1 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Tutorial 3 Source: Kittredge, D., Baldwin, C. D., Bar-on, M. E., Beach, P. S., Trimm, R. F. (Eds.). (2004). APA Educational Guidelines for Pediatric Residency. Ambulatory Pediatric Association Website. Available online: ©2004 Ambulatory Pediatrics Association. All Rights Reserved.

2 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Relation between Program Planning and Rotation Planning Program planning focuses mainly on competencies. Rotation planning focuses on goals/objectives linked to competency domains. Program and rotation planning need to be coordinated.

3 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Why Program and Rotation Planning Need Coordination Rotation planning provides the “meat” for program planning: Competency Evaluation Competency Domains Goals/Objectives Learning Activities Evaluation Methods Program Planning Rotation Planning

4 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Why Base Rotation Planning on Goals and Objectives? Goals and objectives are:  All related to one or more competency domains.  Specific to a discipline and a setting.  Discrete enough to allow performance to be documented through observation and measurement. Therefore, they are essential tools for verification of competence.

5 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Essential Components of a Rotation Plan A rotation plan—or curriculum— includes at a minimum: 1.List of goals and objectives (keyed to competency domains) 2.Description of learning activities 3.Competency-based (or objective- based) evaluation and feedback methods

6 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rotation Planning Steps 1.Review and prioritize goals and objectives.  Are updates needed?  Is the rotation working well?  Does the program director need more emphasis on certain comp domains?  Do these changes require new teaching and evaluation methods?

7 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rotation Planning Steps, cont’d. 1. Review and prioritize goals and objectives, continued  Use Build-Your-Own tools or pre- designed lists to select new goals/ objectives.  Customize the list to your rotation (keep it short).  For repeated or longitudinal experiences, assign goals to level of learner.

8 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rotation Planning Steps, cont’d. 2. Align goals and objectives with comp domains and fill the gaps. (Program director will advise. )  Especially for domains/goals selected for major emphasis, carefully develop objectives.  Are these goals adequately taught and evaluated?

9 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rich teaching topics apply to several competency domains. For example, caring for a child with otitis media: Patient Care: evaluating middle ear Medical Knowledge: choosing treatment Practice-based Learning and Improvement: tracking antibiotic resistant organisms in community Interpersonal Skills and Communication: educating parent about watchful waiting vs. antibiotic treatment Professionalism: dealing with a stressed parent Systems-based Practice: improving the clinic’s after- hours telephone management system; using antibiotic listed in patient’s insurance formulary

10 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rotation Planning Steps, cont’d. 3. Revise learning activities and evaluation methods.  Focus on identified competency gaps.  Add new learning activities as needed.  Review current evaluations methods to make them competency-based.  Add new evaluation methods at direction of program director.

11 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency Rotation Planning Steps, con’d. 4. Monitor progress and adjust rotation activities as needed.  Review frequently after major changes.  Expect to refine with experience.  Keep tuned to ongoing developments in program as a whole.

12 Ambulatory Pediatric Association Educational Guidelines for Pediatric Residency To make this process work well: Elicit faculty buy-in to changes. Develop faculty skills (especially in evaluation). Orient residents to new expectations. Consider side effects of changes on rest of the rotation.