This clerkship encompasses the entire spectrum of
pediatrics. Students are assigned
different combinations of sites that will include nursery, outpatient 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
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
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)
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
In order to be eligible for a “Pass” grade in this clerkship,
- 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
- 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,
- 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,
- Meet all requirements for a high pass grade without
- 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.
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
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