Resident Name: ___________________________
UTMB Pediatric Residency Curriculum PGY1 Rotation
Rotation Dates:______________...
Urgent Care Pediatrics Page 2
Section 4: Rotation-specific Learning Goals and Objectives
At the BEGINNING of the rotation,...
Urgent Care Pediatrics Page 3
Objective 2.6. Gynecological: ovarian torsion, pregnancy complication (e.g. bleeding,
ectopi...
Urgent Care Pediatrics Page 4
b. Administration of nebulized medication 1 2 3 4 5
c. Suturing and topical adhesive 1 2 3 4...
Urgent Care Pediatrics Page 5
PRACTICE BASED LEARNING AND IMPROVEMENT
1. During this rotation, what resources did your lea...
Urgent Care Pediatrics Page 6
Section 7: RESIDENT-FACULTY AGREEMENT
It is expected that Resident and Faculty will meet at ...
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Microsoft Word - UrgentCarePGY1

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Microsoft Word - UrgentCarePGY1

  1. 1. Resident Name: ___________________________ UTMB Pediatric Residency Curriculum PGY1 Rotation Rotation Dates:_________________ Urgent Care Pediatrics (PGY-1) Section 1: Administrative Information Rotation Director: Keith Bly, MD Contact Information: e-mail: kebly@utmb.edu Other Participating Faculty: Lemuel Aigbivbalu, MD Required or Elective: required Where to show on first day of rotation: Pediatric Urgent Care Clinic, 2027 61st Street at 5:30 PM; Phone: 409-744-5437 Faculty Responsibilities: 1. At the beginning of the rotation, the rotation director (or attending physician) will review with the Resident the expectations and duties and the learning goals & objectives, emphasizing their relationship to the six competency domains. 2. During the rotation, faculty are expected to provide feedback to the resident to encourage continuous improvement. 3. Faculty are expected to complete an end-of-rotation evaluation in the MyUTMB Evaluation system Resident Responsibilities: It is the Resident’s responsibility to do the following: Education-related activities 1. Read this curriculum prior to the start of the rotation, complete the pre-rotation self-assessment, and determine personal learning goals. 2. Review learning goals with the curriculum manager (or designee) on Day 1 of the rotation. 3. Provide evaluation of the experience and of the faculty at the conclusion of the rotation. 4. Residents are required to attend all Core Curriculum Conferences scheduled for their level of training. Section 2: Educational and Clinical Activities Mon Tues Wed Thurs Friday Sat Sunday 8-noon Off Off Off Off Off Urgent Care shift (10a-8p) Urgent Care shift (10a-8p) 1pm-5pm Continuity Clinic-one afternoon per week and Core Curriculum on Friday as assigned for their level of training 530pm- 10pm Urgent Care shift Urgent Care shift Urgent Care shift Urgent Care shift Urgent Care shift Section 3: Evaluation Methods 1. Every Resident will receive an evaluation of competency in the 6 ACGME-defined competency domains, from at least one Faculty using the UTMB-GME tool at MyUTMB. 2. Every Resident is expected to evaluate the supervising Faculty in the 6 ACGME-defined competency domains, using the UTMB-GME tool at MyUTMB.
  2. 2. Urgent Care Pediatrics Page 2 Section 4: Rotation-specific Learning Goals and Objectives At the BEGINNING of the rotation, At the END of the rotation, determine which of these objectives will be self-assess your competency on your primary focus and guide the each of the objectives. development of your learning goals. circle number PRE POST 1 = I still have a lot to learn 2 = 3 = I am moderately confident I have met this objective 4 = 5 = I am very confident I have met this objective MEDICAL KNOWLEDGE Goal 1: Common Conditions. Know the etiology, presentation and management of common symptoms or diagnoses in patients who present in the Urgent Care setting. Objective 1.1. Allergic/immunologic: acute allergic reaction or anaphylaxis, asthma, urticaria 1 2 3 4 5 Objective 1.2. Dermatologic: acute drug reactions, bite and sting injuries, contact dermatitis, cutaneous manifestation of systemic and/or contagious diseases, infections of skin and hair (bacterial, fungal, and viral), pediculosis, scabies 1 2 3 4 5 Objective 1.3. Endocrine/Metabolic: underlying endocrine/metabolic disease,hypoglycemia 1 2 3 4 5 Objective 1.4. Gastrointestinal/surgical: constipation, dehydration, diarrhea, foreign body in GI tract, gastroenteritis, gastroesophageal reflux, hepatosplenomegaly,peptic ulcer disease 1 2 3 4 5 Objective 1.5. Genitourinary/renal: balanitis, edema, epididymitis, hematuria, labial adhesions, proteinuria, urinary tract infection, sexually transmitted diseases 1 2 3 4 5 Objective 1.6. Gynecological: cervicitis, dysfunctional vaginal bleeding, pelvic inflammatory disease (PID) 1 2 3 4 5 Objective 1.7. Hematologic/Oncologic: anemia, Henoch Schönlein purpura 1 2 3 4 5 Objective 1.8. Infectious (Other): adenitis, cervical cellulitis (especially facial/orbital), infected wounds and bites, pharyngitis, stomatitis, sinusitis 1 2 3 4 5 Objective 1.9. Neurologic: dizziness/fainting, febrile seizures, migraine, muscle contraction headache 1 2 3 4 5 Objective 1.10. Ophthalmologic: corneal abrasion, conjunctivitis 1 2 3 4 5 Objective 1.11. Orthopedic: dislocations, fractures, gait disturbance (including limp), Osgood Schlatter's Disease, overuse syndromes, sprains, strains 1 2 3 4 5 Objective 1.12. Otolaryngologic: epistaxis, foreign body in ear, otitis media/externa, peritonsillar or retropharyngeal abscess 1 2 3 4 5 Objective 1.13. Pulmonary: asthma (not including status), bronchiolitis, croup, pneumonia 1 2 3 4 5 Objective 1.14. Rheumatologic: joint or soft tissue pain 1 2 3 4 5 Objective 1.15. Trauma/surgical: soft tissue injury (including lacerations, abrasions, and contusions) 1 2 3 4 5 Goal 2: Urgent Conditions. Know the etiology, presentation and management of the following conditions that present in the Urgent Care setting and understand when they require transfer for higher level of care. Objective 2.1. Allergic/immunologic: severe acute allergic reaction or anaphylaxis, status asthmaticus, urticaria with potential respiratory compromise 1 2 3 4 5 Objective 2.2. Cardiovascular: Kawasaki's disease 1 2 3 4 5 Objective 2.3. Endocrine/Metabolic: diabetes mellitus and ketoacidosis, thyroid disorders 1 2 3 4 5 Objective 2.4. Gastrointestinal/surgical: acute abdomen, appendicitis, biliary tract disease, bowel obstruction, hepatitis, hepatosplenomegaly, ileus, incarcerated hernia, intussusceptions, malrotation, pancreatitis, peritonitis, pyloric stenosis, upper and lower GI tract bleeding 1 2 3 4 5 Objective 2.5. Genitourinary/renal: paraphimosis, phimosis, testicular torsion 1 2 3 4 5
  3. 3. Urgent Care Pediatrics Page 3 Objective 2.6. Gynecological: ovarian torsion, pregnancy complication (e.g. bleeding, ectopic, miscarriage), ruptured ovarian cyst 1 2 3 4 5 Objective 2.7. Hematologic/Oncologic: symptomatic anemia, fever in a child with sickle cell disease or cancer, Henoch Schönlein Purpura with active bleeding, possible tumor (masses), sickle cell pain crisis, thrombocytopenia 1 2 3 4 5 Objective 2.8. Infectiousn (Other): dental abscess encephalitis, fever without source, meningitis, sepsis/bacteremia 1 2 3 4 5 Objective 2.9. Neurologic: afebrile seizures, altered mental status, ataxia 1 2 3 4 5 Objective 2.10. Ophthalmologic: ocular foreign body, hyphema 1 2 3 4 5 Objective 2.11. Orthopedic: discitis, compound and open fractures, osteomyelitis, septic arthritis 1 2 3 4 5 Objective 2.12. Otolaryngologic: mastoiditis 1 2 3 4 5 Objective 2.13. Pulmonary: epiglottitis, foreign body aspiration, pleural effusion, pneumothorax 1 2 3 4 5 PATIENT CARE GOAL 3: Stabilization. Stabilize moderately ill or injured children in the outpatient setting. Objective 3.1. Rapidly recognize patients that might be in respiratory failure or shock. 1 2 3 4 5 a. Differentiate between cardiogenic, distributive, and hypovolemic shock. 1 2 3 4 5 b. Differentiate between respiratory distress and failure. 1 2 3 4 5 Objective 3.2. Perform the primary survey (ABCs) for all patients in an efficient manner. 1 2 3 4 5 GOAL 4: Diagnostic Testing. In the Urgent Care setting, know when to use common diagnostic tests and imaging studies appropriately. Objective 4.1. Demonstrate knowledge of common diagnostic tests and imaging studies used in the Urgent Care setting by being able to: a. Explain the indications for and limitations of the study. 1 2 3 4 5 b. Know or be able to locate readily age-appropriate normal values for lab studies. 1 2 3 4 5 c. Apply knowledge of diagnostic test properties, including the use of sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratios, and receiver operating characteristic curves, to assess the utility of tests in various clinical settings. 1 2 3 4 5 Objective 4.2. Know which labs to order for conditions listed above that commonly present to an Urgent Care setting. 1 2 3 4 5 Objective 4.3. Know when to use the following imaging or radiographic studies when indicated for patients in the Urgent Care setting: 1 2 3 4 5 a. Plain radiographs of chest, skull, extremity bones, abdomen, cervical spine 1 2 3 4 5 b. Other imaging techniques, such as CT 1 2 3 4 5 Objective 4.4. Know when to order an Electrocardiogram GOAL 5: Monitoring and Treatment. In the Urgent Care setting, demonstrate how to use physiologic monitoring and special technology. Demonstrate understanding of the monitoring techniques and special treatments commonly used in the Urgent Care by being able to: • Discuss indications, contraindications, and complications. • Demonstrate proper use of technique or treatment for children of varying ages. Interpret results of monitoring based on method used, age, and clinical situation. Objective 5.1. Use appropriately the monitoring techniques used in the Urgent Care: a. Physiologic monitoring of temperature, blood pressure, heart rate, respirations 1 2 3 4 5 b. Pulse oximetry 1 2 3 4 5 Objective 5.2. Utilize appropriately the treatments and techniques used in the Urgent Care: a. Universal precautions 1 2 3 4 5
  4. 4. Urgent Care Pediatrics Page 4 b. Administration of nebulized medication 1 2 3 4 5 c. Suturing and topical adhesive 1 2 3 4 5 d. Splinting 1 2 3 4 5 e. Oxygen delivery systems 1 2 3 4 5 f. Gastric button replacement 1 2 3 4 5 Objective 5.3. Demonstrate following methods of anesthesia or pain management used in the Urgent Care: a. Methods for recognizing and evaluating pain 1 2 3 4 5 b. Topical/local/regional anesthesia 1 2 3 4 5 c. Other non-pharmacologic methods of pain control (e.g., distraction techniques and humor therapy) 1 2 3 4 5 COMMUNICATION AND INTERPERSONAL SKILLS Goal 6: Urgent Care Systems for Pediatric Populations. Objective 6.1. Demonstrate the ability to explain to patients and their caregivers when activation and use of the local EMS for children, including interhospital transport, is necessary for their child. 1 2 3 4 5 Objective 6.2. Be able to provide all information to Urgent Care staff and accepting facility regarding the specifics of this transport in order to provide the most efficient transfer of care. 1 2 3 4 5 GOAL 7: Stabilization Objective 7.1. Communicate to family the decisions and rationale for stabilization procedures and the emergent plan 1 2 3 4 5 GOAL 8: Diagnostic Testing. Explain common diagnostic tests and imaging studies to patients and their families. Objective 8.1 Explain to families the indications for and limitations of a study 1 2 3 4 5 Objective 8.2. Explain to patients and their families the use of laboratory studies 1 2 3 4 5 SYSTEMS-BASED PRACTICE 1. Describe the organization and utilization of urgent care medical systems for children in the Galveston area, including: a. Hospital Emergency Departments/Trauma Centers b. Same Day Appointments in clinics c. Urgent Care Centers 1 2 3 4 5 2. Demonstrate the ability to activate and use the local EMS for children, including interhospital transport. 1 2 3 4 5 3. For patients seen on this rotation, how do different models of healthcare delivery and healthcare financing (e.g., HMO, PPO, fee-for-service, Medicaid, CHIP, public health care, school-based care) impact access to and delivery of care. 1 2 3 4 5 4. Relative to this rotation, determine how much one diagnostic procedure or treatment costs and determine if/how this is covered by most 3rd -party insurances and Medicaid. 1 2 3 4 5 5. Identify the ICD codes most commonly used in billing practices on this rotation. 1 2 3 4 5 6. Describe strategies you observed on this rotation that demonstrate inter-professional coordination of care; and/or recommend additional strategies which might be implemented to improve care. 1 2 3 4 5 7. Related to clinical conditions you encountered on this rotation, discuss ways in which pediatricians can advocate for the promotion of health and the prevention of disease or injury in populations. 1 2 3 4 5
  5. 5. Urgent Care Pediatrics Page 5 PRACTICE BASED LEARNING AND IMPROVEMENT 1. During this rotation, what resources did your learn about and/or practice using that you might use again? 1 2 3 4 5 2. During this rotation, what did you read that helped you with your learning? 1 2 3 4 5 3. Consider how what you have learned on this rotation impacts your own practice in your Continuity Practice. 1 2 3 4 5 Section 5: PROFESSIONALISM Throughout this rotation, demonstrate professionalism by showing the following CHARACTER attributes: Check here which ones you demonstrated during the rotation* 1. Compassion (empathy; awareness of other’s feelings and experiences) 2. Honesty (truthfulness, including admission of mistakes) 3. Altruism (unselfish concern for the welfare of others) 4. Responsibility (for conduct, work obligations, and self-improvement) 5. Aiming for excellence (in self, others, and the system of healthcare) 6. Confidentiality 7. Team Player 8. Ethical approach 9. Respect to patients/families, colleagues, team members and faculty (including respect and sensitivity for diversity) Comments or examples: *note: not demonstrating this during the rotation does not mean that you do not possess these qualities. It just means that it is not likely that your faculty would have seen observable behaviors on which to evaluate this aspect of professionalism. Section 6: PERSONAL LEARNING GOALS OR TARGETS (we provide 5 boxes, but you can decide how many targets you want to identify ) At the BEGINNING of the rotation, At the END of the rotation, design your personal learning goals - self-assess your competency on what to you really want to focus on each of goals. during this rotation POST-ROTATION 1 not met 2 met partially 3 accomplished 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
  6. 6. Urgent Care Pediatrics Page 6 Section 7: RESIDENT-FACULTY AGREEMENT It is expected that Resident and Faculty will meet at the beginning of the rotation to review expectations and learning goals and again at the end of the rotation to review learning accomplishments and competencies. The Resident is expected to submit on-line confirmation of these two meetings: http://www/PediEd/Curriculum/CurriculumReviewConfirmation.asp Last updated 5-25-10 For electronic version of this document, go to Pediatric Dept. Education website or contact V. Niebuhr.

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