EXPECTATIONS

Welcome pediatric interns

PHILOSOPHYOur Mission:Construct an enriching learning environment for the residentAcademic growth Professional growth Personal growth Educate about the delivery of quality medical care, scholarship and advocacy- bedside, community, regionally, and nationally.TIME OF TRANSITIONYou receive payment to provide patient care.Progressive clinical responsibilities under supervisionPromoted on competency and ComplianceYou pay to receive an educationLimited clinical responsibilitiesPromoted based on academic performance

ResidentsMed StudentsVSOur most successful residents are those who embrace their new role as doctor the quickestTransition away from the role of student3Be where youre supposed Be when youre supposed to be there!

PUNCTUAL

PROVIDE US WITH CONTACT INFORMATION IN CASE OF EMERGENCY/DISASTERRETURN PAGES PROMPTLYRETURN EMAILS PROMPTLYYOUR EMPLOYER SHOULD BE ABLE TO REACH YOU AT ALL TIMESCOMMUNICATEMAKE YOURSELF AVAILABLE

6 Core Competencies of Medical EducationMedical Knowledge Patient Care Practice Based Learning and Improvement Systems-Based Practice Interpersonal Skills and Communication Professionalism6 DOMAINS OF GMEYears teach us more than books-Berthold AuerbachLIFE LONG PROCESSPATIENT CAREMEDICAL KNOWLEDGEYour primary role now is as a provider; starts now721 Milestones PATIENT CARE (5)Gathers essential and accurate information about the patientOrganizes and prioritizes responsibilities to provide patient care that is safe, effective and efficientProvides transfers of care that insure seamless transitionsMakes informed diagnostic and therapeutic decisions that result in optimal clinical judgmentDevelops and carries out management plans

MEDICAL KNOWLEDGE (1)Locates, appraises, and assimilates evidence from scientific studies related to their patients health problems

MK- PREP and Nelsons8A wise man learns by the mistakes of others, a fool by his own.-Latin ProverbPRACTICE BASEDLEARNINGASTHMA PBLIJanuary PL-1 yearUSE RESOURCESEBMSELF-MOTIVATED LEARNERMAKES CHANGESCritical personal AssementIncorporates FeedbackThe first step in the acquisition of wisdom is silence, the second listening, the third memory, the fourth practice, the fifth teaching others.Solomon Ibn Gabriol

921 Milestones PRACTICE-BASED LEARNING AND IMPROVEMENT (4)Identifies strengths, deficiencies, and limits in ones knowledge and expertiseIdentifies and performs appropriate learning activities to guide personal and professional developmentSystematically analyzes his/her practice using quality improvement methods, and implement changes with the goal of practice improvementIncorporates formative evaluation feedback into daily practice

INTERPERSONAL AND COMMUNICATION SKILLS (2)Communicates effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgroundsDemonstrates the insight and understanding into emotional and human responses to emotion that allows one to appropriately develop and manage human interactions

Sandbox Lessons LearnedProfessionalism

EthicalReliable & TrustworthyPunctualRespectfulEmpathyThoroughCompletes workTeamworkSelf-motivatedInterpersonal Skills & CommunicationCommunicates accuratelyIf you dont have anything nice to sayKnows LimitationsAsk for HELP21 Milestones PROFESSIONALISM (6)Demonstrates, compassion, integrity, and respect for others; Humanism based on the characteristics of an empathetic practitioner Demonstrates a sense of duty and accountability to patients, society, and the profession Maintains high standards of ethical behavior which includes maintaining appropriate professional boundaries Demonstrates self-awareness of ones own knowledge, skills, and emotional limitations that leads to appropriate help-seeking behaviorsDemonstrates trustworthiness that makes colleagues feel secure when one is responsible for the care of shared patientsHas the capacity to accept that ambiguity is part of clinical medicine and to recognize the need for and to utilize appropriate resources in dealing with uncertaintySYSTEMS-BASED PRACTICE (3) Coordinates patient care within the health care system relevant to their clinical specialtyAdvocates for quality patient care and optimal patient care systemsWorks in inter-professional teams to enhance patient safety and improve patient care quality

123456789101112PL- 1Peds ED

CC4Peds EDVac 2

CC4Comm Peds/AdvocacyVacNBN WKNDCC 6Acute Care Clinic

VacNBN WKNDCC6 + 24NICU

CC4NBN

CC4NBNWARDS A

CC4WARDS A

CC4WARD BHEM

CC4ENDO

CC4Elective (IEU-1)VacNBN WKND

CC6PL- 2Peds ED

CC4NICU

CC4PICUVac 2

SCHOL 1 CC3WARDS B (Sr.)

CC4SHANDS (Sr.)DEVNBN WKND

SCHOL 2CC6ADOLNBN WKND

SCHOL 2CC6CARDIO

SCHOL 2CC4IDVac

CC3GI

SCHOL 2CC4NEPHROVac

CC3ELECTIVEVac

SCHOL 1CC5PL- 3Spec Populations

VacSCHOL2CC6PICU

SCHOL 1 CC3WARDS A (Sr.)

CC4Night Shift (Sr.)NICU (Sr.)

CC4INPATIENT TEAM X(IEU-2)Elective (IEU-3)VacVARIESWCH WKNDSCHOL2CC6Elective (IEU-4)VacVARIESWCH WKNDSCHOL2CC6RESEARCH/ADMINVac 2SUBSWCH WKNDSCHOL2CC6ELECTIVE

VacWCH WKNDSCHOL2CC6Elective (IEU-5)VacWCH WKNDSCHOL2CC6Elective (IEU-6)VacWCH WKNDSCHOL2CC6KEYAMBULATORY EU

5INPATIENTEU

10SUBPECEU

9INDIVIDUALEU

6FLEXIBLE MONTHS

62013 SCHEDULERESEARCH/ADMIN: Night Coverage pool for subs & SundayInsures ACGME compliance with Chief requirement 2 FTE

BACKUP:AttendingsDyads: Hem/Endo, GI/Card, ID/NephroTeam X, Hem PL-2Research AdminElectives- PL-2 & PL-3

15123456INPATIENT OR PICU/NICU/ED FELLOWSHIPWARDS X independent Sr. Inpatient experience NICU/PICU/ NBN/WARDS X/ED/ AMBULATROY(ARANGO/CWC/ Complex Care Clinic)NICU/PICU/NBN/ED /WARDS ELECTIVE/SEDATIONPL-3ELECTIVEPL-1ELECTIVEPL-3TRADITIONALWARDS X independent Sr. Inpatient experience AMBULATORY(ARANGO/CWC/ Complex Care Clinic)NBN/ED/ NICU AMBULATORYNBN/ED/NICU/WARDS X/ELECTIVEELECTIVEPL-1ELECTIVEPL-3COMMUNITY & SOCIETAL (2) WARDS X independent Sr. Inpatient experience ADVOCACY PL3MENTAL HEALTHGLOBAL MULTICULTURAL ELECTIVE (PL3)CAI PL-2IMMERSION PL-1FELLOWSHIP(non-inpatient)WARDS X independent Sr. Inpatient experience AMBULATORY(ARANGO/CWC/ Complex Care Clinic/Fellowship)FELLOWSHIP -PL 1 electiveSCHOLARSHIPELECTIVE(could be in fellowship)

ELECTIVE(could be in fellowship)4 INDVIDUALIZED TRACKS BEGINNING 2013-14123456789101112PL- 1Peds EDPeds EDVac 2Comm Peds/AdvocacyVacAcute Care ClinicVacNICUNBNNBNWARDS AWARDS AWARD BENDOElective (IEU-1)ImmersionVacPL- 2Peds EDNICUPICUVac 2WARDS B (Sr.)SHANDS (Sr.)DEVADOLCARDIOIDVacGINEPHROVacELECTIVEIEU 4CAIVacPL- 3Spec PopulationsPICUWARDS A (Sr.)Night Shift (Sr.)NICU (Sr.)INPATIENT TEAM X(IEU-2)Elective (IEU-3)AdvocacyVacElective VacRESEARCH/ADMINVac 2ELECTIVEVacElective (IEU-5)Mental HealthVacElective (IEU-6)GlobalMulticultural2013 SCHEDULECOMMUNITY & SOCIETAL17123456789101112PL- 1Peds EDPeds EDVac 2Comm Peds/AdvocacyVacAcute Care ClinicVacNICUNBNNBNWARDS AWARDS AWARD BENDOElective (IEU-1)Fellowship/ElectiveVacPL- 2Peds EDNICUPICUVac 2WARDS B (Sr.)SHANDS (Sr.)DEVADOLCARDIOIDVacGINEPHROVacELECTIVEVacPL- 3Spec PopulationsPICUWARDS A (Sr.)Night Shift (Sr.)NICU (Sr.)INPATIENT TEAM X(IEU-2)Elective (IEU-3)AmbulatoryVacElective (IEU-4)Fellowship/ElectiveVacRESEARCH/ADMINVac 2ELECTIVEVacElective (IEU-5)Scholarship/ElectiveVacElective (IEU-6)Vac2013 SCHEDULEFELLOWSHIP TRACK18123456789101112PL- 1Peds EDPeds EDVac 2Comm Peds/AdvocacyVacAcute Care ClinicVacNICUNBNNBNWARDS AWARDS AWARD BENDOElective (IEU-1)VacPL- 2Peds EDNICUPICUVac 2WARDS B (Sr.)SHANDS (Sr.)DEVADOLCARDIOIDVacGINEPHROVacELECTIVEVacPL- 3Spec PopulationsPICUWARDS A (Sr.)Night Shift (Sr.)NICU (Sr.)INPATIENT TEAM X(IEU-2)Elective (IEU-3)NICU/PICU/ NBN/WARDS X/ED/ AMBULATROYVacElective (IEU-4)NICU/PICU/NBN/ED /WARDSVacRESEARCH/ADMINVac 2ELECTIVEVacElective (IEU-5)VacElective (IEU-6)Vac2013 SCHEDULEINPATIENT TRACK19123456789101112PL- 1Peds EDPeds EDVac 2Comm Peds/AdvocacyVacAcute Care ClinicVacNICUNBNNBNWARDS AWARDS AWARD BENDOElective (IEU-1)VacPL- 2Peds EDNICUPICUVac 2WARDS B (Sr.)SHANDS (Sr.)DEVADOLCARDIOIDVacGINEPHROVacELECTIVEVacPL- 3Spec PopulationsPICUWARDS A (Sr.)Night Shift (Sr.)NICU (Sr.)INPATIENT TEAM X(IEU-2)Elective (IEU-3)AMBULATORY(ARANGO/CWC/ Complex Care Clinic)

VacElective (IEU-4)NBN/ED/ NICU AMBULATORY

VacRESEARCH/ADMINVac 2ELECTIVEVacElective (IEU-5)NBN/ED/NICU/WARDS X/ELECTIVE

VacElective (IEU-6)Vac2013 SCHEDULETRADITIONAL TRACK20RESOURCESBORLANDUp to DateJournalsExam MasterClinics of North AmericaBAPTISTMD ConsultRed BookCurrent PediatricsGATORLINKAETNAWCH CALL ROOM4TH FLOOR CONF ROOMHOSPITALIST OFFICE

AAPPedialinkPREPPeds in ReviewRedBook`

pedsjax.com3 year ScheduleTRACKSMilestonesStep 3 PolicyITE performanceClassmarkerPREPAdvisors and ILP2-3 times per yearPBLIJanuary 2015QI Patient SafetyPL-2-3ScholarshipPl-2-3

Review websites monthly Pedsjax.com & pedsjaxwiki.pbworks.comHopkins ModulesObserved H & PEvaluation of Written CommunicationProcedure Assessments

YOUR PROFESSION-This is your (education) Job!DURING YOUR TIME HERE, YOU WILL COME ACROSS EVERYTHING YOU NEED TO KNOW-WHAT WILL YOU DO ABOUT IT?

TEACH/SHARE WITH EACH OTHER-(Pts, BOARD REVIEW, MORNING REPORT, SIGN OUT)I WILL CONTINUE TO TRY TO FIND WAYS TO AUGMENT YOUR LEARNING EXPERIENCE

We dont do this to fail or fire anyone. We are invested in your success. 23THIS IS A LOT TO REMEMBERRespond to our guidance- check your emails dailySeniorsClass RepsChief ResidentsZayas, Mirza, Canas, othersD&D

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