SECTION I. 1 How to Succeed in the Pediatrics Clerkship. SECTION II. 2 Gestation and Birth 3 Prematurity 4 Growth and Development 5. This clinical study aid was designed in the tradition of the First Aid series of books. Each of the chapters contains the major topics central to the practice of pediatrics and has been specifically designed for the third-year medical student learning level. The pediatric clerkship. First Aid for the Pediatrics Clerkship 3rd Edition. The pediatrics clerkship survival guide written by students who aced the clerkship. This powerful review for the.
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First Aid for the Psychiatry Clerkship, 3rd Ed 5. First Aid for the Pediatrics Clerkship, 3rd Ed. First Aid for the Medicine Clerkship, Third wm-greece.info First Aid for the Pediatrics Clerkship, Fourth Edition Get now: http:// wm-greece.info?book=X. HOW TO SUCCEED IN THE PEDIATRICS CLERKSHIP INTRODUCTION This clinical study aid was designed in the tradition of the First Aid series of books.
Even if you are sure you do not want to be a pediatrician, it can be a very fun and rewarding experience. There are three key components to the rotation: 1 what to do on the wards, 2 what to do on outpatient, and 3 how to study for the exam. Be on time. Most ward teams begin rounding around 8 A. Like all working professionals, you will face occasional obstacles to punctuality, but make sure this is occasional.
When you first start a rotation, try to show up at least an extra 15 minutes early until you get the routine figured out. Find a way to keep your patient information organized and handy.
By this rotation, you may have figured out the best way for you to track your patients, a miniature physical, medications, labs, test results, and daily progress. If not, ask around—other medical students or your interns can show you what works for them and may even make a copy for you of the template they use.
We suggest index cards, a notebook, or a page-long template for each patient kept on a clipboard. Dress in a professional manner.
Even if the resident wears scrubs and the attending wears stiletto heels, you must dress in a professional, conservative manner. It would be appropriate to ask your resident what would be suitable for you to wear it may not need to be a full suit and tie or the female equivalent.
Wear a short white coat over your clothes unless discouraged. Men should wear long pants, with cuffs covering the ankle, a long-sleeved, collared shirt, and a tie—no jeans, no sneakers, no short-sleeved shirts. Both men and women may wear scrubs during overnight call. Do not make this your uniform.
The way in which this will affect you will vary from hospital to hospital and team to team, but it is always present to some degree. In general, address your questions regarding ward functioning to interns or residents.
Address your medical questions to residents, your senior, or the attending.
Make an effort to be somewhat informed on your subject prior to asking attendings medical questions. Address patients and staff in a respectful way. Address your pediatric patients by first name. Although you may feel these names are friendly, parents will think you have forgotten their name, that you are being inappropriately familiar, or both.
Nurses, technicians, and other staff are indispensable and can teach you a lot. Please treat them respectfully. Take responsibility for your patients. Know everything there is to know about your patients—their history, test results, details about their medical problem, and prognosis. Keep your intern or resident informed of new developments that he or she might not be aware of, and ask for any updates of which you might not be aware.
Assist the team in developing a plan, and speak to radiology, consultants, and family. Never give bad news to patients or family members without the assistance of your supervising resident or attending.
This means they can refuse treatment by a specific individual e. Patients can even refuse lifesaving treatment. The only exceptions to this rule are patients who are deemed to not have the capacity to make decisions or understand situations, in which case a health care proxy should be sought, and patients who are suicidal or homicidal. Often, this is done in a booklet by the admissions staff.
If your patient is chronically ill or has a life-threatening illness, address the subject of advanced directives. The most effective way to handle this is to address this issue with every patient. This will help to avoid awkward conversations, even with less ill patients, because you can honestly tell them that you ask these questions of all your patients. These issues are particularly imminent with critically ill patients; however, the unexpected can happen with any patient.
Be self-propelled, self-motivated. Volunteer to help with a procedure or a difficult task. Volunteer to give a minute talk on a topic of your choice.
Volunteer to take additional patients. Volunteer to stay late. Bring in relevant articles regarding patients and their issues—this shows your enthusiasm, your curiosity, your outside reading, and your interest in evidence-based medicine.
Inpatient rotations can be difficult, stressful, and tiring. Smooth out your experience by being nice to be around. Call the pediatrician for all puncture wounds. If still bleeding, add more gauze and apply pressure for another 5 minutes. Eye Injuries If anything is splashed in the eye, flush gently with water for at least 15 minutes. Call Poison Help or the pediatrician for further advice. Any injured or painful eye should be seen by a doctor. Do NOT touch or rub an injured eye.
Do NOT apply medicine. Do NOT remove objects stuck in the eye. Do not try to straighten.
Apply ice or a cool compress wrapped in thin cloth for not more than 20 minutes. Call the pediatrician or seek emergency care. If the foot or hand below the injured part is cold or discolored blue or pale , seek emergency care right away.
If clothing is burning, smother flames. Ask the pediatrician how to cover the burn. For burns on the face, hands, feet, or genitals, seek emergency care. After stopping and cooling the burn, keep the child warm with a clean sheet covered with a blanket until help arrives.
If the child is still in contact with an electrical source, do NOT touch the child with bare hands. Pull the child away from the power source with an object that does not conduct electricity such as a wooden broom handle only after the power is turned off. Nosebleeds Keep the child in a sitting position with the head tilted slightly forward.
Apply firm, steady pressure to both nostrils by squeezing them between your thumb and index finger for 5 minutes. If bleeding continues or is very heavy, call the pediatrician or seek emergency care. If dirty, rinse gently without scrubbing or touching the root.
Do not use any cleansers. Use cold running water or milk. Place the tooth in egg white or coconut water or, if those are unavailable, milk, saline solution 1 teaspoon of table salt added to 8 ounces of water , or water, and transport the tooth with the child when seeking emergency care. If the tooth is broken, save the pieces in milk. Stop bleeding using gauze or a cotton ball in the tooth socket and have the child bite down.
Call and go directly to the pediatric or family dentist or an emergency department. Make sure the child is safe from objects that could injure her. Be sure to protect her head. Do not put anything in the child's mouth. Loosen any tight clothing.