Clinical Care

clinical-care-diagram

Summary

Definition

Clinical competency in the Pediatric Pulmonary Division includes:

  • Sufficient knowledge of asthma, cystic fibrosis and other pulmonary conditions to provide discipline-specific care
  • Ability to assess and provide effective discipline-specific care
  • Ability to effectively use the interdisciplinary team to enhance care given to a child and family

Objectives for Clinical Care

Participants will:

  1. Describe key components of asthma, cystic fibrosis, sleep disorders and lung disease of prematurity
  2. Discuss psychosocial aspects of cystic fibrosis and sleep disorders
  3. Discuss nutritional aspects of asthma, cystic fibrosis and lung disease of prematurity
  4. Complete discipline-specific assessments and treatment plans
  5. Discuss the factors and systems issues that lead to disparities in care in each condition
  6. Discuss how the interdisciplinary team  and family centered care can improve the care of patients
  7. Suggest individual, programmatic and systems changes that can improve care and reduce disparities

Core Seminar

Online Presentations and Videos

Online readings

Self-Directed Learning Activities

Asthma

  • Provide data on the disparities in mortality and hospitalizations between Caucasian and African American children

Cystic Fibrosis

  • Identify the number of different genotypes there are in CF and the percentages of people of different races/ethnic groups who have CF

Sleep

  • Locate, read and summarize an article about pediatric sleep disorders and your discipline’s concerns (e.g., sleep and nutrition, sleep and behavioral issues)

Community Activity

Develop or participate in a program that addresses a clinical condition in the community, e.g.

  • Health fair
  • Educational module for school
  • Website
  • Advocacy activity
  • Tobacco Coalition

Participation in Faculty Activities

  • Summarize the roles of different disciplines in clinic and meetings
  • Evaluate the degree to which lifecourse, cultural competence or social determinants are included in discussions
  • Assess the degree of family-centeredness of the various discussions
  • Describe and categorize the different types of activities in which PPC faculty are involved
  • (Over time) Participate in meetings, presenting your view of the patient or the importance of considering culture, family etc.

Leadership Journal & Portfolio

  • Reflect on the behaviors you’ve observed with team and patients
  • Summarize the concepts you’ve learned and assess the degree to which they are applied in clinic and meetings
  • Include in your portfolio the results of your self-directed learning activity, any letters you’ve written on behalf of patients, and a sample note

Clinical Preparation

  • Attend clinic
  • Observe, discuss and journal about
    • Patient care
    • Social determinants of health
    • Interdisciplinary team; your discipline’s unique role on the team
    • Family-centeredness/cultural competence
    • Lifecourse factors