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Senior Teaching Resident Rotation

During the third year of their pediatric residency, each resident completes a required rotation as the Senior Teaching Resident.  One goal for this rotation is for residents to appreciate their role as a “teacher” in a variety of venues:

1.)

 Teaching parents of our pediatric patients by providing telephone advice in the Clinic Phone Bank.
2.) Teaching medical students:
  a.) Newborn physical exam
  b.) Procedural skills (lumbar puncture, G-tube insertion, trach insertion)
  c.) Oral case presentation skills
3.) Teaching the clinic team about one area of patient care, through the implementation of a quality improvement project and discussion of the findings

4.)

How self-assessment and self-improvement (e.g. through QI projects) will be a future requirement for Maintenance of Certification
A second goal for this rotation is for residents to appreciate how different systems in medical care work together in an ambulatory setting.  At the end of the rotation, they will appreciate:
5.) The impact of written documentation on billing and coding
6.) The interaction of the pediatrics clinic with community pharmacies, schools, and child care agencies
7.) The basics of Medicaid insurance in the state of Texas

 

Goals and Objectives (click and go to the G&O attachment)
Learning Activities (click and go to a page listing below)

  1. Complete Medicaid in Texas: Just the Basics Module at: http://www.utmb.edu/pedi_ed/SystemsBasedPractice/TexasMedicaid/Default-TM.htm (estimated time = 30 minutes)
  2. Complete the IHI three modules and two cases, and answer the corresponding questions.  See the document IHI_Instructions&Tasks for instructions on how to access this material and a complete list of the required questions.  Submit your answers to Dr. Gundlach prior to the end of the rotation. (estimated time = 4 hours to complete modules, 1 hour to complete questions)
  3. Arrange a meeting with Ms. Miriam Perez (mirperez@utmb.edu) to review ~10 of your recent charts from continuity clinic.  Ms Perez will review with you examples of documentation that supported the charges and diagnoses that were billed, and examples where the documentation may have been improved. (estimated time = 1 hour)
  4. During the four weeks of your STR rotations, you should be assigned at least once to perform an LP or G-tube/Trach workshop with junior learners.  The faculty who conducts the standardized patient encounter prior to these workshops will complete an evaluation of your teaching skills.  It is your responsibility to ensure that this is turned into Ms. Catalina Castro, residency coordinator. (estimated time = 1 hour)
  5. Complete at least two evaluations of a 3rd year clerkship student presentation during the four weeks of the STR rotation. Discuss the feedback with the student after the presentation.  (estimated time = 2 hours)
  6. Complete the following required readings: (estimated time = 2 hours)
    1. Quality Improvement Tools for Physicians – accessed at http://practice.aap.org/content.aspx?aid=2621&nodeID=8000.
    2. Email Communications Between Pediatricians and Their Patients –  accessed at http://aappolicy.aappublications.org/cgi/reprint/pediatrics;114/1/317.pdf
    3. Maintenance of Certification Part 4: Performance in Practice – accessed at http://www.aap.org/mocinfo/MOCPart4.html
  7. Complete a quality improvement project under the guidance of Dr. Gundlach (estimated time = 15 hours)
    1. During your first rotation, meet with Dr. Gundlach to discuss your proposed topic for a QI project.  You are expected to review ~ 3 charts per resident on the topic of your choice.  During the first rotation, you will review the data to provide baseline data and propose a suggested change based on your findings.
    2. During your second rotation, you will review ~ 3 charts per resident reflecting the time after your suggested change was implemented.
    3. You will be required to present these initial findings, including the proposed change, at the following three monthly meetings:
      1. Resident Clinic Team Meeting
      2. Department of Pediatrics Quality Improvement Meeting
      3. UHC Clinic All-Staff Meeting
    4. You will be required to present the second evaluation of the findings, after the implemented change, at a minimum of one of the meetings above.
  8. During your assignments to the Telephone Triage Bank, you will answer calls as directed by Ms. Marsh, including medication refills, completing required school or child care forms, and triaging parents questions about sick children.  You will submit all of these telephone notes to Dr. Gundlach, who will provide you feedback.
    1. Additionally, residents are expected to provide formative feedback to their peers about issues encountered in their patients (e.g. non-formulary medications prescribed, lack of clarity as to follow up instructions) when appropriate

Readings and Digital Resources (click and go to a page with these hyperlinks)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Senior Teaching Resident Rotation Information Outline (.docx)

IHI Instructions (.docx)

ADHD Phone Note (.docx)

 

Rotation Director (Curriculum Manager):
Marney Gundlach, MD;

What is the best way for the resident to contact this Curriculum Manager?
e-mail: magundla@utmb.edu; 
phone: 409-772-1444

Other Faculty Participating in this Rotation: 
General Academic Pediatrics Faculty

Staff Contact Information: 
Jessica Marsh, mjmarsh@utmb.edu,
409-772-3685