Pediatric Renal & Hypertensive Diseases Elective
Preceptors: Howard Trachtman, M.D., Laura Malaga-Dieguez, M.D., Ph.D.
Course Code: 13-03
Telephone: (212) 263-6425
Prerequisites: Pediatric Clerkship – Restricted to NYU Students
Students will participate in the clinical activities of the Pediatric Renal and Hypertensive Diseases Service, including clinics and outpatient therapy sessions. A full schedule of educational activities is offered: weekly management conferences, weekly morphology reviews and weekly renal tutorials. Students may 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:
- Familiarize the student with the pathophysiology, diagnosis and management of primary renal glomerular and tubulointerstitial disorders.
- Familiarize the student with the pathophysiology, diagnosis and management of primary and secondary hypertensive disorders.
- Familiarize the student with the pathophysiology, diagnosis and management of common electrolyte disorders.
- Familiarize the student with the pathophysiology, diagnosis and management of office abnormalities detected in primary practice (hematuria, proteinuria, voiding abnormalities).
- Give the student an overview of the kidney manifestations of systemic disease.
- Demonstrate a comprehensive approach to chronic disease including renal replacement therapy by including the student in case management discussions.
- 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:
- Give a cogent case presentation including the elements pertinent to these disorders.
- Perform a system-directed physical examination.
- Interpret the parameters of a full metabolic work-up.
- Recognize striking features of an abnormal urine analysis, blood pressure, etc.
- Increase understanding of the molecular basis of disease by directed literature review.
- Have some appreciation for the techniques employed in the clinical laboratory and in the Dialysis unit.
- Increase his/her familiarity with the principles of managing renal and hypertensive disease patients (acute and chronic), including the appropriate use of blood products.
Key Responsibilities of the student while on Elective
- No night call required on this service
- Students act as primary consultants for inpatient consultations, under the supervisor of a Resident and an Attending.
- Students are primary physicians seeing outpatient with Residents and Attending supervision.
- Students attend all educational activities of the Service:
- Didactic Teaching sessions.
- Patient management conferences.
- Slide review and laboratory teaching sessions and research seminars.
- Students are expected to research and present a selected topic to the Service.
- Renal Clinics – 4 per week, 1 at Bellevue, 3 at private practice site.
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.
Months Offered: All Year except Aug
Report To: 9:00 a.m., Bellevue Hospital – 8th floor Room 8S4-11
Students Per Period: 1
Duration: 4 Weeks