• If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.

  • You already know Dokkio is an AI-powered assistant to organize & manage your digital files & messages. Very soon, Dokkio will support Outlook as well as One Drive. Check it out today!

View
 

Pediatric Emergency Medicine Rotation - (redirected from Peds ED Rotation R2s and R3s)

Page history last edited by Dolores L. Garcia 6 months, 3 weeks ago

PEDIATRIC EMERGENCY MEDICINE 

ROTATION INFORMATION

 

 

Year: UNM R2s, Shiprock and Santa Fe Interns

 

Rotation contact information:

  •  Dr. Tara Neubrand, Pediatric ED Medical Director
  • Elizabeth Talamantes, Coordinator - 277-2892 ETalamantes@salud.unm.edu

 

Location:  Department of Emergency Medicine; UNMH 1st floor

Pre-requisites: none

 

Important Notes: 

 

PEM Orientation Handout Link: https://app.smartsheet.com/b/publish?EQBCT=64480aa4a9224180b83509910c6f08f5

Clinical Resources Handout Link:  https://app.smartsheet.com/b/publish?EQBCT=a70d0cb16d6a4ddd96a6d5b289cc4b5c

**Sick Leave:  If calling in sick please follow the procedures below:

Sick Call Protocol

In the event of illness or unexpected events, please:

Greater than 24hrs before scheduled shift

· Email Scheduler etalamantes@salud.unm.edu and Residency Liaison mfbustillos@salud.unm.edu to see what options there are

      Less than 24hrs before scheduled shift · Email hsc-emed-pedsickcall@salud.unm.edu, cc attending you are scheduled to work with and your program (chiefs, program manager, and PD)

Less than 2 hours before scheduled shift

· Tiger text Elizabeth Talamantes immediately (Scheduler)

 

Email FM Program Manager dlgarcia@salud.unm.edu;

 

 

SCHEDULES! -- Check Tiger Schedule for most up-to-date schedule!!  If you are inappropriately scheduled after a night shift, contact Elizabeth Talamantes as above.  

For R1 (1+2) schedule page, click here 

 

Schedule A: if there's only one FM upper level on peds ED

 

 

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

Morning

 

Peds ED 9a-5p

Admin Time: Clinic/Scholarly/QI Projects

Peds ED 9a-5p

AM Clinic

Peds ED 9a-5p 

Afternoon

 

Res School

 

PM Clinic

 

Evening

 

 

 

 

 

               

Morning

 

AM Clinic

Peds ED 9a-5p

 

 

AM Clinic

 

Afternoon

Day off

PM Clinic

 

 

 

PM Clinic

Day off

Evening

 

 

 

Peds ED 5p-1a

Peds ED Noon-8pm

 

 

               

Morning

Peds ED 9a-5p

Admin Time: Clinic/Scholarly/QI Projects

Peds ED 9a-5p

 

 

AM Clinic

 

Afternoon

 

PM Clinic

 

 

 

PM Clinic

Day off

Evening

 

 

 

Peds ED 5p-1a

Peds ED Noon-8pm

 

 

               

Morning

 

AM Clinic

Peds ED 9a-5p

 

 

AM Clinic

Peds ED 9a-5p

Afternoon

Day off

PM Clinic

 

 

 

PM Clinic

 

Evening

 

 

 

Peds ED 5p-1a

Peds ED Noon-8pm

 

 

               

Morning

 

AM Clinic

 

Afternoon

Day off

PM Clinic

Evening

 

 

 

 

Schedule B: (used if more than 1 FM upper level resident is on Peds ED)

Morning   Admin Time: Clinic/Scholarly/QI Projects
 
Peds ED 9a-5p  Peds ED 9a-5p  
Afternoon Peds ED 5p-1a Res School  
  Peds ED 5p-1a 
Evening        
 
        
Morning   AM Clinic Admin Time: Clinic/Scholarly/QI Projects
Admin Time: Clinic/Scholarly/QI Projects
Peds ED 9a-5p AM Clinic Peds ED 9a-5p
Afternoon Day off PM Clinic PM Clinic Res School      
Evening      
   
   
        
Morning   AM Clinic Admin Time: Clinic/Scholarly/QI Projects
 
Peds ED 9a-5p AM Clinic Peds ED 9a-5p
Afternoon Day off PM Clinic Peds ED 5p-1a Res School    
 
Evening          
   
        
Morning   AM Clinic Admin Time: Clinic/Scholarly/QI Projects
Admin Time: Clinic/Scholarly/QI Projects  Peds ED 9a-5p    
Afternoon Day off PM Clinic PM Clinic Res School   Peds ED 5p-1a Peds ED 5p-1a
Evening          
 
 
        
Morning   AM Clinic  
Afternoon Day off PM Clinic
Evening    

 

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 

  1. See at least 75 patients in the month (both R1s and upper levels).  This is from an RRC pediatric ED requirement. We track these by looking at notes so you don't need to log them

  2. Diagnose and manage common pediatric disorders

  3. Recognize, triage and coordinate consultation of complex pediatric conditions

  4. Provide education and support for patients and families living with pediatric disorders

  5. Effectively communicate with all members of the healthcare team

  6. 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 recognize, evaluate and appropriately treat sepsis

  5. the ability to recognize, evaluate and appropriately treat dehydration

  6. the ability to recognize, evaluate and appropriately treat respiratory distress

  7. the appropriate initial assessment and stabilization of trauma/injury

  8. the ability to determine appropriate medication dosage for weight and/or age.

  9. knowledge of the various presentations of child abuse & neglect, the appropriate approach to the patient and family and the legal obligations related to reporting.

 

PRACTICE-BASED LEARNING AND IMPROVEMENT

The resident will:

  1. recognize his/her own strengths and limitations.

  2. apply medical evidence to inpatient clinical situations, using a logical approach that is inclusive of the individual patient.

  3. use appropriate resources such as literature, consultants and peers to provide best patient care.

  4. 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, discharge planning, 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 stressors of the family with an ill child, and the needs of that child.

 

SYSTEMS-BASED PRACTICE

The resident will:  practice patient advocacy and use system resources to minimize discomfort or confusion, 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:  laceration repair 

The resident will document/demonstrate experience withlumbar puncture, splinting/immobilization 

The resident will demonstrate understanding ofsedation

 

As always, please see the competency based rotation goals

 

Comments (0)

You don't have permission to comment on this page.