Non-VSLO External Elective Process
Pediatric Urgent Care in Galveston
Successful completion of Year 2
Additional Requirements: Successful completion of Pediatric Clerkship; contact faculty in advance of the course to discuss schedule.
Responsible Faculty Director:
Manuela Murray, MD
Urgent Care Faculty
to Report on First Day
IPUCC - 6416 Broadway, Galveston, TX 77551
excluding holiday period 8
|Learn to manage common acute pediatric illnesses and distinguish severity of illness in children.|
|1. Evaluate acutely ill pediatric patients 2. Become comfortable with performing an efficient history and physical on acutely ill children, learning to focus the evaluation appropriately for the presenting problem 3. Develop diagnostic and therapeutic plans for common acute childhood illnesses 4. Learn to counsel families about care of acute pediatric problems 5. View common minor procedures in pediatrics and appreciate the difficulties inherent in performing such procedures on frightened children.|
|Description of course activities|
|1. Students will evaluate patients presenting to the Pediatric Urgent Care Center in Galveston. They will perform a focused history and physical, then present the case to faculty staffing the PUCC.
2. Students will propose diagnostic and treatment plans, and will evaluate radiographic and laboratory data related to patients.
3. Assist and possibly participate in minor procedures - examples include incision and drainage of abscesses, splinting, urethral catheterization, venipuncture, IV placement and lumbar punctures. The weekly schedule times are subject to change based on the availability of clinic sessions.
|Type of students who would benefit from the course|
|Students interested in a career in Pediatrics, Emergency Medicine or Family Medicine would benefit from this course.|
|Clinical Activities (estimated schedule)|
|Day of Week||AM||PM|
|Monday||1:00pm - 5:00pm|
|Tuesday||1:00pm - 5:00pm|
|Wednesday||1:00pm - 9:00pm|
|Thursday||1:00pm - 9:00pm|
|Friday||1:00pm - 5:00pm|
|Average number of patients seen per week: 30|
|Call Schedule: 32/h week (weekend counts as 2 shifts). Students create their own shift schedule for the month w/faculty approval.|
|Research Activities (estimated schedule)|
|Activity||Hours per Week|
|1. Clinical Observation|
|A.||Where are students observed on this elective?|
Patients simulators Other
|B.||Frequency - How often are students observed clinically?|
|Every patient encounter|
|C.||Format - What method(s) are used to document the student's clinical performance?|
Daily oral feedback
End of period oral feedback
|2. Oral Presentation|
|A.||Audience - To whom does the student present?|
|Faculty and/or resident staffing the PUCC.|
|B.||Frequency / Duration of Presentation(s)?|
|Each patient encounter is presented.|
|C.||Format - What guidelines are set for the student's presentation?|
|Standard SOAP patient presentation.|
|D.||Assessment - Who assesses the student's presentation performance?|
|Self-assessment Peer assessment Faculty assessment|
|E.||Method of content selection|
|Current cases Student-selected topic Assigned topic|
|3. Written Assignment (H&P's, notes, papers, abstracts, etc.)|
|A.||Frequency of written assignment(s)?|
|As much as possible, students will document in the EMR. However, if access to the EMR is limited, students will hand in one written note per day for review.|
|B.||Format - What guidelines are set for the student's written work?|
|Standard SOAP note.|
|C.||Length of written assignment(s)?|
|Abstract Annotated bibliography 1 - 2 page paper 3+ page paper|
|D.||Are recent references required? No If yes, how are they selected?|
|E.||Method of content selection - e.g. student-selected, relate to cases, etc.?|
|F.||Audience - Who assesses the student's written performance?|
|Peer Assessment Faculty Assessment Other|
Written multiple choice
Written essay / short answer
|5. Extra Course Activities|
|What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?|
|The student will attend Pediatric Grand Rounds, resident noon conferences and Morning Report as much as possible.|
|6. Additional Costs|
|Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".|
|7. Other Modes of Evaluation|
|Please explain below.|
|8. If this course is an Acting Internship, please complete the following:|
|A.||Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs).
Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are
assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.Specify how the student will be given formative feedback on their clinical skills.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.
List advanced clinical skills that a student will be assured an opportunity to practice.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.
Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.