After successful completion of the course the medical student will be able to
1.Take a detailed paediatric history and perform physical examination in infants, toddlers, children and adolescents.
2.Evaluate physical development (Body Weight, Length / Body Height, Head Perimeter) using growth charts and recognize deviations as well as looking for and recognizing congenital malformations at an early age.
3.Know the stages of normal psychomotor development during the first years of life and recognizes developmental delay.
4.Know the importance of common clinical manifestations and findings in pediatric patients (eg cough, shortness of breath, vomiting, diarrhea, pain, crying, convulsions, hematuria, edema, anemia, jaundice) as well as to interpret results of basic clinical-laboratory tests in children of all ages
5.Know the principles of nutrition in normal infants, toddlers and children, the National Vaccination Program and how to check and record details in the child's health booklet.
Course Content (Syllabus)
Workload: 338 hours corresponding to 13 ECTS credits
DISTRIBUTION OF STUDENTS IN GROUPS IN WARDS
Nominal lists of students (about 90 in each Pediatric Clinic) are sent by the Secretariat of the Medical School, which is responsible for the separation of students of the 10th semester into 4 groups (A, B, C, D), one for each Pediatric Clinic.
Learning objectives/ outcomes (TABLE 1) in the course of Pediatrics (I 0325) are common in all pediatric clinics. However, there are few differences regarding clinical practice, which is adapted to the existing infrastructure of each clinic.
Educational program in Pediatrics is from Monday to Friday. Every day, from Monday to Thursday, at least one group may be located in the outpatient clinics, depending on the scheduled visits of patients. The communication is done with the person who has the responsibility of each ward.
Nominal tabs for the medical robe are distributed to all students (as well as locker keys in certain clinics). Helping educational tools eg treatment guides, notes of Members of the Faculty, are also given in certain pediatric clinics.
As far as the course of Pediatrics I 0325 is concerned, on the notice board of each Pediatric Clinic, are posted:
1) The curriculum timetable
2) A table containing the distribution of students in wards
Students can justify 3 days of absence during practice if absences are more than three then practice is considered inadequate and has to be repeated.
The grading/ evaluation of students for the course of Pediatrics I 0325 is based on written examinations. The latter are conducted according to the Curriculum of the Medical School, at an appointed day and hour, during the exam period of June and September, after prior announcement. Written examinations include multiple-choice and short-answer questions. The Syllabus which is examined is predetermined and available to students from the beginning of their training, so that they are able to be prepared (TABLE 2).
During the period of their clinical practice in the wards, students’ practical skills are examined by the responsible Faculty member and the grade is taken into account for the final evaluation as well.
The grading scale is between 0 and 10 for both written and oral examination.
After implementation of the European Credit Transfer Systeam (ECTS) in the Faculty of Medicine, Aristotle University of Thessaloniki, the score of the written examination will also be presented in the form of A, B, C, D, E, F where: A = 10%, B = 25%, C = 30%, D = 25%, E = 10%, F = failure. The ECTS system initially divides students into two groups: those who succeeded-passed and those who failed; then it assesses the performance of these two groups separately. Thus,l those who succeeded are further divided into five subgroups the best 10% are awarded an A grade, the next 25% a B grade, the following 30% a C, the following 25% a D and the final 10% an E.
LEARNING OBJECTIVES / OUTCOMES
The aim of the course is to familiarize students with the pediatric patient. This objective is accomplished by the following knowledge and skills:
1. Medical history taking from pediatric patients / guardians
2. Physical examination of newborns
3. Physical examination of infants/ toddlers
4. Physical development of infants/children (percentiles of body weight, length-height, head circumference)
5. Normal values and significance of usual laboratory tests
6. Common antibiotics
7. Vaccines - vaccination scheme of infants, toddlers
8. Importance of common clinical symptoms and signs (cough, dyspnea, vomiting, diarrhea, pain, crying, convulsions, hematuria, edema, anemia, jaundice)
9. Nutrition of infants
10. Psychomotor development of infants/ toddler
11. Nursing care of newborns/ infants/children – social pediatric practice
Teaching - Syllabus PEDIATRICS I0325
1.History and clinical examination of infant, child and adolescent
2. Growth and child development
3. Common developmental problems in childhood
4. Clinical genetics
5. Chromosomal aberrations - abnormalities
6. History and clinical examination of the newborn
7. Congenital and perinatal infections
8. Neonates with intrauterine growth retardation
9. Premature infants and their problems
10. Neonatal jaundice
11. Nutrition and nutritional disorders
12. Immune system (generally)-allergy
14. Infectious diseases
16. Clinical and laboratory evaluation of the respiratory system
17. Syndromes obstruction upper and lower respiratory system
18. Infections of the respiratory system
19. Clinical and laboratory evaluation of the cardiovascular system in children
20. Hyperlipidemia and prevention of cardiovascular diseases
21. Abdominal pain
22. Vomiting - Diarrhea - Constipation
24. Malabsorption syndromes
25. Checking renal function
26. Haematuria / proteinuria
27. Congenital malformations of the urinary tract
28. Physiological hematopoiesis
29. Disorders of haemopoiesis
32. Abnormalities of the puberty
33. Growth Disorders
34. Neurological examination of infant/child-Headache
36. Infections of CNS
37. Common orthopedic problems in children
38. Hereditary metabolic diseases
39.Dehydration and water-electrolyte disturbances /acid-base inbalance
40. Emergencies in Paediatrics
General pediatrics, subspecialties of pediatrics (immunology, allergology, cardiology, gastroenterology, endocrinology, neonatology, neurology, nephrology, pneumology etc)