Pediatric Diabetes Care

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Department	Pediatrics
Course Number	PED 370-BA
Course Title	Pediatric Diabetes Care
Course Director	Ryan Miller
Length (Weeks)	4
When Offered	All year
Prerequisites	None
Availability Notes	Care and management of children and adolescents with diabetes: it’s more than insulin therapy!
Contact Name	Amber Williams
Contact Phone
Contact Fax
Contact Email	amanuel2@lifebridgehealth.org
Other Contacts	Dr. Ryan Miller (miller.rs@gmail.com)
Location	Sinai Hospital of Baltimore
Limit	1
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Evaluation
Description	Purpose and Rationale for the Course: The purpose of this course is to introduce medical students to Pediatric Diabetes care, a subspecialty field that involves managing children with type 1, type 2 and other forms of diabetes on the inpatient and outpatient level. This course will introduce students to the multidisciplinary care required to manage children and adolescents including the types of insulin regimens, blood sugar pattern management and outpatient follow-up. The principles taught in this course will be applicable to all medical specialties with emphasis on the pediatric patient. Target Students: This elective is designed for medical students in the third or fourth year who seek an introduction to Pediatric Diabetes care. No previous experience in Pediatric Diabetes is required. Course Description: During this 4 week elective, the student will evaluate and treat ambulatory patients with primarily type 1 diabetes under the supervision of the attending physician either in person or via telemedicine and rotating residents/fellows. Every effort will be made to work with the type 2 multidisciplinary clinic on some Fridays. The student will attend both am and noon conference if at Sinai Hospital and work with inpatients if possible. Students will have supervised direct patient contact in outpatient clinics with an attending in which the student will assist in obtaining a focused medical history, appropriate physical examination and help develop an assessment/ plan with the attending physician with the patient and family present. The student will be introduced to a specialized diabetes software template within the Cerner system. Students are expected to be self-directed in their learning using the appropriate diabetes related literature and participate in didactic conferences in the hospital and outpatient settings. Diabetes related papers will be provided to the student at the beginning of the elective. Course Requirements: Clinical Experience: Monday through Thursday in outpatient clinic or via telemedicine for 4 weeks plus inpatient consultation. Arrangements will be made on Mondays, and Thursdays to work with other attending physicians or fellows. Grading: As per the Uniform Clinical Evaluation: Outstanding/Excellent/Very Good/Marginal/Unacceptable. One uniform clinical evaluation will be used (completed by Dr. Cogen). Earning “Very Good” or higher is required for passing (as is the case for all clinical courses). The overall grade will be determined by patient interaction, ability to detect blood glucose patterns based on blood sugar meter download, and application of appropriate medical management (insulin regimens and insulin adjustments. See syllabus for additional details.
Additional Notes	Learning Objectives: Describe the pathophysiology and treatment of diabetes (type 1, type 2 and other forms). Apply the appropriate insulin regimen based on the current basal and bolus insulins in current practice in the ambulatory and inpatient setting using a family centered approach. Demonstrate pattern management based on blood glucose monitoring. Propose an assessment and treatment plan for all patients evaluated in clinic. Manage diabetes in the “camp setting” (with assistance) if applicable. Perform inpatient diabetes consultations under supervision of the attending physician. Describe a nutritional program appropriate for type 1, type 2 and other forms of diabetes. Recognize the importance of psychosocial support in the management of chronic illness. Prepare evidence-based patient education materials on diabetes-related topics that are appropriate for families.