Pediatric Pulmonology

Pediatric Pulmonology - PEDIAT 967

Welcome to Pediatric Pulmonology!

We are so happy that you are choosing to learn more about the Pediatric Pulmonology elective!

During your time with us, you should learn to:

1. Learn the typical history and symptoms of patients with chronic lung disease of prematurity.

2. Explain the results of spirometric tests and be able to distinguish obstructive lung disease from restrictive lung disease.

3. Recognize signs and symptoms for a patient with obstructive sleep apnea due to obesity.

4. Know treatment algorithm for the management of asthma.

5. At the completion of this rotation, students will increase their knowledge of the pathophysiology of pediatric pulmonary disease, and will understand how to diagnose and treat common conditions seen in pulmonology. Understand the scope of established and evolving biomedical, clinical, epidemiological, and social-behavioral knowledge needed by a pediatrician; demonstrate the ability to acquire, critically interpret and apply this knowledge in patient care.

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Course Director

Carrie Barker

Division Coordinator

Julie Sena

People to Know:

General Rotation Questions: Tori Benson tlbenson3@wisc.edu

    1. Carrie K. Barker, MD
    2. Vivek Balasubramaniam, MD
    3. Christina B. Barreda, MD
    4. Arij Beshish, MD
    5. Lisa Burns, MD
    6. Hara Levy, MD
    7. Camilla K. Matthews, MD
    8. Carly Johnson, NP
    9. Darci Pfeil, NP
    10. Becky Steinmetz, NP
    11. Kate Swenson, NP

Expectations:

  1. Show initiative in accomplishing rotation Goals and Objectives
  2. Medical Knowledge and Patient Care Goals and Objectives:
    • Attend your assigned shadow experience in the Pediatric PFT Lab and perform a PFT on yourself.
    • After you have completed your PFT interpretation tutorial, please interpret the PFTs of the patients that you see in clinic and review them with the attending. You are also encouraged to interpret other PFTs in the PFT lab as time permits.
    • Attend your assigned PICU Respiratory Therapist shadow.
  3. Outpatient Clinic responsibilities:
    • Attend all assigned outpatient clinics.
    • Formulate assessments and plans for patients seen in the outpatient clinic.
    • Promptly prepare letter to referring physician directly in Health Link when directed.
    • Effectively communicate and work with the Pediatric Pulmonology team including clinical nurse specialists, social worker, respiratory care practitioner and nutritionist.
  4. On-call responsibilities:
    • There are no overnight or weekend Pediatric Pulmonology responsibilities during the rotation.

Educational Opportunities

  1. Medical students will be scheduled for a combination of inpatient service and outpatient clinics over the course of the rotation and will also have the opportunity to shadow respiratory therapists as above.

Pulm elective schedule.JPG

Educational Resources:

You will be added to the Pediatric Pulmonology Canvas course page approximately 2 weeks before your rotation begins. Additional information, requirements, and readings will be found there.

Feedback:

Student performance will be evaluated as follows:

  1. End-of-rotation global assessment by the Pediatric Pulmonology faculty assessing:
    • Quality of care of patients seen in the outpatient and inpatient setting.
    • Communication skills with patients and family members.
    • Working relationship with the Pediatric Pulmonology staff.
    • Initiative in learning and caring for patients.

Resident Pulmonary Rotation Curriculum/Handbook residentcurriculum.docx Download residentcurriculum.docx

Four-Week Rotation

First week/meeting:

  • Lung exam and descriptive terms: Page 2
  • Physiologic causes of hypoxemia: Page 6
  • Respiratory indications for a blood gas, and common result patterns in respiratory disease: Page 11
  • Symptoms of acute respiratory failure: Page 14

Second week/meeting:

  • A simplified explanation of home ventilators and management: Page 17
  • Airway anomalies, upper and lower: Page 23
  • Foreign body aspiration: Page 26
  • Obstructive sleep apnea: Page 28
  • Spirometry: obstruction vs restriction: Page 30

Third week/meeting:

  • Asthma: Page 33
  • Chronic lung disease of prematurity: Page 37
  • Bronchiolitis: Page 39
  • Cystic fibrosis: Page 43
  • Interstitial Lung Disease: Page 47
  • Pulmonary hypertension: Page 48

Two-Week Rotation

First week/meeting:

  • Lung exam and descriptive terms: Page 2
  • Physiologic causes of hypoxemia: Page 6
  • Respiratory indications for a blood gas, and common result patterns in respiratory disease: Page 11
  • Symptoms of acute respiratory failure: Page 14
  • A simplified explanation of home ventilators and management: Page 17

Reference/Self-review:

  • Airway anomalies, upper and lower: Page 23
  • Foreign body aspiration: Page 26
  • Obstructive sleep apnea: Page 28
  • Spirometry: obstruction vs restriction: Page 30
  • Asthma: Page 33
  • Chronic lung disease of prematurity: Page 37
  • Bronchiolitis: Page 39
  • Cystic fibrosis: Page 43
  • Interstitial Lung Disease: Page 47
  • Pulmonary hypertension: Page 48