Pediatrics

Develop the top 3 most likely differential diagnosis following a clinical encounter based on common pediatric signs and symptoms

Demonstrate the ability to gather a pediatric history including:

Report on the source of the history and understand the importance of this information
Obtain a pertinent HPI and review of systems
Review core patient histories (birth, medical, surgical, family)
Obtain neonatal, developmental, and age-appropriate social histories

Perform a physical exam. Students should be able to:

Interpret pediatric vitals, growth charts, and BMI charts
Be proficient in following exam components and able to identify and describe abnormal findings: general appearance, vital signs, head, neck, heart, lungs, abdomen, neurologic, musculoskeletal, integumentary
Perform the following exam components and sometimes be able to identify and describe abnormal findings: eyes, ENT
Perform a GU exam under supervision and be able to perform Tanner staging

Provide and explain preventative care education to a family using appropriate pediatric resources.

Recognize a patient requiring urgent or emergent care and inform a senior team member.

Determine when to use basic screening tests and interpret the results.

For sick patients, this include BMP, CBC, urinalysis, blood and fluid cultures.
For well patients, the student should be able to identify and interpret appropriate screening tests included in the Bright Futures guidelines.

Develop basic management plans, including immunizations, medication, and fluid management. Students should be able to:

Perform weight-based calculations of bolus and maintenance fluids.
Select appropriate antibiotics and locate information about weight-based dosing.
Understand the appropriate medications to treat common childhood diseases, such as, otitis media, asthma or constipation.
Determine which vaccinations a child should receive at their visit based on age, health status, and previous vaccine history.

Utilize appropriate resources to increase their understanding of pediatrics.

Write an encounter note, such as an H&P or SOAP note, using appropriate clinical language and format.

Orally present an organized clinical encounter that includes all four SOAP components.

Demonstrate professional behavior at all times.

This includes behavior towards patients and families.
This includes behavior towards residents and attending physicians, and all members of the inter-professional team.
Attend all clinical and scheduled events as dictated in the syllabus and schedule.