Region 1 PEHSU Pediatric Environmental Health Fellowship
COMPETENCY-BASED OBJECTIVES
Training Program Director: Alan Woolf, MD, MPH, FAACT, FAAP, FACMT
Copyright 2019, All Rights Preserved

COMPETENCY-BASED EVALUATION

PATIENT CARE

  • Appropriate history & physical exam skills
  • Proper telephone triage of patient-related issues
  • Proper management of ill patients

Evaluation: Electronic form in New Innovations with 9-point scale
Form with 5-point scale. Qualitative comments encouraged.

MEDICAL KNOWLEDGE

  • Identify the appropriate laboratory and radiology work-up for specific patient presentations
  • Detailed understanding of diagnosis and management of childhood lead poisoning
  • Evaluation of the child with developmental issues that may be related to environmental exposures

Evaluation: Electronic form in New Innovations with 9-point scale
Form with 5-point scale. Qualitative comments encouraged.
In-service exam

PRACTICE-BASED LEARNING & IMPROVEMENT

  • Develop and initiate treatment plans based on institutional standards
  • Learn to locate, review and assimilation of evidence from appropriate scientific studies
  • Complete Institute for Healthcare Improvement electronic modules on improvement of the quality of clinical care & patient safety
  • Develop skills for lifelong learning
  • Improve clinical practice
    • Analyze medical errors and issues for quality improvement and develop a project to improve care
    • Use evaluations from faculty, mentors, peers, patients, learners, other professionals

Evaluation: Electronic form in New Innovations with 9-point scale
Form with 5-point scale.
Qualitative comments encouraged.
Monitoring of selected clinical metrics via chart review 12

INTERPERSONAL & COMMUNICATION SKILLS

  • Establish consultant-type relationship with families
  • Establish longitudinal relationship with families who have children with environment-related diseases
  • Learn how to describe treatment plans and obtain consent for treatment
  • Maintain comprehensive and timely medical records
  • Communicate with referring physicians and relevant community-based, governmental, and non-governmental agency personnel
  • Learn how to describe protocols
    • Clarify research objectives in contrast to standard treatment objectives
    • Clarify alternative treatment possibilities

Evaluation: Electronic form in New Innovations with 9-point scale.
Form with 5-point scale. Qualitative comments encouraged.
360-degree evaluation

PROFESSIONALISM

  • Learn proper interactions and team work with other subspecialists, referring physicians, community-based nurses, and other professionals
  • Demonstrate ethical behavior, respect, and responsiveness to needs of patients and families
    • Responsibility, integrity, honesty, empathy
    • Patient/family privacy, confidentiality, autonomy
    • Cultural competency

Evaluation: Electronic form in New Innovations with 9-point scale.
Form with 5-point scale. Qualitative comments encouraged.
360-degree evaluation

SYSTEMS-BASED PRACTICE

  • Practice quality health care, utilizing community-based resources
  • Understand financial and other stressors on families of children with environmental issues
  • Understand how insurance status and home health care situation affects patient care decision-making
  • Learn advocacy for families and communities with respect to environmental health issues
  • Understand different health care systems
  • Understand cost-effective health care and resource allocation
  • Assist families in dealing with systems demands and complexities
  • Worker with other health care managers and external providers
  • Advocate for the promotion of pediatric environmental health on a societal level

Evaluation: Electronic form in New Innovations with 9-point scale.
Form with 5-point scale. Qualitative comments encouraged.