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PEDS 640 – Pediatric Gastroenterology – Boise

Training site: St. Luke’s Children’s Hospital

Getting Ready for your Boise Elective Rotation

The Pediatric WWAMI Medical Student Program will contact you via email approximately 5-6 weeks prior to the start of your elective. There are things you need to do so that you ensure that you will start your rotation on time.

Credentialing

St. Luke’s Hospital Credentialing Requirements

About this Elective

This rotation is a two-week elective for fourth-year medical students who will see clinical pediatric gastrointestinal problems under close faculty supervision. They will participate in inpatient gastroenterology consultations, outpatient clinic evaluations for new and follow-up patients, and (observe) endoscopic and therapeutic gastrointestinal procedures.

Goals:
• To become familiar with the clinical presentations, diagnoses, and management strategies for common gastrointestinal disorders in children.
• To appreciate the role of nutrition in treating a variety of pediatric illnesses.
• To understand the role of the pediatric specialty consultant in clinical practice.
• To identify appropriate patients for pediatric gastroenterology referral.

Objectives: After completion of this elective the student will be able to:
• Gather information and conduct a patient interview in a manner appropriate to generate a consultation.
• Demonstrate a working knowledge of the differential diagnosis of chronic abdominal pain.
• Describe the diagnostic evaluation and management of common gastrointestinal problems, including: 
 • Celiac disease
• Inflammatory bowel disease (Crohn’s Disease and ulcerative colitis)
• Acute and chronic diarrhea
• Chronic constipation
• Gastroesophageal reflux
• C. difficile associated diarrhea
• Discuss the relevance, pathophysiology, and treatment options of functional gastrointestinal diseases.
• Outline the role (and limitations) of endoscopy in the work-up and management of gastrointestinal problems.

Schedule

To find out where to meet and start your first day, please contact Dr. Tyler Burpee or phone at 208-381-7310.

Inpatient Rounding and consultations

Students will follow the patients admitted to the GI service. Additionally, they should perform new inpatient GI consultations as available (2-3 each week). A complete work up should include a full history and physical exam, review of pertinent x-rays and lab data, formulation of a differential diagnosis and recommendations as to further workup and treatment. Directed reading of pertinent literature should be done prior to presenting to the attending, if time permits. The student should see the patient she/he follows daily and write follow-up notes when further input from the service is appropriate.

Outpatient clinic

Monday through Thursday, 9:00-4:30. Friday 9:00-2:00. The student will be assigned to work with one primary attending each specific day. The goal will be for the student to see 2 new patients per half day session. Interesting follow-up patients, especially ones previously evaluated by the student, can be seen as well. As inpatient admissions or consultations arise, the clinic schedule can be altered.

Procedures

Students will work with the attending on service to observe endoscopic procedures, including: esophagogastroduodenoscopy (EGD), colonoscopy, and percutaneous endoscopic gastrostomy (PEG) placement.

On-call

The student will have no night or weekend responsibilities.

Reading

Focused reading based upon patients is expected. There is access to online resources through the hospital.
Additionally, pediatric gastroenterology, hepatology, and nutrition textbooks are available in the office for students to use. These include:
Walker’s Pediatric Gastrointestinal Disease, latest edition.
Duggan, Watkins, and Walker. Nutrition in Pediatrics, latest edition.
Suchy, Sokol, Balistreri. Liver Disease in Children, latest edition.

Presentations

Medical students will give a short presentation (approximately 10 minutes) on a topic of their choice, usually centering on an interesting patient.

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