Pediatric Cardiology Rotation PL-1 Residents

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1 PL-1 Residents The Pediatric Cardiology elective is available to residents of all levels and combines both outpatient and inpatient clinical experiences. In the outpatient setting, residents will work-up new patients and follow-up known patients. Residents will also follow all inpatients on both the PICU and floor services, and see any patients for which a cardiology consult is requested. Residents may rotate through the Cardiology service for either two or four weeks. The elective will serve as an in-depth look at how patients referred by a primary care pediatrician are evaluated and treated. Residents will also gain more experience in recognizing and appropriately referring heart, both acquired and congenital. Residents are expected to be versed in making thorough, orderly, and concise presentations of patients in the clinical setting. Residents will continue to attend and be active participants in morning report and noon conference. Residents will also maintain their weekly continuity clinic. A. Patient Care: 1. Gather accurate, essential and appropriate information for each patient encounter in which they participate 2. Review and demonstrate a comprehensive cardiovascular examination 3. Develop and implement an appropriate assessment and plan for patient care 4. Perform accurate analysis and application of available information to make recommendations for diagnostic interventions and appropriate therapeutic decisions relevant to the cardiovascular system B. Medical Knowledge: 1. Demonstrate clinically appropriate description of heart murmurs with concomitant knowledge to judge innocent versus pathologic murmurs 2. Describe the signs and symptoms of common congenital cardiac s as well as assessment of clinical information to form a diagnosis and treatment plan 3. Demonstrate competence in the identification of common cardiac states including but not limited to organic murmurs, cyanosis and congestive heart failure 4. Demonstrate knowledge of cardiac conditions requiring emergent intervention with appropriate knowledge of the appropriate intervention 5. Demonstrate knowledge of assessment and appropriate intervention in ECG abnormalities and arrhythmias 6. Demonstrate the ability to begin to interpret cardiac catheterization data C. Practice-Based Learning and Improvement: 1. Identify areas for improvement in their own knowledge, skills and attitudes 2. Analyze and evaluate practice experiences to improve the quality of patient practice 3. Demonstrate a willingness to learn from errors and use errors to improve the system or processes of care 4. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education 5. Complete the required readings in the pediatric cardiology website and discuss these references Updated

2 PL-1 Residents with the cardiology selective attending 6. Identify gaps in personal knowledge base of cardiology and describe self improvement plans 7. Provide, request, accept and incorporate feedback 8. Work with other learners to enhance knowledge D. Interpersonal and Communication Skills: 1. Demonstrate effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues 2. Demonstrate effective listening, nonverbal, questioning, and narrative skills to communicate with patients and families 3. Discuss opinions with referring physicians in a respectful, appropriate manner and write a comprehensive referral letter when directed to do so 4. Complete consultations of hospital patients and clinic notes in a timely and legible manner 5. Demonstrate the ability to provide medical guidance including discussions of health promotion and 6. Complete evaluations of attending, staff and rotation E. Professionalism: 1. Act in the best interest of the patient at all times 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and colleagues 3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues 4. Discuss principles of confidentiality/scientific/academic integrity 5. Adhere to principles of confidentiality/scientific/academic integrity 6. Be punctual and reliable 7. Maintain patient flow as demanded by clinic volume F. Systems-Based Practice: 1. Advocate for your patients in a complex medical system 2. Demonstrate comprehensive utilization of the resources, providers and systems necessary to provide optimal subspecialty care 3. Discuss the limitations and opportunities inherent in various practice types, locations, and delivery systems 4. Discuss the implications for comprehensive medical care imposed by resource limitations 5. Apply evidence-based, cost-conscious strategies to diagnosis and management 6. Collaborate with other members of the health care team to assist patients in dealing effectively with the complex medical system 7. Participate in school integration of children with chronic health issues, particularly congenital and acquired heart 8. Discuss the importance of social support structures for children with congenital and acquired heart Updated

3 PL-1 Residents 9. Describe and discuss the importance of the multidisciplinary health care team when providing care for children with complex cardiac Updated

4 PL-2 Residents The Pediatric Cardiology elective is available to residents of all levels and combines both outpatient and inpatient clinical experiences. In the outpatient setting, residents will work-up new patients and follow-up known patients. Residents will also follow all inpatients on both the PICU and floor services, and see any patients for which a cardiology consult is requested. Residents may rotate through the Cardiology service for either two or four weeks. The elective will serve as an in-depth look at how patients referred by a primary care pediatrician are evaluated and treated. Residents will also gain more experience in recognizing and appropriately referring heart, both acquired and congenital. Residents are expected to be versed in making thorough, orderly, and concise presentations of patients in the clinical setting. Residents will continue to attend and be active participants in morning report and noon conference. Residents will also maintain their weekly continuity clinic. A. Patient Care: 1. Gather accurate, essential and appropriate information for each patient encounter in which they participate 2. Review and demonstrate a comprehensive cardiovascular examination 3. Develop and implement an appropriate assessment and plan for patient care 4. Perform accurate analysis and application of available information to make recommendations for diagnostic interventions and appropriate therapeutic decisions relevant to the cardiovascular system B. Medical Knowledge: 1. Demonstrate clinically appropriate description of heart murmurs with concomitant knowledge to judge innocent versus pathologic murmurs 2. Describe the signs and symptoms of common congenital cardiac s as well as assessment of clinical information to form a diagnosis and treatment plan 3. Demonstrate competence in the identification of common cardiac states including but not limited to organic murmurs, cyanosis and congestive heart failure 4. Demonstrate knowledge of cardiac conditions requiring emergent intervention with appropriate knowledge of the appropriate intervention 5. Demonstrate knowledge of assessment and appropriate intervention in ECG abnormalities and arrhythmias 6. Demonstrate the ability to begin to interpret cardiac catheterization data C. Practice-Based Learning and Improvement: 1. Identify areas for improvement in their own knowledge, skills and attitudes 2. Analyze and evaluate practice experiences to improve the quality of patient practice 3. Demonstrate a willingness to learn from errors and use errors to improve the system or processes of care 4. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education 5. Complete the required readings in the pediatric cardiology website and discuss these references Updated

5 PL-2 Residents with the cardiology selective attending 6. Identify gaps in personal knowledge base of cardiology and describe self improvement plans 7. Provide, request, accept and incorporate feedback 8. Work with other learners to enhance knowledge D. Interpersonal and Communication Skills: 1. Demonstrate effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues 2. Demonstrate effective listening, nonverbal, questioning, and narrative skills to communicate with patients and families 3. Discuss opinions with referring physicians in a respectful, appropriate manner and write a comprehensive referral letter when directed to do so 4. Complete consultations of hospital patients and clinic notes in a timely and legible manner 5. Demonstrate the ability to provide medical guidance including discussions of health promotion and 6. Complete evaluations of attending, staff and rotation E. Professionalism: 1. Act in the best interest of the patient at all times 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and colleagues 3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues 4. Discuss principles of confidentiality/scientific/academic integrity 5. Adhere to principles of confidentiality/scientific/academic integrity 6. Be punctual and reliable 7. Maintain patient flow as demanded by clinic volume F. Systems-Based Practice: 1. Advocate for your patients in a complex medical system 2. Demonstrate comprehensive utilization of the resources, providers and systems necessary to provide optimal subspecialty care 3. Discuss the limitations and opportunities inherent in various practice types, locations, and delivery systems 4. Discuss the implications for comprehensive medical care imposed by resource limitations 5. Apply evidence-based, cost-conscious strategies to diagnosis and management 6. Collaborate with other members of the health care team to assist patients in dealing effectively with the complex medical system 7. Participate in school integration of children with chronic health issues, particularly congenital and acquired heart 8. Discuss the importance of social support structures for children with congenital and acquired heart Updated

6 PL-2 Residents 9. Describe and discuss the importance of the multidisciplinary health care team when providing care for children with complex cardiac Updated

7 PL-3/4 Residents The Pediatric Cardiology elective is available to residents of all levels and combines both outpatient and inpatient clinical experiences. In the outpatient setting, residents will work-up new patients and follow-up known patients. Residents will also follow all inpatients on both the PICU and floor services, and see any patients for which a cardiology consult is requested. Residents may rotate through the Cardiology service for either two or four weeks. The elective will serve as an in-depth look at how patients referred by a primary care pediatrician are evaluated and treated. Residents will also gain more experience in recognizing and appropriately referring heart, both acquired and congenital. Residents are expected to be versed in making thorough, orderly, and concise presentations of patients in the clinical setting. Residents will continue to attend and be active participants in morning report and noon conference. Residents will also maintain their weekly continuity clinic. A. Patient Care: 1. Gather accurate, essential and appropriate information for each patient encounter in which they participate 2. Review and demonstrate a comprehensive cardiovascular examination 3. Develop and implement an appropriate assessment and plan for patient care 4. Perform accurate analysis and application of available information to make recommendations for diagnostic interventions and appropriate therapeutic decisions relevant to the cardiovascular system B. Medical Knowledge: 1. Demonstrate clinically appropriate description of heart murmurs with concomitant knowledge to judge innocent versus pathologic murmurs 2. Describe the signs and symptoms of common congenital cardiac s as well as assessment of clinical information to form a diagnosis and treatment plan 3. Demonstrate competence in the identification of common cardiac states including but not limited to organic murmurs, cyanosis and congestive heart failure 4. Demonstrate knowledge of cardiac conditions requiring emergent intervention with appropriate knowledge of the appropriate intervention 5. Demonstrate knowledge of assessment and appropriate intervention in ECG abnormalities and arrhythmias 6. Demonstrate the ability to begin to interpret cardiac catheterization data C. Practice-Based Learning and Improvement: 1. Identify areas for improvement in their own knowledge, skills and attitudes 2. Analyze and evaluate practice experiences to improve the quality of patient practice 3. Demonstrate a willingness to learn from errors and use errors to improve the system or processes of care 4. Use information technology or other available methodologies to access and manage information, support patient care decisions and enhance both patient and physician education 5. Complete the required readings in the pediatric cardiology website and discuss these references Updated

8 PL-3/4 Residents with the cardiology selective attending 6. Identify gaps in personal knowledge base of cardiology and describe self improvement plans 7. Provide, request, accept and incorporate feedback 8. Work with other learners to enhance knowledge D. Interpersonal and Communication Skills: 1. Demonstrate effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues 2. Demonstrate effective listening, nonverbal, questioning, and narrative skills to communicate with patients and families 3. Discuss opinions with referring physicians in a respectful, appropriate manner and write a comprehensive referral letter when directed to do so 4. Complete consultations of hospital patients and clinic notes in a timely and legible manner 5. Demonstrate the ability to provide medical guidance including discussions of health promotion and 6. Complete evaluations of attending, staff and rotation E. Professionalism: 1. Act in the best interest of the patient at all times 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and colleagues 3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues 4. Discuss principles of confidentiality/scientific/academic integrity 5. Adhere to principles of confidentiality/scientific/academic integrity 6. Be punctual and reliable 7. Maintain patient flow as demanded by clinic volume F. Systems-Based Practice: 1. Advocate for your patients in a complex medical system 2. Demonstrate comprehensive utilization of the resources, providers and systems necessary to provide optimal subspecialty care 3. Discuss the limitations and opportunities inherent in various practice types, locations, and delivery systems 4. Discuss the implications for comprehensive medical care imposed by resource limitations 5. Apply evidence-based, cost-conscious strategies to diagnosis and management 6. Collaborate with other members of the health care team to assist patients in dealing effectively with the complex medical system 7. Participate in school integration of children with chronic health issues, particularly congenital and acquired heart 8. Discuss the importance of social support structures for children with congenital and acquired heart Updated

9 PL-3/4 Residents 9. Describe and discuss the importance of the multidisciplinary health care team when providing care for children with complex cardiac Updated

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