Pediatrics A Competency-Based Companion E-Book

Maureen C Mcmahon, Glenn R Stryjewski

Description

Pediatrics: A Competency-Based Companion, by Maureen C. McMahon, MD and Glenn R. Stryjewski, MD, MPH, is designed to teach you to think like an experienced clinician. The only text written in the framework of the Core Competencies developed by the ACGME, its case-based approach illustrates the thought processes that effective practitioners use to approach and evaluate common pediatric presentations. Learning is easy through an intuitive, practical organization...a concise, high-yield presentation...graphs, tables, and other at-a-glance features, such as Professors’ Pearls" that provide cases with questions and annotated answers...and a framework that allows you to track your progress and that of your patients in relation to ACGME and AAMC expectations. A convenient pocket-sized format enables you to review the material on the go, and online access via Student Consult includes online extras such as "Integration Links" to bonus content in other Student Consult titles, a Competency Self-Assessment Log, Vertical Reads, and much more.

• Master ACGME Core Competencies with the aid of a color-coded system that helps you to integrate evidence-based medicine, continual self-assessment, and cognizance of interpersonal skills into your daily routine.
• Access the high-yield core information you need for pediatric rotations in a portable, pocket-sized format that organizes the most common, must-know pediatric signs/symptoms and disorders by patient presentation.
• Learn to see the "big picture" with the aid of "Teaching Visuals" chapters and "Speaking Intelligently" and "Clinical Thinking" features in clinical chapters.
• Easily locate more in-depth information on any topic with references to Nelson Essentials of Pediatrics, 6th Edition.
• Access the complete contents online at www.studentconsult.com, along with "Integration Links" to bonus content in other Student Consult titles...a Competency Self-Assessment Log... "Professors’ Pearls" that provide cases with questions and annotated answers...Vertical Reads...and many other features to enhance learning and retention.
• Get advice on managing your career, time, and life outside the clinical setting via bonus online appendices.

Informations

• Publié par: Saunders
• Date de parution: 24 mai 2011
• Nombre de lectures: 1
• EAN13: 9780323081306
• Langue: English
• Poids de l'ouvrage: 19 Mo

Extrait

PEDIATRICS: A Competency-Based Companion

Maureen C. McMahon MD
Assistant Professor of Pediatrics
Jefferson Medical College
Thomas Jefferson University
Philadelphia, Pennsylvania
General Pediatrician
Nemours/Alfred I. duPont Hospital for Children
Wilmington, Delaware
Lankenau Medical Center, Main Line Health System
Wynnewood, Pennsylvania
Glenn R. Stryjewski MD, MPH
Associate Professor
Department of Pediatrics
Jefferson Medical College
Thomas Jefferson University
Philadelphia, Pennsylvania
Pediatric Intensivist
Nemours/Alfred I. duPont Hospital for Children
Wilmington, Delaware
Series Editor: Barry D. Mann MD, FACS
1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899
PEDIATRICS: A COMPETENCY-BASED COMPANION
ISBN: 9781416053507
Copyright 2011 by Saunders, an imprint of Elsevier Inc .
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the Publisher. Details on how to seek permission, further information about the Publisher s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods, they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Pediatrics : a competency-based companion / [edited by] Maureen McMahon, Glenn Stryjewski.
p. ; cm.-(Competency-based companion)
Includes bibliographical references and index.
ISBN 978-1-4160-5350-7 (pbk. : alk. paper)
1. Pediatrics. 2. Clinical competence. 3. Patients-Care. 4. Physician and patient. I. McMahon, Maureen (Maureen C.) II. Stryjewski, Glenn. III. Series: Competency-based companion.
[DNLM: 1. Pediatrics. 2. Clinical Competence. 3. Patient Care. 4. Physician-Patient Relations. WS 21]
RJ45.P3976 2011
618.92-dc22
2011005356
Acquisitions Editor: James Merritt
Developmental Editor: Christine Abshire
Publishing Services Manager: Anne Altepeter
Senior Project Manager: Beth Hayes
Project Manager: Louise King
Design Direction: Louis Forgione

Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2
For Kathleen and Joseph McMahon -MCM
For Alison, Sophia, and Isabella, the three most amazing women in the world and the best teachers a student like me could ever have -GRS
Educator s Foreword
Medical education has changed dramatically in recent years. The ultimate goal, to develop a pediatrician who can practice competently and independently, remains the same. However, the route to this end has been altered. It is no longer adequate to assume that trainees will learn how to care for patients appropriately and gain the necessary medical knowledge for pediatrics just by showing up and participating in the daily routine of medical school rotations and residency training. Medical educators must now prove that they have included all of the key components of medical training (the six core competencies) in their programs. They must have evaluation tools to show that their trainees have grasped these concepts. Likewise, one can no longer assume that medical students and pediatric residents will communicate well with patients and families or that they will act professionally in their daily work. Educators must now demonstrate that they have taught and assessed the interpersonal and communication skills and professionalism of their graduates. Furthermore, trainees must now learn to function effectively as part of a larger health-care system and use resources effectively. They must evaluate their own patient care and practice evidence-based medicine.
Changing the culture of medical education is not easy. Medical educators are obligated to change the way students and residents think . The six core competencies must be incorporated into the daily lives of trainees so they approach each patient and each challenge in medicine with them in mind.
Pediatrics: A Competency-Based Companion will play a vital role in our changing educational culture. This is not just another traditional textbook. It is instead a unique guide that effectively helps readers to tackle pediatric problems in a systematic manner, with the core competencies in the foreground. The distinctive format encourages trainees to think differently and logically. Whereas many old textbooks supply an arsenal of medical information, this comprehensive text covers much more. Practical concepts learned from experience are combined with evidence from scientific studies. Early chapters teach how to succeed as a medical student or a pediatric resident in clinical settings and independent study. Other contributions advise trainees to function as part of a medical team, on inpatient wards and outpatient clinics. Later sections show how to approach an ill child with a specific complaint or medical problem. Each chapter emphasizes what to do first and how to develop a differential diagnosis when confronted with a simple or puzzling case. All chapters remind the reader to treat patients, families, and colleagues with respect and compassion. Authors stress the importance of including the family in medical decisions. The authors and editors are skillful clinicians and talented teachers. They have a wealth of knowledge and experience to share.
This important new book will undoubtedly have a great impact on medical education. I congratulate the authors and editors for having the courage to change our approach to pediatrics. I applaud their effort to modify traditional readings and develop a new thought process, with an eye toward competence in all areas. This book is exceptional and exciting. Our medical students and pediatrics residents will be better for it.
Steven M. Selbst MD
Pediatric Residency Program Director Jefferson Medical College/Nemours/Alfred I. duPont Hospital for Children
Pediatrician s Foreword
In September 1999 the board of the Accreditation Council for Graduate Medical Education (ACGME) approved the Outcome Project. In the decade that has followed there have been significant changes in graduate and undergraduate medical education stimulated by the project. The Outcome Project is a long-term initiative by which the ACGME intended to increase emphasis on educational outcomes. In its role as the accreditation agency for graduate medical education programs, the ACGME wanted to shift from looking at the structure and process of education, which are assessments of potential, to the measurement of outcomes and actual accomplishments. The project defined the six areas of competence: patient care, medical knowledge, professionalism, systems-based practice, practice-based learning and improvement, and interpersonal and communication skills. Clearly, these are not unique and fully distinct areas of competence, but they do define the breadth and depth of what a trainee must know to practice in the twenty-first century. Since the launch of the project there have been many years of moving from concept to program requirements and ultimately to an understanding of what these terms mean and how to use them for enhanced learning and improved clinical practice.
From a pediatrician s point of view, Pediatrics: A Competency-Based Companion takes the aforementioned training paradigm and moves it into the reality of clinical practice. Using the competency framework, the authors and editors provide the pediatrician with a concise set of information points that will help guide practice. The chapters each start with a clinical scenario, and that is the vantage point of a practitioner. It is not a starting point of a theory or a topical matter but the setting of a commonly seen patient in a clinical context. Next the reader is provided medical knowledge-not an expansive amount of knowledge, but a quantum the practitioner needs to know for clinical thinking, history, physical examination, a