Inpatient Pediatrics (PGY-1)

Children’s Hospital of Michigan

Description of Rotation or Educational Experience

This one-month inpatient experience at the dedicated, academic Children's Hospital will expose the resident to a tertiary care approach to pediatric care. Residents will learn to coordinate care with subspecialists and integrate advanced knowledge.

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies:

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Independently assess patients admitted to a tertiary care pediatric hospital service, determine a differential diagnosis and management plan, and then guide them through treatment and discharge
• Describe the forms and process of initiating investigation of suspected child abuse and list several common warning signs of physical, sexual, and emotional abuse

The resident is encouraged to familiarize themselves with the following procedures during this rotation:

• Lumbar puncture
• Use of nasogastric feeding tube
• Venipuncture
• Starting IVs
• Newborn intubation
• Newborn resuscitation
• DeLee suction
• Dubowitz assessment

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. Residents are expected to:

Competencies

• This rotation fulfills family medicine-specific training and educational requirements for inpatient care and the care of neonates, infants, children, and adolescents.

Objectives

By the end of the rotation the resident is expected to be able to:

• Proficiently perform pediatric drug dosing, fluid and electrolyte replacement calculation, and age-appropriate nutritional supplementation
• Describe normal growth and development of children

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. Residents are expected to develop skills and habits to be able to :

Competencies

• Identify strengths, deficiencies and limits in one’s knowledge and expertise;
• Participate in the education of patients, families, students, residents and other health professionals, as documented by evaluations of a resident’s teaching abilities by faculty and/or learners

Objectives

During the rotation the resident is expected to:

• Attend Wednesday lectures on a regular and consistent basis, in order to deepen medical knowledge as relevant to the rotation in a structured environment.

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. Residents are expected to:

Competencies

• Coordinate patient care within the health care system relevant to their clinical specialty
• Advocate for quality patient care and optimal patient care systems

Objectives

By the end of the rotation the resident is expected to be able to:

• Demonstrate proficiency in coordinating the care of acutely ill patients during their hospitalization and transition to outpatient care
• Describe the roles of the various members of the hospital care team including nurses, physical therapists, pharmacists, dieticians, laboratory staff and consultants.
• Describe the role of the pediatric subspecialist in the care of the acutely ill pediatric patient with unusual or resistant disease

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Responsiveness to patient needs that supersedes self-interest
• Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation

Objectives

By the end of the rotation the resident is expected to be able to:

• Work as a team with interns & residents from across multiple disciplines.

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. Residents are expected to:

Competencies

• Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
• Communicate effectively with physicians, other health professionals, and health related agencies

Objectives

By the end of the rotation the resident is expected to be able to:

• Discuss management plans effectively with both the patient and the parents/guardians

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lecture
• Direct role-modeling and observation

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Real-time feedback during direct observation
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Directly by attending physicians

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.