Omar

MARCH 2016 - Leave (physician wellness)

Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Identify stressors and seek guidance from administration and program director 2. When absent contact appropriate coordinators for each service 3. Turn in monthly paperwork in a timely fashion

Assessment Tool

1. Verbal feedback from Dawn and Lance

APRIL 2016 - Research Elective

Competency - Practice-Based Learning and Improvement Goal - Begin annotated bibliography and identify research cohort Objectives 1. Contact groups who choose to not vaccinate 2. Start introduction and methods sections of research paper 3. Complete annotated bibliography 4. Review qualitative research methods

Assessment Tool

1. Verbal feedback from attendings and fellows at monthly seminar

MAY 2016 - 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, nurses, and support staff

Assessment Tool 1. Written evaluations by families of children I have cared for in the pediatric emergency department this month 2. Feedback from nurses and families on interactions with families 3. Conduct debriefing following resuscitation

JUNE 2016 - Neonatal Intensive Care Unit

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. Review NRP and neonatal resuscitation 3. Review NRP lecture from Dr. Nicolau 4. Develop procedural skills for neonates such as intubation, and umbilical access

Assessment Tool 1. Discuss with fellows, NNP and RTs while on call 2. Evaluations from Neonatologists 3. Simulation with Dr. Febre 4. Feedback from fellows, NNP's and attendings regarding procedural skills

JULY 2016 - 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 and attend weekly meetings 2. Evaluate CQI concerns sent to me from CQI/Admin attendings 3. Attend nursing bed meetings and nursing leadership meetings 4. Discuss administrative challenges with director of community ED group 5. Discuss community relations with diversity director at Randal's Children's hospital

Assessment Tool 1. Feedback from ED nursing leadership on improving understanding of nursing challenges,by helping coordinate lecture to ED residents. 2. Feedback from CQI director on addressing CQI needs. 3. Feedback from addressing sample scenarios from community ED director 4. Receive feedback on ideas to address the community needs at LLU.

AUG 2016 - Forensics Competency - Interpersonal skills and Communication

Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and and social-behavioral sciences, and learning how to interact with professionals who may be involved in a child's care.

Objectives

1. Develop the "language" of child abuse and neglect 2. Learn about indications for further Forensic evaluation of patients in the ED 3. Read provided articles in Forensics binder 4. Interact with social workers and law enforcement to understand the process from their perspective when child abuse is suspected

Assessment tool

1. Feedback from attending forensic pediatricians 2. Present case in seminar to discuss knowledge obtained of forensic mimics 3. Feedback from social worker Courtney Henderson about my understanding the process and legality involved with CPS cases.

SEPT 2016 -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. Conduct a literature review on the differentiation of otorrhea from CSF fluid 2. Discuss this literature review with an attending pediatric emergency physician 3. Develop seminar presentation regarding the topic

Assessment Tool 1. Receive feedback on the literature review performed and the presentation given.

Goal - Develop the ability to competently perform all medical, diagnostic, and surgical procedures considered essential for the area of practice.
 * Procedural Skills**:

Objective 1. Review the technique and micro skills related to placement of a pigtail chest tube 2. Discuss approach and indications with the attending pediatric emergency physician and choice of appropriate tube sizes

Assessment Tool 1. Receive feedback on the placement of chest tube inserted into a patient, and review techniques to improve.

OCT 2016 -PICU

**Competency - Patient Care** Goal - Develop knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of the knowledge to patient care Objective 1. Review the management of shock in pediatric patients 2. Review dosing regarding medications for critically ill patients 3. Improve ability to care for critically ill patients and review how early management effects long term outcomes

Assessment Tool 1. Verbal feedback from attending physician in the PICU 2. Quiz on dosages for medicines such as drips and pressors for critically ill patients

**Competency - Professionalism** Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Demonstrate tools that are required to be an effective role model to junior trainees Assessment Tool 1. Written evaluation specifically asking about my effectiveness as a role model from nurses, attendings, and residents in the PICU

NOV 2016 -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 heme/onc complaints specifically sickle cell, and splenic sequestration, and mechanism for rhogam 2. Discuss this literature review with an attending pediatric emergency physician 3. Develop presentation regarding the topic to residency

Assessment 1. Feedback from the attendings and fellows during seminar

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Develop curriculum for community engagement elective
 * Competency - Interpersonal and Communication Skills **

Assessment Tool 1. Coordinate with health care and social workers at SACHS clinic, and receive feedback on potential engagement ideas 2. Coordinate Food Drive with Loma linda leadership and SACHS 3. Assess the medical needs for homeless teens

DEC 2016 - Research Elective

Competency - Practice-Based Learning and Improvement Goal - Complete IRB and finish introduction and methods and study design Objectives 1. Finish introduction and methods sections of research paper 2. Complete IRB 3. Continue reviewing qualitative research methods 4. Recruit volunteers to administer questionnaire and interview subjects

Assessment Tool 1. Receive feedback from Ellen and Tammy regarding study design and IRB application

JAN 2017 - 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. Receive feedback from parents regarding interaction and visit 2. Focus on a more detailed approach to patient care

Assessment Tool

1. Completion of patient care feedback forms and on shift feedback from attendings 2. Compare approaches with attendings with differing styles of patient care

FEB 2017 - Community Engagement Elective


 * 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. Develop curriculum for community engagement elective
 * Participate with homeless teen shelter and assess the their medical needs.
 * Interface with members of the SACHS clinic to develop future collaberation
 * Identify pediatric communities of need
 * Identify parents health care knowledge gap in underserved communities
 * Assist in Citrus High School Teen drunk driving awareness

Assessment Tool

1. Coordinate with health care and social workers at SACHS clinic, and receive feedback on potential engagement ideas 2. Coordinate Food Drive with Loma Linda leadership and SACHS 3. Assess the medical needs for homeless teens 4. Feedback regarding guest lectures in the community (Redlands High School, San Miguel Community College, SNMA LLU, Native American Pediatric clinic) 5. Observe and listen to feedback/impact of teen drunk driving awareness

March 2017 - Pediatric Emergency Department

Competency - Medical Knowledge
====**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 ====

1. Learn more about treatment and management of patients with bleeding disorders and refine the way we manage patients who present to the Emergency Department.

**Objective **
1. Review pathophysiology of different types of blood disorders 2. Review the potential complications and and treatments. 3. Teach medical students and residents while on shift

**Assessment Tool **
1. Feedback from informal teaching sessions to medical students and residents

<span style="background-color: #ffffff; color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">April 2017 - Pediatric Anesthesia


 * Competency - Patient care and procedural skills **

Goal - Demonstrate the ability to competently perform all medical, diagnostic, and surgical procedures considered essential for the area of practice

Objective:

1. Describe relevant pediatric airway anatomy 2. Review the equipment necessary to safely and effectively manage the pediatric airway 3. Develop and utilize a standardized approach to manage the pediatric airway 4. Teach advanced pediatric airway skills in Vietnam

Assessment Tool:

1. Verbal feedback on my airway management skills from anesthesia attendings and residents 2. Self-reflection 3. Evaluations from conference attendees regarding the effectiveness of the teaching.

<span style="background-color: #ffffff; color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">May 2017 - Pediatric Emergency Department


 * Competency - Systems-Based Practice**

Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care

Objective:

1. Focus on controlling the flow of the emergency department from a broader perspective 2. Learn more about patient flow from charge and triage nurses as well as bed placement

Assessment Tool:

1. Review with charge nurses my understanding of patient and hospital flow 2. Receive feedback from attendings regarding my performance in delegating tasks to trainees and running the department efficiently

<span style="background-color: #ffffff; color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">June 2017 - Pediatric Emergency Department


 * Competency - Patient care and procedural skills**

Goal - Demonstrate the ability to competently perform all medical, diagnostic, and surgical procedures considered essential for the area of practice

Objective:

1. Improve ability to teach procedural skills 2. Refine approach to giving critical feedback in a positive manner

Assessment Tool:

1. Verbal feedback on my approach to teaching residents from attendings and co-fellows 2. Verbal feedback from residents on my ability to provide feedback

<span style="background-color: #ffffff; color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">July 2017 -Pediatric Subspeciality 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 the knowledge to patient care

1. Learn how pediatric subspecialty attendings manage patients in their clinics and how they would like them to be managed when they present to the emergency department 2. Translate management of patients in the clinics to the pediatric emergency department where possible
 * Objective**

1. Verbal feedback from pediatric subspecialty attendings, on correct approach to varying complex medical patients
 * Assessment Tool**

<span style="background-color: #ffffff; color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">August 2017 -Medical Eduction Elective


 * Competency - Medical Knowledge and Procedural skills**


 * Goal** - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of the knowledge to patient care,

1. Learn how pediatric subspecialty attendings manage patients in their clinics and how they would like them to be managed when they present to the emergency department 2. Translate management of patients in the clinics to the pediatric emergency department where possible
 * Objective**

1. Verbal feedback from attendings regarding the effectiveness of the teaching module 2. Evaluations from the residents regarding the effectiveness of the teaching module
 * Assessment Tool**