Welcome

Welcome to the Senior Outpatient Peds Longitudinal Experience based at Crossroad Health Center! This is a senior resident outpatient pediatric experience to truly hone your pediatric skills you have built over the prior 2-4 years. During this rotation, you will work directly with outpatient pediatricians serving at Crossroad Health Center. You should encounter quite a bit of ADHD during your month along with the routine pediatric issues (WCC, AOM, Viral illnesses etc). Because of the volume of ADHD, we recommend reviewing ADHD prior to your first day along with reviewing Bright Futures. Crossroad has developed their internal WCC Guidelines for vaccines and screening and I recommend you print a copy or have a copy available electronically: Crossroad Health Center Pediatrics WCC Schedule and Guidelines.

Prior to the start of your rotation you should receive information for your login for Athena. Please review the Crossroad Resident IT/Athena Orientation and complete the required training videos. If you have a laptop, please bring it with you as it will make the experience easier (WiFi Password: CRwire1355). Arrive approximately 10 minutes early on your first day and one of the nurses will help you login and get set-up. Each attending will utilize their own templates and will load them for you. At the end of your note, you will enter "Patient seen by (enter your name) with Dr. (pediatrician's name) who agree with A/P.". It always makes it easier to create smart phrases for this. 

Please contact Dr. Putnam if you have any concerns or problems. Enjoy your rotation! 

Required Reading and Asynchronous Learning Modules

  1. ABFM SAMS (KSA's): Please complete the Care of Children KSA (knowledge self assessment) on your ABFM profile. As a reminder, the KSAs are written in a manner to only get about 25-30% of them correct, so do not be alarmed! My recommendation is to complete the test in one sitting and then return to it over the course of the month and correct all questions.

  2. Completion of AAD Dermatology Modules on common pediatric conditions. If this the first time accessing the modules, you will need to create a login the first time. It is free. After you create a login, please return to this page to directly access the modules. The webpage can take a while to download the first time you access the module, so be patient. Each module will have slides, videos (some do not), and a quiz.

  3. Reading:

Location

 
 

Harrison Location w/ Dr Chang

10450 New Haven Road
​Harrison, OH 45030
Phone: 513-367-5888
Fax: 513-367-1015

Rotators

  • FMP R2

  • “extra” FM R3

Goals and Objectives

(R1, Senior Experience, and Longitudinal)

  1. Medical Knowledge

    1. List age-appropriate screening interventions such as lead levels, anemia, hearing/vision screening.

    2. Describe age-dependent immunization schedule utilizing POC resource tools.

    3. Describe age-appropriate anticipatory guidance from infancy through adolescence.

    4. Review developmental milestones and tools for assessing for developmental delays and learning disabilities.

    5. Recognize common medical problems of infants and children.

  2. Patient Care

    1. Elicit an age appropriate history including assessing for developmental stage, concerns of parents/caregiver, and any social factors that could impact the health of the patients.

    2. Perform an age-appropriate complete physical exam including accurately utilizing growth charts.

    3. Demonstrate appropriate history and physical exam for signs and symptoms of child abuse (physical, emotional, sexual, etc).

    4. Administer and interpret any developmental screening tests or behavioral questionnaires as clinically indicated.

    5. Perform supervised in-office procedures such as hearing/vision screening, pneumatic otoscopy, cryotherapy for cutaneous lesions, etc.

    6. Initiate appropriate work up and treatment of common ambulatory pediatric conditions.

    7. Appropriately triage patients who can be successfully treated for acute conditions in the office and who warrants more intensive monitoring and subsequent referral to an emergency department.

    8. Assess and address adolescent specific health risk factors (including sensitive topics such as substance use and sexual activity) and social concerns including well-being at home, at school, and among peers.

  3. Interpersonal and Communication Skills

    1. Lead a discussion with the patient’s parent/caregiver around age-appropriate anticipatory guidance.

    2. Communicate effectively with the adolescent patient including establishing a therapeutic relationship in the context of confidentiality.

    3. Engage adolescent patients in conversations about healthy living and responsible decision making.

  4. Professionalism

    1. Display empathy, compassion and integrity during discussion of parental/caregiver concerns.

    2. Demonstrate sensitivity to the adolescent patient’s race, ethnicity, culture, language, gender, sexual orientation, gender identity and disabilities.

    3. Recognize indications for out-patient referral to pediatric specialty clinics.

  5. System Based Practice

    1. For continuity patients from the Family Medical Center who are admitted to the hospital, residents are expected to visit the patient and family at some point during the hospitalization and to document the encounter.

    2. Develop treatment plans for adolescent patients utilizing local, state and federal agencies and resources.