Pediatrics Clerkship at Boston Children’s Hospital
The Pediatrics Clerkship at Boston Children’s is intended to give a broad introduction to pediatric medicine, to develop comfort with interacting with pediatric patients and their families, and to build skills in the examination of pediatric patients.
The six-week long clerkship will provide experiences in the outpatient primary care clinic seeing both well children and those presenting for evaluation of an urgent complaint; in the newborn nursery; and on the inpatient wards.
Objectives and Competencies
Common Objectives for the Core Clerkship in Pediatrics:
- To use pediatrics as a model to teach the core skills of clinical medicine.
- To understand the importance of development as a concept (e.g., physiologic, psychosocial, etc.) within pediatrics
- To develop familiarity with commonly encountered acute and chronic pediatric illnesses.
- To understand the importance of providing family-centered care.
Competency 1: History taking and physical examination skills (Data gathering)
The student will be able to obtain a complete history and perform a complete physical examination on all patients across all pediatric age groups including newborns, infants, toddlers, children, and adolescents.
Competency 2: Data presentation skills
The student will effectively and professionally communicate information about the patient, history and physical, diagnosis and treatment plan to other caregivers and to the patient/family.
Competency 3: Core knowledge and clinical thought process
The student will be able to recognize common pediatric conditions and formulate differential diagnoses and management plans. When a particular diagnosis is not seen via clinical encounters, additional reading materials including CLIPP cases may be used to augment learning.
Competency 4: Professionalism and interpersonal skills
The student will demonstrate intellectual curiosity, initiative, responsibility, and reliability in patient care and self-directed learning.
The clinical clerkship in pediatrics is made up of four different experiences. Each student will have a slightly different schedule, including:
- two weeks caring for inpatient general pediatric patients
- two weeks of “selective” either on a sub-specialty inpatient rotation, in the ED, or additional time on general pediatrics
- one week in the outpatient clinic
- one week in the newborn nursery
On the Inpatient services (both general pediatric and sub-specialty), hours are typically 6:20am-5:00pm. Students will rotate through a block of 2-3 nights, 5:30pm-7:30am. While weekend and holiday responsibilities will be rare, there will be some weekend nights and ED shifts.
The nursery and outpatient weeks are call-free without weekend responsibilities. Hours are typically 8:00am-5:00pm.
The weekend after the shelf is off for all students.