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Dept of Paediatrics
University of Pretoria
Information for Student Interns
Contents (14 pages): Page
1. Paediatric rotation 2
2. Residential week at Witbank Hospital 3
3. Specialist Clinics at Kalafong Hospital 4
4. Specialist Clinics at Pretoria Academic Hospital 5
5. Instructions PAH Ward work 6
6. Instructions PAH Nursing staff 8
7. Instructions and Programme Kalafong Hospital 11
8. Evaluation 12
Please Note: The final grouping of students will take place on the morning that you report for the rotation. Students who wish to exchange places are welcome to arrange this beforehand, but if you do exchange, it must consist of the whole 7-week programme.
Dept of Paediatrics: Student Internship Instructions
Report at 08:00: Room 3-24
Paediatric rotation
Welcome to the Department of Paediatrics. We trust that you will have a fruitful and enjoyable time.
Please read these instructions carefully and approach Dr JC Opperman, Room 3, Department of Paediatrics, Level D3, New Pretoria Academic Hospital (tel: 354-5274) if you have any queries or problems.
Log Book
Each Student Intern will keep a Log Book. A passport sized recent photo must be affixed inside the cover.
Photostats of photographs are not acceptable. The actions set out in the log book are self explanatory and are the minimum requirements for "Satisfactory Attendance" (BB) certification - i.e. the completed Log Book, including photograph, must be handed in on the last Wednesday of the 7 week Paediatric rotation for you to be allowed to sit the examination. NB: The signature for a specific entry must be collected on the same day it takes place. The practice of having a Registrar or Consultant sign the entry and block at the end of the rotation will be deemed invalid.
General Paediatrics
Each student Intern will spend 5 weeks at Pretoria Academic or Kalafong Hospital in the general Paediatric wards. During this period you will be given the opportunity to spend one week attending specialist clinics such as Cardiology, Respirology, Nephrology, etc. You are expected to take part in the routine work in your firm and also do after hours' duty with the Registrar and Intern on call. Your group is to set up an After Hours Duty Roster for this purpose and hand it to the senior registrar in your firm. You are to carry out the procedures in the logbook where possible and collect a signature confirming the fact.
Witbank Hospital / General Paediatrics
Because of limited facilities and manpower it is not possible for all the students to rotate at Witbank. During this week you will work in your general firm or at Witbank and in the timetable it is indicated as AK (General Paediatrics).
If you should go to Witbank, you should report at Witbank Hospital from Monday morning 10h00 to Friday afternoon 13h00. You are to report to the Secretary, Dept of Paediatrics, Administration Building, Witbank Hospital on Monday between 10h00 and 10h15 who will show you to the apartments. Separate accommodation is available for males and females, but you may have to share a room. Please note that you are responsible for your own meals. The apartments have a kitchen with refrigeration and cooking facilities, including microwave oven. Take-Aways are situated nearby. The university will supply transport to and from Witbank. Details are elsewhere in this brochure.
Neonatology
Neonat Kal and Neonat PAH indicate a 1 week rotation in the Neonatal Unit, Kalafong Hospital and Neonatal Unit, PA Maternity Hospital from Monday 8h00 to following Sunday 24h00. You will note that Student Interns doing their general paediatric rotation at Kalafong Hospital will do the Neonatology at PA Hospital and vice versa.
Specialist Clinics
Spes Klin indicates a 1 week Specialist Clinics attendance. You continue working in the Children’s' wards and take part in the routine after hours roster. You choose 5 clinics you wish to attend. Please note - consultant signatures are required in your logbook.
Lists of Clinics at PA Hospital and Kalafong Hospital are included elsewhere in this brochure. You can only attend the special clinics at the hospital where you are primarily incorporated, excluding Cardiology. You will receive a separate timetable for attendance at the Child Cardiology Outpatients.
Evaluation
Evaluation consists of
1. A 2 hour examination on theory to be held on the last Wednesday of the Paediatric rotation.
A 1 hour MCQ paper in the Computer Centre
A 1 hour OSCE Slide test.
The times and venues will be supplied to at a later date.
2. Clinical exams on 3 patients, 30 minutes each on the last working day of your Paediatric rotation. The venue and times will be announced prior to the theory exam on Wednesday.
The mark allocation is as follows:
Theory: 40%
Clinical: 60%
Promotion results will be available on the Student Interns' Notice Board, Dept of Paediatrics, Level D3, New Academic Hospital from ± 14h30 on the day of the clinical exam.
Live-in Rotation at Witbank Hospital
Drs E Malek and S Frerich are the co-ordinators of the programme at Witbank Hospital. They can be reached at (013) 653 2293 or, in emergency: Dr Frerich 083 597 3660, Dr Malek 082 4620858.
Transport
The university will provide a motorcar at the Technical Services Dept, Roper Street. This is to be collected from 07h00 on Mondays at their Reservations Office. Student Interns travelling to Witbank for that week must decide on whom will be responsible for driving and keeping the keys.
The driver must register the previous week at the Dept of Paediatrics, PA Hospital. Mrs D van Dalen, Room 4, Level D3, New Pretoria Academic Hospital before 12h00. She will provide you with a registration form to fill in and have it countersigned by the departmental head. Your driver's license will be needed at this stage. The completed registration form, driver's license and student card must be shown to the Dept of Technical Services when you pick up the car.
The vehicle may only used for transport to and from Witbank Hospital. No private trips are allowed. The University's insurance will not cover any damage or theft if this happens off the scheduled route. The odometer distances are closely monitored by Technical Services. Please do not take any chances. The vehicle may be only be left in the parking area of the apartments.
When you return on Friday the car must be handed back to Technical Services before 16h00.
The contact person at the Medical Faculty is Mr WH Boshoff, Room 4-19, New Wing, HW Snyman Building. Tel : 354 2329 .
Route directions
N4 east to Witbank.
Second turnoff to Witbank: Swartbos Road, left
In Swartbos Rd cross 2 traffic lights to President Ave
Turn left into President Ave; business centre (Saveways Crescent), Shell garage, Health & Racquet Club on the right: cross 2 traffic lights.
Third traffic light left into Coert Steynberg Rd. Hospital is on the corner Coert Steynberg & President Ave.
Report to secretary, Dept of Paediatrics, Administration Block. Tel (013) 653 2293 by 10h00.
Accommodation
The Paediatric Dept secretary is Ms Roset Abrie and she will provide you with the keys and linen for the apartment. Student Interns are responsible for leaving the apartment behind in a clean condition on departure. Ms Mientjie Mostert is the Apartments Supervisor. ( 013 656 2111 X 158 or cell 083 83332972) The University provides the apartment at no cost to you and you are responsible for your own meals.
The following items may come in handy (Feedback from previous student):
Dish washing soap, drying cloths etc
Coffee, tea, milk, sugar
Toilet paper, soap, towels
Food supplies
Microwave dishes
Reading lamp
Bedding is provided, but you may prefer your own pillows, extra blankets in winter.
Remember, though that space in the motor car may be limited !
Dag / Kliniek / Konsultant / Plek / TydDay / Clinic / Consultant / Venue / Time
Maandag / Onkologie / Dr D Reynders / Saal 8 / 09h00
Monday / Oncology / Dr O Wedi / Ward 8
Epilepsie / Dr P Snyman / Pediatrie Buitepasiënte / 13h00
Epilepsy / Dr E van Rooyen / Paediatric OPD
Saal 6A (Opvolg) / Dr U Feucht / Pediatrie Buitepasiënte / 13h00
Ward 6A (Follow-up) / Paediatric OPD
Dinsdag / Nefrologie / Prof JG Prinsloo / Pediatrie Buitepasiënte / 09h00
Tuesday / Nephrology / Paediatric OPD
Neurologie / Dr P Snyman / Pediatrie Buitepasiënte / 09h30
Neurology / Paediatric OPD
Neuro-ontwikkeling
Neuro development
Serebrale parese / Dr S Farhangpour
Cerebral palsy
Genetika / Dr E Honey
Genetics
Pediatrie Intensief / Prof S Delport / Pediatrie Intensief / 10h00
Paediatric ICU / Dr T Avenant / Paediatric ICU
Immunologie / Dr U Feucht / Pediatrie Buitepasiënte / 13h00
Immunology / Dr M Mulaudzi / Paediatric OPD
Saal 6B (Opvolg) / Dr Farhangpour / Pediatrie Buitepasiënte / 13h00
Ward 6B (Follow-up) / Paediatric OPD
Woensdag / Hematologie / Onkologie / Prof C van Heerden / Saal 8 / 09h00
Wednesday / Haematology / Oncology / Dr D Reynders / Ward 8
Donderdag / Onkologie / Dr O Wedi / Saal 8 / 09h00
Thursday / Oncology / Dr D Reynders / Ward 8
Diabetes en Lewerkliniek / Dr A Grobler / Pediatrie Buitepasiënte / 10h00
Diabetes and Liver Clinic / Dr M Mulaudzi / Paediatric OPD
Asma kliniek / Dr S Farhangpour / Pediatrie Buitepasiënte / 13h00
Asthma Clinic / Dr P Snyman / Paediatric OPD
Vrydag / Kangaroo Moedersorg / Dr E van Rooyen / Pediatrie Buitepasiënte / 09h30
Friday / Kangaroo Mother Care / Ppaediatric OPD
Immunologie / Dr U Feucht / Pediatrie Buitepasiënte / 10h00
Immunology / Dr M Mulaudzi / Paediatric OPD
Oogheelkunde vir prems / KA Oogheelkunde / Saal 4 Kangeroo / 10h00
Ophthalmology for prems / Registrar Ophthal. / Ward 4 Kangeroo
Dag / Kliniek / Konsultant / Plek / Tyd
Day / Clinic / Consultant / Venue / Time
Maandag / Respirologie (Net 2 studenre) / Dr SPE Naude / Logfunksie Lab / 13h00
Monday / Respirology(Only 2 students) / Dr T Urquhart / Lung function Lab
Kinder Kardiologie / Dr DT Fourie / BP Wes / 13h00
Paed Cardiology / OPD West
Neurologie (Opvolg) / Dr I Smuts / Arbeidsterapie Afd / 13h00
Neurology (Follow-up) / Beatrix Str
Dinsdag
Tuesday / Gesonde Baba Kliniek
Well Baby Clinic / Kliniese Assistente / PA Kraamhospitaal
PA Maternity Hospital / 12h30
Nefrologie / Nephrology
NB Net 2 studente
NB Only 2 students / Dr G van Biljon
Reël eers met Dr Van Biljon
Contact Dr Van / *BP grondvloer Kamer 50
**OPD ground floor
Room 50 / 11h00 –
15h00
Biljon beforehand
Pulmonologie / Pulmonology / Dr SPE Naude / Longfunksie
Lung function Lab / 13h00
Diabetes – Endokrien / Dr J van Dyk / BP Oos / 14h00
Diabetes – Endocrine / OPD East
Woensdag / Serebraal Verlb / Dr Smuts / Arbeidsterapie Wes / 10h30
Wednesday / Cerebral Palsy / Occupational Therapy West
Kistifibrose Kliniek / Dr SPE Naude / Fisioterapie Afdeling / 13h00
Cystic Fibrosis Clinic / Dr T Urquhart / Physiotherapy dept
Hemofilie (1ste Woens vd maand)
Haemophilia(1st Wednesday of month) / Dr JC Opperman / Physiotherapy dept
Donderdag / Gesonde Baba Kliniek / Kliniese Assistente / PA Kraamhospitaal / 12h30
Thursday / Well Baby Clinic / PA Maternity Hospital
Hematologie / Dr JC Opperman / BP Oos / 13h00
Haematology / OPD East
Neurologie (Nuwe pasiënte) / Dr I Smuts / Arbeidsterapie Afd / 13h00
Neurology (New patients) / Beatrix Str
Vrydag / Ped Kardiologie / Paed Cardiology / Dr DT Fourie / BP West / OPD West / 08h30
Friday / Serebrale parese / Dr I Smuts / Arbeidsterapie Wes / 10h00
Cerebral Palsy / Occupational Therapy West
Nefrologie / Nephrology / Dr G van Biljon / *BP grondvloer Kamer 50
**OPD ground floor
Room 50 / 11h00 - 15h00
*BP = Buitepasiënte
**OPD = Out patients department
Department of Paediatrics
Instructions to Student Interns
Pretoria Academic Hospital Firms
Dear Student Intern,
Welcome to Wards 1 & 2. We trust that you will spend an enjoyable and rewarding time with us.
The consultants of the Firms are Prof DF Wittenberg, Drs DT Fourie, J Opperman, I Smuts,
I van Biljon and T Urquhart.
At the Maternity Hospital drs SPE Naude and W de Witt are in charge of the Neonatal Unit.
Ward work
Students must wear their nametags at all times.
1. You must divide the patients in the ward amongst your group, examine and get to know them.
2. Clerk all new patients, (including cardiology, neurology and nephrology patients) that are admitted on your Intake Day. Intake Days alternate between the Firms.
3. Daily follow-up of patients and writing of notes. You must also help with the performance and paper work of special investigations.
4. The bedletter of your patient is your responsibility. It must be neat, complete and up to date. It should include patient history, clinical examination, differential diagnosis and follow-up notes.
Special investigations and other results must be recorded. Bedletters are to be attached to the patient file in the Doctors' Room and not left with the patient - the parents tend to page through what you have written. Patient files are not to be removed from the wards.
5. Each patient must be assessed for growth and results plotted on the appropriate Growth Chart.