Shubi

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PGY-4 Year
**__July 2014: Peds ER__**

Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objective 1. Know my colleagues, attending and nurses, clerks and the other staff working ER and their roles and responsibilities in ER and work on best possible way to communicate with each of the team member. 2. Knowing when and how to consult appropriate specialites for my patients care. 3. Getting oriented to my work place that is my Peds ER.
 * 1. Competency - Interpersonal and Communication **

Tool: Getting verbal and /or written feed back from attendings, nurses and the other team members.

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. Looking forward to upcoming once a year cadaver lab experience and learn the invasive procedures like chest tube placement and pericardiocentesis.
 * 2.** **Competency - Medical Knowledge **

Tool: Work with Co- fellows in cadaver lab and learn the procedures from my seniors

**__August 2014: Peds ER__**


 * 1. 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 and colleagues during pediatric emergency department shifts 2. Complete charts within a timely manner this month

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Written evaluations from nursing staff and attending in the pediatric emergency department

<span style="background-color: rgba(255,255,255,0);">**2.** **Competency - Patient Care**

<span style="background-color: rgba(255,255,255,0);">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 <span style="background-color: rgba(255,255,255,0);">1. Review the literature regarding the management of skull fractures in children <span style="background-color: rgba(255,255,255,0);">2. Discuss this literature in the presentation during Thursday conference

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Verbal feedback from colleagues on content and presentation

__**September 2014**: **Ophthalmology Elective**__

<span style="background-color: rgba(255,255,255,0);">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
 * 1.** **<span style="background-color: rgba(255,255,255,0);">Competency - Patient Care **

Objective

<span style="background-color: rgba(255,255,255,0);">1. Review the literature regarding the management of ophthalmic emergencies <span style="background-color: rgba(255,255,255,0);">2. Discuss this literature with ophthalmology attending during elective month.

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Verbal feedback from attending physician regarding management

<span style="background-color: rgba(255,255,255,0);">**October 2014 : Adult ER**

<span style="background-color: rgba(255,255,255,0);">**1.** **Competency - Patient Care** <span style="background-color: rgba(255,255,255,0);">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

<span style="background-color: rgba(255,255,255,0);">1. Review ACLS guideline, Stroke and acute MI management guidelines <span style="background-color: rgba(255,255,255,0);">2. Pain management in adult patients

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Verbal feedback from attending physician regarding management

<span style="background-color: rgba(255,255,255,0);">Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals Objective 1. Work in adult ER in new setting and team members and communicate and work effectively
 * <span style="background-color: rgba(255,255,255,0);">2. ****<span style="background-color: rgba(255,255,255,0);"> Competency - Interpersonal and Communication **

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Verbal feedback from attending physician, RNs, techs for feedback


 * <span style="background-color: rgba(255,255,255,0);">November 2014 : Peds ER **

<span style="background-color: rgba(255,255,255,0);">**1**. **Competency - Medical Knowledge**

<span style="background-color: rgba(255,255,255,0);">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 about NALS algorithm after being involved in a code 2. Read about RSI for emergent intubation 3. Read about difficult pediatric airway

<span style="background-color: rgba(255,255,255,0);">**2. Competency - Patient Care** <span style="background-color: rgba(255,255,255,0);">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

<span style="background-color: rgba(255,255,255,0);">1. Knowing with the help of nurses and techs where the stuff is located required in code in case of an emergency. <span style="background-color: rgba(255,255,255,0);">2. Reviewing right size intubation kit according to age

<span style="background-color: rgba(255,255,255,0);">Assessment tool: <span style="background-color: rgba(255,255,255,0);">1. Asking feedback to an attending physician and rest of the team members about the code


 * <span style="background-color: rgba(255,255,255,0);">December 2014 : OB-Gyn **

<span style="background-color: rgba(255,255,255,0);">**1**. **Competency - Medical Knowledge**

<span style="background-color: rgba(255,255,255,0);">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 <span style="background-color: rgba(255,255,255,0);">1. Read and watched the videos of normal delivery, episiotomy, shoulder dystocia during OB rotation

<span style="background-color: rgba(255,255,255,0);">Assessment tool: <span style="background-color: rgba(255,255,255,0);">Performing delivery under the guidance of senior OB resident and getting feedback.


 * <span style="background-color: rgba(255,255,255,0);">2. Competency - Practice-Based Learning and Improvement **

<span style="background-color: rgba(255,255,255,0);">Goal - Develop the ability to appraise and assimilate scientific evidence <span style="background-color: rgba(255,255,255,0);">Objective <span style="background-color: rgba(255,255,255,0);">1. Review the literature on chorioamnionitis <span style="background-color: rgba(255,255,255,0);">2. Review the literature on ARVD and it's diagnostic criteria and EKG findings

<span style="background-color: rgba(255,255,255,0);">Assessment Tool <span style="background-color: rgba(255,255,255,0);">1. Discuss with OB seniors <span style="background-color: rgba(255,255,255,0);">2. Discuss EKG In Thursday conference

** 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 dog bite treatment in children.

Assessment Tool 1. Completion of the individual learning plan 2. Literature review regarding current practices in management of dog bite and recommendations about anti rabies vaccine.


 * February 2015: Adult ED **


 * 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 the literature regarding a topic relevant to the management of acute ST Elevation Myocardial Infarction (STEMI) in adults 2. Discuss this literature with attending general emergency physicians on duty during my shifts

Assessment Tool 1. Verbal feedback from adult ED attending physicians regarding my literature review


 * March 2015: Pediatric ED **


 * Competency - Interpersonal and Communication Skills **

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


 * April 2015: Pediatric ED **


 * 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 written evaluations from attending physicians this month


 * May 2015: Research elective **


 * 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 year 2. Assess my performance with regard to my individual learning plans over the last year

Assessment Tool 1. Self-reflective essay on performance with regard to my curricular objectives and my individual learning plans


 * June 2015: PICU **


 * 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 like SIMV-PS, SIMV-volume control, APRV, HFO

Assessment Tool 1. Discuss with attending, fellows, and RTs while on call 2. Evaluations from attendings


 * July 2015: Elective : Forensic and Research **


 * Competence-Interpersonal and communication Skills**

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 sexual abuse vs rape vs molestation 2. Read provided articles in Forensics binder 3. Evaluate imaging studies before the official read

Assessment tool 1. Feedback from attending forensic pediatricians 2. Go trough the official reads of the imaging studies and discuss with the attendings


 * August 2015 : Pediatric ED **

**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 year 2. Assess my performance with regard to my individual learning plans over the last year

Assessment Tool 1. Get feedback from the attending


 * <span style="background-color: rgba(255,255,255,0);">September 2015: Pediatric ED **


 * 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


 * October 2015: ****Elective Ultrasound**

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
 * Competency - Medical Knowledge **

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


 * November 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 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


 * December 2015: 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. Prepare a lecture to emergency department faculty, fellows, residents, and medical students on common pediatric skull and facial fractures

Assessment Tool 1. Verbal feedback from faculty, fellows and residents after my lecture


 * January 2016 - Adult 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 the literature and video regarding the skills needed to intubation in adults in the emergency department setting. 2. Discuss this literature with attending general emergency physicians on duty during my shifts

Assessment Tool 1. Verbal feedback from adult ED attending physicians regarding my review.


 * 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 2 patients using the patient/family feedback forms and process

Assessment Tool 1. Verbal feedback from families


 * February 2016: 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


 * March 2016: Pediatric Emergency Department**


 * Competency: Medical Knowledge**

Goal - Develop a knowledge of the established and evolving biomedical, and clinical sciences, as well as the application of this knowledge to patient care

Objective 1. Review Goldfrank's textbook on medical toxicology, specifically the antidotes available 2. Study different toxidromes presented in the monthly SITE lectures. Assessment Tool 1. Take and review monthly toxicology quizzes. Verbal feedback from elective coordinator.


 * April 2016: Pediatric anesthesia Elective **


 * Competency: Medical Knowledge **

Goal - Develop a knowledge of the established and evolving biomedical, and clinical sciences, as well as the application of this knowledge to patient care

Objective: 1. Review literature on management of difficult pediatric airway 2. Discuss how anesthesia team approach difficult pediatric airway 3. Discuss IV bolus medications used in OR by pediatric anesthesia team 4. Develop ILP on above topics

Assessment tool: 1. Completion of individual learning plan


 * May 2016: 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

Assessment tool

1. Verbal and written feedback from adult ED attendings regarding my literature review and care of adult patients with shortness of breath


 * June 2016: 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 novel treatments of status epilepticus in children 2. Review the published literature regarding pediatric status epilepticus treatment

Assessment Tool 1. Completion of the individual learning plan


 * July 2016-Sept 2016: **P**ediatric 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.

Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
 * Competency - Professionalism **

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 - 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 a completed level 5 emergency department record and show it to the medical director of the pediatric emergency department 3. Discuss this and 4 other cases with the medical director of the pediatric emergency department for feedback on charting

Assessment Tool

1. Verbal feedback on my charts from the medical director of the pediatric emergency department


 * October- December 2016; Pediatric emergency medicine**

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
 * Competency - Medical Knowledge **

Objective 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. Written assessment of my presentation by faculty and fellows at the next Thursday seminar


 * 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 facial lacerations in the pediatric emergency department 2. Review the literature on facial laceration in the pediatric emergency department 3. Arrange the lecture from plastic surgery team about

Assessment Tool 1. Verbal feedback from the fellows and faculty at the Thursday seminar

Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
 * Competency - Professionalism **

Objective 1. Complete charts within a timely manner this month

Assessment Tool 1. Verbal feedback from attending physicians and any feedback from health information management regarding delinquent charts


 * January - March 2017: Pediatric Emergency Medicine**

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 and create a study guide for SITE as well as Boards 2. Test my knowledge of these general pediatric emergency medicine topics with written practice tests Assessment Tool 1. Practice test results, future SITE exam results
 * Competency - Medical Knowledge **


 * 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 patients using the patient/family feedback forms and process 2. Try different techniques to calm the patient to get good physical exam and clinical assessment

Assessment Tool 1. Verbal feedback from families and patients 2. Written evaluations by families of children I have cared for in the pediatric emergency department this month


 * 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 year 2. Assess my performance with regard to my individual learning plans over the last year

Assessment Tool 1. Self-reflective essay on performance with regard to my curricular objectives and my individual learning plans


 * 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


 * April-June 2017: Pediatric Emergency Medicine**


 * Competency - Professionalism **

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 Assessment Tool 1. Verbal feedback from senior attendings and program coordinator.

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
 * Competency - Systems-Based Practice **


 * 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