Overview
The outpatient pediatrics rotation is a one block preceptorial rotation. The rotation occurs in the pediatrician’s office. The teaching of outpatient pediatrics in the program includes this rotation as well as experiences in the Family Medicine Center, the noon conference series, and on other rotations (See other curricula).
Goals
- At the completion of this rotation, the resident will have an understanding of the practice of outpatient pediatrics in a community setting which will facilitate appropriate referral practices in the future.
- At the completion of this rotation, the resident will have gained knowledge and skills in the areas of outpatient pediatrics pertinent to the practice of family medicine.
Objectives
At the completion of this rotation, the resident will have demonstrated to the satisfaction of the outpatient pediatrics preceptor:
- medical knowledge in outpatient pediatrics pertinent to the practice of family medicine, including the appropriate evaluation and treatment of (MK): developmental issues in normal children and in those with developmental deficiencies, child abuse and neglect, behavioral problems in children, ADHD, congenital abnormalities, mental retardation, common rashes, common infectious illnesses, drug and alcohol use, common chronic medical conditions, childhood cancer, heart murmurs, disease prevention, and normal nutrition and nutritional problems.
- the ability to perform an appropriate history and physical examination on the outpatient pediatrics patient and to present these findings to another physician in an appropriate manner. (PC)
- the ability to interpret appropriate data related to the outpatient pediatrics patient and arrive at reasonable diagnostic and management decisions, weighing alternatives, benefits and risks of diagnostic and therapeutic options, and co-managing patients appropriately with other specialists. (PC)
- the ability to make appropriate decisions to assure high-quality care in a cost-effective manner. (SBP)
- communication and interpersonal skills, which facilitate positive and therapeutic relationships. (ICS)
- the ability to work cooperatively with other health professionals as part of a healthcare team. (PC)
- compassion, respect, and integrity; responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society and the profession; a commitment to excellence and ongoing professional development. (P)
- a commitment to ethical principles pertaining to the provision or withholding of clinical care, confidentiality of patient information, informed consent and business practices. (P)
- sensitivity and responsiveness to a patient’s culture, age, gender and disabilities. (P)
There are no specific procedural requirements for this rotation. However, pediatric physicians may have residents perform office-based procedures at their discretion.
Implementation
This is a preceptorial rotation, so the resident is assigned to a particular pediatrician or pediatrics group. The resident will accompany the pediatrician during his/her professional activities in Beacon Children’s Hospital, in the pediatrician’s office and in other locations involved in the preceptor’s usual practice. In the course of seeing patients, the pediatrician will provide experiential learning, role-modeling and one-on-one teaching to the resident. At the discretion of the preceptor, the resident may be assigned to research specific topics in outpatient pediatrics.
The resident is responsible for contacting the pediatrician prior to the start of the rotation to arrange a schedule for the rotation. The resident must continue to meet usual residency obligations to his/her Family Medicine Center population including attending scheduled clinics, caring for continuity patients admitted to Memorial Hospital and rounding in the nursing home. The resident is expected to attend noon conferences and abide by duty hour restrictions in keeping with usual program policies. Upon completion of the rotation, the resident must complete and return the evaluation form provided by the program.
Evaluation
The outpatient pediatrics preceptor will complete an evaluation form at the end of the rotation. Residents will specifically be evaluated on the following ACGME Milestones:
- MK-1: Demonstrates medical knowledge of sufficient breadth and depth to practice family medicine.
- PROF-2: Demonstrates professional conduct and accountability.
- PROF-3: Demonstrates humanism and cultural proficiency.
- PBLI-2: Demonstrates self-directed learning.
- C-2: Communicates effectively with patients, families, and the public.
