Student outpatient clinic in pediatrics

Content

Objectives and Content


An introduction to Pediatrics through the practical application of Pediatrics under specialist supervision in an out-patient setting.
Students learn to develop and use patient examination skills, psycho-social communication skills, the ability to apply acquired knowledge of pathophysiological processes, and the rationale necessary to formulate treatment objectives, and decision-making methods common to the specialty. The gradual development of these skills allows the autonomy of the student to increase with each outpatient clinic.

Work formats and weekly schedule
During a period of 5 weeks, each group has one day per week allocated to the pediatric out-patient clinic.

The student initially observes the pediatrician perform the medical consultation and interact with the patient and the family. The students gradually take over parts of the medical consultation from the pediatrician (taking the medical history, performing and explaining the physical examination, diagnosing the patient, proposing a treatment course, and charting. The student remains under the supervision of the specialist, who provides feedback after every consult. Students subsequently chart in the patient’s health record and compose a letter to the provider who requested a consult.

Students also keep a record of the medical procedures they witnessed or conducted themselves.

Place within the curriculum
The student outpatient clinic Internal Medicine takes place in year 2 (curriculum 2006).

Preparation:
E-module History and Physical Examination Child

Literature
Recommended textbook:
Illustrated textbook of paediatrics  [ed. By] Tom Lissauer, GrahamClayden. – 3rd ed., - Edinburgh [etc.] : Mosby, 2003; ISBN: 0723431787

Optional literature:  Illustrated textbook of paediatrics, Lissauer and Carrol, 5^th edition. ISBN 9780723438731 (online via this link , via  UU)

Course materials
In order to participate in the student outpatient clinics the student needs to possess a stethoscope, a penlight and a reflex hammer. 

Assessment
Two assessments take place per ward in the period of eight weeks (curriculum 2006). The first assessment moment after two weeks consists of an interview in which the gaps in the student’s knowledge and skills are defined. The final assessment is a concluding assessment of the practical functioning of the student.

Contact:
Dr. K. Koop:   K.Koop@umcutrecht.nl  or onderwijskg1-2@umcutrecht.nl