SELECT SIPDA - Inpatient Acting Internship- Pediatrics

Goals:

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.

Objectives:

Patient Care

·         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 hospital

·         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

o    Identify strengths, deficiencies, and limits in one’s knowledge and clinical skills through self evaluation

o    Develop a plan for improvement, perform appropriate learning activities, solicit and incorporate feedback

·         Demonstrate evidence-based clinical practice

o    Access appropriate resources to answer clinical questions

o    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.

SPECIFIC DUTIES OF SENIOR STUDENTS

             Act as liaison between third year medical students and residents

             Update their patients’ medical information for the team

             Work with residents to facilitate communication between the nursing staff and the team

             Call in necessary consults for the team

             Act as the intern for their assigned patients on the ward under the guidance of the senior resident and staff

Resources for Learning:

Participating Faculty: Pediatric Ward Attending and Clinical Subspecialists

Texts:   Nelson Textbook of Pediatrics, Zitelli Atlas of Pediatric Physical Diagnosis

Workshops: No

Hands on Experience: Yes

Directed Readings: Yes

Self-Directed Learning: Yes

Evaluation:

Observation by Ward Attendings and Housestaff

 

All

Pass/Fail