Pediatric Dermatology PGY-3

Pediatric Dermatology Rotation Goals/Objectives for PGY-3
Patient Care
Goal: To provide care for pediatric patients that is caring, sensitive, and effective in optimizing
diagnosis, management, patient education and outcomes.
Objectives:

1. Consistently be able to extract difficult-to-elicit but pertinent information and clinical findings
   but may occasionally need guidance with subtle or complex findings. PC2
2. Consistently give targeted and precise presentation with pertinent negatives. PC2
3. Consistently perform in-office tests proficiently (KOH, Tzanck, scabies prep, trichogram)
   proficiently and interpret results correctly. PC
4. Consistently accurately interpret laboratory and imaging test results. PC6
5. Usually integrate age, development status, and psychosocial factors into care of common
   disorders. PC2
6. Consistently uses weight-based dosing when prescribing medications for children. PC8
7. Consistently select appropriate medication and change to medical therapy and usually select
   appropriate systemic medication for management of complex diseases. PC8
8. Consistently monitor for side effects, including ordering appropriate tests. PC8
9. Consistently tailor counseling and management decisions for individual patient needs and
   preferences. PC7
10. Consistently develop a comprehensive and weighted differential diagnosis. PC7
11. Usually educate patients with common and complex disorders with guidance. PC2
12. Consistently make management decisions for patients with common disorders, but may
    usually need guidance for patients with complex disorders. PCS
13. Consistently seek appropriate specialist consultations. PC2
14. Consistently perform in-office procedures (shave biopsy, punch biopsy, electrodessication
    and curettage, intralesional injections, and cryotherapy) proficiently. PC3
15. Consistently perform simple procedures on children independently. PC3
    Medical Knowledge
    Goal: To acquire knowledge in pediatric dermatology, demonstrate competence in knowledge of
    topics specified by the American Board of Dermatology and develop expertise in patient
    management.
    Objectives:
16. Demonstrate knowledge of clinical and laboratory manifestations, expected course, and
    management options of common and some complex pediatric dermatologic disorders, including
    neonatal dermatoses, birthmarks and vascular anomalies, and genetic disorders. MK1
17. Identify and usually manage urgent dermatological conditions. MK1
18. Usually demonstrate knowledge about socio- behavioral aspects and the value of preventive
    care in pediatric dermatology. MK1
19. Usually apply basic science knowledge to dermatologic disorders, and relate advances in
    basic science to clinical practice. MK1
20. Identifies variable presentations of common disease MK2
21. Describes morphology with fluency MK2

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12. Consistently ensure that patient records, including outpatient and inpatient consultations and
transitions of care, are promptly and accurately documented for routine and complex situations.
ICS3
13. When prompted, reflects on personal biases while attempting to minimize communication
barriers ICS1
14. Appropriately selects and uses direct (e.g. telephone, in-person) and indirect (e.g. progress
notes, text and inbox messages) forms of communication based on context ICS3
Professionalism
Goal: Develop a commitment to excellence, integrity, and sensitivity in the care for pediatric
patients and in the interactions with other health professionals and staff.
Objectives:

1. Educate junior learners and ancillary staff members in, and model adherence to, institutional
   and departmental policies and procedures, proper use of social media (including appropriate
   transmission of patient photographs), equitable and empathic treatment of all patients, and
   maintaining patient confidentiality. PROF1
2. Adhere to state, institutional, and professional guidelines regarding physician relationships
   with industry. PROF1
3. Establish a list of priorities and effective time management that enable successful pursuit of
   professional and personal goals. PROF3
4. Consistently demonstrate empathy and compassion to patients of all ages, including difficult
   or challenging patients. PROF1
5. Demonstrate effective strategies to manage conflict when patient values differ from his or her
   own values. PROF1
6. Discusses ideas and strategies to offset disparities in health care for specific dermatologic
   diagnoses. PROF1
7. Provide feedback to junior residents and medical students. PROF2
8. List gaps of knowledge in pediatric dermatology and devise plan for improvement. PROF3
9. Performs tasks and responsibilities in a timely manner with appropriate attention to detail in
   complex or stressful situations PROF2
10. Proactively ensures that the needs of patient are met PROF2
    Systems Based Practice