PEDIATRIC OUTPATIENT
From Guide to YKHC Medical Practices
Outpatient Clinic (C): Mon-Fri 9 a.m.–5 p.m.
- Sees scheduled pediatric and chronic pediatric patients (CPP) for well child checks, ER follow-ups, sports physicals, sick visits, chronic health maintenance (including Remicade infusions)
- Follow-up of chronic issues, sub-specialty care (with the help of Anchorage and Seattle-based pediatric sub-specialists), non-acute child abuse evaluations, ADHD evaluation, orthopedic care (including splinting and casting), minor procedures (including incision & drainage of abscesses), etc.
- Clinic pediatrician practices a combination of primary care (with continuity of care) and urgent care, including managing respiratory distress, dehydration, administration of IV antibiotics, etc.
- Review specialty, and other dictations, for pod patients and updates the problem lists/makes referrals. If not able to review dictations within 1-2 weeks may request peds hospitalist assistance with reviews and updates.
- Provide pediatric hallway consults as able
Outpatient Precepting (N): Mon–Fri 9 a.m.–5 p.m.
- Performs all duties of Outpatient Clinic provider as described above, but only sees one patient each hour in order to fulfill the primary responsibility of supervising the pediatric resident working in clinic that day.
- Staffs all patients seen by the pediatric resident: observes resident’s history-taking and physical exam as indicated, verifies the resident’s exam findings as indicated, reviews care plans created by the resident for each patient, reviews and cosigns the resident’s note for each patient.
- Provides didactic, case-based, and systems-based (workflow) teaching to the pediatric resident as time allows
- Resident attending for 1st, 2nd and 3rd year SCH Alaska track residents-shadows and precepts residents for their assigned patients
- Reviews with resident, patient’s pertinent PMH, HPI and chief complaint. Encourages resident to develop a plan and goals for patient needs for the appointment for that day, provide as much needed care as possible and devise a follow up care plan that is understood by the patient and documnted in the EMR for future encounters.
- Encourages exposure and opportunities to learn procedures and specialty care from other providers and specialists as able
- Understands resident’s educational goals and balances these with patient care needs in clinic setting
- Promotes independent learning and provides positive patient based teaching as opportunities arise
- Helps residents develop their fund of knowledge; differential diagnosis skills; ability to write thorough and concise notes; and learn organizational efficiency and practical clinical skills that will help them succeed and be ready for independent practice on graduation from residency
Bethel Regional High School Clinic (BRHS): Wed 9 a.m.–5 p.m.
- Sees scheduled and walk-in patients at the BRHS clinic – which serves students aged 11-21 from Bethel Regional High School and Bethel’s alternative boarding school, the Kuskokwim Learning Academy (KLA) – for sports physicals, sick visits, adolescent health care (including contraceptive counseling and provision, STI testing/treatment, and social/behavioral health concerns), and some chronic care follow-up (such as blood pressure monitoring).
- See section on BRHS clinic in the WIKI for detailed workflow
Clinic Admin (AD): Mon–Fri 9 a.m.–5 p.m.
- Flexible time to do clinical administration (including review of subspecialty notes and other care coordination for continuity patients), quality improvement projects, and committee work.
