Goals & Objectives

For Residency, the ACGME and the ABP

Community Pediatrics:

Goals

Much like the Pediatric Advocacy rotation, this rotation will be focused on multiple site visits, meetings, reading assignments, and online modules pertaining to community pediatrics, and creating the medical home. “The American Academy of Pediatrics believes that the medical care of infants, children, and adolescents ideally should be accessible, continuous, comprehensive, family centered, coordinated, compassionate, and culturally effected, “(AAP Policy Statement). This rotation will be in conjunction with the Pediatric Advocacy rotation, but on a wider scope towards general community concerns, such as immunizations, child safety, social services, case management, and cultural competence. The goals of this rotation are to gain a population perspective when facing child health issues, to develop an appreciation for prevention and public health, to know what health resources are available and how to best work with the community and families to implement prevention and educational activities.

Objectives

Complete the Community Medicine Pretest during the rotation orientation
- Socrative , Room name is UNLVPEDS
Read the required articles before the structured educational experiences. Article/Website links are on your individualized calendar and on this website.
- Three Square Food Bank: Site Tour & SNAP discussion
  - "Supplemental Nutrition Assistance Program Participation and Child Food Security", Pediatrics, Volume 133 Number 4, April 2014.
  - Develop an understanding of SNAP and the resources available to families with food insecurity.
- Sunrise Children's Foundation: Site Tour & WIC Discussion
  - "WIC Program", Pediatrics, Volume 108 Number 5, November 2001.
  - Develop an understanding of WIC and the resources available to families with food insecurity.
- Healthy Living Institute : Car Seat Fitting & Tour of Resources, (per scheduling - Ask A Pediatrician or Daddy Bootcamp)
  - "Policy Statement--Child Passenger Safety", Pediatrics Volume 127, Number 4, April 2011.
  - Develop an understanding of how to install a car seat, how to identify & counsel safe seating.
  - Know what resources are available for families; and to be an information resource at a class
- Maternal Child Health Coalition: Postpartum Depression and Anxiety Training
  - "Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice", Pediatrics, Volume 126 Number 5. November 2010
  - Understand the role of the Pediatrician in recognition and referral of Postpartum Depression and Anxiety in the Outpatient Setting
- Nevada Early Intervention Services
  - Pre Reading - TBD
  - Understand the role and and necessity of prompt referral to Early Intervention Services
Become proficient in preparing, administering, and documenting vaccinations; learn the vaccine schedule; and, be able to give anticipatory guidance and know general contraindications.
- Complete the Pedialink Module Challenging Cases: Vaccine Hesitancy
- Complete 1-2 afternoon sessions at Lied clinic with the Medical Assistants to prepare, administer, and document vaccines
Know how to complete and document a Sports Physical and when to refer to sub-specialty care
- See Section 6 for more resources
- Provide sports physicals in an ambulatory setting.
Become proficient in anticipatory guidance of oral health (tooth eruption, oral care, fluoride use, dental emergencies)
- See Section 6 for more resources
- Attend a morning session with the UNLV Pediatrics Dental Clinic
Discuss at least 2 articles on community pediatrics with the Rotation Director during the Mid-Month evaluation
- See Section 5 for the articles, or choose two of your own to discuss related to community pediatric care.
Present an informal (no power point) 10 minute health topic with Q&A afterwards with the Family2Family Connection family resource group
Present a formal (power point) 15 minute health topic with Q&A afterwards with the Mexican Consulate (4th Thursday of the Block)
- Read these articles prior to the event: National Institute of Health: Prometora Training and Pediatrics: "The Importance of Language and Culture in Pediatric Care; Case Studies from the Latino Community"
Facilitate & Present a journal club article in on the last Tuesday of the block – follow up with Dr. Al or the Chiefs for choosing the article in the 1st week of the rotation (failure to do so will result in a concern card)
- UNLV Health Sciences Library
Complete the Community Medicine Post test during the rotation wrap-up
- Socrative , Room name is UNLVPEDS
Optional Activity: take the “Implicit Social Attitudes Test”

Child Advocacy

Goals:

The goal of the rotation is to help the resident physician understand how advocacy and legislation affect health outcomes, and to prepare them to become an advocate for children and children’s health. This will be achieved through readings, structured educational experiences, community coalitions, ambulatory clinics in underserved populations, and through advocacy training. Utilizing the advocacy topic presented during their first year, (or choosing a new topic), the resident will have already presented to a professional audience (PGY1), to the community (Community Rotation), and now will work at a legislative level with the Nevada Institute for Children’s Research and Policy and the Children’s Advocacy Alliance to understand the Legislative Process, and to write a “Letter to the Legislature” regarding their topic. As a learning exercise, using a topic that the resident physician has familiarity and passion towards, they will be able to develop their advocacy skills which can be applied throughout their career. Others topics covered during this rotation are Human Trafficking and Child Abuse. Lastly, residents will provide ambulatory care to underserved populations at a volunteer, shelter and mobile health clinic settings.

Objectives:

Complete the Child Advocacy Pretest during the rotation orientation to establish a baseline of understanding of advocacy
- Socrative , Room name is UNLVPEDS
Read through and watch required materials to understand the current state and limitations to Pediatric healthcare in Nevada and nationwide
- AAP Presentation of the Flint Water Crisis
- Various websites & articles related to site visits
Engage first-hand at site visits to develop an appreciation of the difficulties facing underserved populations, and become knowledgeable about the resources available for underserved populations and those affected by human trafficking and domestic violence and be able to offer advice and referral to patients and their families.
- 1/2 Day sessions at: The Shade Tree, Safe Nest, New Hope Foundation International, Child Haven
Learn advocacy skills and Complete a “Letter to a Legislator” AND an AAP Resolution on an advocacy topic of your choice
- Become familiar with the AAP Advocacy Website
- Attend two advocacy training session with the UNLV School of Public Health and the Children's Advocacy Alliance

American Board of Pediatrics Content Specifications:

The following sections relevant to the rotations but are not required to be completed, however please review them for your own knowledge and to help focus your studying.

ACGME Pediatric Residency Program Requirements

Residents must be provided structured educational experiences, with planned didactic and experiential opportunities for learning and methods of evaluation, which prepare them for the role of advocate for the health of children within the community.

The curriculum should include, but not be limited to, the following subjects:

- 1. Community-oriented care with focus on the health needs of all children within a community, particularly underserved populations;
  2. Culturally-effective health care;
  3. Effects on child health of common environmental toxins, such as lead, and also of potential agents used in bio-terrorism;
  4. The role of the pediatrician as a consultant to schools, in early childhood education and in child care settings;
  5. The role of the pediatrician in child advocacy, including the legislative process;
  6. The role of the pediatrician in disease and injury prevention; and,
  7. The role of pediatricians in regional emergency medical system for children, as well as their role in handling mass causalities.

These experiences should utilize settings within the community, such as community-based primary care practice settings; community health resources and organizations, including governmental and voluntary agencies (e.g. local and state public health departments, services for children with disabilities and special health care needs, Head Start, schools-including elementary school through college, day care settings, home health services, hospice, facilities for incarcerated youth, and facilities for treatment and management of substance abuse).

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