Medical Student Opportunities

BBCH offers a variety of inpatient and outpatient opportunities for medical students. Some opportunities are limited to students from our partner medical school, Tufts University School of Medicine. Others, including acting internships and numerous pediatric subspecialty rotations, are open to students from any medical school in the United States who satisfy prerequisites.

Pediatric Clerkship Program

BBCH is actively involved in the training of medical students. In addition to our own students participating in the Tufts University School of Medicine - Maine Medical Center (TUSM-MMC), or "Maine Track," we help educate third year clerkship students from the University Of New England College of Osteopathic Medicine.

Students are teamed with pediatric residents throughout their experience at BBCH, including the Newborn Nursery and the Outpatient Pediatric Clinic. This close association of residents with students has proven to be beneficial to both groups. Residents find that being responsible for teaching medical students helps solidify their own basic knowledge and acutely reminds them of just how much they’ve grown as a pediatric specialist. Students identify more closely with the residents and may easily access them for questions or discussions around medical diagnoses and management decisions.

The camaraderie that develops in these teams of trainees with different levels of experience is clearly evident, particularly in work rounds, and contributes to the comfortable learning environment that BBCH is known for.

For more information, contact:

Patricia B. Patterson, M.D.
Phone: (207) 662-6930
Fax: (207) 662-6701

Acting Internship

The inpatient unit of BBCH offers a rich inpatient pediatric acting intern experience. This experience includes exposure to a wide array of general pediatric and sub-specialty inpatients and includes a night team experience. We can accommodate up to two acting interns per academic block. For further course information go to General Inpatient Unit page. 

We require that students meet the following criteria before attempting to schedule a rotation as an acting intern:

  • Complete an application through the Medical Education Office.
  • Produce proof of liability coverage.
  • Students must attend a U.S. or Canadian medical school and also have successfully completed three weeks of inpatient pediatrics or must contact the fourth year rotation director, Jennifer Hayman (via Kelly Barnes contact below) to discuss alternative pre-requisite criteria.

Contact for information and/or scheduling:

Kelly Barnes, C-TAGME
Program Manager
Phone: (207) 662-2405
Fax: (207) 662-6701


General Inpatient Unit Acting Internship in Pediatrics

Title: Acting Internship in Pediatrics, MMC
Rotation Director, Jennifer Hayman, MD
Time Commitment: Four weeks
Months Offered: All
Enrollment: 2 per four week block
Visiting Students: Available through MMC

Goals: To give the students the practical experience, in the inpatient setting, of managing general and sub-specialty pediatric hospitalized infants, children, and adolescents.

Format: Students will be assigned to one of two ward teams consisting of a PL-3/PL-2, a PL-1, and 1-2 Tufts or University of New England medical students. The acting intern will work-up patients with the team leader, discuss the assessment and plan with the attending, and manage the day-to-day care of the patients s/he is following.

Senior residents lead work rounds (including family-centered rounds) with supervision from attending physicians. Educational opportunities include: weekly departmental Grand Rounds, weekly resident core curriculum lectures, and participation in pediatric high fidelity simulation, daily resident morning reports, and an opportunity to lead a student report.

AI's will work with the night team Sunday- Thursday for one week of the four week block with primary responsibility for half of the inpatient service. They will also be expected to work one weekend day (7A-5P) during the month.

Evaluation Methods: The evaluation form, sent by the student's school, will be used for evaluation. The final evaluation is a composite completed by the fourth year rotation director. Input is submitted from multiple pediatric attendings, senior residents and other colleagues identified by the student.

NICU Elective in Pediatrics

Title: Newborn Intensive Care at MMC
Rotation Director: Gina Trachimowicz, M.D.
Time Commitment: 4 weeks
Months Offered: All
Enrollment: One per month
Visiting Students: Available through MMC

Goals: To provide an introduction to the variety of complex or life-threatening conditions occurring in newborn infants and to learn the pathophysiology of these problems
To allow supervised participation in the care of such infants and to gain an appreciation of the diagnostic and therapeutic methods used in the intensive care of premature and term infants. Included in the experience is the delivery room management of infants
To learn how the care of an infant in the intensive care unit involves the coordinated care of many individuals and services in order to treat the patient and support the family
The American Academy of Pediatrics Neonatal Resuscitation Program will need to be completed during rotation

Format: The student will function as an acting intern with supervision by the neonatologist. The student will have specific patient assignments and will be responsible for patient care in a manner similar to that expected of a first year pediatric resident. Other patients will be cared for by residents and neonatal nurse practitioners. Individual cases may allow the student to involve other pediatric subspecialists such as cardiology, endocrinology, genetics, and neurology. Students usually care for three to four patients at a time. The student will be assigned night and weekend call and an attending neonatologist will be present for teaching and supervision at all times, day and night.

Evaluation Methods: Evaluations will be done by the faculty. The elective form as dictated by the medical student's program will be used for evaluation. The student has the opportunity to review this evaluation at the end of the elective with the physician who completes the form.

Child Abuse and Neglect Elective

Title: Child Abuse at MMC and The Spurwink Clinic
Rotation Director: Lawrence R. Ricci, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability 
Enrollment: One Student
Visiting Students: Yes

Goals: Knowledge of the complex multi-system issues of child abuse, including physical abuse, sexual abuse, emotional abuse, and neglect
An understanding of the role of the primary practitioner in assessment, reporting, referral, and case management
Interviewing techniques, multidisciplinary assessment, collaboration techniques, and general examination techniques

Format: Student will participate in child abuse medical clinic two to three days a week at The Spurwink Clinic and also observe forensic social worker interviews, psychological evaluations and assessments. Student will participate in multidisciplinary team discussions and inpatient consults, observe court testimony and present a topic of interest to staff.

Evaluation Methods: Senior Selective Evaluation form.

Cardiology Elective

Title: Pediatric Cardiology at MMC
Rotation Director: Adrian M. Moran, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student
Visiting Students: Yes

Goals: The physical exam of the heart. The anatomy and physiology of congenital structural heart defects. The therapeutic approach to various defects. The causes and treatment of acquired heart disease in childhood.

Format: The student will be an integral part of the pediatric cardiology team—rounding with the team each morning on inpatients, including patient’s post-operative from heart surgery. The student will also see outpatients five days a week in the pediatric cardiology office where one on one teaching will occur.

Evaluation Methods: Senior selective evaluation form

Endocrinology Elective

Title: Pediatric Endocrinology at MMC
Rotation Director: Michael Dedekian, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student/month
Visiting Students: Yes

Goals: This one-month elective is designed to provide students with a basic understanding of normal endocrine physiology, as well as provide an inpatient and outpatient clinical experience to educate students on how to diagnose and treat children and adolescents with endocrine disorders.

Format: Seven (half day) general endocrine clinics/week. Initially, students will observe the Attendings’ interaction with the patients and their families; however, by the end of the elective students will be able to interview and examine patients independently and then present to the attending.

Four (half-day) diabetes clinic/week; same format as general endocrine clinic. Participation in all inpatient consults and admissions.

Evaluation Methods:

  • Ability to take and present a history
  • Willingness to read on specific patient-related problems and subsequent formulation of a differential diagnosis and diagnostic and therapeutic plan
  • Acquisition of basic knowledge of endocrinology
  • Performance in the above areas will be evaluated using the standard Senior Selective Evaluation form

Infectious Disease Elective

Title: Pediatric Infectious Diseases at MMC
Rotation Director: Carol McCarthy, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: Maximum of two students/month
Visiting Students: Yes

Goals: The focus of this elective is to learn to evaluate and manage infectious diseases in children. Participants are encouraged to use the literature to learn about infectious disease problems, laboratory evaluation and rational use of antimicrobial agents.

Format: Students will participate in the evaluation of inpatient consults. Several sessions/week patients are also seen in an outpatient clinic. A combined pediatric/adult infectious disease conference is held weekly at MMC. Students are encouraged to assist in the presentation of instructive pediatric cases. There is opportunity to spend time in the microbiology laboratory to gain familiarity with laboratory procedures.

Evaluation Methods: The evaluation will be based on the performance, according to the goals as outlined above. The standard senior elective evaluation form will be used.

Nephrology Elective

Title: Pediatric Nephrology
Rotation Director: Oliver Fremont, M.D
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One Student
Visiting Students: Yes

Goals: The Pediatric Nephrology Division of Maine Medical Center cares for children throughout Maine and New Hampshire. The division offers a rotation for students, residents and fellows at Maine Medical Center. The goal of the rotation is to provide the student, residents and fellows an opportunity to learn about renal disease and care of chronic illness in children, adolescents and young adults.

Format:The rotation in Pediatric Nephrology is structured in the following way:

Monday: Hospital rounds, Outpatient Clinic all day.
Tuesday: Hospital rounds, Renal transplant and Chronic Kidney Disease Clinic in AM; Stone Clinic in PM.
Wednesday: Hospital Rounds; Rounds at Casco Bay Dialysis Facility; Outpatient Clinic all day.
Thursday: Grand Rounds and Resident Lectures in AM; Outpatient Clinic in PM.
Friday: Hospital Rounds; Outpatient Clinic all day.

Along with the above, intermittent meetings and lectures are available to the students. The student should be prepared to evaluate all new consults to the service.

Evaluation Methods: A written evaluation will be done using the form provided by the medical school. There will also be informal evaluations done throughout the month to update the student on their progress.

Allergy and Immunology Elective

Title: Allergy and Immunology Senior Elective
Rotation Director: Barbara Chilmonczyk, M.D
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student/month
Visiting Students: Yes

This one month training experience provides the opportunity for a senior medical student to gain in depth experience with the diagnosis and management of asthma, allergy and immunodeficiency. Outpatient clinical encounters are complemented by reading, project work and inpatient consultation based on the student's interests.

Goals: Be able to identify, diagnose and begin treatment of patients with asthma. Be able to identify and begin treatment of patients with allergic disease. Be able to recognize individuals with possible primary immunodeficiency diseases and begin the diagnostic evaluation. Understand the role of the primary care practitioner in prevention related to allergy and immunology.

Format: The format is learner focused, and follows a calendar of activities specifically designed to give the student a broad exposure to the specialty of allergy and immunology. The student curriculum includes a self-learning module. Individual projects are available depending on interest. The majority of the experience occurs in the outpatient setting at the offices of Allergy and Asthma Associates in Portland, Maine.

Evaluation Methods

  • Promptness and appropriate demeanor
  • Ability to take a history and perform a physical exam appropriate to allergy/immunology
  • Ability to interpret basic allergy / pulmonary tests, and demonstrate use of devices common to the management of patients with asthma / allergy
  • The organization and content of the hospital consultation
  • Evidence of case based reading
  • Specific competence acquisition will be tested in: the classification and treatment of asthma; the differential diagnosis of asthma and allergic rhinitis; clinical and laboratory tests in allergy/immunology; food allergy; the presentation of immunodeficiency. *4th year medical student applicants are required to have previous inpatient and outpatient pediatric experience.

Gastroenterology Elective

Title: Gastroenterology at MMC
Rotation Director: Julia Fritz, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One Student
Visiting Students: Yes

Goals: This one month elective provides the opportunity for medical students and fellows to develop skills and concepts important for a provider involved in the care of pediatric patients with gastrointestinal illnesses.

Format: The resident, medical student and fellow will have the opportunity to evaluate patients alone as well as observe staff providers. This form of education is the foundation for teaching during the GI elective. Trainees will receive case based guidelines/recommendations for the evaluation and management of gastrointestinal illnesses. The trainee will first observe a staff physician obtaining a history and physical, with subsequent development of a diagnostic work-up and therapeutic plan. After this period of observing the staff provider, the trainee will have the opportunity to perform the H&P alone. This evaluation will then be presented to the staff member with an assessment and plan. Appropriate, complete write-ups will be placed in the chart. Dictations will be performed by the attending/staff members. By the end of the rotation the trainee will be able to demonstrate the ability to obtain a concise, complete H&P. This aspect is the most important in the trainee's development of obtaining accurate data to base future decisions and therapeutic plans. Assessments and plans presented will be expected to reflect the level of training as well as the time spent evaluating patients while on the GI service.

Evaluation Methods
: Senior Selective Evaluation Form

Neurology Elective

Title: Pediatric Neurology at MMC
Rotation Director: Tom Reynolds, D.O.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student
Visiting Students: No

Goals: The student will gain a basic understanding about patient pediatric neurology. The emphasis will be on developing skills in the neurological examination, understanding normal development. Students will be introduced to managing acute and chronic epilepsy, school and behavior problems, mental retardation and cerebral palsy.

Format: The student will accompany the attending pediatric neurologist on hospital rounds and consultations. The bulk of students’ time will be spent in the office or patient setting, evaluating acute and chronic neurological problems. Students will also attend the Muscular Dystrophy Clinic at Maine Medical Center. Students’ required reading is: Pediatric Neurology for the House Officer. There will be some formal and informal didactic sessions during the rotation.

Evaluation Methods: Senior Elective Evaluation Form

Medical Genetics Elective

Title: Medical Genetics
Rotation Director: Wendy Smith, M.D
Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student
Visiting Students: Yes

Goals: The student will demonstrate an increase in knowledge and awareness of the importance of the contribution of genetic factors to human health and disease; and the practice of clinical genetics, dysmorphology and teratology. She/he will develop skills for evaluation of dysmorphic individuals, or those with multiple malformations, analysis of family pedigree information and provision of genetic counseling.

Format: Students participating in this one month elective will be involved in the evaluation, testing, counseling and education of patients and families with known or suspected Genetic diagnoses. Patient encounters will occur during daily Medical Genetics out-patient clinics at the Maine Pediatric Specialty Group, monthly Multi-specialty clinics (Cleft Lip and Palate Clinic, the Metabolism Program for inborn errors of metabolism, Cystic Fibrosis Clinic, Hemophilia Clinic) and during in-patient consultations at BBCH/MMC. Students may also have the opportunity to participate in prenatal counseling encounters with the Division of Maternal Fetal Medicine. Teaching emphasis for medical students will be on the recognition of the role that Genetics plays in various diseases/diagnoses and medical care. The ethical, legal and social implications of Genetics will also be discussed in the context of patient evaluations. Reading materials and didactic lectures covering a variety of topics in Genetics will be provided. Students are expected to prepare prior to specific patient encounters, and will play an active role in clinical evaluations. Throughout the month, students will be asked to compose informative family-friendly letters reviewing clinic discussions and diagnosis information for selected patients encountered.

Evaluation Method: Senior Selective Evaluation form

Hematology/Oncology Elective

Title: Pediatric Hematology/Oncology at MMC
Rotation Director: Stanley Chaleff, MD
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student
Visiting Students: Yes

Goals: To expose students to a basic fund of knowledge that will enable them to successfully diagnose common pediatric hematologic and oncologic diseases and to provide an understanding of the pathophysiology of these diseases.

Format: The student will attend regularly scheduled clinics at the Maine Children's Cancer Program and will work-up new hematology and oncology consults under the direct supervision of the clinic attending. In addition, the student will round with the inpatient attending. During the course of the month, the student will spend a half to one full day in each of the following clinical laboratories: special hematology, coagulation, blood bank, and radiation oncology. The student will also be encouraged to prepare a case for presentation at the monthly tumor board conference.

Evaluation Methods: Each attending will evaluate the student on his/her professional attitude, level of enthusiasm, interest, curiosity and completeness of consultation write-ups.

Pulmonology Elective

Title: Pediatric Pulmonary at MMC
Rotation Director: Anne Coates, M.D.
Time Commitment: 4 weeks
Months offered: Based on availability
Enrollment: One student
Visiting Students: Yes

Goals: This one-month elective provides the opportunity for students to develop skills in the field of pediatric pulmonology. The student will see a range of inpatient and outpatient pathology with an emphasis on asthma, obstructive sleep apnea, cystic fibrosis, bronchopulmonary dysplasia and evaluation of the child with chronic cough, wheezing or stridor.

Format: The student will be an integral part of the team, rounding on inpatients in the morning then attending pulmonary clinic, which occurs morning and afternoon on a daily basis at Maine Pediatric Specialty Group. Cystic Fibrosis clinic is held with a multi-disciplinary team twice a month. The student can attend flexible bronchoscopy and the pulmonary function laboratory to learn how pulmonary functions are performed. There will be time set aside for reading the reading packet provided on salient topics in pulmonology. The student should present a short presentation on a pulmonary topic of their choice at the end of the elective.