Specialized Care of Obstetric, Gynecologic, and Pediatric Patients (scope)

What you’ll be able to do

• Demonstrate an inclusive and humanistic approach to patient care.

• Demonstrate the relevant foundational knowledge for the diagnosis and/or differential diagnosis

• Appropriately interpret objective data such as vital signs and commonly used diagnostic studies (including CBC, urinalysis, CSF analysis, serum chemistries), accounting for the age of the patient, presence or absence of disease, and testing modality employed

• Describe the appropriate use of the following common medications (accounting for age/weight and other patient factors), including when it is NOT appropriate to treat with these medications: analgesics, antipyretics, antibiotics, bronchodilators, corticosteroids, IV fluids.

• Adapt your approach (medical interview and complete or focused physical examination) as is appropriate to your interaction with the patient and/or their caregivers, the patient's age/level of development, as well as the presenting concern and clinical setting

• Generate an appropriate differential diagnosis and plan for the presenting problem and patient's age

• Consider the invasiveness, benefits, limitations, costs, and evidence-based best practices when generating plans for patients in different clinical scenarios.

• Develop familiarity with common procedures performed in obstetrics and gynecology inpatient and outpatient settings.

• Responsibly manage information within the electronic health record (EHR) to effectively obtain and document patient care and utilize clinical decision support.

• Actively participate as an interprofessional team member to promote patient care by fostering a positive learning environment and providing focused, actionable feedback.

• Identify members of the health care team and describe how they contribute to the care of patients (nurse, pharmacist, respiratory therapist, PT, OT, speech therapy, child life, etc)

• Develop an understanding for the ethical and medicolegal implications of working with patients of various ages and their proxies, including issues of capacity, competency, decision-making, guardianship, and confidentiality

• Develop an understanding for the physician’s role in mandated reporting and safety (including how it varies for patients of different ages) in cases of neglect and abuse (physical, sexual, verbal/psychological)

• Discuss ways to advocate for patients on an individual, community, regional, state or national level. Consider barriers and health inequity pertinent to diverse populations.

• Present the history, exam/objective data, assessment and plan for patients of all ages as is appropriate to the clinical scenario (patient problems and setting-clinic vs inpatient, admission vs follow-up, team vs family-centered rounds)

• Document the history, physical examination, assessment and plan in a format appropriate to the clinical situation (clinic vs inpatient; admission vs progress; procedure notes), demonstrating best practices within the electronic health record

• Share medical information with patients and/or their caregivers in terms that are readily understandable while avoiding medical jargon.

• Counsel patients and/or their caregivers on plans that are appropriate to the patient's age/development and their reason for presentation (plans may include appropriate anticipatory guidance, health maintenance, screening and prevention, treatment, supportive care)

• Promote effective communication to minimize disparities and optimize health care outcomes by employing the guiding principles and practical strategies of health literate care.

• Demonstrate an understanding of the role of social and structural determinants of pediatric and OB/GYN disease prevention, health promotion, and health equity.

Source: UW Guide