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Pediatrics
Education Program
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Undergraduate
Clinical Courses |
| Ped 872 |
Third
Year Pediatric Clerkship |
| Ped 974 |
Primary Care Selective in Pediatrics |
| Ped 976 |
Pediatric Electives |
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| Graduate(Residency) |
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Undergraduate
Clinical Courses |
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Ped
872 -Third Year Pediatric Clerkship
Report to: Yvonne Blasini, MD,
Undergraduate Coordinator/Clerkship Director, Maria Aranda,
MD, HESL Site Coordinator, Wilson Franqui, MD, Yauco
Site Coordinator
Course Overview
The purpose of this clerkship is to provide a solid core of
pediatric knowledge and skills, an appreciation of the
spectrum of growth and development, and a logical approach
to the care of children in both illness and health, which
can be applied in whatever field of medicine you enter.
The Third Year Pediatric Clerkship is a forty days (approx.
eight weeks) rotation. This takes place at two main sites:
Hospital Episcopal San Lucas - Ponce and in Tito Mattei
Metropolitan Hospital in Yauco. Two groups of six to eight
students alternate in each site during the eight weeks
rotation. Each group rotates for 4 weeks in each site. The
rotation in Hospital Episcopal San Lucas will focus on the
inpatient care of pediatric patients. The Tito Mattei
Hospital rotation will focus on outpatient care of pediatric
patients. Students will also have an emergency room and well
baby nursery department experience while rotating in both
sites.
The Pediatric Clerkship emphasize in normal growth and
development, in principles of health promotion, disease and
lesion prevention. An essential skill for success as a
clinician and life long learner is clinical problem solving.
The process of going from a patient’s chief complaint to the
creation of an appropriate differential diagnosis and the
formulation of a diagnostic therapeutic plan is the core of
clinical pediatric medicine. Skills essential for competent
medical care to be acquired through the clinical experience
are:
• the ability
to conduct a pediatric interview
• perform a
complete pediatric physical exam
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interpretation of medical data
• communicate
oral and written information
• integrate
basic science knowledge
• search and
read the literature critically
• provide
patient education
The care of individual patients requires the application of
all these skills. The student is expected to recognize and
manage common pediatric acute and chronic health problems.
Also, skills in record documentation and writing
prescriptions must be developed.
A student must have well developed interpersonal skills that
facilitate communication, and must also demonstrate
attitudes, behaviors and beliefs that serve to promote the
patient’s best interest.
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Ped 974 - Primary Care Selective in Pediatrics
Duration: Four Weeks; No. of
Students: One; Availability: Throughout the year
(consultation with course coordinator required);
Location: Hospital
Metropolitano Tito Matei at Yauco, PSM Practice Group, CDT
La Playa; Site Coordinatosr: Wilson Franqui, MD, Ivonne E.
Galarza MD, Jenny Melero, MD
Course Description: This
elective allows the student to participate in the care of
pediatric patients in a setting where primary care
pediatrics is practiced. Students will assume the care of
pediatric patients in the ambulatory and inpatient settings
of primary and secondary community hospitals, under the
supervision of an academic physician.
Health promotion and disease prevention strategies are
emphasized. Experiences in the care of acute and chronic
pediatrics problems are provided with opportunities for
continuity of care between inpatient and outpatient hospital
settings. The elective also provides opportunities to
perform pediatric procedures such as venipunctures,
suprapubic taps and lumbar punctures.
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Ped 976 - Pediatrics Electives(Fourth Year Electives)
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Pediatric Sub-Internship
(Hospital Episcopal San Lucas/ PSM Consortium
Pediatric residency program [HESL]).
Duration: Four weeks
Report to: Luisa Alvarado, MD, Residency
Director, Maria Aranda, MD, HESL
Pre-requisite: Third Year
Pediatric Clerkship
Months Offered: All, by arrangement; Course
Coordinator: Maria Aranda, MD
No. of Students: 1-2
Course Description: The
Department of Pediatrics at HESL provides medical students
with an opportunity to experience a full range of inpatient
pediatric activity in the setting of a community hospital.
The facilities include pediatric general and specialty
ambulatory services, children and adolescent inpatient
units, pediatric intensive care unit, and a neonatal
intensive care unit. The students will interact with
teaching staff and Pediatric residents at HESL. The
full-time teaching faculty is complemented by pediatric
sub-specialists based in HESL. A wide range of clinical
problems is derived from the large population base of varied
socioeconomic status that the Department serves.
Fourth-year medical student who select the sub-internship,
acquire and apply medical knowledge and skills that lead to
the diagnosis and management of relevant pediatric illnesses
within the hospital setting. In doing so, the students are
supervised by faculty and residents who encourage and assure
the provision of the best possible medical care, and promote
the development of professional attitudes and behaviors
expected of a competent and sensitive physician. Fourth year
students taking elective sub-internships in pediatrics are
given direct patient care responsibilities under supervision
of senior residents and attending pediatrician.
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Emergency Pediatrics Elective
Duration: Four Weeks
No. of Students: One
Availability:
Academic Year by Arrangement
Location: Hospital Episcopal
San Lucas Pediatric Residency Program
Course Coordinator: ER
Pediatric Attending
Course Description: The student
will be assigned to the Pediatric Emergency Room (ER), where
the student will have the opportunity to evaluate and manage
children with acute medical problems. In the ER the student
will be able to diagnose and initiate treatment under the
supervision of the ER Pediatric Attending. The student will
obtain medical histories and perform focused physical
examinations on the assigned patients, and will assist or
perform diagnostic/therapeutic procedures under supervision.
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Pediatric
Subspecialty Office-Based
Duration: Four Weeks
No. of Students: One
Availability: By arrangement,
needs approval by Pediatric Chairperson.
Location: By arrangement, needs
approval by Pediatric Chairperson;
Course Coordinator:
Sub-specialist
Course Description: This course offers in-depth
exposure to pediatric subspecialties by providing clinical
experiences in the practice settings of qualified Pediatric
sub -specialist. The student will observe and participate in
the care of children with complex medical problems that
require subspecialty care in outpatient and hospital
settings. The student will expand his/her knowledge of the
subspecialty field and will become aware of the needs of
children with chronic and complex medical problems.
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Child
Advocacy
Duration: Four Weeks
No. of Students: One
Availability: By arrangement
with Pediatric Chairperson
Location: Community Site
Department of Pediatrics Ponce School of Medicine
Course Coordinator: Lillian
Rivera, MD, FAAP
Course Description: This course
is designed to develop and nurture medical students with
interest in Pediatrics, to become child advocates on behalf
of children at risk. The course is comprised of clinical
experiences at community sites, review and in-depth
discussion of relevant literature, and the development of a
“community advocacy project."
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Neonatal Intensive Care
Duration: Four Weeks
No. of Students: One
Availability: Throughout the
academic year
Location: HESL,// Damas
Neonatal Intensive Care Unit
Course Coordinator: Dr.
Isabel Cabrera/ Dr. José Ortiz,// Jose Rodriguez
Course Description:
The student will be exposed to critically ill newborn
infants, especially premature babies in a tertiary nursery,
and will have the opportunity to work as part of a neonatal
care team. He/she will diagnose and treat critical neonatal
problems under the supervision of a staff neonatologist.
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Pediatrics Respiratory and Allergic Diseases
Duration: Four Weeks
No. of Students: One
Availability: Throughout the
academic year (consultation with course coordinator
required)
Location: HESL; Course
Coordinator: Dr. Vylma Velázquez
Course Description:
The student will be exposed to and have the opportunity to
care for patients with acute and chronic respiratory and
allergic conditions in a variety of ambulatory and inpatient
settings, including critically ill patients with diverse
clinical conditions admitted to a Pediatric Intensive Care
Unit.
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Critical Care
Duration: By arrangement of
course coordinator
Course Coordinatotor:
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Graduate(Residency) |
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Pediatric Residency Program at Hospital Episcopal San
Lucas - Ponce
Our Pediatric Residency Program is sponsored by the Hospital
Episcopal San Lucas and Ponce School of Medicine Consortium
and accredited by the Accreditation Council on Graduate
Medical Education. Its main goal is to develop pediatricians
with advanced pediatric knowledge and skills, capable of
providing high quality health care and advocating for
children and families.
Our Program provides a well balanced curriculum in General
Pediatrics and Subspecialties through a wide variety of
inpatient and outpatient experiences and a diverse patient
population. Our teaching staff is composed of qualified
primary care pediatricians and subspecialists with a strong
commitment to graduate medical education. The teaching staff
is readily available, stimulating and caring. Clinical
experiences are enriched by an active program of didactic
activities, opportunities for research and community
advocacy. As a result our graduates are well prepared for
general pediatric practice or subsequent subspecialty
training.
Each year the program recruits six residents. Our main
teaching facility is Hospital Episcopal San Lucas (HESL), a
324 bed secondary and tertiary facility in the city of
Ponce, located in the southern area of Puerto Rico. HESL has
accredited residency programs in Transitional Year,
Pediatrics, Internal Medicine and Obstetrics and Gynecology.
It also serves as the main clinical teaching institution for
Ponce School of Medicine students.
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The core teaching staff is composed
of the following members:
- Luisa I Alvarado, MD Program Director
- Vylma Velazquez, MD Program Coordinator
- Ivonne Galarza, MD
- Jenaro Scarano, MD
- Lydia Irizarry, MD
- Alicia Serrano, MD
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In addition to many sub specialists and community based
faculty
Research: The program’s faculty and residents are actively
involved in clinical research activities and presentations
at the local, regional and national levels. Research
interests are diverse and recent projects have investigated
important aspects of pediatric health in Puerto Rico, such
as the Dengue Fever epidemic and the serious public health
problem of prematurity.
Community Advocacy and Quality Improvement: Pediatric
residents and faculty are involved in may community advocacy
activities and have been recipients of grants from the
American Academy of Pediatrics (CATCH Program) and the Reach
Out and Read Program. The residents participate in
institutional quality improvement initiatives and perform
their own quality improvement projects on a yearly basis.
Accreditation Status: Full accreditation by the ACGME
Application Process: Applications are received through ERAS
and selection is made through the National Resident Matching
Program
Resident Benefits and Stipends: Pediatric Residents are
employees of the Puerto Rico Department of Health and have
the following benefits:
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- A $2,115 monthly salary during the first year of
training, $2,160 during the second year, and $2,260
during the third year.
- Christmas bonus
- Medical insurance for the resident with an option
for additional coverage for his/her family
- Breakfast and lunch meals while on duty in the
hospital
- Malpractice insurance
- Employment disability insurance
through the State Insurance Fund
- Modern sleeping and lounge facilities
- Maternal and paternal leave
- Life insurance
- Modern general facilities in Hospital Episcopal San
Lucas
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