Contents Welcome to the Pediatric Infectious Diseases Rotation!... 2 CURRENT SCHEDULE (last revised 08.2013)... 3 Infectious Disease Rotation Independent Learning Plan... 4 RESIDENT TOPICS TO BE COVERED DURING ELECTIVE... 5 Goals and Objectives... 9 Educational Objectives for Resident Rotations... 9 Feedback... 9 Resident Teaching Responsibilities... 9 Procedure Documentation... 9 American Board of Pediatric In-Training Examination... 9 Educational Programs... 10 Pediatric Educational Conference Schedule... 10 Click on the section title to be automatically directed to that section. The Foundation for The Gator Nation An Equal Opportunity Institution
College of Medicine PO Box 100296 Department of Pediatrics Gainesville, FL 32610 0296 Pediatric Immunology, Rheumatology, and Infectious Diseases 352 294 5252 352 294 5248 Clinical Fax 352 294 5247 Administrative Fax Welcome to the Pediatric Infectious Diseases Rotation! The team looks forward to your joining them. Please arrive at 8:00 am for Morning Report Shands Rm 4433. Currently ID specific patients are part of the Blue Team (work room 4500, phones 43450, 47325, Blue Senior Phone 352 317 5325). ID Consultation service has patients on all pediatric services and all pediatric floors. There is a work list which is updated daily which the attending shares with you. Ideally, you have already contacted the contact person to clarify the starting day / time information. After Morning report, contact the ID attending on call for the week / day or the contact person in the office (Ms. Edwyna Hill 273 8971, ethill05@peds.ufl.edu. To best prepare for this rotation please do the following: 1) Log into New Innovations and read the goals and objectives. Please be sure to sign off that you ve read them. 2) Contact our Department Administrator, Ms. Edwyna Hill at 273 8971, or ethill05@peds.ufl.edu. to be given the names and numbers of the attending on duty for your first week. 3) Begin thinking of your goals and objectives for the rotation (procedures you d like to see and/or master) and begin to develop a learning plan. Be ready to share them during the first week and complete the ILP form. If you have any questions, please do not hesitate to ask me as the rotation leader or the attending and fellow on service. We re happy to answer any questions you may have. The Foundation for The Gator Nation An Equal Opportunity Institution
CURRENT SCHEDULE (last revised 08.2013) Monday 8:00-8:30 a.m. Morning Report Rounds Shands 4433 8:45 a.m. - Noon Pediatrics ID Clinic Pediatric OPC / Med Plaza 2 nd Fl 1:00-5:00 p.m. Attending / Work Rounds Shands Wards/PICU/NICU Tuesday 8:00-9 a.m. Morning Report Shands 4433 8:30-9:30 a.m. Adult Infectious Disease Conference ARB, R2-133 9:00-Noon Immunology Clinic Shands Infusion Clinic 4 th fl (If interested) 9:00- Noon Work Rounds Shands Wards/PICU/NICU 3:00 5:00 pm Work Rounds Shands Wards/PICU/NICU Wednesday 8:00-8:30 a.m. Journal article Reports Shands 4433 8:45 a.m. - Noon HIV/ID or Rheumatology Clinic Med Plaza / Shands Inf Cl 1:00-4:30 p.m. Work Rounds Shands Wards/PICU/NICU Thursday 8:00-8:30 a.m. Pediatric Grand Rounds Room C 1-9 8:30 12 N. Work / Attending Rounds Shands Wards/PICU/NICU 8:45 a.m. - Noon Peds I.D. Clinic Medical Plaza 2 nd Fl 2:30-3:30 p.m ID Team Rounds Human Devel Bldg Ground th Fl. Resident Scholarly Work-time To be arranged on Thursday afternoon (2-4 hours) Friday 8:00-9:00 a.m. Morning Report Shands 4433 9:00-11:30 a.m. Work Rounds/ Scholarly Work Shands Wards/PICU/NICU 1:00-5:00 p.m. Work / Attending Rounds Shands Wards/PICU/NICU
Infectious Disease Rotation Independent Learning Plan Dates: Resident: Year: PL1 PL2 PL3 Faculty: Resident's goals for rotation (as teacher and learner): 1: 2: 3: Resident's expectations from the rotation: 1: 2: 3: Faculty's expectations of the resident during the rotation 1: 2: 3: Resident and Faculty's combined plan for achieving goals and expectations 1: 2: 3: Feedback! 1: 2:
RESIDENT TOPICS TO BE COVERED DURING ELECTIVE TOPIC DATE COVERED ATTENDING PHYSICIAN Antibiotics Antifungals/ Antivirals Neonatal sepsis Neonatal HSV TORCH HIV Evaluation of Immune system Evaluation of FUO Fever in Immunocompromised Infections / Fever in the ICU Hospital acquired infections Osteomyelitis, septic arthritis Skin, soft tissue infections Animal Bites UTI/Pyelonephritis STD and PID Diarrheal Illness Viral Infections Febrile Rashes Pneumonia, Empyema Meningitis, brain abscess Head and Neck Infections Tuberculosis POST TEST (To be submitted to Dr Lawrence at end of elective)
Residency Procedure List (To facilitate searches residents can pull up procedures to log in lists based on location. If a procedure is not listed under the expected rotation the residents can still log it by finding it in other rotation lists or in the comprehensive procedure list. Let Nicole know, however, if you would like a procedure added to or deleted from the list for your rotation) Procedure The Foundation for The Gator Nation An Equal Opportunity Institution ACGME must master before graduation ACGME have understanding of procedure Acute/PAH/CC Adolescent ED NBN NICU PICU Subspec and electives Arterial line placement x x x x x Arterial puncture x x x x x x x x arthrocentesis (knee) x x x x x Bag mask ventilation x x x x x x x Bimanual pelvic exam x x Bladder catheterization x x x x x x x x bone marrow aspirate x x bone marrow biopsy x x bronchoscopy x x x x Cardiac catheterization x Cardioversion (electrical) x x x x cerumen removal x x x x Chest tube placement x x x x Circumcision x x x x Colonoscopy x Developmental screening x x x digital block x x x EGD x (esophagogastroduodenoscopy) Endotracheal intubation x x x x x x (neonate) Endotracheal intubation (of x x x x x non neonate) Foreign body removal (simple) x x x x frenotomy x x x x x Hearing screen x x Immunization administration (intradermal) x x x x Wards
Immunization administration x x x x x (intramuscular) Immunization administration x x x x (subcutaneous) Incision and drainage of x x x x abscess interpretation of X ray x x x x x x x x laceration repair (simple) x x x x x LMA insertion x x x Lumbar puncture x x x x x x x nasal swab x x x x other (write in comments) x x x x x x x x Pain management x x x x x x x x Pericardial centesis x x x x Peripheral intravenous catheter x x x x x x x x placement PICC (peripherally inserted x x x x central catheter) placement PKU screen (specimen x x x collection) Reduction of simple x x x x dislocation renal biopsy x Sedation (deep) x x x x x Sedation (light) x x x x x Sedation (moderate) x x x x x supernumery digit removal x x x (simple) Supra pubic bladder tap x x x x x Temporary splinting of x x x x x fracture Thoracentesis x x x x x throat swab x x x Tympanometry interpretation x x UAC (Umbilical Artery x x Catheter) placement Ultrasound assisted x x
diagnosis/evaluation UVC (Umbilical Vein Catheter) x x placement Venipuncture x x x x x x x x x Vision screening x x x
Goals and Objectives The goal of the residency program in Pediatrics is to provide educational experiences in the diversified field of Pediatrics in an intellectual environment conducive to learning the exemplary practice of Pediatrics. This is accomplished by providing an organized, progressive educational experience with increasing patient care responsibilities over a three year period in a setting which has a diverse patient population and a teaching staff with professional ability, enthusiasm and a commitment to teaching. We strive to have an appropriate balance between structured educational activities including didactic lectures and clinical learning and patient care responsibilities. The teaching staff also serve as role models for the residents to develop their interpersonal skills and participate in ethical decision making. Faculty and residents are expected to display attitudes and behaviors that demonstrates commitment to patients, their families, and the highest level of care. Working with the health care team, which includes Social Service, Child Life, Physical Therapy, Respiratory Therapy, Psychology and Nutritional Service is emphasized. The curriculum of the residency program meets the guidelines of the Accreditation Council of Graduate Medical Education. Educational Objectives for Resident Rotations Resident rotations are done in four week blocks. Some rotations are mandatory (Inpatient Wards, ER, NICU, etc) others are elective. For each rotation there are learning objectives, educational resources, and evaluations. Please note the RRC requirements ( core electives ) that a minimum of four rotations be in the required subspecialties. These rotations must be of a minimum duration of four weeks (no vacation). As you complete each rotation, you should make sure you have had the opportunity to have a face to face evaluation with your preceptor. Feedback Feedback will be given at every level of interaction. It may be formal or informal. It should be timely, objective, and given with the objective of reinforcing strengths and correcting deficiencies. Residents at all levels are responsible to receive and to give feedback. Resident Teaching Responsibilities Medical student teaching is one of the most important resident activities. Student responsibilities will vary with the service. Because of the leadership qualities this residency is designed to foster, student teaching will continue to be expected, and excellence in this area will be noted. The opposite is also true. Those who fail to use common courtesy in dealing with students, who neglect their role as leaders and who deal with students in an antagonistic, counter-productive manner will be similarly evaluated and open to faculty criticism. Chronic behavior of this nature will not be tolerated. At the end of each third year student s rotation, you will be expected to contribute to the student evaluation and make comments on each student s progress Procedure Documentation Throughout the three years of training, residents are expected to keep an accurate record of their clinical experience. All procedures must be entered into the ACGME Case Log system. They will be reviewed by the Program Director and included in your permanent personnel file for your future credentialing needs. American Board of Pediatric In-Training Examination Each year, all residents are required to take the ABP In-training examination in July. The examination feedback provides a method to determine individual strengths and weaknesses in cognitive knowledge. Examination scores are one measure of the resident s clinical performance. The Foundation for The Gator Nation An Equal Opportunity Institution
Educational Programs Formal learning does not end with medical school. Many aspects of pediatrics require additional didactic instruction before they can be integrated into the resident s fund of working knowledge. A scholastic series of lectures for residents has been developed to include the broad range of issues of importance to pediatricians. Pediatric Educational Conference Schedule All residents are expected to attend scheduled conferences unless specifically excused. Senior residents are responsible for residents on their services and may be asked to explain unexcused absences. Core Conferences These conferences are on topics developed from the Pediatrics in Review program, a program developed by the American Board of Pediatrics as a comprehensive review for certification. The topics are spread out over a rotating three-year period so that each resident is exposed to teaching on these topics at least once during their residency. Core Conference occurs on Thursday, at 12:15. Attendance is required and monitored. Primary Care Conference These conferences are discussion of primary care topics once a week from 12:15 1:15 p.m. Tuesdays. Attendance is required and monitored. Grand Rounds These conferences are generally an update on new developments in an area of broad pediatric interest. Visiting professors, faculty, and residents may present. Conferences vary from primarily clinical to mostly research. Grand Rounds conference is scheduled for Friday, at 8:00am. Housestaff attendance is required and monitored. Journal Club Two to three articles are presented by Housestaff. Articles are chosen and distributed before the meeting, which is monthly. Morbidity & Mortality This conference reviews adverse patient outcomes with the goal of improving care. There may be participation of quality assurance/quality improvement when appropriate. This conference is monthly.