UNM FAMILY MEDICINE RESIDENCY PEDIATRIC OUTPATIENT CLINIC EXPERIENCE GOALS & OBJECTIVES GOALS The goal of the pediatric curriculum is to provide FP residents with learning opportunities that will enable them to develop or refine knowledge, skills and attitudes necessary to A. B. C. D. E. Diagnose and manage common pediatric disorders Recognize, triage and coordinate consultation of complex pediatric conditions Provide education and support for patients and families living with pediatric disorders Effectively communicate with all members of the healthcare team Develop a professional identity that emphasizes individual, practice and system improvement OBJECTIVES PATIENT CARE The resident will demonstrate: 1. the ability to obtain, document and report a developmentally and age appropriate pediatric history. 2. the ability to perform, document and report a developmentally and age appropriate pediatric examination. 3. the ability to generate an appropriate differential diagnosis. 4. the ability to make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment. 5. the ability to perform appropriate procedures, with attention to consent, technique, patient comfort and follow-up. 6. the ability to counsel and educate patients and their families in a clear, respectful and culturally conscious manner. 7. the ability to develop and implement an appropriate follow-up plan that includes attention to the medical and psycho-social dimensions involved and incorporates the patient’s family, the primary care physician and appropriate consultants. MEDICAL KNOWLEDGE The resident will demonstrate: 1. knowledge of normal vital signs, lab values, growth and development. 2. recognition of changes or variation in vital signs, lab values, imaging results, growth and development that should trigger evaluation. 3. knowledge of the indications, application & interpretation of commonly used laboratory, imaging, developmental and behavioral assessments. 4. the ability to provide information about development and anticpatory guidance to families. 5. knowledge of calorie requirements, nutrition, and feeding options. 6. ability to determine appropriate medication dosage for weight and/or age. PRACTICE-BASED LEARNING AND IMPROVEMENT The resident will: 1. recognize his/her own strengths and limitations. 2. 3. 4. apply medical evidence to inpatient clinical situations, using a logical approach that is inclusive of the individual patient. use appropriate resources such as literature, consultants and peers to provide best patient care. ask questions as an engaged, critical learner. INTERPERSONAL AND COMMUNICATION SKILLS The resident will: 1. make organized and effective oral presentations. 2. communicate with the patient and family in a timely, developmentally and culturally appropriate manner. 3. communicate clearly and respectfully with medical team members, consultants, nursing, social work and other staff. PROFESSIONALISM The resident will: 1. accept responsibility for patient care. 2. never misrepresent patient care information. 3. be punctual, reliable and collegial. 4. demonstrate dress, hygiene and manner of speech that consistently reflect appropriate standards. 5. demonstrate sensitivity towards patients’ and colleagues’ gender, age, culture, disabilities, ethnicity and sexual orientation. 6. demonstrate sensitivity to the family as a unit and their needs in the care of the child. SYSTEMS-BASED PRACTICE The resident will: 1. practice patient advocacy and use system resources to minimize discomfort or confusion. 2. recognize that the patient is part of greater system and provides care in a manner that supports continuity. PROCEDURAL SKILLS The resident will demonstrate proficiency in: 1. venipuncture 2. vascular access The resident will document/demonstrate experience with: 1. lumbar puncture 2. minor laceration repair