Educational Goals and Objectives

2009Child Neurology Goals and Objectives

General Clinical Training Goals Post Graduate Year 4General Clinical Training Goals Post Graduate Year 5Inpatient Child Neurology Service PGY 4Inpatient Child Neurology Service PGY 5Child Neurology Outpatient Clinics PGY 4Child Neurology Outpatient Clinics PGY 5 Pediatric Rehabilitation Rotation PGY 4Child Psychiatry Rotation PGY 4Pediatric Epilepsy Rotation PGY 4Pediatric Neuroradiology PGY 4Research Elective PGY 5

4General Clinical Training Goals Post Graduate Year

During the PGY 4 year of training, the faculty attending supervises rounds and plays an active role in the case discussion, diagnostic and therapeutic plans. The team visits each patient and the attending will primarily discuss the findings and plan with the patient and family. This gives the child neurology resident and other team members the ability to watch and learn practical lessons from the faculty member’s years of experience. The child neurology resident is expected to demonstrate the ability to obtain an orderly and detailed history and conduct a thorough general and neurological examination.

Throughout the PGY 4 year, the resident is expected to use these developing skills to organize this information and formulate a differential diagnosis and management plan. The inpatient service covers all patients with primary neurological disorders. As a consultation service, patients from other services including neurosurgery, cardiology, general pediatrics, and child psychiatry are seen, evaluated and followed. Patients with acute neurological disorders are evaluated in the emergency room where the child neurology resident and team help triage patients. The resident must demonstrate ability to work with patients with critical neurological issues by evaluating and following them in the neonatal ICU and the pediatric ICU as well.

In addition, part of the teaching rounds includes reviewing diagnostic studies from the prior day including imaging, lab work and EEG’s. Often the team will meet with the neuroradiologist and the clinical neurophysiology fellow or attending and review in depth MRI’s, CT’s and EEG’s. Particularly in the beginning of the year, basic science topics and the foundations of both neuroradiology and clinical

neurophysiology are taught. Six months of child neurology service team is completed in the PGY 4 year.

5General Clinical Training Goals Post Graduate Year

During the PGY 5 year of training, the faculty attending continues to supervise rounds however begins to allow the child neurology resident to plays a more active role in the case discussion, diagnostic and therapeutic plans. The team visits each patient and the child neurology resident will primarily discuss the findings and plan with the patient and family being observed by the attending. In this role, the senior resident demonstrates his or her communication skills with patients and families to the attending. This gives the attending the opportunity to help guide the resident and provide constructive criticism during the interactions. The child neurology resident is expected to demonstrate the ability to obtain an orderly and detailed history and conduct a thorough general and neurological examination.

During the prior year, the child neurology resident developed skills to organize this information and formulate a differential diagnosis. As a PGY 5 the resident is expected to concentrate and demonstrate competence in the management plan and patient counseling. The inpatient service covers all patients with primary neurological disorders. As a consultation service, patients from other services including neurosurgery, cardiology, general pediatrics, and child psychiatry are seen, evaluated and followed. Patients with acute neurological disorders are evaluated in the emergency room where the child neurology resident and team help triage patients. The resident must demonstrate ability to work with patients with critical neurological issues by evaluating and following them in the neonatal ICU and the pediatric ICU as well.

In addition, part of the teaching rounds includes reviewing diagnostic studies from the prior day including imaging, lab work and EEG’s. Often the team will meet with the neuroradiologist and the clinical neurophysiology fellow or attending and review in depth MRI’s, CT’s and EEG’s. Particularly in the beginning of the year, basic science topics and the foundations of both neuroradiology and clinical neurophysiology are taught. Six months of child neurology service team is completed in the PGY 5 year.

– 4 – , Goals and Objectives PGY Inpatient Child Neurology Service UCLA Westwood

By the end of the year, the PGY-4 resident must be able to accomplish the following goals and learning objectives:

/Goal Objective Core Competency Resources Evaluation Tools

1 Demonstrate a working foundation of neurology and the basics of general child neurology

2- Medical knowledge

-Daily team rounds-Didactic lectures-Textbook reading-Literature search-Teaching of junior residents

-Direct observation-360-degree evaluations-CEX-In-service exam

2 Demonstrate the ability to perform an exam on a child neurology patient

1- Patient care2- Medical knowledge4- Communication5- Professionalism

-Daily team rounds-Didactic lectures-Textbook reading-Teaching of junior residents & students

-Direct observation-306-degree evaluations-CEX

3 Lead and organize the inpatient, consult and outpatient team consisting of residents from neurology and pediatrics and medical students

4- Communication5- Professionalism6- Systems based practice

-Daily team rounds-Teaching of junior residents & students

-Direct observation-360-degree evaluations

4 Use information technology available on the ward to access scientific studies and practice guidelines relative to the care of child neurology patients

3- Practice-based learning

-Daily team rounds-Direct patient care-Medical Center and departmental websites-Medical school and department library

-Direct observation-360-degree evaluations-In-service exam

5 Participate in education of patients, family, students and other health professionals

1- Patient care2- Medical knowledge3- Practice-based learning4- Communication5- Professionalism

-Daily team rounds-Direct patient care-Teaching of junior residents & students

-Direct observation-360-degree evaluations-In-service exam-CEX

6 Communicate with patients in language that is appropriate to their educational and socioeconomic background; attempt to

1- Patient care4- Communication5- Professionalism6- Systems-

-Direct patient care


elicit help from translators when necessary

based practice

7 Provide comprehensive notes in a timely fashion on both primary patients and consultations

4- Communication5- Professionalism6- Systems-based practice


-Direct observation-360-degree evaluations-Attending review of notes

8 Become familiar with various services and financial resources available to manage the ongoing needs of underserved chronic patients

1- Patient care6- Systems-based practice

-Direct patient care-Hospital ancillary support services


9 Identify strengths, deficiencies and limits in one’s knowledge and expertise; set learning and improvement goals

3- Practice based learning 4- Communication

-Daily team rounds-Semiannual review

-Direct observation-Semiannual review

Legend for Core Competencies

1- Patient care2- Medical knowledge 3- Practice based learning4- Interpersonal and communication skills5- Professionalism6- Systems-based practice

:Recommended Reading

Menkes Textbook of Child Neurology 7th EditionLocalization in Clinical Neurology; Paul W. Brazis MD, Joseph C. Masdeu MD, Jose Biller MDComputer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library

CEX = clinical evaluation exercises

Outcome Expectations

Direct observation program benchmark for PGY 4= scores of 2-3 in each

category. * Semiannual review program benchmark for PGY4= scores of 2-3 in each

category of the semiannual review form. * In addition, goals created at the prior semiannual review are assessed and new goals are formed for the upcoming 6 months as well as for long term career goals.360- degree evaluations program benchmark for PGY 4= scores of 2-3 in each

category. * Attending review of notes program benchmark for PGY 4= scores of 2-3 in the

communications section of the evaluation. *

Clinical evaluation exercises program benchmark for PGY 4 = 3 completed,

>85% scoreIn-service exam program benchmark for PGY 4 = 60%

*On the attending evaluation forms, semiannual review forms and the 360-degree evaluations the evaluator is asked to evaluate the resident on each of the 6 core competencies using a 3 point scale: 1= Needs improvement, 2= Meets expectations, 3= Exceeds expectations. Additional space is also available for more specific feedback and comments.

– 5 – , Goals and Objectives PGY Inpatient Child Neurology Service UCLA Westwood



1 Demonstrate advanced knowledge of child neurology


-Daily team rounds-Didactic lectures-Textbook reading-Literature search-Teaching of junior residents


2 Demonstrate the ability to perform an exam on a child neurology patient








4 Act as a mentor to the PGY-4 child neurology residents

4- Communication5- Professionalism



5 Use information technology available on


-Daily team rounds

-Direct observation

the ward to access scientific studies and practice guidelines relative to the care of child neurology patients

-Direct patient care-Medical Center and departmental websites-Medical school and department library

-360-degree evaluations-In-service exam

6 Play a lead role in education of patients, family, students and other health professionals




7 Communicate with patients in language that is appropriate to their educational and socioeconomic background; attempt to elicit help from translators when necessary

1- Patient care4- Communication5- Professionalism6- Systems-based practice






















category with the majority of the scores a 3. * Semiannual review program benchmark for PGY 5= scores of 2-3 in each

category of the semiannual review form with the majority of the scores a 3. * In addition, goals created at the prior semiannual review are assessed and new goals are formed for the upcoming 6 months as well as for long-term career goals.360- degree evaluations program benchmark for PGY 5= scores of 2-3 in each

category with the majority of the scores a 3. * Attending review of notes program benchmark for PGY 5= scores of 2-3 in the

communications section of the evaluation with the majority of the scores a 3. *




– 4 – Goals and Objectives PGY Outpatient Child Neurology Clinics



1 Demonstrate a working foundation of neurology and the basics of general child neurology in an


-Presentations to attendings during clinic-Didactic


outpatient setting lectures-Textbook reading-Literature search-Teaching of junior residents

-CEX-In-service exam

2 Demonstrate the ability to perform an exam on a child neurology patient in an outpatient setting


- Presentations to attendings during clinic-Didactic lectures-Textbook reading-Teaching of junior residents & students


3 Lead and organize the outpatient team consisting of residents from neurology and pediatrics and medical students


- Presentations to attendings during clinic-Teaching of junior residents & students


4 Use information technology available in the clinic to access scientific studies and practice guidelines relative to the care of child neurology patients in an outpatient setting


-Direct patient care-Medical Center and departmental websites-Online access to Medical school library




- Presentations to attendings during clinic-Direct patient care-Teaching of junior residents & students










8 Become familiar with various services and financial resources available to manage the ongoing needs of underserved chronic patients in an outpatient setting






- Presentations to attendings during clinic-Semiannual review










category of the semiannual review form. * In addition, goals created at the prior semiannual review are assessed and new goals are formed for the upcoming 6 months as well as for long-term career goals.360- degree evaluations program benchmark for PGY 4= scores of 2-3 in each


communications section of the evaluation. * Clinical evaluation exercises program benchmark for PGY 4 = 3 completed,


*On the attending evaluation forms, semiannual review forms and the 360-degree evaluations the evaluator is asked to evaluate the resident

on each of the 6 core competencies using a 3 point scale: 1= Needs improvement, 2= Meets expectations, 3= Exceeds expectations. Additional space is also available for more specific feedback and comments.

– 5 – Goals and Objectives PGY Outpatient Child Neurology Clinics



1 Demonstrate advanced knowledge of child neurology in an outpatient setting


-Presentations to attendings during clinic-Didactic lectures-Textbook reading-Literature search-Teaching of junior residents


2 Demonstrate the ability to perform an exam on a child neurology patient in an outpatient setting


-Presentations to attendings during clinic-Didactic lectures-Textbook reading-Teaching of junior residents & students


3 Lead and organize the outpatient team consisting of residents from neurology and pediatrics and medical students


-Presentations to attendings during clinic-Teaching of junior residents & students


4 Act as a mentor to the PGY-4 child neurology residents

4- Communication5- Professionalism

-Teaching of junior residents & students


5 Use information technology available in the clinic to access scientific studies and practice guidelines relative to the care of child neurology patients


-Presentations to attendings during clinic-Direct patient care-Medical Center and


in an outpatient setting departmental websites-Medical school and department library

6 Play a lead role in education of patients, family, students and other health professionals


-Direct patient care-Teaching of junior residents & students
















-Presentations to attendings during clinic-Semiannual review





Menkes Textbook of Child Neurology 7th EditionLocalization in Clinical Neurology; Paul W. Brazis MD, Joseph C. Masdeu MD, Jose

Biller MDComputer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library






category with the majority of the scores a 3. * Attending review of notes program benchmark for PGY 5= scores of 2-3 in the





– 4 – , ’ Goals and Objectives PGY Pediatric Rehabilitation Miller Children s Hospital

The Pediatric Rehabilitation rotation at Miller Children’s Hospital includes a variety of inpatient and outpatient experiences. The inpatient population consists of both primary patients and consults. There are a variety of diagnoses seen such as: traumatic brain injury, spinal cord injury, cerebral palsy, spina bifida and Guillian Barre syndrome. The outpatient clinics include a multidisciplinary spina bifida clinic, a rehab follow-up clinic and a hypertonicity clinic where various unique therapies are used including Botox, myobloc, baclofen pumps and serial casting. There are also a variety of inpatient team and family conferences throughout the month. PGY-4 PM&R residents, developmental pediatrics residents and medical students are also part of the team.

By the end of the rotation, the PGY-5 resident must be able to accomplish the following goals and learning objectives:


1 Demonstrate a working foundation of the basics of pediatric rehabilitation


-Daily team rounds-Didactic lectures-Textbook reading-Literature search-Teaching of junior residents & students


2 Demonstrate the ability to perform an exam on a patient in a rehabilitation setting








4 Use information technology available on the ward to access scientific studies and practice guidelines relative to the care of child neurology patients


-Daily team rounds-Direct patient care-Medical Center and departmental websites-Medical school and department library






6 Communicate with patients in language that

1- Patient care4-


-Direct observation

is appropriate to their educational and socioeconomic background; attempt to elicit help from translators when necessary

Communication5- Professionalism6- Systems-based practice

-360-degree evaluations-CEX
















Menkes Textbook of Child Neurology 7th EditionBinder of reading materials provided by Dr BeDell.Computer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library





category of the semiannual review form. * In addition, goals created at the prior semiannual review are assessed and new goals are formed for the upcoming 6 months as well as for long term career goals.360- degree evaluations program benchmark for PGY 4= scores of 2-3 in each

category. *

Attending review of notes program benchmark for PGY 4= scores of 2-3 in the




– 4 – Goals and Objectives PGY Child Psychiatry

The Child Psychiatry rotation at UCLA includes a variety of outpatient experiences in the management of children and adolescents with psychiatric disorders. The resident will learn about a variety of psychiatric disorders including: anxiety disorder, bipolar disorder, depression, and secondary psychiatric problems related to other medical disorders. Additional topics concentrated on will include: psychological aspects of the patient-physician relationship and cultural, social and personal factors in disease processes. This is accomplished by a variety of outpatient clinics. Child Psychiatry residents and medical students are also part of the team.



1 Demonstrate a working foundation of the basics of child psychiatry


-Presentations to attending during clinic-Didactic lectures-Textbook reading-Literature search-Teaching of junior residents & students


2 Demonstrate the ability to perform a history and exam on a child in a psychiatry clinic setting

1- Patient care2- Medical knowledge4- Communication

-Presentations to attending during clinic-Didactic lectures


5- Professionalism

-Textbook reading-Teaching of junior residents & students

3 Work as part of the outpatient team consisting of residents from psychiatry medical students


-Presentations to attending during clinic-Teaching of junior residents & students


4 Use information technology available in the clinic to access scientific studies and practice guidelines relative to the care of child psychiatry patients


-Presentations to attending during clinic-Direct patient care-Medical Center and departmental websites-Medical school and department library




-Direct patient care-Teaching of junior residents & students






7 Provide comprehensive notes in a timely fashion on all clinic patients










-Presentations to attending during clinic-Semiannual review





Computer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical libraryKaplan and Sadock’s Concise Textbook of Child and Adolescent Psychiatry by Benjamin James Sadock and Virginia Alcott SadockAdditional resources to be provided by Dr OttCEX = clinical evaluation exercises









– 4 – Goals and Objectives PGY Pediatric Epilepsy

The Pediatric Epilepsy rotation at Westwood is a month spent learning to interpret electroencephalograms, electrocorticograms, and video EEG telemetry monitoring.



1 Demonstrate a working foundation of the basics of pediatric EEG, ECOG and vEEG telemetry monitoring


-Daily reading of studies with the attending-Didactic lectures-Textbook reading-Literature search-Review of teaching files available

-Direct observation-360-degree evaluations-Rotation pre and post tests-In-service exam

2 Use information technology available to access scientific studies and practice guidelines relative to the interpretation of pediatric EEG, ECOG and vEEG telemetry monitoring


-Daily reading of studies with the attending-Medical Center and departmental websites-Medical school and department library

-Direct observation-360-degree evaluations-Rotation pre and post tests-In-service exam

3 Participate in education of residents, students and other health professionals


-Daily reading of studies with the attending-Teaching of junior residents & students

-Direct observation-360-degree evaluations-Rotation pre and post tests-In-service exam-CEX



-Daily reading of studies with the attending-Semiannual review

-Direct observation-Semiannual review-Rotation pre and post tests


1- Patient care2- Medical knowledge 3- Practice based learning4- Interpersonal and communication skills

5- Professionalism6- Systems-based practice


Menkes Textbook of Child Neurology 7th EditionTeaching files/database of pediatric EEG, ECOG and vEEG telemetry provided by Dr LernerComputer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library










– 4 – Goals and Objectives PGY Neuroradiology

The Pediatric Neuroradiology rotation at Westwood is a month spent learning to interpret studies such as CT scan, MRI, MRA, MRV, MRS, PET etc.



1 Demonstrate a working foundation of the basics of neuroradiology as it pertains to child neurology


-Daily reading of studies with the attending-Didactic lectures-Textbook reading-Literature search-Review of teaching files available


2 Use information technology available to access scientific studies and practice guidelines relative to the interpretation of pediatric imaging


-Daily reading of studies with the attending-Medical Center and departmental websites-Medical school and department library


3 Participate in education of residents, students and other health professionals


-Daily reading of studies with the attending-Teaching of junior residents & students




-Daily reading of studies with the attending-Semiannual review





Menkes Textbook of Child Neurology 7th EditionTeaching files/database of pediatric neuroradiology studies provided by Dr SolomonComputer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library










– 5 – Goals and Objectives PGY Research Elective

The Research Elective is a specialized elective that is developed by the resident and mentor with the assistance of the program director. The overall goal is to introduce the resident to the process of conducting research and to submit a publication prior to graduation


1 Demonstrate a working foundation of performing research in child neurology


-Mentor guidance-Didactic lectures-Textbook reading-Literature search

-Direct observation-360-degree evaluations-in-service exam

2 Use information technology available to access scientific studies


-Mentor guidance-Medical Center and departmental


websites-Medical school and department library

3 Work as part of the research team consisting of investigators, graduate students and other residents


-Mentor guidance-Teaching of junior residents & students


4 Complete a manuscript to submit for publication

2- Medical knowledge 4- Communication5- Professionalism

-Mentor guidance









Menkes Textbook of Child Neurology 7th EditionAdditional resources to be provided by the mentorComputer access to internet sources including: PubMed, MD Consult, UpToDate, Micromedex, Biomedical library






category with the majority of the scores a 3. *

Attending review of notes program benchmark for PGY 5= scores of 2-3 in the





Last update = 11/15/2009 - Jason T Lerner, MD

Health & Medicine

Educational Goals and Objectives