Dayton, Washington
Welcome to Dayton, Washington, and the Columbia County Health System! Dayton and the surrounding area are very rural, even frontier. The care available to patients is unique, representing the rural ingenuity in building what is needed. Patient volume as well as provider staffing can fluctuate in this community and students are expected to advocate for […]
Family-centered rounds (FCR) guide
Introduction? Part 1: Foundations and preparation Understand the purpose of family-centered rounds Family-centered rounds (FCR) are conducted at the bedside with the patient and caregivers present. The goals are to: Involve families in decision-making. Enhance communication and transparency. Provide real-time education. Align the healthcare team with family priorities. As a medical student, your role […]
IgA vasculitis
IgA vasculitis, formerly known as Henoch-Schönlein Purpura (HSP), is a common small-vessel vasculitis in children, characterized by a classic tetrad of symptoms: Purpura. Arthralgias or arthritis. Abdominal pain. Renal involvement. Although it often has a self-limiting course, early recognition and management are crucial to prevent potential complications. This article provides an in-depth overview of IgA […]
Common electrolyte derangements in children
Although not exhaustive, this guideline will go through the more common electrolyte derangements seen in inpatient pediatrics. It is important to note that certain patient populations, such as those in the NICU, on TPN, or those with diabetes insipidus, may have much more nuance to their electrolyte management than is discussed below. Electrolyte derangements are […]
Spirochetes
Learning goals Describe the distinctive microbiologic and pathogenic features of spirochetes Describe the epidemiology, clinical features, complications, diagnosis, and treatment of leptospirosis Compare and contrast the epidemiology, clinical features, cardinal clinical findings, and treatment for primary, early, and late stage Lyme disease Describe the stages of syphilis including clinical manifestations, interpretation of diagnostic tests, and […]
Clinical research and conflict of interests
Learning goals Demonstrate respectful, constructive, adaptive interactions with peers and/or facilitators, including punctual attendance, advanced preparation, professionalism, and giving and receiving feedback Understand the dominant approach to Justice in the United States Apply the basic elements of Rawls’ theory of “Justice as Fairness” to Health Care Identify key points of dispute raised by critiques of […]
Clinical research and conflict of interests (Facilitator)
Learning goals Demonstrate respectful, constructive, adaptive interactions with peers and/or facilitators, including punctual attendance, advanced preparation, professionalism, and giving and receiving feedback Understand the dominant approach to Justice in the United States Apply the basic elements of Rawls’ theory of “Justice as Fairness” to Health Care Identify key points of dispute raised by critiques of […]
EKG interpretation style guide
memorize this Instructions and examples Instructions for Chapter 4 Worksheets Count the number of small boxes between two QRS complexes. Divide that number into 1500 to accurately determine the HR. Use the HR to classify the rhythm as sinus rhythm (60 to 100), sinus tachycardia (greater than 100), or sinus bradycardia (less than 60). Provide […]
Case-Based Learning (CBL) workflow: 2026
CBL roles Case reviewers (facilitators and system leads) Digital publishing (Heather Jansen) Distribution (James Henderson: Jamf and E.Flo MD posting; Jeana Stampfly: Facilitator emails) CBL director (Kimberly Beine) Pre-Clerkship directors (Rachel Larson and Sonam Kiwalkar) Facilitator note-keeping (Jeana Stampfly) CBL resources Case Drafts Library Case Edits folder Asana board CBL Slack channel Slack help CBL […]
Urinary tract infection
Introduction? Epidemiology Urinary Tract Infection (UTI) is the second most common bacterial infection in children after acute otitis media. There is a slightly higher prevalence of febrile UTI in males within the first three months of life, and that flips to a higher female prevalence after three months. Risk factors for UTI include urinary tract […]