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MILESTO
NE-B
ASED
GOALSA
NDOBJECTIV
ESFORFELLO
WS(U
pdated:2/23/2017)Rotations:ClinicalO
utpatient,Self-PacedLearningGoal1:U
nderstandanddevelopskillsnecessaryfordiagnosisandmanagem
entofachronic/complexcarepatientusinginintegrativem
edicineapproachObjectives
InstructionalStrategiesEvaluation
AssociatedM
ilestonesDevelopskillsnecessaryforcom
municationw
ithavarietyofpractitioners.Collaboration,relationshipbuilding,andco-managem
ent,consultationandreferralskillsareemphasized
Patientcare
Discussionw
ithAttending
DirectO
bservationMedH
ub
PC6PC7PB
L1SB
P2SB
P4Sum
marizeandpresentpatientinform
ationbacktoprogram
directorandintegrativecareteamforfeedbackandconsultation
PatientcareDifficultcasenoonconferences
Discussionw
ithAttending
DirectO
bservationMedH
ub
MK2
SBP2
Identifykeyaspectsofhealthcaresystemsastheyapplyto
specialtycare,includingthereferralprocess,anddifferentiatebetw
eenconsultationandreferral.
PatientcareDiscussionw
ithAttending
Discussionw
ithAttending
SBP2
Recognizeandadvocateforfam
ilieswhoneedassistancetodeal
withsystem
scomplexitiessuchasthereferralprocess,lackof
insurance,multiplem
edicationrefills,multipleappointm
entswith
longtransporttimes,orinconvenienthoursofservice.
ObservingFellow
andAttending
PatientcareDiscussionw
ithAttending
ICS2P4SB
P4
Recognizeone’slim
itsandthoseofthesystem;takestepstoavoid
medicalerrors.
PatientcareDiscussionw
ithAttending
PBLI1
P4Explainlabw
ork-up,studies,andclinicalmanagem
entofthefollow
ingconditionsusinganintegrativemedicineapproach:
• Abdom
inalpain•
Headache
• Jointpain
• Frequentrespiratoryinfections
PatientcareAZCIM
curriculum
Noonconferences
Discussionw
ithAttending
DirectO
bservationMedH
ub
PC7MK2
SBP2
Goal2:D
evelopanunderstandingofMind-B
odyInterventionsObjectives
InstructionalStrategiesEvaluation
AssociatedM
ilestonesRecognizeindicationsw
henapatientmaybenefitfrom
mind-body
interventionsandappropriatelyrefertomind-bodypractitioners
Patientcare
AZCIM
curriculum
NoonConference
Discussionw
ithAttending
AZCIM
assessments
DirectO
bservationMedH
ub
PC1PC2PC6MK2
Dem
onstrateknowledgeinm
ind-bodyinterventions:biofeedback,clinicalhypnosis,m
indfulnessbasedstressreduction,yogaPatientcare
AZCIM
curriculum
Discussionw
ithAttending
DirectO
bservationPC6MK2
NoonConference
MedH
ub
Developabilitytohelppatientsidentifylifelongpreventative
strategiesforstressreduction:deepbreathingtechniques,utilizationofsm
artphoneapplications
Patientcare
AZCIM
curriculum
NoonConference
Discussionw
ithAttending
DirectO
bservationMedH
ub
PC1PC2MK2
Goal3:D
evelopanunderstandingofdietaryinterventionsandnutritionalsupplements
Objectives
InstructionalStrategiesEvaluation
AssociatedM
ilestonesDevelopskillsintheuseoflaboratorytestingtohelpidentify
dietaryandnutritionaldeficienciesPatientcareAZCIM
curriculum
Discussionw
ithAttending
AZCIM
assessments
DirectO
bservationMedH
ub
PC1PC2PC6MK2
Understandandapplybasicknow
ledgeandskillsintheuseofdietaryandnutritionalsupplem
ents,includingidentifyingthemost
criticalindicationsandcontraindicationsoftheiruse
PatientcareAZCIM
curriculum
Discussionw
ithAttending
AZCIM
assessments
DirectO
bservationMedH
ub
PC1PC2PC6MK2
Understandandapplybasicknow
ledgeandskillsintheuseofbotanicsupplem
ents,includingidentifyingthemostcritical
indicationsandcontraindicationsoftheiruse
PatientcareAZCIM
curriculum
Discussionw
ithAttending
AZCIM
assessments
DirectO
bservationMedH
ub
PC1PC2
Identifythemostcom
mondrug-nutrientanddrug-herbinteractions
forapediatricintegrativemedicinepractitioner.
PatientcareAZCIM
curriculum
Caseconferences
Discussionw
ithAttending
AZCIM
assessments
DirectO
bservationMedH
ub
PC6MK2
Goal4:D
evelopanunderstandingofalternativehealthcaresystemssuchasTraditionalChineseM
edicine,AyurvedaM
edicineandHom
eopathyObjectives
InstructionalStrategiesEvaluation
AssociatedM
ilestonesDem
onstrateknowledgeinTraditionalChineseM
edicinePatientcareinacupunctureclinicsAZCIM
onlinecurriculum
Experientialobservationat5Branches,San
JoseNoonconference
Discussionw
ithAttending
AZCIM
onlineassessment
DirectO
bservationMedH
ub
MK2
PC2
Dem
onstrateknowledgeinA
ruyvedaAZCIM
onlinecurriculum
Noonconference
Observationw
ithaffiliatearuyvedicmedicinepractitioner
Discussionw
ithAttending
AZCIM
onlineassessment
DirectO
bservationMedH
ub
MK2
PC2
Dem
onstrateknowledgeinH
omeopathy
AZCIM
onlinecurriculum
Noonconference
Observationw
ithaffiliatehomeopathic
medicinepractitioner
Discussionw
ithAttending
AZCIM
onlineassessment
DirectO
bservationMedH
ub
MK2
PC2
Goal5:D
evelopskillstoincorporatetheresearchandevidencebaseintointegrativemedicinepractice
Objectives
InstructionalStrategiesEvaluation
AssociatedM
ilestonesDevelopfam
iliaritywiththelatestCA
M/IM
researchliteratureAZCIM
CaseconferenceJournalClub
DirectO
bservationMedH
ubMK1
PBL1
UtilizeIM
researchliteratureandapplytopatientcarePatientCareCaseConferenceJournalClub
Discussionw
ithAttending
DirectO
bservationMedH
ub
MK1
PBL1
LearntousereliablereferencetoolsforexploringpotentialCAM
andintegrativemodalitiesforpatients
PatientCareCaseConferenceJournalClubAZCIM
curriculum
Discussionw
ithAttending
AZCIM
onlineassessment
DirectO
bservationMedhub
PBL1
MK1
Reference:KittredgeD,BaldwinCD,Bar-onM
E,BeachPS,TrimmRF(Eds)(2004).APAEducationalGuidelinesforPediatricResidency.Am
bulatoryPediatricAssociationWebsite.w
ww.am
bpeds.org/egweb.
DescriptionsofA
ssociatedMilestones(A
SubsetofPediatricsMilestonestobeReportedonSem
i-Annually)
PatientCare(PC)PC1
Gatheressentialandaccurateinform
ationaboutthepatient.PC2
Organizeandprioritizeresponsibilitiestoprovidepatientcarethatissafe,effectiveandefficient.
PC6Makeinform
eddiagnosticandtherapeuticdecisionsthatresultinoptimalclinicaljudgm
entPC7
Developandcarryoutm
anagementplans
PC8*Prescribeandperform
allmedicalprocedures.
MedicalKnow
ledge(MK)
MK2
Locate,appraise,andassimilateevidencefrom
scientificstudiesrelatedtotheirpatients’healthproblems.
Practice-BasedLearningandIm
provement(PB
LI)PB
LI1Identifystrengths,deficiencies,andlim
itsinone’sknowledgeandexpertise.
InterpersonalandCommunicationSkills(ICS)
ICS1Com
municateeffectivelyw
ithpatients,families,andthepublic,asappropriate,acrossabroadrangeofsocioeconom
icandculturalbackgroundsICS2
Dem
onstratetheinsightandunderstandingintoemotionandhum
anresponsetoemotionthatallow
sonetoappropriatelydevelopandm
anagehuman
interactions.
Professionalism(P)
P4Asenseofdutyandaccountabilitytopatients,society,andtheprofession.
Systems-B
asedPractice(SBP)
SBP2
Coordinatepatientcarewithinthehealthcaresystem
relevanttotheirclinicalspecialty.SB
P4Advocateforqualitypatientcareandoptim
alpatientcaresystems.
*ThePC8milestoneisnotcurrentlyreportedtoA
CGME.
NOTE:U
tilizedPediatricMilestonesfornew
programapplicationbutw
ouldmovetoPediatricSubspecialtyM
ilestonesuponprogramcom
mencem
ent.
Pediatrics Integrative Medicine Fellow
ship Sam
ple Weekly Schedule
M
onday T
uesday W
ednesday T
hursday Friday
8:00-8:30am
Morning R
eport 8:00-8:30 am
M
orning Report
8:00-8:30 am
Morning R
eport 8:00-8:30 am
M
orning Report
8:00-9:00 am
Grand R
ounds
9:00 am -12 noon
Offsite clinic
OR
A
ZCIM
online curriculum
OR
research
8:30-12 noon O
ffsite clinic O
R
AZC
IM online
curriculum
OR
research
8:30-12noon O
ffsite clinic O
R
AZC
IM online curriculum
11-12: w
eekly case review
/ journal club/ teaching session
8:30 am-12 noon
IM Pulm
Clinic D
r. John M
ark 770 W
elch Road (first
floor)
8:30 am-12 noon
Integrative Medicine/ Pain
clinic D
r. Brenda G
olianu
321 Middlefield Suite 225
(2nd floor)
Noon C
onference N
oon Conference
Noon C
onference N
oon Conference
Noon C
onference
1:00 pm-5:00 pm
IM
GI clinic
Dr. A
nn Ming Y
eh 321 M
iddlefield Suite 225 (2
nd floor)
1:00 pm-5:00 pm
O
ffsite clinic O
R
AZC
IM online
curriculum
1:00 pm-5:00 pm
IM
Rheum
atology Clinic –
Dr. D
ana Gerstbacher
730 Welch R
oad (2nd
floor) O
R IM
GI C
LINIC
D
r. Ann M
ing Yeh
321 Middlefield Suite 225
(2nd floor)
1:00 pm-5:00 pm
IM
Pain clinic D
r. Brenda G
olianu
321 Middlefield Suite 225
(2nd floor)
1:00 pm-5:00 pm
O
ffsite clinic O
R A
ZCIM
online curriculum
Pediatric Integrative M
edicine Fellowship B
lock Schedule (sam
ple) O
rientatio
n W
eeks 4
Clin
ical Weeks
38 R
esearch W
eeks 4
CM
E w
eeks 2
Vacatio
n w
eeks 4
To
tal: 52
O = o
rientatio
n, C
=clinical (see w
eekly sched
ule fo
r clinical w
eeks), R=research
, V= vacatio
n
FIR
ST
YE
AR
BL
OC
K D
IAG
RA
M
Month/4w
k 1
2 3
4 5
6 7
8 9
10 11
12
Week1
Orientation
C
R
C
C
C
C
V
C
C
CM
E
C
Week2
Orientation
C
C
CM
E
C
R
C
C
C
R
V
C
Week3
Orientation
C
C
C
C
R
C
C
V
C
C
C
Week4
Orientation
C
C
C
V
C
C
C
C
C
C
C
StanfordPediatricIntegrativeMedicineFellowshipProgram
SampleWeeklyConferenceSchedule
Week Topic1 FellowBootCamp–TCMbasics–Acupuncturebasics2 FellowBootCamp–SupplementBasics3 FellowBootCamp–MindBodyBasics4 FellowBootCamp–NutritionBasics5 JournalClub6 DifficultCaseReview7 Nonpharmapproachtodyspepsia8 IMapproachtoasthma9 Vacation–Noconference10 DifficultCaseReview11 IMapproachtopain12 Medicalinformatics13 Plantbasednutrition14 DifficultCaseReview15 JournalClub16 Acupressureintro17 Mindfulnessbasedstressreduction18 DifficultCaseReview19 HeartRateVariabilityandbiofeedback20 Vacation–Noconference21 IMapproachtorheum22 EvidencebasedherbsandsuppsforURI23 DifficultCaseReview24 IMapproachtonausea25 JournalClub26 IMapproachtoADHD27 DifficultCaseReview28 Environmentalmedicine29 Mayanherbs30 Vacation–Noconference31 DifficultCaseReview32 ProbioticsforcommonGIconditions33 Nonpharmapproachtoheadache34 Mindfulnessforphysicians35 DifficultCaseReview36 JournalClub37 Acupunctureforpainmanagement38 Herbsandsupplementsformooddisorders39 Vacation–Noconference40 DifficultCaseReview41 Introtohomeopathy42 Introtoosteopathicmanipulation
StanfordPediatricIntegrativeMedicineFellowshipProgram
43 DifficultCaseReview44 Acupunctureforrheumatologicconditions45 JournalClub46 Introtoaruyveda47 Introtopediatricmassage48 DifficultCaseReview49 Introtofunctionalmedicine50 Infantmassage51 JournalClub52 ProgramAnnualReview
1
2
3
4
5
6
7
8
9
10
February 3–23, 2014
February 24–May 25, 2014
*RESIDENTIAL WEEK - April 6-11, 2014
*RESIDENTIAL WEEK - March 8 - 13, 2015
May 26–August 24, 2014
August 25–October 12, 2014
October 13–November 16, 2014
November 17, 2014–January 25, 2015
January 26–April 12, 2015
April 13–June 21, 2015
June 22–August 16, 2015
December 7, 2015–January 3, 2016
FINAL EXAM
STUDY GUIDE
January 4–24, 2016
August 17–October 4, 2015
October 5–December 6, 2015
To receive graduation certificate, all requirements must be met by Janaury 24th
90-day post-Fellowship access begins on January 25th.
* CME Credit Available Schedule subject to change.
THANKSGIVING BREAK - November 26–December 1, 2014
unit
unit
unit
unit
unit
unit
unit
unit
unit
unit
11unit
H&P/TX PLANS DUE - February 23–August 23, 2015
HP/TX DUE
Fellowship
THANKSGIVING BREAK - November 25–30, 2015
GRADUATION ~ *RESIDENTIAL WEEK - February 21- 26, 2016
WINTER BREAK - December 22, 2014–January 4, 2015
SUMMER BREAK - June 30–July 13, 2014
WINTER BREAK - December 21, 2015 - January 4, 2016
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