Step 1. Please review the Learning Objectives for this block.

By the end of this rotation, senior residents will be able to:

1. Apply evidence based learning principles: 1) to promote clinical reasoning; 2) when providing feedback; and 3) when performing bedside teaching. (all)
2. Demonstrate a broader understanding of the interdisciplinary nature of hospital-based care and improvement. (all)
3. Recognize key aspects of billing and coding that relate to proper documentation for one’s clinical work. (all)
4. Effectively facilitate learning in diverse settings (one-on-one, small group, large group) with a diverse group of learners. (teaching focus)
5. Examine and apply principles of Continuous Process Improvement (CPI) and Quality Improvement (QI) as they relate to pediatric clinical care. (QI focus)

Step 2. Review your schedule for the month.

Your clinical and teaching/QI weeks are designated in AMION.  Please note that the 2 teaching/QI seniors may be called upon to help with Team 7’s clinical workload and/or used for Team 7 jeopardy when necessary.  Thankfully, this has been an exceedingly rare occurrence but we want you to be prepared!

If you are planning to be away this month for any reason and this is not reflected in AMION or the Chiefs are not aware, please let us know ASAP so that we can plan accordingly.

Step 3. Choose Your Own Adventure.

ALL team 7 seniors will have:

1. Orientation to the month and overview of teaching, clinical reasoning and feedback (ADAPT) tools
2. One half-day of RN shadowing
   • Each of you will arrange this on a non-clinical day – call medical operational charge 7-2411 on morning of to coordinate
3. Billing and Compliance session with Tracy Valentine
4. MS3 teaching session on fever
5. Journal Club session (this could also be used as a Work in Progress for residents’ QI or research, with goal of constructive feedback from peers)
6. A report-out on track-specific activities below with their Chief and an APD (ideally their Pod APD) at the end of the month, 20-30 minutes

Beyond the activities above, Team 7 seniors will choose a QI or Teaching focus for their non-clinical time, provided that Jeopardy is not activated for Team 7 on those days.  There is no minimum number of residents for each “track” –anyone can opt in to either QI or Teaching.

Those choosing QI will:

1. Watch this AAP QI 101 video which provides an excellent overview of the Model for Improvement and key QI tools and concepts;
2. Complete IHI Open School Courses 101-105;
3. Have QI/Pathways talk with Sarah Zaman;
4. Develop a SMART aim, Key Driver Diagram and talk to stakeholders for a QI gap that they have identified in residency;
5. Work with Chiefs on an existing area of improvement; e.g., RRT/Code Blue review committee.

Those choosing Teaching will:

1. Lead 2 physical findings rounds for medical students and/or interns;
2. Perform 2 direct peer observations with feedback on the wards (using Cincinnati OSTE or UW/Stanford Coaching Toolkit [APPD] direct observation forms);
3. Lead a morning report (date to be coordinated with Chiefs);
4. Co-lead a Tuesday morning RATL-themed session depending on schedule.

You will receive Outlook invitations during the first week of the rotation or earlier to help you keep track of the month’s activities.  You are welcome to attend activities for both QI and Teaching, but should complete the requirements for at least one of the tracks during your non-clinical time.