1st Semester: Pediatrics

CONTEXT

My rotation in the Pediatric department was a crucial experience that allowed me to integrate knowledge and skills while addressing unique challenges. The lectures, return demonstrations, and patient interactions guided my approach to pediatric history taking, forming primary impressions, generating differential diagnoses, reviewing vital signs, conducting general surveys, and performing physical examinations for the skin. The specific focus on pediatrics required adapting techniques I had learned for adult patients and applying them to a younger population while engaging with both children and their caregivers. As a result, the following objectives were achieved: demonstrating clinical competence (PO1), communicating effectively (PO2), and collaborating within a team (PO5). 

EXPERIENCE

Entering the Pediatric rotation was both exciting and nerve-wracking, as it was my first hands-on experience with actual patients. Unlike previous simulations or theoretical discussions, I now faced the complexities of real-life scenarios, where I had to navigate interactions with children and their mothers. The added layer of dealing with parents meant I needed to build rapport quickly, communicate clearly, and maintain professionalism at all times (PO2). This experience was unique, as working with children required patience, adaptability, and creativity to ensure cooperation during assessments. Being in a group during my first rotation provided a much-needed support system for me. We had to collaborate closely, taking turns during history-taking to ensure a logical and smooth flow of information. This teamwork minimized the risk of confusing or overwhelming the caregiver while ensuring we covered all necessary aspects of the patient’s history (PO5). I also relied on my training, including lectures and return demonstrations, to confidently approach the tasks at hand, ensuring I upheld clinical competence despite the initial challenges (PO1).

REFLECTION

First, I realize the impact of this rotation on the development of my skills and knowledge. At the beginning, I struggled with nervousness and self-doubt, especially when interacting with children who were uncooperative or crying. However, I learned to adapt my approach by using playful techniques to gain their trust and by maintaining a calm and reassuring demeanor to ease the concerns of their mothers. Second, working in a group taught me the value of collaboration in a clinical setting. As a group we quickly realized that a fragmented approach to history-taking could confuse the caregiver and lead to missing crucial information. By coordinating our efforts and assigning specific roles, we were able to gather comprehensive histories more efficiently. This teamwork not only improved our performance but also strengthened our understanding of the importance of working cohesively in a healthcare team. Lastly, I learned about the difficulties that dealing with pediatric patients can bring. Children often present unique challenges, such as their inability to articulate symptoms clearly or their reluctance to cooperate. I had to rely heavily on my knowledge and observational skills to interpret subtle signs and identify potential issues. In addition, the ability to connect with a child and their caregiver on a personal level is just as important as arriving at an accurate diagnosis.

ACTION

First, I plan to refine my communication skills by observing experienced pediatricians and incorporating their techniques into my own practice. I will also engage in role-playing exercises with peers to simulate challenging scenarios, such as dealing with anxious parents or uncooperative children. Second, to strengthen collaboration, I will actively participate in group activities and discussions where I can practice delegating tasks and working cohesively. Third, I aim to enhance my clinical competence by honing my physical examination skills through continuous practice during future rotations and seeking feedback from mentors. 

EVALUATION

Evaluating my performance during the Pediatric rotation, I am proud of the progress I made in overcoming my initial nervousness and adapting to the unique challenges of this specialty. I was able to effectively apply my knowledge and skills to real patient scenarios. My ability to communicate with both children and their caregivers also improved significantly as I gained experience, contributing to more meaningful and productive interactions. While I recognize my growth, I also acknowledge areas for improvement. My initial hesitation and reliance on group members highlighted the need for greater confidence and independence. Moving forward, I will continue to seek opportunities to enhance my skills and knowledge while embracing challenges as opportunities for growth. Overall, my Pediatric rotation was a good experience that allowed me to apply and expand my clinical skills, communication abilities, and teamwork capabilities. It reinforced my commitment to becoming a compassionate and competent physician who can adapt to the unique needs of every patient population.