Fourth-Year Electives

Course Number: MPED-806A-001

This elective is designed to provide more comprehensive experience with the problems encountered during the adolescent years. It will involve participation in the following areas:

• General Adolescent Clinic
• Adolescent Diabetes Clinic
• Adolescent Gynecology Clinic (Ob-Gyn Department)
• Chemical dependency and substance abuse program at St. Mary Hospital
• Sports Medicine Program (Orthopedic Surgery Department)
• Adolescent Psychiatry Clinic (Neuropsychiatry Department)
• C.A.R.E. Center (Child Advocacy Research & Education)
• Inpatient experience in patients with suicide attempt, diabetes, sexual abuse and other chronic illnesses
• Rural School Based Health Clinic - Hart, Texas

The educational material on the related subjects will be reviewed with the student.

Prerequisite: Completion of clinical clerkships
Duration: Four (4) weeks
Call: None
Maximum Number of Students: One (1) per month
When Offered: Available all year
Location & Faculty: Lubbock - Surendra K. Varma, MD

Course Number: MPED-806B-001

This elective provides the student an opportunity to participate in pediatric patient care in a variety of patient care settings. The principle assignment is to the various pediatric clinics at the TTUHSC and the Emergency Department of University Medical Center. Opportunities will be given to the student to spend a portion of his/her elective time in some of the primary care subspecialty clinics (Developmental Disability, Child Abuse/Neglect, etc.). Assignments to community outreach clinics can be made. This allows students to deliver primary pediatric care working as part of community/rural health care teams alongside physician extenders and other paramedical professionals. One those patients who would require inpatient care, the elective student would be given the opportunity to follow them through their hospitalization. Students are encouraged to do projects relating to health care delivery and clinical pediatrics under the guidance of the ambulatory faculty. Participation in the Rural School-Based Health Clinic in Hart, Texas, is encouraged.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks
Call: None
Maximum Number of Students: Two (2) per month
When Offered: Available all year
Location & Faculty: Lubbock - Richard M. Lampe, MD and General/Ambulatory Pediatric Faculty

Course Number: MPED-806J-001

Students will be provided ample opportunity to learn a variety of cardiac problems in pediatric patients. The student will observe or participate in any activities that the pediatric cardiologist will perform in the diagnosis and management of children with cardiac diseases. The student will become familiar with the interpretation of normal and abnormal cardiac manifestations and physical findings of cardiac defects in children. The student will observe non-invasive and invasive diagnostic procedures and will be encouraged to interpret electrocardiograms, echocardiograms, and cardiac catheterization data. The student will also have an opportunity to observe cardiac surgery and follow the patient post-operatively with the cardiologist. Sufficient physiopathological background will be provided to make the cardiac problems more comprehensible through lectures, case discussions, and review of pathologic specimen.

Prerequisite: Completion of clinical clerkships
Duration: Four (4) weeks
Call: Varies
Maximum Number of Students: Two (2) per month
When Offered: Available all year
Location & Faculty: Lubbock - Sopontammarak, MD

Course Number: MPED-806K-001

This elective is designed to prepare future clinicians to successfully interview in cases of suspected child abuse and neglect. Learning sessions will be provided on the following topics:

• Physical abuse and neglect
• Sexual abuse
• Multidisciplinary work
• Expert medical testimony

Students will be placed with professional mentors within the Lubbock community from the District Attorney‘s Office, Lubbock Police Department, and Children’s Protective Services. The student will also receive on-site training at the C.A.R.E. Center at Thompson Hall during clinic hours. When the situation allows, the student will be permitted to participate during forensic evaluations.

Prerequisite: Completion of clinical clerkships
Duration: Four (4) weeks
Maximum Number of Students: One (1) per month
When Offered: Approx. 10 months of the year (residents are given priority)
Location & Faculty: Lubbock - C.A.R.E. Center – Patti Salazar, RN Patti Patterson, MD

Course Number: MPED-806L-001

Students will be involved in the day-to-day delivery of care in the Pediatric Intensive Care Unit. Included will be taking histories and performing physical examinations on critically ill infants and children. Performing procedures such as central venous lines, arterial lines, chest tubes, and intubations may be included. Experience will be gained in both the medical and surgical aspects of critical care medicine.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks
Call: Required; frequency varies
Maximum Number of Students: Two (2) per month
When Available: Available all year
Location & Faculty: Lubbock – Kerrie Pinkney, MD Christopher Todd, MD Thiva Kasemsri, MD

Course Number: MPED-806M-001

This elective provides an opportunity for the student to participate in the diagnostic evaluation and management of pediatric patients with gastrointestinal and liver disease. The elective is in a private practice setting and will expose the student to a wide variety of diseases through both clinic and hospital consultations. The student will become familiar with the appropriate use of laboratory, radiology, and endoscopy (including review of histology) in the evaluation and management of pediatric patients. There will also be an opportunity for the student to become familiar with the use of diagnosis and management coding as well as general office procedures in the private practice setting.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks
Call: None
Maximum Number of Students: One (1) per month
When Offered: Available all year (subject to availability); prior arrangements with Dr. Higgins required; Residents are given preference
Location & Faculty: Lubbock - James V. Higgins, MD

Course Number: MPED-806D-001

This elective will stress the application of basic scientific information to the diagnosis and treatment of endocrine and metabolic diseases of children. It will involve participation in Endocrine Clinic, inpatient evaluations and consultations, and a monthly multidisciplinary endocrine conference. Independent reading will be an important component of this rotation. Opportunities for research projects may be available if desired. During the month of July, a week long camp is held for children with diabetes. This could be taken as a separate assignment or can be incorporated into the elective. The following areas will be covered during the elective:

• Common endocrine function tests
  - procedure
  - interpretation
• Endocrine aspects of growth
• Thyroid disorders
• Adrenal disorders
• Mineral metabolism
  - Ca & P
  - Vitamin D
• Carbohydrate metabolism
  - juvenile diabetes mellitus
  - hypoglycemia
• Hypothalamic-pituitary disorders
• Normal and abnormal sexual development
• Endocrine genetics
• Obesity

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks to Eight (8) weeks
Maximum Number of Students: One (1) per rotation
When Offered: Arranged as needed
Location & Faculty: Lubbock - Michael J. Bourgeois, MD Surendra K. Varma, MD, Diana Dreimane, MD Nancy Beck, MD

Course Number: MPED-806E-001

This elective offers a one-week experience at a summer camp for children with diabetes. Students will receive a practical, hands-on opportunity to learn about the day-to-day management of diabetes mellitus in children. Duties include supervision and monitoring of daily blood sugar testing and insulin injections, management of hypoglycemia, etc. Pre-camp training and reading assignments will be provided. Daily meetings during the camp will provide some additional educational opportunities.

Prerequisite: Pediatrics junior clerkship
Duration: Two (2) weeks; One (1) week for camp and one (1) week before or after camp; can be taken as part of a one-month Pediatric endocrine elective
Maximum Number of Students: Four (4) per rotation
When Offered: June or July (dependent upon the month camp is held) Interested students should contact Dr. Bourgeois for prior approval.
Location & Faculty: Lubbock/Ceta Glen Camp - Michael J. Bourgeois, MD

Course Number: MPED-806F-001

This elective offers students the opportunity to participate in all aspects of a comprehensive clinical genetics program including dysmorphology consultations, genetic counseling sessions, prenatal testing, and laboratory testing. Time will be about equally divided between clinical and laboratory settings. Most students are encouraged to initiate a short clinical project or family study of special interest.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks)
Maximum Number of Students: One (1) per month
When Offered: Available all year
Location & Faculty: Lubbock - V. J. Tonk, Ph.D. , Mary Kukolich, MD and Golder Wilson, MD

Course Number: MPED-806G-001

This elective permits the student to participate in the diagnosis and management of a wide array of pediatric infectious diseases. The student will become familiar with the different classes of antimicrobial agents and learn when and how to select appropriate empirical antibiotic therapy. The student will participate in the differential diagnosis of pediatric patients presenting with signs and symptoms of an infectious disorder. The student will learn the appropriate laboratory tests and culture techniques for isolation and identification of bacterial, viral, fungal and parasitic pathogens. Epidemiology and infection control of specific infectious pathogens will be discussed. This elective is primarily an inpatient consultation rotation involving the teaching hospital and two private hospital services with one weekly outpatient clinic for follow-up and consultation. Opportunities for research projects may be available if desired.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks
Maximum Number of Students: Two (2) per month
When Offered: Available all year
Location & Faculty: Lubbock - Richard M. Lampe, MD Fatma Levent, MD

Course Number: MPED-806H-001

Students will participate in the delivery of neonatal care in a modern, Level III neonatal intensive care unit setting. Initially, the student will be oriented to the fundamentals of the physical examination, feeding, and preventive health maintenance of the normal newborn. Later, the student will participate in the care of the sick and/or premature infants admitted to the NICU under the close and direct supervision of the full time medical staff, assuming increasing responsibility in the care of the acutely ill neonate. This elective will provide the student with the opportunity to learn and perform procedures used in neonatal intensive care: resuscitation, intubation, umbilical vessel catheterization, chest tube placement, radial artery punctures, exchange transfusions, ventilatory management, etc. Lecture experience consists of review of specific neonatal topics plus attendance at the regularly scheduled conferences of the Department of Pediatrics teaching program.

Prerequisite: Pediatrics junior clerkship
Duration: Four (4) weeks
Maximum Number of Students: Two (2) per month
When Offered: Available all year; must obtain approval 30 days in advance
Location & Faculty: Lubbock – Fortunato Perez, MD

Course Number: MPED-806I-001

This elective provides an individualized problem-oriented rotation for the student, to help him/her develop a systematic approach to the pediatric patient for evaluation and management while the patient is hospitalized, with plans for follow-up. The student assumes the role of extern, and his night call schedule and activities are coordinated with the senior resident on the ward. Pertinent reference material will be provided, and literature searches by the student will be encouraged. There will be continuous supervision by the faculty attending and the senior resident in charge of his/her performance.

Prerequisite: Pediatrics junior clerkship; prior approval of Dr. Bourgeois and the residency secretary
Duration: Four (4) weeks
Call: Required; frequency varies
Maximum Number of Students: Two (2) per month
When Offered: Available all year
Location & Faculty: Lubbock - TTUHSC Pediatric faculty

Course Number: MNEU-806B-001

Students will round with the clinical team on the pediatric units, attend pediatric neurology clinics, and participate in a wide range of teaching activities. They will learn to do a competent neurological examination on infants and children. They will become familiar with electroencephalograms and imaging studies as applied to diagnosis and treatment of children.

Prerequisite: Neurology senior clerkship or permission of departmental faculty Duration: Four (4) weeks
Maximum Number of Students: Two (2) per month
When Offered: Available all year
Location & Faculty: Lubbock - Daniel L. Hurst, MD