Last Revision: March 2012
M3 Pediatric Clerkship: NEWBORN Intended Learning Objectives
The overall goals for the third year Pediatric Clerkship are listed on the Overall Intended Learning Objectives. Additional specific ILO’s for the newborn experience are listed below.
Knowledge: The student will learn:
- Describe the transition from the intrauterine to the extrauterine environment, including temperature regulation, cardiovascular/respiratory adjustment, metabolic fluctuations, and initiation of feeding.
- List the information from the history of pregnancy, labor and delivery obtained from the parents or medical record that has implications for the health of the newborn.
- Describe how gestational age can be assessed with an instrument such as the Ballard scale and identify key indications of gestational maturity.
- Describe the challenges for parents adjusting to a new infant in the home.
- List the differential diagnosis and complications for the following common problems that may occur in the newborn:
- Respiratory distress
- Poor feeding
- Large and Small for Gestational Age
- Neurological abnormalities such as tremulousness, irritability, lethargy due to sepsis, drug withdrawal, hypoglycemia
- Heart Murmurs
- Describe how gestational age affects risks of morbidity or mortality in the newborn period.
- Describe the role of circumcision in newborns.
Skills: The student will demonstrate competence in:
- Communication skills: Give parents of a newborn anticipatory guidance for the following issues:
- benefits of breastfeeding vs formula feeding for the newborn and mother
- normal bowel and urinary elimination patterns
- normal newborn sleep patterns
- newborn screening tests including metabolic and hearing screening
- appropriate car seat use
- prevention of SIDS
- immunizations (Hep B vaccine)
- medications (eye prophylaxis, vitamin K)
- History Taking: Obtain appropriate prenatal and peripartum history from mother
- Physical Exams: Perform a complete exam of the newborn infant
Professionalism: See overall ILO’s.
NEWBORN STUDENT EXPECTATIONS
- Location: team conference room is 9-107. Take main elevators to 9th floor. From elevators, go to your right through card key-entry door, then turn right. Door is on your left. It should be unlocked, but if it’s locked, page intern at 22229.
- Monday- 8 am Student conference. Start newborn at 9 am in our conference room, (page newborn intern 22229 if no one is there.)
- Mon or Tues Meet with neonatal hospitalists for teaching session
- Tuesday, Wednesday, Thursday, Friday AM- Pre-round at 6:30 am and round with team at 9 am
Fri after rounds- give a 5 minute talk on a newborn topic.
- In addition, cover deliveries with the neonatal hospitalists and admit new patients in afternoons.
- Daily expectations:
- Picking up new patients daily and following patients from previous day.
- Review maternal and newborn medical records, including daily vitals, feeding and nursing interventions
- Obtain history and perform exam (all patients) unless attending prefers for you to do during rounds.
- Cover deliveries with the neonatal hospitalists:
- Each day, at least one, but up to three students can cover deliveries with the neonatal hospitalists. There are three rotating student pager numbers 3060, 35775 and 35767. One student should change the status of each pager so that their pager is covering it. **The resident assistant can help with this. You should wear scrubs on this day.
** Call 66268, enter pager number one of the three above pager numbers (3060, 35775, or 35767) enter 2 to change covering, enter 1 to enter new covering number, and then enter your pager number. The resident assistant or residents can help.
NEWBORN STUDENT REFERENCES
- Newborn Physical Exam videos. The newborn physical exam can be seen on Ctools- M3 peds-resources-teaching materials-newborn. There are four videos- complete exam, Ballard exam, hip exam and abdominal exam. Please view all of these prior to your week.
- In CTools: Breastfeeding materials
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