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. 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 2013 - 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
Objective
1. Read and study review articles and textbook chapters on neonatal resuscitation and emergencies
2. Create a lecture on neonatal resuscitation and emergencies pearls
Assessment Tool
1. Verbal assessment of my presentation by faculty and fellows at a 1st Thursday conference

SEPTEMBER 2013 - Pediatric Emergency Department
Competency - Practice-based Learning and Improvement
Goal - Develop the ability to investigate and evaluate my care of patients
Objectives
1. Review the literature on the diagnosis and intervention of urinary tract infection in patients under the age of 2 in the pediatric emergency department
2. Present this literature review during November's 1st Thursday conference
Assessment Tool
1. Verbal assessment of my presentation by faculty and fellows during November's 1st Thursday conference


OCTOBER 2013 - Research Elective
Competency - Practice-based Learning and Improvement
Goal - Complete an annotated bibliography and data collection sheet
Objectives
1. Review literature on psychiatric care of children in an emergency department
2. Review research method re: retrospective chart reviews
3. Construct an annotated bibliography as a part of the literature review
4. Prepare data collection sheet
Assessment Tool
1. Verbal feedback from research mentor

NOVEMBER 2013 - Pediatric Emergency Department
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
3. Complete all of my charts on time this month
Assessment Tool
1. Verbal feedback from attending physicians

DECEMBER 2013 - 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 related to the management of neonatal jaundice and hyperbilirubinemia
Assessment Tool
1. Completion of the individual learning plan


JANUARY 2014 - Sub-specialty Pediatric 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 sub-specialty practitioners
2. Discuss the literature with sub-specialty practitioners and PEM colleagues in the ED
3. Learn information that sub-specialists would like communicated to them during phone consults
Assessment Tool
1. Feedback from sub-specialty attending physician

FEBRUARY 2014 - Dental Anesthesia Elective
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 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

MARCH 2014 - Pediatric Emergency Department
Competency - Practice-based Learning and Improvement
Goal - Develop the ability to investigate and evaluate my care of patients
Objectives
1. Review the literature on fatal toxic substances in pediatric patients
2. Present this literature review as a lecture for April's PEM grand rounds
Assessment Tool
1. Verbal assessment of my presentation by faculty and fellows during April's 1st Thursday conference


APRIL 2014 - Sub-specialty Pediatric 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 sub-specialty practitioners
2. Discuss the literature with sub-specialty practitioners and PEM colleagues in the ED
Assessment Tool
1. Feedback from sub-specialty attending physician


MAY 2014 - Pediatric Intensive Care Unit
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 a clinical entity seen in the pediatric emergency department and pediatric intensive care unit (this topic will be selected 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

JUNE 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 related to fluid status determination in children
Assessment Tool
1. Completion of the individual learning plan

PGY-5 Year

JULY 2014 - Research Elective
Competency - Practice-based Learning and Improvement
Goal - Start data collection and complete introduction and methods sections of research paper
Objectives
1. Start 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 - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Successfully coordinate PEM grand rounds lecture on 1st Thursday seminar day
2. Start all shifts on time this month
3. Be punctual for all administrative meetings and seminars
Assessment Tool
1. Verbal feedback from attending physicians

SEPTEMBER 2014 - Research Elective
Competency - Practice-based Learning and Improvement
Goal - Start data collection and complete introduction and methods sections of research paper
Objectives
1. Continue data collection
2. Continue writing introduction and methods sections of research paper
3. Complete annotated bibliography
4. Complete data collection sheet
Assessment Tool
1. Verbal feedback from research mentor

OCTOBER 2014 - Forensic Pediatrics
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. Develop the "language" of child abuse and neglect
Assessment tool
1. Formative feedback forms from attending forensic pediatricians


NOVEMBER 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
Assessment Tool
1. Written evaluations by families of children I have cared for in the pediatric emergency department this month


DECEMBER 2014 - ED Administration Elective
Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objectives
1. Develop tools to better understand ED administration as it pertains to physician pay, patient ED flow and efficiency, leadership skills and patient safety
2. Review literature and read book chapters as they pertain to the above
Assessment Tool
1. Personal reflection, self-assessment and discussion with with pediatric ED medical director and other attending physicians


JANUARY 2015 - Pediatric Emergency Department
Competency - Patient Care
Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Objective
1. Develop approaches to anticipatory guidance and well child care strategies
2. Review discharge instructions in greater detail with parents
Assessment Tool
1. Attending verbal and formative feedback


FEBRUARY 2015 - Pediatric Emergency Department
Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving bio-medical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Increase knowledge of specific pediatric pathology as it pertains to the SITE
Assessment Tool
1. Complete the SITE and review results

MARCH 2015 - Research Elective
Competency - Practice-based Learning and Improvement
Goal - Complete data analysis; complete introduction and methods sections and start results and discussion sections of research paper.
Objectives
1. Complete data analysis
2. Complete introduction and methods sections of research paper
3. Start results and discussion sections of research paper
Assessment Tool
1. Verbal feedback from research mentor


APRIL 2015 - Pediatric Emergency Department
Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving bio-medical, clinical, and epidemiological and and social-behavioral sciences, as well as the application of this knowledge to patient care
Objectives
1. Review a case of ataxia seen during a clinical shift
2. Increase knowledge of hereditary ataxia diseases in children
Assessment Tool
1. Present case and review of hereditary ataxia during 1st Thursday conference

MAY 2015 - Research Elective
Competency - Practice-based Learning and Improvement
Goal - Complete data analysis;complete remainder of research paper.
Objectives
1. Complete data analysis
2. Complete results, discussion and abstract sections of the research paper
Assessment Tool
1. Verbal feedback from research mentor

JUNE 2015 - Pediatric Emergency Department
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Successfully coordinate PEM grand rounds lectures on 1st Thursday seminar day
2. Complete remaining PEM fellowship paperwork and other obligations prior to fellowship graduation
Assessment Tool
1. Verbal feedback from peers and attending physicians
2. Verbal feedback from Dawn