July 2012 - Pediatric Emergency Room
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
August 2012 - Elective - Peds ED shifts
Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objective
1. Review the literature on hand injuries in the pediatric emergency department
2. Present my list and review to the fellows and faculty at the next Thursday seminar
Assessment Tool
1. Verbal feedback from the fellows and faculty during shifts
September 2012 - 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. Use MedStudy review books and PREP questions to prepare for the pediatric boards
Assessment Tool
1. Completion of Peds boards
September 2012 - 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. Asking about effective multi-tasking feedback from attending physicians
October 2012 - Elective: Toxicology
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. Read 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.
November 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. Develop an individual learning plan for a topic related to blunt trauma
Assessment Tool
1. Completion of the individual learning plan
December 2013 - Pediatric Emergency Department
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
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 2013 - Obstetrics
Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the 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 resident obstetrics physician
Assessment Tool
1. Perform multiple deliveries with verbal feedback at that time from Attending
February 2013 - Pediatric emergency department
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Learn the new computerizing charting system and 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 - 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. Assess my patient care for 2 patients using the patient/family feedback forms and process
Assessment Tool
1. Verbal feedback from families
April 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
Objective
1. Review general pediatric topics relevant to the practice of pediatric emergency medicine
2. Test my knowledge of these general pediatric topics with written practice tests
Assessment Tool
1. Practice test results

May 2013 - 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 for several PICU attendings regarding my interactions with families of critically-ill patients.
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 thyroid storm and thyrotoxicosis in the pediatric emergency department and pediatric intensive care unit
2. Present this literature during my required PICU lecture
Assessment Tool
1. Verbal feedback of my presentation by PICU faculty and fellows
June 2013 - 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 Canadian and NEXUS C-spine and Head CT guidelines
2. Apply these rules to different patient presenting to the adult ED
Assessment Tool
1. Discuss guidelines with the attendings on in the adult ED.
July 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
Objective
1. Review the literature regarding airway FB management
2. Discuss current methods of airway FB with faculty and fellows at the next Thursday seminar
Assessment Tool
1. Verbal assessment by faculty and fellows at the next Thursday seminar

August 2013 - Elective (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. Complete MDM sections of notes prior to signing note to attendings during shift.
2. Discuss five of my completed emergency department records with attending in the pediatric emergency department
Assessment Tool
1. Verbal feedback on my completed emergency department records with the attending in the pediatric emergency department
2. Review edited/completed notes of various attendings in the PEM department that I initiated.

September 2013 - 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.

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

November 2013 - Elective (Research)
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Perform literature search and compile articles that are descriptive in nature
2. Sort thru patient charts to narrow focus of research
3. Began data collection phase of research project
Assessment Tool
1. Discuss findings with fellows and attendings in conference

December 2013 - Off on medical leave

January 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 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 assessment of my presentation by faculty and fellows at the next Thursday seminar

February 2014 - Elective (Research and VA anesthesia)
Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to appraise and assimilate scientific evidence
Objective
1. Review techniques on bag-mask ventilation and intubation including glidoscope, LMA, and endotracheal tube
2. Perform reviewed techniques during elective
Assessment Tool
1. Verbal feedback from attending anesthesiologist after each case

March 2014 - Pediatric Emergency Department
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
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

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 general pediatric topics relevant to the practice of pediatric emergency medicine
2. Test my knowledge of these general pediatric topics with written practice tests
Assessment Tool
1. Practice test results

April 2014 - 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 pediatric head and neck trauma
2. Lecture on the topic of pediatric head and neck trauma
Assessment Tool
1. Written and verbal feedback on pediatric head and neck trauma lecture

May 2014 - 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 a topic related to penetrating trauma
Assessment Tool
1. Completion of the individual learning plan

June 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
Objective
1. List terms used to describe extremity injuries in children seen in the pediatric emergency department
2. Discuss in fellow's conference in presentation format
Assessment Tool
1. Verbal feedback from staff at fellows conference

July 2014 - 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. Participate in base station radio calls
2. Schedule ride outs with AMR and fire department personnel
Assessment Tool
1. Discuss on my experience during ride outs with AMR and fire department personnel with staff

Aug 2014 - 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 ten 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

September 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

October 2014 - Pediatric Emergency Department
Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
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

November 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 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

December 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 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

January 2015 - Pediatric Emergency Department


Competency - Professionalism

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

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

February 2015 - 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 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

March 2015 - 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 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
April 2015
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.

May 2015
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

June 2015

Competency - Practice-Based Learning and Improvement

Goal - Develop the ability to appraise and assimilate scientific evidence

Objective

1. Review the literature on a topic relevant to the practice of pediatric emergency medicine

2. Lecture on this topic

Assessment Tool

1. Written feedback on by faculty and fellows on this lecture topic