Take ownership of your patients – know the history, exam, and lab results at any given time; follow-up on your patients even when they have technically left your care; be responsible for them so that nothing gets missed.
Learn how to talk with children of different ages and their families both to get complete, accurate histories, and to explain clinical findings and plans. Learn how to reassure.
Learn how to perform the physical examination of children – how to interpret vital signs at different ages, how the pediatric exam is different than the adult exam, and a basic knowledge of what is normal.
Write a complete H&P, including pediatric-focused items such as development, diet, and growth.
Present orally on inpatient rounds and begin to pick out what is most important to convey to the team (i.e., do not repeat the entire H&P).
Assess the development of every patient you see and be able to recognize when it is abnormal.
Be able to chart the weight, height, head circumference, and BMI and recognize obesity or failure to thrive and begin a work-up if indicated.
Talk to families about prevention, including immunizations, safety, violence, sex, and substance use. Using the CDC chart, know what immunizations a child needs at a given age.
Write prescriptions appropriately for children of different sizes.
Be able to clinically recognize a dehydrated child. Write orders for both rehydration and maintenance fluid for children based on size and clinical condition.
Recognize when a child is in need of urgent medical attention. Know how to initiate care and who to call for help.
Outline the approach to diagnosis and management of common pediatric conditions.