Professional Documents
Culture Documents
Pediatrics Books: What Students Said... Textbooks
Pediatrics Books: What Students Said... Textbooks
Review Books
- Blueprints A little wordy, most students do NOT recommend
this!
- First Aid for Pediatrics Good outlined review source
Case Books
- Case Files for Pediatrics EXCELLENT review of major topics. Try to read
twice with rapid read through second time 2 days
before test.
Question
Books/Resources
- Pretest for Pediatrics Excellent questions. Emphasized the major points of
each topic. Probably the best of the pretest series.
- USMLE World for Step 2
CK
In order to improve your examination skills, examine patients who may not even
be yours when interesting findings are present.
Dr. Friday really does a great job of providing materials and orienting you. She is
very dedicated to making your Pediatric Rotation a very educational experience,
whether you are interested in Pediatrics or not. If you have any questions or feel
lost, she is very approachable. She may be a little difficult to track down via
email, so just be persistent! Asking Ms. Scott is also a good way to get questions
answered.
There is a lot of paperwork! However, doing the work will help you prepare for
the OSCE. It is important to keep track of due dates and things to attend so that
you do not miss out on honoring clinically for something small like forgetting to
turn in an assignment. Periodically review what assignments you have left to do.
The H & P’s take awhile but it is worth the effort – if you get an outstanding the
first time you do not have to turn in another one! Make copies of your
completed work/assignments to turn in, just in case it is missing later!
A typical day: Really depends on your team and your senior, so ask on the first
day what is expected of you and what you are to expect. Some attendings round
at 7, some don’t start until after grand rounds and meet up at 9. There are usually
grand rounds daily every day (of some sort) at 8 AM every day. Some teams may
round through noon, so make sure you get a chance to eat (especially if you’re
feeling hypoglycemic!) Some students’ were able to get out early in the day if they
started rounding earlier, and if the attending didn’t take a long time to round.
However, in general, inpatient can be MUCH busier than outpatient. There are
labs to check on, imaging studies to read, tests to schedule, consults to order, the
list goes on! Take every opportunity to ask questions, jot them down as they come
up and ask the attending when you get a chance – more than likely they will
welcome your eagerness and questions!
Picking your outpatient “Specialty” week
INPATIENT vs. OUTPATIENT: Most students try to get their inpatient month
first so that they can have more “study time” the second month, but don’t despair
if you have outpatient first. Just schedule your time accordingly and stay on top of
your studying! You will probably see the most “general” peds on one of the
general peds inpatient teams, but the most specialized teams (Heme/Onc, ID, etc)
are still a good way to see general peds conditions (think sickle cell, anemia, ITP,
asthma, etc), and are also a good way to get some awesome teaching by
specialists that are dedicated to their fields. Even if you’re not interested in peds,
it’s a good way to see some conditions that also present in adult populations.
Pediatric Site-Specific Advice
Site What Students Said…
Children’s Inpatient A great place to learn a lot during your pediatrics
rotation. Many interesting patients are transferred
from other hospitals to CHM.
Children’s Outpatient The docs are great and love to teach. Helpful that
lectures are also at CHM so you can make it. However,
logistics may be confusing and it might be a little slow
in clinic at times. There may be quite a bit of
shadowing, just make the best of whatever experience
you have.
HFHS Outpatient All the sites were excellent. You will have 1 week of
newborn nursery, 1-2 days of ER, and 1 week of clinic.
Dr. Kumar and Dr. E in newborn nursery are really
excellent, and love students. Ask lots of questions!
Also, be proactive in newborn nursery and say you
would like to do a circumcision , do physical exams.
Try and spend some time in the NICU as well. Most
people really enjoy their ER time. Again, being
proactive goes a long way. Ask to see your patients,
and if a patient needs sutures, ask if you can help. Ask
to do as many procedures as possible. Clinic sites are
for the most part good. The attending are very friendly
and approachable and encourage students to see
patients on their own, so take the opportunity to do so.
If you feel as though you are shadowing, be proactive
and ask to see patients on your own. Make sure you
communicate with the sites that they know you are
coming, and that they are aware of any lectures you
might want/have to attend. Dr. Leatherwood at New
Center One is excellent. If you are at the Sterling
Heights clinic, try to work w/Dr. Rodriguez and Dr.
Pollack, as they are both excellent (though everyone is
great).
Beaumont Oupatient Well organized, free food, and not many competition
from other students. Staff is laid back and there are a
good variety of patients. However, you might have to
drive a bit to get to lectures or just to the location
(depending on where you live). One down side is that
students aren’t expected to do a lot so you’re not
pushed as much to learn.
Useful Formulas
See Orange Section of Maxwell’s:
-Anion gap: Na-(Cl+HCO3)
-Fractional Na Excretion: (urine Na x serum Cr)/(serum Na x urine Cr)
-Maintenance Fluids: 4mL for each kg 1-10 + 2 mL for each kg 11-30 + 1mL for
each kg>30
-Corrected Na: Na +[ (glucose-100) x .016]
-Aa Gradient: [713xFIO2)-(PaCO2/0.8)]-PaO2
-ABG Rule: change in 10mmHg PaCO2 = change of 0.08pH
-Osmolality: 2 x Na +glucose/18 +BUN/2.8
-Body Water Deficit (liters): [0.6 x wt (kg) x (patient Na-normal Na)]/ (normal Na)
-Creatinine Clearance (GRS estimation): [urine Cr x urine volume (mL)]/[serum Cr
x time (min)]
[(140-age) x wt (kg)(x0.85 for females)]/[72 x
serum Cr (mg/dL)]
-Corrected total calcium: [0.8x (normal albumin-patient albumin)] + Ca
-Mean Arterial Pressure: diastolic BP + [(systolic BP-diastolic bp)/3]