PGY-1 – Outpatient Pediatrics

PGY-1 Outpatient Pediatrics 

Rotation Contacts:  
Brandon Abbott DO FAAP, North Country HealthCare: babbott@nchcaz.org #: 928-522-9578; cell: 602-317-5724 
Miran Song MD FAAP, North Country HealthCare: msong@nchcaz.org : 928-522-9651; cell: 928-221-7020 

Description of Rotation and Educational Experience: 

• This curricular component is a four-week block experience designed provide enriching, entrustable inpatient newborn care with outpatient pediatric care. 
• The resident will work with North Country HealthCare pediatric faculty in one of its two pediatric outpatient clinics (4^th Street and Flagstaff Pediatric Care). 
• In addition, learners will complete 4 weeks of newborn call (subject to duty hour policy). 
• Finally, residents will also complete a number of hours in the Newborn Intensive Care Unit at Flagstaff Medical Center under the guidance and supervision of Dr Gutierrez, neonatologist.  
• Residents will complete 3 continuity clinic half-days per week during this rotation. 

Teaching Methods: 

• Learners will be oriented to the goals/objectives, schedule and responsibilities at the start of the rotation. 
• During the Outpatient Pediatrics rotation learners will attend regular Family Medicine didactic sessions and will present a topic assigned to them. 

Curriculum Goals: 

• To provide NCHC Family Medicine residents and other learners (medical students) with supervision, guidance and entrustable clinical care experiences in pediatric care. 
• Residents should achieve understanding and competency in objectives below. 

Outpatient Pediatric 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 Well Newborn: 
• Review newborn examination and evaluation 
• Counsel parents on care of the well newborn 
• Arrange for outpatient follow up of newborn 

• Care of the Sick Newborn: 
• Evaluate sick newborn, develop differential diagnosis and plan of care 
• Counsel parents on plan of care and ongoing care of sick newborn 
• Understand long term care plan of sick newborn 

• Care of the Well Child: 
• Examine and evaluate well child 
• Assess developmental milestones of the well child 
• Coordinate with child development specialist on interventions for child not meeting milestones  
• Expectant counseling of parents for child development 
• Develop mastery of CDC ACIP vaccination schedule 

• Care of the Adolescent:
• Evaluate and counsel on pubertal development 
• Evaluate HEADSS assessment 
• Expectant counseling with adolescent and parent 
• Ethics and disclosure with adolescent 

• Care of the Sick Child:
• Evaluate sick child, develop differential diagnosis and plan of care 
• Counsel parents on precautions and care of sick child 
• Understand follow up for sick child 

• 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: 

• See reading list above.

Sample Schedule: