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Pediatric Gastroenterology/Nutrition Elective

Julia Primo
Julia Primo, M.D.

Course Details

Course Number: PED620
Duration: 2 weeks
Course Director: Julia Primo, M.D.
Course Coordinator: Courtney Hyde
Course Location: Golisano Children's Hospital (GCH), Clinton Crossings, AC6
Course Offered: Year-Round
Open to the Following Students: 3rd Year, 4th Year, Visiting

Course Overview

The goal of this elective is to become more familiar with the practice of Pediatric Gastroenterology, Hepatology and Nutrition, an essential pediatric subspecialty.

Learning Objectives

  • Develop a strategy for management of adolescent health issues, with specific focus on adjustment, adherence, and engagement of family.
  • Be able to identify patients for whom consultation with a pediatric gastroenterologist is indicated
  • Experience seeing patients in the outpatient or inpatient setting with the following diagnoses: constipation/encopresis, gastroesophageal reflux, chronic inflammatory bowel disease, chronic abdominal pain
  • Have read about a few common topics in Pediatric GI/Nutrition
  • Will be able to observe Endoscopy/Colonoscopy procedures

Schedule of Activities

Students will follow a few inpatients and assist in the outpatient clinics. They will observe procedures such as upper endoscopy and colonoscopy. The student will be encouraged to give a talk on a Pediatric GI topic.

Recommended Reading

Pediatric Gastrointestinal Disease (Wyllie, Hyams)
This book is now available on the Miner Library website.

Hepatitis A, B, and C
John C. Christenson, John J. Manaloor. Pediatrics in Review Sep 2016, 37 (10) 426-438; DOI: 10.1542/pir.2015

Chronic and Recurrent Abdominal Pain
Paul E. Hyman. Pediatrics in Review Sep 2016, 37 (9) 377-390; DOI: 10.1542/pir.2015-0169 

Update on Diarrhea
Nicholas J. CaJacob, Mitchell B. Cohen. Pediatrics in Review Aug 2016, 37 (8) 313-322; DOI: 10.1542/pir.2015-0099 

Inflammatory Bowel Disease
Jason M. Shapiro, Shova Subedi, Neal S. LeLeiko
Pediatrics in Review Aug 2016, 37 (8) 337-347; DOI: 10.1542/pir.2015-0110 

Ingested and Aspirated Foreign Bodies.
Green SS. Pediatr Rev. 2015 Oct;36(10):430-6; quiz 437. doi: 10.1542/pir.36-10-430.https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.36-10-430.

Constipation and Encopresis in Childhood.
Colombo JM, Wassom MC, Rosen JM. Pediatr Rev. 2015 Sep;36(9):392-401; quiz 402. doi: 10.1542/pir.36-9-392. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.36-9-392

Esophagitis: Allergic and Eosinophilic.
Sutton AG, Mir S, Steiner MJ. Pediatr Rev. 2015 Aug;36(8):375-6; discussion 376. doi: 10.1542/pir.36-8-375. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.36-8-375.

Gastrointestinal bleeding.
Neidich GA, Cole SR. Pediatr Rev. 2014 Jun;35(6):243-53; quiz 254. doi: 10.1542/pir.35-6-243. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.35-6-243

Nutritional considerations in pediatric liver disease.
Cameron R, Kogan-Liberman D. Pediatr Rev. 2014 Nov;35(11):493-6. doi: 10.1542/pir.35-11-493 https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.35-11-493.

Celiac disease.
Ediger TR, Hill ID. Pediatr Rev. 2014 Oct;35(10):409-15; quiz 416. doi: 10.1542/pir.35-10-409. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.35-10-409.

Vomiting.
Parashette KR, Croffie J. Pediatr Rev. 2013 Jul;34(7):307-19; quiz 320-1. doi: 10.1542/pir.34-7-307. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.34-7-307.

Pediatric pancreatitis.
Srinath AI, Lowe ME. Pediatr Rev. 2013 Feb;34(2):79-90. doi: 10.1542/pir.34-2-79 https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.34-2-79

Chronic recurrent abdominal pain.
McFerron BA, Waseem S. Pediatr Rev. 2012 Nov;33(11):509-16; quiz 516-7. doi: 10.1542/pir.33-11-509. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.33-11-509.

Focus on diagnosis: Dysphagia.
Mezoff EA. Pediatr Rev. 2012 Nov;33(11):518-20. doi: 10.1542/pir.33-11-518. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.33-11-518.

Conjugated hyperbilirubinemia in children.
Brumbaugh D, Mack C. Pediatr Rev. 2012 Jul;33(7):291-302. doi: 10.1542/pir.33-7-291. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.33-7-291

Gastroesophageal reflux.
Sullivan JS, Sundaram SS. Pediatr Rev. 2012 Jun;33(6):243-53; quiz 254. doi: 10.1542/pir.33-6-243 https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.33-6-243

Chronic diarrhea in children.
Zella GC, Israel EJ. Pediatr Rev. 2012 May;33(5):207-17; quiz 217-8. doi: 10.1542/pir.33-5-207. https://www.urmc.edu/miner/mdl.aspx?U=http://dx.doi.org/10.1542/pir.33-5-207

Gastroenterology Suggested Aquifer Cases: 8, 15, 16, 26, 27

Student Evaluations

The student will be evaluated on interest, enthusiasm, and participation in learning the skills important in the diagnosis and management of pediatric GI diseases. The student should show the ability to perform literature searches on interesting patient topics.