Pediatrics Clerkship Overview

Pediatrics Clerkship

Overview

The world of children is a unique and challenging place.  Unlike adults, children can’t always tell you what is wrong with them.  During this clerkship, students will use the skills that they already have and learn additional techniques that will aid them in the care and evaluation of the pediatric patient.  During this rotation, students will have opportunities to provide pediatric care in a variety of clinical environments, which may include: inpatient ward services, outpatient primary care & specialty clinics, emergency department, and the newborn nursery. This is an exciting and busy clerkship where we anticipate students will learn a lot about children and their unique medical care.

Third Year Learning Objectives

(Learning Objectives linked to Medical Education Program Objectives in parentheses)

During the third-year clerkships, students will:

  • Demonstrate use of patient-centered interviewing and communication techniques (U.2)
  • Take a clinical history that demonstrates both organization and clinical reasoning (U.7)
  • Perform accurate and relevant physical exam techniques (U.2)
  • Demonstrate an ability to synthesize clinical information and generate a differential diagnosis, assessment and plan (U.3, R2, U.5)
  • Demonstrate a compassionate and patient-sensitive approach to history taking and physical examinations (B.3)
  • Communicate well organized, accurate and synthesized oral presentations (C.1)
  • Counsel and educate patients and families (C.3)
  • Demonstrate timely, comprehensive and organized documentation (C.6)
  • Demonstrate a fund of knowledge in the clinical discipline and apply this to patient care (U.4)
  • Demonstrate an awareness of one’s own learning needs and work to address these gaps (E.1, E.3)
  • Show respect and empathy for others (B.3)
  • Demonstrate accountability to the responsibilities of the student’s role and expectations of a clinical clerk (S.4)
  • Communicate effectively with the interprofessional team (S.9)

Pediatric Clerkship Learning Objectives

(Linked to Medical Education Program Objectives in parentheses)

  • Communication Skills:
    • Develop compassionate and respectful communication skills adapted to the clinical setting (e.g. ED, wards, ambulatory, nursery) that facilitate an age-appropriate and culturally sensitive therapeutic alliance with children, adolescents and their families. (B.2, B.3, B.4, U.2, C.4, C.7, A.2, A.3, S.5)
  • History & Interview:
    • Demonstrate an ability to obtain information in an age-appropriate and sensitive manner from a child and or the accompanying adult in domains uniquely pertinent to pediatric care, including: neonatal/newborn history, immunizations, growth & development, home environment & safety, adolescent health (B.1, B.2, B.3, B.4, U.2, U.6, C.1, C.4, C.7)
    • Understand basic developmental screening of children, gain comfort in interacting with children and the families of children with intellectual and/or developmental disabilities, and begin to recognize signs for referral for developmental consultation and intervention. (B.1, B.4, C.4, C.7, S.1)
  • Physical Exam
    • Demonstrate competency in the physical examination of infants, children & adolescents and understand the diagnostic correlation of physical exam findings (U.1, U.2, C.1)
  • Data Synthesis
    • Show improving clinical problem-solving and critical thinking skills through development of a reasonable differential diagnosis, appropriate assessment, interpretation of results (labs & imaging) and logical plan of care using evidence (U.4, U.7, R.1, R.2)
  • Oral Presentations
    • Perform effective oral presentations that communicate key clinical to other health care providers and reflect an accurate history and physical exam of a pediatric patient. (U.7, C.5, C.8)
  • Patient Education
    • Discuss strategies for health promotion as well as disease and injury prevention (e.g. screening tests, assessing and counseling on immunization status during a health care visit, inquiring about and counseling adolescents on topics of sex/sexuality, drug use, depression; and providing anticipatory guidance for parents about nutrition, development and safety from birth through adolescence) (B.1, B.4, C.2, C.3, C.4, R.1)
  • Written Documentation
    • Demonstrate skills of written documentation that communicate key clinical to other health care providers and reflect an accurate history and physical exam of a pediatric patient. (C.5, C.6, C.8)
  • Medical Knowledge
    • Acquire the knowledge for the diagnosis and initial management of common pediatric acute and chronic illness from newborns through adolescence including respiratory illness, asthma, abdominal pain/vomiting and/or diarrhea, febrile children, feeding concerns, jaundice, hypoglycemia (U.3, U.4, U.7)
    • Apply basic knowledge of growth and development (physical, physiologic and psychosocial) to the care of patients from birth through adolescence (including attention to the pediatric developmental milestones and impact of illness and psycho-social factors on growth and development) (U.4, U.8, U.9)
  • Self-Directed Learning
    • Exhibit the attitudes and professional behaviors appropriate for clinical practice including maturity in soliciting, accepting and modifying practice in response to feedback. (B.2, A.5, A.6, E.3, E.4, E.6)
  • Professional Responsibility
    • Exhibit the attitudes and professional behaviors appropriate for clinical practice including showing a positive attitude and regard for education, universal attendance, punctuality, intellectual curiosity, honesty, responsibility. (B.3, C.8, A.1, A.3, A.4, A.6, E.6, S.4)
  • Teamwork
    • Develop an understanding of and then practice the collaborative approach of pediatricians to the health care of children and adolescents in the outpatient, inpatient and emergency department settings (B.3, C.3, C.5, C.8, A.5, S.4, S.5, S.6, S.9, S.10)