Complex Patient Care

Unavailable until further notice


Provide students with an opportunity to gain experience in the interview and assessment of children and youth with medical complexity and fragility, with/without technology dependency:

  • Understand family centered care, comprehensive care assessment and care coordination.
  • Become comfortable using the “SOAP” interviewing technique and approach for physical examination.
  • Gain confidence in engaging and working with children and youth with medical complexity and fragility, with/without technology dependency.
  • Understand and observe multidisciplinary and interdisciplinary care and the importance of communication.
  • Participate with inpatient care responsibilities under the supervision of the staff.


Students will have an opportunity to participate in several areas of the Complex Care Service. Experience will include inpatients of all age groups and exposure to a wide variety of conditions including:  

  • Fluid management and nutrition, IV access management including PICC line and central line.
  • Acutely ill child: respiratory severe distress, shock, dehydration, sepsis, electrolyte disorder, seizure, coma, poisoning, child abuse, apparent life-threatening event, acute trauma.
  • Respirology: asthma, bronchiolitis, pneumonia/aspiration pneumonia, acute/chronic respiratory failure, pulmonary hypertension, bronchopulmonary dysplasia (BPD), chronic lung disease.
  • ENT: tracheostomy, drooling dysfunction and management, visual and hearing impairments.
  • Cardiology: congestive heart failure, congenital heart disease, hypertension, heart murmur, dysrhythmia, heart transplant.
  • Nephrology: urinary tract infection, pyelonephritis, nephritic/nephrotic syndrome, acute/chronic renal failure, hypertension, renal transplant, acid-base disorder.
  • Neurology: Oro-motor dysfunction including dysphagia, seizure, headache and cyclical vomiting, coma, encephalopathy, cerebral palsy, spina bifida.
  • Gastroenterology: dysphasia and feeding problems, failure to thrive, gastroesophageal reflux and vomiting, enteral feeding tube, parenteral nutrition, diarrhea and colitis, hepatitis, jaundice, constipation.
  • Infectious Diseases: sepsis, meningitis, bacteremia, osteomyelitis, cellulitis, gastroenteritis, colitis, central line sepsis, immune-dysregulation, other infections.
  • Endocrinology: adrenal insufficiency, electrolyte disorder including diabetes insipidus, hyper/hypoglycemia.
  • Hematology: anemia, marrow suppression, Post-marrow transplant, hemoglobinopathy.
  • Oncology: solid tumors (CNS, Wilms, neuroblastoma), leukemia.
  • Metabolics: mitochondrial disorders, rare diseases.
  • Genetics: Trisomy 21, CHARGE, VACTER, Williams syndrome, cardio-velo-facial syndrome, others.
  • Connective Tissue Disorder: lupus (SLE), juvenile rheumatoid arthritis.
  • Rehabilitation: learn about ICF (international classification of function), hip dislocation, scoliosis, traumatic brain injury and management, other orthopedic issues.
  • Palliative Care: care directives, pain management.

Location: Children's Hospital of Eastern Ontario.

Duration: 2 weeks

No. of Students: 1 student

Available for: Clinical clerks only

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