Develop skill in performance of appropriate pediatric history and physical exam, including general growth and development, assessment and knowledge of current immunization requirements.
Learn the etiologies, significance, and treatment of fever and infection in the child.
Learn the manifestations and significance of abdominal related complaints in the child.
Learn the etiologies and treatment of neurologic emergencies in the child.
Learn the physiology and derangements of fluid and electrolyte management in children.
Learn the indications of social and/or psychological disturbances.
Learn the specific problems of pediatric trauma victims.
Learn the manifestations and treatment of pediatric cardiac abnormalities.
Learn the pathophysiology, etiologies, and treatment of respiratory disorders of children.
Learn the pathophysiology, etiologies, and treatment of common serious endocrine and hematologic disorders of children.
Learn the pathophysiology, etiologies, and treatment of common serious gynecologic and urologic conditions of children.
Learn to recognize and provide appropriate treatment for orthopedic and soft tissue problems of childhood.
Learn the common dermatologic diseases and dermatologic manifestations of systemic diseases in children.
Learn to recognize and treat children with common and/or serious problems of the head and neck.
Objectives:
Demonstrate correct airway management including pediatric endotracheal intubation. (1)
Demonstrate ability to obtain and utilize intravenous access including venipuncture, intraosseous needle placement, and administration of appropriate dose of emergency medications. (1)
Demonstrate knowledge of the significance of fever in children of various ages, and the ability to perform an "optimal resuscitation" including Yale Observation Score of the febrile child. (1)
Demonstrate knowledge of common infectious diseases of childhood, including appropriate work-up and treatment of meningitis, sepsis, pneumonia, urinary tract infection, and bacteremia. (1)
Demonstrate ability to properly perform a pediatric lumber puncture. (1)
Demonstrate knowledge of the pathophysiology and manifestations of common and/or serious diseases of the gastrointestinal tract and abdominal cavity of children, including gastroenteritis, intussusception, volvolus, Meckel's, anaphylactoid purpura, and appendicitis. (1)
Discuss the differential and preliminary work-up of abdominal masses found in the pediatric patient. (3)
State the appropriate management of children with seizures, both febrile and afebrile. (3)
Demonstrate familiarity with the diagnosis and management of Reye's syndrome. (3)
Demonstrate knowledge of hydrocephalus, its differential, treatment and the management of neurologic shunt problems. (2)
Calculate fluid and electrolyte requirements of a dehydrated child. (2)
Discuss the diagnostic work-up and disposition when child abuse and/or neglect is suspected. (1)
Demonstrate ability to perform a history and physical exam of an alleged victim of sexual abuse. (1)
Demonstrate ability to direct a pediatric trauma resuscitation. (1)
Demonstrate knowledge of the significance and correct treatment of various patterns of burns in pediatric patients. (1)
Interpret a series of pediatric EKG's, showing awareness of the normal physiologic differences from adult EKG's. (2)
Discuss the common pediatric dysrhythmias, their diagnosis and treatment. (1)
Discuss the types of congenital cyanotic and noncyanotic heart disease, their complications and treatment. (2)
Demonstrate ability to read pediatric chest x-rays. (1)
Demonstrate ability to identify a patient who needs prophylaxis for rheumatic fever or subacute bacterial endocarditis. (2)
Discuss the differential diagnosis of chest pain in children and adolescents, noting differences from adults, and demonstrating knowledge of proper work-up and treatment. (2)
Discuss the differential of congestive failure in the pediatric patient and demonstrate knowledge of appropriate treatment. (2)
Discuss the anatomy and physiology of the respiratory tract in children. (2)
Demonstrate correct performance of peak expiratory flow measurement, pulse oxymetry and end-tidal CO2. (1)
Demonstrate management of patients with upper airway infection suspected of having epiglottitis. (1)
Correctly interpret soft tissue lateral neck x-rays in children. (1)
Discuss the etiologies and demonstrate correct management of children with lower and upper airway diseases including asthma, bronchiolitis, cystic fibrosis, pneumonia. (1)
Demonstrate correct management of foreign bodies of the upper airway and ability to diagnose and arrange disposition for patients with lower airway foreign bodies. (1)
Demonstrate correct management of the pediatric patient with diabetes and/or diabetic ketoacidosis. (1)
Demonstrate knowledge of the etiologies of anemia in children and the appropriate diagnostic evaluation. (3)
Demonstrate knowledge of the differential diagnosis and work-up of the jaundiced child. (2)
Discuss the differential diagnosis and work-up of the child with evidence of a bleeding disorder. (2)
Demonstrate correct evaluation and treatment of a child with dysuria or a suspected urinary tract infection. (1)
Demonstrate knowledge of the evaluation and treatment for phimosis, paraphimosis, balanitis. (2)
Demonstrate knowledge of the evaulation and treatment of testicular disorders including torsion and epididymis (sp). (1)
Discuss the differential and required workup for a pediatric patient with a limp. (1)
Demonstrate x-ray interpretation and perform proper splinting for a variety of pediatric fractures, distal radius and ulna, and distal tibia and fibula. (1)
Demonstrate ability to perform and interpret the results of an arthrocentesis. (2)
Discuss the findings and disposition of a patient with a suspected autoimmune syndrome such as juvenile arthritis, lupus, or dermatomyositis. (3)
Demonstrate ability to perform reduction of a dislocated joint. (1)
Discuss the etiology and treatment of acute soft tissue infections and perform an
Correctly diagnose common pediatric exanthemas including varicella, measles, monilia, roseola, rubella, pityriasis, scabies, and erythema infectiosum. (2)
Demonstrate knowledge of the differential diagnosis and evaluation of children with petechiae. (1)
Demonstrate ability to correctly perform and interpret the exam of the ears, nose and throat. (1)
Demonstrate knowledge of pediatric facial and orbital infections and their treatment. (1)
Discuss the causes of neonatal shock and demonstrate the ability to perform and infant resuscitation, including endotracheal intubation and insertion of an umbilical venous catheter. (1)
Demonstrate proper performance of a suprapubic bladder aspiration. (2)
Discuss the findings and differential of sudden infant death syndrome, and demonstrate knowledge of the proper legal steps and ability to support the family. (1)
Discuss the differential diagnosis and acute treatment of the weak infant and child, including polio, botulism and the Landry-Guillain-Barre syndrome. (3)
Demonstrate knowledge of the evaluation and treatment of children with diarrheal illness. (1)
Demonstrate knowledge of the common poisonings of childhood and their treatments. (1)
Manage the care of a child with immersion/drowning. (1)
Manage the care of a child with a foreign body ingestion, discussing the complications, diagnostic steps and treatment. (2)
State the differential diagnosis of a child with upper or lower GI bleeding, and discuss the evaluation and treatment. (2)
Discuss the differential diagnosis and work-up of renal failure or anuria in children. (2)
Demonstrate ability to evaluate children with syncope and discuss its differential diagnosis. (2)
Discuss the signs, symptoms, treatment and complications of Kawasaki disease. (2)
Discuss the risk factors associated with teenage suicide. (1)
Discuss the differential of abnormal vaginal bleeding in childhood and demonstrate ability to perform a complete genital exam on children of various ages. (2)
Demonstrate ability to evaluate and treat a child wiith altered mental status and interpret a pediatric cranial CT scan. (1)
Discuss the technique for reducing an incarcerated inguinal hernia. (2)
Discuss the common pediatric malignant tumors. (3)
Differentiate between the presentation, diagnostic test results and treatment of transient synovitis and septic joint. (2)
Develop familiarity with common psychotherapeutic agents.
Learn relevant interviewing techniques to deal with patients with various psychiatric disorders.
Learn principles of managing the violent patient.
Objectives:
Demonstrate ability to conduct an interview in patients with acute psychiatric disorders. (1)
Demonstrate ability to perform a mental status exam in patients with normal and altered mental status. (1)
Discuss the indications for emergent psychiatric consultation. (1)
Discuss the indications for routine psychiatric consultation. (2)
Demonstrate ability to assess suicide risk. (1)
Demonstrate ability to interact with violent emergency department patients and discuss protection techniques for patients and staff members. (1)
Discuss techniques of avoiding an acute psychiatric crisis in the emergency department. (2)
Define major categories of psychiatric illness including thought, mood, anxiety, somatoform and personality disorders. (3)
Discuss the pharmokinetics, indications, contraindications and side effects of the major classes of psychotherapeutic agents including major tranquilizers, sedative/hypnotics, and antidepressants. (2)
Discuss the process of voluntary and involuntary commitment. (1)
Discuss the indications for physical and chemical restraint and demonstrate ability to use restraint appropriately. (1)
Discuss the difference between pseudodementia (depression) and true dementia in the elderly. (2)
Discuss organic causes of altered mental status including dementia and delerium. (1)
Demonstrate ability to differentiate organic and functional causes of altered mental status. (1)
Demonstrate ability to diagnose and manage common intoxication and withdrawal syndromes. (1)
Discuss the common complications of alcohol and drug abuse and demonstrate ability to diagnose and manage these complications. (1)
Demonstrate ability to interact effectively with patients with personality disorders including antisocial, borderline, compulsive, dependent, histrionic and passive-aggressive personalities. (1)
Learn techniques of analyzing biomedical research.
Understand methods of hypothesis development and testing.
Understand various types of study design and methodology.
Learn various metnods of obtaining consent for biomedical research.
Understand basic statistical methods.
Understand the ramifications of ethical considerations in research.
Learn the skills to develop a manuscript that is acceptable for publication in a peer review journal.
Understand grants and funding of research.
Objectives:
Demonstrate an understanding of the advantages and disadvantages of various study designs, including the randomized clinical trial and case control, cohort, and cross sectional studies. (2)
Demonstrate an understanding of null and alternative hypotheses. (3)
Demonstrate an understanding of the practical and ethical ramifications of implied and non-implied consent as they apply to hospital and pre-hospital research. (2)
Understand the differences between interval, ordinal, nominal, parametric, and non-parametric data. (3)
Understand the differences between independent and dependent variables. (2)
Demonstrate an understanding of methodologies and variable types analyzed by the following statistical tests: t test, analysis of variance, chi square, Fischer exact test, and non-parametric tests for interval and nominal data. (3)
Demonstate an understanding of the terms "paired" and "tailed" (one and two). (3)
Demonstrate an understanding of type I and type II errors as they relate to sample size and variance. (3)
Demonstrate an understanding of alpha, beta, and statistical power. (2)
Demonstrate an understanding of the differences between statistical and clinical significance. (1)
Learn the pertinent aspects of the history and physical exam relative to acute poisoning with particular emphasis on clinical recognition of major toxic syndromes (toxidromes).
Learn the generic aspects of clinical management of poisoning, including stabilization and decontamination.
Understand the principles, methods, and controversies of decontamination and enhancement of elimination of toxins.
Learn the presenting signs, symptoms, laboratory findings, pathophysiology and treatment of common therapeutic drug poisonings, drugs of abuse, natural toxins, and general household poisons as delineated in the core curriculum of Emergency Medicine, section 17.
Learn the common hazardous materials (HAZMAT) of the workplace and prehospital operations with regard to HAZMAT incidents.
Learn the principles of clinical operational toxicology and the major occupational toxins of Western society.
Learn the fundamentals of poisoning epidemiology, pharmokinetics, and biotransformation, including the effects of pregnancy and lactation.
Learn to recognize, diagnose, assess and emergently manage acute and chronic complications of substance abuse.
Learn the use of adjunctive services, including the toxicology laboratory and poison center, in the management of acute poisonings.
Learn the specific indications and implementation of specific therapeutic modalities, such as the use of antidotes, hemodialysis, and hyperbaric oxygen.
Objectives:
Demonstrate the ability to perform gastric lavage, whole bowel irrigation, skin and eye decontamination, and administration of activated charcoal. (1)
Discuss the indications, contraindications, dosages, and side effects of the currently available antidotes and antivenoms. (2)
Demonstrate clinical recognition of toxidromes associated with drug overdose and drug withdrawal. (1)
Demonstrate knowledge of the principles of hemodialysis and hemoperfusion and the toxic agents that can be removed by these methods. (2)
Demonstrate ability to recognize common venomous animals and oisonous plants and their clinical presentations and treatments. (2)
Demonstrate knowledge of the diagnostic laboratory including methods, limitations and costs. (2)
Demonstrate knowledge of the drug interactions, side effects, and therapeutic levels of the commonly used therapeutic agents. (2)
Demonstrate the proper technique for handling a HAZMAT contaminated patient in the emergency department and the prehospital environment. (1)
Demonstrate knowledge of the common household poisons, pesticides, hydrocarbons and metals, their effects and treatments. (1)
Demonstrate the knowledge and clinical skills necessary to manage a patient poisoned by any of the following: acetaminophen, amphetamines, anticholinergics, aspirin, barbiturates, benzodiazepines, beta blockers, calcium channel blockers, carbon monoxide, caustics, cocaine, cyanide, cyclic antidepressants, digitalis, ethanol, ethylene glycol, INH, iron, lithium, methanol, opiates, organophosphates, phenytoin, theophylline and venomous animals. (1)
Demonstrate knowledge of basic principles of drug absorbtion, redistribution, metabolism, and elmination.(2)
To develop an organized approach to the assessment, resuscitation, stabilization and provision of definitive care for the trauma victim.
To learn use of the diagnostic imaging modalities avaliable for evaluation of the trauma victim.
To develop procedural skills necessary in the evaluation and management of the trauma victim.
To learn to recognize and treat immediate life and limb threatening injuries in the trauma victim.
To learn special considerations in the evaluation and management of the pregnant trauma victim.
To learn special considerations in the evaluation and management of the pediatric trauma victim.
To learn special considerations in the evaluation and management of the geriatric trauma victim.
To learn the principles of disaster management.
To learn the principles of burn management.
To learn a systems approach to trauma management that includes statewide trauma systems and categorization of institutions and emergency department.
To learn the principles of pre-hospital trauma care including the role of BCS and ALS ambulance services and air transport services.
Objectives:
Demonstrate ability to rapidly and thoroughly assess victims of major and minor trauma. (1)
Demonstrate ability to establish priorities in the initial management of victims of life-threatening trauma. (1)
Demonstrate ability to manage fluid resuscitation of trauma victims. (1)
Demonstrate ability to manage the airway of trauma victims. (1)
Discuss the continuing care of the trauma victim, including operative, post-operative and rehabilitative phases of care. (2)
Demonstrate ability to perform the following procedures: oral and nasogastric intubation, venous cutdowns, insertion of large bore peripheral and central venous lines, insertion of arterial lines, tube thoracostomy, local wound exploration, peritoneal lavage, vessel ligation, repair of simple and complex lacerations, splinting of extremity fractures, and reduction and immobilization of joint dislocations, cricothyroidotomy, resuscitative thoracotomy, pericardiotomy, cardiorraphy, aortic cross-clamping, and extensor tendon repair. (1)
Demonstrate ability to interpret radiographs on trauma patients, including chest, cervical, thoracic and lumbar spine, pelvis and extremity films. (1)
Discuss the importance of mechanism of injury in the evaluation and treatment of the trauma victim. (3)
Demonstrate ability to calculate the Glasgow Coma Score and discuss its role in the evaluation and treatment of head injured patients. (1)
Demonstrate ability to use spine immobilization techniques in trauma victims. (1)
Demonstrate ability to diagnose and manage trauma victims with extremity fractures, dislocations and subluxations. (1)
Demonstrate ability to manage soft tissue injuries including lacerations, avulsions and high-pressure injection injuries. (1)
Discuss the diagnosis and management of compartment syndromes. (1)
Discuss the diagnosis and management of urogenital injuries. (1)
Demonstrate appropriate use of analgesics and sedatives in trauma patients. (1)
Demonstrate appropriate use of antibiotics in trauma patients. (1)
Demonstrate ability to direct a trauma team during complex resuscitations. (1)
Demonstrate ability to coordinate consultants involved in the care of multiple trauma patients. (1)
Demonstrate ability to use and interpret imaging modalities in the evaluation of trauma patients. (1)
Demonstrate ability to arrange appropriate consultation and disposition of trauma patients. (1)
Demonstrate ability to direct the care of trauma victims in the pre-hospital setting. (1)
Discuss principle of disaster management and participate in disaster drills. (1)
Discuss the role of pre-hospital systems in the management of trauma patients. (2)
Discuss factors unique to the evaluation and management of pediatric trauma. (1)
Demonstrate ability to direct pediatric trauma resuscitations. (1)
Discuss factors unique to the evaluation and management of geriatric trauma. (1)
Demonstrate ability to direct geriatric trauma resuscitations. (1)
Discuss factors unique to the evaluation and management of trauma in pregnancy. (1)
Discuss the evaluation and management of spinal cord injuries. (1)
Demonstrate ability to diagnose and manage tendon injuries. (2)
Demonstrate ability to manage amputation injuries and discuss the potential for reimplantation. (1)
Demonstrate the ability to manage the acutely burned patient, including minor and major injuries. (1)
Demonstrate the ability to diagnose and treat smoke inhalation. (1)
Discuss indications and procedures for transfer of an injured patient to a trauma center. (1)
Demonstrate the ability to assess and manage facial trauma. (1)
Demonstrate the ability to evaluate and manage anterior neck injuries. (1)
Demonstrate the ability to assess and manage penetrating and blunt chest trauma. (1)
Demonstrate the ability to evaluate and manage blunt and penetrating abdominal trauma. (1)
Demonstrate the ability to diagnose and treat pelvic fractures. (1)
Learn the relevant history and physical exam skills.
Learn the use of diagnostic imaging modalities available for the evaluation of urologic disorders.
Learn the diagnosis and management of acute and chronic renal failure and the complications of renal dialysis.
Learn the diagnosis and management of urinary tract infections, including pyelonephritis and prostatitis.
Learn the diagnosis and management of renal calculi.
Learn the evaluation and management of renal and genitourinary trauma.
Learn the diagnosis and management of disorders of the male genitalia.
Objectives:
Discuss the pathophysiology, differential diagnosis and management of pre-renal, renal and post-renal failure. (2)
Demonstrate ability to diagnose and manage the complications of chronic renal failure and dialysis, including electrolyte imbalance, dialysis disequilibriums, pericarditis, and subdural hematoma. (1)
Discuss the indications for emergent dialysis. (1)
Discuss the indications and demonstrate ability to interpret intravenous pyelography urogenital US or helical CT. (1)
Discuss the indications for the use of urinary tract antibiotics. (1)
Discuss the indications and demonstrate abillty to insert urethral and suprapubic catheters. (1)
Demonstrate ability to perform and interpret retrograde urethrograms and cystograms. (3)
Demonstrate ability to diagnose and treat infections of the urinary tract including pyelonephritis, cystitis, prostatitis and urethritis. (1)
Demonstrate ability to diagnose and treat testicular disorders, including torsion, epididymitis, torsion of the appendix testis, and orchitis. (1)
Discuss the indications for doppler examination and testicular scanning. (1)
Demonstrate ability to diagnose and treat disorders of the penis, including priapism, fracture of the penis, phimosis, paraphimosis, Fournier's gangrene, and balanitis. (2)
Demonstrate ability to diagnose and treat urinary retention. (1)
Demonstrate ability to diagnose and treat renal colic and nephrolithiasis. (1)
Demonstrate ability to evaluate and treat patients with blunt and penetrating urologic trauma. (1)
Describe the indications for emergent urologic consultation. (1)
Describe the indications for routine urologic consultation. (2)
Learn effective wound evaluation and management skills.
Learn wound closure techniques appropriate for outpatient, traumatic wounds.
Learn appropriate methods for control of pain in patients with traumatic wounds.
Understand quality assurance/risk management issues relating to wound care.
Learn effective documentation skills in patients with traumatic wounds.
Learn appropriate disposition and referral skills.
Learn appropriate follow-up techniques and management of the complications of traumatic wounds.
Objectives:
Demonstrate ability to perform appropriate history and physical exams in patients with traumatic wounds. (1)
Demonstrate an understanding of wound pathophysiology, including cellular response, static and dynamic wound tensions, growth factors and tensile strength. (3)
Demonstrate an understanding of the predictors of wound sepsis. (1)
Demonstrate effective wound cleansing skills. (1)
Describe the appropriate use, limitations and potential complications of wound cleansing solutions. (2)
Describe the appropriate use, limitations and potential complications of antimicrobials in the management of traumatic wounds. (2)
Demonstrate an understanding of various imaging modalities in the detection of soft tissue foreign bodies. (1)
Demonstrate appropriate use of universal precautions in wound treatment. (1)
Demonstrate skill in various wound closure techniques including intradermal suture, fascial closure, interrupted skin sutures, running skin sutures, vertical and horizontal mattress sutures, half-buried horizontal mattress sutures, tape closure and use of staples. (1)
Understand the role for delayed wound closure. (1)
Demonstrate the technique of delayed primary closure. (3)
Demonstrate appropriate management of special wound types, including skin ulcers, human bites, animal bites, snake bites, plantar puncture wounds, dermal abrasions and tar burns. (1)
Demonstrate skill in the management of complex lacerations. (1)
Demonstrate skill in the provision of analgesia and anesthesia to patients with traumatic wounds including use of local infiltration, topical administration and conscious sedation. (1)
Demonstrate abillity to apply wound dressings. (2)
Demonstrate ability to thoroughly document historical and physical exam data relating to wound care. (1)