Resources
Pediatrics Rotations

1. General Description
   1. Pediatrics I clerkship, a one-month rotation done in the third year with selected faculty as assigned by lottery, includes a structured didactic program, in addition to practical experience in a primary care pediatrics practice.
   2. In most cases, the student will accompany the pediatrician on hospital rounds in addition to the ambulatory office or clinic experience. Learning opportunities will be provided in the form of observation, discussion, and graduated degrees of performance under supervision, at the discretion of the preceptor, based on his/her assessment of the student’s readiness and the nature of the particular practice setting. Required materials are assigned, and the preceptor will apprise you of a schedule for testing over the material. The student may also be required to attend lectures and give presentations of regular or special assigned readings, at the request of the preceptor.
2. Electives
   
1. Pediatric electives must be preceded by successful completion of pediatrics.  In addition, electives in pediatrics must be approved by the Department of Clinical Education in advance of the starting date. To be approved, elective rotations must be applied for by submitting to that department a written application for rotation signed by the elective preceptor, no less than 30 days before the first day of the rotation. Approval of rotations, site evaluations and grades for electives are all handled by the Department of Clinical Education.
3. Prerequisites
   
1. Successful completion of the first four semesters of the prescribed eight semester courses of study and, for any electives, Pediatrics I.
4. Course Objectives
1. Observation and/or supervised experience in health maintenance of the infant, child and adolescent.
2. Observation and/or supervised experience in the evaluation, diagnosis and management of common medical disorders in the pediatric patient.
3. Structured didactic exposure and evaluation covering the full spectrum of outpatient care of the pediatric patient.
4. Development and expansion of clinical skills, including interviewing, examination and diagnostic and therapeutic procedures, as available and appropriate, in the practice setting of the particular clerkship
   preceptor.
5. Electives: Objectives for the rotation should be established and understood between student and the preceptor on or before the first day of the rotation.
5. Implementation
1. Methods very, as described on page 1, depending on the practice setting. Evaluation will be done on the standard OSU-COM evaluation form.
2. The student will be tested over the required materials.
3. Electives: As prescribed by the clerkship preceptor. Evaluation may be done using the standard OSU-COM evaluation form or by the form ordinarily used by the institution where the rotation is done.
6. Requirements
1. It is the student’s responsibility to report to his or her official rotation course on the date specified. The student is to call the office of the instructor the week before the rotation and find out where he/she is to meet the instructor. If there is a reasonable explanation for a delay in reporting (e.g.), auto accident, illness, or similar reason), the student is to contact the instructor.
2. An on-site physician must be in attendance at all times while the student is in the facility for training purposes. The physician may be the instructor or the supervising instructor. The student is expected (at all times) to identify himself or herself as a non-graduate medical student by utilizing college approved identification, and is neither to represent himself or herself as a medical graduate, nor function as licensed physician.
3. The student is expected to dress appropriately. Men are expected to wear a shirt and tie, women may wear either slacks or a dress. Unless specified differently, the student will wear a cleaned and pressed white clinical jacket. During all clerkship rotations, the student is directed to wear college approved identification.
4. The student’s actual working days and hours shall fall within the clerkship calendar.
5. One hundred percent (100%) attendance is required on all clinical rotations. Permission to be absent must be obtained by the student from a preceptor prior to the student’s leaving the facility (rotation),
   and must be made up before a grade can be submitted.
6. Absences due to short-term illness, accident or personal matters (e.g., intern interviews, etc.) are expected to be made up by the student. Arrangement for reasonable make-up time is to be addressed by the instructor. The student (medical clerk) is expected to immediately notify the preceptor of his or her illness, accident or personal matter when it occurs.
7. For Pediatrics I, it is the responsibility of the student to provide the Department of Pediatrics with site evaluations at the completion of each clerkship course. Site evaluations are a course requirement and should be faxed to the Department of Pediatrics.  Fax number: 918-382-6789.
8. An exam will be given on or about the last working day of the month you are doing a Pediatric rotation.
9. See clerkship handbook for other requirements and the clerkship calendar.
7. Evaluations
   
1. Numerical (%) and letter grades are assigned for Pediatrics 1 Clerkships by the Department of Pediatrics. Grades will be calculated based on the clinical evaluation score (65%), the exam over the required materials (30%) and completion of the required CLIPP cases (5%). A grade of satisfactory or unsatisfactory is assigned for pediatric electives. In both types of rotations the site evaluation is a requirement to pass and should be turned in immediately upon completion of the rotation. In addition, for both Pediatrics 1 and electives a grade of satisfactory or needs improvement will be assigned based on non-cognitive evaluation criteria.
2. Grading System
   

   A	90-100%	Excellent
   B	80-89%	Good
   C	70-79%	Satisfactory
   D	65-69%	Marginal
   U	64 and below	Unsatisfactory

3. COMAT Exam

   In addition to the exam over the required materials, students are required to take the National Board of Osteopathic Medical Examiners examination for pediatrics or the COMAT Exam.  The examination compares medical students across multiple medical schools to provide a national standardization for education in multiple clinical disciplines.

   Passing the COMAT Exam is required to pass the required pediatric clerkship.  Scores that are above a level of one standard deviation below the national mean are considered passing.  As of December 2011, a score at or above 60% was considered to be passing.

   Beginning January 2012, if a student does not pass the COMAT Exam, they must enter a formal remediation process as described by each course coordinator including entering into a mentorship with a designated faculty member in the department and review specific topics of weakness as identified by their personalized COMAT Exam score sheet. After remediation the student will be eligible to retake the COMAT Exam. If the student fails a second time, a letter grade of “I” will be assigned and the student will be referred to the Academic Standards Committee for a plan of corrective action.

8. Grievance
   
1. Grievance of a rotation, rotation evaluation or examination grade for Pediatrics I would start with the pediatric clerkship course coordinator.  Any such problems with regard to electives are taken up with the Department of Clinical Education.
9. Learning Resources
   
1. Required materials: www.clippcases.org
   • Online curriculum consisting of 31 cases- completion of cases required prior to end of the rotation
   • Final exam material based on material presented in these cases and didactic lectures
2. Supplemental text: Blue Prints Pediatrics, 4th edition, Marino Blackwell Publishing
10. Contacts
    
1. Kelly Dipboye
   Senior Administrative Assistant
   918-382-3190
   918-382-6789 fax