YEAR 3:

AMBULATORY BLOCK

The overarching goals are as stated in training overview.

This month will focus on Injury Prevention, Children With Special Health Care Needs, Providing Health Care in Alternative Community Settings, and School-Based Health Education.


Injury Prevention:

This month is an opportunity for residents to focus on the topic of injury prevention and its impact on child health. By the end of this month, pediatric residents will:

• learn the epidemiology of injuries and different approaches (active and passive strategies) to their prevention

• learn the basics of office-based injury prevention counseling and be able to implement TIPP (The Injury Prevention Program – AAP) in their primary care practice

• learn community-based approaches to the prevention of pediatric injuries

Sites visited:

- Access Safety City


Children With Special Health Care Needs (SHCN):

This month is an opportunity for residents to learn about issues affecting children with special health care needs (SHCN) and their families. By the end of this month, pediatric residents will:

• gain insight into the home and family life of a child with SHCN and learn how to incorporate this knowledge into patient/family encounters with SHCN children.

• learn about facilities that take care of this population.

Sites visited:

- New York Foundling Hospital
- Home Visit with Project DOCC Parent


Providing Health Care in Alternative Community Settings:

This month is an opportunity for residents to participate in health care delivery outside of the traditional model of a medical office. By the end of the month, pediatric residents will have visited:

Sites visited:

- Children's Health Fund Mobile Medical Van


School-Based Health Education:

This month is an opportunity for residents to develop their skills as health educators in community settings.

We're adding an exciting new component to the ambulatory rotation in conjunction with the community pediatrics program. While on your ambulatory rotation, you will visit a school with a school-based health clinic (which you visited during your adolescent rotation) and teach a group of faculty about one of four health topics: asthma, diabetes, ADHD, or reproductive health. Meg Sullivan, a former CHONY resident, designed a curriculum for you to use when you teach. You can find the curriculum at the bottom of this web page, including a lesson plan, diagrams, and detailed explanations of the topics. We will let you know which topic the teachers have requested before you visit the school. Keep in mind that the teaching session is short, and you may not have time to cover all the material in detail. Focus on the teacher's role: for example, in the asthma session they will be most interested in how to identify an acute asthma attack and how to respond, and in the ADHD talk they will be most interested in how to control an unruly student in the classroom. Some sessions also include a pre-test, so please make sure you leave enough time to go over the test questions at the end of the session. Finally, we would like you to hand out an evaluation form at the end of the session so we can continue to improve this program (also included at the bottom of this web page). Thank you for helping us to bring this important resource to local schools. We hope you have fun!