Student Paediatric Log Book
Fourth Year MD Course
Faculty of Medicine and Surgery
The Medical School
University of Malta
Student’s name:
1
Welcome to your Paediatric Log Book
Children constitute approximately 20 per cent of the population and, although
most are healthy, childhood illnesses cover the entire spectrum of medical and
surgical subspecialties including some that are unique to paediatrics (e.g.
neonatology). Even diseases common to both adult and child health have
different manifestations, management and outcomes in children who should not
be approached as 'miniature adults.' Paediatrics is, therefore, an important and
independent subject that deals with child health comprehensively from the
trivial to the life-threatening, both in the acute and community setting, and
poses great challenges from a professional, ethical, social and academic point of
view. The fundamentals of Paediatrics should be established during your
clinical attachment in the Fourth Year of the Undergraduate Course. At the end
of this 7 week attachment you should be conversant with the more common
conditions affecting children, and have a working knowledge how to approach
and examine a sick child, plan investigations and organise management. An
overview of less common conditions, involving subspecialties that include
orthopaedics, ENT, ophthalmology and surgery is also recommended.
Contents
Welcome
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page 2
How to use this logbook .
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page 3
Timetable of Clinical Assignments
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page 4
List of Lectures and Seminars .
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page 7
List of Tutorials
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page 8
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page 9
Forms B: Observations sheets .
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page 13
Forms C: Documentation of cases
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page 14
List of Students
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page 16
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Forms A: Attendance sheets
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2
How to use this log book
This logbook is designed as a guide for the clinical attachment – the teaching
framework listed in the log book it is not intended to be comprehensive. You
will need to read around the subject and augment your knowledge base in
Paediatrics by means of self-directed learning, using core texts, e-learning, etc.
For more information please refer to the Department’s website on
www.um.edu.mt/ms/paediatrics.
The logbook provides details of the various placements that make up the
Clinical attachment in Paediatrics, including lectures, seminars and tutorials. It
is extremely important that you utilise your time appropriately during the
attachment, and you are strongly advised to spend a significant proportion of
your time seeing patients on the wards and in outpatients. Do not rely solely on
tutorials and, at your level and maturity, it is totally unacceptable to expect to be
completely spoon fed (this milestone is generally overcome by the age of 2-3
years). The logbook contains attendance forms for the various placements that
need to be signed by the tutor running each particular placement. Tutors will not
provide signatures ‘in retrospect’. Although you should strive to cover as much
clinical material as possible, we appreciate that this is difficult and have
provided a list of important topics and appropriate forms to document these
cases. Every student is expected to discuss and present at least two clinical cases
to their colleagues and a tutor and this should be documented in the appropriate
form.
The logbook is designed to help the student and, as such, should provide a
framework around which to plan your attachment in Paediatrics. It will need to
be handed in for assessment at the end of the attachment and will then be
returned to and kept by the student. Although the logbook will not contribute
directly toward the fourth or final examinations in Paediatrics, the standard or
otherwise will have a bearing in the event of any exceptionally good student
being considered for the Corinthia Prize in Paediatrics and, conversely, in those
whose performance is borderline between a pass or fail.
Professor Simon Attard Montalto
Head, Academic Department of Paediatrics
3
CLINICAL ASSIGNMENTS M.D. IV YEAR 2010/2011
SEMESTER II (09/02/11 – 31/05/11)
In the second semester of the Fourth Year, students will complete Clinical Assignments in the
Departments of Paediatrics (7 weeks) and Obstetrics & Gynaecology (7 weeks), as follows:
Paediatrics (Groups 1 – 14)
07/02/1127/02/11
28/02/11 –
20/03/11
21/03/11 –
10/04/11
11/04/11 –
15/05/11*
16/05/11 –
22/05/11
23/05/11 –
29/05/11
1
O&G
Paed
O&G
Paed
O&G
Paed
2
O&G
Paed
O&G
Paed
O&G
Paed
3
O&G
Paed
O&G
Paed
O&G
Paed
4
O&G
Paed
O&G
Paed
O&G
Paed
5
O&G
Paed
O&G
Paed
O&G
Paed
6
O&G
Paed
O&G
Paed
O&G
Paed
7
O&G
Paed
O&G
Paed
O&G
Paed
8
Paed
O&G
Paed
O&G
Paed
O&G
9
Paed
O&G
Paed
O&G
Paed
O&G
10
Paed
O&G
Paed
O&G
Paed
O&G
11
Paed
O&G
Paed
O&G
Paed
O&G
12
Paed
O&G
Paed
O&G
Paed
O&G
13
Paed
O&G
Paed
O&G
Paed
O&G
14
Paed
O&G
Paed
O&G
Paed
O&G
STUDENT
GROUPS
See next page for students’ lists for clinical assignments in Paediatrics
* Easter Recess 18th April 2011 till 1st May 2011
4
CLINICAL ASSIGNMENTS by Consultant Firms/Tutors - Groups 1 – 14
SEMESTER II: 8th February to 29th May 2010, Excluding Easter Recess 18th April till 1st May 2011
IVth yr students will be assigned by Group (1-14) to the following firms in Paediatrics, based
on Wonderland, Disneyland and Rainbow wards, NPICU, CDAU and Paediatric A&E:
07/02/11
14/02/11
21/02/10
28/02/10
07/03/10
14/03/10
21/03/10
13/02/11
20/02/11
27/02/10
06/03/10
13/03/10
20/03/10
27/03/10
SAM
8
14
13
1
7
6
12
RP
9
8
14
2
1
7
13
CV
10
9
8
3
2
1
14
PS
11
10
9
4
3
2
8
VG/JT
12
11
10
5
4
3
9
DS/TA/VC
13
12
11
6
5
4
10
NS/ A&E
14
13
12
7
6
5
11
28/03/11
04/04/11
11/04/11
02/05/11
09/05/11
16/05/11
23/05/11
03/04/11
10/04/11
17/04/11
08/05/11
15/05/11
22/05/11
29/05/11
SAM
11
10
5
4
3
9
2
RP
12
11
6
5
4
10
3
CV
13
12
7
6
5
11
4
PS
14
13
1
7
6
12
5
VG/JT
8
14
2
1
7
13
6
DS/TA/VC
9
8
3
2
1
14
7
NS/ A&E
10
9
4
3
2
8
1
Legend for CONSULTANTS and TUTORS in Paediatrics:
Professor Simon Attard Montalto (SAM) – General and Neonatology
Dr Raymond Parascandalo (RP) – General and Neonatology
Dr Cecil Vella (CV) – General
Dr Paul Soler (PS) –Neonatology
Professor Victor Grech (VG) - Cardiology
Dr John Torpiano (JT) – Endocrinology and Diabetes
Dr Victor Calvagna (VC) – Oncology
Dr Doriette Soler (DS) – Neurology
Dr Thomas Attard (TA) – Gastroenterology
Dr Nadette Spiteri (NS) – Community
A&E (Doctor on Duty)
5
CLINICAL ASSIGNMENTS for PAEDIATRIC SUBSPECIALTIES
Consultant/Specialty
Day
Venue
General & Neonatology/
Mon, Wed, Thur
PAED WARDS, NPICU
Prof Simon Attard Montalto
Tuesday & Friday
COP
General & Neonatology/
Mon, Tue, Thur
PAED WARDS, NPICU
Dr Ray Parascandalo
Wednesday
COP
Friday
Neonatal clinic (COP)
General
Tue, Wed, Friday
PAED WARDS, NPICU
Dr Cecil Vella
Mon & Thursday
COP
Neonatology/
Monday-Friday
NPICU
Dr Paul Soler
Mon & Thursday
Neonatal clinic (COP)
Cardiology/
Monday
COP
Professor Victor Grech
Thursday
ECHO
Endocrinology & Diabetes/
Tuesday (pm)
Diabetes clinic
Dr John Torpiano
Wednesday
COP
Friday
PAED. WARDS
Neurology/
Monday
COP
Dr Doriette Soler
Tuesday
PAED. WARDS
Gastroenterology/
Wednesday
PDCU
Dr Thomas Attard
Thursday
ENDOSCOPY/PDCU
Oncology/
Friday
RAINBOW WARD
A&E/
Monday
A&E
Doctor on Duty
Thursday
A&E
Friday
A&E
Community & Developmental Paediatrics/
Tuesday
CDAU
Dr Nadette Spiteri
Wednesday
CDAU
Dr Victor Calvagna
COP – Children’s Outpatients
ECHO – Cardiac Lab
PAED. WARDS – Disneyland and Wonderland Wards
PDCU – Paediatric Day Care Unit
CDAU – Child Development and Assessment Unit, St Luke’s Hospital
A&E – Accident and Emergency, Mater Dei Hospital
6
LECTURES IN PAEDIATRICS: IVth YEAR
CO-ORDINATOR:
Module
Professor Simon Attard Montalto
Tutor
Lecture/teaching session
Date
Start
End
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Professor S Attard Montalto
Professor S Attard Montalto
Dr R Parascandalo
Professor S Attard Montalto
Dr N Spiteri
Dr R Parascandalo
Dr P Soler
Dr D Pace
Dr D Pace
Dr N Spiteri
Dr P Soler
Dr C Vella
Professor V Grech
Dr C Vella
Dr D Soler
Dr D Soler
Professor V Grech
Dr J Torpiano
Introductory Talk & History Taking
Examination of the child I
Video: Normal newborn; Birth Trauma
Examination of the child II
Normal Child Development
Video: Newborn Resuscitation
Disorders of the newborn I
Paediatric Infections: Bacterial
Paediatric Infections: Virology
Immunisation in childhood
Disorders of the newborn II
Respiratory problems in childhood
Cardiac problems in childhood I
Diarrhoea, dehydration, malabsorption
Seizures and headaches
Neuromuscular disease
Cardiac problems in childhood II
Infant feeding nutrition and growth
07.02.11
16.02.11
17.02.10
21.02.11
23.02.11
03.03.11
09.03.11
10.03.11
14.03.11
15.03.11
16.03.11
22.03.11
23.03.11
29.03.11
05.04.11
06.04.11
06.04.11
12.04.11
08.00
08.00
11.15
08.00
08.00
11.15
08.00
08.00
08.00
08.00
08.00
12.00
11.15
12.00
08.00
08.00
11.15
12.00
08.45
08.45
12.00
08.45
08.45
12.00
08.45
08.45
08.45
08.45
08.45
12.45
12.00
12.45
08.45
08.45
12.00
12.45
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Paediatrics
Dr C Vella
Professor S Attard Montalto
Dr C Fearne
Mr C J Grixti
Dr J Torpiano
Dr J Torpiano
Renal problems (excluding UTI)
Social problems in childhood
Surgery of the newborn and child
Orthopaedic problems
Endocrine problems in childhood
Diabetes in Childhood
13.04.11
02.05.11
15.04.11
05.05.11
02.05.11
09.05.11
08.00
08.00
08.00
12.00
11.15
11.15
0845
08.45
08.45
12.45
12.00
12.00
Paediatrics
Paediatrics
Dr D Soler
Dr D Soler
Paediatric Pharmacology I
Paediatric Pharmacology II
04.05.11
05.05.11
08.00
08.00
08.45
08.45
Date
Start
End
SEMINARS IN PAEDIATRICS: IVth YEAR
CO-ORDINATOR:
Module
Professor Simon Attard Montalto
Tutor
Title of Seminar
Seminar
Dr N Spiteri
The child with special needs
05.04.11
11.15
12.45
Seminar
Mr C Fearne
The child with abdominal pain
13.04.11
11.15
12.45
Seminars
Dr C Vella
The child with asthma
04.05.11
11.15
12.45
Seminar
Professor S Attard Montalto Ethics
16.05.11
11.15
12.45
Seminar
Dr R Parascandalo
Infectious disease including exanthemata
12.05.11
11.15
12.45
Seminar
Dr V Calvagna
Malignancy in childhood
18.05.11
11.15
12.45
7
TUTORIALS IN PAEDIATRICS
Students in the MD Course Year IV (2010/2011) will have a TUTORIAL SESSION in
PAEDIATRICS once a week preferably between 1.30pm and 3.00pm. Tutorials will be
held from 7th February to 29th May 2011 (14 weeks).
TUTORS
07/02/11 -
14/02/11 -
21/02/11 -
28/02/11 -
07/03/11 -
14/03/11 -
21/03/11 -
13/02/11
20/02/11
27/02/11
06/03/11
13/03/11
20/03/11
27/03/11
SAM
Group 8
Group 14
Group 13
Group 1
Group 7
Group 6
Group 12
VG
Group 9
Group 8
Group 14
Group 2
Group 1
Group 7
Group 13
RP
Group 10
Group 9
Group 8
Group 3
Group 2
Group 1
Group 14
CV
Group 11
Group 10
Group 9
Group 4
Group 3
Group 2
Group 8
JT
Group 12
Group 11
Group 10
Group 5
Group 4
Group 3
Group 9
PS
Group 13
Group 12
Group 11
Group 6
Group 5
Group 4
Group 10
SA
Group 14
Group 13
Group 12
Group 7
Group 6
Group 5
Group 11
TUTORS
28/03/11 -
04/04/11 -
12/04/11 -
02/05/11 -
09/05/11 -
16/05/11-
23/05/11-
03/04/11
10/04/11
17/04/11
08/05/10
15/05/11
22/05/11
29/05/11
JM
Group 11
Group 10
Group 5
Group 4
Group 3
Group 9
Group 2
DP
Group 12
Group 11
Group 6
Group 5
Group 4
Group 10
Group 3
DS
Group 13
Group 12
Group 7
Group 6
Group 5
Group 11
Group 4
VC
Group 14
Group 13
Group 1
Group 7
Group 6
Group 12
Group 5
TA
Group 8
Group 14
Group 2
Group 1
Group 7
Group 13
Group 6
NS
Group 9
Group 8
Group 3
Group 2
Group 1
Group 14
Group 7
NG
Group 10
Group 9
Group 4
Group 3
Group 2
Group 8
Group 1
TUTORS IN PAEDIATRICS (Wonderland, Disneyland, NPICU, CDAU
NB: Students are to contact by pager the tutor assigned to arrange for the day of the week
and time of each tutorial session.
Tutors
Pager / mobile
Tutors
Pager / mobile
Prof Simon Attard Montalto
(SAM)
356 2784/7990 7323
Dr Victor Calvagna (VC)
356 2745
Professor Victor Grech (VG)
356 2924/9949 5813
Dr Nadette Spiteri (NS)
356 3040/7959 3901
Dr Ray Parascandalo (RP)
356 3062
Dr Thomas Attard (TA)
358 9046
Dr Cecil Vella (CV)
356 2731
Dr Joe Mizzi (JM)
356 3270
Dr John Torpiano (JT)
356 2724
Dr David Pace (DP)
356 9971
Dr Paul Soler (PS)
356 2568
Dr Stephen Attard (SA)
356 4519
Dr Doriette Soler (DS)
356 4272
Dr Nathalie Galea (NG)
356 4599
8
Forms A: Attendance Sheets
Form A1: Attendance on ward Rounds, CDAU
Notes: Ward rounds may include teaching or business rounds
Date
Ward Round
Tutor
Tutor Signature
9
Form A2: Attendance at Tutorials
Notes:
Date
A tutorial can take any format including history & examination of paediatric
patients, after discussion with tutor
Tutorial – title
Tutor
Tutor Signature
10
Form A3: Attendance in Children’s Outpatients
Notes: This can include General and Subspecialty Paediatrics
Date
Attendance at COP
Tutor
Tutor Signature
11
Form A4: Attendance in A&E, Nursery, Echocardiography, Endoscopy etc
Notes:
Attendance in these areas is strongly advised with a MINIMUM attendance
frequency as outlined below.
Date
Event
Tutor
Tutor Signature
Paediatric A&E
Paediatric A&E
Paediatric A&E
Nursery (Obs 1 & Obs 3)
Nursery (Obs 1 & Obs 3)
Nursery (Obs 1 & Obs 3)
Paediatric echocardiography session
Paediatric Endoscopy
OTHERS
12
Form B: OBSERVATIONS strongly recommended
Notes:
Attendance and observation in these areas strongly recommended.
Date
Event
Tutor
Tutor Signature
Important and recommended
Taking blood from a child
Venous cannulation
Lumbar puncture
Bone marrow aspirate
Surgical operation
Anaesthetic procedure
Radiological procedure
Newborn resuscitation
Septic screen
Insertion nasogastric tube
Peak flow measurement
Urinary catheterisation
Less important, recommended
Intubation
Endocrine testing
Arterial blood sampling
Insertion umbilical line (newborn)
Insertion of central venous line
Insertion chest drain
Others (please insert details)
13
Form C1: Documentation of Noteworthy Cases
Notes: Interesting patients (on medical, social, ethical (etc) reasons) should be listed
below. Details of at least THREE cases must be included in table C2 below.
Date
Location
Interesting patients
Tutor
Tutor Signature
14
Form C2: Details of THREE case reports
Date
Location
Case 1
Tutor
Signature
Case 2
Tutor
Signature
Case 3
Tutor
Signature
Brief case report:
Date
Location
Brief case report:
Date
Location
Brief case report:
15
UNIVERSITY OF MALTA
FACULTY OF MEDICINE AND SURGERY
M.D. COURSE IV YEAR (2010-2011)
CLINICAL ASSIGNMENTS AND TUTORIALS IN PAEDIATRICS ONLY
Group 1
Group 2
AGIUS George
AGIUS Pierre
AQUILINA Audrey
ATTARD Caroline
ATTARD Joseph
AZZOPARDI Stephanie
BARBARA Christopher
BEZZINA Gianluca
BONELLO Fabian
BONELLO John
BONNICI MALLIA Anne Marie
BONNICI MALLIA Michael
Group 3
Group 4
BORG James Saviour
BORG Neville
BRINCAT Emma Louise
BUGEJA Michelle
BUTTIGIEG Raphael
BUTTIGIEG Stefan
CACHIA MARKHAM Mark
CAMILLERI Christian
CAMILLERI Francesca
CAMILLERI Ryan
CARUANA Edward
CARUANA Eloise
Group 5
Group 6
CASEY Jessica
CASSAR Claire Ann
CASSAR Mark
CHETCUTI Joshua
CINI David
DALLI Silvaine Marie
DARMANIN Michelle
DEBONO Keith
DEBONO Samuel
DEGUARA Daniela
Group 7
Group 8
DEGUARA Maria
DIMECH Alicia
EDWARDS Nathan
ELLUL PIROTTA Juan
FARRUGIA James
FARRUGIA Michael
FENECH Andrea Luca
FENECH Anne
GALEA Doriella
GALEA Gabriel James
GALEA Samuel Anthony
Group 9
Group 10
GATT Daphne
GATT Daniel Lawrence
GATT Yanika
GHISEL Michael
GRECH Mark
HARMSWORTH Marlon
LAPIRA Matthew
MAGRI GATT Kurt
MEILAK Samuel
MERCIECA Ilona Rita
Group 11
Group 12
MICALLEF Audrey
MICALLEF Lara Angele
MICALLEF EYNAUD Stephen
MIFSUD Adrian
MONTEBELLO Annalisa
MUSCAT Katya
SAID PULLICINO Veronica
NAVARRO Andre
PAPAGIORCOPULO Carla
ROLE Christopher
Group 13
Group 14
SAMMUT Andrew Paul
SCICLUNA Gabrielle
SULTANA Ramona Rita
TALIANA Nikita
TORPIANO Paul
TUA Carl
VASSALLO Lara
VELLA CRITIEN Rachel
WISMAYER Martina
XUEREB Janica
ZAMMIT DIMECH Audrey Ann
16