ROTATION DESCRIPTION
ROTATION: Pediatrics
PRECEPTORS: Pediatricians Admitting to WMH
DURATION: One Month each in PG-1 and PG-2
1. GOALS/OBJECTIVES OF ROTATION:
A. Outpatient
-- Learn normal growth and development and
develop a systematic approach to well-child visits.
-- Learn how to give appropriate anticipatory
guidance to new parents.
-- Diagnose
and manage common problems in office pediatrics.
-- Recognize abnormal growth and/or development
and know when and how to make appropriate referrals.
-- Learn the importance of patient education
and become familiar with available resources.
-- Differentiate patients who can be managed as
outpatients from those who need admission.
-- Develop methods to efficiently and
thoroughly see patients in a busy office practice.
B. Inpatient
-- Diagnose and manage frequently encountered
pediatric problems in a community-based hospital.
-- Recognize complex or infrequently
encountered problems which require consultation and/or referral.
-- Develop procedural skills to include IV's,
lumbar punctures, nasogastric intubation, ABG's.
2. EXPECTATIONS OF ROTATION:
The rotation will center around residents
working with pediatrician preceptors in 4 week blocks. The resident's
responsibility will be to participate in preceptors’ office practices, as well
as being responsible for providing inpatient care to any pediatric patient
admitted to Waukesha Memorial Hospital by the pediatric groups of Waukesha
Medical Centers or Waukesha Pediatric Associates. In addition, the resident
will take Teaching Service call q4 nights.
A. Outpatient
The
office or outpatient experience is an important
portion of the rotation. This will consist of the resident initially
observing preceptors evaluate and manage patients. However, as the resident
gains outpatient experience they will have opportunities to provide the initial evaluation of
outpatients in preceptors’ offices and participate
in developing and implementing management plans. The typical process would
involve the resident seeing a patient prior to the preceptor, staffing their
findings with the preceptor, and developing management plans in consultation
with the preceptor. The preceptor would then perform any additional evaluation.
Finally, the resident and preceptor would initiate treatment. The resident is
expected to write notes detailing the
evaluation and management of each patient. All efforts will be made to
coordinate the resident's required WFPC continuity clinics (see below) with the
schedule of the preceptor.
B. Inpatient
The resident
will be responsible for performing the initial evaluation and management of any
patients from
The resident should remain aware of daily
progress of each patient even when progress notes are not required.
The resident
should perform all procedures under
the supervision of the preceptor. Procedure
cards/PDA's should be used to document
all procedures.
3. SUGGESTED PREPARATION/REFERENCES:
-- Nelson's Pediatrics
-- Harriet Lane useful for quick reference
-- Nelson's antibiotic guide useful for quick
reference
The resident should
also discuss with preceptors which resources preceptors have found most useful.
4. REQUIRED CONTINUITY CLINICS AT THE
All residents have a panel of patients for whom they
serve as the primary care provider. There are required clinics each week which
take precedence over rotation responsibilities. For PG-1 residents in their
first 6 months, one 1/2 day per week on a day that is not post-call. For PG-1
residents in their last 6 months, one to two 1/2 days per week that are not
post-call. For PG-2 residents, two 1/2 days per week that are not post-call. As
described above, there will be an effort made to coordinate these clinics with
the preceptor's schedule in order to minimize the impact on the rotation. Every
effort will be made to avoid placing Peds residents in evening clinic; if it is
necessary to do so, this will be limited to 1 clinic per month on
non-post-call.
5. TYPICAL DAY/WEEK:
Except for required clinics as described above and
lectures required by the residency as part of the longitudinal curriculum, the
resident's schedule will be determined by the preceptor's schedule.
6. CALL:
Call will be q4 and divided with the
residents on TS. Call may be taken from home. The resident on call will be responsible for all pediatric admissions
for the pediatric groups of
7. AVAILABLE
EDUCATION EXPERIENCES/CONFERENCES:
The
resident is expected to do additional reading about interesting cases they
encounter. Whenever possible the resident should discuss this reading with the preceptor. The preceptor is
encouraged to help the resident find good, evidence-based resources in addition
to communicating personal knowledge and experiences.
8. VACATIONS:
Up to
two days of vacation or CME are allowed, but this cannot conflict with call
responsibilities.
9. EVALUATION:
The resident
should discuss personal expectations for
the rotation with the preceptor. The resident should review the evaluation form with the preceptor at the beginning of
the rotation. The resident should obtain feedback from each preceptor on their
performance midway through the rotation. The preceptors will complete an
evaluation form and review this with the resident at the midway point and at
the end of the rotation. The resident should then return the evaluation forms to the curriculum coordinator, who
will distribute the completed forms to Dr. Fay and the resident's advisor for
their review.
10. CRITERIA FOR SUCCESSFUL COMPLETION:
Completed evaluation forms from each
preceptor indicating that the resident has actively
participated in the rotation as described, has satisfactorily completed all responsibilities, and has not demonstrated any significant deficits
in knowledge or performance (this includes meeting all call and clinical
responsibilities).
Revised: 05/23/05 (DLF:lmc)
F:\SHARE\WFPC\Admin\Curriculum
Coordinator\Rotation Descriptions\Pediatrics.doc