Course Objectives
Required Clinical Experiences

COURSE OBJECTIVES

The following are the learning objectives for the Pediatrics clerkship. Students are expected to demonstrate proficiency in these areas in order to satisfactorily complete the rotation/course. In addition, the extent of a student's mastery of these objectives, will help guide the clinical /course evaluation and grade.

Course Objective	Mapped UCI School of Medicine Program Objective	Core Competency
PED-1. Students will be able to demonstrate knowledge of basic clinical skills to assess the medical, developmental, and behavioral issues concerning children, from newborns to adolescents.	A-1. Knowledge of the structure and function of the major organ systems, including the molecular, biochemical and cellular mechanisms for maintaining homeostasis A-2. Knowledge of the pathogenesis of diseases, interventions for effective treatment, and mechanisms of health maintenance to prevent disease A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes A-4. Knowledge of population health, epidemiology principles and the scientific basis of research methods relevant to healthcare A-5 Knowledge of medical practice, including healthcare economics and health systems impacting delivery and quality of patient care	Knowledgeable
PED-2. Students will be able to demonstrate ability to competently conduct a medical interview.	B-1. The ability to competently conduct a medical interview and counseling to take into account patient health beliefs, patient agenda and the need for comprehensive medical and psychosocial assessment	Skillful
PED-3. Students will be able to demonstrate ability to competently perform both a comprehensive and focused pediatric history and physical examination.	B-2. The ability to competently perform a complete and organ-system-specific examination including a mental health status examination	Skillful
PED-4. Students will be able to demonstrate ability to competently develop a differential diagnosis and an appropriate assessment plan.	B-3. The ability to articulate a cogent, accurate assessment and plan, and problem list, using diagnostic clinical reasoning skills in all the major disciplines	Skillful
PED-5. Students will be able to demonstrate ability to search the medical literature and administer evidence-based medicine.	B-4. The ability to search the medical literature, including electronic databases, and to locate and interpret up-to-date evidence to optimize patient care	Skillful
PED-6. Students will be able to demonstrate ability to practice effective preventive medicine.	B-5. The ability to practice effective preventive medicine by identifying, addressing and advocating for strategies to maintain health and well-being, to identify and treat disease early where appropriate and to advise on lifestyle practices	Skillful
PED-7. Students will be able to demonstrate ability to function within context of complexity.	B-6. The ability to function effectively within the context of complexity and uncertainty in medical care	Skillful
PED-8. Students will be able to demonstrate honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations.	C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations	Altruistic
PED-9. Students will be able to demonstrate professional behaviors and appropriate communication skills with pediatric patients and families and skills in child advocacy.	C-2. Professional behaviors reflecting compassion and respect for patient privacy, altruism and a commitment to comprehensive, holistic medical care	Altruistic
PED-10. Students will be able to demonstrate sensitivity and awareness of diverse cultures, health beliefs and social factors impacting patient health and illness.	C-3. Sensitivity and awareness of diverse cultures, health beliefs and social factors impacting patient health and illness	Altruistic
PED-11. Students will be able to demonstrate the commitment to seek knowledge and skills to better serve the needs of the underserved in their communities.	C-4. The commitment to seek knowledge and skills to better serve the needs of the underserved in their communities	Altruistic
PED-12. Students will be able to demonstrate a commitment to lifelong learning and independently seeking new knowledge and skills in their own recognized areas of learning deficit.	D-1. A commitment to lifelong learning and independently seeking new knowledge and skills in their own recognized areas of learning deficit	Dutiful
PED-13. Students will be able to demonstrate a commitment to patient care and to the well-being of patients and colleagues.	D-2. A commitment to patient care and to the well-being of patients and colleagues	Dutiful
PED-14. Students will communicate and collaborate effectively, both orally and in writing, with patients, patients’ families, colleagues, and interprofessional teams with whom physicians must exchange information in carrying out their responsibilities.	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations;	Knowledgeable Altruistic
PED- 15. Students will be introduced to a commitment to serve our community.	D-3. A commitment to serve our community.	Dutiful

REQUIRED CLINICAL EXPERIENCES

There are two levels of student responsibility that may be expected for a required clinical experience (case log):

Comprehensive Encounter
The student is the primary evaluator for this encounter. They will obtain the patient history, perform the physical examination, and discuss/develop differentials and management plans with the team. In the appropriate settings, the student will follow-up on the diagnostic workup, re-evaluate the patient, and contribute to disposition planning.

Focused Encounter
The student contributes to the care of the patient as part of the clinical team. This can include conducting a focused history or physical examination, reviewing and interpreting the diagnostic workup, performing or assisting with a procedure, or actively participating in an operative case.

Patient Type/Clinical Condition	Course Mapping	Program Mapping	Procedures/Skills	Clinical Setting(s)	Minimum Level of Student Responsibility	Alternative Clinical Experiences/Teaching Modules
Adolescent Psychosocial History- taking (HEADDSS)	P2 P3 P4 P6 P8	B1 B2 B3 B5 C1	Comprehensive history and physical, perform HEADSS exam, communicate with treatment team and patient/family	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Adolescents
Behavior concern or condition	P1 P3 P4	A2 B2 B3	Focused history or physical exam, identify normal behavior, develop plan of treatment	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Behavior
Cardiovascular symptom or condition	P3 P4	B2 B3	Focused history or physical exam (cardiovascular), develop diagnostic or treatment plan	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Heart Murmur
Child (4-11 years old) assessment-Well Child Visit optimal	P2 P3 P4 P6 P8	B1 B2 B3 B5 C1	Comprehensive history and physical, review milestones for well-child visit, communicate with treatment team and patient/family, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Health Supervision
Chronic Illness	P3 P4	B2 B3	Focused history or physical exam, develop treatment plan	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Chronic Illness
Developmental concern or condition	P1 P3 P4	A2 B2 B3	Focused history or physical exam, identify normal development, develop plan of treatment	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Development
Ear Exam: including ear pain, foreign body, normal physical exam	P1 P3	A2 B2	Ear Exam	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Ear pain or demonstrate ear exam
Fever	P2 P3 P4	B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Fever
Gastrointestinal symptom or condition	P2 P3 P4	B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Abdominal Pain
Growth/Growth Chart concern or condition	P1 P3 P4	A2 B2 B3	Focused history or physical exam, identify normal growth, develop plan of treatment	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Growth
Infant (birth to 12 months old) assessment-Well Child Visit optimal	P2 P3 P4 P6 P8	B1 B2 B3 B5 C1	Comprehensive history and physical, review milestones for well-child visit, communicate with treatment team and patient/family, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Health
Neurologic symptom or condition	P3 P4	B2 B3	Focused history or physical exam, develop diagnostic and treatment plan	Inpatient, Ambulatory	Focused Encounter	Demonstrate Neuro Exam
Newborn	P2 P3 P4 P6 P8	B1 B2 B3 B5 C1	Comprehensive history and physical, review milestones for well-child visit, communicate with treatment team and family, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Newborn
Nutrition concern or conditions	P1 P3 P4	A2 B2 B3	Focused history or physical exam, identify nutrition concerns, develop plan of treatment	Inpatient, Ambulatory	Focused Encounter	Clinical Problems: Nutrition
Respiratory ( upper or lower ) symptom or condition	P2 P3 P4	B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Cough
Skin/Mucosa symptom or condition	P2 P3 P4	B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Rash
Toddler (1-3 years old) assessment-Well Child Visit optimal	P2 P3 P4 P6 P8	B1 B2 B3 B5 C1	Comprehensive history and physical, review milestones for well-child visit, communicate with treatment team and family, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Clinical Problems: Health Supervision