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