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PGY6 YEAR
Block 1: July - October 2011
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. Review the literature on Thoracic Trauma in Children
2. Prepare and deliver a lecture to emergency department faculty, fellows, residents, and medical students on Thoracic Trauma in Children on our PEM conference
Assessment Tool
1. Verbal feedback from faculty, fellows and residents after my lecture
2. Written evaluations from faculty and fellows present at my lecture

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 review the medical literature on Neuroblastoma in Children
2. Present a case presentation on Neuroblastoma in Children for the Thursday PM seminar
Assessment Tool
1. Verbal feedback from faculty and fellows at the seminar

Block 2: November 2011 - February 2012
Competency - Practice-based Learning and Improvement
Goal - Develop the ability to investigate and evaluate my care of patients
Objectives
1. Review my performance in billing and coding of my medical charts from the past months with the pediatric emergency department medical director, Dr. Besh Barcega
Assessment Tool
1. Verbal assessment of my charting by Dr. Barcega

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 6 patients using the patient/family feedback forms and process
Assessment Tool
1. Written evaluations and verbal feedback from families

Block 3: March - June 2012
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 the incidence of bacteremia in febrile sickle cell anemia patients presenting to the emergency department
Assessment Tool
1. Approval of my completed scholarly project in the incidence of bacteremia in febrile sickle cell anemia patients by my Scholarship Oversight Committee
2. Submission of my completed scholarly project in the incidence of bacteremia in febrile sickle cell anemia patients to a peer-reviewed medical journal

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




PGY5 YEAR
July 2010 Elective/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 2010 Adult ED with EMS
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. Discuss 5 calls with the MICN on duty at the time of the calls
3. Schedule ride outs with AMR and fire department personnel
Assessment Tool
1. Verbal feedback from MICN during the radio room calls

September 2010 Pediatric Emergency Department
Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to appraise and assimilate scientific evidence
Objective
1. Review the literature on burn injuries in children.
2. Lecture on this topic
Assessment Tool
1. Written feedback on by faculty and fellows on this lecture topic.

October 2010 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. Review the literature on management of closed head injuries in children
2. Present a case presentation on management of closed head injuries at the next Thursday seminar
Assessment Tool
1. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

November 2010 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 Bell's Palsy in children
Assessment Tool
1. Completion of the individual learning plan
2. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

December 2010 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 written evaluations from attending physicians this month

January 2011 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 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

February 2011 Research 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 the published medical literature on CSF analysis to differentiate bacterial and viral meningitis
2. Compile presentation materials for this case presentation
3. Present this case at the next Thursday seminar
Assessment Tool
1. Written and verbal assessment of my presentation by faculty and fellows at the next Thursday seminar

March 2011 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 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

April 2011 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 facial trauma in children
2. Lecture on this topic
Assessment Tool
1. Written feedback on my lecture by faculty and fellows

May 2011 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 2011 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