PEDIATRICS CLERKSHIP (2020‐2021)

PEDIATRICS CLERKSHIP (2020‐2021)

EDUCATION PERIOD : Class V

INTERNSHIP DURATION : 50 working days

LOCATION : Cebeci Hospital Campus

EDUCATION UNITS : Department of Pediatrics, In‐ and Outpatient Clinics, Classrooms and Laboratories

CLASSROOM : Department of Pediatrics, Prof. Dr. Bahtiyar Demirağ Amphitheater and Classrooms

Educators

Prof. Dr. Emel ÜNAL Prof. Dr. Sevgi BAŞKAN Prof. Dr. F. Fatoş YALÇINKAYA Prof. Dr. Saadet ARSAN Prof. Dr. Merih BERBEROĞLU Prof. Dr. Aydan İKİNCİOĞULLARI Prof. Dr. H. Ercan TUTAR Prof. Dr. Betül ULUKOL Prof. Dr. Nurdan TAÇYILDIZ Prof. Dr. Aydan KANSU Prof. Dr. İlgi ERTEM Prof. Dr. Mehmet ERTEM Prof. Dr. Pelin BİLİR Prof. Dr. Ergin ÇİFTÇİ Prof. Dr. F. Begüm ATASAY Prof. Dr. E. Figen DOĞU Prof. Dr. Zeynep ŞIKLAR Prof. Dr. Z. Birsin ÖZÇAKAR

Prof. Dr. Tanıl KENDİRLİ Prof. Dr. Zarife KULOĞLU Prof. Dr. Ömer ERDEVE Prof. Dr. D. Talia İLERİ Prof. Dr. Elif İNCE Prof. Dr. Serap TIRAŞ TEBER Prof. Dr. Tayfun UÇAR Prof. Dr. Filiz ŞİMŞEK ORHON Prof. Dr. F. Nazan ÇOBANOĞLU Prof. Dr. Handan DİNÇASLAN Prof. Dr. Deniz TEKİN Prof. Dr. Zehra AYCAN Doç. Dr. F. Tuba EMİNOĞLU Doç. Dr. Nilgün ÇAKAR Doç. Dr. Ömer BEKTAŞ Doç. Dr. Halil ÖZDEMİR Doç. Dr. Seda TOPÇU Doç. Dr. Emel OKULU Doç. Dr. N. Eda CULLAS İLARSLAN

Doç. Dr. Ceyda TUNA KIRSAÇLIOĞLU Doç. Dr. Elif ÖZSU Dr. Öğr. Üy. Bahar BİNGÖLER PEKCİCİ Öğr. Gör. Fatih GÜNAY Öğr. Gör. Z. Şule HASKOLOĞLU Öğr. Gör. Göksel VATANSEVER Öğr. Gör. Mehmet Gökhan RAMOĞLUÖğr. Gör. Hasan Fatih ÇAKMAKLI Öğr. Gör. Ezgi ÖZALP AKIN Öğr. Gör. Miraç YILDIRIM Öğr. Gör. Engin KÖSE

CHILDREN'S RADIOLOGY DEPARTMENT Prof. Dr. Ömer Suat FİTOZ

CHILD UROLOGY DEPARTMENT Prof. Dr. Yakup Tarkan SOYGÜR Prof. Dr. Berk BURGU

FORENSIC MEDICINE DEPARTMENT Prof. Dr. Lale ŞATIROĞLU TUFAN

COORDINATORS: Prof. Dr. Saadet ARSAN, Prof. Dr. Handan DİNÇASLAN

ADDRESS : Ankara Üniversitesi Tıp Fakültesi, Cebeci Hastanesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı

TELEPHONE : 0312 595 63 86

EMAIL : [email protected]

SECRETARY : Cengiz SARIKAYA

THE PURPOSE OF PEDIATRICS CLERKSHIP

To gain the knowledge and skills to explain the characteristics of healthy children (growth,

development) from the neonatal period to the end of adolescence, to recognize and treat

diseases seen in childhood, to diagnose and treat life‐threatening situations in the child.

In addition, the competences required for immunization, protection from environmental

accidents, nutrition, growth and neuromotor development for the protection and improvement

of health in children; to acquire the skills of researching, questioning and practicing the

profession by observing ethical rules and communicating with the sick child and family with in

the body of values towards medicine.

LEARNING OUTCOMES OF PEDIATRICS CLERKSHIP

1) Evaluates the growth and development of the healthy child.

2) Manages breastfeeding and childhood nutrition.

3) Plans and manages childhood immunization.

4) Explains the protection methods from childhood diseases.

5) Takes anamnesis from the child and his family, performs the physical examination of the child, evaluates the vital signs.

6) Interpret common basic laboratory (biochemical measurements, hematological tests, ECG, peripheral smear, etc.) and radiological examinations in children.

7) Explain the indications and methods of applying basic interventions in children and performs at the primary care level.

8) Can refer the critically ill child to a higher level health institution by performing the necessary basic interventions (respiratory and circulatory support).

9) Diagnose and treat acute and common diseases in childhood.

10) Provides consultancy on basic issues by establishing effective communication with the family.

PEDIATRICS CLERKSHIP

SYMPTOM / FINDINGS / SITUATIONS LIST

Anemia

Anuria‐oliguria

Asphyxia

Fever

Headache

Consciousness changes

Throat ache

Mass in the neck

Nausea‐vomiting

Growth‐developmental delay

Palpitations

Skin rashes / lesions (maculopapular, bullous, vesicular)

Dyspnea

Diarrhea

Dysuria

Joint pain / swelling

Difficulty in sucking

Enuresis

Chest pain

Hematuria

Hepatomegaly

Wheezing

Hypertension

Hypotension

Color change in urine

Appetite disturbances

Constipation

Heart murmur

Tendency to bleed

Abdominal pain

Mass in the abdomen

Itching

Weight gain / excess

Weight loss

Suspicious Genitalia

Lymphadenopathy

Having a seizure

Edema

Cough / sputum production

Paresis‐paralysis

Petechiae, purpura, ecchymosis

Postnasal drip

Puberty disorders (early‐late)

Jaundice

Syncope

Having frequent infections

Cyanosis

Splenomegaly

Stridor

Tetany

Problems with sleep

PEDIATRICS CLERKSHIP DISEASES / CLINICAL PROBLEMS LIST

Asthma

TT‐A‐K‐İ

Whooping cough

TT‐A‐K

Functional constipation in the child

TT‐K‐İ

Dehydration

TT‐A‐K

Febrile convulsion

TT‐A‐K

Gastroenteritis

TT‐A‐K

Diabetes mellitus and its complications

TT‐A‐K‐İ

Malnutrition

TT‐K‐İ

Pulmonary tuberculosis

TT‐K‐İ

Urticaria and angioedema

TT‐A‐K

Bronchiolitis

T‐A

Pneumonias

TT‐K

Dermatitis (diaper)

TT‐K‐İ

Iron deficiency anemia

TT‐A‐K‐İ

Infectious diseases with rash

TT‐K

Mumps TT‐K

Vitamin D deficiency

TT‐K‐İ

Megaloblastic anemia

TT‐K‐İ

Moniliasis

TT‐K

Urinary system infections

TT‐K

Upper respiratory tract infections

TT‐K

Conjunctivitis in the newborn

TT‐K

Congenital hypothyroidism TT‐K‐İ

Heart failure T‐A‐K‐İ

Chronic kidney disease

T‐A‐K‐İ

Acute kidney injury

T‐A‐K

Fluid and electrolyte balance disorders

T‐A‐K

Metabolic disorders in the newborn

önT‐K

Goiter

T‐K‐İ

Metabolic syndrome

T‐K‐İ

Obesity T‐K‐İ

Gender development disorders

Pre‐T

Acute glomerulonephritis

T‐A

Allergic reaction

TT‐A

Breath holding spells T

Obstructive uropathy

A

Kidney and urinary system anomalies

Pre‐T‐A

Sepsis

A

Shock

A

Acute hepatitis T‐K

Acute rheumatic fever

T‐K

Diabetic mother's baby

T‐K

Congenital structural anomalies

T‐K

Neural tube defects

T‐K

Prematurity

T‐K

Neonatal jaundice T‐K

Arthritis

T

Henoch ‐ Schönlein purpura

T

Nephrotic syndrome T

Cerebral palsy T

Eating disorders Pre‐T

Birth trauma

Pre T‐K

Congenital metabolic diseases

Pre T‐K‐İ

Hemoglobinopathies

Pre T‐K

Liver cirrhosis

Pre T‐K

Poliomyelitis

Pre T‐K

Epilepsy Pre T‐A‐K‐İ

Secondary hypertension Pre T

Familial Mediterranean fever Pre T‐İ

Aplastic anemia Pre T

Head and neck tumors

Pre T‐K

Childhood solid tumors

Pre T

Extrapulmonary tuberculosis

T

Congenital heart diseases

Pre T

Chromosome diseases (common) Pre T‐K

Hemolytic anemia

Pre T

Hypotonic baby

Pre T

Juvenile idiopathic arthritis

Pre T

Heart rhythm disorders

T‐A‐İ

Bleeding disorders (hemophilia, thrombocytopenia, etc.) Pre T‐K‐İ

Blood and blood products transfusion complications

T‐A

Bone and soft tissue sarcomas (Bone tumors)

Pre T

Cystic fibrosis

Pre T‐K

Chronic hepatitis

Pre T‐K

Lymphoproliferative diseases

Pre T

Leukemias

Pre T

Malabsorption

Pre T

Muscular diseases (myopathies) Pre T

Neurogenic bladder Pre T

Neurocutaneous diseases

Pre T

Primary immunodeficiencies

Pre T

Sleeping disorders Pre T

Vasculitis

Pre T

Wilson's disease

Pre T

Necrotizing enterocolitis in the newborn

A

Anaphylaxis

A‐K

Food poisoning A‐K

Asphyxia at birth

A‐K

Fetal distress at birth

A‐K

Meningococcal diseases

A‐K

Coma

A

Oncological emergencies

A

Trauma and injuries

A

Convulsion in the newborn

A‐K

Sepsis and meningitis in the newborn

A

Breathing difficulties in the newborn A

Hemorrhagic diseases of the newborn

A

Poisoning A‐K

Sex development disorders önT

LEARNING LEVEL EXPLANATION

A At the primary level; He should be able to define the emergency situation and make the first treatment and refer to a specialist when necessary.

ÖT At the primary level; In non‐urgent cases, they should be able to make a preliminary diagnosis and direct them to a specialist.

T

At the primary level; They should be able to diagnose and have information about treatment, and direct them to a specialist by performing the necessary pre‐procedures.

TT At the primary level; It should be able to diagnose and treat.

İ At the primary level; long‐term monitoring and control.

K At the primary level; It should be able to apply protection measures (primary, secondary, tertiary protection which is / are appropriate).


SYMPTOMS / FINDINGS / SITUATIONS AND DISEASES / CLINICAL PROBLEMS MATRIX

SYMPTOM / FINDINGS / CASES DISEASES / CLINICAL PROBLEMS LEARNING LEVEL

Anemia

Approach to anemia and evaluation of complete blood count

Pre T‐TT‐K‐İ

Approach to macrocytic anemia with cases TT‐K‐İ

Iron deficiency anemia and prophylaxis in children

TT‐K

Immune and non‐immune hemolytic anemias

Pre ‐T

Anuria‐oliguria

Patient visit (Chronic kidney disease) T‐A‐K‐İ

Acute kidney injury in children T‐A‐K

Asphyxia

Hypoxic and mechanical birth trauma

Pre T‐T‐A‐K

Fever

Fever measurement and symptomatic evaluation of fever

4

Child evaluation with acute fever A‐K

Headache

Hypertension in childhood TT‐A‐K‐İ

Consciousness changes

Approach to the unconscious patient A

Throat ache

Upper respiratory tract infections in children

TT‐K

Mass in the neck

Approach to lymphadenopathies Pre T

Hodgkin lymphoma Pre T

NonHodgkin lymphoma Pre T

Solid tumors 3 (Sarcomas) Pre T

Nausea and vomiting

Approach to common gastrointestinal problems (vomiting, constipation)

TT‐K‐İ

Growth‐developmental delay

Child health monitoring 4

Evaluation, support and monitoring of development

4

Approach to common developmental problems

Pre T

Anthropometry and evaluation of growth curves

3

Screening and growth monitoring in child health surveillance

4

Growth retardation TTK

Palpitation

Approach to emergency arrhythmias with case examples

T‐A‐İ

Skin rash / lesions (maculopapular, bullous, vesicular)

Infectious diseases with rash TT‐K

Dyspnea

Lower respiratory tract infections in children

TT‐K‐A

Approach to the wheezing child

T‐A

Breathing difficulties in the newborn A

Diarrhea

Chronic diarrhea approach in children Pre T‐K‐İ

Acute gastroenteritis in children TT‐A‐K

Dysuria

Urinary tract infections in children TT‐K

Obstructive uropathy in children T‐A

Joint pain / swelling

Patient visit (Approach to arthritis in childhood)

T

Difficulty sucking

Breastfeeding methods and breastfeeding problems

4

Approach to emergencies in newborns Pre T‐K‐A

Enuresis

Vesicoureteral reflux and urination dysfunctions in children

TT‐K

Chest pain

Hematuria

Acute poststreptococcal glomerulonephritis T‐A

Hepatomegaly

Abdominal examination

4

Wheezing

Approach to the wheezing child TA

Respiratory allergies TT‐A‐K

Hypertension

Hypertension in childhood TT‐A‐K‐İ

Hypotension

Evaluation of vital signs according to general condition and age in children

4

Shock T‐A

Color change in urine

Acute poststreptococcal glomerulonephritis T‐A

Appetite disturbances

Evaluation of Nutritional Status Pre T

Common behavioral problems in children: Approach to eating and sleeping problems:

Pre T‐K‐İ

Constipation


TT‐K‐İ

Murmurs

Auscultation in the heart Pre T

Cardiovascular system examination Pre T

Tendency to bleed

Approach to the patient with bleeding Pre T

Abdominal pain


TT‐K‐İ

Abdominal mass

Abdominal examination 4

Solid tumors (abdominal mass) Pre T

Itching Approach to allergic emergencies TT‐A‐K

Allergic skin diseases in children

TT‐A‐K

Weight gain / excess

Childhood obesity and metabolic syndrome T‐K‐İ

Weight loss

Evaluation of Nutritional Status

Pre T

Nutritional deficiency and malnutrition TT‐K‐İ

Ambiguous Genitalia Atypical genitalia and Sex development disorders

Pre T‐T

Lymphadenopathy

Approach to lymphadenopathies Pre T

Having a seizure Childhood convulsions and epilepsy

TT‐A‐K

Edema Nephrotic syndrome in children

T

Cough / sputum production Approach to a child presenting with cough

TT‐K

Paresis‐paralysis Approach to acute flaccid paralysis

TT‐A

Petechiae, purpura, ecchymosis Approach to the patient with bleeding

ÖnT

Postnasal discharge

Upper respiratory tract infections in children

TT‐K

Puberty disorders (early‐late)

Normal puberty (One case discussion with premature thelarche and puberty

T‐A‐K

Jaundice

Newborn jaundice T‐K

Approach to a child with jaundice T‐K

Syncope

Having frequent infections

Primary immunodeficiencies T‐A‐K

Cyanosis

Approach to emergencies in newborns Pre T‐K‐A

Approach to cyanosis and congenital

cyanotic heart disease

Pre T

Splenomegaly Abdominal examination

4

Stridor

Approach to the wheezing child TA

Respiratory allergies TT‐A‐K

Tetanic

Rickets TT‐K

Sleep disorder Common behavioral problems in children: Approach to eating and sleeping problems

Pre T‐K‐İ


CLINICAL SKILLS LIST

CLINICAL SKILL level

MINIMUM

NUMBER /

ÇEP DÜZEYİ

Taking general and problem‐oriented anamnesis from the pediatric patient

unassisted 15 / 4

Anthropometric measurements

unassisted 10 / 3

Ear, nose, throat and head‐neck examination

unassisted 5 / 3


unassisted 5 / 4

Child and newborn examination

unassisted 5 / 4

Evaluation of general condition and vital signs

unassisted 10 / 4

Musculoskeletal examination

unassisted 5 / 3

Cardiovascular system examination

unassisted 5 / 4

Neurological examination

unassisted 5 / 3

Respiratory system examination

unassisted 5 / 4

Ability to prepare an epicrisis

unassisted 5 / 4

Ability to prepare a patient file

unassisted 5 / 4

Ability to edit a recipe unassisted 5 / 4

Interpreting arterial blood gas results unassisted 3

Ability to take and evaluate ECG unassisted 5 / 3

Evaluating hematological parameters according to age in the child

unassisted 5

Ability to measure and evaluate bleeding time

Observation 3 / 2

Ability to make and evaluate peripheral smear

assisted 3 / 3

Interpreting the results of screening and diagnostic examinations

assisted 3 / 3

Airway application

Observation 1 / 3

To be able to apply the principles of rational drug use

unassisted 1 / 4

To be able to request rational laboratory and imaging examination

unassisted 4

Ability to score and evaluate APGAR unassisted 3

Ability to monitor growth and development in children (percentile curves, Tanner grading)

unassisted 10 / 3

Postnatal baby care

unassisted 5 / 3

Hand washing

unassisted 10 / 4

IM, ID injection

assisted 5 / 4

Providing advanced life support Observation 1 / 3

Ability to measure blood pressure

unassisted 3 / 4

To be able to apply oxygen and inhaler therapy

Observation 3 / 4

Provide basic life support

Observation 1 / 4

Ability to take heel blood

Observation 3 / 4

Newborn resuscitation

Observation 3 / 2

Providing proper transportation of newborn

Observation 3 / 4

Providing immunization consultancy

Observation 5 / 4

Ability to carry out immunization services

Observation / 4

To teach the correct breastfeeding methods

Observation 3 / 4

Periodic examination, control (newborn screenings, adolescent counseling)

Observation 3 / 4

Ability to take measures to prevent healthcare‐associated infections

Observation 1 / 3

Ability to combat communicable diseases in the community Observation 1 / 3

PEDIATRICS CLERKSHIP PREVENTIVE MEDICAL SKILLS LIST

SKILL LEVEL LEVEL

Maternal and child health

unassisted 4

Health in different stages of life (pregnancy, birth, puerperium, newborn, childhood, adolescence)

unassisted 4

Immunization (in childhood and adults)

unassisted 4

Healthy eating

unassisted 4

Scans (child and adult) unassisted 4


EVALUATION &ASSESSMENT METHODS

MIDTERM

In the first 23 days of the internship, it consists of a total of 20

multiple‐choice questions covering the basic topics described as

theoretical courses.

LOGBOOK

The following medical practices will be evaluated:

Taking general and problem‐oriented anamnesis from the

pediatric patient

Head and neck examination


Evaluating vital signs according to general condition and

age

Musculoskeletal examination




Puberty examination

Targeted examination in pathological conditions

Assessing growth in children (percentile curves)

Preparing patient file and epicrisis

Drawing a treatment plan and prescription

FINAL ORAL EXAM

Case‐based structured oral exam

(3 categories are evaluated as practical courses, emergencies and

non‐emergency theoretical courses)

FINALWRITTEN EXAM

It consists of a total of 50 multiple‐choice questions covering

theoretical courses not asked in the midterm.

Level 1: 35 multiple choice questions that evaluate clinical

knowledge.

Level 2: Multiple choice question based on 15 cases evaluating

clinical decision making.

FINAL SCORE

Midterm grade

Report card grade

: 70%

: 30%

Final oral exam grade

Final written exam grade

: 60%

: 40%

Final Score = (Clerkship Grade x 0.3) + (Exam Grade x 0.8)

PEDIATRICS CLERKSHIP ACTIVITY MATRIX

TYPE OF EVENT ACTIVITY NAME TİME LEARNING GAINS EVALUATION & ASSESSMENT METHOD

Lecture Taking anamnesis in the pediatric patient

1 hour 5 MCQ, C‐ MCQ, oral examination

Lecture

Communication skills


Lecture

Child abuse and neglect


Lecture State of child health in the world and in our country


Lecture

Breastfeeding


Lecture

Complementary nutrition


Lecture Monitoring growth and growth in childhood


Lecture Growth retardation


Lecture Routine vaccination in childhood

1 hour 3‐4 MCQ, C‐ MCQ, oral examination

Lecture Vaccination and non‐routine vaccines in special cases


Lecture Monitoring the development in children


Lecture Prevention of common eating and sleep problems in children

1 hour 9 MCQ, oral examination

Lecture A case‐by‐case approach to common problems in newborns and infants


Lecture Approach to neonatal jaundice Neonatal infections


Lecture Neonatal infections


Lecture Premature baby problems


Lecture Approach to the newborn with respiratory distress Perinatal asphyxia


Lecture Perinatal asphyxia


Lecture Fluid therapy and approach to dehydration


Lecture

Rickets 1 hour 9

MCQ, C‐ MCQ, oral examination

Lecture Childhood obesity and metabolic syndrome


Lecture

Adolescent problems


Lecture Approach to poisoning in children


Lecture

Cystic fibrosis


Lecture Chronic diarrhea and malabsorption syndromes


Lecture Approach to common gastrointestinal problems (vomiting and constipation)


Lecture Nutritional deficiency and malnutrition


Lecture

Childhood tuberculosis


Lecture Approach to a child with jaundice


Lecture Approach to abdominal pain in children


Lecture Upper respiratory tract infections in children


Lecture Lower respiratory tract infections in children


Lecture

Meningitis 1 hour 9


Lecture Evaluation of critical pediatric patient


Lecture Acute gastroenteritis in children


Lecture

Sepsis in childhood


Lecture

Rash diseases

2 hours 9 MCQ, C‐ MCQ, oral examination

Lecture

Primary immunodeficiencies

2 hours 9 MCQ, oral examination

Lecture Allergic skin diseases in children


Lecture

Hypersensitivity reactions 1 hour 8‐9


Lecture

Asthma


Lecture Chronic liver diseases in children


Lecture

Vasculitis in children


Lecture Familial Mediterranean fever in children


Lecture

juvenile idiopathic arthritis


Lecture Common genetic diseases in children


Lecture Approach to congenital metabolic diseases

2 hours 9 MCQ, oral examination

Lecture

Acute rheumatic fever


Lecture Approach to congenital cyanotic heart diseases


Lecture Approach to congenital heart diseases with shunt from left to right


Lecture Diagnosis and emergency management of myocardial and pericardial diseases in childhood


Lecture Approach to congenital stenosis heart diseases


Lecture

Acute heart failure

1 hour 6‐7‐8‐9 MCQ, C‐ MCQ, oral examination

Lecture Approach to the wheezing child


Lecture Urinary tract infections and vesico‐ureteral reflux in children


Lecture

Cerebral palsy


Lecture Approach to the unconscious patient


Lecture Childhood convulsions and epilepsy


Lecture Approach to anemia in children


Lecture

Hemoglobinopathies


Lecture Iron deficiency anemia in children and prophylaxis


Lecture Immune and non‐immune hemolytic anemias

1 hour 6‐9 MCQ, oral examination

Lecture General approach to cytopeniain children

1 hour 6‐9 MCQ, oral examination

Lecture Childhood leukemias 1 hour 9 MCQ, oral examination

Lecture Transfusion principles in children


Lecture Childhood solid tumors (bone tumors and Wilms tumor)


Lecture

Brain tumors in childhood


Lecture Soft tissue sarcomas and retinoblastoma


Lecture Childhood non‐Hodgkin lymphomas


Lecture Oncological emergencies in children


Lecture Childhood Hodgkin lymphoma and neuroblastoma


Lecture Acute poststreptococcal glomerulonephritis


Lecture Nephrotic syndrome in children 1 hour 9


Lecture Vesico‐ureteral reflux and voiding dysfunction in children


Lecture Acute kidney failure in children


Lecture Sex development disorders


Lecture Diagnostic approach to connective tissue diseases


Lecture Type I diabetes mellitus and diabetic ketoacidosis


Lecture Congenital primary hypothyroidism


Lecture

Dysrhythmia in children


Lecture Shock 1 hour 6‐7‐8‐9


Diagnostic methods

Radiological evaluation in pediatric patients

2 hours 6 MCQ, C‐ MCQ, oral examination

Multidisciplinary panel

Congenital obstructive uropathy


Clinical case discussion

The importance of early diagnosis in childhood cancers

1.5 hours

9 C‐ MCQ, oral examination


Approach to fluid‐electrolyte disorders with cases

1.5 hours



Approach to child neglect and abuse cases

1.5 hours



Children's rights in facts

1.5 hours



Approach to a child with edema

1.5 hours



Approach to the patient with bleeding

1.5 hours

8‐9 C‐ MCQ, oral examination


Evaluation of the febrile child

1.5 hours



Approach to the pediatric patient with the cases

1.5 hours



Dehydration therapy and oral fluid‐electrolyte therapy

1.5 hours



Common problems in adolescents with cases

1.5 hours



Approach to macrocytic anemia with cases

1.5 hours



Common problems in the newborn

1.5 hours



Hypotonic infant and muscular dystrophies

1.5 hours



Anthropometry and evaluation of growth curves

1.5 hours



Approach to immunodeficiency with cases

3 hours 9 C‐ MCQ, oral examination


Approach to allergic diseases with cases

1.5 hours



Approach to the child with a headache

1.5 hours



Approach to microcytic anemia with cases

1.5 hours



Evaluation of hepatosplenomegaly in children

1.5 hours



Approach to arthritis in childhood

1.5 hours



Approach to common developmental problems

3 hours 1 C‐ MCQ, oral examination


Approach to a child presenting with cough

1.5 hours



Approach to the child with lymphadenopathy

1.5 hours



Approach to the child with metabolic disease

1.5 hours



Holistic approach to endocrine diseases in children

1.5 hours



Whooping cough and mumps

1.5 hours



Approach to upper respiratory tract infections with cases

1.5 hours



Acute allergic reactions and anaphylaxis

1.5 hours



Approach to children who are sick often

1.5 hours



Approach to a child with chronic diarrhea

1.5 hours



Approach to a child with community‐acquired infectious disease

1.5 hours



common problems in adolescents

1.5 hours


Onsite training Evaluation of murmur in pediatric patients

1.5 hours

9 Oral examination

Onsite training Cardiovascular system examination

1.5 hours


Clinical skills training

Basic life support in children

1.5 hours

7‐8 Oral examination


Advanced life support in children

1.5 hours



Rational drug use and preparation of childhood prophylactic drug prescriptions

1.5 hours

9 Report card grade, Oral examination


Breastfeeding methods

1.5 hours

2 Oral examination


Preparing a patient file and writing an epicrisis

1.5 hours



Bleeding tests and evaluation 1.5

hours 6 Oral examination


Targeted examination in pathological conditions

1.5 hours



Taking anamnesis in the pediatric patient

1.5 hours




3 hours 5 Report card grade, Oral examination


Newborn examination

1.5 hours

5 Oral examination


Prescribing in common childhood diseases

1.5 hours

9 Oral examination


Musculoskeletal examination 1.5

hours 5

Report card grade, Oral examination


Immunization practices

1.5 hours

3 Oral examination


Evaluation of mother and baby together in early neonatal period

1.5 hours



Holistic approach to mother and baby

1.5 hours

10 Oral examination


ECG evaluation in children

3 hours 6 Oral examination



1.5 hours



Evaluation of complete blood count with cases

1.5 hour

6 Oral examination


Peripheral smear evaluation

1.5 hours

6 Oral examination


Delivery room care and APGAR scoring of newborn baby

1.5 hours

5 Oral examination


Newborn resuscitation

1.5 hours






Evaluation of vital signs according to general condition and age in children

1.5 hours



Common interventional procedures in children

1.5 hours

7 Oral examination


Transport of sick newborn 1.5

hours 8 Oral examination


Evaluation of development

1.5 hours

4 Oral examination


Evaluation of development



Blood pressure measurement and evaluation in children

1.5 hours



Evaluation of nutritional status

1.5 hours

1 Oral examination



1.5 hours



Head and neck examination

1.5 hours



Puberty examination

1.5 hours



Child health monitoring and screening practices

3 hours 1 C‐MCQ, Oral examination

Onsite round Patient presentation and discussion

16 hours

9 Report card grade

Clinical skill training

Evaluation of the pediatric patient in the general polyclinic

1.5 hours

9 Report card grade

On the job learning

Endocrine anamnesis

1.5 hours

5 Oral examination

Behavioral skill training

Communication and conflict resolution with the child patient and family

3 hours 10 Oral examination

Behavioral skill training

Bad news and palliative care in oncological patients

1.5 hours

10 Oral examination

MCQ: Multiple choice question; C‐MCQ: Case‐based multiple choice question

RECOMMENDED RESOURCES FOR PEDIATRICS CLERKSHIP

Nelson Textbook of Pediatrics. Robert M. Kliegman, Bonita F. Stanton, Joseph W. St. Geme, Nina F. Schor (Editors); Elsevier Saunders.

Pediyatri. Olcay Neyzi, Türkan Ertuğrul (Editörler); Nobel Tıp Kitabevi.

The Harriet Lane Handbook. Branden Engorn, Jamie Flerlage; Elsevier Saunders.

Pocket Pediatrics: The Massachusetts General Hospital for Children Handbook of Pediatrics. Paritosh Prasad (Editor); Lippincott Williams & Wilkins.

UpToDate (http://www.uptodate.com).

Clinical Key Student

Öğretim Üyelerinin Ders Notları. Ankara Üniversitesi Moodle Sistemi.

PEDIATRICS CLERKSHIP (2020‐2021)

Documents

Transcript of PEDIATRICS CLERKSHIP (2020‐2021)