Curriculum Block

Objectives

• Develop management plans that demonstrate due attention to discharge planning, and recognition of key community resources to support the family once out of hospital.
• Respect patient confidentiality, privacy and autonomy.
• 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.
• Work effectively, respectfully, and appropriately in an inter-professional healthcare team.
• Demonstrate understanding of roles and responsibilities in an inter-professional health care team; recognising his/her own responsibilities and limits.
• Effectively collaborate/consult/participate with members of the inter- and intra-professional team to optimise the health of the patient/family.
• Effectively work with other health professional to prevent, negotiate, and resolve inter- and intra-professional conflict.
• Demonstrate priority setting, and time management skills that balance patient care, academic responsibilities, and personal well being.
• Employ information technology to maximise patient care.
• Demonstrate a rational approach to finite resource allocation in patient management; apply evidence in cost-effective care.
• Demonstrate organised, complete, informative and accurate information in verbal patient presentations.
• 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.
• 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.
• Identify determinants of health for paediatric populations and the physician’s role and points of influence in these issues.
• Identify barriers that prevent children from accessing health care including: financial, cultural, and geographic.
• Engage in self-directed lifelong learning strategies.
• Engage in self-assessment through reflective practice.
• Apply the principals of critical appraisal of the literature to guide evidenced based patient care.
• Demonstrate integration of new learning into practice.
• Demonstrate effective teaching/learning strategies and content that facilitate the learning of others (peers, patients, families, allied health professionals).
• 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).
• Describe differences between the medical management of paediatric patients versus adult patients.
• Recognise an acutely ill child.
• Demonstrate an approach (the generation of a differential diagnoses, appropriate initial diagnostic investigations, and management plan) to the following core clinical paediatric presentations:
• Demonstrate physical examination skills that reflect consideration of the clinical presentation as well as the comfort, age, development, and cultural context of the infant, child, or adolescent.
• Demonstrate competence with the following paediatric physical examination skills in addition to general physical examination skills:
• Demonstrate professional behaviours in practice including: honesty, integrity, commitment, compassion, respect and altruism.
• Demonstrate a commitment to perform to the highest standard of care through the acceptance and application of performance feedback.
• Recognise and respond to ethical issues encountered in clinical practice.
• Fulfil legal obligations as they pertain to paediatric practice (reporting child maltreatment).
• The student is able to demonstrate proficiency in acquiring a complete and accurate paediatric history with consideration of the child’s age, development, and the family’s cultural, socioeconomic and educational background.
• Balance personal and professional responsibilities to ensure personal health, academic achievement, and the highest quality of patient care.
• 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.
• Demonstrate communication skills that convey respect, integrity, flexibility, sensitivity, empathy, and compassion.
• Communicate using open-ended inquiry, listening attentively and verifying for mutual understanding.
• 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.
• Acquire and synthesise relevant information from relevant sources including: family, caregivers, and other health professionals.
• Demonstrate organised, complete, informative, legible, and accurate written/electronic information related to clinical encounters (such as: admission histories, progress notes, and discharge summaries).
• Demonstrate clear, legible, and accurate ‘doctors orders’ (such as investigations, medication orders and outpatient prescriptions).

Activities

• Child Development
• Head Injury

• Infectious Diseases: An approach to the management of infections
• Seizures

• Child with a Limp

• Fluids and Electrolytes

• Pediatrics Peer to Peer teaching session

Tags

Communication Skills and Medical Interviewing Communicator Medical Expert Clerkship Pediatrics Rotation Pediatrics Communication Skills History Physical Examination Medical History Taking [E01.370.510] Physical Examination [E01.370.600]