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Pediatric Ambulatory Community Selective

Submissions

ABOUT ME

Submission

A quick email note

  • Tell us something about yourself, and your plans on graduation from medical school
  • Tell us about your first week's experience
  • Have you chosen the community agency about which you intend to learn more?
  • Submit as an e-mail attachment to both Course Directors, Gayani Silva and Melissa Smith-Phillips, and to ACS Coordinator, Brian Sullivan gsilva@utmb, memsmith@utmb.edu, bmsulliv@utmb.edu

CLINIC NOTE

Due by Friday 9:00 PM of Week 2

Objectives

  1. Demonstrate your skills at writing patient records.
  2. Demonstrate your understanding of billing.
  3. Reflect on the impact of patients and patient care on yourself

Activity
Write about one patient encounter from this rotation which significantly impacted your learning experience.

Submission

  1. A complete clinic note
  2. What is the CPT code and the ICD code for this patient?
  3. A reflection about this patient/family. What touched you about this case? What did you learn about children, pediatrics, or yourself from this case?

Submit as an e-mail attachment to both Course Directors, Gayani Silva and Melissa Smith-Phillips, and to ACS Coordinator, Brian Sullivan gsilva@utmb, memsmith@utmb.edu, bmsulliv@utmb.edu

Due by Friday 9:00 PM of Week 2.

HEALTHCARE SYSTEMS

Due by Friday 9:00 PM of Week 3

Objectives
The purpose of this module is to familiarize the students about the complexities of the health care system.   

Activities

  • Go here to learn about health insurance plans for Texans with no or low income.
  • Study this resource on Coding. AAFP article on documentation and coding with Level of Service Table. (note: it is written for family physicians, but applies equally to pediatricians)
  • Answer the 10 questions below.
  • Arrange a meeting with the practice manager to review your answers before submitting.

Questions

Billing and Documentation

1. What is a CPT code?

2. What is an ICD code?

3. How do documentation and billing for an established patient differ from a new patient?

4. Can you get reimbursement for a sick visit and a well-visit on the same day?  What documentation is required?

Insurance and Payment

5. Insurance

    In general in the US, what groups of children likely do not have insurance? 
    What groups of children likely do not have insurance eligibility?

 

6. Public assistance

    What are the differences between Medicaid vs. Chip insurance? 
    Where does the money come from to fund these programs?

7. In this community practice...

    Is Medicaid insurance accepted? Chips?
    What 3rd party insurances are accepted? Are there some that are not?

8. In the community in which you are completing the Pedi ACS, what are the healthcare options for uninsured children?

9. Complete this table for typical charges at this practice.

 

Well-visit

Sick visit

co-pay

 

 

charges

 

 

typical Medicaid reimbursement

 

 

typical other 3rd-party reimbursement

 

 

10. What else have you learned from the practice manager about the “business of pediatrics”?

Submission

Submit as an e-mail attachment to both Course Directors, Gayani Silva and Melissa Smith-Phillips, and to ACS Coordinator, Brian Sullivan gsilva@utmb, memsmith@utmb.edu, bmsulliv@utmb.edu

Due by Friday 9:00 PM of Week 3.

PEDIATRIC PRACTICE

Due by Friday 9:00 PM of Week 3

Objectives

  • Assess the potential lifestyle of a pediatrician
  • Examine a pediatrician's response to a significant pediatric health/wellness problem or issue.
  • Learn about the teamwork involved in a pediatric practice.

Activities

    Have conversations with your preceptor and other practice team member.

    Make an effort to be involved in multiple aspects of the preceptor’s practice, including management activities and any civic activities.  This may include, but is not limited to, hospital rounds, office management, civic activities, medical staff meetings, and weekend/night call.

    Identify a pediatric health/wellness issue affecting many patients in this practice and community.   

    Identify this pediatrician's response to the issue with individual patients/families or in the community.

Questions
1. Describe this pediatrician's practice.   You should address, but are not limited to, these questions:

    • What types of patients are seen in this practice (e.g. socioeconomic descriptors; education of parents? anything unique about this population? Does this pediatrician engage in any special types of clinical activities (e.g. newborns in the hospital? much behavioral pediatrics? children with special needs?)
    • What are this pediatrician’s administrative responsibilities at the clinic and/or hospital or medical organizations? night/weekend call responsibilities?
    • What have you learned about this how this pediatrician balances professional and personal lives?

2. What do you see happening in this clinical setting that supports the concept of ‘healthcare team”? How many professionals can you identify who are interacting to make this practice function?

3. What does this pediatrician see as great challenges to the profession of general pediatrics? and great rewards?

4. Describe a health/wellness issue affecting many patients in this practice and community. Report on conversations you have with your preceptor about the issue and observations you have made of your preceptor's approach to the issues.

5. What about this pediatrician inspires you?

Submission

Submit as an e-mail attachment to both Course Directors, Gayani Silva and Melissa Smith-Phillips, and to ACS Coordinator, Brian Sullivan gsilva@utmb, memsmith@utmb.edu, bmsulliv@utmb.edu

Due by Friday 9:00 PM of Week 3.

COMMUNITY AGENCIES

Due by Tuesday 9:00 PM of Week 4

WIC

Objectives:  Describe what is WIC and why is it important for community pediatrician to know about WIC? 

Activity: You may want to visit a WIC office, not just read about WIC off the Internet.

ONE OTHER CHILD/YOUTH/FAMILY-SERVING AGENCY

Objective:  learn about one other child/youth/family-serving agency or organization

Activity:  Choose one other child/youth/family-serving agency or organization that you would like to learn more about.

Suggestion: ask your preceptor if there is any agency or organization that the preceptor would like to learn more about; and set out to learn about the agency in the way as to be helpful to the preceptor.

For example, the preceptor may want to

  • learn about the type of services provided by the new mental health provider in town
  • know about the local Head Start - what ages, what hours, do they still have openings, eligibility?
  • learn about the after-school program starting up at a local church
  • identify what are the advantages for his families of children with ADHD for joining CHADD, or families with autism for joining Autism Society of America
  • what services does the county MHMR have for his patients with autism or mental retardation?


Questions:

WIC. What is WIC? How is it funded?  For what services would you send patients to WIC?  If you visited a WIC office, describe your visit and what you learned.

ONE OTHER. Provide information about the agency /organization. Include the following:

  1. What strategies did you take to learn about this agency/organization (e.g. Internet searching, phone calls, actual visit?)
  2. Is this an organization that your preceptor knows of, or are you teaching the preceptor?
  3. What is the mission/purpose of the agency/organization? Note: do not simply cut and paste from a website. 
  4. Is this a local, state, or federal program? Governmental or NGO?
  5. How is this agency/organization funded?
  6. What services are provided?
  7. What are the eligibility requirements (who can benefit?)
  8. Any reflections? (e.g., the agency's needs? impact? potential role of a pediatrician?)

 

Submission

Submit as an e-mail attachment to both Course Directors, Gayani Silva and Melissa Smith-Phillips, and to ACS Coordinator, Brian Sullivan gsilva@utmb, memsmith@utmb.edu, bmsulliv@utmb.edu

Due by Tuesday 9:00 PM of Week 4

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