Welcome pediatric interns

1. Welcome pediatric interns

2. PHILOSOPHY • Our Mission: • Construct an enriching learning environment for the resident • Academic growth • Professional growth • Personal growth • Educate about the delivery of quality medical care, scholarship and advocacy- bedside, community, regionally, and nationally.

3. TIME OF TRANSITION Our most successful residents are those who embrace their new role as “doctor” the quickest Residents Med Students • You receive payment to provide patient care. • Progressive clinical responsibilities under supervision • Promoted on competency and Compliance • You pay to receive an education • Limited clinical responsibilities • Promoted based on academic performance VS

4. PUNCTUAL Be where you’re supposed Be when you’re supposed to be there!

5. MAKE YOURSELF AVAILABLE PROVIDE US WITH CONTACT INFORMATION IN CASE OF EMERGENCY/DISASTER RETURN PAGES PROMPTLY RETURN EMAILS PROMPTLY YOUR EMPLOYER SHOULD BE ABLE TO REACH YOU AT ALL TIMES COMMUNICATE

6. 6 Core Competencies of Medical Education Medical Knowledge Patient Care Practice Based Learning and Improvement Systems-Based Practice Interpersonal Skills and Communication Professionalism 6 DOMAINS OF GME

7. Years teach us more than books-Berthold Auerbach PATIENT CARE MEDICAL KNOWLEDGE LIFE LONG PROCESS

8. 21 Milestones PATIENT CARE (5) MEDICAL KNOWLEDGE (1) • Locates, appraises, and assimilates evidence from scientific studies related to their patients’ health problems Gathers essential and accurate information about the patient Organizes and prioritizes responsibilities to provide patient care that is safe, effective and efficient Provides transfers of care that insure seamless transitions Makes informed diagnostic and therapeutic decisions that result in optimal clinical judgment Develops and carries out management plans

9. A wise man learns by the mistakes of others, a fool by his own. -Latin Proverb PRACTICE BASED LEARNING • ASTHMA PBLI • January PL-1 year • USE RESOURCES • EBM • SELF-MOTIVATED LEARNER • MAKES CHANGES • Critical personal Assement • Incorporates Feedback

10. 21 Milestones PRACTICE-BASED LEARNING AND IMPROVEMENT (4) INTERPERSONAL AND COMMUNICATION SKILLS (2) • Communicates effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds • Demonstrates the insight and understanding into emotional and human responses to emotion that allows one to appropriately develop and manage human interactions Identifies strengths, deficiencies, and limits in one’s knowledge and expertise Identifies and performs appropriate learning activities to guide personal and professional development Systematically analyzes his/her practice using quality improvement methods, and implement changes with the goal of practice improvement Incorporates formative evaluation feedback into daily practice

11. Sandbox Lessons Learned Interpersonal Skills & Communication Professionalism • Ethical • Reliable & Trustworthy • Punctual • Respectful • Empathy • Thorough • Completes work • Teamwork • Self-motivated • Communicates accurately • If you don’t have anything nice to say…… • Knows Limitations • Ask for HELP

12. 21 Milestones PROFESSIONALISM (6) SYSTEMS-BASED PRACTICE (3) • Coordinates patient care within the health care system relevant to their clinical specialty • Advocates for quality patient care and optimal patient care systems • Works in inter-professional teams to enhance patient safety and improve patient care quality 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 one’s own knowledge, skills, and emotional limitations that leads to appropriate help-seeking behaviors Demonstrates trustworthiness that makes colleagues feel secure when one is responsible for the care of shared patients Has 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 uncertainty

15. 2013 SCHEDULE • RESEARCH/ADMIN: • Night Coverage pool for subs & Sunday • Insures ACGME compliance with “Chief” requirement – 2 FTE • BACKUP: • Attendings • Dyads: Hem/Endo, GI/Card, ID/Nephro • Team X, Hem PL-2 • Research Admin • Electives- PL-2 & PL-3

16. 4 INDVIDUALIZED TRACKS BEGINNING 2013-14

17. 2013 SCHEDULE COMMUNITY & SOCIETAL

18. 2013 SCHEDULE FELLOWSHIP TRACK

19. 2013 SCHEDULE INPATIENT TRACK

20. 2013 SCHEDULE TRADITIONAL TRACK

21. RESOURCES • BORLAND • Up to Date • Journals • Exam Master • Clinics of North America • BAPTIST • MD Consult • Red Book • Current Pediatrics • GATORLINK • AETNA • WCH CALL ROOM • 4TH FLOOR CONF ROOM • HOSPITALIST OFFICE • AAP • Pedialink • PREP • Peds in Review • RedBook • `

22. pedsjax.com • 3 year Schedule • TRACKS • Milestones • Step 3 Policy • ITE performance • Classmarker • PREP • Advisors and ILP • 2-3 times per year • PBLI • January 2015 • QI • Patient Safety • PL-2-3 • Scholarship • Pl-2-3 • Review websites monthly • Pedsjax.com & pedsjaxwiki.pbworks.com • Hopkins Modules • Observed H & P • Evaluation of Written Communication • Procedure Assessments

23. 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- (Pt’s, BOARD REVIEW, MORNING REPORT, SIGN OUT) I WILL CONTINUE TO TRY TO FIND WAYS TO AUGMENT YOUR LEARNING EXPERIENCE

24. THIS IS A LOT TO REMEMBER • Respond to our guidance- check your emails daily • Seniors • Class Reps • Chief Residents • Zayas, Mirza, Canas, others • D&D