Acute Care Goals and Objectives

Ambulatory Acute Care Rotation Expectations

Expected level of mastery

PL1

PL-2

PL-3

Goal 1: Patient Care. Provide family centered patient care for the treatment of acute health problems that is developmentally and age appropriate, compassionate, and effective.

1.  Perform a family-centered focused interview; identify significant caretakers & the role they play in presentation of the acute illness.

3

4

5

2.  Perform a physical exam with a focus on acute problem and patient or family concerns.

3

4

5

3.  Provide age-appropriate medical advice to parents or caregivers and children or adolescent.

3

4

5

4.  Manage the care of unscheduled patients in a manner that reflects their degree of acuity

3

4

5

5.  Address acute problems while deferring chronic issues to follow-up visits to ensure excellent acute care for all patients and optimize patient flow.

3

4

4

Goal 2: Medical Knowledge.   Demonstrate the ability to acquire, critically interpret and apply knowledge in patient care for the following common signs, symptoms, or conditions:

1. Acute illnesses such as fever, headache, ear pain, pharyngitis, respiratory distress, abdominal pain, vomiting, diarrhea, burns, rashes, and minor injuries

3

4

5

2. Acute exacerbations of chronic conditions such as asthma, ADHD, seizure disorder, and sickle cell anemia

3

4

4

3. Identification and appropriate evaluation for physical/ sexual abuse

3

4

5

4. Normal and abnormal variations of growth and development

4

5

5

5. Preparation of patient transfer to hospital emergency department

3

4

5

Goal 3: Communication Skills. Demonstrate interpersonal and communication skills that result in information exchange and partnering with patients and their families.

1.  Provide effective patient education, including reassurance, for conditions common to the outpatient setting.

3

4

5

2.  Communicate effectively with subspecialists or emergency room physicians if child needs further care for their illness

4

5

5

3.  Maintain accurate, legible, timely, and legally appropriate medical records in this clinical setting.

4

5

5

Goal 4: Practice-based Learning and Improvement.  Demonstrate knowledge, skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one's patient care practice.

1. Facilitate the learning of the students and other residents

2

3

4

2.  Establish an individual learning plan, systematically organize relevant information resources for future reference, and plan for continuing acquisition of knowledge and skills.

4

5

5

3. Identify standardized guidelines, using the AAP website, for the diagnosis & treatment of conditions common acute pediatric illnesses, & adapt them to the individual needs of specific patients.

3

4

5

Ambulatory Acute Care Rotation Expectations

Expected Level of Mastery

PL-1

PL-2

PL-3

Goal 5: Professionalism.  Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity.

1     Demonstrate personal accountability to the well being of patients (e.g., following-up lab results, writing comprehensive notes, and seeking answers to patient care questions).

4

5

5

2     Demonstrate a commitment to professional behavior in interactions with staff and professional colleagues.

5

5

5

3     Adhere to ethical and legal principles, and be sensitive to diversity.

5

5

5

Goal 6: Systems-Based Practice.  Understand how to practice high quality health care and advocate for patients within the context of the health care system.

1.  Demonstrate ability to code and bill for visits appropriately.

3

4

5

2. Demonstrate knowledge of community resources and appropriately refer patients as needed.

2

3

4

3. Coordinate care of medically complex patients by working with case managers, medical specialists, and community resources.

2

3

4