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Course Requirements, Assessment & Grading, Schedule


​Course Requirements

Clinical Responsibilities

This clerkship encompasses the entire spectrum of pediatrics.  Students are assigned different combinations of sites that will include nursery, out​patient and either inpatient or urgent care.  

Inpatient Ward Service:

You will function as though you are the primary provider for your patients.  This includes daily examinations and progress notes.  You are encouraged to develop a strong therapeutic alliance with patients and their families.  The average patient load is two to four patients per student.  You are expected to present your patients on rounds with an initial presentation the morning following admission. You may be asked to present your patients in other settings including attending rounds, professor’s rounds or radiology rounds.  Ideally, these presentations should be practiced beforehand with the senior resident or intern.

Students at Children’s will be assigned a schedule that includes day (Monday – Friday 6 am to 6 pm) and night (Sunday – Thursday 6 pm to 6 am) shifts.  You will work one Saturday. 

Students at Denver Health will work days Monday – Friday 6 am to 6 pm with one call night per week until 10-11pm.   You will be expected to work the entire next day after your call night except if you are on call on Friday night, when you will come in to round on Saturday and leave after rounds.  You will not be on call on Saturday or Sunday nights.  A sleep room is provided.  

Chief residents arrange your call schedules.  You are NOT to be scheduled for an overnight or call the night before intra-session or the final exam.

Outpatient Service: Hours will vary depending upon the clinic.  The number of patients a student sees each day will vary by the clinic schedule, difficulty of the patient problem and the efficiency of the student. You are here to learn and need to take time to be thorough, though you need to be aware of clinic flow and respect the time of families. The resident or attending may structure your independent interaction with the patient in a busy clinic (i.e., student does the history or physical exam alone and the remaining components together).

Urgent Care: In the urgent care setting, you will work with a variety of attendings.  Pace is often fast and focused.  You will be expected to see patients while shadowing as well as on your own depending on the acuity of illness.  Clinical hours will be primarily evenings and weekends.  The number of shifts and hours varies by site.  You can leave by 8pm the night before intra-session and 4 pm the night prior to the exam.  

Additional Learning Opportunities 

Conferences

You are invited to attend a variety of conferences that occur at Children’s Hospital Colorado.  These are excellent presentations and are highly recommended for those students on site or near CHCO.

Morning report: 7:30-8:00 AM, Aspen Conference Room.  Senior residents will present hospitalized patients for clinical discussion with faculty.

Noon conference: 12:00-1:00 PM, Aspen Conference Room.  Lunch is provided daily ($2 for students) and there are didactic presentations, patient discussions, and M&M conferences on Wednesdays and Thursdays. 

Grand Rounds: First three Friday afternoons of each month from 12:30-1:30 PM, Oxford Auditorium, 2nd floor Conference Center.

Silverman Rounds: Dr. Silverman, a distinguished Professor Emeritus of Pediatrics, conducts physical exam rounds once a week at CHCO. These are highly rated by students and are mandatory for students on the CHCO wards unless excused by Dr. Silverman. 


Assessment & Grading

We follow the University Of Colorado School Of Medicine Phase III Student Assessment Policy.  Grades are determined from on-line evaluations of your clinical performance, examination scores and project work.  It takes several weeks to collect all evaluations and process final grades.  We will complete a Final Course Evaluation report with a summary of your clinical and cognitive assessments, final grade and a composite of the written comments.  We will send a copy to you and the Office of Student Affairs via email within 4weeks of the completion of the clerkship.
 

The following grades can be achieved in ICAC: Honors (H), High Pass (HP), Pass (P) and Fail (F), as well as Interim Pass (IP), Incomplete (I) and Pass with Remediation (PR).  All grades remain permanently on your transcript except IP and I, which are replaced with the appropriate grade after you have completed the course.  

The grade is based on the following: 

  • Clinical Evaluations
  • Final NBME Shelf Exam 
  • To pass the course, the following must be completed and uploaded into Canvas by the block-specific deadline: 
  • Midpoint Feedback Form (1)
  • Direct Observation Forms (5)
  • Note Feedback (2)
  • Newborn Examination and Anticipatory Guidance (1)
  • Individualized Learning Goals (2-3 goals)
  • Prescription Writing PowerPoint Assignment
  • Reflective Practice (1)
  • End of Clerkship Quiz (1)
  • Patient Learning Log (“Logger”) Report (2- one at midpoint and the other on the last day)

The clinical evaluations will be the primary determinant of your grade. 

Final Grade Determination 

A grading committee meets to review student files and assign grades.  Ultimately, the clerkship directors and grading committee reserve the right to assign the grade based on all of the information available to them.  Professionalism issues will be considered when determining the final grade.  Based on the School of Medicine Grading Policy for Phase III, Honors and High Pass can each be awarded to up to 20% of students.  Once all grades are determined for the year, they are reviewed for accuracy and fairness and may be adjusted, in the students’ favor, if necessary.  At the completion of the end-of-year grade review, up to 30% of students can be given Honors and up to 30% High Pass, however, the total number of students given Honors and High Pass grades cannot exceed 50%. 

Students will receive a final course evaluation with a:
Clinical Grade, Shelf Exam Grade and Score, Final Grade, and RIME performance rating.    

In order to be eligible for a “Pass” grade in this clerkship, you must:

  • Satisfactorily complete all course requirements by the end of the block and complete course and faculty evaluations.
  • Have satisfactory attendance and exhibit professional behavior throughout the clerkship.
  • Achieve a score of greater than or equal to 57 (2 standard deviations below the national mean).  If you receive a lower score, you will have one opportunity to retake the exam. 
  • Demonstrate satisfactory performance on your Clinical Evaluations.  If you perform below expectations you will fail and be required to retake the clerkship.

In order to be eligible for a “High Pass” grade in this clerkship, you must:

  • Satisfactorily complete all requirements for a passing grade above without remediation.
  • Be in the top 40% of your block.
  • Demonstrate behaviors and skills consistent with novice interpreter role based on your Clinical Evaluations. 

In order to be eligible for an “Honors” grade in this clerkship, you must:

  • Meet all requirements for a high pass grade without remediation.
  • Fully complete all assignments on time.
  • Be in the top 20% of your block.
  • Achieve a score on the NBME shelf exam greater than the national mean (greater than or equal to 74).
  • Demonstrate behaviors and skills consistent with interpreter/manager roles based on comments on your Clinical Evaluations.

Schedule​

Students are assigned to a combination of newborn nursery and inpatient/urgent care and outpatient pediatric sites during the 6-week block. There are numerous requirements and deadlines throughout the ICAC Clerkship.  Required lectures and discussions occur on the first day of each rotation and during Intrasession (3rd Friday and 4th Monday of each block). On the final day of each rotation, students take the Pediatric Shelf Exam by the National Board of Medical Examiners (NBME).​​​