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Electives and "Selectives" |
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| On the way to clinic |
Junior and senior residents have 8-10 weeks of elective time, 2 weeks of which is call free. Senior residents have 14 weeks of elective and selective, of which 6 weeks is call free. Residents may pursue a broad array of clinical and research interests during their electives, including areas outside of traditional pediatrics, such as anesthesia, toxicology, transport medicine, international medicine, or surgery. In addition to electives, senior residents have 4 weeks of core subspecialty experiences (outpatient and inpatient) incorporated into the curriculum as "selectives".
The selectives offered for the 2011-2012 year are:
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| Practicing on Asthma Day |
Allergy, Immunology and Rheumatology. During this ambulatory experience at Children's Hospital Boston residents participate in outpatient clinics in the Allergy, Immunology and Rheumatology division. Residents typically have two new allergy/ immunology patients scheduled for them at each clinic, which they evaluate under the supervision of an allergy/immunology attending physician. The combination of direct care experience and teaching on the ambulatory rotation is designed to expose residents to common topics including: atopic dermatitis and allergic rhinitis, urticaria, angioedema and anaphylaxis, food, drug and insect venom hypersensitivity, primary immunodeficiency JRA, SLE, juvenile dermatomyositis, Kawasaki's disease and acute rheumatic fever.
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Endocrinology. Residents who participate in this selective attend endocrine outpatient clinics two to three afternoons per week where they are responsible for evaluating two new patients, precepted by an attending endocrinologist. Fundamental topics evaluated and discussed during this experience include: short stature, delayed or precocious puberty, and premature adrenarche. Additionally, residents spend time on the endocrinology inpatient teams where they have in-depth instruction in the daily management of patients with both new onset and known diabetes mellitus, hypoglycemia, calcium abnormalities, diabetes insipidus, and adrenal insufficiency. Residents attend Endocrinology Grand Rounds (held jointly with adult institutions in the area), a weekly endocrinology seminar designed for fellows and house staff, and weekly clinical case conferences.
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Nephrology. During the nephrology rotation residents spend mornings with the inpatient nephrology service, evaluating patients newly referred for consultation from the ER and inpatient wards. Afternoons are generally spent in the ambulatory clinics of the nephrology division. Residents have the opportunity to observe renal biopsies and attend weekly pathology review sessions. Several times each week the residents attend lectures presented by the attending or other members of the renal team during core curriculum lectures, divisional conferences, nephrology basic science conference and informal didactic sessions.
Neurology. The neurology selective offers residents learning opportunities in a variety of clinical settings including: inpatient neurology wards, outpatient clinics, and consult service. The clinical experience is enhanced by a lecture series, given by staff neurologists and the senior neurology fellows, that focuses on commonly encountered pediatric neurological problems such as headache, seizure, and neuromuscular disorders.
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