The PGYIII rotation in pediatrics allows the resident to
rotate through various specialty areas of pediatrics. The duration of the
rotation is eight weeks. The resident will see continuity clinic patients in
the FMC approximately three ½ days per week.
This outpatient rotation will be accomplished in various
locations:
The Family Medical Center in Fayetteville. This is the
office of Dr. Linda McGhee, one of our residency physician faculty members, who
is dually board certified in Family Medicine and Pediatrics.
The Schmieding Developmental Center/Schmieding
KIDS FIRST/Arkansas Children’s Hospital Outreach Pediatrics located in
Lowell.
The residents participate in a Well Child Clinic and Problem
Pediatrics Clinic with Dr. Linda McGhee at the Family Medical Center. The
Well Child Clinic is for children ages two months to eighteen years for well
child EPSDT’s. Patients are evaluated on development and growth,
immunizations are updated and families/guardians are educated on normal growth
and development. Referrals may be made for abnormal screenings. The
Problem Pediatrics Clinic involves the evaluation of special pediatric cases in
a comprehensive session which includes a thorough examination by the resident
and Dr. McGhee, family counseling, and possible referral. This clinic
sees pediatric patients with medical conditions, growth and development
disorders, and psychosocial issues.
The Schmieding Developmental Center provides comprehensive
developmental assessments of children from birth to 18 years of age. The
staff of psychologists, physicians, and speech and language pathologists serves
the mission of the developmental center: to provide exceptional,
comprehensive evaluations that look at each aspect of a child’s development and
generate detailed intervention and treatment recommendations as well as
follow-up care as appropriate.
Schmieding KIDS FIRST is a comprehensive early intervention program
for infants and young children who have special health care needs. Services at
Schmieding KIDS FIRST clinics are tailored to meet the individual needs of
children and families. Health monitoring, preventative health care, therapeutic
services, developmental intervention and family-centered care are the core of
the Schmieding KIDS FIRST program. Patients include infants through
preschool age who are at risk for developmental delays and/or
disabilities. Examples include children who are: born prematurely,
diagnosed as failing to thrive, diagnosed with a chronic illness that places
their normal development at risk, exposed to alcohol or drugs prior to birth,
and those born sick and require an unusual level of medical intervention.
The Arkansas Children’s Hospital Outreach Pediatrics program provides a variety
of pediatric subspecialty clinics allowing excellent medical care for pediatric
patients in the Northwest Arkansas area. Because of this outreach
program, the patients and their families do not have to travel to Little Rock
for quality care. Subspecialty clinics include: pulmonary, asthma,
cardiology, rheumatology, hematology, rehabilitation, endocrinology, neurology,
and gastroenterology.
Patient Care
Goal
Provide outpatient care for newborns, children, and
adolescents that is compassionate, appropriate, and effective for the treatment
of health problems and the promotion of health.
Competencies
The resident will:
Learn to work with and consult pediatric subspecialists.
Participate in performing pediatric history and physical
exams with the preceptor.
Objectives
The resident will be able to:
Make informed decisions about diagnostic and therapeutic interventions based on
patient information and patient/family preference, up to date scientific
evidence and clinical judgments.
Medical Knowledge
Goal
Residents must demonstrate knowledge of established and
evolving biomedical, clinical, epidemiological, and social-behavioral sciences,
as well as the application of this knowledge to patient care.
Competencies
The resident will gain knowledge regarding the following
pediatric conditions:
Autism Spectrum Disorder
Asthma: pathophysiology,
diagnosis and management
ADD/ADHD syndromes
Failure to thrive
Obesity
Family conflict
School problems
Congenital heart problems
Juvenile Diabetes
Developmental disorders
Growth problems
Hypothyroidism
Prematurity
Scoliosis
Cerebral Palsy
Spina bifida
Objectives
The resident will gain experience in the initial diagnosis,
management and/or referral of:
Autism Spectrum Disorder
Asthma: pathophysiology,
diagnosis and management
ADD/ADHD syndromes
Failure to thrive
Obesity
Family conflict
School problems
Congenital heart problems
Juvenile Diabetes
Developmental disorders
Growth problems
Hypothyroidism
Prematurity
Scoliosis
Cerebral Palsy
Spina bifida
Practice- Based Learning and Improvement
Goal
Residents must demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific
evidence, and to continuously improve patient care based on constant
self-evaluation and life long learning.
Competencies
The resident will identify strengths, deficiencies and limits in ones knowledge
and expertise.
Objectives
The resident will:
Use information technology to access medical information and support their
education
Locate, appraise and assimilate evidence from scientific studies related to
their patients’ health problems
Gain an understanding of the limitations of the family physician’s ability to
provide certain types of pediatric care and the need for consultation.
Systems Based Practice
Goal
Residents must demonstrate an awareness of and responsiveness
to the larger context and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal health
care.
Competencies
The resident will:
Advocate for quality patient care.
Practice cost effective health care and resource utilization that does not
compromise the quality of care.
Objectives
The resident will
Understand the options available for the pediatric patient
and how to access care for the complicated pediatric patient.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out
professional responsibilities and an adherence to ethical principles.
Competencies
The resident will:
Demonstrate sensitivity and responsiveness to a diverse patient population
including but not limited to diversity in gender, age, culture, race, religion,
disability and sexual orientation.
Objectives
The resident will:
Treat each patient and family with the utmost respect regardless of their
socioeconomic status or diversity status.
Interpersonal and Communication Skills
Goal
Residents must demonstrate interpersonal and communication
skills that result in the effective exchange of information and teaming with
patients, their families, and professional associates.
Competencies
The resident will:
Communicate effectively with other physicians, health professionals, patients
and their families/guardian.
Objectives
The resident will:
Communicate with patients and families/guardian tailored to their knowledge and
understanding of disease processes with the utmost respect.
Communicate with other physicians and healthcare workers in an effective and
professional manner.
Teaching Methods
Direct preceptor-resident interaction in the outpatient
setting, didactic lectures, role modeling, and case-based learning.
Assessment Method
At the conclusion of each resident rotation, the residency
coordinator sends a formative-type, rotation-specific performance evaluation
form to the rotations’ supervising physician. When the completed
evaluation is returned, the resident physician and the resident’s faculty
advisor review the evaluation and attest to reviewing it by signing/initialing
the form. Next, the program director reviews and attests to the
document. Once all three have reviewed and attested the evaluation, it is
included in the resident’s permanent file.
Each resident is asked to evaluate the rotation and
supervising physician(s) at the end of the rotation. The resident’s
faculty advisor and program director review the evaluation and attest to
reviewing it by signing/initialing the form. These evaluations are filed
together by resident year.
Educational Resources
References available at the AHEC Library:
Behrman RE, et al. Nelson Textbook of Pediatrics. 16th
ed., Philadelphia, WB Saunders, 2000.
Siberry
GK. The Harriet Lane Handbook: A manual for pediatric house
officers. 15th ed., Mosby, 2000.
Hay WW. Current Pediatric Diagnosis and
Treatment. 15th ed., Appleton & Lange, 2000.
Reference
distributed to resident at time of rotation:
“Bright Futures: Guidelines for Health Supervision of
Infants, Children, and Adolecents”. This is a compendium of recommended
readings in pediatrics; a publication sponsored by the U.S. Department of Human
Services.
