Core Clerkship Learning Objectives

Professionalism

The student will demonstrate commitment to scholarly excellence with continued self-assessment, growth of knowledge and skills, and dedication to patient care. Students will treat others with respect and dignity.

Objectives:

  1. Demonstrate behaviors that respect the patient’s modesty, privacy, and confidentiality. (PR01)
  2. Describe the practical applications of the major ethical principles (i.e. justice, beneficence, non-malfeasance, and respect for autonomy. (PR03)
  3. Demonstrate respect for the patient, parent, and family attitudes, behaviors, and lifestyles, paying particular attention to cultural, ethnic, and socio-economic influences. This includes seeking to elicit and incorporate the patient’s, parent’s and family’s attitudes into the health care plan. (ICS02, PR06)
  4. Demonstrate collegiality and respect for all members of the health care team. (PR01)
  5. Demonstrate a positive attitude and regard for education by demonstrating intellectual curiosity, initiative, honesty, responsibility, dedication to being prepared, maturity in soliciting, accepting, and acting on feedback, flexibility when differences of opinion arise, and reliability (including completing all assignments with honesty). (PLB01, PR05)
  6. Describe the impact of stress, fatigue, and personality differences on learning and performance. (PR05, SBP02)

     

Patient Care

The student will be able to evaluate and manage infants, children, and adolescents in both the inpatient and outpatient setting.

Objectives:

  1. Demonstrate an ability to generate an age-appropriate differential diagnosis and problem list based on the interview and physical examination. (PC01, PC02)
  2. Conduct a pediatric examination appropriate to the nature of the visit or complaint and the age of the patient, using both observational and hands-on examination skills. (PC01)
  3. Describe the components of a health supervision visit, including health promotion and disease and injury prevention, the appropriate use of screening tools, and immunizations. (PC04)
  4. Describe the rationale for childhood immunizations. (PC02, PC04, PC05)
  5. Define anticipatory guidance and how it changes based on the age of the child. (PC04, PC05)

     

Medical Knowledge

The student will demonstrate understanding of the clinical presentation, basic physiology, evaluation, and management of the well child, the acutely ill child, and the child with chronic disease.

Objectives:

Growth

  1. Describe normal and abnormal growth in children based on the family growth history and the child’s growth patterns as seen on a growth chart. (MK01, MK03)
  2. Demonstrate ability to measure and assess growth including height/length, weight, and head circumference and body mass index in patient encounters using standard growth charts (e.g. identify normal growth, failure to thrive, overweight/obesity, and micro/macrocephaly). (MK01, MK03)

Nutrition

  1. Recognize the advantages of breastfeeding as well as the common difficulties experienced by breastfeeding mothers. (MK01, MK04)
  2. Identify children with specific or special nutritional needs (e.g. patients with chronic illness, prematurity, or abnormal growth patterns). (MK02, MK03, MK04)
  3. Describe nutritional factors that contribute to the development of childhood obesity and to failure to thrive. (MK03)

Development

  1. Describe the four developmental domains of childhood (gross motor, fine motor, language, and social development) (MK01)
  2. Demonstrate an ability to assess psychosocial, language, physical maturation, and motor development in infants, toddlers, school age children, and adolescents (milestones, Tanner staging, SHADESSS). (MK01, MK02)

Acute Pediatric Illness

  1. List the age appropriate differential diagnosis and initial diagnostic and therapeutic plan for the following common pediatrics symptoms, physical findings, and laboratory findings (MK02, MK03, PC02):

Symptoms

  • Abdominal pain
  • Cough and/or wheeze
  • Diarrhea
  • Fever and rash
  • Fever without a source
  • Headache
  • Lethargy or irritability
  • Limp or extremity pain
  • Otalgia
  • Rash
  • Rhinorrhea
  • Seizures
  • Sore throat
  • Vomiting

 Physical Exam Findings

  • Abdominal mass
  • Bruising
  • Heart murmur
  • Hepatomegaly
  • Lymphadenopathy
  • Petechia and/or purpura
  • Splenomegaly
  • Red or wandering eye
  • White pupillary reflex

Laboratory Findings

  • Anemia
  • Hematuria/Proteinuria
  • Electrolyte abnormalities

 

Chronic Illness and Disability

  1. Describe the clinical features of chronical medical conditions seen in children such as (MK02, MK03):
  • Asthma
  • Atopic dermatitis
  • Cerebral palsy
  • Cystic fibrosis
  • Diabetes mellitus
  • Epilepsy
  • Malignancy (e.g. acute lymphocytic leukemia and Wilms Tumor)
  • Obesity
  • Seasonal allergies
  • Sickle cell disease
  1. Describe how chronic illness can influence a child’s growth and development, educational achievement, and psychosocial functioning. (MK02, MK03, MK04):
  2. Describe the impact of a patient’s culture on the understanding, reaction to, and management of a chronic illness. (SBP01)

     

Practice-Based Learning and Improvement

The student will develop life-long learning skills used for improving patient care and fostering continued professional growth and development.

Objectives:

  1. Search for relevant information using electronic or other resources and critically appraise the information obtained to make evidence based decisions. (PBL02)
  2. Demonstrates an initiative in seeking and applying new knowledge in the clinical setting. (PBL01)
  3. Develops a reading/study plan that will work in the clinical setting. (PBL01, PR05)
  4. Responds to constructive feedback and suggestions for improvement over the course of the clerkship. (PR01, PR05)

     

Interpersonal and Communication Skills

The student will continue to develop effective interpersonal and communication skills needed to establish and maintain professional relationships with patients, families, colleagues, and other members of the health care team.

Objectives:

  1. Conduct an effective interview by adapting the interview to the visit (e.g. new patient visit, acute care, health supervision and inpatient evaluation). (PC01, ICS02)
  2. Demonstrate effective verbal and non-verbal communication skills with patients and families that convey respect, integrity, flexibility, sensitivity, and compassion. (ICS02, PR06)
  3. Correctly identify the need for and use of an interpreter in specific patient-physician interactions. (ICS02, SBP01 )
  4. Demonstrate effective verbal and written communication with the health care team, including well-organized oral presentations and complete and accurate patient notes. (ICS01, ICS03)

     

Systems Based Practice

The student will develop an understanding of how health care is delivered in both the hospital and clinic settings, as well as resources available and the limitations encountered when caring for patients.

Objectives:

  1. Works as an effective member of the health care team, demonstrating reliability, initiative, organization, and helpfulness. (ICS02, SBP03, PR01, PR02)
  2. Gains an understanding of interdisciplinary coordination and planning required when transitioning patients from the inpatient to outpatient setting. (SBP03)
  3. Acts as the patient’s advocate. (ICS02, SBP01)