SIU School of Medicine

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Department of Pediatrics

Clerkship Rotations

  • Inpatient Rotation
  • Outpatient Rotation
  • Nursery Rotation

Inpatient Rotation

The inpatient rotation of the clerkship consists of three weeks of ward centered activities. The wards are located on the 5th floor of St. John’s Children’s Hospital. Activities during inpatient include patient rounds, documentation of progress notes, participating in admission and discharge of patients, attendance at family centered rounds, heme/onc rounds, morning report and check-out rounds.

Students congregate in the PIMC conference room every morning to determine new patient assignments for that day. By having patient assignments early, students are able to round with the attending physicians. Students also participate in check out rounds between the night residents and the day residents. This provides the opportunity to learn about patients’ progress and observe the hand-off process.

child photo

Students who are not on call distribute new patients among themselves, ensuring that they have a variety of patient problems, including complexity.  The student pager is used to communicate new admissions.  It is passed among students through out the day. 

“On-call” is from 5pm until 10:30 pm Monday – Friday and 9:00 until 2:30 pm on Saturday.  Students also attend check out rounds with the residents when on-call. The ‘on-call’ student must attend resident checkout rounds.  This student is responsible for presenting the check out information for one of his/her patients.  The senior resident will determine which patient the student will present and will provide feedback on this essential skill.

During the weekdays students attend the clerkship streamers as scheduled.  Streamers are case based sessions and attendance is required.  After the streamer students report to the ward for new patient assignments.

Students also attend resident rounds (except those students on nursery) at 8:00 a.m. on Monday and Friday.  Location may change but generally is on the 4th floor of the Women and Children’s Center in conferences rooms A/B or C/D.

Pediatric Grand Rounds are every Thursday at 8 am in Bunn Auditorium.  Students attend this educational activity every week during the clerkship.

On Saturdays, each student will round on their patients; students who are not on call may leave after checking out with the resident.  The student on-call stays until 2:30pm (unless otherwise specified on the call schedule).   

The “switch” from inpatient to outpatient happens on Monday of week 4.  Students have the weekend off between the “switch.”


 

Outpatient Rotation

During the outpatient rotation of the clerkship students spend two weeks with a preceptor and attend his/her clinics along with assigned specialty clinics.  Clinics are held in a variety of locations including St. John’s Pavilion, Prairie Cardiovascular Center, St. John’s Children’s Hospital and pediatric clinics in Springfield and the surrounding community.

Some faculty ask that students review charts in preparation for clinic.  This gives the student an idea of the patient problems that will be seen and allows time for reading up on diagnoses and problems unique to the specialty.

During the weekdays students attend the clerkship streamers as scheduled.  Streamers are case based sessions and attendance is required.

child photo

Pediatric Grand Rounds are every Thursday at 8 am in Bunn Auditorium.  Students attend this educational activity every week during the clerkship.

The “switch” from outpatient to inpatient happens on Monday of week 4.  Students have Sunday off between the “switch.”

 

 

SIU Pediatrics Clerkship – Normal Newborn Rotation

Welcome to the Normal Newborn Rotation.  We look forward to working with you over the next several days!  On the first day of your rotation, please report to the Memorial Medical Center newborn nursery on the 7th floor at 8:30 am.  After that, the neonatologist on service will let you know when to arrive on subsequent days, the approximate time attending rounds will begin, and whether or not you are expected to “pre-round” on an infant. You should also plan to attend Pediatric Grand Rounds at 8 am held in the Bunn Auditorium on the second floor of the Carol Jo Vecchie Women and Children’s Center at St. John’s Hospital.

After rounds, as time allows, the attending physician will lead a discussion on a designated newborn topic or a more formal discussion on one of the patient problems seen that morning in rounds.  Planned activities before and after newborn rounds may vary depending on resident coverage.  You are expected to participate in these activities as your clerkship schedule allows.   

There are several power point presentations and journal articles available to you that review many issues common in the newborn period.  The topics covered in these presentations may be discussed during/after rounds during your newborn week as well as during the newborn streamer.

  • Delivery & care of the well newborn
  • Newborn feeding
  • Breast feeding
  • Hyperbilirubinemia
  • Group B Strep/Perinatal infections
  • Hypoglycemia, infant of diabetic mothers, maternal substance abuse
  • Complications of child birth
  • Newborn screening & Prophylaxis
  • Developmental hip dysplasia
  • Circumcision
  • Post-partum depression
  • Infants with abnormalities on prenatal ultrasound
  • Ballard scale

 

Afternoons are mainly reserved for clerkship streamers or outpatient clinics.

newborn photo