Pediatric Emergency Medicine Subinternship

Pediatric Emergency Medicine Subinternship

Overview

Harbor-UCLA Medical Center Department of Emergency Medicine includes an 18-bed separate Pediatric Emergency Department adjacent to and sharing a trauma resuscitation bay and imaging facilities with adult emergency department areas. The PED is staffed by emergency medicine, pediatrics, and family medicine residents supervised by PEM-boarded pediatrics and emergency medicine residency-trained faculty, emergency medicine faculty, and pediatric emergency medicine fellows. The PED is a pediatric trauma and pediatric critical medical receiving center, seeing ~25,000 patients per year.

Clerkship Overview

The elective in Pediatric Emergency Medicine is designed to familiarize the 4th year medical student with the care of the acutely ill pediatric patient who presents to the PED.  The student works one on one with a senior resident and the attending, and has the opportunity to see patients ranging from newborns to 20 year olds.  The student will take histories, do physical exams, and come up with differential diagnoses and treatment plans for their patients. The student will see 3-5 patients per day and have many opportunities to learn from their patients as well as other patients being cared for by other providers in the PED.

Common pediatric diseases / problems encountered

Some of the common pediatric diseases/problems students will encounter include fever, URI, otitis media, skin disease/rashes, gastroenteritis, asthma, abdominal pain, pneumonia, trauma and urinary tract infections. We also care for many injured patients, including those with major and minor trauma such as lacerations and fractures.

Procedures

There are opportunities for many different procedures including laceration repair, removal of ingrown toenails, foreign body removal, abscess incision and drainage, and fracture reduction and splinting.

Simulation

Students will have the opportunity to participate in mock codes during their 3 week rotation.

Ultrasound

We have state of the art ultrasound machines in our emergency department, and lots of them!  If interested, the medical student will have the opportunity to learn to acquire and interpret basic bedside ultrasound images during the rotation.

Child abuse clinic

Students will spend 1 afternoon in the child abuse clinic learning more about the recognition and evaluation of non-accidental trauma

EMS ride-along

Students will spend one day on an EMS ride-along to observe the care of patients before they arrive at the emergency department and to gain familiarity with pre-hospital scope of practice, policies, and procedures.

Weekly conferences

Students will join our residents for our department’s weekly Thursday didactic conferences. The residents have protected time (the faculty staff the ED) to help build their core emergency medicine knowledge. Students will also have the opportunity to attend conferences given by the Pediatric department.

Preparing for your clerkship

We are excited to work with you on your upcoming rotation! Please review the following items prior to your first day, to ensure you get the most out of your rotation.

Using the Electronic Medical Record System ORCHID (Cerner)

We have made some videos to help you understand how to better navigate the Electronic Medical Record (EMR) that we use. We will also be training you in-person on your orientation day, but review the information included beforehand to make your training more useful. Please open the YouTube training video link here and have a basic understanding of ORCHID prior to attending orientation.

Parking

Parking may be limited during your rotation. You may park in any unmarked spot, but please ensure you read all signs. The three-story parking garage (Lot D) only allows visitors to park on the top floor during most hours. You can check in for orientation in the D-9 building on the map below and ask for Jeanne.

Educational resources

PEMsource.org has many FOAM (Free Online Access to Meducation) links and resources, algorithms, ECGs, and images. There is also a PEM curriculum covering common Pediatric Emergency Medicine topics.

PEMplaybook.org is a monthly podcast with extensive shownotes aiming to demystify the emergency care of infants and children for learners.

Apply

COVID-19 STATEMENTUnfortunately due to the evolving nature of the COVID-19 pandemic we are unable to accommodate away rotators through VSAS at this time. Please check back for updates, we look forward to welcoming you to our department again soon!
Rotation Dates

2021-2022 Academic Year Rotation Dates: To Be Determined

Rotations will start on the dates listed. All visiting students must participate in a 4-week rotation. UCLA students are required to do at least the 3-week rotation but it is suggested to do a 4th week if interested in emergency medicine.

  • Rotation dates for the 2021-2022 application cycle to be determined
Applications

Applications can be accessed online via VSAS. Please e-mail Jeanne Austin, the medical student coordinator, with any specific application questions.

Once you have been accepted for a rotation with us, you will also be required to meet all the requirements of the Department of Health Services at Los Angeles County for a rotation, which include:

  • Health Clearance Packet (E2 Form)
  • Background Investigation
  • Respiratory Fit Test
  • Online application

You can download all of the required files above as a .zip file here — please have them signed by a healthcare provider and e-mail them to the coordinator.

You must also complete a Workforce Member form at http://dhs.lacounty.gov/cef — when completing the form:

  • Select “New Assignment”
  • The Sponsor Facility is Harbor-UCLA Medical Center
  • The Sponsor Division is Emergency Medicine
  • The Sponsor Name is Patricia Padlipsky

Lastly, you will need Live Scan fingerprinting. Please see the instructions here. Please e-mail the coordinator with any questions about this process.

Contact information

Patricia Padlipsky, MD, FAAP
PED Clerkship Director
ppadlipsky@dhs.lacounty.gov

Jeanne Austin
Medical Student clerkship coordinator
jaustin@dhs.lacounty.gov