Oregon Health & Science University Pediatric Residency Training Program
New Parent & Child Elective
Elective director:
Name: Megan Aylor, MD
Email: aylorm@ohsu.edu Pager: 13539
Phone: 503‐418‐5170
Office location: CDRC 3107
Elective goal:
The purpose of this elective is to help residents gain a better understanding of issues that arise for both
parents and child within the first few months of life. For residents with children, the time will allow for intensive time with a neonate, to betterunderstand day‐to‐day issues that arise in the neonatal period, as well as to study in further depth common outpatient medical issues duringthe neonatal period. For residents without children, this elective will provide insight into the life of a new parent and better prepare them toprovide anticipatory guidance to their patients and families.
Elective instructions:
To sign up for the elective:
· If this elective is to be used as part of maternity/paternity leave, let Chief Residents know as early in pregnancy as possible toschedule changes.
· This can be a call free elective.
· Continuity clinics are optional, but are mandatory for residents without children at home.
· Arrange with Mike Grubbs if you will be giving a noon conference.
At the end of the elective:
· Return any borrowed supplies – especially books and videos
· Turn in book review form, one‐page essay, multiple choice forms, and sheets from any other optional activity
· Turn in checklist
· Turn in powerpoint slides after giving a noon conference talk or copy of handout/smartphrase etc
· Fill out evaluation sheet and return materials to Megan Aylor
Elective objectives:
Medical Knowledge:
· Research will be done on the resident’s choice of a subject related to neonatology or normal newborn medicine. This research will beused to either provide a presentaion given as part of the Noon Conference Series or may be an informational handout, smarphrase etc foreither parents or providers.
· Early infant and breast feeding assessment skills will be obtained by firsthand experience as well as self‐directed reading and/or videos
· Resident will read articles on neonatal topics including: post‐partum depression, hyper‐ bilirubinemia, neonatal rashes, circumcisions andcircumcision complications, medication use during lactation, vaccination and colic
· Resident will learn various popular techniques for calming infants and addressing other common parenting concerns by completing abook review on popular parenting book of choice
Patient Care:
· Intensive time with neonate at home will replace patient care responsibilities.
· Continuity clinic is optional. If this elective is taken by a resident without a child at home, continuity clinic should be continued.
Practice‐Based Learning and Improvement:
· Residents will demonstrate self‐directed learning through the use of distributed materials and reading list
· Residents will contribute to a residency file of reviews of parenting books and videos with their book and/or video reviews
Communication Skills:
· Residents will communicate as a parent to healthcare providers for the infant. This role‐reversal will help improve resident‐parentcommunication by helping the resident to understand the role of the parent
· Residents may give a noon conference talk of 25 min duration at the end of the rotation, improving presentation skills
· Resident will study the nature of maternal infant bonding and communication patterns between a mother and/or father and theirnewborn
Professionalism:
· Resident will consider alternative empathic approaches to parents and their newborn to enhance their professionalism
· Residents will learn more about the balance of parenting in residency and with a career in medicine both through personal experience,and through articles on parenting during residency.
Systems‐Based Practice:
· Residents will develop a greater appreciation and understanding for obtaining health care for a new infant while also adjusting to being a new parent.
· Residents will become more aware of community resources available for parents, such as parenting groups, breastfeeding support, andhelp with car seat installation
· Residents may attend a parenting group, a breastfeeding group, or local classes for new parents.
Goals and Objectives
Rotations: New Parent and Child Elective
Revised: June 2016
Contact Information
Megan Aylor, MD
Location
OHSU Doernbecher Children’s Hospital
Ph 503-418-5170
FX 503-418-5337
Pediatric Residency Program Director aylorm@ohsu.edu
Goal: The purpose of this elective is to help residents gain a better understanding of issues that arise within the first few months of life. For residents with children, the time will allow for intensive time with a neonate, to better understand day-to-day issues that arise in the neonatal period, as well as to study in further depth common outpatient medical issues during the neonatal period. For residents without children, this elective will provide insight into the life of a newborn and parent and an opportunity to learn information that will be helpful when providing anticipatory guidance to the parents of newborns and infants. This elective is geared for both new mothers and fathers, but is not restricted to residents with children.
Objectives:
Medical Knowledge:
1) Research will be done on the resident’s choice of a subject related to the newborn period.
This research will be used to give a 25 min talk given as part of the Noon Conference
Series or to create new handouts for parents or residents.
2) Early infant and breast feeding assessment skills will be obtained by first hand experience as well as self-directed reading and/or videos
choice
Patient Care:
1) Intensive time with neonate at home will replace patient care responsibilities.
2) This can be a call free month
Practice-Based Learning and Improvement:
1) Residents will demonstrate self-directed learning through the use of distributed materials and reading list
2) Residents will contribute to a residency file of reviews of parenting books and videos with their book and/or video reviews
Communication Skills:
1) Residents will communicate as a parent to healthcare providers for the infant. This role- reversal will help improve resident-parent communication by helping the resident to understand the role of the parent
2) Residents who give a noon conference talk of 25 min duration at the end of the rotation,
improving presentation skills
3) Resident will study the nature of maternal infant bonding and communication patterns between a mother and her newborn
Professionalism:
1) Resident will consider alternative empathic approaches to the parents and their newborn to enhance their professionalism
residency.
Systems-Based Practice:
2) Residents will learn more about the balance of parenting in residency and with a career in medicine both through personal experience, and through articles on parenting during
3) Resident will learn various popular techniques for calming infants, and addressing common parenting concerns by completing a book review on popular parenting book of
3) Continuity clinic is optional. If this elective is taken by a resident without a child at home, continuity clinic should be continued.
1) Residents will develop a greater appreciation and understanding for obtaining health care for a new infant while also adjusting to being a new parent.
2) Residents will become more aware of community resources available for parents, such as parenting groups, breastfeeding support, and help with car seat installation
Instructions for Elective
To sign up for the elective
1. If this elective is to be used as part of maternity/paternity leave, let Megan and Chief
Residents know as early in pregnancy as possible to schedule changes.
2. This can be a call free elective.
3. Continuity clinics are optional, but are mandatory for residents without children at home.
At the end of the month:
1. Return all borrowed supplies – especially books and videos
2. Turn in book review form, one-page reflection, and sheets from any other optional activity
3. Turn in checklist from notebook
4. Turn in powerpoint slides after giving your noon conference talk
5. Fill out evaluation sheet
Supplemental Materials List:
Articles:
Parenting in Residency
2. Residency Training and Pregnancy. van Dis J. MD. JAMA. 2004;291:636.
3. Maternity Leave During Training – AMWA Position Statement
5. Female Physicians: Balancing Career and Family. G. Verlander. Academic
Psychiatry: 28:4. 2004.
6. Fathers and the Well-Child Visit. C.F. Garfield, A. Isacco. Pediatrics 2006;117;e637- e645
Suggested Books for Review
A) Books Recommended by AAP
-- available as ebook from Multnomah County Library, www.multcolib.org
2. Caring for Your Baby and Young Child Steven P. Shelov, MD, MS, Tanya
Remer Altmann, MD. American Academy Of Pediatrics. 2010.
3. Your Baby’s First Year . Steven P. Shelov, MD, MS. American Academy Of
Pediatrics. 2010.
4. Mommy Calls: Dr. Tanya Answers Parents’ Top 101 Questions About Babies and
Toddlers. Tanya Remer Altmann, MD
-- available as ebook from Multnomah County Library, www.multcolib.org
B) Popular Books
General:
1. What to Expect the First Year. Heidi Murkoff
2. The Baby Book: Everything You Need to Know About Your Baby from Birth to Age
Two. William Sears, MD, Martha Sears, RN.
3. Be Prepared: A Practical Handbook for New Dads. Gary Greenberg Jeannie
Hayden
4. The New Father: A Dad's Guide to the First Year. Armin A. Brott
Sleep and Calming:
5. The No Cry Sleep Solution: Gentle Ways to Help Your Baby Sleep Through the
Night. Elizabeth Pantley
7. The Happiest Baby on the Block: The New Way to Calm Crying and Help Your
Newborn Baby Sleep Longer. Harvey Karp, MD
-- available as ebook from Multnomah County Library, www.multcolib.org
8. Helping Your Child Sleep Through the Night Joanne Cuthbertson, Susanna
Schevill, Susie Schevill
9. The Baby Sleep Book: The Complete Guide to a Good Night's Rest for the Whole
Family William Sears, MD, Martha Sears, RN. (Sears Parenting Library).
10. On Becoming Baby Wise: Giving Your Infant the Gift of Nighttime Sleep. Gary
Ezzo, Robert Bucknam
Breastfeeding:
11. The Breastfeeding Book: Everything You Need to Know About Nursing Your Child from Birth Through Weaning William Sears MD, Martha Sears, RN.
12. Better Breastfeeding: A Mother's Guide to Feeding and Nutrition. Daina Kalnins
RD, Joyce Touw RN, Debbie Stone RN
13. Ina May’s Guide to Breastfeeding. Ina May Gaskin, MA, CPM
14. The Nursing Mother’s Companion. Kathleen Huggins, RN, MS
Caring for Premature Infants and Children with Disabilities:
15. The Premature Baby Book: Everything You Need to Know About Your Premature
Baby From Birth to Age One. William Sears, MD, Robert Sears MD, James Sears
MD, Martha Sears RN.
16. Preemies: The Essential Guide for Parents of Premature Babies. Dana Wechsler
Linden, Emma Trenti Paroli, Mia Wechsler Doron MD
17. The Preemie Primer: A Complete Guide for Parents of Premature Babies – From
Birth through the Toddler Years and Beyond. Jennifer Gunter MD
18. Babies with Down Syndrome: A New Parent’s Guide. Susan J. Skallerup
19. Cerebral Palsy: A Complete Guide for Caregiving. Freeman Miller MD, Steven J Bachrach MD
Videos
Search for parenting videos on YouTube. Some topics include:
Happiest Baby on the Block (http://www.youtube.com/user/thehappiestbaby?feature=CAQQwRs%3D) Baby Sign Language (http://www.youtube.com/watch?v=EaSaGhWKb24) Breastfeeding techniques (http://www.youtube.com/watch?v=Zln0LTkejIs) BabyWearing (http://www.youtube.com/watch?v=Tabl1-dQfjM)
Cloth Diapering (http://www.youtube.com/watch?v=gVo6SMebcX8)
Breastfeeding and returning to work (http://www.youtube.com/watch?v=FjLoEkwn7hw) Elimination communication (http://www.youtube.com/user/ECSimplified?feature=CAgQwRs%3D)
Other free online videos:
http://thegotomom.com --child development & parenting issues http://www.parenting.com/article/parenting-com-videos --child development, product reviews
http://video.kaboose.com/parenting.html -- parenting and product reviews http://tlc.discovery.com/guides/family/tlc-baby-block/parenting-101/video/video.html -- parenting
http://babyparenting.about.com/od/homeandfamily/a/videos.htm -- parenting, safety
Check out the DVD section of your local library too!
Local Exercise or Wellness Activities
Stroller Walking
Stroller Strides
http://www.strollerstrides.com/programs-locations/overview
Locations: Oregon Zoo, Jamison Square-Pearl District, Mt. Scott Community Center, Willamette
Park, Lake Oswego, Tigard
Strollersize at the Southwest Community Center http://southwestcommunitycenter.wordpress.com
Baby Boot Camp
Beaverton: http://www.babybootcamp.com/or-beaverton1.aspx 503-780-9235
Hillsboro: http://www.babybootcamp.com/OR-Hillsboro.aspx 503-539-1603
Tigard: http://www.babybootcamp.com/or-portland-south.aspx 503-593-9692
East Portland: http://www.babybootcamp.com/or-portland-east.aspx 503-830-1009
Infant and mommy yoga
503-922-3100
Library and Language Activities
Book Babies
http://multcolib.org/events/storytime.html
For babies 0-12 months and caregivers
Babies Need Early Literacy, Too: A Play and Learn Workshop
http://www.beavertonlibrary.org
503-350-3600
For babies 0-12 months and caregivers
Libraryland for New Parents
http://www.beavertonlibrary.org
503-350-3600
For babies 0-12 months and caregivers
Literacy Launch Pad at Milagros
http://milagrosboutique.com/events
Building literacy skills in preschool-age children with Down syndrome
Spanish Baby Time PDX http://www.meetup.com/Spanish-BabyTime-PDX Intended to expose babies to a second language
Tiny Talkers Baby Signing Workshop
503-754-8776
Local Parenting Classes
OHSU
Breastfeeding Basics, Newborn Care, Infant Safety and CPR, Baby Brain Food: Cooking Class, http://www.ohsu.edu/xd/health/services/women/services/pregnancy-and-childbirth/childbirth- classes/index.cfm
Milagros Boutique
503-493-4141
Mindful Parenting PDX
http://mindfulparentingpdx.blogspot.com/
207-409-9419
Local Support Groups
There are a lot!
http://www.metro-parent.com/pse_parent_support_groups
Some specific groups:
OHSU New Moms Group
http://www.ohsu.edu/xd/health/services/women/services/pregnancy-and-childbirth/for-new-moms- and-babies/new-moms-group.cfm
Free for moms who delivered at OHSU
Postpartum Depression
Group Support for Depression and Anxiety in Pregnancy and Postpartum (Baby Blues
Connection): 866-616-3752 http://www.babybluesconnection.org/bbc/finding-help/bbc-groups
At Zenana Spa & Wellness Center, Pod + Kin, Munchkin Playland, Sante Mama, Eastrose
Fellowship Unitarian Universalist Church
Older Moms
Motherhood Later…Wiser Mothers Over 35
Multiples
Full House MOMs and Dads – For families of twins, triplets and higher order multiples http://www.fullhousemoms.com
Adoption
Adoptive Family Support Groups in Oregon
http://www.adoptivefamilies.com/support-group-results.php?action=results&state=OR&country=D
Special Needs
Autism
Autism Oregon http://autismoregon.org/support_groups
NICU
Precious Beginnings: Parents Supporting Parents of Critically Ill Newborns http://www.precious-beginnings.org
(503) 244-3350
Bereavement
Compassionate Friends – For parents who have lost children http://www.tcfportland.org
Brief Encounters – For parents who have lost babies before, after or during birth http://www.briefencounters.org/bewp
(503) 699-8006
Breastfeeding sites for support, extra visits or supplies
OHSU Center for Women’s Health http://www.ohsu.edu/xd/health/services/women/services/pregnancy-and-childbirth/for-new-moms- and-babies/lactation.cfm
503 494-9397
Breastfeeding classes and consultations
Consultation and support groups
503-762-1632
503-681-1336
Free telephone advice and (bilingual) breastfeeding support group
503-282-3338
Free telephone advice, breastfeeding support and classes
503-215-6085
971-673-0040
WIC Clinic and State Programs, information for employers and employees about pumping in the workplace and laws regarding breastfeeding
Sante Mama (Vancouver, WA)
http://www.santemama.com/classroom/breastfeeding_support
360-253-BABY
Breastfeeding Support Group
Internet Information and Support Groups
MomMD
Blogs and conversation threads on different issues for physicians in medicine.
Pregnancy and newborn care with forums
Pregnancy and newborn care with forums
Preemie information and forums
Yoga Shala, Mom and Baby Yoga http://www.ombase.org/
Offered by the Multnomah County Libraries at Albina, Belmont, Central, Gregory Heights, Gresham, Holgate, Hollywood, Kenton, Midland, North Portland, Northwest, Sellwood-Moreland, St. Johns, and Woodstock
Babywearing, Cloth Diapering, Breastfeeding http://milagrosboutique.com/events/
Greater Portland Moms of Multiples Club http://www.gpmomc.org
Parents of Special Needs Kids http://spclneedsparents.meetup.com/members/us/or/Portland
Portland Aspergers Network http://www.aspergersnet.org/parent_support_group_meetings
Located at Legacy Emanuel and OHSU. Offers parents a “Parent Buddy” whose child was previously in the NICU; holds “Baja Night” with free food for parents
Nursing Mothers Counsel of Oregon http://www.nursingmotherscounsel.org
Providence Portland Breastfeeding Centers and Lactation Clinics http://oregon.providence.org/patients/programs/providence-breastfeeding- centers/Pages/default.aspx
WIC of Oregon http://public.health.oregon.gov/HealthyPeopleFamilies/wic/Pages/countyinfo.aspxhttp://public.health.oregon.gov/HealthyPeopleFamilies/Babies/Breastfeeding/Pages/index.aspx
Nationwide internet resource site with blogs and active conversations, and a physicians-only section.
Mothers in Medicine http://www.mothersinmedicine.com
Parents.com http://www.parents.com/baby/care Information on newborn and child care
Baby Center http://www.babycenter.com
BabyZone http://www.babyzone.com
Prematurity.org – Preemie Baby, Preemie Child http://www.prematurity.org
Anti-Vaccination Sites http://www.fourteenstudies.org http://vaccineriskawareness.com/http://www.healingwell.com/library/health/thompson2.asp
http://www.ihealthtube.com/aspx/viewvideo.aspx?v=cdb4aebad51f3a11 http://www.generationrescue.org/resources/vaccination/
Anti-Fluoridation http://www.fluoridealert.org/articles/50-reasons/ http://www.just-think-it.com/f-facts.htm
OHSU Employee Lactation Support http://ozone.ohsu.edu/hr/resources/breastfeeding.shtml Information about pumping after returning to work OHSU Lactation Room Coordinator: (503) 494-9434
La Leche League, Portland http://dev.lllusa.org/web/PortlandOR.html in NW/NE or SE Portland
Birthingway College of Midwifery’s Breastfeeding Center http://www.birthingwaybreastfeedingcenter.org/
Offers free telephone advice, free one-hour consultations with a certified lactation consultant, and breastfeeding support groups
Tuality Healthcare Lactation Services (CRADLES clinic) http://www.tuality.org/home/index.php/womens_health/birth_center/http://www.tuality.org/home/index.php/events/breastfeeding/
4. Arrange with residency coordinators when you will be giving your noon conference. This is half a noon conference, and can be shared with other residents doing the elective. It needs to be given within 3 months of the elective.
1. Juggling Work and Breastfeeding: Effects of Maternity Leave and Occupational Characteristics. Guendelman S. Lang Kosa J, Pearl M, Graham S, Goodman J, Kharrazi M. Pediatrics. 2009. 123 e38-46.
4. The Impact of Parental Leave on Extending Training and Entering the Board Certification Examination Process: A Specialty-Based Comparison. Rose SH, Burkle CM; Elliott BA, Koenig LF. Mayo Clin Proc. 2006;81(11):1449-1453
6. Sleeping Through the Night: How Infants, Toddlers and their Parents Can Get A Good Night’s Sleep. Jodi Mindell
1. Heading Home with Your Newborn: From Birth to Reality. Laura A. Jana MD, Jennifer Shu MD, American Academy Of Pediatrics. 2005.
Metro Parent - http://www.metro-parent.com/calendars Red Tricycle - http://www.redtri.com/portland-kids UrbanMamas - http://www.urbanmamas.com
End of Rotation Checklist:
Note: Must have done 10 activities, 6 core and 4 elective
Items with a * have an attached form
Required:
Attend 4 day check-up. Date
Attend 2 week check-up. Date
Read parenting book and complete book review*
Write a one-page reflection on: how being a parent affects your relationships with the parents of patients and your vision of yourself as a pediatrician (if you are a new parent) or how not being a parent affects your relationships with the parents of patients and how knowledge from this rotation may help that relationship
Visit a Child Care facility and complete the review.
Give noon conference on topic of choice and turn in copy of slides or create a handout/smartphrase etc for either parents or residents that provides helpful insight into parenting a newborn
Optional:
Visit to the Safety Center for car seat installation
Attend parenting group*
Videos: See Supplemental materials for a list of possible options*
Exercise or wellness activity with infant: See Supplemental materials for a list of local options
Library or language development activity with infant: See Supplemental materials for a list of local options
Read internet parenting sites. Include at least one anti-vaccination or anti-fluoridation site. See Supplemental materials for recommended sites.
Babies R’ Us Equipment inspection*
Visit parenting/breastfeeding specialty store
Meet with another resident and a faculty who already have children to discuss return to work and other experiences. Resident: Faculty:
Book Review
Title:
Did you find this book helpful? How?
Did you feel that the medical advice was sound, and grounded in evidence?
Did you disagree with any recommendations made?
Was the book easy to read while tired?
What tips did you feel were most helpful?
Would you recommend this book to new parents in your clinic?
Parenting Class Review
Class & Location:
Did you find this class helpful?
Did you feel that the medical advice was sound, and grounded in evidence?
Did you disagree with any recommendations made?
What tips did you feel were most helpful?
Would you recommend this class to new parents in your clinic?
Video Review
Title:
Did you find this video helpful?
Did you feel that the medical advice was sound, and grounded in evidence?
Did you disagree with any recommendations made?
Was the video easy to watch while tired?
What tips did you feel were most helpful?
Would you recommend this Video to new parents in your clinic?
Babies R’ US items to examine
Write down any concerns you have in looking at the product, and if you think it appears to be useful.
Boppy
Bumbo Chairs
Bouncy chairs/Walker
Household safety items: gates, door knob covers. Etc
Bath water temperature devices
Thermometers
Types of Bottles:
Baby Monitors:
Crib wedge cushions
Advanced breastfeeding: talk to a lactation specialist, attend a La Leche League meeting or join a breastfeeding class
Infant sleeper (for the bed, not clothing)
Child Care Facility Review
Name of facility:
Is the facility licensed? By whom?
Hours of care:
Cost for infant care:
Cost for toddler care:
Cost for late pickup or early drop off: Ratio of care providers for infants: Ratio of careproviders for toddlers:
Are all staff trained in infant/child CPR and First Aid?
Restrictions for attendance (e.g. fever, illness etc):
What kind of training/background do the care providers have?
Course Evaluation
Name_ (optional) Date (optional) What expectations did you have for thiselective?
Did the course meet these expectations? What are the strong points of this elective? What could be improved in this elective?
Did you find the multi-media offerings useful?
Further Comments: