COURSE UNIT DESCRIPTION. Course unit title General Paediatrics and Neonatology

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1 COURSE UNIT DESCRIPTION Course unit title General Paediatrics and Neonatology Lecturer(s) Coordinating: lect.dr.sigita Petraitiene Others: Prof. hab. dr. Arūnas Valiulis, Prof. dr. Nijolė Drazdienė, assoc. Prof. dr. Rimantė Čerkauskienė, assoc. Prof. dr. Sigitas Dumčius, assoc. Prof. dr. Augustina Jankauskienė, assoc. Prof. dr. Lina Ragelienė, assoc. Prof. dr. Odilija Rudzevičienė, assoc. Prof. dr. Vaidotas Urbonas, assoc. Prof. dr. Virginija Žilinskaitė, lect. dr. Jurgita Grikinienė, lect. dr. Robertas Kemežys, lect.dr.arūnas Liubšys lect. dr. Ramunė Vankevičienė, assist. Violeta Radžiūnienė Code Department(s) Vilnius University, Medical Faculty, Clinic of Children Diseases, Santariškių g.4, Vilnius Cycle Level of the course unit Type of the course unit cycle (integrated studies) Compulsory Mode of delivery Period of delivery Language of instruction Face-to-face Year III-IV, VI-VII; English Prerequisites and co requisites Prerequisites: A student must have completed the following courses: Co requisites (if any): No Human anatomy, Human histology, Human physiology, Biochemistry, Microbiology, Pharmacology, Propaedeutics of internal medicine, basics of nursing. Number of ECTS credits allocated to the course unit Total student s workload Contact hours Self-study hours Purpose of the course unit Programme competences to be developed Aim to learn growth and development of healthy child, peculiarities of anatomy and physiology and symptoms of most common lesions of different organ systems in any. At the end of course student have to be able to examine child in any age, to know possibilities and methods of laboratory and instrumental testing, to know diagnostics, treatment and /prophylaxis of common (respiratory, digestive, urinary tract and allergic) children diseases, to know morphological and functional maturity of newborn, adaptation, transitory states and the most common diseases of newborn. Student also must be able to perform basic life support of child in any age. Learning outcomes of the course unit Generic competences After successful graduation of program student will be competent to: To act fairly and according to ethical obligations, think critically and self-critically, to evaluate an assessment within the scope of one s competence, and if it s necessary, ask for help, communicate and work in multicultural surround and international context, reach general goal Collect, analyse and generate information, to learn, including independent life-long learning, use knowledge in practice, work with specialists of other fields and experts of other sciences Subject-specific competences Teaching and learning methods in hospital and simulator classroom: groups discussion and case analysis bedside in hospital and simulator classroom: case analysis Assessment methods children diseases and simulator classroom: individual and team interview, oral case presentation and discussion, relational assessment of knowledge Preparing of papers and review, case history analysis, assessment of awareness, 1

2 After successful graduation of program student will be competent to: Take a case history from children of all ages and their relatives, use the data adequately for making clinical decisions adequate usage of knowledge in future analysis of the case Carry out physical examination of different age children, using skills of inspection, palpation, percussion and auscultation Make clinical judgement and decisions indicating laboratory and instrumental testing in clinical case, value their results Know diagnostics, treatment and of the most common paediatric diseases (respiratory, gastrointestinal, urinary tract and allergy) Cary out physical examination of healthy newborn, assess his maturity, reasonably suspect transitory conditions and the most common diseases of newborn, planning further tactics of examination and treatment if is necessary Recognize electrocardiogram of healthy child from one s with the most common heart diseases Recognize paediatric life threatening event and perform basic life support initial recovery of the child of different age. bedside in hospital: case analysis, groups discussion and preparing of papers (academic paediatric clinical case history) bedside in hospital: case analysis, groups discussion, brain storming, and preparing of papers (academic paediatric clinical case history) in hospital, groups discussion Practical tasks in simulator classroom, case analysis, group discussion Oral case presentation, case analysis, paper assessment, at the end of VI th examination at child s bedside as part of portfolio exam using individual colloquium in plan assessment, at the end of VI th examination at portfolio exam using individual colloquium in plan assessment, at the end of VI th examination at portfolio exam using individual colloquium in plan assessment, written examination at the end of course as part of assessment, written examination at the end of course as part of Written examination at the end of course as part of portfolio exam in plan practical tasks, written examination at the end of course as part of portfolio exam in plan 2

3 Topics Development of healthy child, growing, takes care on healthy and sick child. Psychical, movement and lingual development. Prevention of children diseases. Development of paediatric science Brest, formula, mixed and additional infant feeding; feeding of elder children, assessment of alimentary deficiency, children obesity Clinical examination of different age child Paediatric anatomical and physiological peculiarities of different organ system, methods of physical examination, indications and method of laboratory and instrumental testing, semiotics Dentition and dental change; rickets, spasmopfilia Peculiarities of paediatric electrocardiogram The most common paediatric respiratory diseases: classification, diagnostics, differentials, treatment and The most common paediatric digestive tract diseases: classification, diagnostics, Lectures Contact work hours Consultations Seminars Practice Laboratory work Practical training Total contact hours Self-study Time and tasks of self-study Tasks Preparing for practice about periods of children age, them specific illness. Preparing for practice about psychical, movement and lingual development with accent on characteristic age differences Preparing for practice in children feeding, terms and sequence of product introduction. Learning fundamentals of alimentary assessment in children Preparing for practice in methods of clinical examination according to paediatric principle from simple to complicated and from conservative to invasive Preparing for practice in anyone organ system s about anatomophysiologic peculiarities, clinical examination and assessment of testing results Learning scheme of milk-tooth; prepare for practice about rickets, it s, treatment and complications Renew methods of taking electrocardiogram in adults and it s result interpretation Preparing for four practices about: the most common diseases of upper respiratory tract, acute diseases of lower respiratory tract with prevalent infective syndrome, acute diseases of lower respiratory tract with prevalent obstructive syndrome, about the most common chronic respiratory diseases in children according to different Preparing for three practices about diseases of children oesophagus and stomach, paediatric malabsorbtion and celiac, functional disorders of digestive tract and constipation according to different 3

4 The most common allergies in Preparing for two practices about paediatric patients: diagnostics, skin allergies, digestive allergies, allergic rhinitis and conjunctivitis according to different. Preparing for practice about feeding of allergic child: menu, elimination and introduction of different products The most common diseases of Preparing for two practices about urinary tract and micturition children urinary infections and disorders in children: diagnostics, diseases manifesting with nephritic and nefrotic syndrome, according to different Maturity and physical Preparing for practice about development of newborn, newborn maturity, learning transitory conditions of newborn, newborn reflexes. Preparing for diagnostics, differentials, treatment practices about haemolytic, and of the most haemorrhagic diseases of common diseases in newborns newborns, the most common embryo and fetopathies, prenatal infection and neonatal sepsis, perinatal hypoxia. Preparing for practices about preterm newborn adaptation, care and feeding peculiarities. Paediatric basic life support Preparing about methods to tace life support in children Total Assessment strategy Practice testing and writing quiz, including specially prepared tests at the end of VI th as part of portfolio examination in plan Physical examination at Academic paediatric clinical case history Writing examination at the end of module Weight Assessme (%) nt period 20 During VI and VII period 10 At the end of V Ith 20 At the end of VII th s paediatric module 50 end of VII th Assessment criteria Six quizzes prepared using open and close questions. Assessment is made on a 10 point scale Assessing ability of student to race case history or carry out physical examination of different age sick child, assessing results of laboratory or instrumental testing in subject. Assessment is made on a 10 point scale Paper assessment on a 10 point scale Assessment is made oh three different main parts of program. Assessment is made on 10 point scale where 10 excellent knowledge, 9 very good, 8 good, 7 - satisfactory, 6 creditable, 5 poor, 1-4 unsatisfactory knowledge Author Year Title No of Publication place and 4

5 of public ation periodical or vol. of publication publisher or Internet link Required reading 2000 Children diseases: Paediatric Vol. 1 Vilnius: Gamta propaedeutics; neonatology, hereditary diseases 2003 Children diseases: pulmonology; Vol. 2 Vilnius, Gamta gastroenterology 2004 Children diseases: nephrology Vol. 3 Vilnius, Vilnius University 2005 Children diseases: allergology; Vol. 4 Vilnius, Vilnius University reanimation and intensive care therapy 2008 Clinical paediatric Vilnius, Vilnius University Raugalė A pharmacology and pharmacotherapy Recommended reading Red. Valiulis A 2010 Agreement of Diagnosis and Treatment of Cystic Fibrosis in Lithuania. Evidence based practical recommendations for physicians and nursing specialists. Zilinskaitė V, Kinciniene O Questionnaire of children diseases Red. Valiulis A 2007 Guidelines of Diagnosis and Treatment of Paediatric Asthma in Lithuania. Evidence based practical recommendations for physicians Vilnius, Vilnius University Vilnius, Greita spauda 4 th edition Vilnius: Eugrimas Red. Urbonas V 2006 Disorder of Children Growth Vilnius: Vaistų žinios Red. Valiulis A 2005 Guidelines for Diagnostics and Vilnius: Eugrimas Treatment of Paediatric Pneumonia in Lithuania. Evidence based practical recommendations for physicians Red. Urbonas V 2005 Children obesity Vilnius: E.Nedzinskas Kaltesnis P Manager of Renal Diseases and Vilnius: Vaistų Zinios Syndromes in Children. Red. Vingras A 2004 Paediatrics in General Practice Vilnius: Vaistų Zinios 5