Curriculum

Pediatrics Clerkship

Director: Miri Lader, M.D.,Clerkship Director and Assistant Professor, Pediatrics

Clerkship Description: During the Pediatric Clerkship you will gain an understanding of (a) the scope of pediatrics, (b) how to recognize a seriously ill child, and (c) the fact that medically speaking, children are not miniature adults.  Although you will be exposed to a wide variety of patients and specialty services, the emphasis of this clerkship is on general pediatric principals.  At the completion of this clerkship, all students will have a solid basic knowledge of general pediatric health care.

Boonshoft SOM Educational Objectives/Competencies

Code

What competencies will this unit address?  

Foundational Knowledge – Medical Knowledge

1.1

Master fundamental biomedical concepts, terms, processes, and system interactions

Foundational Knowledge – Medical Knowledge

1.2

Describe the determinants of health

Foundational Knowledge – Medical Knowledge

1.3

Utilize evidence in making clinical decisions

Application – Patient Care (Clinical Skills)

2.1

Conduct patient interviews and physical examinations

Application – Patient Care (Clinical Skills)

2.2

Diagnose patient health problems

Application – Patient Care (Clinical Skills)

2.3

Propose evidence-based health maintenance and therapeutic treatments

Integration – System-Based Practice

3.1

Connect knowledge of patient populations and health delivery processes in making diagnoses and therapeutic recommendations

Integration – System-Based Practice

3.2

Advocate for the humane, just, safe and prudent care of persons

Integration – System-Based Practice

3.3

Adapt to the complex economic and social structure of health care delivery

Human Dimension – Personal and Interpersonal Professional Development Goals

4.1

Reflect upon one’s personal strengths and weaknesses to make changes in one’s behavior

Human Dimension – Personal and Interpersonal Professional Development Goals

4.2

Find one’s own meaning in medicine 

Human Dimension – Personal and Interpersonal Professional Development Goals

4.3

Take care of oneself

Human Dimension – Personal and Interpersonal Professional Development Goals

4.4

Deliver effective patient presentations and document accurately in the medical record

Human Dimension – Personal and Interpersonal Professional Development Goals

4.5

Communicate and work effectively with others

Human Dimension – Personal and Interpersonal Professional Development Goals

4.6

Demonstrate leadership skills in a variety of settings

Caring/Valuing – Professionalism Goals

5.3

Value and behave in a manner consistent with the highest ethical standards of the profession

Learning How to Learn – Practice-Based Learning

6.1

Develop a personal plan to become a better medical professional

Learning How to Learn – Practice-Based Learning

6.3

Appropriately utilize evidence-based resources to address uncertainty in medicine and gaps in knowledge/skills

Clerkship-Level Objectives

Code

What are the clerkship-level objectives for this course?  

Boonshoft SOM Objectives

LO1

Frame a patient encounter in an organized fashion, reinforcing etiology, pathophysiology, clinical manifestations, diagnostic strategies and therapeutic interventions.

1.1, 2.1

LO2

Explain disease specific treatment strategies and associated prognosis and complications.

1.1, 2.1

LO3

Evaluate patients’ presenting clinical problems, including: (Chest Pain, dyspnea, Limp, constipation, Jaundice, Proteinuria, Fever, Anemia, Dehydration).

1.1, 2.1

LO4

Diagnose and manage patients with acute and chronic conditions including: (Acute Otitis Media/ Otitis Externa, Cellulitis, Elevated Blood pressure, diabetes mellitus, Cardiac murmur, pneumonia, bronchiolitis, Obesity, Urinary tract infection).

1.1, 2.1, 2.2, 2.3

LO5

Apply the fundamentals of adult care to coordinate the care of healthy infants and children.

1.1

LO6

Demonstrate systematic approach to pediatric patients utilizing sound skills in gathering components of the history and physical exam.

2.1, 4.4

LO7

Demonstrate appropriate interpretation of labs and testing.

2.2

LO8

Begin to formulate diagnostic reasoning, and justify therapeutic decision-making.

1.3, 2.2, 2.3

LO9

Demonstrate clear and concise oral presentations and written documentation reflecting a systematic approach to pediatric patients.

2.1, 4.4

LO10

Identify the social determinants of health for a specific patient, and develop a plan to coordinate care to include community resources to try to improve the health of the individual.

1.2, 3.1, 3.2

LO11

Consider patient, physician, and system barriers to successfully negotiate treatment plans and patient adherence; and identify strategies that may be used to overcome these barriers.

1.2, 3.1, 3.2

LO12

Identify the role of each team member to the care of the patient, and call on interdisciplinary resources to provide optimal and comprehensive care.

3.3, 4.5, 4.6

LO13

Establish professional relationships and effectively communicate with patients, their families, instructors, colleagues and staff.

4.1, 4.3, 4.5, 4.6

LO14

Work effectively with the broad, interdisciplinary team in patient care and appropriately incorporate their unique care skills.

4.1, 4.3, 4.5, 4.6

LO15

Demonstrate effective, age and culturally appropriate communication with patients

4.5

LO16

Apply the practice of healthy self care, which includes: Physical, mental and emotional health, Stress management practice , Allocation of responsibilities and Time management

4.3

LO17

Identify the role of each team member to the care of the patient, can call on interdisciplinary resources to provide optimal and comprehensive care

4.5

LO18

Demonstrate the ability to act with honesty/integrity while maintaining ethical duties to patients and others.

5.3

LO19

Demonstrate the ability to act in a manner that is dependable, dedicated and punctual.

5.3

LO20

Demonstrate the ability to act with patience, altruism and equanimity.

5.1, 4.1, 4.6

LO21

Creation and expansion of an action plan for learning and career development.

6.1

LO22

Recognize when additional information is needed to care for the patient and demonstrate ongoing commitment to self-directed learning.

6.3

LO23

Identify appropriate resources to address uncertainty in medicine and gaps in knowledge/skills.

6.3

LO24

Demonstrate effective skills in navigating the medical literature to answer clinical care questions.

6.3

LO25

Demonstrate the ability to acquire and soundly manage knowledge, identify knowledge deficiencies and create a plan for knowledge gains

4.2, 6.3

LO26

Demonstrate the ability to seek out and listen to feedback on performance, accept it positively, and respond to it constructively by improving performance.

4.5, 4.3, 4.1

Required Clinical Experiences

Clerkship/Clinical discipline

Clinical Encounter

Target

Expected Level of Responsibility

Site

Alternate Experience

Acute Otitis Media

1

Full

Ambulatory or inpatient

Aquifer Case 14

Acute Respiratory Illness

2

Moderate

Ambulatory or inpatient

Respiratory TBL

Pneumonia

http://pedsinreview.aappublications.org/content/34/10/438

Pneumococcal Infections

http://pedsinreview.aappublications.org/content/35/7/299

Cardiovascular Disease

1

Moderate

Ambulatory or inpatient

Aquifer Case 18

Pediatric Cardiology Lecture

Chronic Respiratory Disease

1

Moderate

Ambulatory or inpatient Aquifer Case 13

Development

1

Observation

Ambulatory or inpatient

Developmental Milestones: Motor Development

http://pedsinreview.aappublications.org/content/31/7/267

Developmental Milestones: Cognitive Development

http://pedsinreview.aappublications.org/content/31/9/364

Developmental Milestones 3: Social-Emotional Development

http://pedsinreview.aappublications.org/content/32/12/533

Febrile Child

1

Moderate

Ambulatory or inpatient

Question From the Clinician: Fever and Bacteremia

http://pedsinreview.aappublications.org/content/34/3/134

Fever and Antipyretic Use in Children

http://pediatrics.aappublications.org/content/127/3/580.full.html

Fever: Measuring and Managing

http://pedsinreview.aappublications.org/content/34/8/368

Meningitis

http://pedsinreview.aappublications.org/content/29/12/417

GI Conditions in Children

2

Moderate

Ambulatory or inpatient

Vomiting in Infant

GERD, feeding difficulty lecture

Acute Abdominal Pain

http://pedsinreview.aappublications.org/content/31/4/135

Dehydration in Infancy and Childhood

Fluids lecture

http://pedsinreview.aappublications.org/content/23/8/277

Acute Gastroenteritis

http://pedsinreview.aappublications.org/content/33/11/487

Growth (Abnormal/Normal)

1

Observation

Ambulatory or inpatient

Failure to Grow

Aquifer Case 26
Malnutrition PBL

Speech and Language Development: Monitoring Process and Problems

http://pedsinreview.aappublications.org/content/32/6/230

Abnormal Head Growth

http://pedsinreview.aappublications.org/content/31/9/382

Obesity

1

Observation

Ambulatory or inpatient Malnutrition Session

Skin Conditions

3

Moderate

Ambulatory or inpatient

Rash Review Lecture

Periorbital and Orbital Cellulitis

http://pedsinreview.aappublications.org/content/31/6/242

Practice Guidelines for the Diagnosis and Management of Skin and Soft-Tissue Infections- Adult article but good basic review

http://cid.oxfordjournals.org/content/41/10/1373.full.pdf+html

IDSA Guidelines on the Treatment of MRSA Infections in Adults and Children

http://www.aafp.org/afp/2011/0815/p455.pdf

Atopic Dermatitis and Ichthyosis

http://pedsinreview.aappublications.org/content/31/7/278

CHOP Rash Review (PDF File via Pilot)

UTI

1

Full

Ambulatory or inpatient

Aquifer Case 10

Standardized Patient Encounter
Well Child Visit (Infant/Child/Adolescent) 3 Moderate Ambulatory

Standardized Patient Encounter

Bright Futures Pocket Guide

Observation: Student is observing encounter

Moderate Participation: Student completes the History and Physical (either complete or focused) and participates in the differential diagnosis. (*Student directly interacts with the patient)

Full Participation: Student completes History and Physical (either complete or focused), participates in the differential diagnosis, and then completes a therapeutic treatment plan, which can include documentation.

Last edited on 04/20/2021.