Welcome to Peds Boot Camp!

Congratulations on your recent Match!!  We are excited to meet you all, hear where you are going for residency and share with you some of our experiences.

The boot camp will start on March 26^th at 9:00 with Sara Fear in the GME office.  After getting signed in with Sara and obtaining your badges, we will meet you in the GME office.

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:

• Parking is available off site at the Magnuson lot with shuttle service to and from SCH.
• We have set the schedule so that you may attend noon conference each day. Lunch is provided. Please be aware that there is not noon conference on Thursdays so please plan accordingly. There are several Starbucks in the hospital and a cafeteria if you want to pick something up here.
• We would ask that you bring your computers so that you can look stuff up while in your small groups.
• You can find the Seattle Children’s Survival Guides at  here.
• We are open to feedback anytime throughout the course and will be open to modifying the course based on your suggestions.
• If you have known conflicts with the schedule, please let us know as soon as possible so we can make accommodations.

We look forward to meeting you all soon.

James & Bekah

Today we will be getting to know another and practicing pieces of the pediatric physical exam.

Schedule:

Pre-reading: None

Today we will be putting some of our exam skills to work on the wards and learning about common questions from parents in the well-child clinic setting.

Schedule:

Pre-Reading: 

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

Readings

1. “Developmental milestones” by Scharf R.
2. “Reflection and reflective practice in health professionals education” by Mann K.
3. “Developing the master learner” by Schumacher D.

Today 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 pysicians 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

Videos

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

We will spend the morning talking about the “controversies” around vaccines and discussing how to talk about them with skeptical parents. In the afternoon, we will explore options for pain control and start to think about your new role as an educator to medical students. (You will be the doctor soon!)

Schedule:

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.

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.

Today we get to practice some of the procedures you will be expected to do as a resident.  We will also discuss informed consent.

Schedule:

Pre-reading:

1. NEJM splinting video
2. NEJM umbilical vascular access video

Today is all about pediatric resuscitation including what you as an intern can do in the first few minutes of a code to save a life.

Schedule:

Pre-reading:

1. “Pediatric airway management” by Santillanes G.

Today’s focus will once again be communication skills that will help you care for children and families as a resident.

Schedule:

Pre-reading:

1. “Enhancing medical student consultation request skills in an academic emergency department” by S Go.
2. If you want to win, jeopardy review some basic orthopedics and dermatology.
3. “SPIKES- A six step protocol for delivering bad news: Application to the patient with cancer” by W Baile.
4. “The courteous consult: A consult card and training to improve resident consults” by Podolsky A.

Resources:

1. A pocket resource for the GUIDE tool, another method for delivering difficult news.

The morning will be spent thinking about bugs and the drugs that kill them.  In the afternoon we will be further 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

Surprise! Today is a bit of a mystery. We will start the day with a simulation and spend the rest of the day using skills that we have fine-tuned during the week.

When and where to meet:

9:00 AM in ED JIT room