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Pediatric Hospital Medicine for Medical Students Julia K. Simmons, MD
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Learning Objectives Propose a model for a pediatric hospital medicine sub-internship Advocate for the creation or improvement of a pediatric hospital medicine subinternship
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Philosophy Broad exposure to Pediatric Hospital Medicine (PHM) Unique and excellent clinical and learning experience
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Goals Provide inpatient management of general pediatric patients Gain exposure to diverse field of PHM
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Elective Objectives Based upon six core competencies –Patient Care –Medical Knowledge –Practice-Based Learning and Improvement –Interpersonal and Communication Skills –Professionalism –Systems-Based Practice
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Requirement Successful completion of core pediatric rotation
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Elective Structure Four-week rotation Self-identified strengths, weaknesses, and goals Clinical shifts Sedation team Simulation lab Transport team Wound care team General Inpatient team
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Elective Structure Didactics Evidence-Based Medicine Billing and Coding Institution Section Focused daily feedback
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Feedback Daily – formative Strength, recommended area of improvement, clinical teaching point Mid-rotation – formative and summative End of rotation - summative
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Evaluation Student evaluation –Attending physicians, families, nurses Elective evaluation
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Learning objectives were clearly communicated to me and of appropriate detail so that I understood the important concepts, skills and attitudes that I should learn. Feedback
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Based on my experiences in this course, I believe I improved my competency in Clinical Skills. Feedback
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Based on my experiences in this course, I believe I improved my competency in Diagnosis, Management, Continuing Care, and Prevention. Feedback
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Based on my experience in this course, I believe I improved my competency in Effective Communication. Feedback
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The format of the course allowed for a broad range of clinical problems in this field. Feedback
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Patient care responsibilities were appropriate for my level. Feedback
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Formal teaching activities (e.g., lecture, small groups, cases) helped me gain the knowledge and skills related to the objectives/core competencies. Feedback
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Patient care activities helped me gain the knowledge and skills related to the objectives/core competencies. Feedback
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The instructor(s) assessed my knowledge and skills related to the learning objectives and competencies emphasized in lecture and on rounds. Feedback
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The instructors provided constructive feedback. Feedback
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The instructors were professional. Feedback
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The instructors were effective. Feedback
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I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies. Feedback
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I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies. Feedback
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Elective Activities: EBM Lecture taught me useful information
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Elective Activities: Billing lecture taught me useful information
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Elective Activities: Shadowing sedation team was a meaningful experience.
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Elective Activities: Shadowing the transport team was a meaningful experience.
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Elective Activities: Shadowing Wound Care Team was a meaningful experience.
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Future Plans Increase student participation Direct observation Consistent hospitalists’ didactics Hospitalists’ responsibilities and feedback Evaluate effect of daily feedback form on self-directed learning Continued administrative and hospitalists’ support
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