1. Skills:

a. Patient Exposure: Students should have supervised patient exposure to develop essential history and physical examination skills, then develop a succinct problem list and to a less degree a proposed therapeutic plan.

b. Oral Presentation: Oral skills should also be honed during the ROME experience. Preceptors at ROME sites will be advised to judge the student's skills in reporting and interpreting so that the implications of reporting and interpretation in the sense of chief complaint, a detailed history of present illness, a cogent past medical history, family history, immunizations, child development, medications, review of systems, and physical examination can be properly and succinctly given.

c. Written Materials: Students should write up each patient encounter in the format appropriate to the local clinical setting of ROME . Preceptors should review on regular basis the students' write-ups for clarity, content, organization, and analysis according to guidelines established by the preceptor. As noted previously at least two completed write-ups will be more thoroughly evaluated by the local preceptor and an additional two write-ups will be thoroughly evaluated by Dr. George Johnson or Dr. Stephen Tinguely during the ROME experience. These submissions will be critiqued by the preceptor at the ROME site and by either Dr. Johnson or Dr. Tinguely and used as a part of the evaluation of the student, contributed to 60% of the overall grade for Pediatrics.

d. Preceptor Feedback: Preceptors should periodically review student progress in terms of their reporter and their interpreter skills, history, physical, and laboratory tests to help the student validate their interpretations. The local preceptors should provide frequent feedback. Possibilities for providing longitudinal follow-up of student patients at ROME sites will perhaps be greater than at traditional sites, perhaps significantly enhancing the learning environment.

2. Knowledge:

a. Reading : Students shall thoroughly review the Council on Medical Student Education in Pediatrics (COMSEP) Curriculum. This curriculum can be found at: http://www.comsep.org/Curriculum/CurriculumCompetencies/index.htm

Students will also have available Pretest Pediatrics by McGraw Hill and the Atlas of Pediatric Physical Diagnosis published by Mosby-Wolfe. In-depth reading in one of the large pediatric textbooks such as Nelson's Textbook of Pediatrics as well as searching current pediatric journals is expected for specific problems. In-depth development of cases, pertinent to required discussions written for the two in-depth write-ups is required again.

b. Didactic: Students should avail themselves of didactics whenever possible at assigned sites.

c. Conferences: Students should make efforts to attend all on-site meetings with a medical educational focus, including all those that have to do with pediatric subjects, as well as regularly scheduled conferences, including morbidity and mortality conferences, morning reports, and sign-out rounds.

d. Students should complete all on-line CLIPP cases: www.clippcases.org Once completed the student will have accomplished essentially all of the third year Pediatrics learning objectives as defined by the Council on Medical Student Education in Pediatrics (COMSEP).

3. Professionalism:

The Department of Pediatrics expects student attitude and demeanor consistent with standards of student professionalism. This should include student dress and appearance, timeliness, courtesy, respect for patient and all members of the health care, completion of assignments, and ethical behavior.