E L E C T I V E S

DEPARTMENT OF PEDIATRICS

N201  Pediatric Endocrinology | N202  Neonatal Intensive Care Unit | N203  Neonatal Intensive Care Unit | N204  Research in Newborn Medicine | N206  Pediatric Mineral and Heavy and Trace Metal Metabolism | N205 Pediatric Infectious Disease | N203 Neonatal Intensive Care Unit   | N207 Pediatric Infectious Disease | N208 Children with Special Medical Needs  |  N209 Community Pediatrics  | N210 Family Advocacy  | N211 Pediatric Endocrinology  | N212 Pediatric Pulmonary  | N301  Pediatric Endocrine Elective | N302   Pediatric Gastroenterology & Nutrition | N303  Pediatric Emergency Medicine | N304  Pediatric Medical Genetics | N305  Pediatric Allergy and Immunology | N306 Child Advocacy Center | N307  Pediatrics Ambulatory Care Elective | N501A  Pediatric Nephrology | N501B  Pediatric Nephrology Research Elective | N503  Pediatric Emergency Room | N504  Pediatric Cardiology |N505 Pediatric Rheumatology | N506  Child Development in Pediatric Practice | N508  Neonatal Intensive Care Unit | N509  Neonatal/Pediatric ICU | N510   Pediatric Hematology-Oncology | N511 Adolescent Medicine N512  Pediatric Pulmonary Medicine | N514  Research in Infant Development | N515 Community Pediatrics Elective | N519  Adolescent Ambulatory Care Elective - M.C. | N600 Inpatient Pediatrics | N601 Inpatient Pediatrics  | N700 Peds. Allergy/Immunology/Rheumatology: LIJ/SCH | N701 Peds. Cardiology: LIJ/SCH | N702 Developmental & Behavioral Peds. | N703 Peds Endo & Metabolism: LIJ/SCH | N704 Peds. Gastro.: LIJ/SCH | N705 Peds. Hematology/Oncology: LIJ/SCH | N706 Peds. Infectious Disease: LIJ/SCH | N707 Peds. Neonatal & Perinatal Medicine: LIJ/SCH| N708 Peds. Nephrology: LIJ/SCH | N709 Peds. Nephrology: LIJ/SCH | N710 Adolescent Medicine: LIJ/SCH | N711 Ambulatory Peds. &/or EM Peds.: LIJ/SCH | N715 Peds. Critical Care Medicine: LIJ/SCH | N716 Subinternship in Peds: LIJ/SCH  | N717 Peds. Gastroenterology: LIJ/SCH | N718 Allergy & Immunology: LIJ/SCH |N719 Pediatric Surgery | N801 Peds. Ambulatory Care: BI | N802 Peds. Nephrology: BI | N803 Neonatology: BI | N804 Medical Genetics: BI | N805 Infectious Disease in Pediatrics: BI | N808 Peds. Cardiology: BI

 


N201  Pediatric Endocrinology - Bronx Lebanon

This is a full-time elective in clinical endocrinology and diabetes mellitus. While the basic emphasis is flexible, clinical materials are stressed unless otherwise stated. Exposure to clinical research is offered with emphasis on the pituitary-hypothalamic function. The clinical aspects consist of out-patient and in patient experiences including patients on research protocol who have growth hormone deficiency. Basically, however, the course may be altered to suit individual needs.

Dr. Yolaine St. Louis - Bronx-Lebanon (960-1048)
All Modules, Full-Time ONLY
Minimum 1 - Maximum 2
Student(s) required to arrange with Dr. St. Louis in advance
Full Module preferred but Half Module accepted Dr. St. Louis will arrange full schedule and notification
First day students meet Bronx-Lebanon Hospital-Milstein Building 2A 9:30 A.M.

 

N202  Neonatal Intensive Care Unit - The Bronx Lebanon Hospital Center

In this elective, students will be involved in the care of sick or premature newborn in the neonatal intensive care unit. Under attending and senior resident supervision the student will participate in all aspects of neonatal care including delivery room management.

Students will make daily round with the staff, write progress notes and attend all scheduled conferences. Students are encouraged to take night call on an every fourth night basis.

Dr. Jing Ja Yoon (518-5249)
All Modules, Half-Modules
Full-time. First day students meet at the floor Neonatal Unit - Bronx Lebanon Hospital - 1650 Grand Concourse.

N203  Neonatal Intensive Care Unit - Jacobi Medical Center

In this elective, students will be involved in the care of sick or premature newborns in the neonatal intensive care unit. Under attending supervision, the student will participate in all aspects of neonatal care. The students will be responsible for devising and implementing a management plan for each of their patients. They will be responsible for it all patient care issues, including fluid management, ventilatory management and drug therapy in the NICU. In addition, the student will attend high risk deliveries and will participate in delivery room management.

Students will make daily rounds with the staff, write progress notes and attend all scheduled conferences. Students are encouraged to take night call on an every fourth night basis. Also, teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

         Director: Dr. Beth Nagourney
         (718) 918-6655
         Beth.nagourney@nbhn.net
         All Modules, Half Modules, Full- Time

        **Student must get Dr. Nagourney's approval before registering**

N204  Research in Newborn Medicine - Jacobi Medical Center

This 4- week elective introduces the fourth year medical student to the fundamentals of Pediatric Infectious Diseases, with a focus on children with HIV infection. Through active participation in daily consultation rounds on hospitalized infants, children and adolescents, biweekly HIV ("PCS") clinics, as well as, Infectious Diseases clinics, students will learn the prevention, diagnosis and treatment of a broad range of diseases.

Formal didactics will include core lectures, joint AECOM-Montefiore Infectious Disease Conferences, Jacobi HIV Grand Rounds, and Center for AIDS Research seminars at AECOM. A microbiology laboratory mini-rotation will introduce the fundamentals of microbiological diagnosis. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

         Director: Dr. Glenn Fennelly
         (718) 918-4026
         fennelly@aecom.yu.edu
         All Modules

         **Student must get Dr. Fennelly's approval before registering**

N205 Pediatric Infectious Diseases-Children's Hospital at Montefiore

This elective is offered for students who would like to gain an understanding of a variety of Pediatric Infectious Disease issues.
These include:

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Nosocomial and Community Acquired Infectious

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Infection Control

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Infectious in the compromised host

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The Functions of the Microbiology Laboratory

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Rational basis for antibiotic selection

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Pathophysiology of common infectious diseases

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Vaccine usage and the development of new vaccines

The elective centers around Pediatric Infectious Diseases consults with the guidance of the ID Fellow and Attending. Attending rounds are held on a daily basis. Students are expected to familiarize themselves with basic texts and journals pertinent to Pediatric Infectious Disease. Students also attend ID Grand Rounds, Seminars, Journal Club, and Clinic.

Dr. N. Litman, Pediatric Infectious Disease 
(718-741-2470)
nlitman@montefiore.org

All Modules, Half Module
Full-Time, Maximum 2
Students to contact Dr. Litman for time and place to meet the first day

 

N206  Pediatric Mineral and Heavy and Trace Metal Metabolism - The Children's Hospital at Montefiore 

Clinical Experience, Laboratory Research, Readings and Tutorials.
1. Calcium, Magnesium and Vitamin D Metabolism.
2. Trace metal metabolism related to heavy metals, nutrition and various disorders in mineral metabolism.

Dr. J.F. Rosen and Dr. M. Markowitz (920-5016)
All Modules or by arrangement.
Limited to one student, two times/year, for 1 to 2 months or by special arrangement.
First day student meet at the Lead Safe House, E. Mosholu Parkway (call for directions).

N207 Pediatric Infectious Disease- Jacobi Medical Center

This four week elective introduces the fourth year medical student to the fundamentals of Pediatric Infectious Diseases, with a focus on children with HIV infection.  Through active participation in daily consultation rounds on hospitalized infants, children and adolescents, biweekly HIV ("PCS") clinics, as well as, Infectious Disease clinics, students will learn the prevention, diagnosis and treatment of a broad range of diseases.

Formal didactics will include core lectures, joint AECOM-Montefiore Infectious Disease Conferences, Jacobi HIV Grand Rounds and Center for AIDS Research seminars at AECOM. A microbiology laboratory mini-rotation will introduce the fundamentals of microbiological diagnosis.

        Dr. Glenn Fennelly
        (718) 918-4026
        fennelly@aecom.yu.edu
        All Modules


N208 Children With Special Medical Needs- Jacobi Medical Center


The Division of Children with Special Medical Needs provides the acute and chronic medical care for patients with complex medical illnesses. Diagnoses vary, but include spina bifida, chronic lung disease, hypoxic encephalopathy, neurologic disorders, neurocutaneous disorders, and genetic illnesses. Many children are technology dependent and require ventilators, tracheostomies, gastrostomies, and venticuloperitoneal shunts. Students will take an active part in all clinical activities, including outpatient clinics, in patient rounds, telephone triage, and home nursing issues. Students are expected to choose one patient and research that particular diagnosis in depth, so that a presentation will be given to the division staff during the last week of the rotation.

          Dr. Linda Volpe
         (718) 918-4910
         All Modules, Half modules only
         Maximum 1

         Please contact the Department at least 4 weeks in advance of the requested time period.
        
         **Student must get Dr. Volpe's approval before registering**
 

N209 Community Pediatrics- Jacobi Medical Center

The goals of the elective are:

1. Develop an understanding of the importance of non-medical issues on pediatric health.

2. Be aware of the impact of cultural issues on the medical encounter and health in general.

3. Be aware of the impact of economics on children's health and the resources available to families.

4. Be aware of the impact of environmental on children's health and development.

5. Learn to identify problems in community and design/implement solutions through advocacy.

To accomplish these goals, the student will:

1. Participate in a model cross-cultural clinic: The Ilyria (Albanian) Clinic 

2. Conduct a "shopping trip" to purchase pediatric items.  

3. Attend WIC site, spending time with WIC nutritionist and lactation consultants.

4. Become familiar with health insurance options and the impact of access to care on health   needs.

5. Assist in preparing and serving lunch at a center for homeless families.

6. Conduct a home visit (with attending physician) with emphasis on safety in the home.  

7. Accompany a case manager from the “SKIP” agency to visit a technology-dependent child at home. 

8. Conduct daycare center site visits.

9. Attend “Safety City” and assist with teaching 3rd graders about safety.

10. Participate in teen parenting classes conducted at JMC. 

11.  Attend any appropriate local conferences that occur during rotation.

12.  Spend a day at St Mary’s Hospital- a long term care facility for children.

13. Attend Family Advocacy Clinic with Dr Olga Jimenez (center for abused children at JMC)


         Director: Dr. Kirsten Roberts
         (718) 918-4084
         Kirsten.roberts@nbhn.net
         All modules, half modules only
         Maximum 2

         **Student must get Dr. Robert's approval before registering**

N210 Family Advocacy- Jacobi Medical Center

The Family Advocacy Program (FAP) is a Child Advocacy Center dedicated to the identification, assessment and treatment of children and adolescents who present with a history of sexual abused/sexual assault and/or physical abuse and/or neglect. F AP is a member of the National Children's Alliance, The New York City's Mayor Task force on Child Abuse and a borough wide multidisciplinary team.

F AP consists of a diverse and culturally sensitive staff with vast knowledge and experience in working with children that have been abused. The scope of services provided at F AP include but are not limited to expert forensic evaluations, medical evaluations, forensic sexual assault examinations, psychosocial assessments, expert court testimony, home assessments, expert consultation, trainings, case-tracking, assistance with crime victims services, advocacy and individual, family and group therapy.

During this rotation, the student will accompany Dr. Jimenez and the other team members during every stage of the evaluation and management process: initial contact, interview, physical examination, and liaison with other agencies (law enforcement, child protection, lawyers, family and criminal court). There will be an opportunity to do home visits, observe joint interviews and attend case reviews and borough wide meetings. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

          Director: Dr. Olga Jimenez
          (718) 918- 4013
         Olga.jimenez@nbhn.net
         All modules, Half modules
         Maximum 2

         **Student must get Dr. Jimenez's approval before registering**



 

N211 Pediatric Endocrinology- Jacobi Medical Center

The Pediatric Endocrinology service at Jacobi cares for children with a wide variety of endocrine diseases, such as Type I and Type II diabetes, short stature, failure to thrive, pubertal disorders, menstrual disorders, polycystic ovary syndrome, thyroid disorders, and obesity. The student in this elective will work under the supervision of the Pediatric Endocrinology attending in both the inpatient and outpatient settings. The majority of the rotation will occur in the various outpatient clinics: Endocrinology, Endocrine Testing, and Diabetes. The student will be expected to see patients independently, but will be closely supervised by an attending. About one-quarter of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as the daily follow-up of all patients on the endocrinology service. The student will present the patient to the attending and the differential diagnosis, management and treatment options will be further discussed. Additionally, reading topics will be assigned and further discussed with the attending. The student will be expected to give a 45-minute presentation on a selected pediatric endocrine topic to a group of pediatric endocrinologists. Students will attend the outpatient endocrinology conferences, as well as the other teaching conferences in the Pediatrics Department (Grand Rounds, Chairman's Rounds, noon conference, etc.).

          Director: Dr. Miriam Silfen
          (718) 918- 6985
          Miriam.silfen@nbhn.net
          All modules, Half Modules
          Maximum 2

          **Student must get Dr. Silfen's approval before registering**


N212 Pediatric Pulmonary- Jacobi Medical Center

The Pediatric pulmonary service at Jacobi cares for children with a wide variety of pulmonary diseases. The student in this elective will work under the supervision of the Pediatric Pulmonary attending in both the inpatient and outpatient settings. About half of the time will be spent on the inpatient service, where the student will be responsible for the initial evaluation and assessment of each new consult, as well as, the daily follow up of all patients on the pulmonary service. The patients will be presented to the attending and the differential diagnosis, management plans and treatment options will be further discussed. In addition, the student will assist the pulmonologist during bronchoscopies.

The other half of the rotation will occur in the Jacobi Pediatric Asthma Center, as well as, the Pulmonary and Allergy clinics. The student will be expected to see patients independently, but will be closely supervised by one of the attendings. Students will attend the bimonthly outpatient pulmonary conferences, the monthly radiology conference and other teaching conference elsewhere in the Pediatric Department (grand rounds, Chairman's Rounds, noon conferences, etc.).

          Directors: Dr. Denise Serebrisky
          (718) 918- 6984
          Denise.serebrisky@nbhn.net
          All Modules, Half modules
          Maximum 2

          **Student must get Dr. Serebrisky's approval before registering**


N301  Pediatric Endocrine Elective - The Children's Hospital at Montefiore

The goal of the elective experience is to familiarize the students with the evaluation of common clinical problems in Pediatric Endocrinology (e.g., short stature, delayed or precocious puberty, thyroid dysfunction and the comprehensive care of youngsters with diabetes mellitus).  This full time elective is planned to offer the students in patient and ambulatory experience in Pediatric Endocrine problems at Montefiore Medical Center also specific hormonal testing is also performed. The elective also offers participation in a joint conference between the Pediatric and Adult Endocrine Divisions held on Monday afternoons.   The staff is also invited to attend a weekly seminar sponsored by the Diabetes Center at the Albert Einstein College of Medicine.  The Pediatric
Endocrine Divisional meeting is held on Wednesday mornings. Selected pediatric in-patients and outpatients are discussed during this session and/or lectures are given.  Journal club is also held during this session.  Short research projects may be arranged at Montefiore Medical Center.

           Contact: Dr. Morri Markowitz (Interim Division Chief) (920-4664)
           All Modules, full-time, one student per module.

On the first day of the elective, the students should go to the Pediatric Endocrine office at Montefiore located at 3450 Wayne
Avenue and confirm with the secretarial staff (920-4664).

N302   Pediatric Gastroenterology & Nutrition - Montefiore Medical Center

The Pediatric Gastroenterology and Nutrition Program at Montefiore Medical Center serves the growing demands for specialized diagnosis and management of infants and children with complex and uncommon gastrointestinal disorders, as well as more commonly encountered problems such as diarrhea, constipation, vomiting, and abdominal pain.

This elective program offers the student a comprehensive exposure to all aspects of pediatric gastroenterology and nutrition through readings, observation and participation in the management of inpatients and outpatients.

The student will gain a fundamental understanding of the following:

      ●     basic functions of the hollow and solid digestive organs.
      ●     diagnosis and management of common gastrointestinal  hepatobiliary and pancreatic diseases
      ●     nutritional requirements and assessments during infancy and childhood
      •     different types of nutritional support (enteral vs. parental).

The student will be required to:

      ●    make daily rounds with pediatric GI staff on the inpatient service.
      ●    attend weekly pediatric GI outpatient clinics
      ●    participate in all pediatric GI procedures such as esophagogastrodudenoscopy (EGD),colonoscopy, and percutaneous liver
            biopsy.
      ●    attend all pediatric GI conferences including radiology, pathology, and journal club,
      ●    present cases selected topics and journal articles for discussion.

Dr. Anthony Loizides (718) 741-2332
All Modules; Full-Time
Minimum 1 - Maximum 2
First day students should report to Rosenthal 308 at 9:00AM.

 

N303  Pediatric Emergency Medicine -  Children's Hospital at Montefiore

The M.M.C. pediatric ED at CHAM offers a full month or half a module senior elective in Pediatric Emergency Medicine which will introduce the student to all phases of acute care of ill and injured children. The student will become part of the PED staff, which includes subspecialty trained PEM attending physicians, PEM fellows, pediatric and general EM residents and third year medical students. The PED at CHAM cares for approximately 150-160 children a day presenting with a variety of urgent and emergent problems. Students will see patients independently with close supervision by the PEM attendings and/or PEM fellows. Through one-on-one case-based learning centered around PED patients, the student will gain skills in focused history taking, directed physical examination, generating differential diagnosis, appropriate use of consultation and laboratory tests, as well as patient management. There will be opportunity to participate, first hand, in a variety of emergency procedures. Students will also be expected to attend daily teaching conferences given by the Division.

At the completion of the elective, the student will have experience in handling most of the common emergencies seen in the Pediatric ED as well other ambulatory settings.

Dr. Hnin Khine (718-920-8132) (Beeper #917-926-6394) E mail- hkhine@montefiore.org
All Modules
Full-time or Part-time
Maximum 1
First day meet students at Pediatric Emergency Department at 9:00 a.m.

 

N304  Pediatric Medical Genetics - Montefiore - Division of Genetics

During the course of this one month elective, by working hand-in-hand with the staff of the Division of Genetics in the Department of Pediatrics, the student will gain experience in approaching children and adults with congenital malformations and genetic diseases. Experience is gained by working with the staff at the Center for Congenital Disorders and the Center for Craniofacial Disorders (both centered at Montefiore Medical Center), as well as the Division's outreach activities at Blythedale Children's Hospital (site of the Spina Bifida Clinic and the Hand Clinic), Jacobi Medical Center, the Rose F. Kennedy Center, and at Stamford Hospital. The experience will emphasize history-taking, the physical exam, techniques of syndrome identification, the laboratory work-up, and most importantly, genetic counseling of the family. Students will be encouraged to keep a diary of their day-to-day experiences.

Dr. Robert Marion (718) 741-2323
All Modules
One student per module
Call Dr. Marion prior to starting elective.

 

N305  Pediatric Allergy and Immunology

The goal of the elective experience is to acquaint the student with the various aspects of allergies and immunological disease. This includes experience with patients with rhinitis, sinusitis, asthma, atopic dermatitis, HIV infection, and other immunological disorders. The student will have the opportunity to participate in various clinics and private practice situations with attendings and fellows, as well as participate in conferences and journal clubs that are part of the division's monthly activities. The student will have the opportunity to learn the approach to diagnosis and management of allergic and immunological disorders.


Dr. Larry Bernstein or Dr. Jenny Shilozberg (718) 405-8530
All modules except 1A & 1B
Full-time or Part-time
One student per module
Call for location of first day meeting.

 

 

N306  Child Advocacy Center, Division of Social Pediatrics - Children's Hospital at Montefiore 

The Child Advocacy Center of the Children's Hospital at Montefiore elective introduces the 4th year medical student to the multidisciplinary approach to the evaluation and treatment of abused and neglected children in a large child abuse evaluation and treatment program.  The student will have opportunities to observe psychosocial assessments of families of these children, as well as child forensic interviews and medical evaluations, and participate on site with child welfare, law enforcement, and legal professionals involved in the multidisciplinary team.  Ample opportunities exist to develop skills in evaluation of physical abuse, sexual abuse and neglect of children and in working with families of these children.  Students will be encouraged to do in-depth library research on a topic of interest in the field.  When possible, students will observe the court process.

               Dr. Linda Cahill, (718) 920-7418 or 920-5833
               All Modules except August
               1 student per module
               Full-time, Part-time (may be considered)
               On the first day students are to meet at the Child Advocacy Center, 3314 Steuben Avenue, (between E. 208th St. and
               E. 210th St.) Bronx, New York 10467

**Please call Dr. Cahill before signing up for the rotation.

 

N501A  Pediatric Nephrology - Children's Hospital at Montefiore

The student will gain experience in the fundamentals of clinical pediatric nephrology with rotations through the in-an-outpatient services of the Division of Pediatric Nephrology. Emphasis will be place on the normal contribution of the kidneys to growth and development and common disturbances of fluid and electrolyte physiology in infants and children. In addition, the student will become familiar with the major causes of acute and chronic kidney failure and hypertension in infants and children. The elective will provide the student the opportunity to participate with the Pediatric Nephrology Team consisting of Pediatric Nephrology Attendings, Renal Fellows, Pediatric Urologist, Pediatric Nephrology Social Worker, Transplant Nurse Coordinator, Dialysis Nurse Specialist, Nutritionist and Child Psychiatrist, in the medical management of pediatric nephrology patients including the Children's Dialysis and Transplantation Center. The student will become knowledgeable in the medical and psychosocial aspects of clinical pediatric nephrology by participation in a program of formal biweekly teaching rounds, seminars and journal clubs, and by the distribution of core educational material that will complement their practical experience. The student will be encourage and supported to initiate a research project for presentation at the annual Student's Research Day.

Goals of Elective:
 To understand the principles of clinical pediatric nephrology in terms of maturation of renal function, fluid and electrolyte homeostasis and pathophysiologic states, states, common acute and chronic renal disorders including pediatric nephrologic emergencies with acute renal failure and hypertension, and congenital and acquired abnormalities of the genitourinary tract and infection.

 

Dr.Frederick Kaskel
(718-655-1120)
(Fax 718-652-3136)
 fkaskel@aecom.yu.edu

All Modules, Full-time
One student per module

Meeting place on first day of elective, Pediatric Dialysis Unit, CHAM, 4th floor.

 

N501B  Pediatric Nephrology Research Elective at Montefiore Medical Center

Narrative Description: The student will gain experience in the fundamentals of basic investigation as it relates to common problems in clinical pediatric nephrology. The elective will provide the student the opportunity to participate with the other researchers in the Pediatric Nephrology Research Laboratory and to become familiar with state-of-the-art techniques in basic cellular and molecular biology. Routinely used methodologies include: polymerase chain reaction, mutagenesis, manipulation of DNA, RNA, and protein, expression of foreign genes in vitro and in vivo, cell and tissue culture techniques, immunofluorescent and confocal microscopy, immunocytochemistry, protein interaction assays, apoptosis assays,

Goals of elective: To understand the principles of basic investigations underlying the cellular and molecular mechanisms of renal cell injury and apoptosis in experimental in vitro and in vivo models of ischemic and anoxia, progressive chronic renal failure, and kidney transplant rejection.


For questions please contact:

          Frederick Kaskel, M.D.; Ph.D.
          Chief, Division & Training Program in Pediatric Nephrology, AECOM

  1. Basic research in renal development:
    Ada Tufro, M.D.; Ph.D
    (718) 430-2622
    atufro@aecom.yu.edu
     

  2. Translational research in glomerular disease:
    Robert Woroniecki, M.D.
    (718) 655-1120
    rworonie@aecom.yu.edu
     

  3. Clinical research in Hypertension:
    Joseph Flynn, M.D.
    (718) 655-1120
    jflynn@montefiore.org
     

  4. Clinical research in chronic kidney disease:
    Marcela Delrio, M.D.
    (718) 655-1120
    mardelrio@aol.com
     

  5. Clinical research in treatment of chronic kidney diseases:
    Frederick Kaskel, M.D.; Ph.D
    (718) 655-1120
    fkaskel@aecom.yu.edu


     

N503  Pediatric Emergency Room - Jacobi Medical Center

The student in this elective will work along with Pediatric house staff in The Jacobi Pediatric Emergency Department. This is a busy service with approximately 125 patient visits per day. The elective is structured to give the student first hand experience in the recognition and management of common acute illnesses of children. Opportunities for involvement in the care of children with serious illness and injury are ample.

The student will be expected to see patients independently, but will have close attending instruction and supervision. There are daily conferences, occasionally with the emergency medicine and trauma services, which the student is expected to attend. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

Shifts during the first half of the module are from 8:00 AM to 5:00 PM weekdays.

During the second half of the module, the student is expected to complete a minimum of 62:00 PM to 10:00 PM shifts.

          Director: Dr. Ellen Crain
          (718) 918-5817
          ellen.crain@nbhn.net
          All Modules, Full-Time
          Maximum 2

          **Student must get Dr. Crain's approval before registering**
 

N504  Pediatric Cardiology - The Children's Hospital at Montefiore

The Rachel Cooper Children’s Heart Center at the Children’s Hospital at Montefiore Medical Center is the center of activity for the Division of Pediatric Cardiology.  Here, students on this elective will have exposure to the evaluation and treatment of children with heart disease by noninvasive as well as invasive measures. Students will have the opportunity to spend time in the outpatient clinic, see echocardiograms performed, gain experience in reading pediatric ECG’s, participate in exercise stress tests and tilt table tests, and assist with consultations and inpatient cases.  They will also be able to attend cardiac catheterizations, and go to the operating room to observe intraoperative transesophageal echocardiograms and to watch the surgical procedures being performed.  Students will also attend the weekly Cardiovascular Conference, held each Monday afternoon from 4-6pm, when cases of interest are discussed.  The goal of this elective is to gain a basic understanding of the pathology and physiology of common congenital heart diseases, gain confidence in the assessment of pediatric patients for various forms of heart disease, and to gain exposure to the technical modalities employed in the diagnosis and treatment of heart disease in children.

         Dr. Christine Tracy
         Email: 
ctracy@montefiore.org

    
    Office:  718-741-2343
     
   All Modules
         Full Time
         Maximum 2
         First day meet in the Pediatric Echocardiology Laboratory on CHAM 4 at 9:00am, but email Dr. Tracy the week before to
         confirm.

N505 Pediatric Rheumatology- CHAM

The student will shadow or be precepted by the attending physician in outpatient clinic five half day sessions a week.  The student will perform initial consultations on inpatients.  A core set of didactic sessions are given including: diagnostic approach to children with musculoskeletal pain, interpretation of laboratory tests, juvenile rheumatoid arthritis, pediatric systematic lupus erythematosus, juvenile dermatomyositis, vasculitis in children, juvenile scleroderma.  A written syllabus is provided.

           Dr. Norman Ilowite
           Chief, Division of Rheumatology, Children's Hospital at Montefiore
           Professor of Pediatrics, Albert Einstein College of Medicine
           Minimum 1, Maximum 2
           All modules

           First day: report to Rosenthal 4, Room 410 at 8:30AM

N506  Child Development in Pediatric Practice-AECOM

In this elective, the student learns about normal and aberrant child development through experiences at the Children's Evaluation and Rehabilitation Center, primarily located at the Rose F. Kennedy Center. The student is exposed to children and adolescents with neuromuscular abnormalities, mental retardation, language disorders, learning disabilities and autism and pervasive developmental disorders. Students have the opportunity to observe different facets of the multidisciplinary evaluation of children who present with developmental problems; as well as intervention strategies aimed at improving the child's functional skills and/or behavior. Along with pediatric residents, students participate in a series of didactic sessions dealing with topics in child development and behavior. Visits to schools or sites offering other interventions can be arranged. Students will also be encouraged to undertake an independent study of a topic of interest.

The goal of this elective is to emphasize the role of the pediatrician and family physician in identification, evaluation and follow up of children with disabilities, through working with the family and functioning as a child advocate within the community.

Dr. M. Rosenberg, (718-430-8504)
All Modules except 2A
Half Module, Full-time
Maximum 1 student
Students are expected to fulfill the time commitment to activities scheduled during their elective period, unless arranged with course director in advance of registration.
Please call Dr. Rosenberg during the week prior to the scheduled start of the elective to arrange meeting place and time.

N508  Neonatal Intensive Care Unit - WHAECOM

The elective in Neonatal Intensive Care is designed to serve as an introduction of the student to epidemiologic, physiologic and therapeutic aspects of neonatal medicine, by developing an understanding of the physiology of the normal neonate and the pathophysiology of the sick newborn. The student will gain experience in counseling families, counseling women in labor, immediate management, resuscitation and stabilization of the newborn, learn and experience diagnosis and assessment of neonatal illness, learn different techniques of mechanical ventilation, perform basic procedures, e.g. endotracheal intubation, insertion of venous and arterial lines, etc., learn appropriate dosage and administration of medications, learn discharge planning. All the above will occur under the supervision of the neonatal fellows or attending faculty.

Students will be expected to write admission notes on 1-2 patients each week, to follow their clinical course, write daily notes and to present them at rounds and conferences. To further their clinical experience, they are encouraged to take calls and to participate in the various divisional educational conferences.

           Dr. Deborah Campbell
           All Modules, Half Modules
           Full-Time
           Maximum - 1 Student per month
           Prerequisite: Clerkship in Pediatrics

          To arrange program, contact Rita Gray (718) 904-4105
          First day of elective students meet in Room 725 at Weiler Hospital at 8:00 a.m.

N509  Neonatal/Pediatric ICU - The Children's Hospital at Montefiore & Weiler Hospital

This combined elective in Neonatal and Pediatric Intensive Care is offered in the Neonatal Special Care Unit at the Jack D. Weiler Hospital at AECOM and the Pediatric Critical Care Unit at the Children's Hospital at Montefiore. It is designed so as to provide the student with an appreciation and understanding of critical care medicine in the neonatal and pediatric patient.

The rotation can be equally divided between the two units, or a student may spend one month in either the NICU or the PCCU. Students will be involved in the care of patients under the supervision of the senior residents, fellows, and attending faculty. They will assume responsibility for 1 to 2 patients each week, write admission notes and present their patients on rounds. They are encouraged to attend the many available conferences including: Review and Management, Morbidity and Mortality, Ethics, Journal Club, X-Ray , Perinatology, Research Seminars and Case Reports. Students are encouraged to take call and to participate in the many available educational conferences. 

Drs. Deborah Campbell & Lewis Singer
All Modules, Half Modules
Full-Time. 
Maximum 2 per month
Weiler Hospital NICU:      First day of the elective, students meet at 8:00am in Room 725
CHAM PCCU Rotation:      First day of the elective, students meet at 7:30am on the 10th floor.

Prerequisite: Clerkship in Pediatrics

To arrange program, please contact Ms. Rita Gray (718) 904-4105

 

N510   Pediatric Hematology-Oncology - The Children's Hospital at Montefiore

The Division of Hematology/Oncology at The Children's Hospital at Montefiore cares for children with a wide variety of cancers and non-malignant blood disorders.  The program is large and dynamic, but elective students will be given individual attention during their rotation.  The pediatric hematology oncology attending staff will closely supervise and provide individual teaching to each student.

For two weeks, students will participate in the care of our pediatric hematology/oncology inpatient unit and will participate in daily teaching rounds.  They will also assess and help manage patients on the inpatient consultation service. 

During the other two weeks, students will attend daily outpatient clinic sessions, where they will see patients on their own, precepted by an attending physician.  One morning per week, they will participate in outpatient procedures (bone marrow aspirations/biopsies; lumbar punctures with administration of chemotherapy).  When not in clinic, they will continue participation in the inpatient consultation service.

Elective students will be encouraged to participate in a wide array of educational and patient care activities of the division, including weekly Tumor Board, lectures, bone marrow and blood morphology reviews, and clinical care conferences, as well as, monthly journal club, hematopathology conference and oncology protocol review.

At the end of the elective rotation, student will be expected to give a brief presentation on a topic of their choosing.  Additionally, short research or case reports may be available to interested students.

        Dr. Karen Moody
        (718) 741-2342
        All Modules
        Full time
        Minimum 1, Maximum 2
        Students should report to the Pediatric Hematology/Oncology offices in Rosenthal 3 at 8:30am on the first day of the elective.
 

N511 Adolescent Medicine- Jacobi Medical Center


The Adolescent Medicine Division at Jacobi serves a dynamic population of young people aged 11 to 20 years old. The goal of the rotation is for the student to initiate familiarity with the challenges and rewards of heath care for adolescents.

The student in this elective will work directly under the supervision of the Director, primarily in the outpatient setting, though exposure to adolescent in-patients will also occur. Teenagers with a wide variety of issues will be evaluated, including morbidity from the high-risk behaviors confronting urban youth and their families (violence, drugs, alcohol, unplanned pregnancy, STD's) as well as general adolescent growth and developmental needs. The student will also become familiar with routine health issues for all adolescents, such as nutrition, acne and other dermatological care, common orthopedic problems, menstrual disorders, and routine gynecology, as well as psychosocial stressors involving the family, educational system and peer group. : Involvement in the Teenage Mother's Clinic will allow the student to understand some of the unique issues related to this population, both for the teen parents and their children. Teaching conferences elsewhere in the Lewis M. Fraad Department at of Pediatrics at the Jacobi Medical Center are also open to the student.

          Director: Dr. D. Clare Fried
          (718) 918-4576
          Clare.fried@nbhn.net
          All Modules, Half Modules, Full-time
          Maximum 2 Students

          **Student must get Dr. Fried's approval before registering**



N512  Pediatric Pulmonary Medicine - Children's Hospital at Montefiore 

This elective will encompass the evaluation and management of the child with acute and/or chronic Lung disease. Students will see both outpatients and perform consultation of children hospitalized for respiratory problems.  Students will learn the utility of all diagnostic studies commonly used to manage lung diseases of children, including flexible broncohoscopy and pulmonary function tests.  A physiologic approach will be stressed and students should feel comfortable managing children with common respiratory illness.  Students will be expected to give a short presentation on one aspect of pediatric lung disease at the end of their rotation.

Dr. Raanan Arens
Associate Director of Pediatrics
Albert Einstein College of Medicine
Chief, Division of Respiratory and Sleep Medicine
The Children's Hospital at Montefiore

3415 Bainbridge Avenue
Bronx, New York 10467
T: (718) 515-2330
F: (718) 515-2608
rarens@montefiore.org
 

N514  Research in Infant Development - AECOM

Students will participate in studies concerned with the development of new behavioral techniques to assess perceptual and cognitive functioning in the first three years of life. Current research focuses on assessment of visual and tactual processing, discrimination and memory, as well as on the integration of these sense systems, i.e., on cross-modal functioning. Development of these capabilities is being studies in full term and preterm infants.

Dr. S.A. Rose (430-3042)
email: srose@aecom.yu.edu
All Modules, Full Modules ONLY
Full-Time; Minimum 1 - Maximum 2
Interested students should contact Dr. Rose and arrange appointment.

 

N515 Community Pediatrics Elective- The New York Children's Health Project & The South Bronx Children's Health Center for Children and Families

The New York Children's Health Project over the past years has been providing comprehensive care to homeless families, victims of domestic violence and street youth. Our goal has been to overcome barrier to medical care by utilizing mobile medical units and on-site clinics, which are staffed by clinicians with expertise in dealing with homeless populations. Families are provided with a "medical home" while they reside in the shelter and are given assistance with transitioning to medical care in their community once they are in permanent housing. Care is multidisciplinary, utilizing a team consisting of a registered nurse, case manager, outreach worker, nutritionist and psychologist in addition to the medical providers. Services are enhance with computerized medical records and twenty-four phone coverage.

The South Bronx Children's Health Center is a community health center located in a federally designated health professional shortage area. The center provides comprehensive health care for children and adolescents, as well as, all adult services. A wide array of other health and social services are available to improve access for this underserved community. The center also maintains close linkages with the community by participating in neighborhood based coalitions and local activities. The South Bronx Children's Health Center also operates a school based clinic in a middle school serving one thousand students.

    Goals:

         •Recognize the medical issues relevant to underserved and homeless populations.

         •Acquire knowledge about the physiologic issues relevant to the underserved and homeless population and the methods for 
          addressing  these issues.

         •Learn about the barriers to medical care for underserved/homeless population and identify the ways in which families deal with
           adverse conditions.

         •Develop an understanding of the ways in which clinical care can be responsive to the medical and cultural needs of the
             community an learn about available community resource

Dr. Delaney Gracy
317 E. 64th Street
New York, NY 10021
All Modules
Full-time
Maximum 1
First day meet at 817 Prospect Ave, Bronx, New York

N519  Adolescent Ambulatory Care Elective -The Children's Hospital at Montefiore

An opportunity to interact with non-hospitalized adolescents is offered to the student.  The Adolescent Out-Patient Service at Montefiore Hospital consists of general diagnostic and follow-up clinics and specialty clinics in gynecology, contraception, in chronic diseases, adolescent AIDS, obesity and general Medicine.  The aim is for the student to become comfortable in caring for teenagers while learning about their special medical and psychosocial needs.

In addition to the common problems seen in any ambulatory setting, the student will gain a familiarity with normal pubertal development, management of over and under nutrition, teenage sexuality including sexually transmitted disease and pregnancy, office gynecology, infectious and dermatologic conditions, psychosomatic medicine, consequence of drug  and alcohol abuse and adolescent adjustment problems in the home, at school and with peers.  Close faculty supervision and formal conferences each week within the Division of Adolescent Medicine supplement the experience.

Dr. Unab Khan
Assistant Professor of Pediatrics and Family & Social Medicine
Division of Adolescent Medicine
Children's Hospital at Motnefiore
(718) 920-5098
All Modules, Half Modules
Full-Time, 2 Students

Please contact Oddett Foreman at (718) 920-6781 for information regarding time and place to report.

 

N600 Inpatient Pediatrics - The Children's Hospital at Montefiore

During this 1 month elective, the student will be assigned to one of the inpatient floors at the Children’s Hospital at Montefiore (Infants, Childrens / Hem-Onc, or Adolescents) to function in an intern’s role as an integral part of the housestaff team.  Students will be the primary provider for patients with a wide range of pediatric illnesses requiring inpatient treatment.  They will be responsible for all aspects of care, working under the supervision of senior residents and hospitalist attendings.  Students will gain experience and proficiency in obtaining pediatric histories, performing physical exams, formulating differential diagnoses and management plans, managing psychosocial issues, evaluating test results and interacting with multiple services and disciplines involved in the care of the child.  They will attend all housestaff teaching conferences and meet weekly with the course director.  Call will be every 4th night with an intern on the team.  This elective is open to students from other medical schools with approval of Dr. Schechter as availability is dependent on the number of AECOM students assigned to the service for the required subinternship. 

             Contact: Dr. Miriam Schechter
             mschecht@montefiore.org
             718-405-8040 ext 2613
             Half modules
             Full time, not available December and January

N601 Inpatient Pediatrics- Jacobi Medical Center 

A comprehensive experience is provided on the Pediatric Inpatient Service at Jacobi Medical Center.   During the 4 week elective emphasis is placed upon obtaining a complete medical history, examining sick or injured children and developing a differential diagnosis and care plan for a multitude of pediatric complaints.   In addition, the student will have the opportunity to develop basic procedural skills.

The student will function as a team member, admitting and caring for their own patients, while supervised by residents, chief residents and pediatric attendings. The student will participate in all the inpatient educational activities which include morning work rounds, daily radiology and attending rounds, noon conference and Grand Rounds.  The student will take 6-7 overnight calls in the 4 week period.  

Availability depends upon the number of students already assigned to the pediatric inpatient service for the required subinternship rotation.  All students, including those from other medical schools, should contact Dr. McCann for availability prior to applying for the elective.  Dr. McCann will contact the student via email once she receives the student assignment from the Office of the Registrar at AECOM.

          Director:  Teresa McCann, M.D.
          Telephone: (718) 918-6986
          Pager: (917)219-0568
          teresa.mccann@nbhn.netl
          All Modules, Half Modules, Full Time



N700 Pediatric Allergy/Immunology/Rheumatology: LIJ/SCH

The Clinical Clerkship in the Division of Allergy/Immunology is designed to expose the students to the clinical aspects of primary and secondary immunodeficiency and pediatric allergies; including asthma, food allergies, and drug sensitivity.  The student will acquire skills in history taking, complete physical examination and diagnosis of childhood and adult diseases within our respective section which cover a wide variety of primary and secondary immune deficiencies, rheumatologic diseases, adult and pediatric asthma, and other allergic diseases.  The student will participate in developing a differential diagnosis, establishing a "stage wise" laboratory work-up, and evaluation of the patient.  The student will attend all adult and pediatric clinics, as well as, participate in and attend our post clinic teaching conferences, research conferences, Journal Clubs, and Attending Teaching Ward Rounds.

The student may participate in the laboratory evaluation of their allergic/immunodeficient patients, if desired.  Participation in a clinical research project, or limited basic science laboratory project is encouraged.  The student can schedule time in the research laboratory to gain experience in flow cyotmetry, gene chip mRNA analysis, and other molecular biologic assays that are ongoing in Dr. Bonagura's laboratory in the Feinstein Institute for Medical Research

          Dr. Vincent Bonagura
          (516) 622-5070
          All Modules
          Half Modules
          Student should contact Department for time and place of meeting.



N701 Pediatric Cardiology- LIJ/SC

The Division of Pediatric Cardiology’s Children’s Heart Center offers a comprehensive clinical and academic experience in the diagnosis and management of Congenital and Acquired Cardiovascular Disease in the newborn, infant and fetus.  Participation in this elective will provide the student with an opportunity to address the common, as well as, the uncommon medical and surgical cardiovascular abnormalities of this age group.  The elective includes clinical and didactic exposure to inpatient and ambulatory patient management, interpretation of common noninvasive procedures (ECG interpretation, Echocardiography, electrophysiologic surveillance, dynamic exercise testing), diagnostic or therapeutic cardiac catherization, as well as, surgical management of congenital and acquired cardiovascular disease.

 Inpatient Experience:
Twice daily rounds are conducted on inpatients or children referred to the Pediatric Cardiology Service.  These rounds include consultation and surveillance of patients on the Pediatric General Medical and Surgical Units, the Pediatric Cardiothoracic Surgery Services, the Pediatric Neonatal Intensive Care Unit.  The inpatient population includes patients receiving medical, as well, as pre- and post-operative care in the Pediatric Cardiology and Pediatric cardiothoracic Surgery Services.

During the inpatient experience, the medical student will develop the resiquite skills necessary for examination and management of children with congenital and acquired heart diseases.  These skills include proper selection and use of medical and surgical cardiac therapies.  Emphasis will be placed on the selection, interpretation and application of noninvasive (telemetry, electrocardiography, exercise testing) and invasive (diagnostic/therapeutic cardiac catherization), cardiovascular studies.  The inpatient experience will provide students will skills necessary to integrate clinical cardiovascular data into the management of primary and secondary pediatric cardiovascular anomalies.  Attendance at Open Heart Surgical Room will provide the student with a perspective of the surgical management of cardiovascular disease.

 Outpatient Experience:  
The outpatient pediatric cardiology experience includes eight clinic sessions each week.  During these clinics the student will have the opportunity to examine patients referred for cardiovascular consultation, as well as those being seen for follow-up to invasive cardiology intervention or cardiothoracic surgery.  The patient opoulation referred to the outpatient services of the Children’s Heart Center is a clinical resource that affords the student the opportunity to enhance acquisition of a focused cardiovascular history, promote effective cardiopulmonary auscultation, reduce the uncertainty of ECG and chest x-ray intervention and effectively utilize other diagnostic resources.  The student will have one on one instruction, mentoring by a faculty member. 

Didactic Experience:
The Faculty and Fellows of the Divisions of Pediatric Cardiology and Cardiothoracic Surgery provide formal didactic training through a core curriculum with the additional experience of weekly didactic lectures and multidisciplinary conferences.  The Pediatric Cardiology Faculty preceptor mentors students on an individual basis, affording the student the opportunity to address clinical and didactic issues with the faculty member which are not apparent in larger group discussions.  Weekly lectures on topics related to medical or surgical management of acquired and congenital heart diseases are offered.  In addition to weekly formal joint teaching rounds, the student will attend and participate in the weekly Cardiac-Medical Surgical Management Conferences, as well as, the weekly Pre-catherization conference. 

The format of the Pediatric Cardiology Elective may be modified to accommodate a student’s particular interest.  The latter include emphasis on invasive or noninvasive interventions or initiation of a clinical research protocol. 

Pediatric Cardiology is a challenging subspecialty.  After completing this elective however, the student should be comfortable with the clinical dilemmas confronting the general pediatrician, internist or surgeon dealing with congenital and acquired cardiovascular diseases in the prenatal, pediatric and young adult population. 

Dr. Frederick Z. Bierman & Angela Romano (718) 470-7650
All Modules
Half Modules
Students should contact the Department for time and place of meeting.

 

N702 Development and Behavioral Pediatrics- LIJ/SCH

The clinical elective in development and behavioral pediatrics is designed to increase the student’s understanding of normal and variation in child development and learning.  Students will participate in the evaluation of infants and toddlers with suspected delays in cognitive, language, social, or motor development and of school age children who are experiencing problems of school performance.  Students will learn how to assess premature and term babies for early signs of developmental delay and/or neuromotor impairment.  Students will also learn about available interventions and therapies for children with learning disorders. This will involve some travel to schools and programs on Long Island in which children with developmental disabilities are enrolled.

David L Meryash MD
(516) 802-6113
dmeryash@lij.edu

Division of Developmental and Behavioral Pediatrics
of Schneider Children’s Hospital
1983 Marcus Avenue, Suite 130
Lake Success, NY 11040

Availability varies by module year to year, depending on the number of pediatric residents on rotation assigned to the Division. 

Interested students should contact the above well in advance to determine availability of the elective.

 

N703 Pediatric Endocrinology and Metabolism- LIJ/SCH

 The objective of this program is to teach the student basic principles in the diagnosis and treatment of endocrine disorders (including Diabetes Mellitus) in infancy, childhood and adolescence.  The largest clinical experience will be gained from outpatients seen in the Pediatric Endocrine and Diabetes Clinic approximately 15 new patients and greater than 60 re-visits/week)  Additional experience will be gained from inpatients admitted for management of newly diagnosed diabetes mellitus, Diabetic Ketoacidosis and a variety of other Endocrine disorders.  The student will be required to present for discussion:

1. Cases he/she has seen (history examination, differential diagnosis, selection of appropriate investigations, plan of management.

2. Present a selected endocrine topic for presentation within the Division.

3. Attend the weekly chart review conference.

Should the student be interested, arrangements will be made for him/her to observe techniques in the Pediatric Endocrine Laboratory (peptide hormone, steroid hormone and glycosylated hemoglobin assays).

Dr. Denis E. Carey (718) 470-3290
All Modules
Half Modules
Maximum 1student

Student should contact Department for time and place of meeting.

 

N704- Pediatric Gastroenterology- LIJ/SCH/NSUH

This program familiarizes the student with the field of Pediatric Gastroenterology via reading, observation and participation in management of patients, and provides an opportunity for interaction with outpatients who have Inflammatory Bowel Disease, Malabsorptive and various functional problems of the gastrointestinal tract.  

The student is assigned to the members of the Pediatric Gastroenterology Division for active participation in the activities of that Division.  In the Outpatient Clinic, the preceptors in the presence of the student interview patients.  He/she also makes rounds on the inpatient service.  Students observe procedures such as, sigmoidoscopy, Endoscopy, intestinal biopsy, etc., as they are needed during the course of clinical follow-up studies and of reading assignments are subjects of individual discussions wit the faculty and are presented at scheduled conferences in this division. 

Dr. Jeremiah Levine 
(718) 470-3430
levine@lij.edu
All modules
Half Modules

Students should contact Department for time and place of meeting.

 

N705 Pediatric Hematology-Oncology- LIJ/SCH

This program is designed to expose the student to clinical hematology and simple laboratory techniques required for hematological diagnosis.  The student will acquire skills in history taking and physical examination in children with a wide variety of hematologic and oncologic diseases and will become acquainted with management of these diseases including exposure to clinical and laboratory aspects of Bone Marrow Transplantation.  The program will include the work up of hematologic patients and planning their investigations and treatment.  The student will become acquainted with and gain experience in bone marrow aspiration and morphology of peripheral blood and bone marrow.  A teaching microscope is available for this purpose.  He/she will participate in daily in the daily Hematology Clinic, Transfusion Clinic, Hematology Conference and Daily Ward Rounds on Hematology patients.  The student will be encouraged at this time, if he/she so desires to carry out a small clinical or laboratory research project.

Oncology patients will be seen and examined in the outpatient clinics and on the Hematology-Oncology ward and discussed with faculty.  Students will attend weekly Tumor Board meetings, where a multidisciplinary approach to Oncology patients is presented.

 Dr. G. Karayalcin (718) 470-3460
All Modules
Half Modules
Students should contact Department for time and place of meeting.

 

N706 Pediatric Infectious Disease- LIJ/SCH

The student plays an integral role as part of the Pediatric Infectious Disease Service, which includes the Attending, a Fellow (during some months) and Pediatric Resident each month.  The team evaluates a wide variety of patients with problems such as, fever of unknown origin, Kawasaki's Disease and common and serious infections such as, Meningitis and Osteomyelitis, as well as, less common infections in children with impaired host defenses.  The student will see new patients and follow-up patients, evaluate microbiologic data, and read articles relevant to the cases.  Attending teaching rounds are made on a daily basis and include review of slides in microbiology and pathology and imaging studies.  Monday and Wednesday mornings are spent seeing ambulatory infectious disease patients, including patients referred to the Pediatric Lyme Disease Center.

Objective of Senior Student Elective:

1.    To further the development of a thoughtful and organized approach to patients with complaints related to infectious disease.

2.    To gain familiarity with the clinical presentation, etiologic agents, diagnostic studies and management of patients with common, serious infections, such as, Osteomyelitis, Celluitis, Pneumonia, Meningitis and Sepsis, as well as, viral infections, such as, Varicella and Bronchiolitis.

3.    Be able to perform and interpret a gram-stained smear of body fluid.

4.    Learn the anti microbial spectrum of activity, indications for usage, and adverse effects of commonly used antibiotics.

5.    Properly interpret antibiotic susceptibility data provided by the Microbiology Laboratory.

Requirements:
The student will comprehensively evaluate three to five new consultations per week and perform reading relevant to the cases.  The student will prepare a 20-minute talk to be delivered to the infectious disease team during the last week of the rotation.  The student may choose the topic with input from the attending.  The student will read a collection of articles on key topics in Pediatric Infectious Diseases provided by the Pediatric Infectious Diseases Division.

Dr. Lorry Rubin 
(718) 470-3480
All Modules
Half Modules

Students should contact Department for time and place of meeting.

 

N707 Pediatrics Neonatal and Perinatal Medicine- LIJ/SCH

This program will provide for clinical experience in the regular Newborn Nurseries and the Neonatal Unit, which includes Neonatal Intensive Care.  The student will work with a team of physicians, accompanying them for emergency and elective calls to them to the delivery Room.  The student will be instructed in the  resuscitation of the newborn and the care of the newborn in delivery, will follow the newborn to the nursery and participate in the physical examination of their infant on admission, during hostel stay and on discharge day.

Experience in the follow-up clinic will be provided.  The student will attend all conferences pertaining to Neonatal-Perinatal Medicine and the combined Newborn-Obstetrical Conferences.

For those who desire it, a less structured program is available allowing the student greater freedom and including the option to participate in any of several ongoing research projects.

 Dr. Dennis Davidson 
(718) 470-3440
All Modules except 1A, 1B, 2A & 2B
Half Modules

Students should contact the Department for time and place of meeting.

 

N708 Pediatric Nephrology-LIJ/SCH

The student will be exposed to Clinical Nephrology, including simple laboratory techniques.  He will be encouraged to work up patients with renal diseases admitted to the Hospital.  The student will also be given the opportunity to see patients for whom consultations are requested from the problems related to the subspecialty of Pediatric Nephrology, such as, Hypertension and fluid, electrolyte ans acid-based problems.  The student will be given the opportunity to plan and implement an investigation and management, under the supervision of the Physician-in-Charge of the Division.  The student will be exposed to the preparation for the performing of percutaneous renal biopsies.  Material will be made available to the student to familiarize himself with the history of various renal disorders and he will examine personally the histology of the patient’s biopsies during his elective.  He will participate in all the clinical activities of the physician-in-charge.  This will include the care of ambulatory and hospitalized patients and attendance at conferences on Nephrology.  Should students be interested, he will be given the opportunity to familiarize himself with the principles and problems of hemodialysis.

         Drs. Howard Trachtman, Marclea Vergara, Bernard Gauthier 
         (718) 470-3492 
         Fax (718) 470-0887
         Email: tracthma@lij.edu
         All modules
         Half Modules

         Students should contact the Department for time and place to meet.

 

N709 Pediatric Nephrology- LIJ/SCH

This elective program in Pediatric Neurology offers the student an opportunity to participate in the diagnostic work-up and ongoing care of patients with a broad variety of disorders of the nervous system.   The student will be involved in both the inpatient and outpatient facilities.  The outpatient clinics offer the student exposure to seizure disorders, neuromuscular disorders, mental retardation, learning disabilities and rehabilitation, as well as, a wide variety if less common conditions.  The inpatient experience provides the student the opportunity to investigate the more seriously ill or complicated patient and includes electroencephalography, axial Tomography, and other diagnostic procedures.  Daily teaching rounds are held, and there are weekly conferences in Neurology, Neuroradiology, Neuropathology and Neonatal Neurology.  The student will attend and participate in all the diagnostic procedures.

Dr. Joseph Maytal
Chief of Pediatric Neurology 
(718) 470-3450 
Fax (718) 343-5826
Email: maytal@lij.edu
All Modules
Half Modules
Maximum 1

Students should contact the Department for the time and place of meeting.

 

N710 Adolescent Medicine- LIJ/SCH 

The Adolescent Medicine elective will introduce the student to the unique medical and emotional problems of this age group on the framework of normal adolescent growth and development.  The student will acquire the skills in history taking and physical examination if adolescents, become familiar with modes of intervention for diverse pathology by a multidisciplinary team who see patients in both the outpatient and inpatient settings.  The student will be exposed to the range of issues, eating disorders, substance use, growth and developmental problems, and behavioral issues.  

The student will have the opportunity to care for adolescents at community sites, such as, schools, school based health clinics and residential programs for high risk youth.  Students will work directly with Attendings, House Staff and Adolescent Medicine Fellows.  Regularly scheduled rounds, conferences and individual tutorials will allow the student to achieve the goals of the elective with emphasis on normal adolescent development, common health risks, aberrant behaviors, health maintenance and promotion, as well as, pathology encountered in general pediatric practice.  The program may be individualized towards particular student interests by prior arrangement with a faculty member of the Division.

 

N711 Ambulatory Pediatrics and/or Emergency Pediatrics- LIJ/SCH

This program is designed to provide experience with the full range of ambulatory pediatric problems.  The student will acquire skills in history taking and physical examination in children, becoming acquainted with the steps of development of a differential diagnoses in an ambulatory setting, and will acquire certain specific didactic information in selected areas of pediatric subspecialties in the outpatient clinics.  The course will offer experience in the General Pediatric Clinic and in a variety of rotations including pediatric specialty clinic, depending upon the individual student’s desires.  Patients seen in the general Pediatric Clinic include well babies as well as children, acutely ill children, chronically ill children (especially chronic respiratory disease), behavior problems, school problems, learning problems, retarded children and congenital anomalies.  The outpatient rotation can also be combined with selected inpatient experience.  The following outpatient clinics are in operation: General Pediatrics, Allergy, Cardiology, Cleft Palate, Cystic Fibrosis, Endocrinology, Hematology-Oncology, Human Genetics, Learning Disabilities, Neonatology, Nephrology, Neurology, Ophthalmology, Psychiatry, Pulmonary Surgery and Urology.  Experience will also be provided in the Emergency Room for Emergency Pediatrics.  The schedule can be adjusted to the individual student’s needs.

Dr. Joy Nagelberg 
(718) 470-3280
All Modules
Half Modules

Students should contact the Department for time and place of meeting.

 

N715 Pediatric Critical Care Medicine- LIJ/SCH

The purpose of this program in Pediatric Critical Care Medicine is to provide the student with the foundation for understanding the pathophysiology of acute, life threatening pediatric conditions, and to learn the clinical and therapeutic approaches to specific diseases commonly encountered in a pediatric intensive care unit.  During the rotation. Each student will be assigned patients for which he, along with a Resident in Pediatrics are the primary care providers.  The student will actively participate in the care of these critically ill patients, writing daily orders and progress notes, formulating and presenting daily diagnostic and therapeutic plans, and when appropriate, under the supervision of a Resident or Critical Care Fellow, doing invasive procedures.  Students will be expected to participate in all aspects of care, including social service rounds, discharge planning, meeting with parents, etc.  

By the end of the rotation, the student should have an adequate base knowledge concerning the illness that are commonly seen in the Pediatric Intensive Care Unit and some of the common therapeutic modalities.  Specifically, this curriculum includes the following topics: Cardiopulmonary Resuscitation (CPR), shock, spesis, acute respiratory failure, Adult Respiratory Distress Syndrome (ARDS), lung rescue therapies (permissive hypercarbia, high frequency oscillatory ventilation, inhaled nitric oxide, prone positioning, and ECMO), status asthmaticus, increased intercrainal pressure, endotracheal incubation, mechanical ventilation sedation/paralytic agents, croup, epiglottis, drawing/near drowning, brain death, status epileptics, hypersensitive crises, anaphulaxis, diabetes insipidus (DI)/syndrome, inappropriate antidiuretic hormone secretion (SIADH), acute renal failure, and non-invasive monitoring (pulse oximetry/capnography).

 Dr. Peter Siver and Dr. Mayer Sagy 
(718) 420-3330
All Modules
Half Modules
Student should contact Department for time and place of meeting.

 

 N716 Subinternship in Pediatrics- LIJ/SCH