PGY-1 – Inpatient Pediatrics

PGY1: Inpatient Pediatrics 

Rotation Contacts:  
Ed Paul MD, North Country HealthCare: epaul@nchcaz.org #: 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: 

• Pediatrics in Review 
• Up to Date 
• AAFP Recommended Curriculum Guideline for Infant and Children: https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint260_InfantChild.pdf 

Sample Schedule: