Tag Archives: pediatrics

Ankle Biters- Your Peds Rotation

24 Oct

This man has learned the art of administering vaccinations and truly a master with kids. My pediatric rotation was a nice change of pace from some of the hospital based clinicals. It helps that I like children. I will tell you about my most mortifying moment during my rotation.

Much of my day was spent doing routine physicals. I walked into the exam room and met my patient and his mother. After completing the majority of the exam I asked if the mother wanted to step out so I could preform the genitourinary exam. Did I mention this was a 15 year old boy? Did I mention that I was a 24 year old woman? I started the exam and tried soooo hard to be professional even though it was awkward and weird. The patient lifted his gown and had an erection.

“Turn your head and cough!” I’m not sure if I truly evaluated for a hernia or not but I was out of there in a hurry. Why did no one tell me what to do in this situation? I can tell you it was not the last time its happened. Maybe I should have said “It happens, no big deal.” Let me know if anyone has a good script for that situation. Here are a few other things that I learned on that rotation.

1) You will be doing a lot of vaccinations. Get comfortable with the vaccination schedule an catch up schedule.

2) In the current age of Jenny Mccarthyism, parents have a lot of questions about the safety of said vaccinations. Know the side affects, ingredients and the CDC statistics of illnesses that you are vaccinating against.

3) This is a great time to hone in on your physical exam skills. The sucking reflex and moro reflex are kind of hilarious. And the healthy newborns do it every…single..time.

4) Kids are not little adults. They have different diseases, different neurological pathways, and are different developmentally.

5) Expect to see a lot of rashes. Oh my gosh, so many rashes! Study up on how to describe those vague, irritating, skin changes.

6) Learn to respectfully say, “Your child has a cold”

7) If there are rare endocrine patients or genetic disorders make sure you get to see these patients. You may never see these diseases again.

8) Talk directly to the child, especially adolescents. They appreciate directness and being treated like a human.

9) Kids are sexually active at a very, very young age. Sad, but it is the reality. Ask the parent if they are comfortable stepping out so that you can talk about their sexual history. Some parents will refuse and thats ok too, but you need to bring it up.

10) This may be the specialty for you if you like to see a patient over a long time span with lots of developmental changes. There is a special bond with kids and their pediatrician. There are also heartbreaking diagnosis that sting a lot more when you are dealing with a young person. It takes a special person to be with kids all day, but it rewarding in a different way than adult medicine. Parents are trusting you with their most precious possession, and that is a relationship that deserves the utmost respect.

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