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Pediatrics

140.01B: ADVANCED OUTPATIENT - Taylor Clark, MD

Tier 1A. The student will function as an intern during this rotation. Those completing this rotation will spend all of their clinical time in the busy Acute Care Clinic (6M) of the Children's Health Center at ZSFGH.
Course Objectives: To master basic diagnosis and management skills in areas of basic pediatric ER (examples include acute asthma exacerbation, otitis media and URIs, minor musculoskeletal injuries, and basic dermatologic complaints). Gain proficiency in basic procedural skills such as IV placement, administration of nebulized therapies, venipuncture, wound cleaning and repair, and possibly lumbar puncture. Practice skills in time-management including efficiency, prioritizing patient care activities, and balancing multiple patients at a time. Participate at the level of intern in all teaching conferences. Present one case in a teaching conference for the rest of the pediatric trainees.
Common Problems/Diseases: Students will care for children with mild to severe levels of acute illnesses and injuries. In addition to the medical needs of children, many social and cultural issues will be addressed.
Recommended Text or Reading: Sub-interns are encouraged to use real-time literature searches, as well as reading at home, to inform patient care, and elevate the level of evidence-based medicine practiced in the clinic (up to date etc). Other ZSFGH specific practice guidelines are available for the sub intern to review while in clinic.
Team Composition: The clinic is staffed by interns and residents from Pediatrics and Family Medicine.. A pediatric chief resident, senior resident or faculty member supervises students in the Urgent Care Clinic. The summary evaluation is written by the clerkship director, Holly Martin MD.
Call Schedule/Weekends: The clinic is open on weekdays from 8am-8pm, and on weekends from 9a-5p. The sub intern will work the day shift (8a-6p) Mon-Friday. They will also choose to work 2 weekend shifts during their rotation from 9a-5p.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: Zuckerberg San Francisco General
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: ZSFGH -1001 Potrero Ave., Bldg., 5, 6th floor work room 6M41
Comments: ZFGH is a County Hospital that offers care primarily to the underserved and uninsured children and families in SF, from a wide range of economic and cultural backgrouds. Most patients live in the Mission, Potrero Hill or Hunter's Point neighborhoods. A significant number are monolingual Spanish-speaking, and proficiency in Spanish is useful, but not required. Translators in many languages are available via a mobile speakerphone.



140.01J: ADVANCED INTENSIVE CARE NURSERY - Tom Shimotake, M.D.; Joseph Kitterman, M.D.

Tier 1A. Neonatology is the specialty of newborn intensive care which provides oversight of medical and surgical care for sick babies in the setting of the neonatal intensive care unit (NICU), aka: intensive care nursery (ICN). This rotation is based entirely at the UCSF William H. Tooley Intensive Care Nursery, which is a 58 bed full service, level III/IV tertiary care referral center with over 1000 admissions per year. Many admissions are prenatally diagnosed and followed through the UCSF High Risk OB service and Fetal Treatment Center. Students will plan an active role in the initial care, work-up, stabilization and management of these sick neonates. They will be instructed in the recognition and treatment of common disorders affecting newborns, as well as be exposed to advanced therapies offered only at highly specialized care nurseries.
Course Objectives: Students will gain experience in evaluation and management of sick term and preterm infants. Students will learn diagnostic and therapeutic procedures and participate in resuscitation of high-risk infants.
Common Problems/Diseases: Problems of prematurity, infection, fetal to neonatal transition and congenital malformations.
Recommended Text or Reading: Diseases of the Newborn. Edited by Avery, Taeusch and Ballard. Saunders.
Team Composition: Under supervision by attending and resident staff, students assume the role of primary physician in clinical decision making.
Call Schedule/Weekends: Students are part of the daytime rounding team and no longer remain for in-house overnight call. However, during the 4 week rotation, in order to gain the experience of cross-coverage, students switch shifts to work a week of "night shifts" or "night float". Depending on the acuity of the service, student on night shifts may have the opportunity to lie down and rest. However, they should be aware that due to space limitations, sleeping quarters may be shared. Student call room is A4580. Two lounges are also available, C2931 & C2933
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 2
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: 8am, Children's Hospital, 1975 4th St., 3rd Floor, ICN



140.01K: ADVANCED NEONATAL ICU - Olivier Danhaive, M.D.

Tier 1A. Students develop skills in assessment of newborns in the setting of a high risk patient population. The experience involves care of patients ranging from the healthy term newborn to the infant requiring intensive supportive care. Students will play an active role in the diagnosis and management of these patients and be instructed in the recognition and treatment of common disorders affecting newborns.
Course Objectives: 1. Become skilled in the evaluation and management of sick and well newborns, with emphasis on respiratory care, fluid and electrolyte management, nutritional needs, and infections. 2. Develop beginning competence in the technical procedures required to manage neonates such as intubation, chest tubes, and umbilical vessel catheterization. 3. Develop an understanding of the physiology of the various neonatal disorders and relate these basic physiologic concepts to the diagnosis and treatment of such disorders. 4. Participate in multidisciplinary management required for well and critically ill neonates. 5. Participate in interactions between the health care team and the families of newborns, developing an initial appreciation of the emotional, ethical, and cultural dilemmas that are critical elements in the care of high-risk newborns in this population. 6. Become skilled in the organization and recording of critical data for patients with complex, multisystem disease. 7. Participate in resuscitation of high-risk infants and become familiar with the Neonatal Resuscitation Protocol (NRP).
Common Problems/Diseases: See above in "objectives".
Recommended Text or Reading: Diseases of the Newborn. Edited by Avery, Taeusch and Ballard. Saunders. Standard pediatric textbooks are likely to provide basic background information for most cases (Nelson's or Rudolph's) but daily advanced reading in specialty textbooks and online journals/reviews is strongly encouraged.
Team Composition: A neonatology attending, one supervisory R3 pediatric resident, one R1 pediatric resident, one R1 family practice resident, and one MS3.
Patient Contact Hour Number (hours): 45
Classroom Time (hours): 8
Outside Study (hours): 10
Call Schedule/Weekends: Shifts are 6:30AM – 6PM M-F and 7a-8pm Sa-Su. Sub-interns do not take night shifts. Sub-interns and interns each have 4 weekend days off per month, which can be flexibly scheduled for sub-interns. Additional time off can be discussed on a case-by-case basis. The Chief Resident will be in contact with you prior to your rotation to help create the schedule.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110 (or equivalents)
Quarters Taught: Su, Fa, Wi, Sp
Location: Zuckerberg San Francisco General
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: ZSFGH, 1001 Potrero Ave., Bldg. 25, 2nd floor, open NICU Bay Area near H24 - Chief Residents



140.01M: ADVANCED PEDIATRIC ICU - Duncan Henry, M.D.

Tier 1A. Students follow selected patients in the Pediatric Intensive Care Unit and participate in patient presentations, management conferences and teaching rounds. This course emphasizes physiology and pathophysiology in the management of critically ill pediatric patients with a broad spectrum of diseases. Students become familiar with relevant literature concerning the problems of the patients being followed. Additionally, the PICU provides ample opportunity to engage in and learn about interprofessional and interdisciplinary care, and to learn about families experiences with pediatric illness.
Course Objectives: To learn the basic approach to the critically ill infant and child. Initial assessment and management skills are emphasized. Students will become familiar with basic cardiopulmonary physiology and pathophysiology as applied to the critically ill child.
Common Problems/Diseases: Patients are critically ill medical and surgical patients with a spectrum of disorders, including new/acute presentations and exacerbations of complex underlying chronic illness. Examples include… Patients with congenital heart disease are cared for separately in the CICU.
Recommended Text or Reading: Essentials of Pediatric Intensive Care, Levin & Morris (eds).
Team Composition: Resident Team • One attending, one fellow and three to four residents, sub-intern NP Team • One attending, one fellow (same as above), one nurse practitioner Overnight Team • One attending, one fellow, one resident, and one NP
Call Schedule/Weekends: The PICU is on a day-night shift schedule. We encourage our Sub-I’s to work closely with the faculty contact (Duncan Henry) to develop a schedule that provides them a meaningful exposure to critical care. This can include some exposure to overnight shifts as well as the possibility of a week in the Cardiac Intensive Care Unit
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: 8am, Chief Residents, Children's Hospital, 1975 4th St.,, 5th Floor for Morning Report
Comments: This is an extraordinarily rigorous and rewarding? "acting internship" due to the acuity and nature of this complex and critically ill pediatric population. 24/7 in-house presence of faculty and fellows who love to teach provides unique opportunities to learn directly from expert pediatric intensivists Strong basic clinical skills in pediatrics are required and previous inpatient pediatric experience is highly recommended.



140.01N: ADVANCED INPATIENT - Sara Buckelew, M.D.

Tier 1A. Provides exposure to typical pediatric inpatients in a setting where the student assumes primary responsibility for initial evaluations, diagnostic procedures and ongoing management of patients. Students are assigned patient work-ups; participate fully in teamwork and teaching rounds; attend conferences; and are on night call with the resident.
Course Objectives: 1. Students will become proficient at the PROCESS of providing total care for hospitalized pediatrics patients (order writing, documentation, scheduling tests, etc.). 2. Students will become proficient in the CLINICAL SKILLS necessary to providing total care for hospitalized pediatrics patients (data gathering, physical examination, oral and written presentations, formulating diagnostic and therapeutic plans, etc.). 3. Students will become more KNOWLEDGEABLE about disease processes commonly seen on a pediatric inpatient service (fluid and electrolyte issues, nutritional requirements, infections, respiratory disorders, etc.) through direct patient care and regular attendance at scheduled teaching conferences. 4. Students will become proficient in COMMUNICATION with all levels of health care providers in the inpatient setting (nurses, consultants, respiratory therapists, referring or regular care providers, etc.) 5. Students will participate actively in their own education and will improve their own TEACHING as well as LEARNING skills.
Common Problems/Diseases: Infections: pneumonia, urinary tract infection, central venous catheter infection, meningitis. Respiratory diseases: asthma, cystic fibrosis, bronchiolitis, airway obstruction. Renal disorders: dehydration, electrolyte disturbances. Gastrointestinal disorders: diarrhea, poor growth, inflammatory bowel disease. Neurological disorders: seizures, movement disorders, neuromuscular disorders. Immunological/Rheumatological disorders: various immune deficiencies, rheumatoid diseases.
Recommended Text or Reading: Standard pediatric textbooks are likely to provide basic background information for most cases (Nelson's or Rudolph's) but daily advanced reading in specialty textbooks and online journal/reviews is strongly encouraged.
Team Composition: One R3 pediatric supervisory resident, two R1 pediatric residents and usually one MS3 interface daily with an attending and fellow on rounds to discuss all patients and make plans fo the day.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 5
Call Schedule/Weekends: The wards are now on a day-night shift schedule. Sub-Interns are expected to work one week of nights just like the interns as well as two weekend days during the month. Sub-I’s work with their senior to come up with a schedule that works best. Student call room is A4580. Two lounges are also available, C2931 & C2933
Grading:
Prerequisites: Pediatrics 110 and Medicine 110.
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 2
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 8am, Chief Resident, Children's Hospital, 1975 4th St., 5th Floor, for Morning Report
Comments: Sub-I’s have the opportunity to participate in twice weekly morning Clinical Reasoning conferences with the residents, as well as interact with the three-times-a-week Pediatric Hospitalist Medicine morning curriculum. They are also able to attend daily resident noon conferences, including M&M, Grand Rounds, and our usual conference speakers. This is an extraordinarily rigorous "acting internship" due to the acuity and nature of this complex and ill hospitalized pediatric population. Strong basic clinical skills in pediatrics is required as well as documentation of a previous inpatient pediatrics rotation.



140.02: OFF-CAMPUS CLINICAL CLERKSHIP - Sam Hawgood, M.D.; Tim Kelly, M.D.

Tier 2. Off-campus clinical clerkship.
Grading: Pass/Fail
Prerequisites: UCSF students only.
Quarters Taught: Su, Fa, Wi, Sp
Location: Taught at various locations
Minimum Weeks Offered: 4
Contact Name: TimKelly
Contact Phone: 476-5943
Location to report to: Doris Masferrer, M687
Comments: REQUIRED: Extramural Course or Clerkship Application. Please visit this page for the application and more information: http://meded.ucsf.edu/ume/away-rotation-instructions.



140.04: CARDIOLOGY - Sara Buckelew, M.D.

Tier 1B. This course emphasizes the clinical evaluation of children with cardiac abnormalities. The 4-week elective is divided between inpatient and outpatient experiences, usually divided into 2-week blocks. Students are active participants on a busy inpatient pediatric cardiology team, consisting of a pediatric cardiology attending and a fellow. The average inpatient census is 25 patients. Students participate in daily ward rounds with pediatric cardiology patients; perform inpatient consultations; and participate in the daily management of the inpatient service. The second 2 week block is devoted to outpatient cardiology clinics at UCSF and outreach locations. Throughout the 4 week elective, students will participate in daily teaching/management conferences on cardiac diagnosis, echocardiography, catheterization, clinical research, electrophysiology, surgical management and cardiac pathology. Students can observe surgical procedures and become exposed to all facets of pediatric cardiology.
Course Objectives: 1. To develop an understanding of the presentation of significant congenital heart disease. 2. To learn the complete cardiac examination of children. 3. To develop an understanding of the diagnostic work-up of acquired and congenital heart disease. 4. To learn the management options for congenital heart disease.
Common Problems/Diseases: Structural Congenital Heart Disease pre and postoperative. Arrhythmias Cardiomyopathy Approach to outpatient cardiology evaluations
Recommended Text or Reading: 1. Moss and Adams' Heart Disease in Infants and Adolescents 2. Pediatric Cardiology Handbook, Myung K. Park
Team Composition: Attending Pediatric Cardiologist Pediatric Cardiology Fellow
Call Schedule/Weekends: None Required. Students are encouraged to participate in the initial evaluation of infants that present at night by arrangement with the team.
Grading:
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 12:30pm, Gateway Bldg., 1825 4th St., 6 floor, Ped Specialties
Comments: VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.06: PEDIATRIC CRITICAL CARE - Maher Eldadah, M.D.; Renee Kinman, M.D.

Tier 1B. Students will function as an "acting intern" in a 10 bed PICU caring for critically ill infants and children. Teaching will be provided on a continuous basis. While on this service, students will take a post-exam, follow curriculum, present patient cases daily and give a formal oral presentation at the end of the course.
Course Objectives: Upon completion of this course, students will be able to: 1) Ability to assess and manage critically ill infants and children 2) Demonstrate basic understanding of hemodynamic and respiratory pathophysiology 3) Demonstrate understanding of basic fluid and medical management of shock 4) Demonstrate understanding of the basics of mechanical ventilation 5) Demonstrate ability to integrate the related knowledge of pathophysiology to unique clinical challenges 6) Use the above approach to develop and complete a formal presentation.
Call Schedule/Weekends: Every fourth night with the in-house attending intensivist.
Grading: Pass/Fail/Honors
Prerequisites: Satisfactory completion of Medicine and Pediatric Core rotations.
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 4
Contact Name: JenniferGarzon
Contact Phone: (559) 499-6569
Location to report to: UCSF Fresno Undergraduate Medical Education
Comments: UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.08A: PEDIATRIC MEDICAL SUMMER CAMP-FRESNO - Tim Brox, M.D.

Students will work as part of a team of faculty and medical staff at a boy scouts summer camp at Camp Chawanakee at Shaver Lake which is approximately 50 miles east of the city of Fresno. Student will be expected to assist and complete assigned duties. Students may participate in the care of children and adolescent youths to treat minor scrapes, sprains and exposures. Time will be spent teaching campers about safety and wilderness medicine including basic life support techniques.
Course Objectives: At the completion of this course, students will be able to: 1. Perform patient assessment to include injury assessment, illnesses in a remote setting, describe potential environmental problems and discuss principles of participant arrival screening and assessment. 2. Complete basic medical procedures and apply basic first aid therapy to campers. 3. Describe principles for prevention of wilderness medicine problems using the BSA Wilderness First Aid Curriculum and Doctrine Guidelines (attached). 4. Apply basic rescue skills 5. Explain decisions about the need for and urgency of evacuation 6. Demonstrate professionalism with daily interactions with campers both socially and medically. 7. Identify potential safety and environmental issues in Residential Summer Camp Setting including such issues as: a. Handicraft b. Aquatics and Waterfront c. Food Service d. Camp Hygiene e. Medical Care Continuity f. Other high risk areas 8. Create opportunities to discuss age-specific anticipatory guidance and injury prevention in the pediatric population and advocate for pediatric and adolescent health.
Patient Contact Hour Number (hours): 80
Call Schedule/Weekends: n/a
Grading: Pass/Fail
Quarters Taught: Su
Location: Fresno
Minimum Weeks Offered: 2
Contact Name: Alissa Fowler
Contact Phone: 559-499-6555
Comments: Course offered in 2 week timeframes over the summer months of June - August annually. DATES FOR 2019 ARE NOW AVAILABLE: 2019 Camp Week #1 - Jun 9-15 & Week #2 – Jun 16-22 2019 Camp Week #3 – Jun 23-29 & Week #4 – Jun 30-Jul 6 UCSF Students: Fresno electives are NOT part of the UCSF fourth-year elective lottery. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. or consult program coordinator: at Afowler@fresno.ucsf.edu for date selections approximately 8 weeks prior to rotation request. For non UCSF students, to apply, please use VSAS.



140.13: ENDOCRINOLOGY - Maya Lodish, M.D.; Steve Rosenthal, M.D.

Tier 1B. Students participate in the clinical and investigative aspects of endocrine and metabolic problems in children, spending time on inpatient services, outpatient clinics and possibly the laboratory.
Course Objectives: 1. Recognize, learn the pathogenesis, pathophysiology and treatment of the most common pediatric endocrine problems: diabetes mellitus, thyroid disorders, delayed puberty, and abnormal growth 2. Be exposed to the special diagnostic approaches to these problems. 3. Participate in the division’s teaching activities, including formal teaching sessions, conferences, and inpatient rounds. 4. Gather data and perform a physical examination directed toward the detection of endocrine problems. 5. Recognize signs and symptoms of hypopituitarism. 6. Understand the concept of skeletal age. 7. Understand the Tanner method of pubertal staging. 8. Understand the management of abnormal endocrine screening tests. 9. Be familiar with assessment and management of a child with diabetes mellitus (type 1 and type 2)
Common Problems/Diseases: As listed above in "objectives".
Recommended Text or Reading: The chapter "Endocrinology" in Rudolph's Fundamentals of Pediatrics textbook was written entirely by UCSF faculty, and provides an overview of the clinical material likely to be encountered on this elective. In addition, daily advanced reading of specialty textbooks and online journals/reviews is strongly encouraged.
Team Composition: In both the outpatient and inpatient areas, the student works closely with the Attending and Fellow on service in seeing patients, interfacing daily with the attending and fellow on rounds to discuss all endocrine inpatients and make plans for the day.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 10
Call Schedule/Weekends: Overnight and weekend call are not required.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su 1, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: Susan Untalan, Mission Hall, 550 16th St., 4th fl, Section 4657
Comments: Medical Students are expected to present a case at our weekly Tues AM division conference. During the summer months, participants are welcome to participate in diabetes camp for 1-2 wks of the rotation (not required).



140.15: ADVANCED ONCOLOGY - Mignon Loh, M.D.; Seymour Zoger, M.D.

Tier 1A. Students participate in the management of INPATIENTS ONLY with solid tumors and leukemia, at time of initial diagnostic evaluation and ongoing therapy. There may be inpatient consultations and procedures (bone marrow aspiration and biopsies, lumbar puncture with intrathecal therapy). Ward rounds are held daily with the entire team.
Course Objectives: Be familiar with the most common childhood malignancies. Evaluate and initiate supportive care for a newly diagnosed child with cancer. Recognize the most common oncologic complications, such as fever with neutropenia, pain, spinal cord compression and initiate treatment. Understand the complex psychosocial and economic issues involved in childhood cancer. Work with a family with a dying child. Work with a team of health care providers. Understand the longitudinal care of pediatric oncology patients through inpatient exposure.
Common Problems/Diseases: Students participate in the management of patients with solid tumors and leukemias, at time of initial diagnostic evaluation and ongoing therapy. There will also be an opportunity to manage complications of therapy, e.g. fever and neutropenia, nutrition, pancytopenia and sepsis.
Recommended Text or Reading: There are daily didactic teaching sessions on a topic related to pediatric oncology or hematology. As time permits, the student may attend any of the general pediatric teaching sessions -- noon conference, Chairman's rounds, Pediatric Grand Rounds. Students are expected to present the patients they follow on daily ward rounds. Students are also expected to attend weekly Pediatric Multidisciplinary Tumor Board and present any patient they are following.
Team Composition: The inpatient service consists of an attending pediatric oncologist, clinical nurse specialists, social worker, dietician, pharmacist, and at least two second-year residents. There will also likely be a pediatric hematology-oncology fellow.
Patient Contact Hour Number (hours): 55
Classroom Time (hours): 0
Outside Study (hours): 5
Call Schedule/Weekends: Late call until 10pm once per week, and one weekend call 8am-5pm Sat/Sun.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110 or equivalent.
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 8am, BCH 1975 4th St;, 5th floor MedSurg Workroom
Comments: This is an extraordinarily rigorous "acting internship" due to the volume, acuity and nature of this complex and usually quite ill hospitalized pediatric population. Strong basic clinical skills in pediatrics is required and demonstrated interest and experience in the science and/or care of pediatric hematology/oncology patients is essential. You must obtain approval from Dr. Sara Buckelew to take this course, arranged through Doris Masferrer (contact information as noted above).



140.16: NEPHROLOGY - Farzana Perwad, M.D.

Tier 1B. Students will be involved in key clinical activities and will learn about both chronic and acute renal issues in children such as nutritional problems (requiring TPN for instance), end stage renal disease and chronic renal failure (including post-transplant and dialysis patients). Research projects may be arranged with instructors.
Course Objectives: Objectives 1. Recognize, learn the pathogenesis, pathophysiology and treatment of the most common pediatric renal problems: glomerulonephritis, nephrotic syndrome, hemolytic-uremic syndrome, renal tubular acidosis, and hypertension. 2. Learn to recognize, differentiate, and treat acute and chronic renal failure. 3. Be exposed to the special diagnostic and therapeutic procedures of the pediatric kidney disease specialist such as percutaneous renal biopsy, peritoneal dialysis, and hemodialysis. 4. Participate in the division’s teaching activities, including formal teaching sessions, x-ray conferences, and inpatient rounds. 5. Become familiar with the clinical issues of renal transplant patients such as immunotherapy, approach to acute and chronic rejection and medication side effects.
Common Problems/Diseases: As above in "objectives".
Recommended Text or Reading: The chapter "Kidneys and Electrolytes" in Rudolph's Fundamentals of Pediatrics textbook was written by mostly UCSF faculty, and provides an overview of the clinical material likely to be encountered on this elective. There is also a binder of relevant review articles on the inpatient service available to the student. In addition, daily advanced reading of specialty textbooks and online journals/reviews is strongly encouraged.
Team Composition: In both the outpatient and inpatient areas, the student works closely with the Attending and Fellow on service in seeing patients, either as the primary provider or as a consultant to other services (such as the neonatal or pediatric intensive care teams). In addition, on the inpatient service, renal patients are admitted to one of three ward teams. The inpatient team is comprised of one R3 pediatric supervisory resident, two R1 pediatric residents and usually one MS3, who all interface daily with the attending and fellow on rounds to discuss all renal inpatients and make plans for the day.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 10
Call Schedule/Weekends: Overnight and weekend call are not required.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 8am, Gateway Bldg., 1825 4th St., 6 th floor, Desk A
Comments: VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.17: CLINICAL GENETICS - Joseph Shieh, M.D., Ph.D.

Tier 1B. Students participate in the clinical and investigative aspects of birth defects and genetic disorders in children and families, spending time on inpatient services, clinics and possibly the laboratory.
Course Objectives: 1. Learn to evaluate and manage children and adults with hereditary cytogenetic and metabolic diseases. 2. Understand the fundamentals of and participate in genetic counseling. 3. Understand patterns of human malformation. 4. Learn the biochemical and genetic mechanisms involved in the pathogenesis and transmission of these conditions. 5. Be exposed to the special diagnostic approaches to these problems. 6. Participate in the division’s teaching activities, including formal teaching sessions, conferences, and inpatient rounds.
Common Problems/Diseases: Infants and children with congenital malformations of genetic, teratogenic, and sporadic origins and with inherited metabolic disorders. In addition, students will also be exposed to a wide variety of other syndromes and genetic conditions, as well as to cancer genetics and the prenatal diagnosis of genetic disorders.
Recommended Text or Reading: Students will be encouraged to become familiar with the principal reference books and computer resources used in clinical genetics practice and to attend the didactic and research conferences of the group.
Team Composition: Students will work as members of consultation teams consisting of residents, genetic counselors, and attending physicians in both inpatient and outpatient settings, the latter at UCSF and at regional satellite clinics.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 10
Call Schedule/Weekends: Some out of hospital night and weekend call is expected.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110, Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 2
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: Mission Hall, 550 6th St., 4th Fl, Sections 4430-4332
Comments: VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.18: OUTPATIENT HEMATOLOGY/ONCOLOGY - Mignon Loh, M.D.; Elizabeth Robbins, M.D.; Robert Goldsby, M.D.

Tier 1B. The student will function as an integral part of the outpatient Pediatric Hematology/Oncology patient care team at UCSF Children's Hospital. The student will acquire a body of knowledge relating to the diagnosis and treatment of various pediatric hematology and oncology disorders in an entirely outpatient experience, gain experience in doing common procedures in this setting and will gain expertise in communicating with children and families about their conditions. There may be inpatient consultations and students will have the opportunity to participate in the teaching experiences associated with hospitalized patients as ward rounds and teaching conferences are held daily.
Course Objectives: 1. Identify the most common childhood malignancies and hematological disorders. 2. Know the pathophysiology, diagnostic work up and general treatment strategies for these disorders. 3. Provide basic ongoing outpatient based medical and supportive care for children with cancer. 4. Recognize the most common oncologic complications, such as fever with neutropenia, pain, spinal cord compression and become more skilled at initiating treatment. 5. Have beginning proficiency at technical procedures commonly performed (bone marrow aspiration, lumbar puncture). 6. Understand the complex psychosocial and economic issues involved in childhood cancer. 7. Work effectively with a multidisciplinary team of health care providers. 8. Understand the longitudinal care of pediatric oncology patients through out-patient exposure.
Common Problems/Diseases: Students participate in the ongoing evaluation and management of patients with previously diagnosed solid tumors, leukemias or who have had bone marrow translplants at time of their clinic visits; several clininc sessions are held each week. Initial diagnostic evaluation of a new patient is also a possibility. There will also be an opportunity to manage complications of therapy, e.g. fever and neutropenia, nutrition, pancytopenia, etc.
Recommended Text or Reading: There is supervised reading with subsequent discussion with the attending preceptor or fellow. Presentation at a didactic teaching session is encouraged. As time permits, the student may attend any of the general pediatric teaching sessions -- noon conference, Chairman's rounds, Pediatric Grand Rounds. Students are also encouraged to attend weekly Pediatric Multidisciplinary Tumor Board.
Team Composition: The outpatient service consists of an attending pediatric oncologist, clinical nurse specialists, and there will also likely be a pediatric hematology-oncology fellow.
Patient Contact Hour Number (hours): 32
Classroom Time (hours): 5
Outside Study (hours): 5
Call Schedule/Weekends: No overnight call is available on this rotation.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110 or equivalent.
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 415-476-5943
Location to report to: Gateway Bldg, 1825 4th St., 6th Fl, C6846
Comments: VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.19: CHILD ABUSE - Christopher Stewart, M.D.

Tier 1B. This elective rotation for 3rd or 4th-year medical students will cover the basic areas of knowledge needed for child abuse consultation. The rotation will include: being on-call for physical or sexual abuse exams; involvement with on-going cases in the medical or legal system; weekly lectures covering required reading on basic topics; visits with law enforcement, Child Protective Services, Medical Examiner and District Attorney's assistants.
Course Objectives: 1. Recognize basic areas of child abuse: neglect, skin findings, bone findings, sexual abuse findings, head trauma and abdominal trauma. 2. Perform a sexual abuse exam proficiently. 3. Perform a work-up for abuse, including interview and history, imaging, laboratory and use of consultants. 4. Photograph physical findings in a forensic way. 5. Interpret skeletal surveys. 6. Manage basic child abuse including medical treatment, follow-up and referral to proper agencies using a multidisciplinary approach. 7. Understand other non-medical agencies' role in child abuse. Includes law enforcement, Child Protective Services, Medical Examiner and District Attorney. 8. Prepare for a court appearance to testify. 9. Know reporting laws relevant to child and sexual abuse.
Grading: Pass/Fail
Prerequisites: UCSF students only, Pediatrics 110
Quarters Taught: Su 1A, Fa & 2 & 3, Wi & & 3, Sp 1
Location: Zuckerberg San Francisco General
Minimum Weeks Offered: 2
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: ZSFGH, 1001 Potrero Ave., Bldg., 5, 7th floor, 7E12 for Morning Report
Comments: UCSF students only. Contact Dr. Stewart prior to starting elective. cstewart@sfghpeds.ucsf.edu



140.21: PEDIATRIC PULMONARY - Ngoc Ly, M.D.

Tier 1B. Students participate in pulmonary consultations (initial and follow-up) in the acute care and intensive care units and in the general pulmonary and cystic fibrosis clinics. Students are required to attend a weekly Division teaching conference and give a 45-minute case presentation at the end of the rotation. Opportunities exist to learn about pulmonary function testing through direct participation, about inpatient respiratory care (e.g. airway clearance therapies, tracheostomy tube changes, administration of aerosol medications) by spending time with Respiratory Care Services staff, and to observe flexible bronchoscopy procedures.
Course Objectives: 1. Recognize abnormal physical findings and understand their pathophysiologic significance as it relates to the diagnosis and management of pediatric pulmonary conditions 2. Know the clinical features of common pediatric pulmonary diseases, including asthma, cystic fibrosis, bronchopulmonary dysplasia, sleep apnea syndromes, and hypoventilation syndromes; lung diseases resulting from neuromuscular weakness, scoliosis, and aspiration or inhalation syndromes; upper respiratory infections such as sinusitis, pharyngitis, croup, and epiglottitis; lower respiratory infections such as bronchitis, bronchiolitis, pneumonia, and empyema; pediatric interstitial lung diseases and pulmonary vascular diseases 3. Understand patterns of blood gas abnormalities reflecting acute and chronic respiratory failure 4. Understand the patterns of abnormal spirometry using the volume-time tracing and flow-volume curves 5. Know the normal and abnormal features of a chest radiograph and the significance of these features 6. Know the indications, side effects, and pharmacology of commonly used therapeutic agents for the treatment of pediatric lung disease 7. Know the indications for invasive and non-invasive diagnostic procedures for children with lung diseases (e.g. bronchoscopy, bronchoalveolar lavage, lung biopsy, cilia biopsy, sweat testing, polysomnogram, spirometry, diffusion capacity, computed tomography) 8. Know the indications for commonly prescribed respiratory care techniques (e.g. nebulizers, metered dose inhalers, chest physiotherapy, supplemental oxygen, and tracheostomies) 9. Know the conceptual approaches to different modes of mechanical ventilation and when to apply them to children with various respiratory conditions
Common Problems/Diseases: See Objectives section.
Recommended Text or Reading: Electronic resources: UpToDate Textbooks: Kendig's Disorders of the Respiratory Tract in Children; Pulmonary Physiology (Michael G. Levitsky), West’s Respiratory Physiology: The Essentials (John B. West) Journals: American Journal of Respiratory and Critical Care Medicine; Annals of the American Thoracic Society; Pediatric Pulmonology; Chest Journal; Pediatrics
Team Composition: Pediatric pulmonology attending and fellow, rotating general pediatric residents
Call Schedule/Weekends: none
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 9am, MIssion Hall, 550 16th St., 5th floor - Section 5157-5172
Comments: This is an exciting, challenging, informative, and demanding rotation that will be useful for any trainee, regardless of career goal.



140.30: GASTROENTEROLOGY & NUTRITION - Sue Rhee, M.D.

Tier 1B. Students become familiar with the diagnosis and management of gastroenterological and hepatic diseases in infants and children. Experience is gained in the nutritional problems and therapy of pediatric patients.
Course Objectives: To understand the pathophysiology of pediatric GI/liver disease and the approach to patients with common pediatric GI/liver problems including poor growth, malabsorption, chronic abdominal pain, GI bleeding, inflammatory bowel disease, chronic diarrhea, constipation, hepatitis, cholestatic liver disease, cystic fibrosis, and pancreatitis. Specialized nutrition support techniques for inpatients and home care are emphasized during this elective.
Common Problems/Diseases: chronic diarrhea, constipation, chronic abdominal pain, gastroesophageal reflux disease, failure to grow, malnutrition/malabsorption, inflammatory bowel disease, short bowel syndrome, hepatitis and other chronic liver disorders, liver failure/liver transplantation, pancreatitis, cystic fibrosis, nutrition support modalities, and nutritional deficiency states.
Recommended Text or Reading: Recommended: text on pediatric gastroenterology (e.g., Walker et al. Pediatric Gastrointestinal Disease). Other readings will be distributed during the elective.
Team Composition: Faculty in Pediatric GI Division, nurse practitioners, pediatric GI fellows, pediatric residents, dietitian, social worker
Call Schedule/Weekends: Night and weekend call optional
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110 (or equivalents).
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: 8am Mission Hall, 550 16th st., 5th fl., Section 5464 - Barbara Schrader
Comments: Recommend four week elective Elective can be focused on inpatient or outpatient (including outreach clinics, ~3/month) experiences VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.31: INPATIENT CLERKSHIP - Christian Faulkenberry-Miranda, M.D.

Tier 1B. Students develop and perfect skills in history-taking, physical examination, case write-ups, presentations and procedures. A supervised problem-oriented teaching/learning environment encourages basic diagnostic and management skills. Students are assigned case work-ups; attend conferences; are on night call with the resident; and are assigned readings.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: JenniferGarzon
Contact Phone: 559 499-6569
Location to report to: UCSF Fresno & Department of Pediatrics
Comments: UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.33: RHEUMATOLOGY - Emily von Scheven, M.D.

Tier 1B. Students learn to evaluate and care for children with rheumatologic disorders. This course emphasizes performing the musculoskelal exam, understanding diagnostic testing in rheumatology, developing a differential diagnosis for children presenting with inflammatory symptoms and/or pain, and approach to the care of children with chronic disease. Students will also be exposed to ongoing clinical research studies in pediatric rheumatology.
Course Objectives: To develop an understanding of the clinical manifestations of childhood rheumatic disorders. Students will learn how to obtain pertinent histories, perform a comprehensive musculoskeletal exam, develop differential diagnosis, and will learn about the management of these disorders in the context of underlying pathophysiology.
Common Problems/Diseases: Juvenile idiopathic arthritis, Lupus, Dermatomyositis, anti-phospholipid syndrome, recurrent fever syndromes and pain syndromes.
Recommended Text or Reading: See Rotator Packet for recommended reading
Team Composition: Attending rheumatologist, Rheumatology Fellow, Pediatric Nurse Specialist, Social worker, Physical & occupational therapists, Lupus Liaison
Call Schedule/Weekends: No overnight or weekend call required
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110, Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: 8:15am, Gateway Bldg., 1825 4th St., 6 floor, Ped Specialties Pod D (clinic work room)



140.34: MEDICAL GENETICS - Joseph J. Shen, M.D.

Tier 2. Experience is gained in medical genetics, including dysmorphology, biochemical genetics and prenatal diagnosis. This rotation provides general exposure to all of these areas and gives a basic understanding of the methods used to reach specific genetic diagnoses and exact prenatal detection courses for future pregnancies.
Grading: Pass/Fail/Honors
Prerequisites: Fourth-year standing.
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: JenniferGarzon
Contact Phone: 559 499-6569
Location to report to: Pediatrics Dept., UCSF Fresno
Comments: For more information about this course, please call Jennifer Garzon (559) 499-6569 or e-mail her at jgarzon@fresno.ucsf.edu UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.35: INFECTIOUS DISEASE - Manjiree Karandikar, M.D.; Peggy Weintrub, M.D.

Tier 1B. Students learn the principles of diagnosis and the management of common infectious conditions; infectious complications in the immunocompromised host; neonatal infections; interpretation of microbiological data; indications and interpretations of special studies; and utilization of the microbiology laboratory. Most of the clinical time is dedicated to inpatient consultation although some clinic patients are seen. No on-call responsibilities.
Course Objectives: see above
Common Problems/Diseases: Extremely variable
Recommended Text or Reading: A notebook of relevant recently compiled articles is available as a resource, though general texts are still the best place to start. No specific assignments, but we urge students to do patient based reading
Team Composition: The team consists of an attending, usually a fellow, 1-2 residents, and 1-2 students.
Call Schedule/Weekends: None
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 2
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: Gateway Bldg, 1825 4th St., 6th Fl. Med Specialties
Comments: Contact Fellow on service prior to start date for up to date report to info.



140.36: ALLERGY/IMMUNOLOGY - Morna Dorsey, M.D.

Tier 1B. Students learn to evaluate and care for children with primary immunodeficiency diseases and allergic diseases. This course emphasizes the ontogeny of the immune response as it relates to immunodeficiency; immunologic dysregulation involved in the pathogenesis of the disorders; laboratory studies required for diagnosis; and the care of children with chronic disease.
Course Objectives: To develop an understanding of the clinical manifestations of childhood primary immunodeficiencies, and allergic conditions. Students will learn how to obtain pertinent histories, perform a comprehensive musculoskeletal exam, develop differential diagnosis, and will learn about the management of these disorders in the context of underlying pathophysiology. Students will also observe current techniques for allergy testing.
Common Problems/Diseases: Immunology: Severe combined immunodeficiency, chronic granulomatous disease, hypogammaglobulinemia, common variable immunodeficiency disease, periodic fever syndromes. Allergy: Food allergy, atopic dermatitis, asthma, allergic rhinitis, urticaria, anaphylaxis, eosinophilic esophagitis.
Recommended Text or Reading: 1) Roitt's Essential Immunology, Ivan Roitt. 2) Basic Immunology, Abul Abbas. 3) Pediatric allergy, Donald Leung.
Team Composition: Attending Immunologist, Attending Allergist, Allergy/Immunology Fellow, Nurse Specialist, Social worker, Physical & occupational therapists, Dietician
Call Schedule/Weekends: non required
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110, Medicine 110 and the consent of the instructor.
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Contact Name: DorisMasferrer
Contact Phone: 415 476-5943
Location to report to: 12:30pm, Gateway Bldg., 1825 4th St., 6 floor, Ped Specialties, Pod C



140.37: ADOLESCENT MEDICINE - Sara Buckelew , M.D.; Barbara Moscicki, M.D.; Mary-Ann Shafer, M.D.

Tier 1B. This clinical rotation is on an outpatient/inpatient adolescent medicine service. Clinical experience includes service in a primary/subspecialty care adolescent outpatient clinic and on an adolescent consult and eating disorder inpatient medical service.
Course Objectives: 1. Become skilled in taking a history, including a sexual history, in a confidential and developmentally appropriate manner from an adolescent and young adult 2. Become skilled at examining adolescents, including the pubertal staging exam using a developmentally appropriate approach 3. Understand the basic goals and content of prevention and health promotion in adolescents. 4. Become skilled at providing anticipatory guidance about expected growth, development, teen behaviors, parent interactions, avoidance of health risk behaviors and their consequences, nutrition and exercise. 5. Become familiar with methods of contraception and patient education about the risks and benefits of various options for teens. 6. Learn the diagnosis, management and long term consequences of sexually transmitted diseases. 7. Understand the pathophysiology, mental health aspects and management of eating disorders.
Common Problems/Diseases: Adolescent health and wellness issues (HEADSSS assessment), sexually transmitted diseases, anorexia nervosa, chronic medical conditions such as asthma and diabetes mellitus, depression, substance abuse, contraception, pregnancy, reproductive issues unique to males and females, sports medicine and acne.
Recommended Text or Reading: Standard pediatric textbooks are likely to provide basic background information for most cases (Nelson's or Rudolph's) but daily advanced reading in specialty textbooks and online journals/reviews is strongly encouraged.
Team Composition: In both the outpatient and inpatient areas, the student works closely with the Attending and Fellow on service in seeing patients, either as the primary provider or as a consultant to other services (such as the pediatric intensive care or specialty teams). In addition, on the inpatient service, adolescent patients are admitted to one of three ward teams. The inpatient team is comprised of one R3 pediatric supervisory resident, two R1 pediatric residents and usually one MS3, who all interface daily with the attending and fellow on rounds to discuss all adolescent inpatients and make plans for the day.
Patient Contact Hour Number (hours): 30
Classroom Time (hours): 10
Outside Study (hours): 10
Call Schedule/Weekends: Overnight and weekend call are not required.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: DorisMasferrer
Contact Phone: 476-5943
Location to report to: 8:00am, 3333 California St., Ste. 245
Comments: Due to the various activities, start time and location may change. Student will be notified.



140.41: PEDIATRIC NEONATOLOGY (NICU) - Stephen Elliott, M.D.; Krishna Rajani, M.D.

Tier 1B. At Community Regional Medical Center with adelivery service of approximately 8,000 deliveries per year, students will be integral members of the NICU team and will manage neonatal patients. This will include attending deliveries, participating in neonatal resuscitations, admitting newborns to the NICU, writing up H&Ps, writing orders and performing procedures.
Course Objectives: Student will learn to: 1. Identify physiologic characteristics of the maternal-fetus diad and the pathologies that impact the newborn. 2. Recognize the importance of the maternal obstetric history and the neonatal physical examination in the management of the NICU patient. 3. Demonstrate competency in neonatal resuscitation in the Delivery Room. 4. Demonstrate satisfactory knowledge base of maternal and neonatal conditions. 5. Demonstrate knowledge of the pathophysiologies of common neonatal conditions. 6. Demonstrate knowledge of family-centered care as it pertains to the NICU. 7. Demonstrate familiarity with invasive procedures commonly used in the NICU, including umbilical catheterizations. 8. Demonstrate communication skills required of physicians in the NICU.
Grading: Pass/Fail/Honors
Prerequisites: Satisfactory completion of Pediatric and Medicine Cores. 4th year medical student
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 2
Maximum Students per Block: 1
Contact Name: JenniferGarzon
Contact Phone: (559) 499-6569
Location to report to: UCSF Fresno and Pediatrics Dept, Suite 219
Comments: UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.43: PEDIATRIC GASTROENTEROLOGY AND NUTRITION - Michael Haight, M.D.

Tier 1B. In the office setting, students are exposed to common pediatric conditions including chronic abdominal pain, gastroesophageal reflux, acute and chronic diarrhea, constipation, encopresis, failure to thrive, jaundice and nutrition. On the inpatient service, students will follow more complex patients.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 2
Maximum Students per Block: 1
Contact Name: JenniferGarzon
Contact Phone: 559 499-6569
Location to report to: UCSF Fresno & Pediatrics Department
Comments: UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.45: BONE MARROW TRANSPLANT - Chris Dvorak, M.D.; Morton Cowan, M.D.; William Mentzer, M.D.

Tier 1B. The student will function as an integral part of the Bone Marrow Transplant (BMT) team at the UCSF Children's Hospital. The student will acquire a body of knowledge specific to Bone Marrow Transplantation, gain experience in doing common procedures and in communicating with children and families about their condition.
Course Objectives: Students will gain an understanding of the principles of BMT in children, including indications, conditioning, supportive care, immune reconstitution post-transplant and outcomes. Students will learn about hematopoietic stem cell biology, the immunobiology of engraftment/rejection/tolerance and graft-vs-host disease. Students will also gain proficiency in doing bone marrow aspiration. Students will also work with a faculty mentor on a scholarly project, and will produce an oral presentation or a written report by the end of the rotation.
Common Problems/Diseases: Students will care for children who are pre-and post-BMT in the hospital or in the clinic. In addition to the medical needs of these children, social and cultural issues (such ad adjustment to chronic illness, etc.) will be addressed.
Recommended Text or Reading: A handbook outlining common pediatric BMT problems, conditions and treatment protocols encountered in the BMT unit will be distributed at the beginning of the rotation.
Team Composition: A BMT attending and a second-year pediatric resident will share supervisory responsibilities for student's clinical and educational activities.
Call Schedule/Weekends: The student will work daytime (8am to approximately 5pm) five days per week. No overnight "on-call" in the BMT units is required, but rounding with the BMT Attending on some weekend days is optional.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 and Medicine 110 Requirements: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail.
Quarters Taught: Su, Fa, Wi, Sp
Location: UCSF Medical Center at Mission Bay
Minimum Weeks Offered: 4
Maximum Students per Block: 1
Contact Name: Doris Masferrer
Contact Phone: 476-5943
Location to report to: 8:30am, BCH, 1975 4th St., 6th Fl., Unit C
Comments: This course is offered as a 4 week rotation, but for additional clinical exposure and depth of learning an option for an 8 week rotation is offered. The required project will be an oral presentation for the 4 week rotation, and a written report (such as a review articles, case report, retrospective study, etc.) is expected for the 8 week rotation. VISITING STUDENT REQUIREMENTS: A recommendation letter from a pediatric faculty member that you interacted with during your pediatric clerkship and a copy of your Pediatric clerkship evaluation. You may upload onto VSAS, email or snail mail. DO's - submit copy of your USMLE.



140.49: PEDIATRIC ENDOCRINOLOGY -- FRESNO - Renee Kinman, M.D.; Swati Banerjee, M.D.

Tier 1B. Provides comprehensive exposure to clinical pediatric endocrinology; presentation, diagnosis and management of both common/uncommon endocrinologic problems. Specific topics include diabetes, hypothyroidism, hyperthyroidism, thyroid nodules, growth issues, precocious and delayed puberty, pituitary/hypothalamic abnormalities, hypocalcemia, hypoglycemia, vitamin D deficiency and/or rickets, adrenal abnormalities (such as congenital adrenal hyperplasia), Turner syndrome and menstrual abnormal.
Course Objectives: 1. Gather information and perform a physical examination directed at detecting endocrinologic problems. 2. Describe the diagnostic approaches to various endocrinologic disorders. 3. Understand the concept of skeletal age and how we utilize this concept in the management of various endocrinologic disorders. 4. Understand the management of abnormal endocrine screening tests. 5. Understand how endocrinologic disorders often require as much psychosocial intervention as they do medical intervention.
Grading: Pass/Fail/Honors
Prerequisites: Pediatrics 110 core clerkship.
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 4
Contact Name: JenniferGarzon
Contact Phone: (559) 499-6569
Location to report to: UCSF Fresno Center and Dept of Pediatrics
Comments: UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



140.51: PEDIATRIC PULMONOLOGY - FRESNO - Paul C. Do, M.D.; John Moua, M.D.

Understand the development of airway anatomy and lungs in children, recognition of respiratory illness, acute and chronic, review basic pulmonary physiology and pathophysiology and understand basic treatment modalities and basic science background for each treatment.
Course Objectives: Patient Care: 1. Obtain a thorough and pertinent history. 2. Demonstrate ability to interact with patient/families. 3. Develop clinical skills and good clinical judgement using evidence based medicine. Medical Knowledge: 1. Experience is gained in aspects of physical examination and clinical assessment of acute and chronic pulmonary diseases such as a. Asthma b. Cystic Fibrosis c. Bronchopulmonary dysplasia d. Chronic Obstructive Pulmonary Disease / Emphysema e. Congenital Pulmonary Malformations f. Respiratory Failure g. Pulmonary Infections 2. Emphasis is place on the importance of developing a treatment plan for each type of illness or problem. 3. Exposure to fiber optic bronchoscopy with understanding of its indications. Professionalism: 1. Always demonstrate respect, compassion, integrity, honesty, and cultural sensitivity. 2. Willing to acknowledge errors and be accountable for patient care. Communication and Interpersonal Communication Skills: 1. Excellent listening, writing, and communication skills, both verbal and nonverbal. Practice-Based Learning and Improvement: 1. Efficiently uses technology to access and manage information. 2. Continuously evaluates own performance. Systems-Based Practice: 1. Independently accesses/mobilizes outside resources. 2. Appropriately delegates resource management.
Grading: Pass/Fail
Prerequisites: Pediatrics 110
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 2
Contact Name: JenniferGarzon
Contact Phone: 559-499-6569
Location to report to: Fresno



140.51A: Pediatric Pulmonology - Fresno - Paul Do, M.D.; John Moua, M.D.

Understand the development of airway anatomy and lungs in children, recognition of respiratory illness, acute and chronic, review basic pulmonary physiology and pathophysiology and understand basic treatment modalities and basic science background for each treatment. Grading for this course is pass/fail only.

Course Objectives: Patient Care: 1. Obtain a thorough and pertinent history 2. Demonstrate ability to interact with patient, clinical judgment and factual knowledge Medical Knowledge: 1. Gain the following aspects of physical examination and clinical assessment of various acute and chronic pulmonary diseases, such as a. Asthma b. Cystic fibrosis c. Bronchopulmonary dysphasia d. Chronic pneumonia/emphysema e. Acute respiratory ailments f. Congenital pulmonary problems 2. Gain exposure to fiber optic bronchoscopy and understand the indications and also its utility in patient care/management Professionalism: 1. Demonstrates respect, compassion, integrity, honesty, cultural sensitivity 2. Acknowledge errors and be accountable for patient care Communication and Interpersonal Communication Skills: 1. Demonstrate excellent listening, writing, and communication skills, both verbal and nonverbal Practice-Based Learning and Improvement: 1. Use technology to access, and manage information 2. Evaluates own performance Systems-Based Practice: 1. Accesses/mobilizes outside resources independently 2. Delegates resource management appropriately
Grading: Pass/Fail
Prerequisites: Pediatrics 110
Quarters Taught: Su, Fa, Wi, Sp
Location: Fresno
Minimum Weeks Offered: 2
Contact Name: Alissa Fowler
Contact Phone: 559-499-6555
Location to report to: Fresno
Comments: For more information about this course, please call Alissa Fowler (559) 499-6555 or e-mail her at afowler@fresno.ucsf.edu UCSF Students: Fresno electives are not in the lottery system and must be applied to via UCSF Fresno as a visiting UCSF student elective. To apply for a Fresno Course, please refer to the Fresno website at www.fresno.ucsf.edu. All other visiting students (MD, DO, VSAS) may also apply to UCSF Fresno online at: http://www.fresno.ucsf.edu/undergrad/forms.htm.



150.04: RESEARCH - Sara Buckelew, M.D.

Students conduct research projects under the guidance of faculty members. Programs must be approved by the instructor. Students may initiate or become involved in established research programs under faculty guidance.
Grading: Pass/Fail
Prerequisites: UCSF students only.
Quarters Taught: Su, Fa, Wi, Sp
Location: Taught at various locations
Minimum Weeks Offered: 4
Maximum Students per Block: 2
Comments: REQUIRED: Submit Approval for Research Block Elective form at least 4 weeks before the start date. 150 form can be found here: http://meded.ucsf.edu/ume/forms.