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Curriculum > Year 2

Curriculum - Year 2

YEAR 2

Newborn - Pediatrics: The goal of this 2-week rotation is to develop an approach to evaluation of the newborn.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation, including the use of prenatal and perinatal history to assist in appropriate evaluation of the newborn;	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination of the newborn including evaluation of physical maturity using appropriate scales;	Inpatient TJUH nursery, labor and delivery	Medical Knowledge Patient Care Interpersonal and Communication Skills
Recognize and initiate treatment of common problems arising in the newborn period including but not limited to jaundice/hyperbilirubinemia, sepsis, hypoglycemia, trauma (cephalohematoma, clavicular fracture), withdrawal from maternally ingested substances, apnea, congenital abnormalities;	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions. Selected readings: a. Emmett, Gary. Field Guide to the Normal Newborn. 2004	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient, including instructions to parents of newborns regarding immediate newborn care as well as anticipatory guidance;	Inpatient TJUH nursery, labor and delivery	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Assist in and develop an approach to assessment and stabilization of the newborn including applying the APGAR scale;	Inpatient TJUH nursery, labor and delivery	Medical Knowledge Patient Care
Counsel patients about the issues involved in circumcision of newborn males.	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Medical Knowledge Patient Care
Monitor infants through the delivery of appropriate immunization and other preventive therapies;	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Medical Knowledge Patient Care
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	Inpatient TJUH nursery, labor and delivery, inpatient rounds, informal discussions	Patient Care Systems based Practice Professionalism

Outpatient Pediatrics: The goal of this four-week rotation is to gain experience and expertise in managing routine outpatient pediatric problems.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	Jefferson Pediatrics Practice	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a thorough history and physical on children including age appropriate screening	Jefferson Pediatrics Practice	Medical Knowledge Patient Care Interpersonal and Communication Skills
Address age appropriate health maintenance issues for children	Jefferson Pediatrics Practice	Medical Knowledge Patient Care
Understand the complexities of the current immunization schedule.	Jefferson Pediatrics Practice	Medical Knowledge Patient Care
Diagnose and treat common outpatient pediatric problems including but not limited to: -otitis media -rashes -failure to thrive and obesity -urinary tract infections -asthma and bronchiolitis -behavioral issues -developmental delay.	Jefferson Pediatrics Practice Selected readings: a. Brindis CD, Morrealle MC, English A. "The unique health care needs of adolescents" www.futureofchildren.org 13(1) (http://www.futureofchildren.org/pubs-info2825/pubs-info_show.htm?doc_id=161387) b. McManus, R. Patrick. "Adolescent Care: Reducing Risk and Promoting Resilience." In Primary Care: Clinics in Office Practice. 29 (2002) 1-13.	Medical Knowledge Patient Care
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	Jefferson Pediatrics Practice	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	Jefferson Pediatrics Practice	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	Jefferson Pediatrics Practice	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	Jefferson Pediatrics Practice	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	Jefferson Pediatrics Practice	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	Jefferson Pediatrics Practice	Patient Care Systems based Practice Professionalism

Obstetrics: The obstetrics experience in the second year includes 2 weeks on the labor and delivery floor. The objectives for this two week rotation are similar to the objectives for the first year rotation. Increased emphasis is given in the second-year to prenatal care.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	Jefferson OB Dept	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination, including evaluation of the cervix and uterus	Jefferson OB Dept	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	Jefferson OB Dept, inpatient rounds	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	Jefferson OB Dept, inpatient rounds	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	Jefferson OB Dept, inpatient rounds, discussion	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	Jefferson OB Dept, inpatient rounds, discussion	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	Jefferson OB Dept, inpatient rounds, discussion	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	Jefferson OB Dept, inpatient rounds, discussion	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	Jefferson OB Dept, inpatient rounds, discussion	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	Jefferson OB Dept	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	Jefferson OB Dept, rounds, discussion	Patient Care Systems based Practice Professionalism
Understand the stages and mechanisms of labor and how they impact management decisions	Jefferson OB Dept, rounds, discussion, Resident conferences	Medical Knowledge Patient Care
Perform an vaginal delivery with supervision, including performance and repair of episiotomy	Jefferson OB Dept, rounds, discussion, simulation training	Medical Knowledge Patient Care
Understand the indications for fetal monitoring and interpret fetal monitoring strip with supervision	Jefferson OB Dept, rounds, discussion, Resident conferences, simulation training	Medical Knowledge Patient Care
Conduct an organized evaluation of a women presenting in possible labor	Jefferson OB Dept, rounds, discussion, Resident conferences	Medical Knowledge Patient Care
Evaluate the pregnant woman for possible complications of pregnancy with a special focus on pre-eclampsia;	Jefferson OB Dept, rounds, discussion, Resident conferences	Medical Knowledge Patient Care
Initiate early management for patients with pregnancy complications, particularly pre-eclampsia, and to develop a clear understanding of indication for consultation.	Jefferson OB Dept, rounds, discussion, Resident conferences, simulation training	Medical Knowledge Patient Care

Gynecology: Residents have a four-week rotation in outpatient gynecology. The goal of this rotation is to increase the resident’s expertise with gynecologic disorders.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA office, JFMA Hospital service, Gyn procedures	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	JFMA office, JFMA Hospital service, Gyn procedures	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	JFMA office, JFMA Hospital service, Gyn procedures	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
(1) Evaluate and manage common outpatient gynecologic disorders including abnormal uterine bleeding, menstrual disorders, pelvic inflammatory disease, menopausal concerns and hormone replacement, urinary incontinence, sexually transmitted diseases; (2) Demonstrate primary care management of infertility and identify indications for referral; apply comprehensive approach to evaluation and management of chronic pelvic pain; (3) Evaluate the abnormal pap smear and management of cervical dysplasia including colposcopy, cervical biopsy and endocervical curettage; (4) Evaluate abnormal uterine bleeding and perform an endometrial biopsy.	JFMA office, JFMA Hospital service, Gyn procedures Selected Readings a. Wright, Thomas. 2001 consensus guidelines for the management of women with cervical intraepithelial neoplasia. Journal of lower genital tract diseases 2003; 7(3): 154-167. available on line at asccp.org under "consensus guidelines" b. Wright, Thomas. 2001 consensus guidelines for the management of women with cervical cytological abnormalities. Journal of Lower Genital Tract Disease 2002: 6(2): 127-143. available on line at asccp.org under "consensus guidelines" c. “A nice review of case studies takes you through cytology reading, colposcopy, pathological diagnosis, and mananagement guidelines. It's on Jeffline from our very own Charles Dunton (a well know cervical pathologist) and is a great resource. d. "Colposcopy Image Library" by Drs. Gregory Brotzman, Mark Spitzer and Barbara Apgar. http://jeffline.jefferson.edu/jeffcme/online/case_studies.html e. "Colposcopy Image Library" by Drs. Gregory Brotzman, Mark Spitzer and Barbara Apgar	Medical Knowledge Patient Care
Presents a well-organized and understandable case to the attending	JFMA office, JFMA Hospital service, Gyn procedures	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA office, JFMA Hospital service, Gyn procedures	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA office, JFMA Hospital service, Gyn procedures	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA office, JFMA Hospital service, Gyn procedures	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA office, JFMA Hospital service, Gyn procedures	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA office, JFMA Hospital service, Gyn procedures	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA office, JFMA Hospital service, Gyn procedures	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA office, JFMA Hospital service, Gyn procedures	Patient Care Systems based Practice Professionalism

Dermatology: The goal of the rotation is to help residents be able to recognize, describe and treat common dermatological conditions

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate skin physical examination	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable dermatologic conditions	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA office, Jefferson Dermatology	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA office, Jefferson Dermatology	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA office, Jefferson Dermatology	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA office, Jefferson Dermatology	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA office, Jefferson Dermatology	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA office, Jefferson Dermatology	Patient Care Systems based Practice Professionalism
Perform common dermatological procedures including punch biopsies, excision of skin lesions, cryosurgery, incision and drainage, intralesional injections, scraping and KOH preparation.	JFMA office, Jefferson Dermatology	Medical Knowledge Patient Care

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