Brian+Chen's+Rotation-Based+Curriculum


 * Return to the Examples Page**

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Prepare and deliver a lecture to emergency department faculty, fellows, residents, and medical students on new fads at that potential can be very dangerous to the pediatric population 2. Prepare and deliver a lecture to ED residents Assessment Tool 1.Verbal feedback from faculty, fellows and residents after my lectures 2. Written feedback from faculty and fellows present at my lectures
 * PGY6 YEAR **
 * Block 1: July - October 2012 **
 * Competency - Interpersonal and Communication Skills **

** 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. Assess my patient care for 4 patients using the patient/family feedback forms and process Assessment Tool 1. Verbal feedback from families


 * Block 2: November 2012 - February 2013 **

**Competency - Professionalism** Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Evaluate my professionalism and communication skills with the nursing staff during pediatric emergency department shifts Assessment Tool 1. Written evaluations from nursing staff in the pediatric emergency department

** Competency - Practice-based Learning and Improvement ** Goal - Develop the ability to investigate and evaluate my care of patients Objectives 1. Develope and improve on my medical charting with the new Epic systems in the pediatric emergency department Assessment Tool 1. Verbal assessment and feedback of charting and efficiency by fellow colleagues

**Competency - Systems-Based Practice** Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objectives 1. Add to current medical knowledge whether the 5 finger test for weight is as good as the barslow Assessment Tool 1. Approval of my completed scholarly project by my Scholarship Oversight Committee 2. Submission of my completed scholarly project to a peer-reviewed medical journal
 * Block 3: March - June 2013 **

**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 transfer referral for burns in the pediatric emergency department 2. Review the literature on burns 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 - Medical Knowledge** Goal - Learn how to utilized the ultrasound machine, be able to recognized typical signs on the ultrasound Objectives 1. Review chapters within the pocket ultrasound textbook on technique and methods 2. Attend Tuesdays teaching series with rad tech 3. Review ultrasounds that I have performed with Karen (Ultrasound) and Dr.Tae Kim
 * PGY5 YEAR **
 * July 2011 Elective Ultrasound **

Assessment Tool 1. Verbal feedback on ultrasound technique and ability to read ultrasounds by Karen (Ultrasound) and Dr.Tae Kim

**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. Demonstrate communication skills by participating in radio room paramedic calls 2. Discuss 5 calls with the adult emergency department attending on duty at the time of the calls 3. Discuss 5 calls with the MICN on duty at the time of the calls Assessment Tool 1. Verbal feedback from the attending physician and MICN supervising me during the radio room calls
 * August 2011 Adult ED/ EMS**

**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. Provide care to a diverse population in the pediatric emergency department 2. Demonstrate effective communication with a diverse population of patients in the pediatric emergency department Assessment Tool 1. Written feedback from families in the pediatric emergency department
 * September 2011 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. Read Park "How to Read Pediatric EKGs. 2. Attend Pediatric electrophysiology clinic at the LLUMC Heart Institute 3. Go over EKGs from the month with Barry NP and Dr. Mannapati 4. Review ingestions commonly seen in the pediatric ED Assessment Tool 1. Verbal feedback from attending physicians 2. Self reflective essay on this month of toxicology, and pediatric EKG 3. Review test toxicology test questions with Dr. Rhee
 * October 2011 Elective**

**Competency - Professionalism** Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Evaluate my professionalism and communication skills with the nursing staff during pediatric emergency department shifts Assessment Tool 1. Written feedback from nursing staff in the pediatric emergency department
 * November 2011 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. Read and review the California state syllabus on fluoroscopy and radiation protection Assessment Tool 1. Successful testing and application completion for the California fluoroscopy supervisor and operator permit within the next 2 months 2. Obtain hospital privileges at Loma Linda University Medical Center and Children's Hospital for fluoroscopy
 * December 2011 Pediatric Emergency Department**

**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 Objectives 1.Correlate the physical exam and radiographic findings suspicious for non-accidental trauma in pediatric patients 2. Review the major injuries suspicious for non-accidental trauma 3. Review the mechanisms of injury for injuries suspicious for non-accidental trauma Assessment Tool 1. Verbal feedback with faculty and fellows at the next Thursday seminar.
 * January 2012 Pediatric Emergency Department**

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objective 1. List terms used to describe extremity injuries in children seen in the pediatric emergency department 2. As you see injuries in the ED be able to name the eponymous, extremity, spine, and pelvis injuries and discuss the case with the attending at that time Assessment Tool 1. Continue to list out the eponymous and discuss them with an attending pediatric emergency physicians and during Thursday seminar
 * February 2012 Adult Emergency Department**
 * Competency - Interpersonal and Communication Skills **

**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. Review the published medical literature regarding facial trauma in children 2. Lecture on this topic Assessment Tool 1. Written feedback on my lecture by faculty and fellows
 * March 2012 Elective**

**Competency - Systems-Based Practice** Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objective 1. List the social services resources available in the pediatric emergency department 2. List the pediatric specialties and subspecialties available for consultation or referral in the pediatric emergency department 3. Discuss these lists with at least one attending pediatric emergency physician 4. Visit with the Communications Center to ensure that all patient's who I've intended to refer to a specific clinic have been able to get into that clinic within a timely manner. Assessment Tool 1. Verbal feedback from faculty on the completeness of my lists
 * April 2012 Pediatric emergency department**

**May 2012 Elective** **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. Review the published medical literature regarding Environmental injuries in children 2. Give a lecture/case review on this topic Assessment Tool 1. Written feedback on my lecture by faculty and fellows

**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 completed emergency department records of all levels done throughout the month to Dr. Tim Young 3. Discuss this list and my completed emergency department records with Dr. Young Assessment Tool 1. Verbal feedback from Dr. Young
 * June 2012 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 Objectives 1. Review the on-line PubMed tutorial from the National Library of Medicine available here 2. Review the literature on the clinical presentation and disease associations of Raynaud's phenomenon in children and adolescents 3. Discuss this literature review on Raynaud's phenomenon with an attending pediatric emergency physician Assessment Tool 1. Self-reflective essay on what I learned about Raynaud's phenomenon
 * PGY4 YEAR **
 * July 2010 Pediatric Emergency Department **

**Competency - Practice-Based Learning and Improvement** Goal - Develop the ability to appraise and assimilate scientific evidence Objective 1. Review the literature on the management and treatment of respiratory emergencies in the pediatric emergency department and pediatric intensive care unit (this topic will be narrowed 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
 * August 2010 Pediatric Intensive Care Unit**

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families Objectives 1. Provide care to a diverse population in the pediatric emergency department 2. Demonstrate effective communication with a diverse population of patients in the pediatric emergency department Assessment Tool 1. Written feedback from families in the pediatric emergency department
 * September 2010 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. Review general pediatric topics relevant to the practice of pediatric emergency medicine 2. Test my knowledge of these general pediatric topics with written practice tests Assessment Tool 1. Practice test results
 * October 2010 Elective**

**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 related to the management of acute myocardial infarction in adults (topic to be narrowed or modified based on my experience in the adult emergency department) Assessment Tool 1. Completion of the individual learning plan
 * November 2010 Adult Emergency Department**

**Competency - Professionalism** Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objective 1. Complete charts within a timely manner this month 2. Develop and complete my "make man whole" project Assessment Tool 1. Notifications from Health Information Management or the Graduate Medical Education Office regarding completion of my charts 2. Plan my "make man whole" project
 * December 2010 Pediatric Emergency Department**

**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 literature regarding the management of urgent and emergent hypertension in adults 2. Discuss this literature with attending general emergency physicians on duty Assessment Tool 1. Verbal feedback from attending physician regarding management
 * January 2011 Adult Emergency Department**

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objective 1. List terms used to describe extremity injuries in children seen in the pediatric emergency department 2. As you see injuries in the ED be able to name the eponymous, extremity, spine, and pelvis injuries and discuss the case with the attending at that time Assessment Tool 1. Verbal feedback from attending pediatric emergency physicians
 * February 2011 Pediatric Emergency Department**
 * Competency - Interpersonal and Communication Skills **

**Competency - Systems-Based Practice** Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objective 1. List the components of a completed emergency department record 2. Discuss 5 of my completed emergency department records with attendings that I've worked on the same patients with Assessment Tool 1. Verbal feedback on my completed emergency department records
 * March 2011 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 Objectives 1. Demonstrate competent skills in delivery of a newborn 2. Discuss emergent obstetric complications associated with deliveries with an attending obstetrics physician Assessment Tool 1. Perform multiple deliveries with verbal feedback at that time from Attending OB
 * April 2011 Obstetrics**

**May 2011 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 my SITE performance 2. Develop individual learning plans based on weaknesses identified in my SITE performance Assessment Tool 1. Completion of these individual learning plans

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objectives 1. Prepare and deliver a lecture to emergency department faculty, fellows, residents, and medical students on pediatric overuse injuries Assessment Tool 1.Verbal feedback from faculty, fellows and residents after my lectures Objective 1. Read Park "How to Read Pediatric EKGs. 2. Attend Pediatric electrophysiology clinic at the LLUMC Heart Institute 3. Go over EKGs from the month with Dr. Mannapati or Dr. Koon that were difficult to interpret
 * June 2011 Elective**
 * Competency - Interpersonal and Communication Skills **