Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-1 Residents

Updated 02.2017 1 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

The Rheumatology elective is available to first year residents in either a 2 or 4 week block rotation. The purpose of this elective is to provide a concentrated exposure to children with commonly encountered diseases of the musculoskeletal system. It combines the opportunity to experience the rheumatology clinics with the option to also participate in sports medicine and orthopedic clinics. Although dominated by the outpatient experience, residents will also perform inpatient consults when directed by the attending on service. The overall goal of the Rheumatology/Musculoskeletal Disease elective is to acquire an in-depth knowledge and experience with commonly encountered rheumatologic problems of infants and children. This elective also includes adequate time to pursue directed readings that focus on pathophysiology of disease processes. With this information as a background, the resident will acquire a good understanding of the management and long-term outcomes of common rheumatologic and musculoskeletal disorders in children should be obtained. Residents are required to attend and be active participants in all required clinics. When instructed, residents are required to complete consultations on hospitalized patients thoroughly so that they are prepared to present and discuss the patients on rounds with the attending. This includes locating pertinent X-rays in radiology and pulling pertinent literature from the library. Residents are required to follow the consult patients and communicate recommendations to the inpatient team.

A. Patient Care:

1. Gather accurate, essential information from all sources, including medical interviews, medical records and the results of diagnostic/therapeutic studies

2. Demonstrate the ability to perform a comprehensive physical exam, particularly a detailed musculoskeletal exam, on children of all ages

3. Make informed recommendations about preventive, diagnostic and therapeutic options and interventions that are based on clinical judgment, scientific evidence, and patient preference

4. Develop effective patient management plans and integration of patient care

B. Medical Knowledge:

1. Describe and discuss mixed connective tissue disease, juvenile arthritis and lupus and describe their pathophysiology and their treatment pyramid

2. Describe screening and evaluation of scoliosis 3. Describe the presentation of common sports injuries in children and adolescents and the

appropriate diagnostic evaluation 4. Identify the common pediatric myopathies and usefulness of EMG and muscle biopsy 5. Discuss when and when not to refer a child to a musculoskeletal disease specialist 6. Complete introductory reading on the following topics also associated with significant MSD and be

prepared to discuss them with the attending on service. (Be inclusive of pathophysiology, diagnostic workup, and differential diagnosis)

a) Stress fractures b) Osgood-Schlatter disease c) Genu Varum d) Blount’s disease e) Developmental dysplasia of the hip f) Congenital Disorders of the Lower Extremity (Clubfoot, Coxa Valugus/Vara, Femoral

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-1 Residents

Updated 02.2017 2 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

Anteversion, tibial torsion etc…) g) Congenital Disorders of the trunk and spine (tethered cord, occult spina bifida etc…) h) Slipped capital femoral epiphysis i) Lyme disease j) Infections (eg. Osteomyelitis, Arthritis, Synovitis) k) Back Pain l) Vasculitis Syndromes (eg. HSP, Takayasu’s, Kawasaki) m) Dermatomyositis n) Marfan and Ehlers-Danlos Syndrome o) Scleroderma p) Sarcoidosis q) Ankylosing Spondylitis r) Spondylolysis s) Spondylolisthesis t) Spondyloarthropathies

C. Practice-Based Learning and Improvement:

1. Complete assigned reading on the rheumatology section of the chiefs’ website 2. Evaluate your own performance, identify gaps in your knowledge of MSD and plan self learning

strategies to fill those gaps 3. Demonstrate a willingness to learn from errors and use errors to improve the processes of care 4. Use information technology or other available methodologies to access and manage information,

support patient care decisions and enhance both patient and physician education 5. Provide, request and accept feedback

D. Interpersonal and Communication Skills:

1. Provide effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues

2. Use effective listening and narrative skills to communicate with patients and families 3. Interact with referring physicians in a respectful, appropriate manner 4. Maintain comprehensive, timely, and legible medical records 5. Demonstrate the ability to provide counsel to patients and their families, dealing with chronic

disability diseases of the musculoskeletal system 6. Demonstrate the ability to communicate clear direction in returning to sport after injury 7. Describe the team approach to the treatment of juvenile rheumatoid arthritis and systemic lupus

erythematosus with emphasis of use of medications and physical therapy 8. Demonstrate the ability to develop a relationship, utilize pediatric skills to get the physical exam

data needed, and to effectively communicate with the child/teen patient E. Professionalism:

1. Consistently act in the best interest of patients 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and

colleagues

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-1 Residents

Updated 02.2017 3 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues

4. Adhere to principles of confidentiality/scientific/academic integrity 5. Be punctual, courteous, and reliable 6. Discuss errors honestly with families

F. Systems-Based Practice:

1. Describe the limitations and opportunities inherent in various practice types, health care systems, and develop strategies to optimize care for the individual patient

2. Apply evidence-based, cost-conscious strategies to prevention, diagnosis and disease management 3. Collaborate with other members of the health care team to improve systematic processes of care 4. Describe the link between documentation, billing, and coding 5. Identify the community resources available to children with special needs

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-2 Residents

Updated 02.2017 1 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

The Rheumatology elective is available to senior residents in either a 2 or 4 week block rotation. The purpose of this elective is to provide a concentrated exposure to children with commonly encountered diseases of the musculoskeletal system. It combines the opportunity to experience the rheumatology clinics with the option to also participate in sports medicine and orthopedic clinics. Although dominated by the outpatient experience, residents will also perform inpatient consults when directed by the attending on service. The overall goal of the Rheumatology/Musculoskeletal Disease elective is to acquire an in-depth knowledge and experience with commonly encountered rheumatologic problems of infants and children. This elective also includes adequate time to pursue directed readings that focus on pathophysiology of disease processes. With this information as a background, the resident will acquire a good understanding of the management and long-term outcomes of common rheumatologic and musculoskeletal disorders in children should be obtained. Residents are required to attend and be active participants in all required clinics. When instructed, residents are required to complete consultations on hospitalized patients thoroughly so that they are prepared to present and discuss the patients on rounds with the attending. This includes locating pertinent X-rays in radiology and pulling pertinent literature from the library. Residents are required to follow the consult patients and communicate recommendations to the inpatient team.

A. Patient Care:

1. Gather accurate, essential information from all sources, including medical interviews, medical records and the results of diagnostic/therapeutic studies

2. Demonstrate the ability to perform a comprehensive physical exam, particularly a detailed musculoskeletal exam, on children of all ages

3. Make informed recommendations about preventive, diagnostic and therapeutic options and interventions that are based on clinical judgment, scientific evidence, and patient preference

4. Develop effective patient management plans and integration of patient care

B. Medical Knowledge:

1. Describe and discuss mixed connective tissue disease, juvenile arthritis and lupus and describe their pathophysiology and their treatment pyramid

2. Describe screening and evaluation of scoliosis 3. Describe the presentation of common sports injuries in children and adolescents and the

appropriate diagnostic evaluation 4. Identify the common pediatric myopathies and usefulness of EMG and muscle biopsy 5. Discuss when and when not to refer a child to a musculoskeletal disease specialist 6. Complete introductory reading on the following topics also associated with significant MSD and be

prepared to discuss them with the attending on service. (Be inclusive of pathophysiology, diagnostic workup, and differential diagnosis)

a) Stress fractures b) Osgood-Schlatter disease c) Genu Varum d) Blount’s disease e) Developmental dysplasia of the hip f) Congenital Disorders of the Lower Extremity (Clubfoot, Coxa Valugus/Vara, Femoral

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-2 Residents

Updated 02.2017 2 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

Anteversion, tibial torsion etc…) g) Congenital Disorders of the trunk and spine (tethered cord, occult spina bifida etc…) h) Slipped capital femoral epiphysis i) Lyme disease j) Infections (eg. Osteomyelitis, Arthritis, Synovitis) k) Back Pain l) Vasculitis Syndromes (eg. HSP, Takayasu’s, Kawasaki) m) Dermatomyositis n) Marfan and Ehlers-Danlos Syndrome o) Scleroderma p) Sarcoidosis q) Ankylosing Spondylitis r) Spondylolysis s) Spondylolisthesis t) Spondyloarthropathies

C. Practice-Based Learning and Improvement:

1. Complete assigned reading on the rheumatology section of the chiefs’ website 2. Evaluate your own performance, identify gaps in your knowledge of MSD and plan self learning

strategies to fill those gaps 3. Demonstrate a willingness to learn from errors and use errors to improve the processes of care 4. Use information technology or other available methodologies to access and manage information,

support patient care decisions and enhance both patient and physician education 5. Provide, request and accept feedback

D. Interpersonal and Communication Skills:

1. Provide effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues

2. Use effective listening and narrative skills to communicate with patients and families 3. Interact with referring physicians in a respectful, appropriate manner 4. Maintain comprehensive, timely, and legible medical records 5. Demonstrate the ability to provide counsel to patients and their families, dealing with chronic

disability diseases of the musculoskeletal system 6. Demonstrate the ability to communicate clear direction in returning to sport after injury 7. Describe the team approach to the treatment of juvenile rheumatoid arthritis and systemic lupus

erythematosus with emphasis of use of medications and physical therapy 8. Demonstrate the ability to develop a relationship, utilize pediatric skills to get the physical exam

data needed, and to effectively communicate with the child/teen patient E. Professionalism:

1. Consistently act in the best interest of patients 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and

colleagues

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-2 Residents

Updated 02.2017 3 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues

4. Adhere to principles of confidentiality/scientific/academic integrity 5. Be punctual, courteous, and reliable 6. Discuss errors honestly with families

F. Systems-Based Practice:

1. Describe the limitations and opportunities inherent in various practice types, health care systems, and develop strategies to optimize care for the individual patient

2. Apply evidence-based, cost-conscious strategies to prevention, diagnosis and disease management 3. Collaborate with other members of the health care team to improve systematic processes of care 4. Describe the link between documentation, billing, and coding 5. Identify the community resources available to children with special needs

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-3/4 Residents

Updated 02.2017 1 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

The Rheumatology elective is available to senior residents in either a 2 or 4 week block rotation. The purpose of this elective is to provide a concentrated exposure to children with commonly encountered diseases of the musculoskeletal system. It combines the opportunity to experience the rheumatology clinics with the option to also participate in sports medicine and orthopedic clinics. Although dominated by the outpatient experience, residents will also perform inpatient consults when directed by the attending on service. The overall goal of the Rheumatology/Musculoskeletal Disease elective is to acquire an in-depth knowledge and experience with commonly encountered rheumatologic problems of infants and children. This elective also includes adequate time to pursue directed readings that focus on pathophysiology of disease processes. With this information as a background, the resident will acquire a good understanding of the management and long-term outcomes of common rheumatologic and musculoskeletal disorders in children should be obtained. Residents are required to attend and be active participants in all required clinics. When instructed, residents are required to complete consultations on hospitalized patients thoroughly so that they are prepared to present and discuss the patients on rounds with the attending. This includes locating pertinent X-rays in radiology and pulling pertinent literature from the library. Residents are required to follow the consult patients and communicate recommendations to the inpatient team.

A. Patient Care:

1. Gather accurate, essential information from all sources, including medical interviews, medical records and the results of diagnostic/therapeutic studies

2. Demonstrate the ability to perform a comprehensive physical exam, particularly a detailed musculoskeletal exam, on children of all ages

3. Make informed recommendations about preventive, diagnostic and therapeutic options and interventions that are based on clinical judgment, scientific evidence, and patient preference

4. Develop effective patient management plans and integration of patient care

B. Medical Knowledge:

1. Describe and discuss mixed connective tissue disease, juvenile arthritis and lupus and describe their pathophysiology and their treatment pyramid

2. Describe screening and evaluation of scoliosis 3. Describe the presentation of common sports injuries in children and adolescents and the

appropriate diagnostic evaluation 4. Identify the common pediatric myopathies and usefulness of EMG and muscle biopsy 5. Discuss when and when not to refer a child to a musculoskeletal disease specialist 6. Complete introductory reading on the following topics also associated with significant MSD and be

prepared to discuss them with the attending on service. (Be inclusive of pathophysiology, diagnostic workup, and differential diagnosis)

a) Stress fractures b) Osgood-Schlatter disease c) Genu Varum d) Blount’s disease e) Developmental dysplasia of the hip f) Congenital Disorders of the Lower Extremity (Clubfoot, Coxa Valugus/Vara, Femoral

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-3/4 Residents

Updated 02.2017 2 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

Anteversion, tibial torsion etc…) g) Congenital Disorders of the trunk and spine (tethered cord, occult spina bifida etc…) h) Slipped capital femoral epiphysis i) Lyme disease j) Infections (eg. Osteomyelitis, Arthritis, Synovitis) k) Back Pain l) Vasculitis Syndromes (eg. HSP, Takayasu’s, Kawasaki) m) Dermatomyositis n) Marfan and Ehlers-Danlos Syndrome o) Scleroderma p) Sarcoidosis q) Ankylosing Spondylitis r) Spondylolysis s) Spondylolisthesis t) Spondyloarthropathies

C. Practice-Based Learning and Improvement:

1. Complete assigned reading on the rheumatology section of the chiefs’ website 2. Evaluate your own performance, identify gaps in your knowledge of MSD and plan self learning

strategies to fill those gaps 3. Demonstrate a willingness to learn from errors and use errors to improve the processes of care 4. Use information technology or other available methodologies to access and manage information,

support patient care decisions and enhance both patient and physician education 5. Provide, request and accept feedback

D. Interpersonal and Communication Skills:

1. Provide effective and professional consultation to other physicians and health care professionals and sustain therapeutic and ethically sound professional relationships with patients, their families, and colleagues

2. Use effective listening and narrative skills to communicate with patients and families 3. Interact with referring physicians in a respectful, appropriate manner 4. Maintain comprehensive, timely, and legible medical records 5. Demonstrate the ability to provide counsel to patients and their families, dealing with chronic

disability diseases of the musculoskeletal system 6. Demonstrate the ability to communicate clear direction in returning to sport after injury 7. Describe the team approach to the treatment of juvenile rheumatoid arthritis and systemic lupus

erythematosus with emphasis of use of medications and physical therapy 8. Demonstrate the ability to develop a relationship, utilize pediatric skills to get the physical exam

data needed, and to effectively communicate with the child/teen patient E. Professionalism:

1. Consistently act in the best interest of patients 2. Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and

colleagues

Pediatric Residency Program Educational Goals and Objectives

Pediatric Rheumatology Elective PL-3/4 Residents

Updated 02.2017 3 Pediatric Medical Education Office Comer Children’s Hospital at University of Chicago Medicine

3. Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors and disabilities of patients and professional colleagues

4. Adhere to principles of confidentiality/scientific/academic integrity 5. Be punctual, courteous, and reliable 6. Discuss errors honestly with families

F. Systems-Based Practice:

1. Describe the limitations and opportunities inherent in various practice types, health care systems, and develop strategies to optimize care for the individual patient

2. Apply evidence-based, cost-conscious strategies to prevention, diagnosis and disease management 3. Collaborate with other members of the health care team to improve systematic processes of care 4. Describe the link between documentation, billing, and coding 5. Identify the community resources available to children with special needs