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Welcome to Pediatric Neuro-Oncology!
Pediatric neuro-oncology service provides consultative health care to children with known or suspected CNS malignancies.
Learners will continue to build knowledge regarding common and/or important pediatric CNS disease processes and syndromes. Skill building will focus on history taking and physical exam with special emphasis on CNS assessment, clinical reasoning and decision making, development and implementation of evaluation and management plans, patient/family communication, medical documentation, patient advocacy, and multidisciplinary collaboration as it pertains to children with CNS malignancy concerns.
Elective and Site Director: Dr. Pournima Navalkele
Pournima.navalkele@health.slu.edu
Office: Cardinal Glennon Children’s Hospital, Basement B-840, Hematology Oncology offices (take Elevator C down to basement, go down hallway across EPIC training office, front door passcode protected, knock instead)
Clinic: Cardinal Glennon Children’s Hospital, Costas Cancer Center, Ground floor (entry door across from submarine)
Pager: 314 908 0342 (for reaching out on urgent basis)
Cell: 319 400 6184 (poor reception in basement)
Student (up to 1)
M4 on elective (2wks)
M3 clerkship or CE (1wk)
Multidisciplinary healthcare team providers: nurse practitioners, nurses, social workers, dietitians
Preparation
Preparation
White Coat required; also bring along the N-95 face mask.
M4 on elective (2wks): Contact Dr. Navalkele at least a week before starting to know directions to her office, discuss your rotation goals, objectives, strategies, the day/time of neuropathology review (variable), as well as any schedule requests.
Individual Study
Oncology individual study resources with specific focus on CNS tumors
Neurology/neurosurgery individual study resources with specific focus on neurologic exam
Common/Important Conditions and Topics
Common/Important Conditions and Topics
CNS Tumors
Neurofibromatosis
Tuberous Sclerosis Complex
*Topics recommended for early review in bold
Tasks: Clerkship students
Tasks: Clerkship students
Clerkship students will participate in neuro-oncology clinics only and should expect the following:
Monday: self study, prepare for tues-wed-thur neuro-oncology clinic by reviewing Dr. Navalkele’s CG Costas clinic schedule on EPIC and reading the latest progress note on each patient.
Tuesday to Thursday: shadowing Dr. Navalkele in the clinic.
Friday: self study, reading articles in CNS tumors folder
Tasks: Elective students
Tasks: Elective students
M4 students (elective for 2 wks) will have the opportunity to participate in neuro-oncology clinic, multidisciplinary brain tumor, Neurofibromatosis, and Tuberous Sclerosis clinics, neuroradiology and pathology reviews. Dr. Navalkele will lend you the WHO textbook on arrival.
After actively observing 1-2 patient visits, you may see a patient independently. Obtain a focused history from the patient and caregiver and perform a focused physical exam
Present the history, physical exam, as well as your assessment, differential, and plan to the attending physician
Go back with the attending physician to discuss the assessment and plan with the family
Write a detailed original note on EPIC on at least 1 patient per week. Avoid copying the attending note/complex plan in your note.
Case presentation. Students are expected to give a 10min oral presentation (PowerPoint is optional) based on a case they saw during the rotation. The presentation typically takes place on the last Friday of the rotation.
Journal club. Students are expected to critique a research article and discuss it with Dr. Navalkele also typically during the last Friday of the rotation.
In preparation for the Journal Club activity, review
Clinic locations and schedules
Clinic locations and schedules
Neuro-oncology Clinic with Dr. Navalkele
Tue, Wed, Thur 9AM-3PM
Cardinal Glennon Bob Costas Center
EPIC: CG Costas Navalkele
Long Term Brain Tumor Clinic (late effects/survivorship) is part of Dr. Navalkele’s clinic
Neuro-Oncology and Neurosurgery Combined Brain Tumor Clinic (BTC)
2nd and 4th Wednesday of the month PM following the Brain tumor meeting
Cardinal Glennon Bob Costas Center
EPIC: CG Costas Brain Tumor Clinic
Neurofibromatosis Clinic with Pediatric Neurology Faculty
1st, 3rd, and 5th Wed of the month, AM
ACC 1st floor
EPIC: CG ACC NF
Tuberous Sclerosis Clinic with Pediatric Neurology Faculty
1st Thursday of the month, AM
ACC ground floor
EPIC: CG ACC TS
Hematology/Oncology Procedures
Hematology/Oncology Procedures
Students have the opportunity to participate in observing procedures if not scheduled for other activities. Please check the schedule (CG Costas Proc Room) for procedures scheduled during your elective & confirm with Dr. Navalkele in advance.
Educational Conferences
Educational Conferences
Oncology Tumor Board
Thursday 8:15 AM Cardiology conference room (5th floor elevator C) or via MS teams
Brain Tumor conference (BTC)
2nd and 4th Wed of the month at 12:30PM
Radiology conference room/ via video followed by combined Neuro-oncology and Neurosurgery clinic
Neuropathology case review with Dr. Guzman (M4 on elective 2wks): To be decided and discussed with Dr. Navalkele
Neuroradiology shadowing (M4 on elective 2wks): To be decided and discussed with Dr. Navalkele
Events
Events
Participate in the “Ringing the Bell” when you get a chance. This is a brief ceremony in honor of a patient’s last chemotherapy. The patient gets to ring the bell while team members sing “Happy Last Chemo” to the tune of Happy Birthday while blowing bubbles and using noisemakers.
Grading and Evaluation
Grading and Evaluation
Dr. Navalkele will give you a brief in-person evaluation on the last day. She would like your honest feedback on how helpful you found the elective and what could be done to make it more meaningful /educational.
Continuous Quality Improvement
Continuous Quality Improvement
Planned projects
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