1. Pediatric Hospital Medicine for Medical Students Julia K. Simmons, MD

2. Learning Objectives Propose a model for a pediatric hospital medicine sub-internship Advocate for the creation or improvement of a pediatric hospital medicine subinternship

3. Philosophy Broad exposure to Pediatric Hospital Medicine (PHM) Unique and excellent clinical and learning experience

4. Goals Provide inpatient management of general pediatric patients Gain exposure to diverse field of PHM

5. Elective Objectives Based upon six core competencies –Patient Care –Medical Knowledge –Practice-Based Learning and Improvement –Interpersonal and Communication Skills –Professionalism –Systems-Based Practice

6. Requirement Successful completion of core pediatric rotation

7. Elective Structure Four-week rotation Self-identified strengths, weaknesses, and goals Clinical shifts Sedation team Simulation lab Transport team Wound care team General Inpatient team

8. Elective Structure Didactics Evidence-Based Medicine Billing and Coding Institution Section Focused daily feedback

9. Feedback Daily – formative Strength, recommended area of improvement, clinical teaching point Mid-rotation – formative and summative End of rotation - summative

10. Evaluation Student evaluation –Attending physicians, families, nurses Elective evaluation

11. Learning objectives were clearly communicated to me and of appropriate detail so that I understood the important concepts, skills and attitudes that I should learn. Feedback

12. Based on my experiences in this course, I believe I improved my competency in Clinical Skills. Feedback

13. Based on my experiences in this course, I believe I improved my competency in Diagnosis, Management, Continuing Care, and Prevention. Feedback

14. Based on my experience in this course, I believe I improved my competency in Effective Communication. Feedback

15. The format of the course allowed for a broad range of clinical problems in this field. Feedback

16. Patient care responsibilities were appropriate for my level. Feedback

17. Formal teaching activities (e.g., lecture, small groups, cases) helped me gain the knowledge and skills related to the objectives/core competencies. Feedback

18. Patient care activities helped me gain the knowledge and skills related to the objectives/core competencies. Feedback

19. The instructor(s) assessed my knowledge and skills related to the learning objectives and competencies emphasized in lecture and on rounds. Feedback

20. The instructors provided constructive feedback. Feedback

21. The instructors were professional. Feedback

22. The instructors were effective. Feedback

23. I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies. Feedback

24. I was given a mid rotation evaluation which was sufficient for me to achieve the learning objectives/core competencies. Feedback

25. Elective Activities: EBM Lecture taught me useful information

26. Elective Activities: Billing lecture taught me useful information

27. Elective Activities: Shadowing sedation team was a meaningful experience.

28. Elective Activities: Shadowing the transport team was a meaningful experience.

29. Elective Activities: Shadowing Wound Care Team was a meaningful experience.

30. Future Plans Increase student participation Direct observation Consistent hospitalists’ didactics Hospitalists’ responsibilities and feedback Evaluate effect of daily feedback form on self-directed learning Continued administrative and hospitalists’ support