Heather

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PGY-4 Year
JULY 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. 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

AUGUST 2013 - Research Elective Competency - Practice-Based Learning and Improvement Goal - Complete IRB application packet for "Numbers module" study, including protocol abstract and application. Objectives 1. Review literature on learning styles in Pediatric or EM residents 2. Construct an annotated bibliography as a part of the 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.

SEPTEMBER 2013 - Pediatric Subspecialty Clinics 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 Objectives 1. Review literature recommended by subspecialty practitioners 2. Discuss the literature with attendings 3. Learn what details subspecialists would like communicated to them during phone consults

Assessment Tool 1. Feedback from subspecialty attendings

OCTOBER 2013 - Pediatric Ultrasound & Radiology Electives Competency - Patient Care/Procedural Skills Goal - Learn about different ultrasound techniques and utilization in the Pediatric ED Objectives 1. Identify knowledge deficits I have with the ultrasound machine and pediatric-specific ultrasounds 2. Review the published literature regarding the use of ultrasound in the pediatric emergency department 3. Review ultrasounds that I have performed with Karen, Heather, and Vi.

Assessment Tool 1. Verbal feedback from Heather, Vi, and Karen on my ultrasound technique and ability to read ultrasounds

Competency - Systems-Based Practice Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care Objectives 1. List indication for specific radiological studies in the pediatric emergency department 2. Review the literature on radiologic imaging in the pediatric emergency department 3. Ask radiology faculty what information is most helpful when ordering specific imaging studies 4. Continue to improve my ability to read radiologic studies ordered in the pediatric emergency department

Assessment Tool 1. Verbal feedback from the radiology faculty during my rotation about the understanding of indications and utility of specific imaging studies in the pediatric emergency department 2. Feedback from a first Thursday topic picked from interesting radiographs seen during the rotation. 3. Feedback from radiologist on presentation given during last day on rotation.

NOVEMBER 2013 - Pediatric Emergency Department Competency - Practice-Based Learning and Improvement Goal - Develop the ability to appraise and assimilate scientific evidence Objectives 1. Review the literature on acute leukemias and apheresis 2. Lecture on this topic

Assessment Tool 1. Feedback on by faculty and fellows on this lecture topic

DECEMBER 2013 - Pediatric Emergency Department Competency - Professionalism Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles Objectives 1. Complete charts within a timely manner this month 2. Start to develop "Make Man Whole" Project

Assessment Tool 1. Notifications from Health Information Management or the Graduate Medical Education Office regarding completion of my charts 2. Feedback from attendings on timely completion of charts. 3. Discussion with program leadership about options for "Make Man Whole" project

JANUARY 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. Develop an individual learning plan for a topic related to the management of septic joints in children.

Assessment Tool 1. Completion of the individual learning plan 2. Feedback on protocol development for hip aspiration in the ED.

FEBRUARY 2014 - Pediatric Subspecialty 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 Objectives 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.

MARCH 2014 - 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. 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 2014 - 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, especially Spanish-speaking families

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 Spanish-speaking families

MAY 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 2 evaluations from attending physicians this month

JUNE 2014 - Pediatric 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 the literature on the management and treatment of a patient relevant to both the emergency department and PICU, determined by my experience during the month. 2. Present the case and literature review as a lecture during my time in PICU.

Assessment Tool 1. Written and verbal feedback of presentation by PICU fellows and attendings 2. Self-Reflective Essay of experience in PICU

JULY 2013 - Research Elective Competency - Practice-Based Learning and Improvement Goal - Complete data collection and start introduction and methods sections of research paper. Objectives 1. Complete data collection 2. Start introduction and methods sections of research paper 3. Continue annotated bibliography

Assessment Tool 1. Verbal feedback from research mentor

AUGUST 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. Develop an individual learning plan for a topic related to chest pain in Pediatric patients

Assessment Tool 1. Completion of the individual learning plan 2. Participation in EM residency journal club on Pediatric Chest Pain

SEPTEMBER 2014 - International PEM Elective 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 Objectives 1. Review disease entities not common in the United States, but seen in Papua New Guinea 2. Discuss the literature with attendings 3. Manage and treat patient presenting to Porgera Hospital in PNG 4. Share knowledge of Pediatric resuscitation with other practitioners while in PNG

Assessment Tool 1. Feedback from practitioners in PNG on resuscitation lectures and other knowledge sharing 2. Feedback from First Thursday presentation of cases from PNG.

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">OCTOBER 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 Objectives 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

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">NOVEMBER 2014 - Dental Anesthesia Elective 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. 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 and residents

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">DECEMBER 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 Objectives 1. Develop an individual learning plan for a topic related to Pediatric Movement Disorders

Assessment Tool 1. Feedback from fellows and attending at first Thursday

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">JANUARY 2015 - 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 concerns sent to me from CQI/Admin attendings

Assessment Tool 1. Feedback from ED communication RNs on my ability to answer requests 2. Feedback from CQI director on addressing CQI needs.

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">FEBRUARY 2015 - Forensic Pediatrics 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. 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

Assessment tool 1. Feedback from attending forensic pediatricians

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">MARCH 2015 - 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 measles and other vaccine-preventable diseases 2. Discuss this literature with attending general emergency physicians on duty 3. Assess the effectiveness of protocols developed at Loma Linda

Assessment Tool 1. Feedback on First Thursday Lecture about the above

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">APRIL 2015 - Japan PEM and 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. Learn about the healthcare system in Japan and compare to that in the US 2. Learn about how the culture of Japan affects health, healthcare, and specific practices

Assessment Tool 1. Feedback from healthcare workers in Japan about my ability to practice within the system 2. Feedback from lecture to Japanese PEM fellows and attendings about PEM in Japan

Competency - Medical Knowledge 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 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

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">MAY 2015 - 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 fever

Assessment Tool 1. Completion of the individual learning plan

<span style="color: #0f6e6d; font-family: Arial,Helvetica,sans-serif; font-size: 16px;">JUNE 2015 - 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 trauma

Assessment Tool 1. Completion of the individual learning plan