Preceptor: Laura Malaga-Dieguez, MD, PhD, Marissa Lipton, MD
Course Code: 13-03
Telephone: 212-263-6425

Prerequisites: Pediatric Clerkship

Description

Students will participate in the clinical activities of the Pediatric Nephrology Division, including outpatient clinics, including kidney transplant clinic, and inpatient service consultations. In addition to the clinical experience, a full schedule of educational activities is offered: Weekly management conferences, pathology sessions and one on one pediatric nephrology teaching with the faculty. Students will participate in joint seminars with the Adult Nephrology Service, be assigned new patients for consultation and chronic patients for follow-up and they will also be exposed to the psychosocial aspects of chronic care.

It has been our past experience that this clinical rotation provides a good overview of pediatric Nephrology without requiring a high degree of specific expertise. Students achieve a feel for the specialty and are exposed to a wide variety of diagnostic and therapeutic problems.

Objectives of the Elective

The elective rotation in Pediatric Nephrology is designed to accomplish the following goals:

1. Familiarize the student with the pathophysiology, diagnosis and management of primary renal glomerular and tubulointerstitial disorders.
2. Familiarize the student with the pathophysiology, diagnosis and management of primary and secondary hypertensive disorders.
3. Familiarize the student with the pathophysiology, diagnosis and management of common electrolyte disorders.
4. Familiarize the student with the pathophysiology, diagnosis and management of office abnormalities detected in primary practice (hematuria, proteinuria, voiding abnormalities).
5. Give the student an overview of the kidney manifestations of systemic disease.
6. Demonstrate a comprehensive approach to chronic disease including renal replacement therapy by including the student in case management discussions.
7. Familiarize the students with all modalities of renal replacement therapies including pediatric kidney transplantation.
8. Integrate molecular biologic/genetic principles with the clinical diagnosis and management.

At the end of the four week rotation the Student will be able to:

1. Give a cogent case presentation including the elements pertinent to these disorders.
2. Perform a system-directed physical examination.
3. Interpret the parameters of a full metabolic work-up.
4. Recognize striking features of an abnormal urine analysis, blood pressure, etc.
5. Increase understanding of the molecular basis of disease by directed literature review.
6. Have some appreciation for the techniques employed in the clinical laboratory and in the Dialysis unit.
7. Identify the indications for renal replacement therapies and discuss the different modalities, including kidney transplantation.
8. Increase their familiarity with the principles of managing kidney and hypertensive disease patients (acute and chronic).

Key Responsibilities of the student while on Elective

1. No night call required on this service
2. Students act as primary consultants for inpatient consultations, under the supervisor of a Resident and an Attending.
3. Students are primary physicians seeing outpatient with Residents and Attending supervision.
4. Students attend all educational activities of the Service.
5. Students are expected to attend Didactic Teaching sessions.
6. Students are expected to attend Patient management conferences.
7. Students are expected to research and present a case and selected topic to the Service.

Didactic Program

Students are fully integrated into the elective, receiving the same didactic program as Pediatric Residents on elective.

Method of Evaluation

Students are evaluated by the faculty with whom they had contact, by consensus discussion.

Scheduling Information

Students should email Pediatric Nephrology faculty the week before the elective starts: laura.malaga-dieguez@nyulangone.org, marissa.lipton@nyulangone.org

Months Offered: All Year
Report To: 9:00 a.m., 403 E 34th Street, Suite 102, 10016, New York, NY or as indicated in prior email exchanges with the faculty.
Students Per Period: 1
Duration: 4 Weeks