M.Med_. Paediatrics Curriculum

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MAKERERE UNIVERSITY
FACULTY OF MEDICINE
DEPARTMENT OF PAEDIATRICS AND CHILD HEALTH
MASTER OF MEDICINE IN PAEDIATRICS
AND CHILD HEALTH
CURRICULUM
Sept 2009
1
TABLE OF CONTENTS
PAGE
1. Title of Programme
3
2. Introduction and Background
3
3. Resources
3
4. Programme Objectives
4
5. General Regulations
4
6. Admission Requirements
4
7. Nature of Curriculum
4
8. Assessment and Examination
5
9. Grading
5
10. Progression
6
11. Re-taking a course
6
12. Dissertation
6
13. Passing of Dissertation
7
14. Revised Dissertation
7
15. Degree Award
8
16. Course Structure
9
16. Curriculum Description
10
Appendix
I -Budget
II -Teaching staff
2
1. Title:
MASTER OF MEDICINE IN PAEDIATRICS AND CHILD HEALTH
2. Introduction and Background
Children under the age of 15 years comprise about 50% of the population in most developing countries, while
20% of the population consists of under fives. The need for doctors with specialist training in Paediatrics and
Child Health in Uganda was recognized in the 1960’s and training started towards the end of that decade.
The paediatrician and child health specialist in a resource poor country like Uganda has many roles, which
include diagnosis, management, and prevention of diseases of children, promotion of child health and
advocacy for children’s rights, research and training. This means that the paediatrician must be both clinically
sound and able to recognize the wider community and societal issues involved in the causation of child health
problems. They should be aware of the need for innovative multi sectoral programmes to improve the life and
health of children and their families.
The M.Med. (Paediatrics and Child Health) course is designed to build the capacity of doctors to become
paediatricians capable of carrying out cost effective clinical, promotive and preventive work, training,
research and advocacy for child health issues.
The Department of Paediatrics and Child Health, in collaboration, implements the course with other
departments in the faculty of Medicine (such as Radiology, Medicine, Pathology, Microbiology, Obstetrics
and Gynaecology and the Institute of Public Health, Surgery, Psychiatry, Oncology and Clinical
Epidemiology).
Internationally the course participants benefit from the department’s collaboration without side partners, the
Liverpool School of Hygiene and Tropical Medicine, the US based Health Volunteers Overseas, UNICEF,
WHO, the International Paediatric Association and the Royal College of Paediatrics (UK), Cleveland,
Nuffield Foundation, and Child Advocacy International.
Toronto McMaster Exchange PG, CDC Uganda, Baylor College of Medicine, Infectious Diseases Control
Bergen University of Norway.
The goal of the M.Med (Paediatrics and Child Health) course is to produce specialists in Paediatrics and Child
Health, capable of carrying out cost effective clinical, promotive and preventive work, training, research and
advocacy for child health in Uganda and internationally.
3.0. Resource
The funding sources for the M.Med. Programs include students’ fees, University program includes students
fees, University funds, donations for friends linking universities and research grants.
Mulago is a 1500 bed hospital with 350 beds allocated to Paediatrics.
Facilities include 6 Paediatric wards, malnutrition unit and a newborn nursery.
The existing manpower includes 32 Ugandan Paediatrics and visiting specialists in Paediatrics from Uganda
and abroad.
Postgraduate students have access to the Departmental Book Bank, journals and textbook donated by visitors’
form linking institution.
3
The Postgraduates have access to two departmental computers and Internet Access currently being set up.
The Albert Cook Library and Medical school Internet Cafes provide access to more textbooks, journals and
Internet access respectively.
4.0. Programme Objectives
The Programme is designed to train specialists so that they achieve the following competencies:
4.1. Equipped with scientific knowledge, skills and the right attitude to carry out comprehensive
clinical evaluation and appropriate care of children.
4.2. Equipped with knowledge and skills in primary health care and community health.
4.3. Equipped with knowledge and skills to conduct research.
4.4. Capable of analyzing child health issues and liking them to advocacy and policy development.
4.5. Capable of effective communication training and appreciate the value of teamwork.
4.6. Equipped with knowledge and skills in basic sciences, diagnostic, ethics and counseling.
5.0.
General Regulations:
The common regulations and guidelines for Masters degree of Makerere University shall be
applicable.
i)
To be eligible for admission to a Masters degree Programme, a candidate must be a holder of at least a
Second Class Degree or its equivalent awarded by Makerere University or any other recognized
institution.
ii)
An applicant who is a holder of a third class degree or its equivalent may be admitted only after such
applicant has provided evidence of academic maturity in the desired field of study as shall be judged
by the Board of Post graduate studies and Research.
There are, in addition, internal departmental guidelines governing this Programme.
6.0.
6.1.
6.2.
6.3.
6.4.
Admission Requirements:
MBChB or their equivalent from a recognized University
On year of internship
At least one year’s experience as a registered medial practitioner, preferably upcountry.
The Department of Paediatrics and Child Health shall review all applicants and make
recommendations to the Faculty of Medicine and the University higher Degree
Committee.
7.0.
Nature of the Curriculum
The course will be a full time three-year programme conducted on a credit unit basis. There will be
lectures, tutorials and bedside teaching. The student will undertake both supervised and unsupervised
clinical practice in out patient as well as inpatient areas. In addition he/she will carry out practical
laboratory procedures. As they advance in years of training we expect an increase in level of
competence all the courses will be taught in the semester system. Duration of Semester will be 17
weeks with 15 weeks tuition and 1 week exam.
8.0.
Method of delivery
Overview lecture
Tutorials
Lectures
Mini rounds/Grand Rounds
Journal Club
4
Skills training
Practical (e.g. side lab and procedures)
Clinical work-ward and out patient clinics
Imparting Teaching skills
9.0.
a)
b)
c)
d)
e)
f)
g)
Assessment and Examinations
The common regulations for the Masters Degree in the University shall be applicable.
There shall be progressive course work assessment that shall consist of at least two assignments per
course semester contributing up to 40% towards the final mark in each course.
No candidate shall be allowed to sit for the end of any semester examinations if denied a certificate of
due performance on account of failure to attend classes or to do course work during a semester.
The final examinations shall account for 60% and course work 40% of the final mark in each course.
The pass grade shall be grade point average of 2.0.
A candidate is deemed to have passed the semester Examination if the candidate obtains at least 50%
of the marks in each course individually.
Exams will be done during the last 2 weeks of the semester.
Grading
The course shall be graded as follows:
Marks (%)
Letter Grade
80-100
A
75-79.9
B+
70-74.9
B
65-69.9
B60-64.9
C+
55-59.9
C
50-54.9
C45-49.9
D
40-44.9
DBelow 35
E
Excellent
Very Good
Good
Pass
Grade Point
5.0
4.5
4.0
3.5
3.0
2.5
2.0
1.0.
0.5
0
(80% and above)
(70% - 79%)
(60% -69%)
(50%-59%)
9.0. Progress
Progression through the M.Med programme will be assessed in three ways as follows:
9.1. Normal progress
This occurs when the candidate passes courses taken with a minimum grade point of 2.0.
9.2. Probationary progress when either:
i)
a student fails a course OR
ii)
if a student obtains a grade point average (GPA) or Cumulative Point average (CGPA) of less than
2.0
Probation is removed when either of the two conditions (i) or (ii) no longer holds.
5
9.3. Discontinuation
A student shall be discontinued from the programme if:
i)
He/she has received three probation on the same compulsory/core course
ii)
He/she received three consecutive probations based on GPA or CGPA
9. Re-taking the course
There shall be no supplementary examinations in any course of the programme. However, a candidate my
re-take a course when it is offered again in order to:
a) Pass it if he/she had failed it before
b) Improve the grade if the first pass grade was low, provided the previous mark is forfeited.
c) Take a substitute elective where the candidate does not wish to re-take a failed elective.
11. DISSERTATION
11.1 Submission of the dissertation
a)
A candidate shall not be permitted to formally start on research work unless he/she has passed the
taught course in the first year.
b)
A candidate shall conduct research in a chosen area with the guidance of two supervisor (s).
The candidate will initially present the intended research work proposals at a departmental seminar.
c)
A candidate shall submit a research proposal to the Faculty Higher Degrees committee before the end
of the second semester of the first year and begin the research component during the first semester of
the second year.
The candidate shall present their research findings in the form of a Dissertation in accordance with
common University Rules and Regulations for a Masters Degree in all Faculties.
d)
e)
A candidate intending to submit his/her dissertation/thesis must give three months written notice of
submission to the Director, School of Postgraduate Studies and must be endorsed by the Supervisors
and Head of Department.
f)
When the candidate’s dissertation/theses is ready for submission, he/she should submit three loose
bound copies with the authority of the supervisors and Head of Department direct to the Director,
School of Postgraduate Studies.
g)
The dissertation/thesis must be presented at least three months before the date of the final examination.
The first 4 weeks of semester 2 year 3 will be for finalizing the dissertation.
11.2. Passing of Dissertation
To pass the Dissertation the candidate shall satisfy the Examiners in both the written Dissertation and
Viva Voce.
11.3. Revised Dissertation
A candidate who fails to satisfy the examiners shall re-submit a revised Dissertation in accordance with the
guidance of the Viva Voce Committee.
11.4. A candidate shall re-submit the revised Dissertation within six months after notification.
11.5. Only one re-submission of a Dissertation is allowed.
6
4. Name of degree award
MASTER OF MEDICINE IN PAEDIATRICS AND CHILD HEALTH
M.Med. (Paed & Child Health)
15. Curriculum Structure (appended on next page)
7
Semester I, Year I
Course Code
CEB 7101
MMP 7102
MMP 7103
Title
Epidemiology, Biostatistics and Research Methods
Infectious Diseases, Immunology & Allergic
Diseases
Clinical Methods & Emergency Paed I
Semester II, Year I
MMP 7201
MMP 7202
MMP 7203
Growth, Development and Genetics
Nutrition and Gastrointestinal Disorders
Clinical Methods & Emergency Paed II
LH
-
TH
20
20
60
PH
10
10
20
Clin
30
30
35
CH
45
45
75
CU
3
3
5
11
Health Systems Management
LH
-
TH
20
PH
32
Clin
48
CH
60
CU
5
Clinical Cardiology and Child Psychiatry
Internal Medicine
Oncology and Heamatology
LH
5
5
TH
20
20
20
PH
20
10
10
50
30
40
CH
75
45
60
CU
5
3
4
12
LH
5
5
TH
20
30
PH
10
10
Clin
40
50
CH
60
75
CU
4
5
5
20
20
50
75
5
14
LH
5
TH
20
PH
90
Clin
-
CH
60
CU
4
75
5
CH
75
75
CU
5
5
10
CH
60
75
75
CU
4
5
5
14
Recess Semester, Year I
HSM 7301
Semester I, Year II
MMP 8101
MMP 8102
MMP 8103
Semester II, Year II
MMP 8201
MMP 8202
MMP 8203
Recess Semester, Year II
MMP 8301
MMP 8302
Neonatology
Central Nervous System, Endocrinology and
Metabolic Disorders
Clinical Methods & Emergency Paediatrics III
Prevention, Social Paediatrics & Community
Attachment
Research Proposal Development
Semester I, Year III
MMP 8401
MMP 8402
Respiratory and Nephrology
Clinical Methods & Emergency Paed IV
Semester II, Year III
MMP 8501
MMP 8502
MMP 8503
Advanced Paediatrics and Child Health Policy
Clinical Methods & Emergency Paed V
Research Proposal Development
LH
30
5
TH
20
60
PH
40
20
Clin
30
CH
60
75
CU
4
5
-
20
20
55
75
5
14
LH
10
-
TH
20
20
PH
10
20
50
55
LH
20
TH
80
10
PH
-
70
TH & Clinical = 1 Contact Hour
TH & PH = 0.5 Contact Hour
Programme Coordinators: Dr.Jane Achan, Dr. E. Wobudeya, Dr. E. Mworozi
8
Semester 1, Year 1
CEB 7101: Epidemiology, Biostatistics and Research Methodology; 4 Credit Units
a) Course description
In this course, the students will learn the principles and methods of epidemiology and biostatistics. They will
also acquire knowledge and skills that will enable them to design, conduct and disseminate health research.
b) Course aims
The aims of this course are to:
 Equip students with the basic knowledge about the principles and methods of Epidemiology,
Biostatistics and Research
 Equip the students with skills of application of Epidemiology, Biostatistics and Research methods to
health
 Equip the students with skills of research proposal development and scientific writing.
c) Learning outcomes
By the end of the course the student should be able to:
1. Describe and apply principles and methods of epidemiology.
2. Describe and apply principles and methods of biostatistics.
3. Design a research proposal according to Makerere University guidelines.
d) Teaching and learning pattern
Teaching will be by lectures, tutorial sessions and practical sessions
e) Indicative content
 Introduction to Epidemiology and the Scientific Method
 Measuring health and disease
 Vital statistics
 Epidemiological study designs
 Qualitative research methods used in health research
 Assessing the relationship between variables (Association, Cause and Effect)
 Prevention (natural history, screening and diagnostic tests, prognosis)
 Evaluation of health services
 Validity of health research (external vs internal, validity vs precision, bias, confounding, interaction)
 Descriptive statistics
 Probability theory and distributions
 Hypothesis testing and confidence intervals
 Writing the Research proposal and research report
 Statistical techniques used in health research (sampling, sample size estimation, analysis)
 Ethics in health research
f) Assessment method
The assessment will be in the form of progressive assignments (???%) and final
written examination (???%).
Course Coordinator: Dr. Charles Karamagi
9
MMP 7102: Infectious Diseases, Immunology and allergic disorders
Immunology and Allergic disorders
(a) Description
In this course, the students will learn the principles of immunology, and acquire an in-depth
understanding of common immunological, allergic and infectious diseases in childhood.
(b) Aims
To equip the students with knowledge about common immunological, allergic and infectious
diseases in childhood.
(c) Learning outcomes
By the end of this course, the student will be able to:
1. To discuss the principles of immunology.
2. To discuss the aeitiology, pathophysiology and management of common childhood
infectious diseases.
3. To apply the knowledge acquired in the clinical management of children during the
clinical attachments.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content:
 Principles of immunology
 Common immunological disorders and allergic disorders
 Immunization
 Patho-physiology presentation and management of childhood infectious diseases
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
MMP 7103: Clinical Methods & Emergency Paed I
(a) Description
In this course, the students will learn the clinical skills of assessing and managing children with
childhood diseases and illnesses, including emergencies.
(b) Aims
To equip the students with the competences required to manage sick children.
(c) Learning outcomes
By the end of this course the student should be able to:
1. To demonstrate the ability to handle common Paediatric problems including emergencies.
2. To demonstrate the ability to manage life threatening conditions in childhood
10
(d) Teaching and learning pattern
 On the job clinical training
 Bedside teachings
 Case demonstrations
 Mini rounds
 Journal Clubs
 Grand Rounds
(e) Indicative Content
 Paediatric Basic Life Support
 Paediatric emergencies
 Ethical and legal aspects of cardiopulmonary resuscitation
 Appropriate communication in emergencies
 Common Paediatric clinical problems
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Course Coordinator: Dr. Amos Odiit
Semester 2, Year I
MMP 7201: Growth, Development and Genetics
(a) Description
This course enables students to learn about growth and development, genetic disorders and
congenital abnormalities in children.
(b) Aim
To equip the students with the knowledge and skills required to assess growth and development
of children, and manage children with genetic and congenital disorders.
(c)Intended learning outcomes
By the end of this course, the student should be able to:
1. Discuss growth and development commencing from intra-uterine life to adolescence.
2. Discuss common genetic disorders and congenital abnormalities in children
3. Apply the knowledge acquired in the clinical care of children.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
11
(e) Indicative Content:
 Growth and development
 Puberty
 Assessment of growth and development
 Genetic disorders and birth defects
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
3 Credit Units
Course Coordinator: Dr. E. Mworozi
MMP 7202: Nutrition and Gastrointestinal Disorders
(a) Description
This course enables the students to learn about nutrition requirements in children, assessment of
nutrition, as well as nutritional and gastrointestinal disorders in childhood.
(b) Aim
To equip students with the competences required to assess and promote adequate nutritional status
in children; and manage children with nutritional and gastrointestinal disorders.
(c) Intended learning outcomes
By the end of this course, the student should be able to:
1. Discuss normal nutrition requirements
2. Demonstrate the ability to assess Nutritional status
3. Discuss various nutritional disorders
4. Discuss Paediatric gastrointestinal disorders
5. Apply the knowledge gained during the clinical management of patients.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content:
 Normal nutritional requirements
 Nutritional assessment
 Breastfeeding and complementary feeding
 Nutritional disorders
 Community nutrition
 Gastrointestinal disorders in childhood
 Investigative procedures of G1 and nutritional disorders
 Genetic disorders and birth defects
12
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
Course Coordinator: Dr. Elizabeth Kiboneka
MMP 7203: Clinical Methods and Emergency Paediatrics II
(a) Description
In this course, the students will learn the clinical skills of assessing and managing children with
childhood diseases and illnesses, including emergencies.
(b) Aim
To equip the students with the competences required to manage sick children.
(c) Intended learning outcomes
By the end of this course, the student should be able to:
1. Demonstrate the ability to handle common Paediatric problems including emergencies.
2. Demonstrate the ability to manage life threatening conditions in childhood.
(d) Teaching and learning pattern
 On the job clinical training
 Bedside teachings
 Case demonstrations
 Mini rounds
 Journal Clubs
 Grand Rounds
(e) Indicative content:
 Paediatric Basic Life Support
 Paediatric emergences
 Common Paediatric problems.
 Chronic and system disorders in children
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Course Coordinator: Dr. Jane Achan
13
Recess Semester, Year I
HSM 7301: Health Systems Management
We need to replace this with details from Public Health. This is a cross cutting course
The course has 3 main components:
- Health policy
- Principles of health planning management
- Principles of health economies
Health Policy:
The participants will gain an overview of health care delivery systems, and the constitutional,
economic and political environment in which the systems operate. Characteristics of
institutional/non institutional care will be discussed.
Currently policy issues will be discussed.
Principles of Health Planning and Management
Will focus on the difference between strategic and operational planning with an overview of the
project cycle approach in planning. Participants will learn priority setting, management,
monitoring, assessing and evaluation of activities. They will be equipped with skills in situation
analysis and developing and action plan.
This course will also focus on principles of management with particular emphasis on human,
financial, and logistics management.
The Course will equip participants with knowledge and skills for managing training and
motivating health workers.
Leadership and managerial styles needed for successful human resource management will be
emphasized.
Principles of Health Economics:
The participants will be introduced to basic microeconomics theory and its application to the
health sector.
Relevant aspects of public and private health care financing will be discussed. Emphasis will be
put on community financing, social insurance, user’s fees, and privatization and efficiency
improvement. The issues of equity, efficiency and stability will be discussed.
Detailed Lectures:
- Introduction to the Course
- Introduction to management x 2
- Health Policy Formulation in Uganda
- Introduction to Health Planning
- Health Policy Analysis x 2
- Motivation and Leadership
- The management cycle
- Decentralization of health services x 2
14
-
Health Management Information System
Personnel and Health Resource Management
Recruitment, Selection and Appraisal
Strategic Human Resource Management
Personnel Policies and Resources in the Health Section
Effective communication
Job analysis and Job descriptions
Supervision, Principles, Objective and Methodology
Cost effectiveness, Cost benefit, Analysis
Delegation, Time Management
Overview of Management of financial resources
Budgeting:
Burden of disease methodology x 2
Monitoring and Evaluation x 2
Quality assurance x 2
Budget expenditure tracking systems
Health Economic and Financing x 10
Medical supplies management
4 Credit Units
Coordinated by Institute of Public Health
Semester 1, Year 2
MMP 8101: Cardiology & Child Psychiatry
(a) Description
In this course, the students will learn about the presentation and management of common
psychological, psychiatric and cardiac disorders in children.
(b) Aim
To equip students with competences required to manage cardiac, psychological and psychiatric
disorders in childhood.
(c) Objectives
By the end of this course, the student will be able to:
1. Discuss and manage common childhood psychiatric disorders.
2. Demonstrate skills in clinical exam, diagnosis and management of children with cardiac
disorders.
3. Describe and interpret procedures used in investigation of cardiac conditions
4. Apply the knowledge gained during the clinical management of children.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
15
(e) Indicative content
 Cardiovascular diseases in childhood
 Common Psychiatric disorders in childhood
 Psychosocial problems I children and adolescents
Genetic disorders and birth defects
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
Course Coordinator: Dr. Lubega Sulaiman
MMP 8102: Internal Medicine
(a) Description
This course will enable students to get an in depth understanding the aetiology, pathophysiology,
clinical presentation and management of common adult diseases.
(b) Aim
To equip the students with the appropriate knowledge and skills required to manage common
medical conditions of adult patients.
(c) Intended learning outcomes
By the end of this course, the student should be able to:
1. Discuss the aetio-pathogenesis, presentation, management and prevention of common
adult diseases including emergencies.
2. Apply the knowledge gained in the clinical management of adult patients.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content
 Medical emergencies
 Adult diseases
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Coordinated by Department of Medicine
16
MMP 8103: Oncology and Heamatology
(a) Description
This course addresses haematological disorders and malignancies in children. It enable students
learn the causes, presentation and management of these conditions.
(b) Aim
To equip students wit the appropriate competences to manage hematological disorders as well as
malignancies in childhood.
(c) Intended learning outcomes
By the end of this course, the student will be able to:
1. Discuss the aetiology and pathophysiology of childhood malignancies
2. Discuss the aetiology and pathophysiology of haematological disorders in childhood
3. Identify presenting features of heamatological disorders and malignancies in childhood
4. To demonstrate the ability to manage haematological and malignant disorders in childhood
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content
 Epidemiology, pathophysiology, clinical presentation and general principles of
management of common childhood malignancies.
 Epidemiology, pathophysiology, clinical presentation and management of common
haematological childhood disorders.
 Investigative procedures
.
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
4 Credit Units
Course Coordinator: Dr. Irene Lubega
Semester 2, Year 2
MMP 8201: Neonatology
(a) Description
This course addresses the care of newborn infants, abnormal conditions in the new born period
and the management of the sick new born infant.
(b)Aim
To equip the student with the appropriate competences to care for normal as well as sick newborn
infants.
17
(c)Intended learning outcomes
By the end of this course, the student should be able to:
1. Discuss the care of new born infants
2. Discuss abnormal condition in new born period
3. Demonstrate the ability to assess and manage normal as well as sick new born infants.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content:
 Introduction to neonatal epidemiology, vital statistics
 General principles of physiology and care of a new born
 Common problems in the newborn period (causes, pathophysiology, clinical
presentation, and management)
 Prevention of perinatal morbidity and mortality.
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
4 Credit Units
Course Coordinator: Dr. Mugalu Jamir
MMP 8202: Central Nervous System, Endocrine and Metabolic Disorders
(a) Description
In this course, the students will learn about central nervous system, endocrine and metabolic
disorders in childhood.
(b) Aim
To equip the students with the appropriate knowledge and skills required to manage central
nervous system, endocrine and metabolic disorders in childhood.
18
Intended learning outcomes
By the end of this course, the student should be able to:
1. Explain the principles of neurophysiology
2. Discuss the disorders affecting the central nervous system
3. Discuss the endocrine and metabolic disorders in childhood
4. Demonstrate the ability to elicit interpret signs of CNS, Endocrine and Metabolic
disorders.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content
 Common CNS disorders in childhood (aetiology, pathophysiology, clinical presentation
and management)
 Common endocrine disorders in childhood (aetiology, pathophysiology, clinical
presentation and management)
 Common metabolic disorders in childhood (aetiology, pathophysiology, clinical
presentation and management
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
Course Coordinator: Dr. A. Kakooza
MMP 8203, Clinical Methods and Emergency Paediatrics III
(a)Description
In this course, the students will practice the clinical skills of assessing and managing children with
childhood diseases and illnesses, including emergencies.
(b)Aim
To provide the students with opportunity to practice and improve their competency in the
management of sick children.
(c)Intended learning outcomes
By the end of this course, the student should be able to:
1. Demonstrate the ability to handle common Paediatric problems including emergencies.
2. Demonstrate the ability to manage life threatening conditions in childhood.
3. Demonstrate the ability to take a focused history, physical examination and investigation of a child's
problem
19
(d) Teaching and learning pattern
 On the job clinical training
 Bedside teachings
 Case demonstrations
 Mini rounds
 Journal Clubs
 Grand Rounds
(e) Indicative content:
 Paediatric Basic Life Support
 Paediatric emergences
 Common Paediatric problems.
 Chronic and system disorders in children
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Course Coordinator: Dr. Jane Achan
Recess Semester, Year 2
MMP 8301: Preventive, Social Paediatrics and Community attachment
(a) Description
This course enables the students to get an in depth understanding of the health system, primary health care
and strategies to promote child health.
(b) Aim
To equip students with the appropriate competences required to prevent disease and promote child health.
(c) Intended learning outcomes
By the end of this course, the student will be able to:
1. Make an analysis and diagnosis of a community health problem and plan a solution
strategy
2. Discuss the preventive strategies for child health promotion and disease prevention.
(d) Indicative Content
 Community diagnosis
 Primary Health Care
 Working with traditional health healers
 School health/adolescent health
 Child survival strategies
20
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
4 Credit Units
Course Coordinator: Dr. C. Karamagi
MMP 8302, Research Proposal Development
(a) Description
In this course the students will learn how to develop a research proposal.
(b) Aim
To equip the students with the knowledge and skills required to develop a research proposal.
( c) Intended learning outcomes
By the end of this course the student will be able to:
1. Develop a research proposal for M.Med. dissertation
(d) Teaching and learning pattern
 Learning by doing
 Supervision and guidance by supervisors
(e) Indicative content

Steps for developing a research proposal
(f) Assessment methods
Assessment will be done by marking a proposal made by the student.
Credit Units: 5
Course Coordinator: Dr. Stephen Kiwuwa
Semester 1, Year 3
MMP 8401: Respiratory & Nephrology
(a) Description
This course assists the students to get an in-depth understanding about the causes.
Pathophysiology, clinical presentation and management of respiratory and renal diseases in
children.
(b) Aim
To equip the student with appropriate competences to assess and manage respiratory and renal
disorders in children.
(c) Intended leaning outcomes
By the end of this course, the student will be able to:
1. Describe kidney functions in children, both normal and diseases states.
2. Demonstrate skills in clinical exam, diagnosis and management of children with
genitourinary disorders
21
3. Appreciate the need to prevent renal damage in clinical practice and the complexity of
managing chronic renal diseases in a resource poor environment.
4. Describe and interpret procedures used in investigating respiratory conditions
5. Recognize, manage and prevent respiratory conditions
6. Discuss feasible preventive strategies for respiratory conditions
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
(e) Indicative Content:
 Renal and respiratory function in the newborn
 Kidneys and Homeostasis
 Renal diseases in childhood
 Renal replacement therapy-principles
 Respiratory function in children
 Diseases of the respiratory systems
 Use of Laboratory investigations and other diagnostic procedures
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
Course Coordinator: Dr. Amos Odiit
MMP 8402: Clinical Methods and Emergency Paediatrics IV
(a)Description
In this course, the students will practice the clinical skills of assessing and managing children with
childhood diseases and illnesses, including emergencies.
(b)Aim
To provide the students with opportunity to practice and improve their competency in the management
of sick children.
(c)Intended learning outcomes
By the end of this course, the student should be able to:
1. Demonstrate the ability to handle common Paediatric problems including emergencies.
2. Demonstrate the ability to manage life threatening conditions in childhood.
3. Demonstrate the ability to take a focused history, physical examination and investigation of a child's
problem
22
(d) Teaching and learning pattern
 On the job clinical training
 Bedside teachings
 Case demonstrations
 Mini rounds
 Journal Clubs
 Grand Rounds
(e) Indicative content:
 Paediatric Basic Life Support
 Paediatric emergences
 Common Paediatric problems in childhood.
 Chronic and system disorders in children
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Course Coordinator: Dr. Thereza Piloya
Semester 2, Year 3
MMP 8501: General Paediatrics and Child Health Policy
(a) Description
This course enables students to understand National and International child health policies, and to discuss the
cause, presentation, management and prevention of various diseases and conditions in childhood.
(b) Aim
To equip the students with an in depth understanding of National and International
child health policies, childhood diseases and apply this knowledge in the clinical
management of sick children, and promotion of child health.
(c) Intended learning outcomes
By the end of this course, the student should be able to:
1. To discuss the National and International child health policies
2. Demonstrate competence in management of various childhood diseases and conditions.
(d) Teaching and learning pattern
 Tutorials
 Overview lectures
 Seminars
 Case discussions
23
(e) Indicative Content
 National and International child health policies
 Child hood diseases and disorders
(f) Assessment methods
Assessment will be in form of, progressive tests and assignments (40%), and final written examination
(60%)
5 Credit Units
Course Coordinator: Prof James Tumwine
MMP 8502: Clinical Methods and Emergency Paediatrics V
a) Description
In this course, the students will practice the clinical skills of assessing and managing children with
childhood diseases and illnesses, including emergencies.
(b)Aim
To provide the students with opportunity to practice and improve their competency in the management
of sick children.
(c)Intended learning outcomes
By the end of this course, the student should be able to:
1. Demonstrate the ability to handle common Paediatric problems including emergencies.
2. Demonstrate the ability to manage life threatening conditions in childhood.
3. Demonstrate the ability to take a focused history, physical examination and investigation of a child's
problem
(d) Teaching and learning pattern
 On the job clinical training
 Bedside teachings
 Case demonstrations
 Mini rounds
 Journal Clubs
 Grand Rounds
(e) Indicative content:
 Paediatric Basic Life Support
 Paediatric emergences
 Common Paediatric problems in childhood.
 Chronic and system disorders in children
(f) Assessment methods
The assessment will be in form of continuous assessment of the clinical skills of the students on
the wards, other clinical areas and participation during the all the learning activities (40%), and
summative assessment using the Objectively Structured Clinical Examinations/OSCE (60%).
5 Credit Units
Course Coordinator: Dr. Amos Odiit
24
MMP 8502, Research Dissertation
(a)Description
This course enable students to learn how to carry out research, analyze results and write a report of the
findings.
(b)Aim
To equip the students with the knowledge and skills of carrying out scientific research.
© Intended leaning outcomes
By the end of this course, the students will be able to:
1. Carry out research
2. Write a dissertation
(d) Teaching and learning g pattern
 Learning by doing
 Supervision and guidance by supervisors
(e) Indicative Content:
 Implementation of research
 Dissertation writing
(f) Assessment method
Assessment will be by marking the dissertation, and conducting a viva vocae oral examination.
5 Credit Units
Course Coordinator: Prof. James Tumwine
25
Appendix 1: Budget
Programme Costing:
A. Summary
I Expected Income
Tuition Fees
No of students
No of semesters
Amount per semester
Total:
30
6
1,250,000/=
2,500,000/=
II Expenditure:
Central Administration (35% of gross)
Teaching expenses (50%)
Administrative expenses (10%)
Utilities and services (2%)
Stationery (3%)
B. Details of Program Costing
Income:
Fees for 40 students x Shs.1,250,000/= per semester
Expenditure
1. University Council
Receives 35% of the gross income
2. Teaching Expenses
Lecture/Tutorial/Practical@Shs.20,000/= x 500 CH
Project supervision @ 100,000/= x ……….students
Viva Voce Examination @ 50,000/= per panel
3. Administrative Expenses
Board meetings
Dean
Assoc. Dean (2)
Head of Department
Secretary
26
Appendix I Cont.
Fees Payable to the University
The student will be required to pay the following fees to the University
Item
1. a) Application fee
b) Late application fee
Ugandans
Ug.Shs.
12,000
18,000
Non Ugandans
US$
25
30 p.a.
2. a) Registration fee
b) Late registration fee
12,000
18,000
30 p.a.
40 p.a.
3. Administration fee
4. Library fee
5. Examination fees
6. Tuition fees
120,000
5,000
120,000 p.a.
2,500,000 p.a.
200
5 p.a.
200 p.a.
2,500 p.a.
Other Student Requirements
1. Books, stationery and materials 400,000 p.a.
400 p.a.
2. Accommodation
1,000,000 p.a.
1,400 p.a.
3. Food
750,000 p.a.
1,800 p.a.
4. Transport Allowance
900,000 p.a.
1,800 p.a.
5. Stipend
900,000 p.a.
750 p.a.
6. Vacation Supplement
(per day)
7. Insurance
8. Research Expenses
10,000
10
120,000 p.a.
300
5,000,000
5,000
27
Appendix 2: Teaching Staff
Department of Paediatrics & Child Health
Senior Members of Staff as of October 2007 – Teaching staff
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Name
Dr. Aanyu Hellen T.
Dr. Achan Jane
Dr. Babirekere Esther
Dr. Bakeera Sabrina
Dr. Buwule Grace
Dr. Byraugaba Justus
Dr. Idro Richard
Dr. Kakooza Angela
Dr. Kalyesubula Isreal
Dr. Karamagi Charles
Dr. Kiboneka Elizabeth
Dr. Kiguli Sarah
Dr. Kiwuwa Steven
Dr. Lubega Irene
Dr. Lubega Sulaiman
Dr. Lwabi Peter
Dr. Mugalu Jamir
Dr. Mupere Ezekiel
Dr. Musoke Philippa
Dr. Mworozi Edison A.
Dr. Nankunda Jolly
Dr. Ndeezi Grace
Dr. Odiit Amos
Dr. Okaba Violette
Dr. Opika Opoka Bob
Dr. Piloya Theresa
Dr. Wobudeya Eric
Dr. Zirembuzi George W.
Mr. Rujumba Joseph
Prof. Ndugwa C.M.
Prof. Tumwine James K.
Dept – Medicine
Dept – Radiology
Designation
MOSG
Lecturer
MOSG
MOSG
Consultant
Sen. Consultant
MOSG
MOSG
Consultant
Senior Lecturer
Consultant
Senior Lecturer
Lecturer (part-time)
MOSG
MOSG
Consultant
MOSG
Asst. Lecturer
Sen. Lecturer
Sen. Consultant
Consultant
Sen. Lecturer
Consultant
Teaching Asst
MOSG
Teaching Asst
MOSG
Sen. Consultant
Social Worker
Professor (part-time)
Professor
Qualification
MBChB, M.Med.Paed
MBChB, M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed; MRCP
MBChB; M.Med.Paed,PhD
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed,PhD
MBChB; M.Med.Paed
MBChB; M.Med.Paed,MHPE
MBChB; M.Sc.
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed;M.Sc.
MBChB; FAAP
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
MBChB
MBChB; M.Med.Paed
MBChB;M.Med.Paed
MBChB; M.Med.Paed
MBChB; M.Med.Paed
B.A.(SWSA); M.A.
MBChB; M.Med.Paed
MBChB; M.Med.Paed;Ph.D
E-mail Address
hellenaanyut@yahoo.com
achanj@yahoo.co.uk
ebabirekere@yahoo.com
sabrinakitaka@yahoo.co.uk.
bbuwule@yahoo.co.uk
byarugabaj@yahoo.com
idro1@hotmail.com
changes-2000@hotmail.com
israelkalyesubula@yahoo.co.uk
karamagi2000@yahoo.com
bethkiboneka@yahoo.co.uk.
skiguliwalube@med.mak.ac.ug
skiwuwa@mak.co.ug
llubega@mujhu.org.
lubsk2001@yahoo.com
plwabi@yahoo.com
mugalu89@yahoo.com
mupez@yahoo.com.
pmusoke@mujhu.org
mworozi@imul.com
jnankunda@hotmail.com
gracendeezi@yahoo.com.
amosodiit@hotmail.com
kviolette99@yahoo.com
opokabob@yahoo.com
tpiloa@yahoo.com
ewobudeya@yahoo.com
gwzirembuzi@med.mak.ac.ug
jrujumba@yahoo.com
cmndugwa@yahoo.com
jtumwine@imul.com
- Senior Staff
- “
“
28
29
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