Welcome to the University of Colorado School of Medicine on the Anschutz Medical Campus. A Top Ten Medical School, our departments, centers and institutes work with the University of Colorado Hospital, The Children's Hospital and Barbara Davis Center.

CLINICAL SKILLS AND REASONING
Historical Data Gathering  

• Obtain accurate history for a pediatric patient
• Conduct an effective pediatric interview by adapting the interview to the visit (ex. First visit, acute care, health supervision) or chief complaint. Adapt the interview in special cases where child abuse may be suspected or when obtaining a sexual history
• Seek and obtain additional information from secondary sources (ex. family, medical record, pharmacy, allied health professionals) when the patient presents and ongoing data from family and other care providers

Physical Exam

• Perform an accurate comprehensive or focused physical exam on a pediatric patient minimizing their physical discomfort
• Perform an age appropriate physical examination on a pediatric patient with sore throat
• Perform an age appropriate physical examination of the ear, demonstrating appropriate use of otoscopy and pneumatoscopy and discuss findings. Demonstrate techniques for cerumen removal
• Perform an age appropriate physical examination of the chest including general observation, palpation, percussion and auscultation and discuss findings
• Perform a newborn exam
• Recognize normal and abnormal findings
• Accurately track changes in the physical exam over time in a pediatric patient
• Perform both basic and advanced PE techniques as dictated by the presenting complaint

Clinical Reasoning

• Synthesize data, including history, physical examination, and data to identify and prioritize the patient’s problems.
• Develop prioritized differential diagnoses for the common clinical conditions in newborns, children and adolescents
• Develop initial and long-term diagnostic and therapeutic management plans with the assistance of senior team members (including patient education, prevention and health maintenance)

PATIENT-CENTERED CLINICAL SKILLS AND REASONING

• Gather data that defines both the disease and the illness experience (patient perspective, expectations and the illness’ effect on their functioning)
• Develop diagnostic and management plans to find common ground in identifying problems, goals and roles

Core knowledge of emergency medicine with focus on the clinical setting

• Demonstrates knowledge of core clinical conditions

Common modalities used in the practice of pediatric medicine in the nursery, outpatient clinic, inpatient/urgent care setting

• Demonstrate knowledge of and indications for and interpretation of basic clinical tests, procedures and imaging commonly encountered in pediatrics

LEARNING AND IMPROVEMENT BY ANSWERING CLINICAL QUESTIONS BASED ON PATIENT CARE SCENARIOS

Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems.

Learning and improvement by answering clinical questions based on patient care scenarios
Locate, evaluate, and assimilate scientific evidence related to patient’s health care problems.

Ask answerable questions for emerging information needs

• Demonstrate knowledge of and indications for and interpretation of basic clinical tests, procedures and imaging commonly encountered in pediatrics

Acquire best evidence

• Access medical information resources to answer clinical questions
• Effectively search evidence based medicine resources to obtain original primary literature

Apply the evidence to decision making for individual patients

• With assistance, determines if evidence can be generalizable to individual patients

Learning and Improving via Feedback
With assistance, identify strengths and limits in one’s knowledge and performance. Set learning and improvement goals.

Improves via feedback

• Respond productively to feedback from all members of the team
• Seek, with prompting, feedback from faculty and residents

Improves via self-reflection

• With assistance, reflect on feedback to develop plans for improvement

PATIENTS AND FAMILY

Communicate effectively with patients and families, across a broad range of cultural, literacy and socioeconomic backgrounds.

Communicate Effectively

• Timely and effective written and verbal communication
• Use verbal and non-verbal skills to establish rapport with pts/families taking into account the patient’s age and developmental stage
• Communicate with families in difficult situations (including child abuse)
• Perform anticipatory guidance and preventative health maintenance unique to an adolescent patient
• Understand the unique aspects of the adolescent visit with respect to confidentiality and risk-taking behaviors
• Perform anticipatory guidance for a newborn
• Communicate with patient/family via telephone encounter by performing a simulated telephone triage for a common pediatric problem: obtain a specific history, elicit critical physical findings, assess the condition and provide advice for management, including indicators for urgent evaluation

Intercultural Sensitivity

• Effectively use an interpreter during appropriate pt care scenarios
• Demonstrate sensitivity to pts including but not limited to differences in race, gender, sexual orientation, and literacy
• Actively seek to understand patient differences and patient perspective