ELECT EPEDR - Pediatric Critical Care

1. Focusing histories, physicals, and oral and written communication appropriately.
2. Sharing information effectively with a patient and family.
3. Prioritizing and organizing work effectively.
4. Continuing to think about and re-assess the patient during the course of their disease.
5. Functioning as a “team player” with residents, attendings, nurses, ancillary staff and all others involved in the care of the patient.

• Independently collect focused and comprehensive, developmentally appropriate patient histories and physical examinations
• Develop a prioritized and inclusive problem list
• Summarize interval patient information and rationale for ongoing clinical management
• Suggest appropriate diagnostic tests for the patient’s chief complaint and other medical problems

Medical Knowledge

• Identify criteria for admission and discharge from the intensive care unit
• Describe the signs and symptoms that suggest deterioration or improvement of a patient’s clinical condition
• List drugs of choice and rationale for their use in common pediatric illnesses
• Identify contraindications to therapeutic drug use in children of different ages and/or diagnoses
• Calculate fluid and electrolyte requirements for children based on weight, caloric expenditure, diagnosis, and fluid status

Interpersonal and Communication Skills

• Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
• Provide education and patient instructions to patients and families, using written or visual methods, taking into account their health literacy level
• Write organized, appropriately focused, and accurate patient notes

Professionalism

• Demonstrate personal accountability, integrity, compassion, respect, altruism, and empathy when interacting with all members of the health care team, patients and their families, in order to provide the best patient care
• Demonstrate punctuality and ability to complete patient care tasks efficiently

Practice-Based Learning and Improvement

• Demonstrate self-directed learning in daily practice
  • Identify strengths, deficiencies, and limits in one’s knowledge and clinical skills through self evaluation
  • Develop a plan for improvement, perform appropriate learning activities, solicit and incorporate feedback
• Demonstrate evidence-based clinical practice
  • Access appropriate resources to answer clinical questions
  • Critically appraise relevant literature and incorporate it into patient care

Systems-Based Practice

• Demonstrate the appropriate utilization of consultants, including social workers, nutritionist, physical therapists, etc.

• Follow one PICU patient - presenting that patient on rounds - being responsible for that patient’s care.
• To read and discuss topics related to the student’s patient and to general PICU topics.
• To attend Pediatric and Critical Care conferences daily.
• If desired - may be called at night for interesting patients.

• From selected articles
• General Pediatrics
• From Textbook of Pediatric Critical Care - selected chapters