Kristin's+Curriculum

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** PGY-4 Year **
OCTOBER 2012 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Interpersonal and Communication Skills Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Read Spain DA, Bellino M, Kopelman A, et al. Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor act. J Trauma 2007 Jan; 62(1):63-67; discussion 67-68. 2. Demonstrate communication skills by participating in 5 transfer calls in the pediatric emergency department 3. Discuss 5 transfer calls in the pediatric emergency department with the attending on duty Assessment Tool 1. Verbal feedback from the attending physician supervising me in the pediatric emergency department during these transfer calls

NOVEMBER 2012 - ELECTIVE - ADMINISTRATIVE and RESEARCH PROJECTS Competency - Systems-Based Practice Goal - Understand the importance of utilizing evidence-based exclusion criteria for placing patients into the EDOU. Objectives 1. Evaluate the literature on pediatric observation units with particular attention to those patients failing EDOU and requiring admission. 2. Revise current EDOU protcols. 3. Create EDOU protcols for the following conditions: ALTE, Bronchiolitis, Closed Head Injury, Ingestion, Intussusception, Known Diabetic with Mild Acidosis, Sickle Cell Pain Crisis and Trauma. Assessment Tool 1. Verbal feedback from PED Director regarding protocol development.

Competency - Practice-Based Learning and Improvement Goal - Complete IRB application packet for Osteomyelitis study including protocol, abstract and application. Objectives 1. Review literature on Osteomyelitis and its complications. 2. Construct annotated bibliography as part of literature review. 3. Prepare background section of manuscript. 4. Apply knowledge from the above objectives toward completion of IRB application. Assessment Tool 1. Verbal feedback from research mentor. 2. Written feedback from IRB.

DECEMBER 2012 - PEDS CLINIC Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review the literature regarding apparent life-threatening events in children. 2. Discuss current literature with faculty and fellows at the next Thursday seminar. 3. Formulate a plan with regards to the disposition of patients with apparent life-threatening events utilizing current literature. Assessment Tool 1. Verbal assessment of my presentation by faculty and fellows at the next Thursday seminar.

JANUARY 2013- PEDIATRIC EMERGENCY DEPARTMENT Competency - Interpersonal and Communication Skills Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Assess my interactions with patients and families this month Assessment Tool 1. Written evaluations by families of children I have cared for in the pediatric emergency department this month

FEBRUARY 2013- PEDIATRIC EMERGENCY DEPARTMENT Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Invest time up front for new EPIC system to create smart phrases so as to streamline future charting 2. Complete charts within a timely manner this month Assessment Tool 1. Notifications from Health Information Management or the Graduate Medical Education Office regarding completion of my charts 2. Feedback from attendings regarding charting quality

MARCH 2013 - NICU Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objectives 1. Review ventilator management for different modes of ventilation, particularly those in use by the NICU 2. Read basic articles as suggested by Dr. Hopper Assessment Tool 1. Discuss with fellows, NNP and RTs while on call 2. Evaluations from Neonatologists

APRIL 2013 - ELECTIVE: PEDIATRIC OPHTHALMOLOGY AND RESEARCH Competency - Systems-Based Practice Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objective 1. List indication for consultation of an ophthalmologist in the pediatric emergency department 2. Review the literature on ophthalmologic cases in the pediatric emergency department 3. Present my list and review to the fellows and faculty at the next Thursday seminar Assessment Tool 1. Verbal feedback from the fellows and faculty at the next Thursday seminar

Competency - Practice Based Learning and Improvement Goal - Develop a spreadsheet that will serve as the central location for all data for my osteomyelitis research project Objectives 1. Demonstrate ability to collect data in an organized fashion 2. Explain goals of data collection so that other health professionals can assist with data collection Assessment Tool 1. Verbal feedback on data collection spreadsheet from my mentor

MAY 2013 - PEDIATRIC EMERGENY DEPARTMENT Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review general pediatric topics relevant to the practice of pediatric emergency medicine and create a study guide for SITE as well as Boards 2. Test my knowledge of these general pediatric emergency medicine topics with written practice tests Assessment Tool 1. Practice test results, future SITE exam results

JUNE 2013 - PEDIATRIC INTENSIVE CARE UNIT (PICU) Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Write a self-reflective essay regarding my quality of care of patient's this month in the PICU, focusing on my interactions with the families of these children Assessment Tool 1. Self-reflective essay

JULY 2013 - PEDIATRIC SPECIALTY CLINICS Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. List topics of interest or questions that arise during my month in specialty clinics. 2. Perform a literature and/or textbook search for answers to questions. Assessment Tool 1. Discuss findings with the attending at specific clinics who specialize in these topics.

AUGUST 2013 - PEDIATRIC EMERGENCY DEPARTMENT Competency -Practice Based Learning and Improvement Goal - Learn how to apply the statistics we have learned to my own research study on Osteomyelitis. Objectives 1. Demonstrate application of statistical analysis correctly to my data set for Osteomyelitis. 2. Utilize the statistics analysis in writing the results and conclusions sections of the manuscript. Assessment Tool 1. Verbal feedback on data collection spreadsheet from my mentor

SEPTEMBER 2013 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review the published medical literature relevant to a case I have seen in the pediatric emergency department 2. Compile presentation materials for this case presentation 3. Present this case at the next Thursday seminar Assessment Tool 1. Verbal feedback and assessment of my presentation by faculty and fellows at the next Thursday seminar

= PGY-5 YEAR =

OCTOBER 2013 - ELECTIVE - PEDIATRIC EMERGENCY DEPARTMENT Competency - Interpersonal and Communication Skills Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. List the components of a completed emergency department record 2. Demonstrate a completed level 5 emergency department record and show it to the medical director of the pediatric emergency department 3. Discuss this and 4 other cases with the medical director of the pediatric emergency department for feedback on charting Assessment Tool 1. Verbal feedback on my charts from the medical director of the pediatric emergency department

NOVEMBER 2013 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Medical Knowledge Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review renal and gastrointestinal topics relevant to the practice of pediatric emergency medicine 2. Test my knowledge of these topics with written practice tests 3. Create quiz questions related to these topics Assessment Tool 1. Practice test results 2. Feedback from Board Review mentor

DECEMBER 2013 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Patient Care Goal - Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health Objective 1. Develop an individual learning plan for a topic related to the management of hematuria in children. Assessment Tool 1. Completion of the individual learning plan

JANUARY 2014 - DENTAL ANESTHESIA AND RESEARCH ELECTIVE Competency - Systems-Based Practice Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objective 1. List indication for consultation of a pediatric dentist in the pediatric emergency department 2. Review the technique and practice nasal intubation. 3. Understand the anesthestic choices made for dental procedures. 3. Present my list and review to the fellows and faculty at the next Thursday seminar Assessment Tool 1. Verbal feedback from the fellows and faculty at the next Thursday seminar

Competency - Practice-Based Learning and Improvement Goal - Develop the ability to appraise and assimilate scientific evidence Objective 1. Complete a final draft of the manuscript for my Osteomyelitis study. 2. Learn how to use EndNote software. Assessment Tool 1. Verbal feedback from my research mentor.

FEBRUARY 2014 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Demonstrate effective multi-tasking in the pediatric emergency department Assessment Tool 1. Written evaluation specifically asking about effective multi-tasking on my written evaluations from attending physicians this month

MARCH 2014 - ELECTIVE - RESEARCH Competency - Practice-Based Learning and Improvement Goal - Develop the ability to appraise and assimilate scientific evidence Objective 1. Learn how and attempt submission of my manuscript for publication. Assessment Tool 1. Verbal and written feedback from my research mentor and submitting journal.

JULY 2014 - PEDIATRIC EMERGENCY DEPARTMENT **Competency - Medical Knowledge** Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review the literature regarding a topic relevant to the management of neonatal vomiting 2. Create a review article for PEMP based on this topic Assessment Tool 1. Feedback from journal reviewers on review article

AUGUST 2014 - FORENSIC PEDIATRICS Competency - Interpersonal and Communication Skills Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objective 1. Develop the "language" of child abuse and neglect 2. Gather feedback on my communication Assessment tool 1. Formative feedback forms from attending forensic pediatricians

SEPTEMBER 2014 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Systems-Based Practice Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objectives 1. Assess my performance on my curricular objectives over the last year 2. Assess my performance with regard to my individual learning plans over the last year 3. Identify ways in which my work as a pediatric emergency physician fits within the larger system of health care Assessment Tool 1. Self-reflective essay on how my work as a pediatric emergency physician fits within the larger system of health care

OCTOBER 2014 - PEDIATRIC EMERGENCY DEPARTMENT Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Submit all of my paperwork on time this month 2. Be on time for all of my shifts this month 3. Write a self-reflective essay regarding my timeliness this month Assessment Tool 1. Self-reflective essay

NOVEMBER 2014 - ADMINISTRATIVE ELECTIVE Competency - Systems-Based Practice Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objectives 1. Perform ED communications admin duties two days per week 2. Evaluate CQI notebook and address concerns weekly Assessment Tool 1. Feedback from ED communication RNs on my ability to answer requests 2. Feedback from CQI director on addressing CQI needs.

DECEMBER 2014 - PRE-ATTENDING PRECEPTORSHIP

Competency - Practice-Based Learning and Improvement

Goal - Develop the ability to continuously improve patient care based on constant self-evaluation and life-long learning

Objective

1. Identify challenges associated with precepting residents and students 2. Evaluate my style with regarding to precepting students

Assessment Tool

1. Feedback from precepting attendings

2. Self-reflective essay on what I learned about my precepting style