Embedded Files
Supervision:
Supervision:
Please refer to the Resident Handbook for the "Resident Supervision Policy" for more information. Briefly summarized: for residents 12-18 months in their training, all patients must be discussed with the Rotation Director, and if s/he is not available, then the Associate Program Director or a Lied Attending; residents; >18 months of training only have to discuss complex cases, or cases requiring a higher level of care.
Pre-Reading:
Pre-Reading:
Please read these articles from Pediatrics in preparation before starting the rotation: "The Pediatrician's Role in Community Pediatrics" , and from Bright Futures: "Promoting Lifelong Health for Families and Communities ".
Section 1: Structured Educational Experiences
Section 1: Structured Educational Experiences
During the rotation residents will be visiting several sites that will help in having a better appreciation and understanding of the services provided. Residents are required to read the article pertinent to each location prior to attending the tour and discussion.
In general for all experiences, residents are required to (1) confirm their time and location 1-2 days prior, (2) read any applicable articles/websites/handouts, (3) attend the session/experience on time as this will be reflected upon in professionalism. *links here may be a little outdated vs the calendar, please treat the calendar as the most up to date resource.
Three Square Food Bank: Residents to volunteer at a food distribution event during their rotation
"Supplemental Nutrition Assistance Program Participation and Child Food Security", Pediatrics, Volume 133 Number 4, April 2014.
Sunrise Children's Foundation: Residents to read about WIC, tour the site, possibly sit in on intakes and speak with contact person on WIC services.
"WIC Program", Pediatrics, Volume 108 Number 5, November 2001.
Healthy Living Institute: Residents are assigned a reading on car seat safety and will attend a car seat fitting/information session. Residents then tour the HLI to learn about classes and other resources provided. If available for the month/block, the resident should participate as a health advisor in classes such as “Ask A Pediatrician” (any resident) and “Daddy Bootcamp” (male residents only), where they can provide anticipatory guidance to new parents.
"Policy Statement--Child Passenger Safety", Pediatrics Volume 127, Number 4, April 2011.
Nevada Maternal Child Health Coalition: Residents are assigned a reading on Postpartum Depression and will attend a training session on how to better identify and address this issue in the primary care setting. You may be invited to a meeting or other special event with this organization if it aligns with your rotation.
"Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice", Pediatrics, Volume 126 Number 5. November 2010
Nevada Parents Empowering Parents (PEP): Residents will further their knowledge of the Medical home by meeting with an organization that provides information, services and training to Nevada families of children with disabilities, including those who are at risk or who have serious emotional disturbances and their service providers.
Nevada Childhood Lead Poisoning Prevention Program: Residents will to review current literature and discuss Lead poisoning prevention strategies and screening with a local advocacy group.
Three Square Food Bank: Residents to read about the program known as SNAP, then speak with contact person. (Site tour on hold)
"Supplemental Nutrition Assistance Program Participation and Child Food Security", Pediatrics, Volume 133 Number 4, April 2014.
On Hold:
UMC Pediatric Case Management: Residents will read about Care Management and spend a day with the UMC Pediatric Case Management to learn their duties, responsibilities and limitations.
Ventanillas de Salud - Monthly Community Health Outreach to the Hispanic community.
Section 2: Fact Sheets and Statistics
Section 2: Fact Sheets and Statistics
Included in this section is a selection of fact sheets and statistics from various sources to assist in understanding the many programs designed to help families with minimal or no resources. This is by no means a comprehensive resource but is useful starting point for the education of providers and families, as well as for research and grants.
Section 3: School Based Health Centers
Section 3: School Based Health Centers
We have a unique partnership with Clark County School District that gives us the opportunity to provide health care for students who are under/uninsured and in the school setting. Please read this PROTOCOL before going and use it to guide you while there.
Section 4: Cultural Humility
Section 4: Cultural Humility
ON HOLD
During this rotation you will be learning about how to apply lessons of cultural competency through two unique experiences with the Nevada Mexican Consulate and the organization called Ventanillas De Salud/REACH which both promote health education and outreach for the Mexican and greater Latino/a community of Las Vegas. You will participate in two activities: Sabatinos (a 15 minute health presentation) and Prometoras (a mobile health van outreach) with Dr. Rodriguez-Solares.
Please Read the following articles before your activity to have a better understanding of Cultural Competency and the Prometoras Program:
Section 5: Mid-Month Discussion
Section 5: Mid-Month Discussion
Option 1: Community Article Discussion
Option 1: Community Article Discussion
In addition to the articles from each section ("SBHC as Medical Homes" and "The Importance of Language and Culture In Pediatric Practice"), read at least two of the articles below, OR find one of your own (relating to community pediatrics) , and be prepared for a "mini journal club" with the Rotation Director which will occur during the Mid-Month evaluation. As you read through the articles, think of how they apply to the rotations, your career, and how will improve your understanding of the impact of community and social environment on healthcare.
Option 2: APA US Child Poverty Discussion
Option 2: APA US Child Poverty Discussion
The Academic Pediatric Association (APA) Task Force on Child Poverty convened the Education Subcommittee to develop educational tools to promote understanding of the impact of poverty and other social determinants of health on child well-being over the life course and across generations. Your task is to pick ONE of the modules, print and complete the Prework Packet for that module. Modules Include: (1) The Epidemiology of Childhood Poverty, (2) The Social Determinants of Health , (3) The Biomedical Influences of Poverty, (5) Medicaid. Module (4) Taking Action to Address Child Poverty will be assigned during the advocacy rotation.
Section 6: Clinical Skills
Section 6: Clinical Skills
During this rotation you will be expected to become proficient in clinical skills which are often utilized in Community Outreach events. In addition to public speaking skills to improve health literacy and networking with community organizations, clinical skills such as vaccine administration and conducting a sports physical should be well understood and with full competence, and also how to counsel properly regarding oral health. To help with these skills you will be shadowing medical assistants at the Lied clinic and will be doing sports physicals in the school settings, and shadowing at the UNLV Pediatric Dental Clinic. Please see the CLINIC PAGE for clinic specific requirements
ABP Content Specifications for guidance with on your areas of focus: Preventative Pediatrics, Oral Health, Sports Medicine
Immunizations:
Immunizations:
You will be responsible for obtaining consent, locating, preparing, administering and documenting vaccines
Helpful Materials:
Required Module: PediaLink Course: Vaccine Hesitancy
Sports Physicals:
Sports Physicals:
You will be expected to know how to conduct a sports physical and when to refer to outside services for clearance.
NV Interscholastic Activities Association
Sports Physical Forms (scroll down)
User: unsomped
Password: kidsdoc
ABP Content Specifications: Sports Medicine
Oral Health
Oral Health
You will be expected to know how to appropriately counsel families on oral health (tooth eruption, fluoride, special needs etc), dental traumas (avulsions, trauma, fractures), and procedures with anesthesia.
Smiles for Life Oral Health Modules - required for the rotation and prior to your Peds Dentistry session
AAP Oral Health Guide (please read)
ABP Content Specifications: Oral Health
Section 7: Online Modules
Section 7: Online Modules
Should these online modules be assigned to you on a certain day, please have them completed that day and take a screenshot to send to the rotation director. These are through the AAP Pedialink shop (which you will need to be logged in through your AAP Account). Once on the Course Page, click Register, then click on your Cart in the Top Right Corner, then Place Order. You will then go to your Digital Library and My Continuing Education to find the Course.
Parents often have questions and concerns about vaccines and they look to pediatricians and other medical professionals for answers. Yet 87% of physicians have encountered parents who have refused a vaccine for their child. How can you better understand and address common parental concerns?
This course provides strategies to promote vaccine confidence in vaccine-hesitant parents in a time efficient but effective manner, including case studies on infant vaccination and MMR vaccination.
Smiles for Life Oral Health Modules - required for the rotation and prior to your Peds Dentistry session
Smiles for Life Oral Health Modules - required for the rotation and prior to your Peds Dentistry session
This course addresses the nature, prevalence, and consequences of oral disease throughout the life cycle with a focus on correlations between oral and systemic health. Clinicians will learn their role in preventing oral disease, addressing frequently encountered oral problems, and working as part of an interprofessional team to promote oral health among their patients.
This course addresses the prevalence, etiology, and consequences of early childhood caries (ECC). Clinicians will learn to assess risk factors, recognize the various stages of ECC, and counsel patients on preventive techniques. Additionally, this module will discuss common oral developmental issues in children such as teething, eruption hematomas, and non-nutritive sucking.
This course focuses on caries prevention. It offers a brief review of Early Childhood Caries (ECC) and address how the use of fluoride is part of a comprehensive approach to a child's oral health. Specifically, clinicians will learn the benefits, appropriate safety precautions, and dosing for fluoride, as well as how to apply fluoride varnish and provide follow-up care.
Section 8: Prevent Child Abuse Nevada Virtual Sessions
Section 8: Prevent Child Abuse Nevada Virtual Sessions
PCANV continues to offer free online training sessions for you to participate and help with discussions. The audience includes parents, providers, and community members during this month. All training sessions are 1 hour and 30 minutes long with Q & A throughout the presentation. More information about the sessions here.
Toxic Stress and High Risk Behaviors
Toxic Stress and High Risk Behaviors
Target Audience: Providers, first responders, community members.
Description: Living in stressful environments can negatively affect an individual’s emotional, social, and physical development. Through this training, attendees will be provided with an overview of how stress can affect brain development, will learn how these changes in the brain may lead to the adoption of high risk behaviors.
Triple P: The Power of Positive Parenting
Triple P: The Power of Positive Parenting
Target Audience: Parents and caretakers. Providers and community members welcome!
Description: This seminar introduces the five key principles of positive parenting: Ensuring a safe engaging environment, creating a positive learning environment, using assertive discipline, having reasonable expectations, and looking after yourself as a parent.
Triple P: Raising Confident, Competent Children
Triple P: Raising Confident, Competent Children
Target Audience: Parents and caretakers. Providers and community members welcome!
Description: In this seminar, parents are introduced to six core building blocks for children to become confident and successful at school and beyond.
Triple P: Raising Resilient Children
Triple P: Raising Resilient Children
Target Audience: Parents and caretakers. Providers and community members welcome!
Description: Parents are introduced to six core building blocks for children to manage their feelings and become resilient in dealing with life stress.
Section 9: Advocacy Topic Poster
Section 9: Advocacy Topic Poster
As a follow up from your first year's advocacy topic, you will create a poster that will eventually be displayed in public spaces such as UMC hallways and the Monitor next to the elevator at the Lied Building. You will use the CDC's Simply Put Guide or the UM Presentation - Designing Effective Posters to Promote a Health Campaign to help you create this Vertical (Portrait Style), poster/infographic. The first draft is due at your mid-month, and final draft due by the end of the rotation.
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