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spidmax="1027"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US link=blue vlink=purple style='tab-interval:.5in;text-justify-trim: punctuation'> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><b><span style='font-size:14.0pt'>NORTHEAST CAMPUS<o:p></o:p></span></b></p> <p class=MsoNormal style='text-align:justify'><b><span style='font-size:14.0pt'><o:p>&nbsp;</o:p></span></b></p> <p class=MsoNormal style='margin-left:1.5in;text-align:justify;text-indent: -1.5in;tab-stops:-1.0in'><b>Clinical Neonatology<o:p></o:p></b></p> <p class=MsoNormal style='margin-left:1.5in;text-align:justify;text-indent: -1.5in;tab-stops:-1.0in'><b><o:p>&nbsp;</o:p></b></p> <p class=MsoNormal style='margin-left:1.5in;text-align:justify;text-indent: -1.5in;tab-stops:-1.0in'><b>PED 9302<o:p></o:p></b></p> <p class=MsoNormal style='margin-left:.5in;text-align:justify'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:4.5in;text-align:justify;text-indent: -4.5in;tab-stops:-1.0in'><span class=SpellE><b>Altru</b></span><b> Hospital<o:p></o:p></b></p> <p class=MsoNormal style='text-align:justify'><b><u><o:p><span style='text-decoration:none'>&nbsp;</span></o:p></u></b></p> <p class=MsoNormal style='text-align:justify'><b><span style='color:black'>Preceptor(s):<span style="mso-spacerun:yes">  </span><span class=SpellE>Durga</span> Panda, M.D.<u><o:p></o:p></u></span></b></p> <p class=MsoNormal style='text-align:justify'><b><u><span style='color:black'><span style="mso-spacerun:yes">                       </span><o:p></o:p></span></u></b></p> <p class=MsoNormal style='margin-left:1.5in;text-align:justify;text-indent: -1.5in;tab-stops:-1.0in'><b><span style='color:black'>Period(s) offered and number of students per period:<span style="mso-spacerun:yes">  </span></span></b><span style='color:black;mso-bidi-font-weight:bold'>Six months/year during those months when there is no resident from the Family Practice Residency on their required rotation in the NICU.<span style="mso-spacerun:yes">  </span>Prefer one student/month.</span><u><span style='mso-bidi-font-weight:bold'><o:p></o:p></span></u></p> <p class=MsoNormal style='margin-left:.75in;text-align:justify;text-indent: -.75in'><b><o:p>&nbsp;</o:p></b></p> <p class=MsoNormal style='margin-left:.75in;text-align:justify;text-indent: -.75in'><b>Purpose:</b><span style='mso-bidi-font-weight:bold'><span style="mso-spacerun:yes">  </span>To provide experience in the care of the sick and/or small neonate requiring neonatal intensive care services.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify'><b><u><o:p><span style='text-decoration:none'>&nbsp;</span></o:p></u></b></p> <p class=MsoNormal style='text-align:justify'><b>Objective<span style='color:black'>s: Following successful completion of this elective, the student will be able to:<o:p></o:p></span></b></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><i style='mso-bidi-font-style:normal'><o:p>&nbsp;</o:p></i></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>1.<span style="mso-spacerun:yes">  </span>Explain the principles of neonatal resuscitation and its proper technique.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>2.<span style="mso-spacerun:yes">  </span>Demonstrate proficiency in the physical examination of who are admitted to the NICU and explain how the examination</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>of</span> the term neonate differs from that of the premature neonate.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>3.<span style="mso-spacerun:yes">  </span>Explain the concept of size-for-dates and differentiate the etiological possibilities relative to appropriate, large and small-</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>for</span>-dates neonates.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>4.<span style="mso-spacerun:yes">  </span>Differentiate the various etiologies of respiratory distress in the neonate relative to maternal history, resuscitation,</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>gestational</span> age, and physical examination; and, explain the choice and use of the various types of respiratory support in</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>the</span> NICU.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>5.<span style="mso-spacerun:yes">  </span>Write hospital orders related to the fluid, electrolyte and nutritional needs of the high risk neonate.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>6.<span style="mso-spacerun:yes">  </span>Explain the importance of the diagnosis of sepsis in the neonate; and discuss the significance of Group B Streptococcal</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>disease</span> from a perinatal perspective.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>7.<span style="mso-spacerun:yes">  </span>Discuss issues related to the Infant of the Diabetic Mother as the premiere example of a metabolic problem common in</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>the</span> NICU.</p> <p class=MsoNormal style='text-align:justify'><b><u><o:p><span style='text-decoration:none'>&nbsp;</span></o:p></u></b></p> <p class=MsoNormal style='text-align:justify'><b>Instructional Activities: During this elective, the student will be involved in/experience:<o:p></o:p></b></p> <p class=MsoNormal style='text-align:justify;text-indent:.5in'><i style='mso-bidi-font-style:normal'><span style='mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span></i></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>1.<span style="mso-spacerun:yes">   </span>Rounding with a neonatologist daily. <i style='mso-bidi-font-style:normal'><o:p></o:p></i></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>2.<span style="mso-spacerun:yes">  </span>Assuming  responsibility, under the supervision of the preceptor, for the admission, history and physical examination,</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>daily</span> evaluation, and subsequent discharge of a selected group of neonates in the NICU; including presentation of the</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><span style="mso-spacerun:yes">     </span><span class=GramE>patient</span> on rounds and to the preceptor.<i style='mso-bidi-font-style:normal'><o:p></o:p></i></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>3.<span style="mso-spacerun:yes">  </span>Writing all orders on assigned patients under the supervision of the preceptors.<i style='mso-bidi-font-style:normal'><o:p></o:p></i></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>4.<span style="mso-spacerun:yes">  </span>Preceptor discussions with the family pre and post-delivery.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoListParagraph style='text-indent:-.25in;tab-stops:list .5in'>5.<span style='font-size:7.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Attendance at normal, high risk, and cesarean section deliveries.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='text-align:justify'><b><u><o:p><span style='text-decoration:none'>&nbsp;</span></o:p></u></b></p> <p class=MsoNormal style='text-align:justify'><b>Criteria for Grading: During and following this elective, the preceptor will:<o:p></o:p></b></p> <p class=MsoNormal style='text-align:justify'><b><o:p>&nbsp;</o:p></b></p> <p class=MsoListParagraphCxSpFirst style='text-indent:-.25in;mso-list:l0 level1 lfo2'><![if !supportLists]><span style='mso-list:Ignore'>1.<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp; </span></span><![endif]>Evaluate by direct observation the quality of the student s physical examinations, problem identification, and</p> <p class=MsoListParagraphCxSpLast>management plan formulation skills.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>2.<span style="mso-spacerun:yes">   </span>Evaluate by direct observation the quality of assigned tasks performance.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>&nbsp;</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>3.<span style="mso-spacerun:yes">   </span>Evaluate by direct observation the student s ability to perform procedures that were instructed during the elective.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'>4.<span style="mso-spacerun:yes">  </span>Utilize the standardized UNDSMHS senior elective form.</p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p><span style='font-size:10.0pt'>Revised :&nbsp; May 2011</span><o:p></o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-left:1.0in;text-indent:-.75in'><i style='mso-bidi-font-style:normal'><o:p>&nbsp;</o:p></i></p> <p class=MsoNormal align=center style='text-align:center'><b><o:p>&nbsp;</o:p></b></p> </div> </body> </html>