Pediatric Hospital Medicine for Medical Students

Julia K. Simmons, MD

Learning Objectives

• Propose a model for a pediatric hospital medicine sub-internship

• Advocate for the creation or improvement of a pediatric hospital medicine subinternship

Philosophy

• Broad exposure to Pediatric Hospital Medicine (PHM)

• Unique and excellent clinical and learning experience

Goals

• Provide inpatient management of general pediatric patients

• Gain exposure to diverse field of PHM

Elective Objectives

• Based upon six core competencies– Patient Care– Medical Knowledge– Practice-Based Learning and Improvement– Interpersonal and Communication Skills– Professionalism– Systems-Based Practice

Requirement

• Successful completion of core pediatric rotation

Elective Structure

• Four-week rotation

• Self-identified strengths, weaknesses, and goals

• Clinical shifts

• Sedation team

• Simulation lab

• Transport team

• Wound care team

• General Inpatient team

Elective Structure

DidacticsEvidence-Based MedicineBilling and CodingInstitutionSection

Focused daily feedback

Feedback

Daily – formativeStrength, recommended area of improvement,

clinical teaching point

Mid-rotation – formative and summative

End of rotation - summative

Evaluation

• Student evaluation– Attending physicians, families, nurses

• Elective evaluation

0 2 4 6

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

• Learning objectives were clearly communicated to me and of appropriate detail so that I understood the important concepts, skills and attitudes that I should learn.

Feedback

0 2 4 6 8 10

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

• Based on my experiences in this course, I believe I improved my competency in Clinical Skills.

Feedback

0 2 4 6 8 10

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

• Based on my experiences in this course, I believe I improved my competency in Diagnosis, Management, Continuing Care, and Prevention.

Feedback

0 2 4 6 8

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Disagree

Neutral

Agree

Strongly Agree

• Based on my experience in this course, I believe I improved my competency in Effective Communication.

Feedback

0 2 4 6 8

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Disagree

Neutral

Agree

Strongly Agree

• The format of the course allowed for a broad range of clinical problems in this field.

Feedback

0 2 4 6 8 10

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Disagree

Neutral

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Strongly Agree

• Patient care responsibilities were appropriate for my level.

Feedback

0 1 2 3 4 5

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Neutral

Agree

Strongly Agree

• Formal teaching activities (e.g., lecture, small groups, cases) helped me gain the knowledge and skills related to the objectives/core competencies.

Feedback

0 2 4 6 8 10

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Disagree

Neutral

Agree

Strongly Agree

• Patient care activities helped me gain the knowledge and skills related to the objectives/core competencies.

Feedback

0 2 4 6 8

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Disagree

Neutral

Agree

Strongly Agree

• The instructor(s) assessed my knowledge and skills related to the learning objectives and competencies emphasized in lecture and on rounds.

Feedback

0 2 4 6 8

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Neutral

Agree

Strongly Agree

• The instructors provided constructive feedback.

Feedback

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Neutral

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• The instructors were professional.

Feedback

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Neutral

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Strongly Agree

• The instructors were effective.

Feedback

0 2 4 6 8

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Neutral

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• I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies.

Feedback

0 2 4 6 8

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

• I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies.

Feedback

0 2 4 6 8

Disagree

Mild Disagree

Neutral

Mild Agree

Agree

Elective Activities:EBM Lecture taught me useful

information

0 1 2 3 4

Disagree / Didn't Do

Mild Disagree

Neutral

Mild Agree

Agree

Elective Activities: Billing lecture taught me useful

information

0 1 2 3 4 5

Disagree

Mild Disagree

Neutral

Mild Agree

Agree

Elective Activities: Shadowing sedation team was a meaningful

experience.

Elective Activities: Shadowing the transport team was a meaningful

experience.

0 1 2 3 4

Disagree

Mild Disagree

Neutral

Mild Agree

Agree

Elective Activities: Shadowing Wound Care Team was a meaningful

experience.

Future Plans

• Increase student participation

• Direct observation

• Consistent hospitalists’ didactics

• Hospitalists’ responsibilities and feedback

• Evaluate effect of daily feedback form on self-directed learning

• Continued administrative and hospitalists’ support