MILESTO

NE-B

ASED

GOALSA

NDOBJECTIV

ESFORFELLO

WS(U

pdated:2/23/2017)Rotations:ClinicalO

utpatient,Self-PacedLearningGoal1:U

nderstandanddevelopskillsnecessaryfordiagnosisandmanagem

entofachronic/complexcarepatientusinginintegrativem

edicineapproachObjectives

InstructionalStrategiesEvaluation

AssociatedM

ilestonesDevelopskillsnecessaryforcom

municationw

ithavarietyofpractitioners.Collaboration,relationshipbuilding,andco-managem

ent,consultationandreferralskillsareemphasized

Patientcare

Discussionw

ithAttending

DirectO

bservationMedH

ub

PC6PC7PB

L1SB

P2SB

P4Sum

marizeandpresentpatientinform

ationbacktoprogram

directorandintegrativecareteamforfeedbackandconsultation

PatientcareDifficultcasenoonconferences

Discussionw

ithAttending

DirectO

bservationMedH

ub

MK2

SBP2

Identifykeyaspectsofhealthcaresystemsastheyapplyto

specialtycare,includingthereferralprocess,anddifferentiatebetw

eenconsultationandreferral.

PatientcareDiscussionw

ithAttending

Discussionw

ithAttending

SBP2

Recognizeandadvocateforfam

ilieswhoneedassistancetodeal

withsystem

scomplexitiessuchasthereferralprocess,lackof

insurance,multiplem

edicationrefills,multipleappointm

entswith

longtransporttimes,orinconvenienthoursofservice.

ObservingFellow

andAttending

PatientcareDiscussionw

ithAttending

ICS2P4SB

P4

Recognizeone’slim

itsandthoseofthesystem;takestepstoavoid

medicalerrors.

PatientcareDiscussionw

ithAttending

PBLI1

P4Explainlabw

ork-up,studies,andclinicalmanagem

entofthefollow

ingconditionsusinganintegrativemedicineapproach:

• Abdom

inalpain•

Headache

• Jointpain

• Frequentrespiratoryinfections

PatientcareAZCIM

curriculum

Noonconferences

Discussionw

ithAttending

DirectO

bservationMedH

ub

PC7MK2

SBP2

Goal2:D

evelopanunderstandingofMind-B

odyInterventionsObjectives

InstructionalStrategiesEvaluation

AssociatedM

ilestonesRecognizeindicationsw

henapatientmaybenefitfrom

mind-body

interventionsandappropriatelyrefertomind-bodypractitioners

Patientcare

AZCIM

curriculum

NoonConference

Discussionw

ithAttending

AZCIM

assessments

DirectO

bservationMedH

ub

PC1PC2PC6MK2

Dem

onstrateknowledgeinm

ind-bodyinterventions:biofeedback,clinicalhypnosis,m

indfulnessbasedstressreduction,yogaPatientcare

AZCIM

curriculum

Discussionw

ithAttending

DirectO

bservationPC6MK2

NoonConference

MedH

ub

Developabilitytohelppatientsidentifylifelongpreventative

strategiesforstressreduction:deepbreathingtechniques,utilizationofsm

artphoneapplications

Patientcare

AZCIM

curriculum

NoonConference

Discussionw

ithAttending

DirectO

bservationMedH

ub

PC1PC2MK2

Goal3:D

evelopanunderstandingofdietaryinterventionsandnutritionalsupplements

Objectives

InstructionalStrategiesEvaluation

AssociatedM

ilestonesDevelopskillsintheuseoflaboratorytestingtohelpidentify

dietaryandnutritionaldeficienciesPatientcareAZCIM

curriculum

Discussionw

ithAttending

AZCIM

assessments

DirectO

bservationMedH

ub

PC1PC2PC6MK2

Understandandapplybasicknow

ledgeandskillsintheuseofdietaryandnutritionalsupplem

ents,includingidentifyingthemost

criticalindicationsandcontraindicationsoftheiruse

PatientcareAZCIM

curriculum

Discussionw

ithAttending

AZCIM

assessments

DirectO

bservationMedH

ub

PC1PC2PC6MK2

Understandandapplybasicknow

ledgeandskillsintheuseofbotanicsupplem

ents,includingidentifyingthemostcritical

indicationsandcontraindicationsoftheiruse

PatientcareAZCIM

curriculum

Discussionw

ithAttending

AZCIM

assessments

DirectO

bservationMedH

ub

PC1PC2

Identifythemostcom

mondrug-nutrientanddrug-herbinteractions

forapediatricintegrativemedicinepractitioner.

PatientcareAZCIM

curriculum

Caseconferences

Discussionw

ithAttending

AZCIM

assessments

DirectO

bservationMedH

ub

PC6MK2

Goal4:D

evelopanunderstandingofalternativehealthcaresystemssuchasTraditionalChineseM

edicine,AyurvedaM

edicineandHom

eopathyObjectives

InstructionalStrategiesEvaluation

AssociatedM

ilestonesDem

onstrateknowledgeinTraditionalChineseM

edicinePatientcareinacupunctureclinicsAZCIM

onlinecurriculum

Experientialobservationat5Branches,San

JoseNoonconference

Discussionw

ithAttending

AZCIM

onlineassessment

DirectO

bservationMedH

ub

MK2

PC2

Dem

onstrateknowledgeinA

ruyvedaAZCIM

onlinecurriculum

Noonconference

Observationw

ithaffiliatearuyvedicmedicinepractitioner

Discussionw

ithAttending

AZCIM

onlineassessment

DirectO

bservationMedH

ub

MK2

PC2

Dem

onstrateknowledgeinH

omeopathy

AZCIM

onlinecurriculum

Noonconference

Observationw

ithaffiliatehomeopathic

medicinepractitioner

Discussionw

ithAttending

AZCIM

onlineassessment

DirectO

bservationMedH

ub

MK2

PC2

Goal5:D

evelopskillstoincorporatetheresearchandevidencebaseintointegrativemedicinepractice

Objectives

InstructionalStrategiesEvaluation

AssociatedM

ilestonesDevelopfam

iliaritywiththelatestCA

M/IM

researchliteratureAZCIM

CaseconferenceJournalClub

DirectO

bservationMedH

ubMK1

PBL1

UtilizeIM

researchliteratureandapplytopatientcarePatientCareCaseConferenceJournalClub

Discussionw

ithAttending

DirectO

bservationMedH

ub

MK1

PBL1

LearntousereliablereferencetoolsforexploringpotentialCAM

andintegrativemodalitiesforpatients

PatientCareCaseConferenceJournalClubAZCIM

curriculum

Discussionw

ithAttending

AZCIM

onlineassessment

DirectO

bservationMedhub

PBL1

MK1

Reference:KittredgeD,BaldwinCD,Bar-onM

E,BeachPS,TrimmRF(Eds)(2004).APAEducationalGuidelinesforPediatricResidency.Am

bulatoryPediatricAssociationWebsite.w

ww.am

bpeds.org/egweb.

DescriptionsofA

ssociatedMilestones(A

SubsetofPediatricsMilestonestobeReportedonSem

i-Annually)

PatientCare(PC)PC1

Gatheressentialandaccurateinform

ationaboutthepatient.PC2

Organizeandprioritizeresponsibilitiestoprovidepatientcarethatissafe,effectiveandefficient.

PC6Makeinform

eddiagnosticandtherapeuticdecisionsthatresultinoptimalclinicaljudgm

entPC7

Developandcarryoutm

anagementplans

PC8*Prescribeandperform

allmedicalprocedures.

MedicalKnow

ledge(MK)

MK2

Locate,appraise,andassimilateevidencefrom

scientificstudiesrelatedtotheirpatients’healthproblems.

Practice-BasedLearningandIm

provement(PB

LI)PB

LI1Identifystrengths,deficiencies,andlim

itsinone’sknowledgeandexpertise.

InterpersonalandCommunicationSkills(ICS)

ICS1Com

municateeffectivelyw

ithpatients,families,andthepublic,asappropriate,acrossabroadrangeofsocioeconom

icandculturalbackgroundsICS2

Dem

onstratetheinsightandunderstandingintoemotionandhum

anresponsetoemotionthatallow

sonetoappropriatelydevelopandm

anagehuman

interactions.

Professionalism(P)

P4Asenseofdutyandaccountabilitytopatients,society,andtheprofession.

Systems-B

asedPractice(SBP)

SBP2

Coordinatepatientcarewithinthehealthcaresystem

relevanttotheirclinicalspecialty.SB

P4Advocateforqualitypatientcareandoptim

alpatientcaresystems.

*ThePC8milestoneisnotcurrentlyreportedtoA

CGME.

NOTE:U

tilizedPediatricMilestonesfornew

programapplicationbutw

ouldmovetoPediatricSubspecialtyM

ilestonesuponprogramcom

mencem

ent.

Pediatrics Integrative Medicine Fellow

ship Sam

ple Weekly Schedule

M

onday T

uesday W

ednesday T

hursday Friday

8:00-8:30am

Morning R

eport 8:00-8:30 am

M

orning Report

8:00-8:30 am

Morning R

eport 8:00-8:30 am

M

orning Report

8:00-9:00 am

Grand R

ounds

9:00 am -12 noon

Offsite clinic

OR

A

ZCIM

online curriculum

OR

research

8:30-12 noon O

ffsite clinic O

R

AZC

IM online

curriculum

OR

research

8:30-12noon O

ffsite clinic O

R

AZC

IM online curriculum

11-12: w

eekly case review

/ journal club/ teaching session

8:30 am-12 noon

IM Pulm

Clinic D

r. John M

ark 770 W

elch Road (first

floor)

8:30 am-12 noon

Integrative Medicine/ Pain

clinic D

r. Brenda G

olianu

321 Middlefield Suite 225

(2nd floor)

Noon C

onference N

oon Conference

Noon C

onference N

oon Conference

Noon C

onference

1:00 pm-5:00 pm

IM

GI clinic

Dr. A

nn Ming Y

eh 321 M

iddlefield Suite 225 (2

nd floor)

1:00 pm-5:00 pm

O

ffsite clinic O

R

AZC

IM online

curriculum

1:00 pm-5:00 pm

IM

Rheum

atology Clinic –

Dr. D

ana Gerstbacher

730 Welch R

oad (2nd

floor) O

R IM

GI C

LINIC

D

r. Ann M

ing Yeh

321 Middlefield Suite 225

(2nd floor)

1:00 pm-5:00 pm

IM

Pain clinic D

r. Brenda G

olianu

321 Middlefield Suite 225

(2nd floor)

1:00 pm-5:00 pm

O

ffsite clinic O

R A

ZCIM

online curriculum

Pediatric Integrative M

edicine Fellowship B

lock Schedule (sam

ple) O

rientatio

n W

eeks 4

Clin

ical Weeks

38 R

esearch W

eeks 4

CM

E w

eeks 2

Vacatio

n w

eeks 4

To

tal: 52

O = o

rientatio

n, C

=clinical (see w

eekly sched

ule fo

r clinical w

eeks), R=research

, V= vacatio

n

FIR

ST

YE

AR

BL

OC

K D

IAG

RA

M

Month/4w

k 1

2 3

4 5

6 7

8 9

10 11

12

Week1

Orientation

C

R

C

C

C

C

V

C

C

CM

E

C

Week2

Orientation

C

C

CM

E

C

R

C

C

C

R

V

C

Week3

Orientation

C

C

C

C

R

C

C

V

C

C

C

Week4

Orientation

C

C

C

V

C

C

C

C

C

C

C

StanfordPediatricIntegrativeMedicineFellowshipProgram

SampleWeeklyConferenceSchedule

Week Topic1 FellowBootCamp–TCMbasics–Acupuncturebasics2 FellowBootCamp–SupplementBasics3 FellowBootCamp–MindBodyBasics4 FellowBootCamp–NutritionBasics5 JournalClub6 DifficultCaseReview7 Nonpharmapproachtodyspepsia8 IMapproachtoasthma9 Vacation–Noconference10 DifficultCaseReview11 IMapproachtopain12 Medicalinformatics13 Plantbasednutrition14 DifficultCaseReview15 JournalClub16 Acupressureintro17 Mindfulnessbasedstressreduction18 DifficultCaseReview19 HeartRateVariabilityandbiofeedback20 Vacation–Noconference21 IMapproachtorheum22 EvidencebasedherbsandsuppsforURI23 DifficultCaseReview24 IMapproachtonausea25 JournalClub26 IMapproachtoADHD27 DifficultCaseReview28 Environmentalmedicine29 Mayanherbs30 Vacation–Noconference31 DifficultCaseReview32 ProbioticsforcommonGIconditions33 Nonpharmapproachtoheadache34 Mindfulnessforphysicians35 DifficultCaseReview36 JournalClub37 Acupunctureforpainmanagement38 Herbsandsupplementsformooddisorders39 Vacation–Noconference40 DifficultCaseReview41 Introtohomeopathy42 Introtoosteopathicmanipulation

StanfordPediatricIntegrativeMedicineFellowshipProgram

43 DifficultCaseReview44 Acupunctureforrheumatologicconditions45 JournalClub46 Introtoaruyveda47 Introtopediatricmassage48 DifficultCaseReview49 Introtofunctionalmedicine50 Infantmassage51 JournalClub52 ProgramAnnualReview

1

2

3

4

5

6

7

8

9

10

February 3–23, 2014

February 24–May 25, 2014

*RESIDENTIAL WEEK - April 6-11, 2014

*RESIDENTIAL WEEK - March 8 - 13, 2015

May 26–August 24, 2014

August 25–October 12, 2014

October 13–November 16, 2014

November 17, 2014–January 25, 2015

January 26–April 12, 2015

April 13–June 21, 2015

June 22–August 16, 2015

December 7, 2015–January 3, 2016

FINAL EXAM

STUDY GUIDE

January 4–24, 2016

August 17–October 4, 2015

October 5–December 6, 2015

To receive graduation certificate, all requirements must be met by Janaury 24th

90-day post-Fellowship access begins on January 25th.

* CME Credit Available Schedule subject to change.

THANKSGIVING BREAK - November 26–December 1, 2014

unit

unit

unit

unit

unit

unit

unit

unit

unit

unit

11unit

H&P/TX PLANS DUE - February 23–August 23, 2015

HP/TX DUE

Fellowship

THANKSGIVING BREAK - November 25–30, 2015

GRADUATION ~ *RESIDENTIAL WEEK - February 21- 26, 2016

WINTER BREAK - December 22, 2014–January 4, 2015

SUMMER BREAK - June 30–July 13, 2014

WINTER BREAK - December 21, 2015 - January 4, 2016