Post on 11-Jan-2016
OBJECTIVES OF ORIENTATION
Define the requirements and expectations of your 4 week core pediatric rotation
Familiarize yourself with the Pediatrics website, the pediatrics curriculum, and the clinical teaching sites
PURPOSE OF YOUR PEDIATRIC ROTATION The purpose of the Pediatric Clerkship is to
provide 3rd year medical students outpatient pediatric and some inpatient and nursery (based on sites) clinical experiences where students will
acquire a working knowledge of normal and abnormal growth and development
recognize, understand the pathophysiology of, diagnose, and treat the common disorders of infancy, childhood, and adolescence
develop an understanding of children’s and families’ perspectives of being cared for within our healthcare system through observation, inquiry, and reflection
GET TO KNOW THIS WEBSITEHTTP://
WWW.VCOM.EDU/PEDIATRICS/INDEX.HTML
PEDIATRIC CURRICULUM
COMPETENCY BASED CURRICULUMSix Domains (Communication, Problem Solving, Clinical Skills,
OMM, Medical Knowledge, Professional and Ethical Behaviors) During the third year clinical rotation, students
expand the knowledge they were taught in the first two years and gain the ability to apply that knowledge in the clinical setting.
The third year clinical didactic pediatric curriculum is taught through: On-line case modules Online video lectures Supplemental suggested textbook reading in general
pediatrics and Osteopathic manipulation
PEDIATRIC CURRICULUM (SYLLABUS)
PEDIATRIC CURRICULUM CLIPP Cases
11 out of the 32 Pediatric on-line interactive cases must be completed during the rotation.
It is highly recommended to complete all the cases. http://www.med-u.org/
VCOM Pediatrics Video Curriculum On VCOMTV website (OMS-III) On VCOM TV you have to change the site on upper right
corner to OMS III
Supplemental suggested textbooks: Nelson Essentials of Pediatrics, 7th edition American Osteopathic Association, and Anthony Chila. 3rd
ed. Chapters 54 and 58: The Child with Ear Pain Kuchera, M. & Kuchera, W. Revised 2nd Edition. The
Common Cold. P 23-30Questions from the assigned OMM chapters will be included
on your end of month exam for each core rotation
HOW TO ACCESS CLIPP CASES
Go to http://www.med-u.org/virtual_patient_cases/clipp
Click <Go to Cases> in the left frame
At the login page, click the second button: <Registration>
Enter your medical school email address
The system will email you a login and password to use
All 11 modules must have “Green Checks” Status
- Review All Cards
- Achieve “Good” Engagement
- Session should be “Completed”
VCOM TV VIDEOS
Respiratory Complaints Newborn Conditions and Pearls (VCOM tv#
465) Newborn Exam (VCOM tv# 1176) Fever and Serious Bacterial Infection Abdominal Complaints Childhood Development (VCOM tv# 517) Pediatric Rashes Pediatric Extremity Injuries
Sign in as OMS-IIINot OMS I-II
RECOMMENDED READING
Required textbooks for OMSIII
Great Pediatric Texts-can be referenced
in the VCOM Library online
SOME OTHER RESOURCES AVAILABLE AT VCOM LIBRARY
Garfunkel: Pediatric Clinical Advisor, 2nd ed. - 2007 - Mosby, An Imprint of Elsevier
Johns Hopkins: The Harriet Lane Handbook, 20th ed. - 2014 - Mosby, An Imprint of Elsevier *
Kliegman: Nelson Textbook of Pediatrics, 19th ed. - 2011 - Saunders, An Imprint of Elsevier
Paller: Hurwitz Clinical Pediatric Dermatology, 4th ed. - 2011 - Saunders, An Imprint of Elsevier
New Edition -Park: Park's Pediatric Cardiology for Practitioners, 6th ed. - 2014 - Mosby, An Imprint of Elsevier
Piña-Garza: Fenichel's Clinical Pediatric Neurology, 7th ed. - 2013 - Saunders, An Imprint of Elsevier
Polin: Pediatric Secrets, 5th ed. - 2010 - Mosby, An Imprint of Elsevier
Selbst: Pediatric Emergency Medicine Secrets, 2nd ed. - 2008 - Mosby, An Imprint of Elsevier
New Edition -Sperling: Pediatric Endocrinology, 4th ed. - 2014 - Saunders, An Imprint of Elsevier
Staheli: Pediatric Orthopaedic Secrets, 3rd ed. - 2007 - Mosby, An Imprint of Elsevier
Wilmott: Kendig & Chernick's Disorders of the Respiratory Tract in Children, 8th ed. - 2012 - Saunders, An Imprint of Elsevier
Wolraich: Developmental-Behavioral Pediatrics, 1st ed. - 2007 - Mosby, An Imprint of Elsevier
Zitelli: Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, 6th ed. - 2012 - Saunders, An Imprint of Elsevier
WHAT’S REQUIRED TO SUCCESSFULLY COMPLETE THE PEDIATRIC ROTATION
Patient log: It is your responsibility to keep track and records your experiences and enter them online.
OMM Log: to be completed and entered online!! End of rotation Site Evaluation “VCOM Portal” Clinical Performance Evaluation Form from your
preceptor >>>to be completed and entered online by the preceptor!!
Review at Least 11 CLIPP cases:- Select 11 cases according to your educational need:
Nursery – 1, 7, 8, 9, 18, 29
Inpatient – 15, 16, 10, 13, 22, 12, 25, 11, 19, 23, 24, 30
Outpatient – 2, 3, 4, 5, 6, 14, 13, 17, 20, 21, 26, 27, 28, 31, 32
Pass the end of rotation exam
CASE LOG
Found on the Pediatrics discipline website.Instructions for completion included in online document
CASE LOGTo be completed
online
PEDIATRIC END OF ROTATION EXAM
The Pediatrics end of rotation exam is based on content from: CLIPP cases Referenced VCOM TV videos Suggested reading references in rotation objectives American Osteopathic Association, and Anthony Chila.
3rd ed. Chapters 54 and 58: The Child with Ear Pain Kuchera, M. & Kuchera, W. Revised 2nd Edition. The
Common Cold
110 question exam on the last Friday of rotation 100 general pediatric questions 10 OMM questions Exam questions are monitored for validity and no
question challenges will be accepted.
HOW I AM EVALUATED?? PERFORMANCE Evaluation:
Preceptor evaluation
VCOM uses a competency based evaluation form which includes the osteopathic core competencies. These competencies evaluated include: Medical knowledge Communication Physical exam skills Problem solving and clinical decision making Professionalism and ethics Osteopathic specific competencies Additional VCOM values
OBJECTIVE Evaluation: End of rotation exam
PRECEPTOR EVALUATION
PRECEPTOR EVALUATION SCORING
Unacceptable 1 Below Expectations 2 Met Expectations 3 Above Expectations 4 Exceptional 5
>>> Combine the scores and divide by 29 (or 30 if OMM being evaluated)
Results:
F (Fail) 1.0-2.89
P (Pass) 2.9-3.49
HP (High Pass) 3.5-4.29
H (Honor) 4.3-5.0
Example: Get 20 (Above Expectations) and 9 (Exceptional)>>> H (Honor)
THE WEEKEND BEFORE….
Watch the Newborn Exams video on VCOM. TV Review Developmental Milestones – make a
cheat sheet to take with you Resources
http://brightfutures.aap.org/index.html http://www.healthyfuturesva.com/discovery.html http://www.healthychildren.org http://www.cdc.gov/ncbddd/actearly/milestones/index.html
Review components of Health Maintenance exams Well-child care accounts for 25% of visits to primary care
practitioners for children younger than 15 and 40% for children younger than 1 year.1 These visits constitute a large percentage of pediatricians’ time, with the average time for preventive care visits ranging from 16 to 19 minutes
http://www.comsep.org/home/index.cfm
TIPS FOR PERFORMING WELL CLINICALLY
DO: Make life easier for your
team/preceptor – be helpful
Show enthusiasm Make yourself available Demonstrate your
knowledge Ask for and respond to
feedback Read on at least one topic
seen in clinic nightly Take ownership of your
patient
DON’T: Disappear Say negative things about
other physicians Pretend you know an answer
when you don’t Study so much that patient
care suffers Stay on your computer or
phone
A WORD ABOUT PRECEPTORS
Your preceptors are appointed clinical faculty in the department of pediatrics
Preceptors are busy physicians, community leaders, partners, spouses, parents, etc, in other words…HUMAN
You are important to them, but not always the first thing on their list
Mutually respect and learn from your differences and similarities
You will have one lead preceptor, but expect to interact with everyone in the practice or community
Meet the preceptors: http://www.vcom.edu/pediatrics/faculty.html
INDIVIDUAL SITE INSTRUCTIONS FOR STUDENTS: Please access the student portal for individual
instructions at your rotation sites. Most sites will ask you to be at the office M-F
from 8am-5pm. Hours and expectations vary between different sites and even between individual physicians.
If your physician is working on the weekend or after office hours and asks you to participate, this is expected and can be an important part of the learning process.
It is YOUR responsibility to contact your site preceptor or coordinator prior to the first day of your rotation to ask about time and location of your first day.
INDIVIDUAL SITE INSTRUCTIONS
You should inform your preceptor on the first day if there will be any absences during your rotation (such as VCOM required functions)
Ask your preceptor for feedback…they will be evaluating your performance at the middle and the end of the month.
Mid-rotation do not count toward your grade, but are useful in correcting problems before they do reflect on your final evaluation
PROFESSIONALISMDRESS FOR SUCCESS
WHAT NOT TO WEAR
WHAT TO BRING!!!!
Bring your white coat…although you may not be required to wear it (most pediatricians do not wear one b/c they can by scary to the children) Ask your preceptor about his/her preference.
Stethoscope Otoscope and Ophthalmoscope for some sites Reading material (in case you have downtime) You might need a packed lunch (depends on
location) Leave your PDA’s, cell phones, computers in your
bag and avoid using them during patient care time Patient case log And most importantly…
patience and a smile!!!!
USEFUL/FUN WEBSITES
www.aap.org http://newborns.stanford.edu/PhotoGallery/ http://library.med.utah.edu/
pedineurologicexam/html/home_exam.html http://www.healthyfuturesva.com/
discovery.html http://www.med.umich.edu/pediatrics/ebm/ http://www.cdc.gov/vaccines/