Patient Care

Chapter 3 Patient Care





Definitions of Patient Care


The ACGME expects “residents to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.”1 The American Board of Pediatrics (ABP) has developed general guidelines for the pediatric competencies and states that for patient care “residents must be able to provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of health problems and the promotion of health.”2 The ABP pediatric-specific components of patient care competency include:










Strategies for Learning Patient Care


The ACGME outlines the content that should be taught under the patient care competency. This includes specialty-specific skills that address key skill sets, specialty-specific procedural knowledge, and knowledge about information technology. Learning can take place in the following settings: clinical teaching, lectures/seminars/conferences, role modeling, workshops, simulations, and self-directed learning through case-based modules. Teaching methods should include didactic conferences, clinical teaching, case-based teaching, role modeling, journal club, mentoring, morbidity and mortality (M&M) conferences, simulation, self-directed learning modules, individual or group projects, research projects, and chart audit. Simulation is defined as recreating a medical situation that contains the visual, auditory, and tactile information that might be experienced in an actual clinical encounter. Importantly, simulation takes place in a safe environment that does not pose risk to a patient and can provide learners with experiences that they might not encounter during their clinical duties.


Passive methods of instruction, including case conferences, didactics, and M&M conference, are also important in educating residents on patient care. Through M&M and case conferences, trainees are able to critically appraise a patient’s case and subsequent care, to develop their own thoughts on how things may have been done differently or how the disease process works more thoroughly. This takes the trainee away from the bedside to review a case in detail from an outsider’s view and to learn from other specialties’ viewpoints. Didactic conferences enhance patient care by providing the fundamentals of medical knowledge and current guidelines for treatment strategies.

< div class='tao-gold-member'>

Stay updated, free articles. Join our Telegram channel

Jul 18, 2016 | Posted by in PEDIATRICS | Comments Off on Patient Care

Full access? Get Clinical Tree

Get Clinical Tree app for offline access