I absolutely LOVED my Pediatric Rotation. It was very busy, but I genuinely enjoyed spending time with the kids and I felt like I learned so much from my preceptors – which is always the goal. Peds was a little different in that I actually didn’t wear a white coat during the rotation; we didn’t want to scar the kids with the “white coat effect”, but I was lucky enough to have a desk where I charted that I was able to leave a bunch of resources at. So here are some of the resources I kept in my “pocket” during this rotation
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Pocketcard set – I bought this before my rotation, and while I think it was a great resource, it definitely would be more applicable to inpatient pediatrics than outpatient! It had APGAR scores, Pediatric resuscitation algorithms, normal lab values, oral and IV rehydration, developmental milestones, differential diagnosis of common conditions, the most common source of infections by age group, and more.
How I used it: I wish I would have been able to utilize this resource more! Mainly I used it to remind myself of developmental milestones, what a child should weigh at what age, the different formulas out there, and to look over its differential diagnosis and most common infection sections. It was light enough that I continued to carry it around on my rotation with me in case I ever needed it for anything.
Pocket Guide Book – I bought all of the “Pocket Guide” books that correlated with my rotation, and there are definitely some that are better than others. The Peds one is in the middle of the pack for usefulness. It was sectioned into primary care and adolescent medicine, emergency department, allergy and immunology, cardiology, endocrinology, fluids and electrolytes, gastroenterology, hematology, oncology, infectious disease, genetic and metabolic, neurology, pulmonology, renal, rheumatology, NICU, and PICU.
How I used it: I found it helpful in it’s easiness to read and comprehend, and it was a very convenient size. There were some things that it was missing that I would have found appropriate for a Peds outpatient setting and some things I wish would have been sectioned differently, but overall I was happy with the information in it. I also really enjoy how it presents information in a systems based manner, so I could read up on all of the different conditions related to each other. I used it to look up information quickly while I was at my site and when I looking for something more simple than the Harriet Lane.
Vaccination Schedule on Cardstock – Once you go to this link, go to the “programs” tab and select “Immunizations (schedules and booklets)” and then hit search! It’s free to order and takes about 2-4 weeks to arrive. I would probably get them in bulk by ordering as a class so that everyone is not having to order one individually. This Vaccination schedule (I have the children and adolescent schedule) goes through all of the recommended and required vaccines and at what age individuals should received them and the subsequent boosters. It also discusses some of the contraindications and “catch up” dosing for each of the vaccines.
How I used it: This chart was super helpful in that it was an easy to read vaccine schedule perfect for my pocket. My only annoyance is that it claims to be laminated, when its really not, and mine ended up being pretty beat up by the end of the rotation – I actually ordered a new one after I finished because I just felt like it was such a helpful tool! And while I did memorize the vaccine schedule, until I did I would use this chart to double check through the EMR to make sure the kids were up to date on their vaccines.
Pediatric Antibiotic Dosage Charts – Who here is just a little nervous about dosing by size? I know I was! I thought it was going to be some super confusing process to learn, and I really wanted an all encompassing resource I would use. This chart breaks down dosages by class and then specific drug. It has weights from 15 lbs to 70 lbs, so pretty much all of childhood. On the back, it has notes about those drugs – such as when the antibiotic should be taken and what the most common ailments its used for.
How I used it: The first week or two I looked up the antibiotic dose for every patient. Eventually I got more comfortable with the more common sizes and doses, and was able to have them memorized. But this was a great and easy way for me to look up doses.
These weren’t items that I bought, but resources that my preceptor provided me with and that I found super helpful!
Harriet Lane is the Holy Grail of Pediatric “quick” resources. It includes pediatric acute care, diagnostic and therapeutic information on all of the organ systems, references, and then a formulary section. Each of the sections are very information with pictures and charts, and include pretty much everything you would want to know.
How I used it: I found it incredibly helpful to read during downtime or when I had a patient with a more complex diagnosis. I actually ended up going to the library and renting it because of how helpful I found it! So I used it a lot to study for the EOR as well as being a quicker, pocket resource.
Red Book is the AAP report of the committee on Infectious Disease. Its definitely NOT something to buy unless you’re sure you’re going into Pediatrics and your job is going to reimburse you, but it was extremely helpful. But, if you can, I would definitely rent it from your school’s library. This book has pretty much every infectious disease you could think of. It then goes through clinical manifestations, etiology, epidemiology, diagnostic tests, and counseling. It also has some great algorithms and scenarios about how to treat patients. Its kind of like Up-to-Date in book format.
How I used it: My preceptor was very big into teaching. She wanted me to be the best provider I could possibly be, and one of the ways she did this was by having me come up with all of the drugs I would prescribe by myself. Early on in my rotation, she told me how important it was to be up to date on infectious diseases and their treatments. One of the most interesting tidbits I learned from this book is that you can give patients at high risk for Lyme disease (aka those who have a tick bite in a endemic region) a prophylaxis dose of Doxycycline to help prevent occurrence of the disease. This wasn’t something that I was taught in school, but it became very applicable in practice.
Other things I kept on me:
- My stethoscope (duh!). I ended up using my Medelita ERKA stethoscope for most of this rotation, and I absolutely loved it! I could hear all of the asthmatic wheezing perfectly.
- Pens: my favorite is is the Paper Mate Ink Joy Quatro because having four colors in one pen is wonderful, and I really like the ink and colors of this pen. I feel like they are very bold, smooth, and don’t smear.
- My Moleskin Notebook: I had the option of completing my case logs at clinic since I had open access to a computer, but I decided I really found it helpful to write down a little bit about each of the patients I had seen that day and review it at night. It helped me remember what I had seen in clinic that day when I went to study at night.