Department of Pediatrics Pediatric Clerkship

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Department of PediatricsPediatric Clerkship

• Executive Committee on Curriculum
• June 2001

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Pediatric Education Section

• Jeffrey Longacre, MD
• LTC, MC, USA
• Pediatric Clerkship Director
• Executive Committee on Curriculum Documents
• Clerkship Survey
• School of Medicine Objectives Grid

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Pediatric Education SectionDepartment of
Pediatrics, USU

• Jeff Longacre, MD
• LTC, MC, USA
• Clerkship Director
• Woodson Jones, MD
• LtCol (sel), USAF, MC
• NCA Site Director

• Virginia Randall, MD
• COL, MC, USA
• NCA Site Director
• Christine Johnson, MD
• Maj, USAF, MC
• NCA Site Director

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Pediatric Clerkship Training Sites

• Keesler Air Force Medical Center, Biloxi, MS
• Madigan Army Medical Center, Tacoma, WA
• National Capital Area, Bethesda, MD and
  Washington, DC
• Naval Medical Center Portsmouth, Portsmouth, VA
• Naval Medical Center San Diego, San Diego, CA
• San Antonio Health Education Consortium, San
  Antonio, TX
• Tripler Army Medical Center, Honolulu, HI

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Pediatric Clerkship Materials and Resources

• Educational Materials
• COMSEP Curriculum
• Student Study Guide
• Clerkship Goals
• Educational Resources
• Learning Activities
• Evaluation Guidelines

• Administrative Forms
• End of Clerkship Critiques
• Case-based Interactive Learning Scenario (CBILS)
  Critiques
• Faculty Guides
• Written and Oral Presentation Guidelines

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Clerkship Objectives and the Relationship to USU
SOM Objectives

• Goals of the Pediatric Clerkship
• (Study Guide)
• Relationship to the School of Medicine
  Objectives
• (USU SOM Objectives Grid)
• Relationship to the Council on Medical Student
  Education in Pediatrics (COMSEP) Objectives
• (Clerkship Matrix)
• (Underlined items contain hyperlinks to those
  documents)

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Clerkship Teaching Methods and Formats

• Clinical Experiences
• Direct patient care
• Newborn nursery (1 week)
• Inpatient pediatric ward (2 weeks)
• Ambulatory pediatric clinic (3 weeks)
• Daily patient rounds with faculty/residents
• Daily didactic sessions
• Pediatric Grand Rounds
• Issued text books

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Clerkship Teaching Methods and Formats

• Case-based Interactive Learning Scenarios (CBILS)
• Cardiac Auscultation Module (SimCenter)
• Web-based lectures
• Web-based quizzes
• Resources provided to each site
• Case-based problem solving texts
• Case-based interactive CD-ROMs

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Formative Evaluation

• Daily Precepted Clinical Encounters
• Structured Clinical Observations (SCOs)
• Standardized Patient Encounters (SPEs)
• Cardiac Auscultation Module (CAM)
• Weekly Learner-mentor Meetings

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Summative Evaluation

• NBME End of Clerkship Examination
• Comprehensive Written History and Physical
  Examination
• Oral Presentation
• Clinical Performance

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Student Critique and Feedback

• Verbal feedback about the clerkship sought at
  weekly meetings
• Written feedback obtained from end of clerkship
  critique, which addresses
• Curriculum content
• Clerkship mechanics and communication
• Specific teaching site issues
• Faculty performance

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Clerkship Comparability

• Guidebook for Clerkship Directors
• Annual Site Director Retreat at USU
• Active Issues
• Standardization
• Faculty Development
• Regular Contact between Clerkship Director and
  Site Directors
• Curriculum Changes
• Student Performance Review
• Standardization
• Curriculum
• Grade Distribution
• Local Site Issues Affecting Experience

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Clerkship Comparability

• Intrasite
• Student Feedback (intrasite)
• Faculty/Student Mix
• Student/Patient Mix
• Intersite
• Curriculum Standardization
• Standardized Forms
• Web-based Teaching Resources
• External
• COMSEP Curriculum
• NBME Performance
• Specialty Selection

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Coordination with Other Disciplines

• Inpatient
• Teaching Rounds
• Radiology, Surgery, Obstetrics, Emergency Dept
• Outpatient
• Clinic Opportunities
• Dermatology, Neurology, Otolaryngology

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Current Innovative Interventions

• Structured Clinical Observations
• Standardized/Simulated Patient Encounters
• Cardiac Auscultation Module

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Proposed Innovative Interventions

• Evidence-based Medicine Module
• Environmental Medicine Module
• Humanitarian Assistance Module

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Clerkship Strengths and Weaknesses

• Strengths
• Geographical Diversity
• Exposure
• Committed Chair
• Devoted and Talented Section
• Medical Education
• Scholarship
• Leadership

• Weaknesses
• Intrinsic demands on Site Directors
• Geographical Diversity
• Standardization
• Communication
• Interdisciplinary Endeavors

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Clerkship Five Year Plan

• Pediatric Education Section envisions leading the
  University in both quality and innovative medical
  education and educational scholarship.
• Pediatric Education will be the model of a
  learner- focused, case-based, interactive
  curriculum that is a component of a continuous,
  horizontal, interdisciplinary pediatric
  curriculum that is an integral part of the USU
  curriculum.