UNM Inpatient Pediatrics

Rotation Title: UNM Inpatient Pediatrics

Faculty Chair: Clark Alves, MD  

Additional Contacts: Susan Quintana (Pediatrics Residency Coordinator – UNM Health Science Center, 505-272-3909), Cecilia Arias (Graduate Medical Education – UNM Health Science Center), Dolores Gomez, MD

ACGME Program Requirements (see IV.C.) This experience must include a minimum of 75 inpatient encounters with children.

Goal: The overall goal of the UNM Inpatient Pediatrics rotation is to provide residents with the necessary foundation for diagnosis and management of both common and uncommon conditions requiring admission to the hospital among newborns, children and adolescents.

Expectations for Residents and Faculty (if beyond those outlined in resident manual): None.

Deliverables (if applicable): Residents will read the assigned articles and list 3 items they learned from each of these articles in a Word document and submit this document to the faculty chair at the end of the rotation. If not already done, residents are also encouraged to the read the 14 articles in the MMC Newborn and Inpatient Pediatrics rotation, although this is not a requirement for the rotation.   

Competency-Based Education  
ACGME Program Requirements (see IV.B.) 

Objective (competencies)	Educational Strategies	Assessments
By the end of the rotation, the resident will demonstrate adequate understanding of common and uncommon conditions encountered during the inpatient care of Pediatric patients (MK, PC)	Reading articles listed below with submission of 3 learning points from each article to the faculty chair. Clinical teaching by faculty.	Review of faculty evaluation of medical knowledge and patient care.
By the end of the rotation, the resident will develop the ability to navigate the psychosocial dynamic between children and their caregivers (including care coordination with Pediatric nurses) (PRO, ICS)	Direct observation of resident interactions with patients and their caregivers (including nursing staff) by faculty with immediate feedback and coaching.	Review of faculty evaluation of professionalism and interpersonal skills and communication.
By the end of the rotation, the resident will develop the ability to utilize available resources in the hospital and community to address health disparities in Pediatric outcomes, including evidence-based use of inpatient services, diagnostic tests and therapies (SBP)	Direct observation by faculty of residents as they call upon social work/case management, WIC and CYFD to facilitate appropriate care for their Pediatric patients, with immediate feedback and coaching.	Review of faculty evaluation of systems-based practice.
By the end of the rotation, the resident will demonstrate a commitment to personal growth in the competencies listed above (PBLI).	Clinical teaching and feedback from the community preceptor.	Review of faculty evaluation of practice-based learning and improvement.

Resources:

Evaluating Fever of Unidentifiable Source in Young Children, AAFP, 2007; https://www.aafp.org/pubs/afp/issues/2007/0615/p1805.html

Bacterial Meningitis in Children, AAFP, 2022; https://www.aafp.org/pubs/afp/issues/2017/0901/p314.html

Bleeding per rectum in pediatric population: a pictorial review, World Journal of Clinical Pediatrics, 2022; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9134156/

A review of cystic fibrosis: Basic and clinical aspects, Animal Models and Experimental Medicine, 2021; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8446696/pdf/AME2-4-220.pdf

(focus on clinical aspects of this article)

Fluid Treatment for Diabetic Ketoacidosis in Children, AAFP, 2002; https://www.aafp.org/pubs/afp/issues/2002/0315/p1201.html

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and Comparison, AAFP, 2021; file:///C:/Users/RID4428/Downloads/p244.pdf

Henoch-Schonlein Purpura (IgA Vasculitis): Rapid Evidence Review, AAFP, 2020; https://www.aafp.org/pubs/afp/issues/2020/0815/p229.html