General Pediatrics – Outpatient clinic
Location: Children's Hospital
Coordinator: Dr. Howard Fischer
Objectives:
- Develop the techniques to
foster a relationship between the physician, the ambulatory patient and
the patient's family.
- Elicit a complete medical
history from a child and his parents, and conduct a physical examination
including: a. Identification of normal and abnormal patterns of growth and
development b. Identification and accurate recording of patient's problems
c. Identification of a complete or incomplete immunization history and the
ability to design a schedule for completion of immunizations
- Recognize the minimum
preventative health care standards for infants, children and adolescents.
- Design a health maintenance
program for a prematurely born infant, a normal newborn, a school age
child and an adolescent.
- Design and discuss important
anticipatory guidance and counseling topics unique to pediatrics.
- Develop skill for assessing
common illness, recognize the critically ill child, recognize the
indications for hospitalization of an ill child.
- Develop the ability to
utilize & communicate with social agencies, practicing physicians,
schools and community health care programs.
Methods:
- Daily primary encounter with
new or returning patients under faculty supervision.
- Observation of interviewing
skills and record-keeping.
- Weekly ambulatory care conferences
and case presentations.
- Performance of various
developmental tests under faculty supervision.
- Direct input from disciplines
such as social service, nursing, and psychiatry-psychology.
Each transitional intern will have
the opportunity to participate in general pediatric clinics under the
supervision of members of the full-time faculty and the senior pediatric
house-staff. They will be assigned cases and will be required to record
detailed history and physical findings for the purpose of planning a full
ambulatory work-up and will be responsible for assisting in completing the
work-ups. Transitional interns will have the opportunity to critically evaluate
their interviews with patients and will learn to integrate the services of
medical, nursing, social work and other health professions in the plan for
continuing care of children in an ambulatory situation.
Recommended Reading Material: to be
assigned