Pediatrics Clerkship
Activity
Clinical Exposure
Clinical Exposure
The pediatrics clerkship rotation is a six week rotation during which the clerks are placed in one of 4 tracks and have exposure to both ambulatory and inpatient pediatric care.
Curriculum Block
Clerkship / Pediatrics Rotation
- Indicates most relevant
Objectives
Clerkship Objectives
- Work effectively, respectfully, and appropriately in an inter-professional healthcare team.
- Demonstrate effective teaching/learning strategies and content that facilitate the learning of others (peers, patients, families, allied health professionals).
- Demonstrate integration of new learning into practice.
- Apply the principals of critical appraisal of the literature to guide evidenced based patient care.
- Engage in self-assessment through reflective practice.
- Engage in self-directed lifelong learning strategies.
- Identify barriers that prevent children from accessing health care including: financial, cultural, and geographic.
- Identify determinants of health for paediatric populations and the physician’s role and points of influence in these issues.
- Identify emerging and ongoing issues for paediatric patients who are potentially vulnerable or marginalised including: First Nations Peoples, new immigrants, disabled children, children living in poverty, and children with mental health, sexual orientation, or gender identity concerns.
- Engage in advocacy, health promotion and disease prevention with patients and families including: mental health, child maltreatment, healthy active living, safety, and early literacy support.
- Demonstrate a rational approach to finite resource allocation in patient management; apply evidence in cost-effective care.
- Employ information technology to maximise patient care.
- Demonstrate priority setting, and time management skills that balance patient care, academic responsibilities, and personal well being.
- Effectively work with other health professional to prevent, negotiate, and resolve inter- and intra-professional conflict.
- Effectively collaborate/consult/participate with members of the inter- and intra-professional team to optimise the health of the patient/family.
- Demonstrate understanding of roles and responsibilities in an inter-professional health care team; recognising his/her own responsibilities and limits.
- Demonstrate professional behaviours in practice including: honesty, integrity, commitment, compassion, respect and altruism.
- Acknowledge/demonstrate the principals of dealing with challenging communication issues including: obtaining informed consent, delivering bad news, disclosing adverse medical events, and addressing anger, confusion, and misunderstanding.
- Respect patient confidentiality, privacy and autonomy.
- Demonstrate organised, complete, informative and accurate information in verbal patient presentations.
- Demonstrate clear, legible, and accurate ‘doctors orders’ (such as investigations, medication orders and outpatient prescriptions).
- Demonstrate organised, complete, informative, legible, and accurate written/electronic information related to clinical encounters (such as: admission histories, progress notes, and discharge summaries).
- Acquire and synthesise relevant information from relevant sources including: family, caregivers, and other health professionals.
- Demonstrate a patient-centred and family-centred approach to communication which requires involving the family and patient in shared decision making, and involves gathering information about the patients’ and families’ beliefs, concerns, expectations and illness experience.
- Communicate using open-ended inquiry, listening attentively and verifying for mutual understanding.
- Demonstrate communication skills that convey respect, integrity, flexibility, sensitivity, empathy, and compassion.
- Recognise factors such as fatigue, stress, and competing demands/roles that impact on personal and professional performance. Seek assistance when professional or personal performance is compromised.
- Balance personal and professional responsibilities to ensure personal health, academic achievement, and the highest quality of patient care.
- Recognise the principles and limits of patient confidentiality as it pertains to paediatrics (age of consent, emancipated minors, disclosure of suicidal/homicidal intent, and disclosure of abuse).
- Fulfil legal obligations as they pertain to paediatric practice (reporting child maltreatment).
- Recognise and respond to ethical issues encountered in clinical practice.
- Demonstrate a commitment to perform to the highest standard of care through the acceptance and application of performance feedback.
Tags
Curriculum Block
Clerkship
Pediatrics Rotation
Discipline
Pediatrics
McMaster Program Competencies
1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests.
1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient
1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice
1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment
1.5 Develop and carry out patient management plans
1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice.
1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making
2.2 Apply biomedical scientific principles fundamental to health care for patients and populations.
3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours
3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours
3.8 Obtain and use information about individual patients and their caregivers, populations of patients, or communities with which patients identify to improve care
3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes
4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds
4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals
4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics
4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses
4.5 Maintain comprehensive, timely, and legible medical records
5.1 Demonstrate accountability to patients, society, and the profession
5.11 Demonstrate trustworthiness and reliability that makes colleagues feel secure when one is responsible for the care of patients
5.12 Present oneself professionally to patients, families, and members of the health care team
5.2 Demonstrate compassion, integrity, and respect for others
5.4 Demonstrate respect for patient confidentiality, privacy and autonomy
5.5 Demonstrate sensitivity and responsiveness to a diverse patient population, including all dimensions of diversity such as those that are included in human rights legislation and federal and provincial law.
5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations
5.9 Maintain appropriate boundaries with patients and other professionals
6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable
6.6 Coordinate patient care within the health care system relevant to a variety of clinical specialties
6.9 Perform administrative and practice management responsibilities commensurate with one’s role, abilities, and qualifications
7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, inclusion, ethical integrity, and trust
7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served
7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the provision of healthcare in individual patients and populations
7.4 Demonstrate the ability to consult with and to other health professionals
7.6 Participate in different team roles and appropriately apply leadership skills to establish, develop, and continuously enhance team function.
8.1 Demonstrate healthy coping mechanisms to respond to stress
8.5 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty
MeSH
Clinical Clerkship [I02.358.399.450.110]