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  • 1. PEDIATRIC ENDOCRINOLOGY Department Of Pediatrics SCOPE OF PRACTICE PGY-4 – PGY-6 The first year of the Pediatric Endocrinology Training Program at MUSC focuses on does not make distinctions in the Scope of Practice between PGY-4, -5 and 6 Residents. As trainees progress they are encouraged to assume greater degrees of independence, as suited to their knowledge and skills in the judgment of the supervising faculty in general and the person of the attending physician specifically, in the discharge of the responsibilities noted below: PGY-4 Examine and evaluate pediatric Endo/Metabolism patient in outpatient clinic. Develop efficiency in the complete management of pediatric Endo/Metabolism patients, i.e., evaluation, diagnosis, treatment and follow up. Review patient history, physical exam, diagnosis, management and follow up with the pediatric Endo/Metabolism attending. Arrange follow up tests, procedures, admissions. Follow up on results of tests, procedures, etc. communicate these results to the Endo/Metabolism attending and the parents of the patient. Document outpatient clinic visits in Practice Partner according to the prescribed format in a timely manner. Assist in preparing a child for endocrine provocative testing. Participate in the performance of procedures both in the pediatric outpatient testing area and in the inpatient units. Review and evaluate patients for Endo/Metabolism consultation. Updated on 2/1/2010 Page 1 of 5 For information regarding this scope of practice, please contact: Yaw Appiagyei-Dankah, Program Director, (843) 792-6807, appiag@musc.edu
  • 2. PEDIATRIC ENDOCRINOLOGY Department Of Pediatrics SCOPE OF PRACTICE PGY-4 – PGY-6 Examine and evaluate all Endo/Metabolism admissions, write a brief history and physical exam as well as outlining a management plan. Communicate findings and plans to both the Endo/Metabolism attending and the appropriate house staff member. Examine and assess Pediatric Endo/Metabolism inpatients on a daily basis. Patients in special care units may require multiple daily evaluations. Inform the attending physician and appropriate nursing and house staff of all important historical information, physical examination findings, and laboratory results involving Pediatric Endo/Metabolism patients. Participate in or direct rounds on Pediatric Endo/Metabolism inpatients. Coordinate, assess, and improve the care delivered of more junior house staff, medical students, and nursing staff. Assist in or perform discharge planning for inpatients. Participate in the formal evaluation of junior house officers and medical students. Provide telephone consultation to outside physicians and to the MeduCare Emergency Transport Service. Assist in or direct the coordination and supervision of the transfer of patients to and from Children’s Hospital. Attend regularly scheduled pediatric Endo/Metabolism conferences including all clinic conferences; Endo Grand Rounds, Journal Club and Research conferences. Updated on 2/1/2010 Page 2 of 5 For information regarding this scope of practice, please contact: Yaw Appiagyei-Dankah, Program Director, (843) 792-6807, appiag@musc.edu
  • 3. PEDIATRIC ENDOCRINOLOGY Department Of Pediatrics SCOPE OF PRACTICE PGY-4 – PGY-6 Prepare and give teaching conferences to the house staff and medical students on the Endocrine team. Be responsible for night call 3 or 4 nights per week and weekend call 2 weekends per month. Identify and select a mentor to outline research project before the end of the year. Establish a Scholarship Oversight Committee to help develop a research project. PGY-5 Follow chronically ill patients whom he/she has begun to follow the previous year. This should be accomplished in two clinic sessions per week. Develop complete management plans, including medical, nutritional and physical therapies as well as follow up for these patients. Participate in or perform the formal evaluation of junior house officers and medical students. Document outpatient clinic visits in Practice Partner in a timely manner. Provide telephone consultation to outside physicians and to the MeduCare Emergency Transport Service. Assist in or direct the coordination and supervision of the transfer of patients to and from Children’s Hospital. Attend and participate in regularly scheduled pediatric Endo/Metabolism conferences, including daily rounds, morning report, all clinic conferences; Endo Grand Rounds, Journal Club and Research conferences. Updated on 2/1/2010 Page 3 of 5 For information regarding this scope of practice, please contact: Yaw Appiagyei-Dankah, Program Director, (843) 792-6807, appiag@musc.edu
  • 4. PEDIATRIC ENDOCRINOLOGY Department Of Pediatrics SCOPE OF PRACTICE PGY-4 – PGY-6 Prepare and deliver one teaching conference every 2 months for the house staff and medical students. Attend the weekly Endo/Metabolism research conference and present at least one time. Devote a major proportion of time to learning research techniques as well as working on research projects. Be well into the research phase of the project by the year’s end. Take weekend call from home one to two weekends per month. The Endo/Metabolism attending will be on back call for these weekends. Be on service for inpatient duties three months to provide cross coverage for the wards and consultations. PGY-6 Complete “scholarly activity”, the work product of which should be submitted for publication in a peer reviewed journal. All aspects of this scholarly activity should be completed before the end of the year. Attend and present at weekly research conference. Research results as well as research problems are appropriate topics to present. See any remaining chronically ill patients who have been followed the previous year. Ongoing care for these patients should be arranged. Be proficient in ordering, performing and interpreting all stimulation tests. In addition, should be able to initiate treatment for growth hormone, Leuprolide injections etc. Updated on 2/1/2010 Page 4 of 5 For information regarding this scope of practice, please contact: Yaw Appiagyei-Dankah, Program Director, (843) 792-6807, appiag@musc.edu
  • 5. PEDIATRIC ENDOCRINOLOGY Department Of Pediatrics SCOPE OF PRACTICE PGY-4 – PGY-6 Complete outpatient visit notes in a timely manner. Perform follow up discussion of labs results and communicate any changes in plans accordingly. Provide telephone consultation to outside physicians and to the MeduCare Emergency Transport Service. Assist in or direct the coordination and supervision of the transfer of patients to and from Children’s Hospital Attendance at clinically related conferences will be requested but not required. Be responsible for weekend call one to two weekends per month. Endo/Metabolism attending will be on call for back up these weekends. Cover inpatient and consultation service for three months. In this capacity the fellow will continue with the transition process to becoming an independent attending. Take a leading role in directing the weekly Case and Journal Club presentations. Updated on 2/1/2010 Page 5 of 5 For information regarding this scope of practice, please contact: Yaw Appiagyei-Dankah, Program Director, (843) 792-6807, appiag@musc.edu

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