Pediatric Resident Goals and Expectations 

Goals: 

• • To be mostly an acute care resident seeing sick patients, walk-ins, & newborn babies (first outpatient visit). 

    • • Your schedule will ideally be limited to a maximum of 2-3 well-child checks per half day. 

      • Exceptions: Newborn babies and your continuity patients do NOT count toward this total, and you will have your own continuity clinic (scheduled in New Innovations) one half-day each week.

  • You will spend at least one week as the “same-day resident” prioritizing sick patients and walk-ins. 

  • To improve your outpatient procedure skills (e.g. urine catheterization, vaccine administration, throat cultures, vaginal swabs, cerumen disimpaction, circumcisions, fluoride varnish application, TCB measurements, tympanometry, etc.); many of which are required by the ACGME to be logged in New Innovations. 

  • To gain appreciation for the business model of outpatient pediatrics (e.g. clinic finances and patient flow).

  • To understand the principles of value-based health care.  

  • To enhance your teaching and precepting skills.

  • To improve your telephone medicine skills. 

Expectations: 

• • You are professional. Hours: 8:00 AM-5:00 PM M, Tu, W, F and 1:15 PM-5:00 PM on Th. 

    • Your first patients are booked at 7:40 AM and 12:40 PM. Exceptions: 

      • • Clinic on W & Th or after Grand Rounds starts at 1:15 PM to accommodate previous the teaching session. 

        • Clinic on the last Friday of each block starts at 8:30 AM to accommodate critical care conference. 

        • Thursday mornings are free prior to didactics to complete your experience checklist activities. o 

    • Dress code is business casual (unless you have a night call where you can wear scrubs and white coat). - 

  • You fully function as a comprehensive outpatient physician by: 

    • Following up on any labs or studies ordered on your patients and calling them back promptly to deliver results (with phone note recorded in EMR and forwarded to appropriate attending).

    • Bringing concerning patients back to follow-up with you on your schedule or calling them to see how they are doing (document any phone conversations in the EMR). 

    • You serve 1 week as the "same day physician" where you will see primarily walk-ins (well child checks in only specific cases), and assist with any residents or attendings schedules.  

• • • • The patient cap appropriate to your training level will still apply on these days.

      • Your continuity clinic day will still be preserved during these week and will run as per usual.

• • You improve your EMR skills (Ask for help!!): 

    • All meds should be prescribed through the EMR (ideally electronically except for CS) but under your  attending’s name. Any handwritten meds must still be entered into EMR as “historical” information. 

    • All billing orders, labs, and radiologic studies should be ordered through the EMR under attending name. - You improve your outpatient coding/billing skills (Ask for help!!!). 

  • You improve your efficiency (Ask for help and strategies!).

    • You complete all medical records within 48 business hours as per UNLV/residency policy.  

  • You serve as a medical educator to students, residents, and attendings. 

    • The medical students and family medicine resident will mostly see patients off of monthly resident and attending schedules with a goal to maximize patient flow while balancing education. 

    • 2nd & 3rd year residents are encouraged to precept students, edit their notes, and provide feedback. 

    • 2nd and 3rd year monthly residents are EXPECTED to serve as educators to the medical students. They  should see your patients and you are expected to precept and teach them if your schedule allows (otherwise they will precept directly to attendings if you are running behind). When precepting be sure to have an attending observe to provide feedback (and eventually sign off on the note and billing). 

    • 2nd and 3rd year monthly residents will be directly evaluated on your interaction with, teaching of, precepting  to, and providing feedback for medical students.

    • 3rd year residents MUST complete two structured clinical observations (SCO’s) for all students during your monthly rotation. You will also have a first year UNLV student shadowing you on Tuesday mornings. 

    • You complete the “experience checklist” appropriate for your training level. 

    • You communicate your rotation goals to attendings so we can personalize and maximize your experience. 

    • You prepare for and attend one weekly continuity clinic curriculum session (ideally 8:00 AM Mondays or  on your continuity clinic half-day). You do NOT have to attend any others unless you want to hear another perspective.  All monthly residents are expected to facilitate at least one continuity clinic curriculum discussion. --- see CCC for the new schedule & protocol

  • You complete and present an Advocacy Topic to your peers

    • In the 3rd or 4th week of the rotation you are expected to present on an advocacy topic of your choice with the assistance of Dr. Simangan

    • For more details please check the Advocacy page.

FYI: 

• • If you fall behind, please speak up and ask for help

  • If you are too ill to attend clinic, please notify the chiefs, Dr. Savarese, Nubia Guerrero, and a clinic  precepting attending per protocol. Please also text or call attendings about any tardiness. 

  • All requests for clinic time off must go through the chiefs and require 30 days notice. 

  • For evaluation, you will be provided real-time feedback, mid-rotation feedback, as well as a final formal evaluation submitted. Your final evaluation is contingent on completing the rotation requirements listed above. 

Rotation Specific Resources:

• AAP Institute for Healthy Childhood Weight: Obesity Modules

• Mt. Sinai: Keystones of Development Curriculum

Goals and Expectations Documents:

Structured Clinical Observation (SCO) Google Form for history and physical 

Structured Clinical Observation (SCO) Google Form for Observed Encounter and Oral Presentation 

Family medicine AMBULATORY Resident rotation:

Protocol

Schedule

• Clinic starts at 8am every day, including Thursdays (you are not to go to the Pediatrics Didactics sessions during this rotation)

  • Please attend Wednesday noon conferences (12-1) if possible

• Once a week you will participate in the Continuity Clinic Curriculum session (click here for more information)

• Please see the Clinic Day to Day Operations for more information on what needs to be done (e.g. virtual/real flags, obtaining patients, etc)

Expectations

• Be proactive about seeing patients. Typically, you will not have patients scheduled but are expected to actively seek patients by asking attendings and residents if you can see a patient on their schedule.

• You may "take" a patient from anyone's schedule (attendings, residents, patient pool), BUT you are not required to staff that patient with the specific attending unless the patient requests it, or the provider has history with that patient & family (see past notes)

• Try to see as much of a variety of patients as possible: well visits (of all ages), acute visits, ADHD visits, hospital follow ups ,etc.

• Try to learn and do as many procedures as possible such as administering vaccines, applying fluoride, etc.

• See AAFP - Recommended Curriculum Guidelines for Family Medicine Residents Care of Infants and Children