Jocelyn Schiller, M.D.
Sonal Owens, M.D.
Sharon Kileny, M.D.
Please contact us if you have questions or comments about the clerkship.
Also, you must contact us if you are absent from conferences or clinical
assignments. Otherwise you will receive an unexcused absence, which may
adversely affect your grade.
Clerkship Web Site
The overall goals for the third year
Pediatric Clerkship are listed below. The purpose is to outline the “core” of
pediatric knowledge, skills and professional attitudes that are fundamental
for all medical students. Additional subsection-specific intended learning
objectives are also delineated for each component of the clerkship.
The student will learn:
- Normal growth, development and behavior and their assessment,
as well as approaches to abnormalities from infancy through adolescence.
- Health maintenance and preventive care for children, including
age-related issues in nutrition, safety, vaccination and risk factor
identification and modification. (IO-3)
- Common acute and chronic pediatric conditions, congenital and
genetic syndromes, and the importance of age on their manifestations
and treatment. (IO-3)
- Principles of physiology and pharmacology applicable to children
from birth through adulthood, especially age-related changes. (IO-3,5)
The student will demonstrate competence in:
- Communication skills:
- Interacting effectively and sensitively with families, children
and adolescents, and with health care teams in verbal and written
- Recognize the important role of patient education in prevention
and treatment of disease. (IO-10)
- Verbal Presentations: Organize a case presentation to accurately
reflect the reason for the evaluation, the chronology of the history,
the details of physical findings, the differential diagnosis and
the suggested initial evaluation. Include age specific information
and precise description of physical findings. Justify the thought
process that led to the diagnostic and therapeutic plan. (IO-8)
- Written Documentation: Document the independent clinical thinking
of the student. When using templates, or their own prior documentation,
students should carefully adjust the note to reflect newly completed
work and to ensure the note is a useful addition to the medical record.
- History Taking: From parents, children and adolescents and in
more complex situations (e.g. adolescent psychosocial interview, more
demanding parent), collecting complete and accurate information and
focusing appropriately. (IO-7)
- Describe how to modify the interview depending on the age of
the child, with particular attention to the following age groups:
toddler/preschooler, school-age child, adolescent, including when
to address questions to child versus parent. (IO-7)
- Physical Exams: Exam of infants, children and adolescents, adapting
appropriately to the age of the patient. (IO-7)
- Clinical Problem Solving: Using data from history, physical, labs
and studies to define problems, develop a differential diagnosis, and
identify associated risks. (IO-8)
- Clinical Decision Making: Incorporating patient data with patient
needs and desires when formulating diagnostic and therapeutic plans
for pediatric problems within the context of the patient and their
- Self-Education: Recognizing knowledge deficits and learning needs
through a reflective self-assessment process, plan or seek assistance
in remediation of knowledge deficits, develop key critical thinking
and problem solving skills. Seek feedback. (IO-2,4)
The student will be expected to:
- Demonstrate compassion, empathy and respect toward children and
families, including respect for the patient’s modesty, privacy
and confidentiality. (IO-1)
- Demonstrate communication skills with patients and families that
convey respect, integrity, flexibility, sensitivity and compassion.
- Demonstrate respect for patient, parent, and family attitudes,
behaviors and lifestyles, paying particular attention to cultural,
ethnic and socioeconomic influences to include actively seeking to
elicit and incorporate the patient’s parent’s and family’s
attitudes into the health care plan, showing flexibility to meet the
needs of the patient and family. (IO-1, 10)
- Function as an effective member of the health care team, demonstrating
collegiality and respect for all members of the health care team. (IO-1,
- Demonstrate a positive attitude and regard for education by demonstrating
intellectual curiosity, initiative, honesty, responsibility, dedication
to being prepared, maturity in soliciting, accepting and acting on
feedback, flexibility when differences of opinion arise and reliability.
- Identify and explore personal strengths, weaknesses and goals.