Preceptors: Nicole Mallory, M.D.
Course Code: 13-06
Telephone: (212) 263-9912

Prerequisites: Pediatric Clerkship

Description

Students will participate in the clinical activities of the Pediatric Hematology-Oncology Service, including clinics and outpatient therapy sessions. A full schedule of educational activities is offered: weekly management conferences, weekly morphology reviews, weekly hematology tutorials, tumor boards and journal clubs. Students will participate in joint seminars with the Adult Hematology 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 hematology and oncology 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

I. The elective rotation in Pediatric Hematology-Oncology is designed to accomplish the following goals:

• Familiarize the student with the pathophysiology, diagnosis and management of primary hematologic and oncologic disorders.
• Give the student an overview of the hematologic manifestations of systemic disease.
• Demonstrate a comprehensive approach to chronic disease by including the student in case management discussions.
• Integrate molecular biologic/genetic principles with the clinical diagnosis and management.

II. 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 CBC, basic coagulation tests and a thrombosis work-up.
• Recognize striking features of a blood smear.
• Increase understanding of the molecular basis of disease by directed literature review.
• Have some appreciation for the techniques employed in the Hematology Laboratory.
• Increase his/her familiarity with the principles of managing oncology and chronic hematology patients, including the appropriate use of blood products.

Key Responsibilities of the student while on Elective

1. No night call on this service.
2. Students act as primary consultants for inpatient consultations, under the supervision of a Fellow and an Attending.
3. Students are the primary physicians seeing outpatients with Fellow and attending supervision.
4. Students attend all educational activities of the Service:
   1. Journal Club
   2. Tumor Boards
   3. Didactic Teaching sessions
   4. Patient management conferences
   5. Slide review and laboratory teaching sessions
   6. Research seminars
5. Students are expected to research and present a 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

Months Offered: All Year

Report To : 9AM, Hassenfeld Center, 160 East 32nd Street, medical floor, L3.

Students Per Period: 1

Duration: 4 Weeks