Glennon 101 Rotation Descriptions Department Intern Experience Pediatric Cardiothoracic Surgery Our Cardiology and Cardiothoracic Surgery program is ranked among the country’s top pediatric heart programs in U.S News & World Report’s 2018-2019 Best Children’s Hospitals. Our two cardiothoracic surgeons give us the most experienced team in the region. Faculty will offer a view of heart surgery “from the inside.” Interns will see firsthand how congenital heart disease is repaired with all the accompanying elements-- anesthesia, cardiopulmonary bypass, exposure of the heart defect and the subsequent repair. Pediatric Cardiology The Division of Pediatric Cardiology evaluates and treats patients with congenital and acquired heart conditions from infancy through young adulthood. The faculty provides expertise in the areas of outpatient cardiology, interventional cardiology, non-invasive imaging (echocardiography, CT, MRI), electrophysiology (cardiac rhythm disorders), cardiac transplantation, and inpatient/post-operative cardiac care. The intern experience may include any or all of the following: 1. Observing the outpatient clinic operations in the Dorothy and Larry Dallas Heart Center. 2. Observing inpatient rounds in either our Pediatric Intensive Care Unit or Transitional Care Unit. 3. Observing echocardiographic (cardiac ultrasound) procedures and their interpretation by cardiologists. 3. Observing a cardiac catheterization procedure/intervention in the Pediatric Hybrid Cardiac Catheterization Lab, and/or an electrophysiology procedure in the EP Lab.
Transcript
Glennon 101 Rotation Descriptions
Department Intern Experience
Pediatric Cardiothoracic Surgery
Our Cardiology and Cardiothoracic Surgery program is ranked among the country’s top pediatric heart programs in U.S News & World Report’s 2018-2019 Best Children’s Hospitals. Our two cardiothoracic surgeons give us the most experienced team in the region. Faculty will offer a view of heart surgery “from the inside.” Interns will see firsthand how congenital heart disease is repaired with all the accompanying elements--anesthesia, cardiopulmonary bypass, exposure of the heart defect and the subsequent repair.
Pediatric Cardiology The Division of Pediatric Cardiology evaluates and treats patients with congenital and acquired heart conditions from infancy through young adulthood. The faculty provides expertise in the areas of outpatient cardiology, interventional cardiology, non-invasive imaging (echocardiography, CT, MRI), electrophysiology (cardiac rhythm disorders), cardiac transplantation, and inpatient/post-operative cardiac care. The intern experience may include any or all of the following: 1. Observing the outpatient clinic operations in the Dorothy and Larry Dallas Heart Center. 2. Observing inpatient rounds in either our Pediatric Intensive Care Unit or Transitional Care Unit. 3. Observing echocardiographic (cardiac ultrasound) procedures and their interpretation by cardiologists. 3. Observing a cardiac catheterization procedure/intervention in the Pediatric Hybrid Cardiac Catheterization Lab, and/or an electrophysiology procedure in the EP Lab.
Dan Dierdorf Emergency and Trauma Center, Access Center and Transport Team
As a state-of-the-art, high tech pediatric medical center, we are prepared for the most critical child health emergencies. The Dan Dierdorf Emergency and Trauma Center at SSM Health Cardinal Glennon Children’s Hospital is designated a Level 1 Pediatric Trauma Center by Missouri and Illinois. All members of the trauma team are board-certified specialists in pediatric care. Our Access Center provides direct access for physicians to expert care. All calls are answered 24/7 by pediatric transport nurses. They handle physician consultations, emergent transfers, urgent appointments, and direct admissions. Our neonatal and pediatric transport teams have advanced training in the stabilization, treatment and transport of small infants and children of all ages. Our dedicated ambulance and helicopter, “Cardinal Glennon Air” are equipped with lifesaving equipment to help the most critical patients. Interns will receive an overview of the Emergency Department operations through the “eyes of the patient”. They will tour the waiting area, helipad, ambulance bay with our transport team’s ambulance, telemedicine room, trauma rooms and Access Center. This will be followed by a question and answer session with the Emergency Department and Access Center directors, as well as the Director for Disaster Preparedness.
Pediatric Neurosurgery The skills and specialized training of our neurosurgery team allows them to successfully perform complex surgeries that others won’t attempt. Interns will have the opportunity to observe a complex pediatric neurosurgical operation. Through observation and discussion with one of our neurosurgeons, and nurse practitioner, interns will see state of the art technology and learn what is necessary to provide exceptional, comprehensive care related to the child’s brain, spinal cord or central nervous system.
Child Life/Music Therapy/Shining Star School
Spend time learning about Child Life, Music Therapy, and Shining Star School with members of their teams. Child Life Specialists work with patients and families in the hospital to advocate for their psychosocial, developmental, emotional and educational needs. They strive to create a supportive environment, while helping empower patients and their families to make decisions affecting their care. A patient might be referred to music therapy for coping support, isolation, pain/symptom management, assistance with anxiety or depression and procedural support, just to name a few. Our music therapist assesses needs and establishes goals for the child, and musical interventions address things such as normalization of the hospital experience, increasing coping abilities, providing opportunities for creative self-expression, and emotional support for both the child and family unit. Interns will see how our Child Life Specialists and music therapist facilitate various interventions to meet the unique needs of patients in the hospital. Interns will also visit our Shining Star School. Participants will learn about the school’s engaging programs and the various ways the school teachers and their volunteers interact with patients, their families, and schools to help children keep up with their school work, stay connected to their regular lives, and receive appropriate services from their schools.
Pediatric Intensive Care Unit (PICU)
Spend time with the Intensive Care staff and a senior member of the Critical Care faculty. Learn about programmatic PICU goals, take a guided tour of our PICU, and interact with nursing, physician, respiratory therapy staff and our ever- present trainees. Interns may potentially listen to rounds, watch a patient admission or a minor procedure to gain insights into what goes on in a Pediatric Intensive Care Unit.
Complex Medical Care Team
The Complex Medical Care Program at SSM Health Cardinal Glennon Children’s Hospital provides exceptional medical care, peace of mind and psychosocial empowerment for patients with “complex” medical care needs. Their role is to coordinate the medical care of patients with all aspects of their medical environment in the best interest of the patient and their family. Patients needing complex medical care have individualized patient care plans that are effective, constantly updated, easily accessible in multiple health care environments, by multiple practitioners, and in the home. Care is streamlined between the home, community outpatient care settings, hospitals and emergency rooms, St. Louis area long-term pediatric care facilities and SSM Health Cardinal Glennon. Interns will have the opportunity to meet the team members (physicians, nurse coordinators, social workers, etc.) that make up this incredible, dynamic team unique to Cardinal Glennon and “walk through” some of their cases – with real families (if able) to illustrate the gift of coordination and advocacy this team provides.
Pediatric Gastroenterology and Hepatology
Our Gastroenterology and GI Surgery program is ranked among the country’s top rated GI and Liver Disease programs in U.S News & World Report’s 2018-2019 Best Children’s Hospitals. Interns will be introduced to the wide range of diseases this specialty encounters. This will include reviewing the health journeys of real patients, introductions to some of the specialized research underway at SSM Health Cardinal Glennon Children’s Hospital, and a walk through of the real-life experience of a child undergoing endoscopy.
Pediatric Hematology and Oncology
The Costas Center uses a comprehensive, team approach to diagnose and treat children with cancer and blood disorders. The outpatient clinic provides a comfortable setting for children to receive prolonged treatments (chemotherapy, transfusions, or other drug treatments) and minor procedures without having to be admitted to the hospital. 4 North is the inpatient unit, specializing in the delivery of comprehensive care to hospitalized Hematology and Oncology patients, and patients who are undergoing or have undergone stem cell transplants. Interns will be given a tour of both the Costas Center and 4 North, and have the opportunity to consult with some of the members of the multi-disciplinary team, including but not limited to physicians, nurse practitioners, staff nurses and Child Life to discuss their roles in the treatment of the patients that are served through both areas. Interns will have opportunity to observe patient care, talk with patients and families, or observe procedures, as available and appropriate.
Integrated Care Team Social Services
Pastoral Care
Footprints
Volunteer Services
Care For Caregivers
Following in the footsteps of the Franciscan Sisters of Mary and based on our Mission of serving the underserved in our community, the Integrated Care Team of SSM Health Cardinal Glennon Children’s Hospital works to provide support to all families, meeting a multiplicity of needs at many levels. Interns will learn about service projects created by the team. Additionally, faculty will individually describe the nature of their support services, and current patient/family needs. Interns will be introduced to real-life circumstances that families face while facing serious diagnoses.
The Dana Brown Neonatal Intensive Care Unit (NICU)
The Dana Brown Neonatal Intensive Care Unit (NICU) is recognized as a Neonatal Center of Excellence by the American Accreditation Healthcare Commission, and it is a regional referral center covering 150 mile radius in both Missouri and Illinois. Our 65 comfortable private rooms welcome patients and their families who need the help of the 18 board-certified neonatologists, and multidisciplinary teams of pediatric specialists. Babies with newborn illnesses cared for in the NICU include the extremely premature, babies with birth defects and other serious problems. A low ratio of patients to nurses ensures each patient receives continuous personalized care from dedicated, specially trained neonatology nurses. Interns will have the opportunity to tour the NICU and to round with a neonatologist and nurse, reviewing the diagnosis and treatment plan for two to three patients typically cared for in the NICU. Disciplines involved in the care of these patients will discuss their involvement with the care of the patients. Our neonatology program is ranked among the country’s top pediatric neonatology programs in U.S News & World Report’s 2018-2019 Best Children’s Hospitals.
Danis Pediatric Center
Danis Pediatric Center is the academic primary care practice of the Department of Pediatrics at Saint Louis University School of Medicine, serving as the medical home for approximately 8,800 patients with 16,000 visits per year. It is the principal site for teaching SLU medical students and residents pediatric primary care. The expertise at DPC is providing general pediatric care and psychosocial support for patients and their families with complex medical and/or social problems. Interns will shadow with clinic leaders, physicians and staff and learn about the clinic’s vision, mission, and array of programs and services provided.
Pediatric Plastic Surgery
Pediatric plastic surgery improves the unique human qualities required for social interaction: appearance, speech, and hands. Each of these elements allows communication, which is essential to a child's psychosocial development. Cleft lip-nose-palate are the most common birth defects in the USA, 1 in 590 live births, and are part of the spectrum of pediatric plastic surgery care. Interns will learn about the spectrum of pediatric plastic surgery care, which includes cleft lip-nose-palate, craniosynostosis, external nose and ears and eyelids, jaw surgery, lesions, and trauma to the bones and soft tissues of the face and hands. Photos demonstrate these treatments, and if patients are available, there may be opportunities to observe surgery or meet some of our kids.
Transitional Care Unit (TCU)
TCU is a 20 bed step-down unit caring for children with acute and/or chronic complex needs. They specialize in care of cardiology patients, pulmonary patients requiring mechanical ventilation, patients undergoing peritoneal dialysis, patients with multisystem needs or patients who require advanced monitoring post-operatively. The average length of stay is four days though they typically have four to five patients on the unit who have stayed longer than three months. Patients come to TCU from the Pediatric Intensive Care Unit, operating room, emergency department and the clinics. Many patients and families need complex teaching prior to discharge. The TCU team collaborates frequently with physicians, advanced practice nurses, therapists and other disciplines. Their passionate primary care staff will introduce participants to a few different patient families; walk them through the synopsis of their clinical overview, observe therapy sessions, if applicable, and explain the care disciplines and services necessary contributing to the overall exceptional outcomes of these families.
