Community Pediatric Physician Partners Outreach Program
The UT Southwestern Pediatric Residency Program has actively developed strong clinic and community relations to enhance resident training and improve child health outcomes. One of its key initiatives is the Community Pediatric Physician Partners Outreach Program (C3PO).
C3PO is designed to foster meaningful connections between residents and the surrounding community by partnering with local pediatric clinics and organizations. Through this program, residents engage in community-based care, gaining firsthand experience in addressing social determinants of health, advocating for underserved populations, and collaborating with community leaders to improve pediatric health outcomes.
By participating in C3PO and other outreach initiatives, UT Southwestern pediatric residents develop a deeper understanding of the challenges and resources within the community, strengthening their ability to provide holistic, patient-centered care.
Mission Statement
Our mission is to provide multifaceted educational opportunities and resources for our trainees by strengthening relationships with community pediatricians.
Strategic Pillars
- To enhance the pediatric residency experience by providing exposure to a full range of pediatric practices, systems, and styles, as well as an accurate representation of our community's patient population.
- To promote partnerships with community practices, providing them with continuing education and maintenance of certification opportunities, educational materials, and access to UT Southwestern resources.
- To provide trainees the opportunity to draw wisdom from established pediatricians who can mentor them in medical economics, professionalism, and leadership, and providing high-quality, equitable care.
Overall Education Goal:
The Continuity Clinic experience will teach residents the clinical, interpersonal, and administrative skills and knowledge to provide basic pediatric primary care confidently and competently in the ambulatory setting. Residents will be exposed to a wide array of outpatient general pediatric experiences including well visits, management of chronic medical conditions, and acute illnesses during their three years of training. The educational experience is structured so that residents care for a panel of patients over time, allowing them to develop a rapport with the child and his/her family.
- Who: Pediatric residents from UT Southwestern Medical School
- Duration: Thirty-six half-day clinic sessions per year, in accordance with the X + Y block schedule, for three years
- Location: Various community practices
- PL-1 Resident
Medical Knowledge:
- Describe the basic components of a well-child/health maintenance visit for infants, children, and adolescents.
- Discuss the rationale for pediatric health maintenance visits.
- Describe some age-specific anticipatory guidance recommendations.
- Demonstrate familiarity with some commonly encountered pediatric acute and chronic problems and therapies.
Patient Care:
- Take a history and perform a complete physical examination on infants, children, and adolescents for well-child/health maintenance visits.
- Provide some anticipatory guidance to patients and/or parents at well-child/health maintenance visits.
- Take a problem-focused history and perform a focused examination on infants, children, and adolescents presenting with common pediatric problems.
- Take a complete psychiatric history and mental screening.
- Begin to form differential diagnoses and management plans for patients' chronic and acute problems.
- Develop cost-awareness when implementing management plans for patients and families.
Interpersonal and Communication Skills:
- Demonstrate the ability to communicate with patients from a wide range of backgrounds.
- Demonstrate the ability to take a history from a patient using an interpreter.
- Communicate information through accurate written medical records and patient presentations.
Systems-Based Practice:
- Make appropriate referrals for patients with chronic medical conditions.
- Provide clear instructions for families dealing with difficult management issues.
- Identify community resources for children with special needs.
- Inquire about local resources for socioeconomic health inequities among the patient population.
- Follow up on labs and studies ordered on patients and devise a plan for contacting the family with results.
- Document pertinent clinical information in an accurate and timely manner.
Professionalism:
- Demonstrate respect, compassion, integrity, and altruism in relationships with patients, families, and colleagues.
- Demonstrate sensitivity and responsiveness to the gender, age, culture, religion, sexual preference, socioeconomic status, beliefs, behaviors, and disabilities of patient and professional colleagues.
- Adhere to principles of confidentiality/scientific/academic integrity.
- Be punctual, conscientious, and reliable.
- Follow institutional procedures for acknowledging, reporting, and correcting errors.
Practice-Based Learning:
- Identify areas for improvement and implement strategies to enhance knowledge, skills, attitudes, and processes of care.
- Develop and maintain a willingness to learn from errors and use errors to improve the care of infants, children, and adolescents.
- Use information technology or other available methodologies to access and manage information, support patient care decisions, and enhance both patient, physician, and nurse education.
- Formulate a clinical question and utilize evidence-based resources and pediatric primary care literature using both computer and web-based information.
- Discuss feedback with both attending(s) and peer learners.
- PL-2 Resident
In addition to achieving PL-1 tasks, PL-2 residents' responsibilities increase to an advanced level
Medical Knowledge:
- Describe and discuss altered patterns of growth and development.
- Describe and discuss symptoms, exam findings, and treatment recommendations for some common pediatric chronic conditions (asthma, eczema, obesity).
- Describe and discuss the symptoms, exam findings, and treatment recommendations for some of the common pediatric acute illnesses (otitis media, strep pharyngitis, gastroenteritis).
- Facilitate the discussion of the topics assigned in the clinic curriculum.
Patient Care:
- Recognize, discuss, and document normal versus abnormal patterns of growth, development, behavior, and health.
- Discuss preventive recommendations with patients and/or families, such as importance of immunizations, safety, health diet, and exercise.
- Obtain focused history and physical examination for acute illnesses and devise an appropriate differential diagnosis and management plan.
- Develop management plans for patients with common behavioral concerns such as colic, discipline, sleep troubles, toilet training, tantrums, bed-wetting, exercise, diet, etc. Incorporate medical economics into decision-making when developing care plans.
Interpersonal and Communication Skills:
- Communicate effectively with patients, parents, attending physicians, peers, staff, community-based physicians, and hospital-based physicians.
- Practice effective conflict resolution when appropriate.
- Provide effective anticipatory guidance to patients and their families.
- Collaborate with children and teens to identify and support healthy behavior changes.
Systems-Based Practice:
- Advocate for patients and families as they navigate system complexities.
- Demonstrate the knowledge of school interfaces for children with chronic diseases, e.g., food allergy, asthma.
- Identify community resources for children with special needs.
- Share local resources for socioeconomic health inequities with patients and families.
- Accurately document and interpret patient information and record comprehensive assessments and plans in a timely manner.
Professionalism:
- Act in the best interest of the patient at all times.
- Adhere to principles of confidentiality/scientific/academic integrity.
- Be punctual, conscientious, and reliable.
- Demonstrate skill in management of challenging patients and their families.
- Discuss errors honestly with families.
- Identify potential inequities in care.
Practice-Based Learning:
- Analyze and evaluate practice experiences and implement strategies to continually improve the quality of primary pediatric care.
- Review the evidence-based resources and pediatric primary care literature using both computer and web-based information.
- PL-3 Resident
In addition to achieving PL-1/PL-2 tasks, PL-3 residents' responsibilities increase to an advanced level
Medical Knowledge:
- Describe and discuss the intricacies of care for patients with multiple medical problems, psychiatric issues, or complex social issues.
- Know and share with junior residents/advanced practice providers the current recommendations for common preventive health measures (ex: immunization recommendations, screening test recommendations, etc).
- Serve as a general consultant and advisee to junior residents/advanced practice providers.
Patient Care:
- Conduct well-child/health maintenance visits with skill and efficiency, such that little to no attending physician input is needed.
- Diagnose and devise management plans for common acute and chronic issues with skill and efficiency, such that little or no attending physician input is needed.
- Identify common psychosomatic symptom complexes such as fatigue, headache, abdominal pain, back pain, and make appropriate intervention or referral recommendations.
- Demonstrate the ability to recognize and refer common psychiatric issues encountered by the primary care pediatrician including anxiety, depression, obsessive-compulsive disorder, opposition, conduct disorders, etc.
- Recognize and recommend appropriate management for complicated acute and chronic problems (chronic abdominal pain, recurrent otitis media, school failure).
Interpersonal and Communication Skills:
- Communicate with and counsel adolescents about sensitive issues (sexually transmitted disease, depression, etc) in a professional, caring manner.
- Demonstrate ability to calm or comfort a parent displaying anger, confusion, and/or anxiety.
- Offer comfort in discussing issues with parents who refuse recommended treatments (ex: vaccine hesitant parents).
Systems-Based Practice:
- Advocate for patients and/or families by completing necessary paperwork for durable medical equipment supplies, writing letters in support of families, and calling sub-specialists and school personnel (when appropriate).
- Offer suggestions for optimizing patient flow or clinic efficiency.
- Research and identify resources within the community for socioeconomic health inequities among the patient population.
- Identify and advocate for areas of improvement in providing high-quality, cost-effective care.
- Demonstrate basic knowledge of billing practices and encompass efficiency, accuracy, and mindfulness in documentation.
Professionalism:
- Demonstrate teamwork by helping junior residents/advanced practice providers see patients if they are running behind schedule.
- Assist in optimizing clinic flow by being aware of not only one's own patients but also those of the junior residents/advanced practice providers and systemic barriers to thoughtful, thorough care.
- Help junior residents/advanced practice providers resolve conflict (with staff, patients, etc).
- Identify contemporary trends in medical disinformation and develop compassionate, scientific responses.
Practice-Based Learning:
- Explore life-long learning options.
- Access medical literature and share findings with colleagues on pertinent current primary care topics (ex: recent recommendations for introduction of peanut products to infants).
Community Clinics and Practice Partners
- 18 and Under, Flower Mound - Debra Naylor, M.D., Kelly Lewis, M.D., Elaine Walters, M.D., Sarah Kowal, M.D.
- Best Nest Pediatrics, Frisco - Stacy Terry, M.D., Laurie Hingle, M.D., Mee Yung Knapp, M.D., Danielle Schroeder, M.D.
- Centennial Pediatrics, Frisco and Prosper - Richard Nail, M.D., Zach Stone, M.D.
- Comprehensive Pediatric Care, Dallas and Sunnyvale - Meenu Jindal, M.D.
- Daryl Curry - Daryl Curry, M.D.
- Dascanio Pediatrics - Gaylan Dascanio, M.D., Jack Siedel, M.D.
- Forest Lane Pediatrics, Frisco - Rohan Menon, M.D.
- Healing Hands Ministries, Dallas - Shanthi Rajasekaran, M.D.
- Karam Pediatrics, Dallas - Al Karam, M.D., Ann Karam, M.D.
- Kessler Pediatrics, Dallas - Donza Rogers, M.D.
- Kids First Pediatrics, Highland Village - Kalpana Kelkar, M.D.
- Mansfield Pediatrics, Mansfield - Melody Burton, M.D., Kerstin Archer, M.D.
- Oak Cliff Pediatrics, Dallas - Sue Bacsik, M.D., Beth Keyes, M.D.
- Pediatric Associates of Dallas - Nicole Corrigan-Garrett, M.D.
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