Pediatric Skills Checklist: Student_______________________________________ I.

Rotation mo/yr____________

Interview Skills Solicits all/most of the following details about the chief complaint, as appropriate____ -Onset -Duration -Frequency -Severity -Associated signs and symptoms -Aggravation and ameliorating factors Gets the following items of history on a new patient____ -Prenatal history -Neonatal history -Family medical history -Immunization history -Developmental history -Nutritional history -Review of systems Physical Exam Skills____ Examines toddler in parents lap Checks retinal reflexes Correctly describes an abnormal breath sound and/or sign(s) of respiratory distress Performs appropriate abdominal exam including auscultation and palpation Verifies testicular descent Assigns Tanner Stage correctly in a stage II or greater child/adolescent Correctly demonstrates assessment for hip dysplasia Performs accurate Osteopathic structural exam Describes a rash according to: lesion size, distribution, discrete or confluent, coarse or fine, macular and/or papular. Clinical Problem Solving____ Develops a problem list Lists differential diagnosis for a specific complaint Formulates a plan including testing and treatment to address a specific diagnosis Briefly discuss the following common pediatric diagnoses with an attending physician (including pathogen, management, treatment options) -Otitis media (acute; chronic; serous)

II.

III.

-Gastroesophageal reflux -Allergic rhinitis -Fever -Upper respiratory infections -Failure to thrive -Infant formulas IV. Health supervision____ Accurately plots weight, height, and FOC on growth chart and determine if appropriate for age. Reviews immunization records and identifies immunizations needed Revised 9/26/05