Maternal Child Health/Pediatrics (MCHP)

Introduction

One second-year and one third-year resident per month will make up the MHRI inpatient pediatric team. Call is every fourth night, and no vacation/comp time is permitted on this rotation. Each resident will prepare a PowerPoint presentation in an Evidence-Based Medicine (EBM) format on a clinical question of their choice to be presented in the Wood 2 conference room.

Goals

· To produce competence in the recognition and management of clinical conditions and diseases that are commonly encountered in the acute care of hospitalized children.

Objectives

Patient Care

· Gains expertise in admitting and managing general pediatric patients

· Develops and implements an appropriate management plan

· Provides appropriate and effective patient care

· Analyzes available information to make diagnostic and therapeutic decisions.

· Gains experience in admitting and managing behavioral and/or psychiatric disorders

Practice Based Learning and Improvement

· Formulate a clinical question applying the principles of Evidence-Based Medicine.

· Present and facilitate discussion of an Evidence Based Medicine (EBM) project in a small-group setting.

· Uses an evidence-based approach to generate a differential diagnosis and treatment plan for each patient.

· Attends and participates in didactic teaching sessions.

Systems Based Practice

· Identify community referrals to support the children and their families affected by acute or chronic illness or developmental delay.

Medical Knowledge

· Actively participates in team and attending rounds, presentations, and talks given by team members.

· Attends Grand Rounds and Noon Conferences.

· Demonstrates judicious use of diagnostic lab tests and radiologic studies.

Interpersonal & Communication Skills

· Communicates effectively with staff, physicians, and community-based physicians.

· Develops expertise in working within a team.

· Forms therapeutic and ethically sound relationships with patients.

Professionalism

· Introduces self to patient and family and inquires how a family member wants to be addressed.

· Demonstrates caring and respectful behaviors when interacting with patients and their families.

· Maintains confidentiality on wards, in, and outside the hospital.

· Demonstrates commitment to ethical principles, culture, age, and gender.

· Avoids harmful diagnostic and therapeutic strategies.

Third year residents will complete the Childhood Illness Self-Assessment Module and second year residents will complete the Asthma Self-Assessment Module on the American Board of Family Medicine Maintenance of Certification website. Once completed, print the certificate of completion at the end of the exercise. Completion of this module will be required to complete the rotation.

Clinical responsibilities

Clinical care of Wood 4 pediatric patients (exceptions: patients admitted to the surgery service and one day surgery admissions). There are no off-teaching admissions for general pediatrics.

Responsibilities when covering the floor:

· Complete and document history, physical examination, assessment, and management plan for each patient admitted.

· Communicate plan of care (and any changes in the plan) to attending physician.

· Examine and review laboratory and other diagnostic evaluations by 7:30 AM daily.

· Complete daily progress notes.

· Attend morning teaching rounds in the Wood 2 conference room Monday – Friday from 7:30 AM – 8:15 AM.

· Meet with inpatient pediatric attending on Wood 4 at 9:30 AM (even if there are no pediatric inpatients or the unit is closed)

· The resident who is not post-call or assigned to FCC clinic is assigned to the Wood 4 outpatient pediatric clinic.

· Provide back up for first-year resident on Wood 2.

· Attend C-sections or high-risk deliveries when requested by MCH service.

· Dictate discharge summary (or complete short-stay form) on each patient.

· Sign out to overnight or weekend covering resident.