PEDIATRICS PE 317 PEDIATRICS. Fifth. 500 Marks. 10 weeks (as per student)

Transcription

1 PEDIATRICS PE 317 Basic Information Program Title Bachelor of Medicine and Surgery; MB, BCh Department Offering the Course PEDIATRICS Academic Year / Level Fifth Date of Specification Approval / / 2011 (department council approval) Total Teaching Hours Total: 254 Lecture: 120 Clinical: 134 Allocated Marks Allocated Duration Course Director Teaching Staff 500 Marks 10 weeks (as per student) Prof. Dr Galila Mokhtar Head of Department 54 Professors 16 Assistant Professors 29 Lecturers 35 Assistant lecturers 1 of

2 Professional Information 1- Overall Aims of Course Pediatric Course Provides Students with: Aim 1 Basic knowledge of normal and abnormal growth and development (physical, physiologic, psychosocial), and its clinical application from birth through adolescence. Aim 2 Ability to provide basic health care for individuals in the Pediatric age group (neonates, infants, children and adolescents). Aim 3 Appropriate background covering the common and important Pediatric emergencies and diseases. Aim 4 Acquisition, developing and application of appropriate professional attitudes, communication and problem solving skills. 2- Intended Learning Outcomes of Course (ILOs) A. Recall of Knowledge and Understanding: By the end of the course, students will be able to: a1 a2 a3 Course ILO Describe normal growth and development during infancy, childhood and adolescence. Describe causes and pathogenesis of the most important neonatal, pediatric and adolescent problems. Describe abnormalities of growth and development in the pediatric age groups and their appropriate management. Program ILO A5 A6 A5 A8 2 of

3 a4 Describe the clinical symptoms and signs of the most important neonatal, pediatric and adolescent problems. A7 a5 Enumerate relevant differential diagnosis. A7 a6 a7 a8 a9 a10 a11 a12 a13 a14 Identify the appropriate diagnostic tools (and be able to interpret them). Determine the nutritional requirements and the most common nutritional disorders affecting infants and children and adolescents and describe appropriate management for disorders. Cite the management priorities for different neonatal, pediatric and adolescent emergencies according to protocols and guidelines. Describe the clinical symptoms and signs of the most important neonatal, pediatric and adolescent problems. Identify treatment plans for the most important neonatal, pediatric and adolescent problems according to protocols and guidelines. Describe the indications, contraindications, administration and precautions of the immunizations necessary for infants and children according to the national schedule and the clinical condition of the child and situational prioritization. Describe appropriate measures for health promotion as well as prevention of common community health problems (communicable such as GE, typhoid, cholera, and noncommunicable such as iron deficiency, lead poisoning, rheumatic fever, asthma, chronic renal failure, etc.. Recognize ethical and medico-legal aspects of neonatal, pediatric and adolescent practice. Outline diagnosis, prevention and management of medical errors and iatrogenic illness. A8 A8 A8 A8 A10 A10 A11 A12 a15 Demonsterate knowledge of clinical audit in pediatric patients. A13 B. Intellectual Skills By the end of the course, students will be able to: b1 b2 Course ILO Interpret the most important symptoms and signs of disease in Pediatric patients in view of basic structural, functional and biochemical alterations. Select and interpret various investigational tools to set up a priority based action plan for the most important pediatric conditions. Program ILO B2 B3 3 of

4 b3 b4 b5 b6 b7 Formulate meaningful answerable clinical formulae aiming at establishing evidence based management of common or life threatening conditions in the pediatric age groups. Make decisions regarding common clinical situations using appropriate problem solving skills in order to recognize, define and prioritize problems. Generate and refine a prioritized differential diagnosis for a clinical finding or set of findings Integrate, analyze and evaluate information objectively while recognizing its limitations. Recognize the need and adequately refer cases to higher level of care when needed. B5 B4 B4 B4 B4 b8 Interpret patient s data in an organized and informative manner. B4 b9 Formulate appropriate management plans for individual patients presenting with common and or critical pediatric disorders. B6 C. Professional and Practical Skills By the end of the course, students will be able to: c1 c2 c3 Course ILO Obtain and record proper history for a patient in the Pediatric age group. Perform an adequate clinical examination for a patient in the Pediatric age group and identify deviations from normal. Considering cultural diversity when performing all this. Assess physical and mental development in neonates, infants, children and adolescents according to standard milestones and recognize abnormalities. Program ILO C2 C2 C3 c4 Check vital signs in neonates, infants, children and adolescents. C3 c5 Assess nutritional status and growth of infants, children and adolescents using anthropometric assessments as well as perform Tanner staging. C3 c6 Identify pathologic findings in images and ECG. C4 c7 Write safe prescriptions used to manage common and life threatening conditions while calculating properly drug dosage based on patient's weight, age and health condition. C5 4 of

5 c8 Simulate first aid measures for different neonatal and Pediatric emergencies. C7 c9 Practice disease oriented basics of health and safety measures. C6 c10 Insert a canula in a peripheral vein in pediatric manikin. C7 c11 Give IM, SC and IV injections in pediatric manikin. C7 c12 Perform competently basic life support and cardiopulmonary resuscitation in pediatric manikin. C7 c13 Insert a nasogastric tube in pediatric manikin. C7 c14 Communicate clearly, sensitively and effectively with patients and their relatives, regardless of their social, cultural or ethnic background C8 D. General and Transferable Skills By the end of the course, students will be able to: Course ILO Program ILO d1 Valuing the interests and dignity of patients and families. D1 d2 Communicate in difficult situations including breaking bad news. D2 d3 d4 Respect superiors, colleagues and any other members of the health profession. Gather, organize and appraise the medical information including the use of information technology where applicable. d5 Present medical information in written, oral or electronic forms. D6 d6 Communicate ideas and arguments effectively. D7 d7 Be prepared for the lifelong learning needs of the medical profession. d8 Work constructively and cooperatively within a team. D9 d9 Practice self and peer evaluation. D10 d10 Manage time effectively D11 D3 D4 D8 5 of

6 3- Course Contents Topics I- INTRODUCTION HISTORY TAKING EXAMINATION ETHICS IN PEDIATRIC PRACTICE CLINICAL AUDIT Total % 16 (6%) II- GROWTH AND DEVELOPMENT (1.5%) 1. Periods of human life. 2. Factors affecting growth and development. 3. Assessment of growth and development. 4. Sex differentiation Puberty Teaching and Learning Methods L T P/ C O III- NUTRITION AND NUTRITIONAL DISORDERS (11%) 1. Normal Nutrition Breast feeding Artificial feeding Weaning Nutritional assessment 2. Nutritional disorders Protein energy malnutrition, simple underweight and Obesity Rickets, vitamin D resistant rickets, hypervitaminosis D and tetany IV- GENETICS (5%) 1. Introduction 2. Chromosomes and Chromosomal abnormalities 3. Common autosomal chromosomal abnormalities 4. Common sex-chromosomal abnormalities 5. Single gene inheritance 6. Basis for molecular genetics 7. Antenatal diagnosis of

7 8. Congenital anomalies 9. Inborn errors of metabolism 10. Mental retardation Differential diagnosis of abnormal genitalia V- NEONATOLOGY (6.7%) 1. The newborn: Introduction, routine care and resuscitation. 2. Characteristics of the normal full term newborn and neonatal reflexes. 3. Problems of term and weight 4. Birth injuries 5. Neurologic problems of the neonate 6. Metabolic problems of the neonate 7. Respiratory problems of the neonate 8. Gastrointestinal problems of the 9. neonate 10. Hematological problems of the neonate 11. Fetal and neonatal infections 12. Neonatal screening VI- ALLERGIC AND RHEUMATIC DISORDERS (2.3%) Pediatric allergic disorders 2. Pediatric rheumatic disorders (juvenile rheumatoid arthritis and Causes of arthritis Other rheumatic diseases 4. Immunodeficiency disorders VII- INFECTIOUS DISEASES AND IMMUNIZATION (3%) 1. Bacterial infections 2. Viral infections 3. Candida infection 4. Mycobacterial infections Parasitic infestations 6. Immunization VIII- GASTROENTEROLGY (3.5%) 1- Abdominal pain and vomiting 2- Diarrhea and gastroenteritis 3- Fluid, electrolyte and acid-base homeostasis (Electrolyte disturbance, Acid-base of

8 disturbances, Fluid disturbances ) IX- LIVER AND BILIARY DISEASES (3.5%) 1. Infantile cholestasis 2. Hepatitis in pediatric age group 3. Metabolic liver disease (approach to a child with hepatosplenomegaly) 4. Portal hypertension (congenital hepatic fibrosis with a hint on cystic disease of liver, and portal vein thrombosis) Approach to a child with ascitis (Venoocclusive disease and Budd Chiari syndrome) 6. Liver transplantation in pediatric age group X- RESPIRATORY DISEASES (6.7%) 1. Upper respiratory diseases 2. Lower respiratory diseases (Pneumonia and Bronchiolitis) 3. Bronchial asthma 4. Bronchiectasis 5. Diseases of the pleura BASIC LIFE SUPPORT (0.7%) XI- CARDIOVASCULAR DISEASES (9%) 1. Congenital heart diseases 2. Primary cardiomyopathies 3. Acute rheumatic fever and rheumatic heart disease 4. Infective endocarditis 5. Congestive heart failure XII- HEMATOLOGIC AND (9.8%) 1. Hematologic diseases 2. Anemia 3. Hemostasis and bleeding disorders 4. Disorders of leukocyte 5. Pancytopenias 6. Blood and blood component transfusion XIII- ONCOLOGIC DISEASES (3%) 1. Oncologic diseases 2. Abdominal masses in infants and children of

9 Lymphadenopathy XIV- RENAL DISEASES 1. Glomerular disorders (Acute poststreptococcal Glomerulonephritis) 2. Nephrotic syndrome 3. Acute renal failure 4. Chronic renal failure 5. Urinary tract infections Hematuria XV- ENDOCRINOLOGIC DISEASES 1. Hypothyroidism 2. Disorders of stature 3. yrienup tbtoe ti amronba 4. Disorders of sex differentiation (5.1%) (2.7%) DIABETES MELLITUS (0.7%) 5. Diabetes mellitus 6. Infant of diabetic mother XVI- NEUROLOGIC DISEASES (6.7%) 1. Cerebral palsy 2. Microcephaly and hydrocephalus 3. Craniostenosis 4. Seizures 5. Neonatal meningitis: mentioned in neonatology 6. Hypotonia and neuromuscular disorders 7. Causes of inabili1y to walk 8. Intracranial hypertension XVII- RADIOLOGY 12 (4.7%) XVIII- PSYCHIATRIC DISORDERS (0.7%) 1. Enuresis 2. Attention defecit hyperactivity disorder 3. Autistic disorders XIX- INFECTIONS AND EMERGENCIES XX-INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (3.1%) 4 (1.5%) XXI-REVISION LECTURES of

10 TOTAL (1.5%) % 102 (40%) L: lecture, T: Tutorial, P: Practical, C: Clinical, O: Other 10 (4%) 134 (52.5 %) 8 (3.5% ) 4- Teaching and Learning Methods Teaching/ Learning Methods Recall of Knowledge/ Understanding Intellectual skills Professional/ Practical GTS 4.1- Lectures a1 a15 b1 b Tutorials 4.3- Practical classes/ Clinical rounds *4.4- e-learning **4.5- Self Directed Learning a1 a15 b1 b9 D3 b1 b9 c1 c14 d1 d3 a1 a15 b1 b9 D3 d4-d10 GTS: general transferable skills * **Research, Presentations Facilities Required for Teaching and Learning Halls for tutorials Computer lab for e-learning classes and e-exams library Audiovisuals Lecture notes: written by a committee of the faculty members and available to 10 of

11 the students at the beginning of the course. Learning guides of clinical practice available at start of course Training videotapes: shown in class and available at the library/skills development lab. Rehydration equipment provided in class: (ORS sachets. cups, spoons. IV fluids, IV giving sets, cannulas, butterfly needles, band aids, infection prevention supplies) 5- Teaching and learning methods for students with learning difficulties 1- Revision lectures and tutorial classes outside schedule 2- Assignments 6- Student Assessment Methods 6.1 Methods: Summative Assessment Type Assessment Method ILOs Measured Formative Assessment 6.2 Time Schedule Continuous Assessment Week 9 a1-a15 b1-b9 Online quizes (MCQs) - Others - Home Assignments - Presentations, Projects MCQ d4-d10 a1-a15 b1-b9 End-Round OSCE c1-c14 Final WRITTEN EXAM CLINIVAL EXAM ORAL EXAM a1-a14 b1-b9 b1-b9 c1-c14 a1-a14 b1-b9 Week Method 11 of

12 Week 9 Formative Assessment Week 9 Presentations Projects Week 10 Continuous Assessment End-round OSCE Practical Exam Written Exam END of YEAR Multiple Choice Questions Short Long Essay Case Studies Oral Exam 6.2 Weighing of Assessments Method Weight % Continuous Assessment 20% ATTENDENCE Research Activity 4% (20 Mark) 4% (20 Mark) Mid-Term Examination OSCE 12% (60 Mark) Final 80% Written Exam 50% (250 Mark) 12 of

13 Oral Exam 4% (20 Mark) Clinical Exam 26% (130 Mark) Total 100% 500 Mark 7- List of References 7.1 Course Notes Course Notes: Fundamentals of Pediatrics (Department Book) Learning guides for clinical practice (by Pediatrics department) 7.2 Essential Books (Text Books) (Available at department or faculty library) Current Pediatrics Diagnosis & Treatmentics, William W. Hay, Myron J. Levin, Judith M. Sondheimer and Robin R Deterding ( 2006) 7.3 Recommended Books Nelson Textbook of Pediatrics, 18th Edition Robert M. Kliegman,, Bonita M.D. Stanton,, Joseph St. Geme, Nina Schor and Richard E. Behrman, Periodicals, Web Sites, etc Others Course Coordinator Date: / / of