OBJECTIVES OF ORIENTATION

Define the requirements and expectations of your 4 week core pediatric rotation

Familiarize yourself with the Pediatrics website, the pediatrics curriculum, and the clinical teaching sites

PURPOSE OF YOUR PEDIATRIC ROTATION The purpose of the Pediatric Clerkship is to

provide 3rd year medical students outpatient pediatric and some inpatient and nursery (based on sites) clinical experiences where students will

acquire a working knowledge of normal and abnormal growth and development

recognize, understand the pathophysiology of, diagnose, and treat the common disorders of infancy, childhood, and adolescence

develop an understanding of children’s and families’ perspectives of being cared for within our healthcare system through observation, inquiry, and reflection

GET TO KNOW THIS WEBSITEHTTP://

WWW.VCOM.EDU/PEDIATRICS/INDEX.HTML

PEDIATRIC CURRICULUM

COMPETENCY BASED CURRICULUMSix Domains (Communication, Problem Solving, Clinical Skills,

OMM, Medical Knowledge, Professional and Ethical Behaviors) During the third year clinical rotation, students

expand the knowledge they were taught in the first two years and gain the ability to apply that knowledge in the clinical setting.

The third year clinical didactic pediatric curriculum is taught through: On-line case modules Online video lectures Supplemental suggested textbook reading in general

pediatrics and Osteopathic manipulation

PEDIATRIC CURRICULUM (SYLLABUS)

PEDIATRIC CURRICULUM CLIPP Cases

11 out of the 32 Pediatric on-line interactive cases must be completed during the rotation.

It is highly recommended to complete all the cases. http://www.med-u.org/

VCOM Pediatrics Video Curriculum On VCOMTV website (OMS-III) On VCOM TV you have to change the site on upper right

corner to OMS III

Supplemental suggested textbooks: Nelson Essentials of Pediatrics, 7th edition American Osteopathic Association, and Anthony Chila. 3rd

ed. Chapters 54 and 58: The Child with Ear Pain Kuchera, M. & Kuchera, W. Revised 2nd Edition. The

Common Cold. P 23-30Questions from the assigned OMM chapters will be included

on your end of month exam for each core rotation

HOW TO ACCESS CLIPP CASES

Go to http://www.med-u.org/virtual_patient_cases/clipp

Click <Go to Cases> in the left frame

At the login page, click the second button: <Registration>

Enter your medical school email address

The system will email you a login and password to use

All 11 modules must have “Green Checks” Status

- Review All Cards

- Achieve “Good” Engagement

- Session should be “Completed”

VCOM TV VIDEOS

Respiratory Complaints Newborn Conditions and Pearls (VCOM tv#

465) Newborn Exam (VCOM tv# 1176) Fever and Serious Bacterial Infection Abdominal Complaints Childhood Development (VCOM tv# 517) Pediatric Rashes Pediatric Extremity Injuries

Sign in as OMS-IIINot OMS I-II

RECOMMENDED READING

Required textbooks for OMSIII

Great Pediatric Texts-can be referenced

in the VCOM Library online

SOME OTHER RESOURCES AVAILABLE AT VCOM LIBRARY

Garfunkel: Pediatric Clinical Advisor, 2nd ed. - 2007 - Mosby, An Imprint of Elsevier

Johns Hopkins: The Harriet Lane Handbook, 20th ed. - 2014 - Mosby, An Imprint of Elsevier *

Kliegman: Nelson Textbook of Pediatrics, 19th ed. - 2011 - Saunders, An Imprint of Elsevier

Paller: Hurwitz Clinical Pediatric Dermatology, 4th ed. - 2011 - Saunders, An Imprint of Elsevier

New Edition -Park: Park's Pediatric Cardiology for Practitioners, 6th ed. - 2014 - Mosby, An Imprint of Elsevier

Piña-Garza: Fenichel's Clinical Pediatric Neurology, 7th ed. - 2013 - Saunders, An Imprint of Elsevier

Polin: Pediatric Secrets, 5th ed. - 2010 - Mosby, An Imprint of Elsevier

Selbst: Pediatric Emergency Medicine Secrets, 2nd ed. - 2008 - Mosby, An Imprint of Elsevier

New Edition -Sperling: Pediatric Endocrinology, 4th ed. - 2014 - Saunders, An Imprint of Elsevier

Staheli: Pediatric Orthopaedic Secrets, 3rd ed. - 2007 - Mosby, An Imprint of Elsevier

Wilmott: Kendig & Chernick's Disorders of the Respiratory Tract in Children, 8th ed. - 2012 - Saunders, An Imprint of Elsevier

Wolraich: Developmental-Behavioral Pediatrics, 1st ed. - 2007 - Mosby, An Imprint of Elsevier

Zitelli: Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, 6th ed. - 2012 - Saunders, An Imprint of Elsevier

WHAT’S REQUIRED TO SUCCESSFULLY COMPLETE THE PEDIATRIC ROTATION

Patient log: It is your responsibility to keep track and records your experiences and enter them online.

OMM Log: to be completed and entered online!! End of rotation Site Evaluation “VCOM Portal” Clinical Performance Evaluation Form from your

preceptor >>>to be completed and entered online by the preceptor!!

Review at Least 11 CLIPP cases:- Select 11 cases according to your educational need:

Nursery – 1, 7, 8, 9, 18, 29

Inpatient – 15, 16, 10, 13, 22, 12, 25, 11, 19, 23, 24, 30

Outpatient – 2, 3, 4, 5, 6, 14, 13, 17, 20, 21, 26, 27, 28, 31, 32

Pass the end of rotation exam

CASE LOG

Found on the Pediatrics discipline website.Instructions for completion included in online document

CASE LOGTo be completed

online

PEDIATRIC END OF ROTATION EXAM

The Pediatrics end of rotation exam is based on content from: CLIPP cases Referenced VCOM TV videos Suggested reading references in rotation objectives American Osteopathic Association, and Anthony Chila.

3rd ed. Chapters 54 and 58: The Child with Ear Pain Kuchera, M. & Kuchera, W. Revised 2nd Edition. The

Common Cold

110 question exam on the last Friday of rotation 100 general pediatric questions 10 OMM questions Exam questions are monitored for validity and no

question challenges will be accepted.

HOW I AM EVALUATED?? PERFORMANCE Evaluation:

Preceptor evaluation

VCOM uses a competency based evaluation form which includes the osteopathic core competencies. These competencies evaluated include: Medical knowledge Communication Physical exam skills Problem solving and clinical decision making Professionalism and ethics Osteopathic specific competencies Additional VCOM values

OBJECTIVE Evaluation: End of rotation exam

PRECEPTOR EVALUATION

PRECEPTOR EVALUATION SCORING

Unacceptable 1 Below Expectations 2 Met Expectations 3 Above Expectations 4 Exceptional 5

>>> Combine the scores and divide by 29 (or 30 if OMM being evaluated)

Results:

F (Fail) 1.0-2.89

P (Pass) 2.9-3.49

HP (High Pass) 3.5-4.29

H (Honor) 4.3-5.0

Example: Get 20 (Above Expectations) and 9 (Exceptional)>>> H (Honor)

THE WEEKEND BEFORE….

Watch the Newborn Exams video on VCOM. TV Review Developmental Milestones – make a

cheat sheet to take with you Resources

http://brightfutures.aap.org/index.html http://www.healthyfuturesva.com/discovery.html http://www.healthychildren.org http://www.cdc.gov/ncbddd/actearly/milestones/index.html

Review components of Health Maintenance exams Well-child care accounts for 25% of visits to primary care

practitioners for children younger than 15 and 40% for children younger than 1 year.1 These visits constitute a large percentage of pediatricians’ time, with the average time for preventive care visits ranging from 16 to 19 minutes

http://www.comsep.org/home/index.cfm

TIPS FOR PERFORMING WELL CLINICALLY

DO: Make life easier for your

team/preceptor – be helpful

Show enthusiasm Make yourself available Demonstrate your

knowledge Ask for and respond to

feedback Read on at least one topic

seen in clinic nightly Take ownership of your

patient

DON’T: Disappear Say negative things about

other physicians Pretend you know an answer

when you don’t Study so much that patient

care suffers Stay on your computer or

phone

A WORD ABOUT PRECEPTORS

Your preceptors are appointed clinical faculty in the department of pediatrics

Preceptors are busy physicians, community leaders, partners, spouses, parents, etc, in other words…HUMAN

You are important to them, but not always the first thing on their list

Mutually respect and learn from your differences and similarities

You will have one lead preceptor, but expect to interact with everyone in the practice or community

Meet the preceptors: http://www.vcom.edu/pediatrics/faculty.html

INDIVIDUAL SITE INSTRUCTIONS FOR STUDENTS: Please access the student portal for individual

instructions at your rotation sites. Most sites will ask you to be at the office M-F

from 8am-5pm. Hours and expectations vary between different sites and even between individual physicians.

If your physician is working on the weekend or after office hours and asks you to participate, this is expected and can be an important part of the learning process.

It is YOUR responsibility to contact your site preceptor or coordinator prior to the first day of your rotation to ask about time and location of your first day.

INDIVIDUAL SITE INSTRUCTIONS

You should inform your preceptor on the first day if there will be any absences during your rotation (such as VCOM required functions)

Ask your preceptor for feedback…they will be evaluating your performance at the middle and the end of the month.

Mid-rotation do not count toward your grade, but are useful in correcting problems before they do reflect on your final evaluation

PROFESSIONALISMDRESS FOR SUCCESS

WHAT NOT TO WEAR

WHAT TO BRING!!!!

Bring your white coat…although you may not be required to wear it (most pediatricians do not wear one b/c they can by scary to the children) Ask your preceptor about his/her preference.

Stethoscope Otoscope and Ophthalmoscope for some sites Reading material (in case you have downtime) You might need a packed lunch (depends on

location) Leave your PDA’s, cell phones, computers in your

bag and avoid using them during patient care time Patient case log And most importantly…

patience and a smile!!!!

USEFUL/FUN WEBSITES

www.aap.org http://newborns.stanford.edu/PhotoGallery/ http://library.med.utah.edu/

pedineurologicexam/html/home_exam.html http://www.healthyfuturesva.com/

discovery.html http://www.med.umich.edu/pediatrics/ebm/ http://www.cdc.gov/vaccines/