PGY-1 – Outpatient Pediatrics

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PGY-1 Outpatient Pediatrics 

Rotation Contacts:  
Brandon Abbott DO FAAP, North Country HealthCare: #: 928-522-9578; cell: 602-317-5724 
Miran Song MD FAAP, North Country HealthCare: : 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 (4th 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: 

 Monday Tuesday Wednesday Thursday Friday Saturday 
 NB nursery NB nursery  NB nursery  NB nursery  NB nursery  NB nursery (every other sat) 
AM Pediatric Clinic Pediatric Clinic FM ClinicFM Clinic Pediatric Clinic Pediatric clinic (every other sat) 
PM Pediatric Clinic Pediatric Clinic FM ClinicFM Didactics Pediatric Clinic  

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!