Each resident will spend a dedicated one month on the
“Outpatient Pediatrics” block rotation. During this block each resident
will work directly with and be supervised by board certified pediatricians in
his/her respective outpatient clinic setting. This outpatient rotation
will be accomplished in the office of The Children's Clinic at Willow Creek in
Johnson, AR.
The resident will see patients in the FMC for three ½
days per week.
The specific goals and objectives for this educational
experience are described below.
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 become familiar with the following:
Management of well child care.
Diagnostic screening for developmental delay.
Tympanometry and hearing loss evaluation.
Spirometry: office diagnostics/follow-up and home
monitoring.
Development of asthma action plan.
Effective pediatric examination techniques.
Scoliosis screening techniques, recognition and appropriate
management.
Development of plan of evaluation and therapy for ADD/ADHD.
Strabismus evaluation and management.
Parent and patient counseling.
Objectives
The resident will be able to:
Perform an initial evaluation of the pediatric patient and present each case to
the preceptor.
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 become familiar with the following:
Cardiac murmurs: diagnosis and management, family counseling
Common rashes: recognition, evaluation and management
Viral exanthema: recognition and management
Amblyopia
Objectives
The resident will develop skill in:
Performing pediatric history and physical examination in various age groups.
Performing tympanometry
and audiology exams.
Interpreting lab and x-ray reports pertinent to pediatric practice.
Interpreting developmental screens.
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:
Obtain and use information from the population of patients seen
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 systems of health care available for the
pediatric patient and how to access such care.
Professionalism
Goal
Residents must demonstrate a commitment to carrying out
professional responsibilities and an adherence to ethical principles.
Competencies
The resident will:
Be cognizant of the need to maintain a professional demeanor at all times in
dealing with a diverse patient population base.
Objectives
The resident will:
Carry out the medical encounter in a professional manner regardless of the
patient's socioeconomic status or diversity in gender, age, culture, race,
religion, disability or sexual orientation.
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 effectively with other physicians, health professionals, patients
and their families/guardian.
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.
