Core and Wray
Required
Rotation:
Block Rotation
PEDIATRICS - OUTPATIENT
1) Location: Monfort Children’s Clinic, Greeley, Colorado
2) Duration: Four weeks
3) Goals and Objectives. By graduation, each resident is expected to demonstrate the following level of
general and specific competence (categories based on the ACGME Competencies).
a) Medical Knowledge.
i) Demonstrates good knowledge of basic and clinical sciences, uses textbooks and evidencebased resources to supplement knowledge; demonstrates good understanding of complex
relationships and disease processes.
ii) Medical Knowledge Competencies specific to this rotation include demonstrated knowledge
(and application of knowledge to patient care) of the following common pediatric problems:
(1) Diarrhea
(2) Constipation
(3) Colic
(4) Vomiting
(5) diaper rash
(6) fever
(7) gait disturbances
(8) hydrocele
(9) undescended testis
(10) croup
(11) otitis media
(12) tonsillitis
(13) urinary tract infection
(14) heart murmur
(15) attention deficit disorder and other learning and school problems
(16) abdominal pain
(17) headache
(18) scoliosis
(19) common skin rashes
(20) enuresis and encopresis
(21) gynecologic problems in adolescent females
(22) common behavioral problems
(23) anxiety and depression
(24) dynamics of family disruption
(25) conjunctivitis
(26) anemia
(27) diabetes
(28) chronic illness
(29) grieving
b) Patient Care.
i) Consistently develops an effective therapeutic relationship with patients and families that
includes sensitivity to culture, age, gender and disability; gathers essential and accurate
information from the patient and other sources (labs, xray, old records, family); develops a
detailed differential and is able to prioritize that differential based on urgency and likelihood;
develop a comprehensive treatment plan that incorporates patient preferences and health care
maintenance/disease prevention (when appropriate); appropriately involves consultations in
the care of patients.
ii) Performs accurate and complete physical exams; demonstrated competence to perform simple
procedures and more complex procedures that the resident plans to include in his/her future
practice (including knowledge of indications, contra-indications, appropriate consent,
complications (and how to address them), and follow up).
iii) Patient Care competencies specific to this rotation include:
(1) To demonstrate competence in health assessment, well-child care, health maintenance,
and anticipatory guidance, including these areas:
(a) normal growth and development
(b) age-appropriate history and physical exam
(c) age-appropriate patient and parent teaching
(d) nutrition information appropriate to life stage
(e) immunizations
(f) child care questions
(g) safety issues
(2) To demonstrate mastery of common skills including:
(a) repair and closure of simple lacerations
(b) minor burn management
(c) care of uncomplicated fractures
(d) removal of ear wax and other ENT foreign bodies
c) Practice-Based Learning and Improvement.
i) Investigates and evaluates his/her own patient care, appraises and assimilates scientific
evidence, and uses this information to work toward improvements in patient care.
ii) Practice-Based Learning and Improvement activities specific to this rotation include:
d) Interpersonal and Communication Skills.
i) Written documentation/communication is legible, timed and dated, complete (but with
appropriate conciseness), accurate and using appropriate language and abbreviations. Verbal
communication with patients, families, and members of the healthcare team are respectful and
effective (including effective presentation skills). Keeps supervising physicians up to date on
patients.
ii) Interpersonal/Communication skill competencies specific to this rotation include:
e) Professionalism. Consistently on-time, works hard, able to identify required tasks and complete
them in a timely and efficient manner; team-oriented and willing to assist with work load as needed
to optimize team function; able to identify need for help and request it; demonstrates a positive
attitude and interactions with team members; adheres to ethical principles in the course of his/her
practice; identifies and progresses toward personal educational goals; is receptive to, seeks, and
incorporates feedback.
f) Systems-Based Practice.
i) Demonstrates an awareness of the larger healthcare system, assists patients in dealing with
system complexities through the effective use of hospital and community resources;
participates in some system improvement through identification of errors and system problems
and initial discussion of potential system improvements; acts as an effective teacher of junior
residents and other members of the healthcare team.
ii) Systems-Based Practice competencies specific to this rotation include to demonstrate ability to
identify (and refer to appropriate community resources) the potential barriers to access to and
compliance with care, in an indigent, culturally diverse population.
4) Methods:
a) During this required four week rotation in the R1 year, the resident spends twenty hours per week
(see attached schedule) at Monfort Children’s Clinic whose charter is to serve the indigent and
high-risk pediatrics populations.
b) The resident sees patients at Monfort Children’s Clinic under the direct supervision of one of the
board certified pediatricians at the clinic.
c)
The resident is also required to complete a computerized self-study module which includes
common pediatric problems and pediatrics health care maintenance by the end of the rotation. This
will be reviewed as part of the semi-annual resident assessment.
d) Other outpatient pediatrics experience includes:
i) A large volume of pediatric patient are seen in the FMC.
ii) Pediatrics topics are included in the teaching topics for daily OB/Peds teaching rounds, and
are part of the core didactic curriculum.
5) Evaluation: This curricular area is evaluated as outlined in the policy “Evaluation of Residents”.
RAC
Reviewed and Approved:
David Smith, MD , Program Director
Outpatient Pediatrics
Schedule for Resident at Monfort Children’s Clinic
Monday through Thurs: 11:00 AM - 5:00 PM
Continuity clinic will be in the FMC all day Friday