March 15, 2021

Ear exam

Newborn exam

Neuro exam

Respiratory exam

March16, 2021

Handoffs

March 17, 2021

Bugs and Drugs

March 18, 2021

Talking to teens

Ortho/Derm Jeopardy

March 23, 2021

Pain Pearls

March 24, 2021

Obtaining a Consult

Nutrition

March 25, 2021

Environmental Health

Compiled by Molly Rideout, MD

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Farrell PM, Kosorok MR, Rock MJ. Early diagnosis of cystic fibrosis through neonatal screening prevents severe malnutrition and improves long-term growth. Pediatrics. 2001;107(1):1-13.

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Freedman DS, Dietz WH. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics. 1999;103(6): 1175-1182.

Gaston et al. Prophylaxis with oral penicillin in children with sickle cell anemia. NEJM. 1986;314:1593-1599.

Glaser et al. Risk factors for cerebral edema in children with diabetic ketoacidosis. NEJM. 2001;344(4):264-269.

Grant EK, Gray MP, Morrison AK, et al. Dexamethasone for acute asthma exacerbations in children: a meta- analysis. Pediatrics. 2014;133(3):493-499.

Han YY, Carcillo JA, Dragotta MA, et al. Early reversal of pediatric-neonatal septic shock by community physicians is associated with improved outcome. Pediatrics. 2003;112(4):793-799.

Hoberman A et al. Treatment of acute otitis media in children under 2 years of age. NEJM.2011;364(2):105-115.

Hoberman A, Wald ER, Hickey RW, et al. Oral versus initial intravenous therapy for urinary tract infections in young febrile children. Pediatrics.1999;104(1 pt 1):79-86.

Kimberlin DW, Lin CY, Sanchez PJ et al. Effect of ganciclovir therapy on hearing in symptomatic congenital cytomegalovirus disease involving the central nervous system: a randomized, controlled trial. Journal of Pediatrics.. 2003;143(1):16-25.

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Welcome to Peds Boot Camp!

We are excited to meet you all, learn where you will be heading for residency and share with you some of our experiences.

The boot camp will start on March 15^th at 10:00 on Zoom.  This year will be a hybrid on remote and in-person learning opportunities.

We hope you are as excited as we are to start this course.  We have an amazing group of instructors who are excited to teach and be a resource for you.  We want to reiterate, that the course is intended to be as interactive and hand-on as possible with the aim of exposing you to high yield situations that you will experience in residency.  We will be asking for your enthusiasm and participation in the sessions and will welcome your feedback throughout the course.

The schedule is included below. While the days will be packed with material, there is a good chance that we will be ending early on some days.  A few tips below:

• The Zoom link for all sessions is https://washington.zoom.us/j/97551087367.
• All session, including the Zoom session require active participation. Please have your cameras on (as much as possible) and be prepared to unmute and engage.
• In person sessions will be at UW WISH (Monday 3/23) and the Sand Point Learning Center (3/25 and 3/26). There is free parking at the Sand Point Learning Center.
• We have set the schedule so that you may (remotely) attend noon conference each day.  Zoom | UWPeds
• You can find the Seattle Children’s Survival Guides at  here.

We look forward to meeting you all soon.

Bekah & Jesse

Today we will be getting to know one another and learning tips for different pieces of the pediatric physical exam.

Schedule:

Pre-reading: None

Resources:

1. AAP otitis media guidelines
2. SNAPSHOTS_Developmental_Milestones_Chart_UPDATED_Aug_2014

Internship (and the rest of life) is stressful. We will start the morning with some time exploring reflection as one tool for wellness and learning.

For the remainder of the day we will be focusing on clinical reasoning, organization and communication skills necessary for life on the wards: developing assessments and plans, figuring out how to create and prioritize a to-do list, answering pages and giving handoffs. It will be a packed day, just like a day in the life of an intern!

Schedule:

Pre-reading:

1. “Collaboration between hospital physicians and nurses: An integrated literature review” by Tang C
2. “Why doesn’t medical care get better when doctors rest more?” by Lisa Rosenbaum from the New Yorker
3. “When patient handoffs go terribly wrong” by Pauline Chen from the New York Times
4. “Patient handoffs: Pediatric resident experiences and lessons learned” by McSweeney M

Watch the brief videos below and reflect on the where communication went well and where there was opportunity for improvement. (Yes, the acting is Oscar worthy.)

1. Admission- Poor
2. Admission- Better
3. Page- Poor
4. Page- Better
5. Transfer- Poor
6. Transfer- Better

Handouts:

1. Cases for class
2. 2021 Pediatric Boot Camp poems prompts PediatricBootCampHandout2021
3. Reflection Handout2021

We will spend the morning thinking about bugs and the drugs that kill them. The afternoon will be spend talking about the “controversies” around vaccines and discussing how to talk about them with skeptical and concerned  parents. 

Schedule:

Assignments:

Hi all. In preparation for tomorrow’s session, please research your assigned topic and prepare to share what you found with everyone.  Everyone will have about 7 minutes to share.  Also, come with the craziest thing you read on the internet about vaccines.  🙂

Kaiser: Canadian vaccine schedule

Kilia: European vaccine schedule

Paula: Dr. Bob Sears Schedule

Rachel: Dr. Paul Thomas Schedule

Nicole: Stefan Lanka theories

Phanith: Natural or homeopathic vaccine alternatives

Pre-Reading: 

1. “Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children” by Andrew Wakefield, the now retracted article that started a campaign of misinformation.
2. The very brief retraction published 12 years later by the Lancet.

Handouts:

Bugs and Drugs:

1. Cases handout- for class
2. Cases with answers

Vaccine talks:

1. Opal article
2. Immunization Case and Handout for class
3. Resources for responding to IZ questions
4. Guide to Contraindications and Precautions

Resources:

1. Helpful flyer with resources to help you respond to vaccine-hesitant parents.
2. “Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases” by S Omer.
3. “Addressing Parents’ Concerns: Do Vaccines Cause Allergic or Autoimmune Diseases?” by P Offit.
4. “Addressing Parents’ Concerns: Do Vaccines Contain Harmful Preservatives, Adjuvants, Additives, or Residuals?” by P Offit.

This morning we will hear about talking with teenagers and practice some of the questions and conversations that will be important in their care. Then we will play Jeopardy! to review how to describe rashes and fractures.

In the afternoon you will get the chance to hear the experts talk about all the advice you will soon be expected to share with parents.  Get ready to answer questions such as, “Should I sleep train my baby?”, “When and how do I toilet train?”, “Should I give my baby peanut butter?” and “What should I do about discipline?”  You will have the chance to discuss resources and recommendations that you have found…from Professional Society Guidelines to random weird websites.

Schedule:

Pre-Reading:

1. If you want to win Jeopardy!, review how to describe fractures and derm findings.

Assignments:

• Breast Feeding/Feeding (starting solids, transitioning, introduction of different foods, allergies): Paula and Kilia

• Sleep (co-sleeping, sleep training, night terrors): Rachel

• Discipline/Behavioral Concerns (when to start, time outs, spanking, positive parenting): Kaiser and Nicole

• Toilet Training (expectations, signs of readiness, different approaches): Phanith

1. Students will pair up to research a common pediatric question. Please evaluate at least 3 sources for advice. At least one should be a reputable source. 🙂
2. Review normal pediatric milestones on the CDC site.

Resources:

Consent laws be state– sexual and mental health

Consent laws by state– consent to sex

Handouts for class:

Adolescent Patient 1

Adolescent Patient 2

HAPPY MATCH DAY!!!!

The morning will be spent learning about how to develop resiliency to buoy you through the harder times of residency. We will take a slight detour to practice prescription writing and discuss options for pain management. In the afternoon we will be honing our communication skills to think about palliative care discussions.

Schedule:

Pre-Reading:

1. “The darkening veil of ‘do everything’” by Fuedtner C.
2. “Responding to Emotion” tool kit from vitalTALK

Handouts:

Blank Prescriptions

Pain cases and problems

Palliative Care Cases

NURSE_TalkingMap_VitalTalk

The 7 Questions-Peds