OBJECTIVES OF ORIENTATION
 Define
the requirements and expectations of
your 4 week core pediatric rotation
 Familiarize
yourself with the Pediatrics
website, the pediatrics curriculum, and the
clinical teaching sites
PURPOSE OF YOUR PEDIATRIC ROTATION

The purpose of the Pediatric Clerkship is to provide
3rd year medical students outpatient pediatric and
some inpatient and nursery (based on sites) clinical
experiences where students will
acquire a working knowledge of normal and
abnormal growth and development
 recognize, understand the pathophysiology of,
diagnose, and treat the common disorders of
infancy, childhood, and adolescence
 develop an understanding of children’s and
families’ perspectives of being cared for within
our healthcare system through observation,
inquiry, and reflection

GET TO KNOW THIS WEBSITE
HTTP://WWW.VCOM.EDU/PEDIATRICS/INDEX.HTML
PEDIATRIC CURRICULUM
COMPETENCY BASED CURRICULUM
Six Domains (Communication, Problem Solving, Clinical Skills,

OMM, Medical Knowledge, Professional and Ethical Behaviors)
During the third year clinical rotation, students
expand the knowledge they were taught in the first
two years and gain the ability to apply that
knowledge in the clinical setting.
 The third year clinical didactic pediatric curriculum
is taught through:

On-line case modules
 Online video lectures
 Supplemental suggested textbook reading in general
pediatrics and Osteopathic manipulation

PEDIATRIC CURRICULUM (SYLLABUS)
PEDIATRIC CURRICULUM
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
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CLIPP Cases
 11 out of the 32 Pediatric on-line interactive cases must be
completed during the rotation.
 It is highly recommended to complete all the cases.
 http://www.med-u.org/
VCOM Pediatrics Video Curriculum
 On VCOMTV website (OMS-III)
 On VCOM TV you have to change the site on upper right corner
to OMS III
Supplemental suggested textbooks:
 Nelson Essentials of Pediatrics, 7th edition
 American Osteopathic Association, and Anthony Chila. 3rd ed.
Chapters 54 and 58: The Child with Ear Pain
 Kuchera, M. & Kuchera, W. Revised 2nd Edition. The Common
Cold. P 23-30
Questions from the assigned OMM chapters will be included on
your end of month exam for each core rotation
HOW TO ACCESS CLIPP CASES


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Go to
http://www.medu.org/virtual_patient
_cases/clipp
Click <Go to Cases>
in the left frame
At the login page,
click the second
button:
<Registration>
Enter your medical
school email address
The system will
email you a login and
password to use
All 11 modules must have “Green Checks”
Status
- Review All Cards
- Achieve “Good” Engagement
- Session should be “Completed”
VCOM TV VIDEOS
Sign in as OMS-III
Not OMS I-II
Respiratory Complaints
 Newborn Conditions and Pearls (VCOM tv# 465)
 Newborn Exam (VCOM tv# 1176)
 Fever and Serious Bacterial Infection
 Abdominal Complaints
 Childhood Development (VCOM tv# 517)
 Pediatric Rashes
 Pediatric Extremity Injuries

RECOMMENDED READING
Required textbooks
for OMSIII
Great
Pediatric Texts
-can be referenced
in the VCOM
Library online
SOME OTHER RESOURCES AVAILABLE AT
VCOM LIBRARY
Garfunkel: Pediatric Clinical Advisor, 2nd ed. - 2007 - Mosby, An Imprint of Elsevier
Johns Hopkins: The Harriet Lane Handbook, 20th ed. - 2014 - Mosby, An Imprint of Elsevier *
Kliegman: Nelson Textbook of Pediatrics, 19th ed. - 2011 - Saunders, An Imprint of Elsevier
Paller: Hurwitz Clinical Pediatric Dermatology, 4th ed. - 2011 - Saunders, An Imprint of Elsevier
New Edition Park: Park's Pediatric Cardiology for Practitioners, 6th ed. - 2014 - Mosby, An Imprint of Elsevier
Piña-Garza: Fenichel's Clinical Pediatric Neurology, 7th ed. - 2013 - Saunders, An Imprint of Elsevier
Polin: Pediatric Secrets, 5th ed. - 2010 - Mosby, An Imprint of Elsevier
Selbst: Pediatric Emergency Medicine Secrets, 2nd ed. - 2008 - Mosby, An Imprint of Elsevier
New Edition Sperling: Pediatric Endocrinology, 4th ed. - 2014 - Saunders, An Imprint of Elsevier
Staheli: Pediatric Orthopaedic Secrets, 3rd ed. - 2007 - Mosby, An Imprint of Elsevier
Wilmott: Kendig & Chernick's Disorders of the Respiratory Tract in Children, 8th ed. - 2012 - Saunders, An Imprint of Elsevier
Wolraich: Developmental-Behavioral Pediatrics, 1st ed. - 2007 - Mosby, An Imprint of Elsevier
Zitelli: Zitelli and Davis' Atlas of Pediatric Physical Diagnosis, 6th ed. - 2012 - Saunders, An Imprint of Elsevier
WHAT’S REQUIRED TO SUCCESSFULLY
COMPLETE THE PEDIATRIC ROTATION

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Patient log: It is your responsibility to keep track and
records your experiences and enter them online.
OMM Log: to be completed and entered online!!
End of rotation Site Evaluation “VCOM Portal”
Clinical Performance Evaluation Form from your
preceptor >>>to be completed and entered online by the
preceptor!!
Review at Least 11 CLIPP cases:
- Select 11 cases according to your educational need:
Nursery – 1, 7, 8, 9, 18, 29
Inpatient – 15, 16, 10, 13, 22, 12, 25, 11, 19, 23, 24, 30
Outpatient – 2, 3, 4, 5, 6, 14, 13, 17, 20, 21, 26, 27, 28, 31, 32

Pass the end of rotation exam
CASE
LOG
CASE
LOG
To be completed
online
Found on the Pediatrics discipline website.
Instructions for completion included in online document
PEDIATRIC END OF ROTATION EXAM

The Pediatrics end of rotation exam is based on content
from:


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
CLIPP cases
Referenced VCOM TV videos
Suggested reading references in rotation objectives
American Osteopathic Association, and Anthony Chila. 3rd
ed. Chapters 54 and 58: The Child with Ear Pain
Kuchera, M. & Kuchera, W. Revised 2nd Edition. The
Common Cold
110 question exam on the last Friday of rotation
100 general pediatric questions
 10 OMM questions
 Exam questions are monitored for validity and no question
challenges will be accepted.

HOW I AM EVALUATED??


PERFORMANCE Evaluation:

Preceptor evaluation

VCOM uses a competency based evaluation form which
includes the osteopathic core competencies. These
competencies evaluated include:

Medical knowledge

Communication

Physical exam skills

Problem solving and clinical decision making

Professionalism and ethics

Osteopathic specific competencies

Additional VCOM values
OBJECTIVE Evaluation:

End of rotation exam
PRECEPTOR EVALUATION
PRECEPTOR EVALUATION SCORING

Unacceptable 1

Below Expectations 2

Met Expectations 3

Above Expectations 4

Exceptional 5
>>> Combine the scores and
divide by 29 (or 30 if OMM
being evaluated)
Results:
F (Fail) 1.0-2.89
P (Pass) 2.9-3.49
HP (High Pass) 3.5-4.29
H (Honor) 4.3-5.0
Example: Get 20 (Above Expectations) and 9 (Exceptional)>>> H (Honor)
THE WEEKEND BEFORE….
Watch the Newborn Exams video on VCOM. TV
 Review Developmental Milestones – make a cheat
sheet to take with you


Resources
http://brightfutures.aap.org/index.html
 http://www.healthyfuturesva.com/discovery.html
 http://www.healthychildren.org
 http://www.cdc.gov/ncbddd/actearly/milestones/index.html


Review components of Health Maintenance
exams

Well-child care accounts for 25% of visits to primary care
practitioners for children younger than 15 and 40% for
children younger than 1 year. These visits constitute a large
percentage of pediatricians’ time, with the average time for
preventive care visits ranging from 16 to 19 minutes
1
http://www.comsep.org/home/index.cfm
TIPS FOR PERFORMING WELL CLINICALLY
DO:
 Make life easier for your
team/preceptor – be helpful
 Show enthusiasm
 Make yourself available
 Demonstrate your
knowledge
 Ask for and respond to
feedback
 Read on at least one topic
seen in clinic nightly
 Take ownership of your
patient
DON’T:
 Disappear
 Say negative things about
other physicians
 Pretend you know an answer
when you don’t
 Study so much that patient
care suffers
 Stay on your computer or
phone
A WORD ABOUT PRECEPTORS

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Your preceptors are appointed clinical faculty in
the department of pediatrics
Preceptors are busy physicians, community
leaders, partners, spouses, parents, etc, in other
words…HUMAN
You are important to them, but not always the first
thing on their list
Mutually respect and learn from your differences
and similarities
You will have one lead preceptor, but expect to
interact with everyone in the practice or
community
Meet the preceptors:
 http://www.vcom.edu/pediatrics/faculty.html
INDIVIDUAL SITE INSTRUCTIONS FOR
STUDENTS:




Please access the student portal for individual
instructions at your rotation sites.
Most sites will ask you to be at the office M-F from
8am-5pm. Hours and expectations vary between
different sites and even between individual
physicians.
If your physician is working on the weekend or after
office hours and asks you to participate, this is
expected and can be an important part of the
learning process.
It is YOUR responsibility to contact your site
preceptor or coordinator prior to the first day of your
rotation to ask about time and location of your first
day.
INDIVIDUAL SITE INSTRUCTIONS
You should inform your preceptor on the first day
if there will be any absences during your rotation
(such as VCOM required functions)
 Ask your preceptor for feedback…they will be
evaluating your performance at the middle and
the end of the month.
 Mid-rotation do not count toward your grade, but
are useful in correcting problems before they do
reflect on your final evaluation

PROFESSIONALISM
DRESS FOR SUCCESS
WHAT NOT TO WEAR
WHAT TO BRING!!!!

Bring your white coat…although you may not be
required to wear it (most pediatricians do not wear
one b/c they can by scary to the children)

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
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Ask your preceptor about his/her preference.
Stethoscope
Otoscope and Ophthalmoscope for some sites
Reading material (in case you have downtime)
You might need a packed lunch (depends on location)
Leave your PDA’s, cell phones, computers in your bag
and avoid using them during patient care time
Patient case log
And most importantly…
patience and a smile!!!!
USEFUL/FUN WEBSITES
www.aap.org
 http://newborns.stanford.edu/PhotoGallery/
 http://library.med.utah.edu/pedineurologicexam/h
tml/home_exam.html
 http://www.healthyfuturesva.com/discovery.html
 http://www.med.umich.edu/pediatrics/ebm/
 http://www.cdc.gov/vaccines/
