Faculty of Medicine King Abdulaziz University Department of Paediatrics 6th YEAR PEDIATRICS Study Guide 1428-1429 (2007- 2008) First Edition TABLE OF CONTENTS Topic Page THE OUTCOMES OF THE UNDERGRADUATE CURRICULUM CURRICULUM MAP STRUCTURE OF THE MODULE STAFF CONTACTS STAFF E-MAIL INTRODUCTION TO COURSE SYLLABUS COURSE INFORMATION DESCRIPTION OF THE COURSE & ORGANIZATION TEACHING METHODOLOGY COURSE OBJECTIVES 1 2 2 3 4 5 6 7 8 9 LECTURE TOPICS 10 6th Year Paediatric LECTURES Endocrinology I Endocrinology II Endocrinology III Collagen disorders I Collagen disorders II Gastroenterology I Gastroenterology II Gastroenterology III Neurology I Neurology II Neurology III Immunology and Allergy I Immunology and Allergy II Neonatology I Neonatology II Neonatology III Neonatology IV Inborn Errors of Metabolism Chromosomal Abnormalities & Genetics Congenital Malformations Pediatric Oncology I Pediatric Oncology II LEARNING RESOURCES STUDENT ASSESSMENT EXPECTATION FROM THE STUDENT STUDENT’S RESPONSIBILITIES TO THE COURSE APPENDICES Detailed Course Schedule Course Related Materials 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Phase III , MBBS Pediatrics 603 Faculty of Medicine OUTCOMES OF THE MEDICAL UNDERGRADUATE CURRICULUM 1) Knowledge Graduate should have sufficient knowledge and understanding of: a. The normal structure, function and development of the human body and interaction between body and mind b. The normal pregnancy and child birth, the principles of antenatal and postnatal care c. The aetiology, pathogenesis, clinical presentation, natural history and prognosis of common physical and mental disease, particular those which pose acute danger to function, life or the community. d. Common diagnostic tests and procedures, their uses, limitations and costs e. The management of common conditions including pharmacological, psychological, physical and nutritional therapy f. The principles of health education, disease prevention, rehabilitation and the care of the suffering and dying. g. The principles and ethics related to health care and the Islamic and legal responsibilities of the medical profession 2) Skills Graduate should acquire the skills of a. Take a tactful, accurate and organised medical history b. Perform a gentle and accurate physical and mental examination c. Integrate history and physical examination to reach a provisional diagnosis of differential diagnosis d. Select the most appropriate and cost effective diagnostic procedures e. Formulate a management plan f. Counsel patients and families clearly regarding diagnostic and therapeutic procedures before eliciting consent g. Perform common life-saving procedures h. Use information resources to obtain further knowledge and interpret medical evidence critically and scientifically i. Communicate clearly and considerately with other health professionals 3) Attitudes Graduate should have the attitude of a. Respect for every human being and abide by relevant Islamic ethics b. A desire to ease pain and suffering c. Willingness to work in a team with other health professionals d. Responsibility to remain a life-long learner and maintain the highest ethical and professional standards e. Referring patients to other health professional when needed f. A realization that it is not always in the interest of patients to pursue every diagnostic or therapeutic possibility 1 Phase III, MBBS Pediatrics 603 Faculty of Medicine CURRICULUM MAP YOU ARE HERE… Year 1 Year 2 Phase I Year 3 Year 4 Phase II Year 5 Year 6 Internship Phase III STRUCTURE OF THE PEDIATRIC COURSES Level Duration 5th year 5 weeks 6th year 8 weeks Internship 1- 2 months 2 Format 24 Lectures / Clinical sessions / 5 Tutorials 22 Lectures / Externship / 6 Tutorials Internship Phase III, MBBS Pediatrics 603 Faculty of Medicine STAFF CONTACTS The following is a list of the faculty members and staff of the Department of Pediatrics. Students are welcome to contact any of the members of the department to answer any inquiries. NAME / STATUS POSITION BUILDING Office Prof. Mohammed M.S Jan Chairman Bldg.10 Secretary of Pediatrics Male Section 1. Prof. Mohammed M.S Jan 2. Prof. Tahir S. Toonisi 3. Dr. Saad Al Saedi 4. Dr. Abed Al Hazmi 5. Dr. Hussein M. Al Saggaf 6. Dr. Mohd F. Farouq 7. Dr. Wasim Anshasi 8. Dr. Hussein Bamashmous 9. Dr. Hamed Habib 10. Dr. Mohd Muzaffer 11. Dr. Jameel Al Ata 12. Dr. Omar Saadah 13. Dr. Abdulmoein Al Agha PARALLEL TEACHING: 1. Dr. Mohd Abdulfattah G-1081 Bldg.10 G-1081 Ext 18329 18327 Professor Bldg. 10 1- 1051 21232 Professor Bldg. 10 G-1060 18339 Assoc Prof. Bldg. 10 1-1034 18202 Assoc Prof. Bldg. 10 1-1036 18204 Assist Prof. Bldg. 10 G-1093 18290 Assist Prof. Bldg. 10 G-1062 18340 Consultant Bldg. 10 1-1047 18205 Consultant Bldg. 10 1-1049 18206 Assist Prof. Bldg. 10 1-1035 18203 Assist Prof. Bldg. 10 G-1049 18337 Assist Prof. Bldg. 10 G-1042 18412 Assist Prof. Bldg. 10 G-1048 18335 Assist Prof. Bldg. 10 G-1037 18306 Assoc. Prof. - - - Female Section 1. Prof. Jameela Kari 2. Dr. Soad Jabber 3. Dr. Nadia Fida 4. Dr. Rima Bader 5. Dr. Dhuha Al Amawi 6. Dr. Hayat Kamfar 7. Dr. Fayza Al Siny 8. Dr. Fatma Al Zahrani 9. Dr. Wafaa Abulaenin 10. Dr. Jumana Al Aama 11. Dr. Amal Al Dabbagh 12. Dr. Norah Al Khathlan Professor Bldg. 10 1-1069 Assoc.Prof Bldg. 10 Assoc.Prof. Bldg. 10 Assoc.Prof Bldg. 10 Assist.Prof. Assist.Prof. Bldg. 10 1-1045 Assist.Prof. Bldg.10 2-1067 18369 Assist. Prof. Bldg. 10 1-1667 Assist.Prof. Bldg.10 1-1062 Assist Prof. Bldg.10 1-1667 Consultant Bldg. 10 Consultant - 3 18371 2-1041 18384 2-1058 18363 1-1062 18368 18379 18369 18368 18369 1.1047 - 18367 - Phase III, MBBS Pediatrics 603 Faculty of Medicine STAFF E-MAIL ADDRESS 1428- 1429 (2007- 2008) CONSULTANT’S NAME 1. Prof. Mohammed M.S Jan 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. EMAIL ADD mmsjan@yahoo.ca Prof. Tahir Toonisi Dr. Hussein Saggaf Dr. Mohd Farouq Dr. Abed Al Hazmi Dr. Wasim Anshasi Dr. Hussein Bamashous Dr. Saad Al Saedi Dr. Mohd Muzaffer Dr. Jameel Al Ata Dr. Omar Saadah Dr. Abdulmoein Al Agha Dr. Hamed Habib Dr. Dhuha Al Amawi Dr. Soad Jaber Dr. Nadia Fida Dr. Hayat Kamfar proftahirtoonisi@maktoob.com hussainsagaf@yahoo.com mfarouq_sa@yahoo.com abedhazmi@hotmail.com wanshasi@yahoo.com drbamashmous@hotmail.com salsaedi@hotmail.com mmudhaffer@yahoo.com drjameelalata@hotmail.com saadaho@hotmail.com abdulmoein@dr-agha.com hamedhabib@hotmail.com dhuhaamawi@hotmail.com soad_jaber@yahoo.com nadiafida@hotmail.com hkamfar2002@yahoo.com / hkamfar@hotmail.com jkari@doctors.org.uk amaldabbagh@yahoo.com fayza_alsiny@yahoo.com Falzahrani@hotmail.com jalaama@yahoo.com rimabadr@yahoo.com wafabdlh500@hotmail.com dr.norah@gmail.com m_fattah65@hotmail.com Prof. Jameela Kari Dr. Amal Al Dabbagh Dr. Fayza AL Siny Dr. Fatma Al Zahrani Dr. Jumana Al Aama Dr. Rima Bader Dr. Wafaa Abuleinin Dr. Norah Al Khathlan 26. Dr. Mohamed Abdulfattah ElSayed 27. Dr. Nawaf AlDajani 18. 19. 20. 21. 22. 23. 24. 25. 4 Phase III, MBBS Pediatrics 603 Faculty of Medicine Introduction to the Syllabus This syllabus has been prepared by the Paediatric Curriculum Committee of Paediatric Department. It must be understood that this draft is in ongoing process and future changes might be adopted when- ever necessary and in accordance with faculty requirements. The Department of Paediatrics is an academic and clinical department of the Faculty of Medicine and Allied Medical Sciences, King Abdulaziz University, Jeddah. The Paediatric Department main objectives are primarily undergraduate training of students and interns in its clinical units. It has Postgraduate Saudi and Arab Board Training Program with the objective of producing skilled national specialists in Pediatrics. This syllabus has been prepared as a guide for medical students in their 5th and 6th clinical years. It attempts to enlighten the medical student of the important topics in Pediatrics through the acknowledgement of the department teaching program and educational policy for the undergraduate medical student. It helps to provide students with a clear description of the expectations, schedules and evaluation procedures for the course of Paediatrics. In addition, it serves as a communication tool between the student and the teacher throughout the Pediatric training program over the 5th and 6th years. It is hoped that the student will find their work in the Department of Paediatrics both interesting and fruitful in a way that will help them in their future medical career as an independent lifelong learner, to become to be an effective and efficient physician. Finally, the Department of Paediatrics extends a cordial welcome to every medical student. 5 Phase III, MBBS Pediatrics 603 Course Information Course name and number: PED 603 Course meeting times, places: 1. King Abdulaziz University Hospital Pediatric Unit ( 1st floor & 2nd Floor) NICU/ Nursery (1st floor) PICU (2nd Floor) E.R. Out-patient Clinics Course website address: NOT AVAILABLE NOW Course prerequisites and requirements: 6th level 6 Faculty of Medicine Phase III, MBBS Pediatrics 603 Faculty of Medicine Description of the Course and Organization Description: When sorting out topics for 5th & 6th year programmes, we did not exactly follow one system after the other and that was done on purpose. For the 5th year programme we chose more general and basic topics which give the medical student a broad view of pediatrics and with special emphasis to the case of the normal child. More specific and deeper subjects are to be taught in the 6 th year when the medical student will have had more pediatric exposure. It must be emphasized that, while the sorting out of pediatric topics is relatively easy for “lecture purposes”, it is by no means so in clinical posting. We study patients as a whole and not as a system. Clinical teaching, therefore, cannot follow the lecture schedule and vice versa. This means that students may study a patient with e.g. immune-deficiency in the 5th year while the lecture on immune deficiency is given in the 6th year. This apparent controversy which is unavoidable may be beneficial. By the time a specific topic is given in the 6th year the student will have already studied it in his/her clinical posting. This will fixate and strengthen the knowledge as repetition makes a master. It should be emphasized that the 5th year medical students should know about the clinical material, which they studied in their clinical posting, together with the topics they were given in their lecture programme as they will be responsible for both materials in their 5th year final examination. As clinical teaching is a continuous process, the 6th year medical student is expected and should be able to manage the 5th year topics besides the 6th year programme. The medical student will notice that lectures only spotlight most of pediatric topics for the undergraduate. The remaining items are covered during the clinical posting. The student should however, consult the pediatric books recommended by the department. Organization: The Paediatric course will take place over two academic years and will be consisting of 46 hours of lectures and 5-6 tutorials each academic year and a clinical posting of 5 days per week for 5 weeks for 5 th year and 8 weeks for 6th year. 7 Phase III, MBBS Pediatrics 603 Faculty of Medicine Teaching methodology LECTURES: We advise the medical students to read and study the lecture topic in advance, using the recommended books. This will make it easier for him/her to follow the lecturer. Besides, he/she will be in a position to be able to pinpoint items that need clarification for the lecturer. We would like to emphasize that the function of the lecturer is to spotlight and clarify topics that would not otherwise be easy for students to grasp. So, the matter-of-fact, easy to grasp material might be omitted and left for clinical posting and tutorials. This does not imply that they are less significant or unimportant. We advise that the medical student should then make his/her own summary of specific topics and add it to this syllabus. This should facilitate quick-before-exam revision and help as his/her quick reference in his future work. 8 Phase III, MBBS Pediatrics 603 Faculty of Medicine Course Objectives MAJOR PAEDIATRICS COURSE OBJECTIVES During the fifty year the medical student is exposed to paediatrics for the first time. He/she gains his/her first experience with sick children. Enough time will be spent in learning practical skills and acquiring reasonable attitude towards the sick child and his family. The student should make sure of the knowledge in general medicine and the introduction to clinical posting which he/she had in medicine and surgery in the 4th year. Having mastered these, the medical student will then study systemic paediatrics according to the forthcoming schedule. By the end of the 6th year course he/she should be able meet the Objectives of year 5 and to: 1. Acquire the skill of an integrated thinking and should develop a wholesome approach to the child’s problem(s) and its solution. 2. Besides practicing history taking and physical examination, the medical student should be trained to become disease-oriented in that he/she should be able to relate his/her findings to specific disease entities (e.g. Differential Diagnosis). 3. Properly make use of laboratory and other investigatory aids to reach a final diagnosis, taking into consideration indication of the investigation and its costs. 4. Explain the management plan. 5. Demonstrate knowledge regarding certain paediatric procedures such L.P., biopsy taking, infusions and transfusion therapy, whenever possible. 6. Continue to study systematic paediatrics according to the lecture, clinical posting schedules, and literature. 9 Phase III, MBBS Pediatrics 603 LECTURE TOPICS 6th year Lectures No. 1. Endocrinology I 2. Endocrinology II 3. Endocrinology III 4. Collagen disorders I 5. Collagen disorders II 6. Gastroenterology I 7. Gastroenterology II 8. Gastroenterology III 9. Neurology I 10. Neurology II 11. Neurology III 12. Immunology and Allergy I 13. Immunology and Allergy II 14. Neonatology I 15. Neonatology II 16. Neonatology III 17. Neonatology IV 18. Inborn Errors of Metabolism 19. Chromosomal Abnormalities & Genetics 20. Congenital Malformations 21. Pediatric Oncology I 22. Pediatric Oncology II 10 Faculty of Medicine Phase III, MBBS Pediatrics 603 Faculty of Medicine Paediatrics Syllabus (6th year) Lecture 1: Endocrinology I Lecturer: Dr. Abdulmoein Al-Agha Student Notes: 11 . Phase III, MBBS Pediatrics 603 Faculty of Medicine Objective: To discuss Diabetes Melitus in children. Contents: Etiology, pathophysiology, clinical presentation and management of Diabetes. Discussion of Diabetic Ketoacidosis. (Insert here handouts and additional pages for notes if needed) Lecture 2: Endocrinology II Lecturer: Dr. A. Al Agha / Dr. A. Al Dabbagh Student Notes: 12 . Phase III, MBBS Pediatrics 603 Faculty of Medicine Objective: To discuss thyroid disease in children Contents: Hypothroidism Hyperthyroidism (Insert here handouts and additional pages for notes if needed) 13 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 3: Endocrinology III Lecturer: Prof. T. Toonisi / Dr. A. Al Agha Student Notes: . Objective: To discuss disorders of adrenal cortex and gonads. Contents: Hypogonadism Precocious puberty, adrenogenital syndrome, other causes of ambiguous genitalia. Cushing’s syndrome. (Insert here handouts and additional pages for notes if needed) 14 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 4: Collagen disorders I Lecturer: Dr. M. Muzaffer Student Notes: . Objective: To discuss Juvenile Rheumatoid Arthritis. Contents: Types of juvenile rheumatoid arthritis, clinical presentations. Investigations and treatment. (Insert here handouts and additional pages for notes if needed) 15 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 5: Collagen disorders II Lecturer: Dr. M. Muzaffer Student Notes: . Objective: To discuss S.L.E. Contents: Systemic Lupus Erythematosus Henoch-Schonlein Purpura Kawasaki Disease (Insert here handouts and additional pages for notes if needed) 16 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 6: Gastroenterology I Lecturer: Dr. O. Saadah / Dr. S. Jaber Student Notes: . Objective: To discuss gastroenteritis Contents: Viral gastroenteritis Bacterial gastroenteritis Parasitic gastroenteritis (Insert here handouts and additional pages for notes if needed) 17 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 7: Gastroeneterology II Lecturer: Prof. T. Toonisi / Dr. S. Jaber Student Notes: . Objective: To discuss malabsorption and constipation. Contents: Malabsorption (definition, types &causes and investigation & management). Approach to a child with constipation. (Insert here handouts and additional pages for notes if needed) 18 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 8: Gastroenterology III Lecturer: Dr. O. Saadah Student Notes: . Objective: To discuss hepatobiliary disease. Contents: Hepatitis Cirrhosis Biliary disorders including biliary atresia (Insert here handouts and additional pages for notes if needed) 19 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 9: Neurology I Lecturer: Dr. M.S. Jan Student Notes: . Objective: To discuss (Seizures) Contents: Definition, classification & the approach to a child with seizures. (Insert here handouts and additional pages for notes if needed) 20 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 10: Neurology II Lecturer: Dr. M. Abdulfattah Student Notes: . Objective: To discuss cerebral palsy. Contents: Definition, etiology, clinical picture and management. (Insert here handouts and additional pages for notes if needed) 21 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 11: Neurology III Lecturer: Dr. M.S. Jan Student Notes: . Objective: To discuss hypotonia Contents: Causes and the approach to floppy infant. (Insert here handouts and additional pages for notes if needed) 22 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 12: Immunology and Allergy I Lecturer: Prof. T. Toonisi / Dr. H. Kamfar Student Notes: . Objective: To discuss bronchial asthma & atopy Contents: Bronchial asthma Etiology Clinical Picture & management (Insert here handouts and additional pages for notes if needed) 23 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 13: Immunology and Allergy II Lecturer: Dr. H. Habib / Dr. F. Al Zahrani Student Notes: . Objective: To discuss immunodeficiency in children Contents: Common immune disorders, eczema, allergic rhinitis (Insert here handouts and additional pages for notes if needed) 24 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 14: Neonatology I Lecturer: Dr. H. Al Saggaf Student Notes: . Objective: To discuss prematurity and small for gestational age (S.G.A) Contents: Prematurity (Complicating disease of prematurity & management) Complicating disease of S.G.A management (Insert here handouts and additional pages for notes if needed) 25 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 15: Neonatology II Lecturer: Dr. H. Al Saggaf Student Notes: . Objective: To discuss neonatal jaundice Contents: Causes, investigations and treatment of neonatal jaundice. (Insert here handouts and additional pages for notes if needed) 26 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 16: Neonatology III Lecturer: Dr. S. Al Saedi Student Notes: . Objective: To discuss respiratory disease syndrome Contents: Etiology, clinical picture and management of respiratory distress syndrome (Insert here handouts and additional pages for notes if needed) 27 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 17: Neonatology IV Lecturer: Dr. S. Al Saedi / Dr. F. Al Siny Student Notes: . Objective: To discuss neonatal infection & neonatal seizures Contents: Neonatal infection Birth injuries Neonatal seizures (Insert here handouts and additional pages for notes if needed) 28 Lecture 18: Inborn Errors of Metabolism (Inborn E.M.) Phase III, MBBS Lecturer: Pediatrics 603 Faculty of Medicine Dr. S. Al Saedi / Dr. F. Al Siny Student Notes: . Objective: To discuss inborn errors of metabolism Contents: Common causes of (Inborn E.M.) General symptoms and signs of a child with an (Inborn E.M.) General measures to management of a child with (Inborn E.M.) (Insert here handouts and additional pages for notes if needed) Lecture 19: Chromosomal Abnormalities & Genetics 29 Phase III, MBBS Lecturer: Pediatrics 603 Faculty of Medicine Dr. A. Al Hazmi / Dr. J. Al Aama Student Notes: . Objective: To discuss the principles of chromosomal and genetics abnormalities. Contents: Autosomes (trisomies), sex chromosomes (XO.XXY) Autosomal recessive Autosomal dominant Sex-linked inhiretance (Insert here handouts and additional pages for notes if needed) 30 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 20: Congenital Malformations Lecturer: Dr. H. Al Hazmi / Dr. J. Al Aama Student Notes: . Objective: To discuss common congenital malformations. Contents: Description of commonly encountered abnormalities Chromosomal (Down’s & Turner) Autosomal and Sex-linked Multifactorial (Insert here handouts and additional pages for notes if needed) 31 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 21: Paediatric Oncology I Lecturer: Dr. W. Anshasi Student Notes: . Objective: [Leukemia / Leymphomas] Contents: Clinical picture, investigations and management (Insert here handouts and additional pages for notes if needed) 32 Phase III, MBBS Pediatrics 603 Faculty of Medicine Lecture 22: Paediatric Oncology II Lecturer: Dr. W. Anshasi Student Notes: . Objective: Neuroblastoma, Wilm’s Tumor & Brain Tumor Contents: Clinical presentation, investigations and management (Insert here handouts and additional pages for notes if needed) 33 Phase III, MBBS Pediatrics 603 Faculty of Medicine Learning Resource INSTRUCTIONAL METHODS A variety of methods will be used to teach Paediatrics, including independent study and learning by the student. Lectures, practical clinical demonstration, video tapes, slides, films, etc. will be used throughout the course. INSTRUCTIONAL MATERIALS AND RESOURCES The following is a list of some books in Pediatrics recommended for student reading. Each student should have at least one from each category. Books are not an alternative for lectures which spotlight important topics. Lectures attendance is therefore obligatory, so much so are the clinical sessions. In addition, films slides and other audio/visual materials will be available to students and used in the lectures and clinical postings. 1. PEDIATRIC TEXTS: Nelson’s Essential of Pediatrics Authors – Richard E. Behrman & Robert Kliegman,Hal B. Jenson 18th edition, 2007 Publisher - W.B. Saunders 2- Illustrated Textbook of Paediatrics, 3rd ed., editor: Tom Lissauer & Graham Clayden 3- CLINICAL BOOKS: Lues Barness: manual of Pediatric physical diagnosis Publisher: Year book Medical Publishers, Inc. Chicago-London Latest Edition I would recommend you to use the key words – Rickets & case study –in the search engine google (www.google.com). The aim is to recognize the rich resources in the web. o o o o http://www. Google.com PubMed www.emedicine.com www.aap.org 34 Phase III, MBBS Pediatrics 603 Faculty of Medicine Students Assessments: Course Requirements and Grading: 6th Year END OF POSTING End of Posting Written Clinical Externship Continuous Clinical Evaluation Attendance 6th Year Marks Multiple Choice 30 MCQ (15 marks) 1 Data interpretation and 1 Problem solving Clinical 2 Questions (5 marks) 2 short cases (10 marks) 2 cases (log sheet 1) 10 marks Daily Morning round (log sheet 2) 5 marks Ethics Attitude Attendance (log sheet 3) 5 marks TOTAL 50 Marks FINAL EXAMINATION Final Examination Written Multiple Choice 80 MCQ 1 Data interpretation & 1 Problem Solving 2 Questions (10 marks) TOTAL ( 40 marks) 50 Marks Long case Clinical 6th Year Marks ( 25 marks) 2 short cases ( 12.5 marks) Oral Two cards (12.5 marks) TOTAL 50 Marks The final grading is out of 150 comprising the 50 marks of EOP exam + 50 final Written + 50 final Clinical. 35 Phase III, MBBS Pediatrics 603 Faculty of Medicine Expectations from students: ATTENDANCE: Attendance of clinical posting in Pediatrics is obligatory for each student. Absence for clinical sessions of more than the permitted ratio may lead to be excluded from participation in the final examination. Therefore, it is important to submit the attendance sheets at the end of each day (5 th year) and attendance card (6th year) at the end of clinical posting to the secretary of the department. As this is the only acceptable criterion of attendance, submission of the card is mandatory and failure to do so will be taken as “Total Absence”. ATTITUDES, BEHAVIORES & ETHICS: Students are to display tact, empathy, respect and concern for patients and their parents. They must demonstrate a high standard of ethical and professional behaviour and have to observe religious issues. ENVOLVEMENT & SKILL: Students shall demonstrate their ability of obtaining high level of clinical skills. This may include a history taking exercise, a developmental assessment, examination of a system or a general observation and/or examination of a child. Interpretation of simple X-rays, evaluation of basic biochemical and microbiological reports may be part of their clinical skills. 36 Phase III, MBBS Pediatrics 603 Faculty of Medicine Student’s Responsibilities to the course: CLINICAL POSTING : Interviewing: The following are considered by the student first: Obtaining the history from a second party (parent), as well as directly from the patient. Understanding when to use different styles of questioning: open, ended, directed, follow-up and summary. Learn to identify psychosocial issues. Develop caring and empathy for the patient. By unavailable parents contact intern-on-duty for assistance. Physical examination: Correlate content, sequence and focus of exam with age of patient. Note how stranger anxiety influences sequence of steps in physical examination. Awareness of strategies will improve harmonious relationship with child. We recommend that the medical student should do the clerking under the stress of time (1 hour) for each patient. He starts by patients in his allocated beds than those in colleague beds. He should endeavor to do “case study” rather than just writing routine patient sheet. You should consult topics in you lecture notes and in your textbook related to the patient condition. This case-oriented studying should go hand-in-hand with the systematic lecture-based readings. Students should consult the pediatric staff about these case histories either by presenting their cases during clinical sessions or during the clerking day. We advise the medical students to keep these case study sheets so that by the end of the clinical posting he/she will have sufficient clinical study material which will help him/her a quick clinical revision before exams. TUTORIAL: There will be one tutorial every week for 6 weeks (6th year). The students should make use of these to collaborate with their tutor and prepare topics as recommended. The students active participation is essential for a fruitful and successful tutorial. 37 King Abd ul Aziz Univ ersit y Phase III Medicine The Facult y of Medici ne and Allied Scienc es 38 6th Yr. Pediatrics Faculty of