Aram


 * PGY-4 Year**

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
 * JULY 2013 - Pediatric Emergency Department **
 * Competency - Interpersonal and Communication Skills **

**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. Read and study review articles and textbook chapters on neonatal resuscitation and emergencies 2. Create a lecture on neonatal resuscitation and emergencies pearls Assessment Tool 1. Verbal assessment of my presentation by faculty and fellows at a 1st Thursday conference
 * AUGUST 2013 - Neonatal Intensive Care Unit **

Goal - Develop the ability to investigate and evaluate my care of patients Objectives 1. Review the literature on the diagnosis and intervention of urinary tract infection in patients under the age of 2 in the pediatric emergency department 2. Present this literature review during November's 1st Thursday conference Assessment Tool 1. Verbal assessment of my presentation by faculty and fellows during November's 1st Thursday conference
 * SEPTEMBER 2013 - Pediatric Emergency Department **
 * Competency - Practice-based Learning and Improvement **

Goal - Complete an annotated bibliography and data collection sheet Objectives 1. Review literature on psychiatric care of children in an emergency department 2. Review research method re: retrospective chart reviews 3. Construct an annotated bibliography as a part of the literature review 4. Prepare data collection sheet Assessment Tool 1. Verbal feedback from research mentor
 * OCTOBER 2013 - Research Elective **
 * Competency - Practice-based Learning and Improvement **

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. Complete all of my charts on time this month Assessment Tool 1. Verbal feedback from attending physicians
 * NOVEMBER 2013 - Pediatric Emergency Department **
 * Competency - Professionalism **

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 related to the management of neonatal jaundice and hyperbilirubinemia Assessment Tool 1. Completion of the individual learning plan
 * DECEMBER 2013 - Pediatric Emergency Department **
 * Competency - Patient Care **

Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care Objectives 1. Review literature recommended by sub-specialty practitioners 2. Discuss the literature with sub-specialty practitioners and PEM colleagues in the ED 3. Learn information that sub-specialists would like communicated to them during phone consults Assessment Tool 1. Feedback from sub-specialty attending physician
 * JANUARY 2014 - Sub-specialty Pediatric Clinics **
 * Competency - Medical Knowledge **

Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objectives 1. List indications for pediatric dentistry consultations in the ED 2. Review nasotracheal intubation and apply knowledge to practical experience 3. Review the principles of general anesthesia to optimize procedural sedation practice in the ED Assessment Tool 1. Verbal feedback dental anesthesia attending physicians
 * FEBRUARY 2014 - Dental Anesthesia Elective **
 * Competency - Systems-Based Practice **

Goal - Develop the ability to investigate and evaluate my care of patients Objectives 1. Review the literature on fatal toxic substances in pediatric patients 2. Present this literature review as a lecture for April's PEM grand rounds Assessment Tool 1. Verbal assessment of my presentation by faculty and fellows during April's 1st Thursday conference
 * MARCH 2014 - Pediatric Emergency Department **
 * Competency - Practice-based Learning and Improvement **

Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care Objectives 1. Review literature recommended by sub-specialty practitioners 2. Discuss the literature with sub-specialty practitioners and PEM colleagues in the ED Assessment Tool 1. Feedback from sub-specialty attending physician
 * APRIL 2014 - Sub-specialty Pediatric Clinics **
 * Competency - Medical Knowledge **

Goal - Develop the ability to appraise and assimilate scientific evidence Objective 1. Review the literature on the management and treatment of a clinical entity seen in the pediatric emergency department and pediatric intensive care unit (this topic will be selected based on my PICU experience). 2. Discuss my literature review with an attending pediatric intensivist 3. Present this literature during my required PICU lecture Assessment Tool 1. Verbal feedback of my presentation by PICU faculty and fellows
 * MAY 2014 - Pediatric Intensive Care Unit **
 * Competency - Practice-based Learning and Improvement **

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 related to fluid status determination in children Assessment Tool 1. Completion of the individual learning plan
 * JUNE 2014 - Pediatric Emergency Department **
 * Competency - Patient Care **


 * PGY-5 Year**

Goal - Start data collection and complete introduction and methods sections of research paper Objectives 1. Start data collection 2. Start introduction and methods sections of research paper 3. Continue annotated bibliography Assessment Tool 1. Verbal feedback from research mentor
 * JULY 2014 - Research Elective **
 * Competency - Practice-based Learning and Improvement **

Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Successfully coordinate PEM grand rounds lecture on 1st Thursday seminar day 2. Start all shifts on time this month 3. Be punctual for all administrative meetings and seminars Assessment Tool 1. Verbal feedback from attending physicians
 * AUGUST 2014 - Pediatric Emergency Department **
 * Competency - Professionalism **

Goal - Start data collection and complete introduction and methods sections of research paper Objectives 1. Continue data collection 2. Continue writing introduction and methods sections of research paper 3. Complete annotated bibliography 4. Complete data collection sheet Assessment Tool 1. Verbal feedback from research mentor
 * SEPTEMBER 2014 - Research Elective **
 * Competency - Practice-based Learning and Improvement **

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Develop the "language" of child abuse and neglect Assessment tool 1. Formative feedback forms from attending forensic pediatricians
 * OCTOBER 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 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
 * NOVEMBER 2014 - Pediatric Emergency Department **
 * Competency - Interpersonal and Communication Skills **

Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objectives 1. Develop tools to better understand ED administration as it pertains to physician pay, patient ED flow and efficiency, leadership skills and patient safety 2. Review literature and read book chapters as they pertain to the above Assessment Tool 1. Personal reflection, self-assessment and discussion with with pediatric ED medical director and other attending physicians
 * DECEMBER 2014 - ED Administration Elective **
 * Competency - Systems-Based Practice **

Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health Objective 1. Develop approaches to anticipatory guidance and well child care strategies 2. Review discharge instructions in greater detail with parents Assessment Tool 1. Attending verbal and formative feedback
 * JANUARY 2015 - Pediatric Emergency Department **
 * Competency - Patient Care **

Goal - Develop knowledge of established and evolving bio-medical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Increase knowledge of specific pediatric pathology as it pertains to the SITE Assessment Tool 1. Complete the SITE and review results
 * FEBRUARY 2015 - Pediatric Emergency Department **
 * Competency - Medical Knowledge **

Goal - Complete data analysis; complete introduction and methods sections and start results and discussion sections of research paper. Objectives 1. Complete data analysis 2. Complete introduction and methods sections of research paper 3. Start results and discussion sections of research paper Assessment Tool 1. Verbal feedback from research mentor
 * MARCH 2015 - Research Elective **
 * Competency - Practice-based Learning and Improvement **

Goal - Develop knowledge of established and evolving bio-medical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care Objectives 1. Review a case of ataxia seen during a clinical shift 2. Increase knowledge of hereditary ataxia diseases in children Assessment Tool 1. Present case and review of hereditary ataxia during 1st Thursday conference
 * APRIL 2015 - Pediatric Emergency Department **
 * Competency - Medical Knowledge **

Goal - Complete data analysis;complete remainder of research paper. Objectives 1. Complete data analysis 2. Complete results, discussion and abstract sections of the research paper Assessment Tool 1. Verbal feedback from research mentor
 * MAY 2015 - Research Elective **
 * Competency - Practice-based Learning and Improvement **

Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Successfully coordinate PEM grand rounds lectures on 1st Thursday seminar day 2. Complete remaining PEM fellowship paperwork and other obligations prior to fellowship graduation Assessment Tool 1. Verbal feedback from peers and attending physicians 2. Verbal feedback from Dawn
 * JUNE 2015 - Pediatric Emergency Department **
 * Competency - Professionalism **