Algernon's+Curriculum

**PGY4 Year**
July 2012 - Pediatric Emergency Medicine Department 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
 * Competency - Interpersonal and Communication Skills **

August 2012 - 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. Complete my required feedback forms from nurses, students, faculty 2. Develop my clinical skills in assessing children presenting to the Pediatric ED Assessment Tool 1. Submission of my feedback forms 2. Verbal and written feedback

September 2012 - Pediatric Emergency Department **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

October 2012 - Elective Ultrasound **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 Drs. Heather Tassone and Viam Dinh Assessment Tool 1. Verbal feedback on ultrasound technique and ability to read ultrasounds by Karen (Ultrasound) and Drs. Heather Tassone and Viam Dinh

November 2012 - Elective PICU **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 a case that I have managed in the PICU for which I identified a knowledge deficit I had regarding that case 2. Review the published medical literature regarding this case and my knowledge deficit 2. Lecture on this topic Assessment Tool 1. Written feedback on my lecture

December 2012- Adult 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 novel treatments of status epilepticus in children 2. Review the published literature regarding pediatric status epilepticus treatment 3. Lecture on this topic Assessment Tool 1. Completion of the individual learning plan 2. Verbal feedback on my lecture

January 2013 - 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 six months 2. Assess my performance with regard to my individual learning plans over the last six months 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 performance with regard to my curricular objectives and my individual learning plans 2. Discuss with an attending how my work as a pediatric emergency physician fits within the larger system of health care 3. Verbal and in-person feedback from my semi-annual evaluation.

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 prior to implementation of new computerizing charing system to create smart phrases, personalized order sets, and smart links to streamline patient care and documentation 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 - Pediatric emergency department 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 five of my completed emergency department records with the medical director of the pediatric emergency department Assessment Tool 1. Verbal feedback on my completed emergency department records with the medical director of the pediatric emergency department

April 2013 - Obstetrics Competency - Systems-Based Practice Goal - Develop the ability to call effectively on other resources in the healthcare 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 and senior resident obstetrics physician Assessment Tool 1. Perform multiple deliveries with verbal feedback at that time from Attending or senior resident

May 2013 - Adult emergency department Competency – Medical Knowledge Goal – Develop knowledge of established biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care Objective 1. Review the literature regarding etiologies of shortness of breath in adult patients in the emergency department (topic to be narrowed as I learn more about this topic) 2. Discuss this literature with attending general emergency medicine physicians on duty during my clinical shifts 3. Verbal and written feedback from adult ED attendings regarding my literature review and care of adult patients with shortness of breath

June 2013 – Pediatric Emergency Department 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 pediatric genitourinary emergencies 2. Lecture on this topic during 1st Thursday Seminar Assessment Tool 1. Written feedback on my lecture by faculty and fellows present at the lecture
 * Competency - Practice-Based Learning and Improvement **

PGY5 Year

July 2013 - Research/Pediatric Ophthalmology **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 literature on pediatric ophthalmological emergencies 2. Discuss this literature review with an attending pediatric ophthalmology physician and pediatric emergency medicine physician Assessment Tool 1. Verbal feedback with an attending pediatric ophthalmology physician

August 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 Objectives 1. Review the literature on synovial fluid analysis 2. Present this data in a case-based presentation at 1st Thursday Seminar Assessment Tool 1. Verbal feedback from attendings and fellows present at the seminar

September 2013 - EMS Rotation **Competency - Systems-Based Practice** Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objectives 1. Participate in base station radio calls 2. Schedule ride outs with AMR, sheriff's department and fire department personnel Assessment Tool 1. Self-reflective essay on my experience during ride outs with AMR and fire department personnel

October 2013 - Pediatric Emergency Department 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 literature on pediatric pericarditis 2. Discuss this literature review with an attending pediatric emergency medicine physician 3. Present this data at 1st Thursday Seminar Assessment Tool 1. Verbal feedback from attendings and fellows present at the seminar
 * Competency - Medical Knowledge **

November 2013 - International Elective in China Competency - Systems-Based Practice Goal - Develop an awareness of and responsiveness to the larger context and system of health care Objective 1. Gain exposure to disease processes not commonly seen in the US  2. Gain a better understanding of a foreign culture 3. Lecture foreign medical professionals on topics in pediatric emergency medicine 4. Develop a case-based presentation of an interesting case seen in China and present this case at 1st Thursday seminar Assessment Tool 1. Verbal feedback on case-based presentation from attendings and fellows present at 1st Thursday seminar 2. Verbal and written feedback from medical professionals present during my lectures in China

December 2013 - Dental Anesthesia Elective 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 literature on general anesthesia 2. Obtain first-hand clinical experience examining and treating children undergoing general anesthesia Assessment Tool 1. Verbal feedback from dental anesthesia attendings of my medical knowledge and procedural skills
 * Competency - Medical Knowledge **

January 2014 - Adult Emergency Department 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 adult emergency department 2. Demonstrate effective communication with a diverse population of patients in the adult emergency department Assessment Tool 1. Written feedback from families in the adult emergency department
 * Competency - Interpersonal and Communication Skills **

February 2014 - Pediatric Emergency Department **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 a case that I have managed in the pediatric emergency department for which I identified a knowledge deficit I had regarding that case 2. Review the published medical literature regarding this case and my knowledge deficit 2. Lecture on this topic Assessment Tool 1. Verbal feedback on my lecture

March 2014 - Adult 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 adult emergency department Assessment Tool 1. Written evaluation specifically asking about effective multi-tasking on my evaluations from attending physicians this month

April 2014 - Research Elective/PICU **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 and hone my communication skills with families of children who are critically ill Assessment Tool 1. Discuss and receive verbal feedback from PICU attendings regarding my interactions with families of critically-ill patients.

May 2014 - 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. 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

June 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 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


 * PGY6 YEAR **


 * Block 1: July - October 2014 **

** Competency - Practice-based Learning and Improvement ** Goal - Develop the ability to investigate and evaluate my care of patients Objectives 1. Improve on my medical charting Assessment Tool 1. Verbal assessment and feedback of charting and efficiency by my colleagues

** 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 2014 - February 2015 **

**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 - 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. Prepare and deliver a lecture to emergency department faculty, fellows, residents, and medical students on emerging infectious diseases Assessment Tool 1.Verbal feedback from faculty, fellows and residents on my lecture


 * Block 3: March - June 2015 **

**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 regarding disposition of pediatric patients with fever and a central line 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

Goal - Develop the ability to appraise and assimilate scientific evidence Objective 1. Review the literature regarding a pediatric emergency medicine topic in which there is either new evidence or a controversy in practice Assessment tool 1. Verbal feedback regarding topic at 1st Thursday Seminar
 * Competency - Practice Based Learning **