Pediatrics

Trainees will be exposed to a broad array of congenital and acquired heart disease in pediatrics, ranging from fetal to adult congenital heart patients. Over the course of the elective, students will develop a basic understanding of the physiology of normal circulation, as well as the pathophysiology, diagnostic tests, and management of common forms of congenital and acquired heart disease encountered. Students will be exposed to patients over a broad range of settings, from daily inpatient rounds to outpatient continuity clinics. Additionally, there may be opportunities for trainees to observe complex diagnostic and therapeutic management options, including advanced cardiac imaging, cardiac catheterization, and surgical repair of pediatric heart defects.

Length of Rotation: 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): N/A

Accept Visiting Students: Yes

Learning Objectives

Senior medical students will have an opportunity to participate as a member of the Pediatric Intensive Care Unit team. During the elective, students are directly responsible for the care of their assigned patients under the supervision of pediatric residents, critical care fellows, and attending intensivists. A core curriculum composed of interactive talks on the major pediatric critical care topics is presented two to three times a week, as well as daily radiology rounds and monthly morbidity and mortality conference.


Length of Rotation: 4 weeks (maximum - 1 student)

Scheduling Restriction(s): Not offered 06/19/17 - 07/14/17, 07/17/17 - 08/11/17, 08/14/17 - 09/08/17 and 11/06/17 - 12/01/17.

Student's Class Level:   4th, 5th year

Prerequisite: N/A

Accept Visiting Students: Yes

Learning Objectives

Fourth year students will have the opportunity to evaluate and manage a broad range of acute medical and surgical complaints while honing their clinical skills under direct attending supervision including 36 clinical hours per week in the Pediatric Emergency Department. Education during clinical shifts will be augmented by pediatric emergency medicine fellow education conferences and one on one teaching sessions with the Elective Director. Participation in teaching conferences and mock codes are required.

Length of Rotation: 4 weeks (maximum-1 student) 2 and 3 week rotations considered upon request

Scheduling Restrictions: N/A

Student's Class Level: 4th, 5th year

Prerequisite(s): Pediatric rotation EPIC inpatient training and EPIC ED e-learning (the computer programs/ordering systems used in the hospital.)

Accept Visiting Students: no

Learning Objectives

This elective will provide an extensive exposure to various aspects of pediatric endocrinology, with an emphasis on disorders of growth and sexual development, thyroid function, diabetes (type 1 and type 2), obesity, and bone and mineral metabolism.  The student will participate primarily in the Outpatient Pediatric Endocrinology and Diabetes Clinics, as well as the inpatient service.  Many of our clinics are located at 1 Long Wharf Drive, therefore, transportation is necessary.  The rotation includes participation in weekly pediatric endocrinology endocrinology conferences as well as conferences held jointly with the adult endocrinology service.  

Length of Rotation: 4 weeks (maximum - 2 students)

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): N/A

Accept Visiting Students: Yes - must have a strong command of English

Learning Objectives

This elective provides a broad experience in the diagnosis and management of pediatric malignancies and hematologic disorders of infancy and childhood. The student functions as part of the inpatient service team, and participates in the outpatient clinic 3-4 mornings each week. Weekly conferences include the multidisciplinary Pediatric Tumor Board, Leukemia and Lymphoma Conference, Section Conference and weekly Pediatric Hematology/ Oncology patient management rounds.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): Pediatric clerkship

Accept Visiting Students: 4 Week - Yes, 2 Week - No

Learning Objectives

Students will participate in pediatric infectious disease rounds by presenting the case study of an inpatient that they have examined to a group of faculty and fellows. Emphasis will be placed on the correlation of the clinical problem and its practical management with principles of infectious epidemiology and clinical microbiology (bacteriology and virology). Consulting rounds are held daily. Teaching rounds in Diagnostic Microbiology are held four times per week at 11:00 A.M. Weekly divisional rounds will last approximately two hours and are held on Thursday afternoons. Students also attend the Pediatric AIDS Clinic.

Length of Rotation: 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 4th, 5th year

Prerequisite(s): Completed Pediatric clerkship or special permission from ID faculty member

Accept Visiting Students: Yes - one visiting student per elective period, departmental approval

Learning Objectives

Students spend two weeks on the step-down service, followed by two weeks on the intensive-care service. On each service students attend medical rounds and follow neonatal patients and write progress notes under close supervision. Students attend delivery room resuscitations and stabilizations, and prenatal consultations. On both services students attend general and student-oriented educational conferences, and attend radiology rounds. Students will also pursue independent study on topics in neonatology and make brief presentations to the clinical team. Additional opportunities, such as attendance at outpatient developmental follow-up exams, are available to students based on interest.

Length of Rotation: 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): Must have a strong command of English

Accept Visiting Students: No

Learning Objectives

During this elective, you will be exposed to a broad variety of activities in the Section of Pediatric Respiratory Medicine. These will include evaluation and treatment of infants and children with acute and chronic respiratory diseases such as asthma, cystic fibrosis, bronchopulmonary dysplasia, bronchiolitis, pneumonia, aspiration syndromes and obstructive sleep disorders. We will review the basics of mechanical ventilation. The emphasis is learning how to assess respiratory dysfunction by physical exam and laboratory testing.

You will rotate through the inpatient and various outpatient services and specialty clinics (i.e. Asthma, BPD, EIB, MDA, Trach /Vent & Sleep), Pulmonary Function Laboratory, Exercise Stress Testing Lab and Pediatric Sleep Center.

In addition, you will have the opportunity to experience one of only 2 CF Center's in the state of CT offering a multidisciplinary team approach providing a comprehensive “state of the art” care of CF patients.

  • Students expected to participate in seminars, journal club and patient rounds and clinics.
  • Visiting students must submit their Transcript, CV, copy of application and one letter of recommendation for consideration.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): N/A

Accept Visiting Students: Yes

Learning Objectives

Students participate in the evaluation and management of patients on the pediatric inpatient service, pediatric ICU, neonatal ICU and pediatric specialty center. Patient problems encompass the full range of clinical renal disorders, including fluid and electrolyte disturbances, acute and chronic renal failure, various forms of glomerulonephritis and interstitial nephritis, nephrolithiasis, hypertension, intoxications, inherited renal diseases and urinary tract abnormalities. A pediatric nephrology faculty member serves as attending physician at all times, and conducts teaching rounds daily. These teaching sessions provide supervision and training in the practical aspects of patient management, as well as instruction in the basic scientific disciplines that underlie the clinical practice of nephrology.

Students participate in outpatient renal clinics under the supervision of the faculty, gaining experience in the work-up of common renal disorders not initially requiring hospitalization (e.g., proteinuria, hematuria, mild azotemia), the assessment and treatment of childhood hypertension and the long-term follow-up of patients after discharge from the inpatient and transplant services.  Our clinics are held in the Pediatric Specialty Centers at WP-2 and at Long Wharf.  We also have clinics in Norwalk and Old Saybrook but students are not required to participate in those clinics.

Several teaching conferences are devoted to clinical nephrology. The most important of these is the Friday Pathophysiology Lectures that encompass renal pathology; renal physiology; diseases of the glomerulus, tubules, and interstitium; renal transplantation; electrolyte disorders; and stone disease and is attended by all trainees and faculty in both pediatric and adult nephrology.  In addition, a formal Pediatric Renal core curriculum is held every Monday at 11:00 AM and Pediatric Renal Rounds is held every Friday afternoon (from 1:15-2:30). 

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 4th and 5th year

Accept Visiting Students: 4 Week Only: Yes

Learning Objectives



This 2-week (or 4-week) elective provides hands-on experience in Pediatric Neurology in both inpatient and outpatient clinical settings. In the mornings, students attend rounds with supervising attending as well as adult and pediatric neurology residents. Students are exposed to acute common as well as rare Pediatric Neurology disorders such as epilepsy, headaches, mental status changes and weakness. The students will obtain histories and perform neurological examinations on newly admitted patients or consult patients. Bedside discussions regarding diagnosis, work up and treatment are encouraged. In the second part of the day, students are given the opportunity to participate in the Pediatric Neurology consultation service or outpatient clinics. The consultation service exposes students to various emergencies in Pediatric Neurology such as seizures, status epilepticus, stroke and other acute neurological issues. Both general Pediatric Neurology as well as subspecialty clinics (such as Epilepsy, Headache, Movement Disorders, Multiple Sclerosis, Neuromuscular, EMG) are available. In addition, students are introduced to different procedures typical for Pediatric Neurology including spinal tap, electroencephalogram, brain and spine imaging techniques and electromyogram.

A certain degree of flexibility exists in arranging the schedule to satisfy student interests. The Elective will generally be exposed to a mixture of outpatient and inpatient clinical care, but may be designed as a purely outpatient clinical rotation.

Travel maybe necessary between YNHH and our Long Wharf location for some of the afternoon clinics.

NOTE: This Elective is a priority for students who are interested in Child Neurology as a career. However, the rotation is also applicable for students who are planning a career in general pediatrics or in adult neurology. Additionally this Elective would apply to those students who did not rotate through Pediatric Neurology as a 3rd-yr medical student or for those who seek additional experience. In general, during this elective will expose students to a mixture of outpatient and inpatient clinical care, but may be designed as a purely outpatient clinical rotation.

Length of Rotation: 2 or 4 weeks (maximum - 1 student)

Scheduling Restriction(s): N/A

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): N/A

Accept Visiting Students: Yes

Learning Objectives

The sub-internship in Pediatrics is a four-week inpatient rotation during which senior medical students who have successfully completed their clerkships in Pediatrics and Internal Medicine are considered the equivalent of an intern and are directly responsible for the care of their assigned patients under the supervision of resident and attending physicians.  There are three patient care units in Yale-New Haven Children’s Hospital that students may be assigned to: the Pediatric ICU and two units with a mixture of general and specialty pediatric patients, 7-2MC and 7W.  Typically, up to three students can be accommodated in the rotation each block – one on each unit. The schedule of shifts will be as that of an intern.  All sub-interns regardless of placement will take daytime and evening shifts; those working on 7W will also have overnight shifts.  Sub-interns are subject to the same duty hour restrictions as the interns.

This rotation is a great opportunity to develop your organizational skills and experience the pace of internship in a supportive environment. An emphasis is placed on being a good team member, taking ownership of one’s patients, and demonstrating improvement in intern skills (clinical reasoning, communicating with patients/families, organization, prioritization, presentation, and efficiency) through incorporation of constructive feedback.

Interested students will receive an introduction to the Pediatric Sub-internship from Dr. David Hersh, the director of the elective, during an informational meeting. Immediately following that meeting, enrollment will be opened for the next academic year. Every attempt is made to place students in their highest preference block, but given the demand for a limited number of slots this may not be possible.

Length of Rotation: 4 weeks (maximum - 3 students)

Scheduling Restriction(s): Special Contract Scheduling

Student's Class Level: 3rd, 4th, 5th year

Prerequisite(s): Satisfactory completion of 3rd year Pediatric and Internal Medicine clerkships

Accept Visiting Students: US: Yes; Int'l: No

Learning Objectives

Students considering this specialty should consider the following electives or subinternships:

Dermatology

  • EL Dermatology Electives

Emergency Medicine

  • EL Emergency Medicine Electives

Frontiers in Medicine

  • EL Frontiers in Medicine Elective

Internal Medicine

  • EL Internal Medicine Analytical Clinical Cardiology Elective
  • EL Internal Medicine Cardiology Elective (VAMC)
  • EL Internal Medicine Cardiology Elective (YNHH)
  • EL Internal Medicine Geriatric Medicine Elective
  • EL Internal Medicine Geriatric Medicine Elective (YNHH/SRC)
  • EL Internal Medicine Palliative/Hospice Medicine Elective (Branford, CT)

Obstetrics & Gynecology

  • EL Obstetrics & Gynecology Outpatient Elective

Orthopaedics and Rehabilitation

  • SI Orthopaedics and Rehabilitation Subinternship

Pediatrics

  • EL Pediatrics Electives
  • EL Pediatrics Cardiology Elective

Surgery

  • SI Surgery Plastic and Reconstructive Surgery Subinternship