UNM FAMILY MEDICINE RESIDENCY NEWBORN NURSERY EXPERIENCE GOALS & OBJECTIVES

GOALS

The goal of the pediatric curriculum is to provide FP residents with learning opportunities that will enable them to develop or refine knowledge, skills and attitudes necessary to

A. Diagnose and manage common pediatric disorders B. Recognize, triage and coordinate consultation of complex pediatric conditions C. Provide education and support for patients and families living with pediatric disorders D. Effectively communicate with all members of the healthcare team E. Develop a professional identity that emphasizes individual, practice and system improvement

OBJECTIVES

PATIENT CARE The resident will demonstrate: 1. the ability to obtain, document and report a newborn history, with specific attention to prenatal and perinatal risk factors. 2. the ability to perform, document and report a newborn examination. 3. the ability to recognize and initiate evaluation for common congenital anomalies. 4. the ability to make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment. 5. the ability to perform appropriate procedures, with attention to consent, technique, patient comfort and follow-up. 6. the ability to counsel and educate patients and their families in a clear, respectful and culturally conscious manner. 7. the ability to develop and implement an appropriate discharge plan in conjunction with the patient’s family, the hospital team, the primary care physician, involved consultants and case management as indicated.

MEDICAL KNOWLEDGE The resident will demonstrate: 1. knowledge of APGAR scoring and the ability to assign scores. 2. knowledge of the normal process of transition and variations that should trigger evaluation, with specific attention to criteria for resuscitation or transfer to an NICU. 3. knowledge of gestational age assessment 4. knowledge of normal vital signs & lab values and variations that should trigger evaluation. 5. knowledge of newborn calorie requirements and feeding options. 6. the ability to determine appropriate medication dosage for weight and/or age. 7. knowledge of the impact of a newborn on the functioning and dynamics of the family.

PRACTICE-BASED LEARNING AND IMPROVEMENT The resident will: 1. recognize his/her own strengths and limitations. 2. apply medical evidence to inpatient clinical situations, using a logical approach that is inclusive of the individual patient. 3. use appropriate resources such as literature, consultants and peers to provide best patient care. 4. ask questions as an engaged, critical learner.

INTERPERSONAL AND COMMUNICATION SKILLS The resident will: 1. make organized and effective oral presentations. 2. communicate with the patient, family and primary care physician in a timely, developmentally and culturally appropriate manner. 3. communicate clearly and respectfully with medical team members, consultants, nursing, social work, discharge planning, and other staff.

PROFESSIONALISM The resident will: 1. accept responsibility for patient care. 2. never misrepresent patient care information. 3. be punctual, reliable and collegial. 4. demonstrate dress, hygiene and manner of speech that consistently reflect appropriate standards. 5. demonstrate sensitivity towards patients’ and colleagues’ gender, age, culture, disabilities, ethnicity and sexual orientation. 6. demonstrate sensitivity to the stressors and needs of the family with a new baby.

SYSTEMS-BASED PRACTICE The resident will: 1. practice patient advocacy and use system resources to minimize discomfort or confusion. 2. recognize that the patient is part of greater system and provides care in a manner that supports continuity.

PROCEDURAL SKILLS

The resident will demonstrate proficiency in: 1. circumcision