Description:
Residents will observe and participate in evaluation and treatment planning for all outpatients under the direct supervision of the attending staff at The Vanderbilt Children's Hospital. The residents will assist in the surgical treatment of all children undergoing operative procedures. Residents will participate in the post-operative management of all patients under the direction of the attending staff, and evaluate inpatient consults with attending oversight. There will be one PGY-3 and one PGY-5 resident on the service for 10 weeks and one PGY-4 resident for 5 weeks.
Resident role and expectations:
Understand the etiology, pathogenesis, treatment options, and outcomes in the care of pediatric patients with orthopaedic problems. Understand the inherent differences in the care of the pediatric population as compared to adult orthopaedics. Become fluent in current areas of pediatric orthopaedic research. The PGY-4 and 5 residents will be given more responsibilities in the clinic and operating room after completion of their PGY-3 rotation.
Readings:
- OKU-Pediatrics
- Pediatric Orthopaedics, Lovell and Winter
- Pediatric Skeletal Trauma, Neil Green
Attendings:
Gregory Mencio, M.D.
Steve Lovejoy, M.D.
Jeff Martus, M.D.
Jon Schoenecker, M.D.
Megan Mignemi, M.D.
Kevin Dale, M.D.
Goals and objectives by the end of the rotation:
- Medical Knowledge: Informal clinical teaching during outpatient clinics and in the operating suite at Vanderbilt Children's Hospital, including a pediatric Teaching Conference every other Monday will form a basis for an understanding of pediatric orthopaedics. Residents will also review of one or two sections from POSNA website Core Curriculum. A monthly journal club reviewing the current issue of the Journal of Pediatric Orthopaedics will be held.
- Patient care and system-based practice: Competence in clinical skills necessary for the pediatric patient as well as their families in the history and physical examination. Work effectively in the pediatric health care delivery setting and systems specific to the care of the pediatric patient. Advocate for quality patient care and optimal patient care systems and working with different organizations such as Child Protective Services.
- Interpersonal and communication skills: Competence in the communication with pediatric patients and their families in professionalism through a demonstration of respect and compassion for the various pediatric patients.
- System-based practice: Demonstrate understanding of how to work effectively in various health care delivery settings and systems for pediatric patients, including the Emergency department in evaluating and treating pediatric traumatic injuries. Demonstrate collaboration with the ED physicians in preparing and conducting closed reductions and procedures.
- Professionalism: Demonstrate initiative in the needs of patients and professional staff, showing honesty, compassion, and respect for the patient issues both in terms of the medical diagnosis and the psychosocial ramifications.
- Practice-based learning: Demonstrate self-improvement through a critique of their performance during presentation of M&M cases.