Resident/Medical Student Education >> Schedule Overview



Practice- Based Learning and Improvement



Goal


Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to achieve the following.



Competencies


  1. Use information technology to optimize learning
  2. Participate in the education of patients, families, students, residents and other health professionals, as documented by evaluations of a resident’s teaching abilities by faculty and/or learners

Objectives


  1. Residents will properly utilize educational resources, be able to review the literature and discuss the cases with a thorough knowledge and ability to practice evidence based medicine. Will be able to present cases and literature review when interesting cases are present.
  2. Residents will reflect on their own knowledge, treatment protocols and determine areas of improvement and implement a plan for their learning

Systems Based Practice


Goal


Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:


Competencies


  1. Coordinate patient care within the health care system relevant to their clinical specialty
  2. Work in interprofessional teams to enhance patient safety and improve patient care quality

Objectives


  1. Residents will play an active role in the management of patients by participating in division meetings and multi-disciplinary care conferences.
  2. Take responsibility for coordination of care when patient is discharged especially with reference to home infusion, out patient infusions, visiting nurse services.
  3. Resident will help in coordination of out patient diagnostic procedures with anesthesia, radiology.

Professionalism


Goal


Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate the following.


Competencies


  1. Compassion, integrity, and respect for others
  2. Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation

Objectives


  1. The resident‘s interaction with the families will be assessed on a daily basis during patient care rounds and procedures.
  2. Understanding the nature of chronic and life threatening illnesses and appropriately dealing with the issues inherent to them in a professional way.

Interpersonal and Communication Skills


Goal


Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:


Competencies


  1. Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
  2. Maintain comprehensive, timely, and legible medical records

Objectives


  1. Communication with families on a daily basis. Attendance, presentation and participation at community fairs and PTA meetings. Participation in the support groups and Seminars conducted by the division for patients and their families.
  2. Resident will demonstrate the ability to write proper consultations, daily notes and write summaries on complicated patients. They will communicate management decisions to the residents on the Pediatric floor, Nursery and PICU and ensure that there is effective communication verbally as well as on paper.

Teaching Methods


  • Consultations are initially done by the resident.
  • Patients are seen and evaluated first by the Resident.
  • Review of cases during presentation including pertinent literature
  • Discussion of specific topics.
  • Supervision of procedures.
  • Encourage the resident presence during difficult family discussions.(eg. new oncology diagnosis)
  • Learn to deal with Insurance companies and become an advocate for their patients.
  • Slide reviews of peripheral smears and bone marrow smears.
  • Residents participate in writing chemotherapy orders, are familiarized with the Children’s Oncology Group protocols and taught the mechanisms of following these protocols.
  • Residents participate actively in functions of the divisions with attendances at health fairs, PTA meetings, parent support groups, patient support groups and parent symposia.

Assessment Method (Residents)


  • Direct Observation (Patient care, Communication skills, Knowledge)
  • Participation in Conferences (Practice based Medicine, Knowledge)
  • Literature review ( Practice based Medicine, Systems based practice)
  • Procedure skills
  • Oral exam (Patient care, Knowledge)
  • Patient /Parent feedback (Professionalism)
  • Peer feedback (Knowledge, Communication skills)
  • Participation in presentations in the community (Communication skills, Knowledge, Systems based Practice)
  • Chart Review

Assessment Method (Program Evaluation)


  • Rotation evaluation by the resident
  • Program Director feedback
  • Peer feedback

Level of Supervision


Clinical teaching: Daily rounds with residents, Consultations are completed only after the Attending evaluates the patient with the resident.


Case based teaching: reviewing interesting cases and all cases during the rotation with a discussion of available literature.


Resident is encouraged to review evidence-based literature when faced with patient care issues.


Chart review: all notes are evaluated and residents are taught to write problem oriented notes. Disharge summaries of complicated patients are expected to be written by the PL 2 resident.


Didactic conferences: Grand rounds and lectures are given periodically. Core conferences are presented every year on basic topics. Grand Rounds by invited experts.


Slide review: This is a good opportunity to review basic hematology and oncology.


Support groups, Community presentations: These are an opportunity to gain knowledge of communication strategies.


Journal club: Hematology/Oncology articles are discussed.


Reading list: List of reading materials is attached and available to the resident. They are also available in a disc and can be e mailed to residents or available on the web page. This is just a sample and residents are expected to not limit their reading to this list.

Contact


The Brookdale University Hospital and Medical Center


Division of Pediatric Hematology/Oncology
One Brookdale Plaza
Suite 346 CHC
Brooklyn, NY 11212-3198

Phone: (718) 240-5904

Fax: (718) 240-6730

Emergency Beeper Number
(917) 433-7764