UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
PEDIATRICS EDUCATIONAL OBJECTIVES
The Department of Pediatrics has determined a set of minimal objectives that each student must accomplish for success in the course. The required learning materials for this clerkship are “Blueprints in Pediatrics, 5th Edition” and a series of computer cases (www.med-u.org). Additional reading assignments and other educational materials are available on the clerkship website and in the orientation packet.
Goal of the Clerkship: Provide an overview of common issues of health and illness relevant to the care of children.
During the course of the pediatric clerkship, students will:
- Develop an understanding of the full spectrum of pediatric illness (importance of age) and wellness (growth and development).
Curriculum: Students will meet this objective in a wide variety of inpatient and outpatient patient care activities throughout the course of the clerkship. Specific types of activities include patient encounters, computerized cases, didactic lectures, grand rounds, work rounds and a required text.
Benchmark: The 20 recommended computerized cases, 5 additional discussion cases, and required text (Blueprints in Pediatrics, 5th Edition) will constitute a standardized approach to this objective.
Evaluation: Students will be evaluated by faculty and resident observations of their clinical performance and also by a 90-question, multiple choice final examination.
- Identify key features of the diagnosis and management of essential pediatric disease conditions or processes through required readings and patient encounters.
Curriculum: Students will participant in a series of encounters with patients who have essential pediatric diseases, conditions or processes by caring for patients during their inpatient and outpatient activities. The specific conditions are found on the patient encounter checklist to be completed by each student. The list of conditions is derived from the national pediatric curriculum developed by the Council on Medical Student Education in Pediatrics (COMSEP; COMSEP Curriculum 2005). The lists include both acute and chronic illness conditions and issues related to health care maintenance as seen in both the inpatient and outpatient setting.
Benchmark: Students are required to document patient encounters for the conditions listed. This list represents the minimum types of encounters to ensure a broad patient-based knowledge of pediatrics. This objective will be ensured, regardless of site or season, by the required completion of 22 broad-based CLIPP (Computerized Learning in Pediatrics Project) cases.
Evaluation: Students will complete their patient encounter checklist as they progress through their clerkship. They will be required to document each type of patient encounter and their level of participation. Each student's progress will be reviewed during the third week of the clerkship. At that time, items that have not been completed will be assigned and students will submit documentation of completion of these items before they receive their final examination.
- Perform the essential and unique aspects of the pediatric physical examination.
Curriculum: The pediatric examination will be modeled and taught by residents and faculty preceptors in both inpatient and outpatient settings. The necessary components of the examination are available to all students on the clerkship website.
Benchmark: The newborn examination and the young child (ages 2-10 years) examination will serve as the clerkship mini-CEX.
Evaluation: The student will demonstrate the two required examinations and be critiqued and evaluated on a standard form by residents or faculty.
- Compose at least three detailed patient "write-ups" including all necessary components described in curriculum materials.
Curriculum: The necessary components and database of a written pediatric case presentation are available to all students on the clerkship website. An example write up is also provided in the orientation materials.
Benchmark: Over the course of the clerkship, the student will choose three of their patients to fully describe and discuss in standard written format.
Evaluation: The three "write-ups" will be critically edited by senior residents, faculty attendings or clerkship preceptors and reviewed with the student.
- Apply bioethical principles to analyze a pediatric bioethical issue.
Curriculum: Clerkship faculty will formally discuss pediatric bioethical issues with all clerkship students. Guidelines for pediatric ethics and professionalism are available to all students on the clerkship website.
Benchmark: Three specific pediatric bioethical cases will be available to all students. One is fully discussed, written to serve as a model and is available on the clerkship website. Students may apply the analysis approach taught in the ICM course or other methods of their choosing.
Evaluation: The student will discuss with faculty one or more pediatric bioethical cases and this session will be formally documented.
- Research a topic in pediatrics and present an oral or written presentation on the material.
Curriculum: The student will be directed to identify over the course of the clerkship a pediatric case or topic which can be thoroughly investigated. They will apply the principles of critical information analysis taught in the basic science curriculum to information about the topic.
Benchmark: The student will develop their topic as either a written report or an oral presentation.
Evaluation: The clerkship preceptor will evaluate this objective by either reviewing the written product or attending the oral presentation and providing student feedback on the accuracy of the content and clarity of the presentation.
- Demonstrate professional conduct with patients, staff, teachers and other health care professionals as outlined in the professional behavior benchmarks for the clinical years.
Curriculum: Students will observe and model professional behavior as described in the professionalism benchmarks for the clinical years (available on the pediatric website). Students will informally discuss issues of professional behavior with faculty, staff and colleagues throughout the rotation.
Benchmark: The student will demonstrate professional behaviors as outlined in the UWSOM professionalism benchmarks for the clinical years.
Evaluation: Student professional behavior will be evaluated using the standard UWSOM evaluation form.