» Family Medicine Residency

For Prospective Residents

PGYII - Pediatrics
Olive View-UCLA Medical Center

Goals:

To provide learning opportunities that will enable residents to develop or refine the attitudes, knowledge and skills necessary to diagnose, manage and treat acute outpatient and inpatient medical conditions of children from the age of the immediate post-discharge newborn to a developed adolescent.

Objectives:

Residents will:

Patient Care and Medical Knowledge

  1. Gain clinical experience in the evaluation of the pediatric patient
  2. Gain clinical experience in the management of basic pediatric orthopedic injuries, including splinting
  3. Gain clinical experience in the management of common inpatient pediatric medical conditions, including asthma, pneumonia, rule - out sepsis, dehydration
  4. Evaluate and treat hospitalized asthmatic pediatric patients
  5. Discuss the differential diagnosis, work-up and treatment of acute gastrointestinal enteritis in pediatrics
  6. Understand how pediatric physiology is different than adult physiology
  7. Understand the indications for a sepsis work-up
  8. Perform sepsis work-ups
  9. Perform work-ups for hyperbilirubinemia in the discharged newborn
  10. Understand the ethical issues surrounding pediatric care, including confidentiality issues
  11. Gain clinical experience in common procedures in pediatrics, including splinting and suturing
  12. Gain clinical experience in the care of the pediatric patient in the urgent care setting
  13. Evaluate and then initiate therapy in pediatric patients with pneumonia, meningitis and sepsis in the newborn, 2 month - 2 year-old and the older pediatric patient
  14. Perform pediatric lumbar punctures, IV line placement and phlebotomy while documenting procedures in a clear manner
  15. Recognize and manage behavioral, medical and surgical problems of children and adolescents
  16. Be able to effectively interview patients of different ages up to age 18 years, as well as interact effectively with the parents of acutely or chronically ill children (including hostile or acutely stressed parents)
  17. Develop skills needed to assess when consultation with specialists (i.e., social workers, psychiatrists, pediatric medical specialists) is necessary, as well as when referral to a tertiary care center is warranted

Practiced Based Learning and Improvement

  1. Be able to use the internet to access current literature about the medical problems of children
  2. Be able to critically evaluate literature about current pediatric management
  3. Be able to work well in the context of the Pediatric Urgent Care Clinic and the Pediatric Ward
  4. Be able to implement changes in patient care based on new information obtained from Attending Rounds, clinical experience, review of the literature and other sources
  5. Be able to also apply the above skills in the Pediatric Urgent Care Clinic and the Pediatric Ward

Interpersonal Communication Skills

  1. Communicate effectively with patients
    1. Be able to communicate in a manner in which the family of a child can understand any underlying illness the newborn may have, as well as the treatment plan and prognosis
    2. Be able to listen to and address the concerns of the parents of children
    3. Be able to communicate the anticipated needs of the hospilitized pediatric patient after discharge
    4. Be able to communicate with pediatric patients and their families in a similar manner when working in the Pediatric Urgent Care Clinic
  2. Communicate effectively with colleagues
    1. Be able to work efficiently in the context of both the Pediatric Ward and Pediatric Urgent Care Clinic in a county hospital
    2. Be able to clearly communicate with the supervising attending regarding the clinical issues of the pediatric patient
    3. Be able to work efficiently with the support staff in the care of the pediatric patient
    4. Be able to work efficiently and effectively with support staff, medical students, residents and attendings in the Pediatric Ward and the Pediatric Urgent Care Clinic

Professionalism

  1. Demonstrate cultural competency
  2. Demonstrate the ability to act in the best interests of the patients
    1. Respect for confidentiality
    2. Respect for family autonomy
    3. Respect for patient autonomy
  3. Be professional in all aspects of patient care
    1. Accepts personal responsibility for patients
    2. Accepts feedback in all aspects of care, including the six core competencies
    3. Timeliness
    4. Appropriate attire

Systems-Based Practice

  1. Demonstrate understanding of the care of the pediatric patient in the context of the current health care system in a county medical facility
  2. Coordinate care with ancillary services to improve the healthcare of the patient
  3. Assist the parents of the pediatric patient in both the Pediatric Ward and the Pediatric Urgent Care Clinic

Logistics

Contact   Location
Mohammand Malek, MD
Director, Outpatient Services
3A-108 OVMC
(818) 364-3233		 Adriana Gonzales
Office Administrator
Dept of Pediatrics
(818) 364-3233		 Olive View Medical Center
14445 Olive View Drive
Sylmar, CA 91342
Pediatrics Clinics - 2A-105

Continuity Clinic - You will have 8 clinics during this rotation.

Call Schedule - Call is q4.

Educational Half Day - You are not excused to attend EHD.

Additional Information

This rotation utilizes the "golden weekend" model of call so that your days off are scheduled in the following way:

On Call Day Day(s) Off That Weekend
Thursday Saturday and Sunday
Friday Sunday
Saturday No day off
Sunday Saturday

This rotation is still in compliance with the ACGME duty hours as each resident must have one day off in seven, averaged over 4 weeks.

Also, there are generally at least two Family Medicine Residents rotating on this rotation at the same time. Please make every effort to cross cover each other's patients on the floor whenever possible, so if one resident is either off or in clinic, the one that is still at Olive View should assume responsibility for the other.