Medical Expert

  1. Demonstrates an understanding of the following:

a)Fetal growth, development and physiology including the role of the placenta

b)Aspects of pregnancy, labor and delivery which affect the neonate

c)Effect of maternal systemic disease on the fetus and newborn

d)Demographic, medical and psycosocial factors which influence perinatal mortality and morbidity (the high-risk pregnancy)

e)Process of neonatal adaptation to extrauterine life

f)Neonatal growth, nutrition, metabolic problems, feeding problems

g)Aspects of drug therapy unique to the newborn, including the management of pain

h)General principles of care of the newborn: skin, warmth, feeding

i)Newborn screening

j)Neonatal imaging, including radiology, ultrasound, CT and MR scans

In addition for PGY 2 or 3:

Demonstrates an understanding of:

k) Principles of neonatal transport

l) Problems encountered in the follow-up of the high-risk neonate

m)Pharmacology of the fetus and neonate including pharmacology relation to breast feeing

  1. Overall is proficient in:
  1. Initial assessment of the newborn, including APGAR score and gestational age
  2. Recognition of the seriously ill newborn
  3. Umbilical venous and umbilical arterial line catheterization
  4. Umbilical catheter removal

In addition for PGY 2 or 3:

  1. Neonatal resuscitation and stabilization of critically ill newborn including Neonatal Resuscitation Program certification
  2. Management of conventional mechanical ventilation and its complications
  3. Blood drawing (capillary, venous, umbilical catheter)
  4. Intravenous catheter insertion (peripheral)
  5. Peripheral arterial puncture
  6. Endotracheal intubation newborn
  7. Thoracentesis and chest tube placement
  8. Lumbar puncture
  9. Bladder catheterization and suprapubic aspiration
  10. Gastric tube placement (oro or nasogastric)
  11. Use of vasoactive drugs
  12. General principles of exchange transfusion
  1. Develops an approach to the understanding and management of neonatal conditions including:
  1. Respiratory distress
  2. Extreme Prematurity
  3. Cyanosis
  4. Bronchopulmonary dysplasia
  5. Jaundice
  6. Retinopathy of prematurity
  7. Intrauterine growth retardation
  8. Feeding difficulties / vomiting
  9. Metabolic abnormalities including: hypoglycemia, hypo / hypercalcemia
  10. Intraventricular hemorrhage
  11. Seizures
  12. Asphyxia
  13. Sepsis
  14. Apnea

In addition for PGY 2 or 3:

  1. Surgical problems of the newborn
  2. Anemia, hypovolemia, polycythemia
  3. Bleeding
  4. Drug withdrawal
  5. Congenital anomalies
  6. Floppy infant
Communicator
  1. Prepares documentation that is accurate, organized, and timely
  2. Demonstrates the ability to orally present cases in an accurate, complete and concise manner.

In addition for PGY 2 or 3:

  1. Establishes a therapeutic relationship with patients and communicates well with family. Able to listen effectively to families. Provides clear and thorough explanations of diagnosis, investigation and management.
  2. Establishes good relationships with peers and other health professionals including referring and other physicians, nurses, therapists, dietitians, technologists. Gives constructive feedback to both teacher and students. Receives feedback well.

COLLABORATOR

In addition for PGY 2 or 3:

1)Interacts effectively and constructively with all members of the health care team, recognizing and acknowledging their roles and expertise. Demonstrates skill at finding common ground when differences of opinion exist.

MANAGER

  1. Understands and makes effective use of information technology, such as databases, internet searches, and other data management devices.
  2. Sets realistic priorities and uses time effectively in order to optimize professional performance, able to prioritize and address competing demands.

In addition for PGY 2 or 3:

  1. Understands the general principles of regionalized perinatal care principles of stabilization and transport of the critically ill infant.
  2. Understands the principles of infection control.
  3. Demonstrates an awareness of cost-benefit considerations in patient care decisions.

HEALTH ADVOCATE

  1. Understands the specialist role to intervene on behalf of the patient with respect to the social, economic and biologic factors that may impact on their health.
  2. Understands the specialist role to intervene on behalf of the community with respect to the social, economic and biologic factors that may impact on community health.

In addition for PGY 2 or 3:

  1. Recognizes the policies that promote health in infants, such as breastfeeding, cessation of smoking, SIDS prevention, immunizations, strategies against infectious disease and parent-infant bonding.
  2. Assists parents or guardians in accessing the health care system for ongoing care of the infant (including discharge planning, appropriate follow-up, home care etc).
  3. Addresses specific family concerns, including those related to differing cultural or religious backgrounds.

SCHOLAR

1.Demonstrates an understanding of and a commitment to the need for continuous learning. Develops and implements an ongoing and effective personal learning strategy.

2.Is able to critically appraise medical information. Successfully integrates information from a variety of sources into clinical practice.

In addition for PGY 2 or 3:

3.Facilitates the learning of others by providing guidance, teaching, and by giving constructive feedback

4.Demonstrates the knowledge and skills that are required for the presentation of clinical or research material in oral or written format.

PROFESSIONAL

  1. Demonstrates reliability and conscientiousness. Meets deadlines, is punctual, monitors patients and provides follow-up.
  2. Demonstrates integrity, honesty, compassion, and respect for diversity in interactions with patients and peers.
  3. Demonstrates an awareness of the principles of medical ethics and their application to clinical practice.
  4. Demonstrates an awareness of one’s own limits and has an ongoing pursuit of self-improvement, seeding advice when necessary. Accepts advice graciously.

In addition for PGY 2 or 3:

  1. Recognizes that residency training offers the opportunity to emulate the role of the consultant under direct supervision, and as such demonstrate a willingness to undertake the responsibilities of the consultant role to the extent that one’s acquired knowledge and abilities permit.

July 2012