Outpatient+Pediatrics+Learning+Objectives

- hyperbilirubinemia, breastfeeding, feeding, colic, weight gain/loss, safety 1) Work up an infant with jaundice by assessing risk factors for jaundice and ordering appropriate labs. 2) Arrange appropriate follow-up for a jaundiced infant. 3) Assess an infant’s growth and intervene as needed for excessive weight loss. 4) Assess and counsel mothers who are having difficulties with breastfeeding in a culturally sensitive manner. 5) Counsel parents on general guidelines for advancing an infant’s diet from milk/formula to baby foods and solids. 6) Give parents guidance on age appropriate safety measures such as back-to-sleep, child-proofing the house, and car seats. 7) Discuss strategies for soothing colic, improving sleep.
 * Well Child Care of the Newborn and Infant**

- behavior and development, safety, nutrition 1) Assess a toddler’s development and refer appropriately if the toddler is not meeting milestones. 2) Counsel parents on safety issues such as child-proofing the home. 3) Encourage good nutrition for toddlers emphasizing adequate vegetable and fruit intake, appropriate portion sizes, and limited sugary drinks.
 * Well Child Care of the Toddler**

- school issues, learning disabilities, ADHD, mental health issues 1) Know how to utilize the Vanderbilt questionnaire to assess a child for ADHD. 2) Be able to counsel a parent on the treatment, including pharmacological and behavioral, of ADHD and its potential comorbidities. 3) Understand what an IEP is and how to request one if needed.
 * Well Child Care of the School Age Child**

- HEADS, CRAFFT, confidentiality, contraception 1) Ask teenagers about common risk factors using appropriate screening tools such as HEADS and CRAFFT. 2) Maintain the confidentiality of teens, understanding the concept of an emancipated minor.
 * Well Child Care of the Teenager**

1) Screen for adverse childhood experiences (ACE). 2) Identify signs and physical exam findings of child neglect and abuse. 3) Understand when and how to report to CFS.
 * Adverse Childhood Experiences, Child abuse, neglect/Domestic Violence**

1) Screen for anemia in toddlers and at risk teens. 2) Treat children empirically with iron.
 * Anemia**

1) Diagnose asthma and determine its severity. 2) Assess asthma triggers. 3) Initiate and titrate treatment with beta-agonists and inhaled corticosteroids. 4) Counsel patients on the correct use of asthma medications.
 * Asthma**

1) Recognize and treat constipation and encopresis. 2) Counsel parents about strategies to stop nocturnal enuresis.
 * Constipation/Encopresis/Enuresis**

1) Select an appropriate screening tool to diagnose autism or ADHD. 2) Screen for developmentally delay by using an age appropriate ASQ. 3) Appropriately refer children who are developmentally delayed to Audiology, Regional Center, CAAD, Specialty Clinics, or the School District for further assistance.
 * Developmental delay and behavioral problems**

1) Determine appropriate work-up of infants with fever without a source. 2) Describe treatment of a child with a febrile UTI, including appropriate follow-up.
 * Fever Workup and treatment**

1) Evaluate a child with a headache through history and physical exam. 2) Determine if imaging or referral is necessary for a child with headache. 3) Initiate treatment for headaches, including prophylactic medications for chronic migraines.
 * Headache**

1) Correctly diagnose overweight status and obesity in children. 2) Assess children for risk factors for overweight/obesity, including family history, diet, activity, and screen time. 3) Utilize motivational interviewing skills to help patients make healthy lifestyle changes. 4) Assess children who are overweight/obese for common comorbidities, including hypertension, diabetes, and fatty liver. 5) Arrange appropriate follow-up/ referrals for children who are obese or overweight.
 * Obesity Prevention and Treatment**

1) Determine if a toddler’s gait is developmentally normal. 2) Describe the evaluation of common pediatric orthopedic injuries/abnormalities. 3) Describe the evaluation and management of concussion.
 * Orthopedics Concerns/Sports Physical**

1) Identify and characterize rashes/skin findings such as contact dermatitis, viral exanthem, seborrhea, candida, erysipelas, and acanthosis nigricans 2) Counsel patients on non-medical treatments of contact dermatitis, and prescribe topical medications for contact dermatitis. 3) Initiate treatment for acne.
 * Skin Conditions**