Pediatric Resident Advancement Criteria

Level Specific Educational Goals:

PL-1 Level:

During the first year of training, pediatric residents will be introduced to the basic clinical and scholarly experiences upon which the rest of their training will be based. PL-1 residents will learn to perform thorough but adequately focused evaluations of pediatric patients in both the inpatient and outpatient settings. These evaluations will consist of complete, age-adjusted histories and physical examinations followed by the development of thoughtful patient assessments and management plans. While always maintaining a high sense of responsibility for their patients, PL-1 residents will learn to prescribe patient-appropriate care plans and to perform cost-effective diagnostic and therapeutic procedures as indicated. PL-1 residents will also learn to identify the level of illness severity in a timely manner and to know when and how to seek help from upper level residents or Faculty.

As they progress through the first year, PL-1 residents will promote their scientific inquisitiveness by asking insightful questions, by independently seeking knowledge and by reading the medical literature. They will expand their pediatric knowledge base and will acquire initial skills as teachers for student clerks as well as for patients and their families. They will also develop the level of clinical efficiency that will allow them in subsequent years to function properly as supervisors of lower level residents. Throughout the first year of training, PL-1 residents will establish a framework of understanding of pediatric practice that will incorporate issues of child health advocacy, preventive health care, clinical ethics and effective cost containment into each aspect of their future experiences. 

Criteria to Advance from Pediatric Level-1 to Pediatric Level-2 Position.

In the professional judgment of the pediatric faculty, the resident

1. is able to supervise lower level residents in the delivery of patient care.

2. is able to teach and supervise Level 1 patient care procedures as required under the "Procedure Specific Credentialing and Supervision Guidelines."

3. is able to direct the initial management of a pediatric "code blue" emergency.

4. is able to serve as a consultant to other physician departments within the institution.

5. demonstrates a commitment to continued self-education by attendance at teaching conferences and demonstration of outside reading.

PL-2 Level:

The second year of pediatric training builds upon the skill and knowledge base established in the first year. During the year, PL-2 residents will refine their clinical assessment skills. They will also broaden the scope and complexity of the health care problems they address and their responsibility therefor. PL-2 residents will be exposed to in-depth experiences in a variety of subspecialty areas, including development and behavioral pediatrics, as well as in community-based pediatric and adolescent medicine. They will expand their practice experience and will demonstrate a greater clinical competence and efficiency in providing care to patients with a broader range of disease complexity. In the primary care setting, PL-2 residents will show an increasing ability to practice independently and to begin to function in an effective supervisory role towards lower level physicians in training.

PL-2 residents will enhance their teaching role at the bedside and will expand their teaching efforts in the conference room. They will learn to develop effective group teaching sessions and to efficiently utilize available teaching materials and literary resources. Via exposure to an expansive number of pediatric experiences, the second year resident will begin to focus their career planning deliberations through discussions with faculty advisors and mentors and will successfully develop or confirm their future practice interests. As midlevel pediatric trainees, PL-2 residents will affirm their efforts as child health advocates, preventive primary care providers and ethical and cost effective practitioners.

Criteria to Advance from Pediatric Level-2 to Pediatric Level-3 Position.

In the professional judgment of the Pediatric faculty, the resident:

1. is able to supervise lower level residents and medical students in the delivery of patient care.

2. is able to teach and supervise Level 2 patient care procedures as required under the "Procedure Specific Credentialing and Supervision Guidelines."

3. is able to supervise and manage pediatric "Code Blue" emergency situations.

4. is able to accept calls regarding patient transfers and to obtain sufficient information to make a judgment regarding acceptance of patient transfer. (All decisions must be discussed with the responsible attending faculty.)

5. has demonstrated the ability to serve as a consultant to other physician departments within the institution.

6. has demonstrated a commitment to continued self-education by attendance at teaching conferences and demonstration of outside reading.

7. has demonstrated a commitment to pediatric patient advocacy by participation in community outreach activity projects, patient education programs, organized committees of the Department of Pediatrics, etc.

8. has demonstrated a commitment to scholarly activities by attendance and participation in the Department's educational activities, such as Morning Report and Grand Rounds, involvement in scientific research and participation in medical student teaching conferences.
   

PL-3 Level: 

The third year PL-3 resident will continue to expand their pediatric knowledge base through additional subspecialty, adolescent and emergency pediatric rotations. As they prepare for the American Board of Pediatrics’ certifying examination, PL-3 residents will further refine their competence in clinical diagnostic evaluations and technical procedural skills as well as in their patient stabilization, office preparedness and telephone triaging abilities. They will practice pediatrics efficiently and effectively with a significant degree of independence and will demonstrate level-appropriate leadership, confidence and supervisory capabilities.

PL-3 residents will assert their precepting and group teaching skills as they expand their capacity to critically evaluate the medical literature and to teach multiple level learners in a "rounds" format with a concurrent, patient-care service function. The third year resident will develop focused sign-out skills to facilitate continuity of care and will learn how to expand these skills to apply to the community practice setting. They will bring appropriate closure to their Continuity Clinic experience and, while establishing successful lifelong learning habits, they will complete plans for their future careers in primary care practice or in additional fellowship training. PL-3 residents will uphold their commitment to promote preventive health care, child health advocacy and the ethical and cost-effective practice of pediatric medicine.

Criteria to Graduate from Pediatric Residency Program.

In the professional judgment of the Pediatric faculty, the resident:

1. is able to appropriately diagnose and manage common childhood conditions.

2. is able to recognize, manage and/or refer to subspecialists children with unusual and/or rare childhood conditions.

3. has demonstrated an ongoing ethical practice of medicine with a commitment to self-education, child advocacy, and life-long scholarly activities.

4. is able to work effectively as a member of a health care team.

5. is able to teach and supervise Level 3 patient care procedures as required under the "Procedure Specific Credentialing and Supervision Guidelines."

6. has demonstrated an ongoing commitment to teach and supervise lower level residents and medical students.

All levels require:

1. payment of outstanding library and parking fines

2. completion of all medical records including delinquent dictation