PGY4 Year


July 2012 - Pediatric Emergency Medicine 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
Assessment Tool
1. Written evaluations by families of children I have cared for in the pediatric emergency department this month

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
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 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

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
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 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

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
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 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

January 2014 - Adult Emergency Department
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 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

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


Competency - Practice Based Learning
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