PGY-1 – Inpatient Pediatrics

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PGY1: Inpatient Pediatrics 

Rotation Contacts:  
Ed Paul MD, North Country HealthCare: #: 928-522-9566 

Description of Rotation and Educational Experience: 

  • This curricular component is the first of two inpatient pediatric clinical rotations designed to build clinical knowledge of the care for sick, hospitalized children. 
  • The resident will not complete continuity clinic during this rotation (or could they do 1-2 via telemedicine?). 

Teaching Methods: 

  • Learners will be oriented to the goals/objectives, schedule, and expectations during their orientation block and at the beginning of the rotation. 
  • Learners will be taught through a mix of service-based experience,  preceptor-led guidance and feedback, and didactic teaching from family medicine faculty. 
  • During the Inpatient Pediatrics block learners will attend regular Family Medicine didactic sessions via telehealth conferencing and will present a topic assigned to them. 

Curriculum Goals: 

  • To provide NCHC Family Medicine residents with the clinical experience necessary to identify and initiate treatment of a sick child who may require hospitalization. 
  • To provide NCHC Family Medicine residents with the clinical experience necessary to give context to the inpatient experience of a sick child to better inform outpatient follow up and management beyond the hospitalization. 

Community Medicine Objectives 

  • Practice-Based Learning and Improvement:
  • Learns and improves via performance evaluation 
  • Learns and improves at the point of care 
  • Learns and improves via feedback 
  • Monitors practice with a goal for improvement 
  • Patient Care and Procedural Skills:
  • Care of the Sick Infant 
  • Care of the Sick Child 
  • Care of the Child/Infant in Intensive Care 
  • End of Life Care 
  • Procedural Skills:
  • Utilization of Telemedicine for patient care
  • Utilization of Telemedicine for consultation 
  • Efficient Evidence-Based Medicine in the Hospital 
  • Systems-Based Practice:
  • Transitions patients effectively within and across health delivery system 
  • Recognizes system error or inefficiency and advocates for system improvement 
  • Medical Knowledge:
  • Demonstrate growth toward mastery in clinical knowledge of above domains 
  • Interpersonal and Communication Skills:
  • Works and communicates effectively within an interprofessional team 
  • Communicates effectively with patients and caregivers 
  • Professionalism:
  • Accepts responsibility and follows through on tasks 
  • Appropriate utilization and completion of health records 
  • Exhibits integrity and ethical behavior in professional conduct 

Evaluation and Feedback: 

  • Learners will be given regular formative feedback by faculty during their rotation and are encouraged to have an explicit mid-day rotation progress feedback session to help guide performance 
  • Faculty will complete formal evaluation through new innovations at the end of the rotation 
  • Learners will evaluate faculty and the rotation through the new innovations platform 

Reading List: 

Sample Schedule: 

 Week 1Monday Tuesday Wednesday Thursday Friday Saturday 
AM Inpt Peds Inpt Peds  Inpt Peds Inpt Peds Inpt Peds Inpt Peds  
PM Inpt Peds Inpt Peds Inpt Peds  FM Didactics Inpt Peds  Inpt Peds  
  Week 2Monday Tuesday Wednesday Thursday Friday 
AM Inpt Peds  Inpt Peds  Inpt Peds Inpt Peds Inpt Peds 
PM Inpt Peds  FM Clinic (tm) Inpt Peds  FM Didactics Inpt Peds  
  Week 3Monday Tuesday Wednesday Thursday Friday Saturday 
AM Inpt Peds  Inpt Peds Inpt Peds Inpt Peds Inpt Peds Inpt Peds  
PM Inpt Peds  Inpt Peds  Inpt Peds  FM Didactics Inpt Peds  Inpt Peds  
Week 4  Monday Tuesday Wednesday Thursday Friday Saturday 
AM Inpt Peds Inpt Peds  Inpt Peds Inpt Peds Inpt Peds Inpt Peds  
PM Inpt Peds  FM Clinic (tm) Inpt Peds  FM Didactics Inpt Peds  Inpt Peds  

Author: Brandon Abbott
Associate Program Director. My passions are teaching and watching the light bulb go off. I benefited from fantastic mentorship and inspiring clinical instruction and hope to pay it forward!