Modules

• Year 1
  • Introduction to Year 1 and FunMed
  • Fundamentals of Medicine
  • Human Development 1
  • Cardiorespiratory 1
  • Metabolism 1
  • Locomotor 1
  • Brain and Behaviour 1
  • Medicine in Society 1
  • Inter-Professional Education 1
• Year 2
  • Introduction to Year 2 and Year Outcomes
  • Cardiorespiratory 2
  • Metabolism 2
  • Brain and Behaviour 2
  • Human Development 2
  • Human Sciences and Public Health 2
  • Locomotor 2
  • Medicine in Society 2
  • Extended Patient Contact 2
  • Moving and Handling Training
  • Year 2 Lifesaver Programme
• Year 3
  • Clinical Science and Professionalism (Weeks 1-3)
  • Cardiovascular, Respiratory and Haematology (CR3)
  • Gastroenterology and Cancer (MET3A)
  • Endocrinology and Renal Medicine (MET3B)
  • General Practice and Community Care
  • Public Health
• Year 4
  • Obstetrics and Gynaecology
  • Child Health
  • Neuroscience
  • Psychiatry
  • Ophthalmology
  • HIV & Sexual Health
  • Musculoskeletal
  • Health Care of the Elderly
  • Dermatology
  • General Practice and Community Care
  • Ear, Nose and Throat
  • Global Health and Ethics
  • ALL CSP WEEKS
  • B&B Classroom Skills
• Year 5
  • Introduction to Year 5 and Year Outcomes
  • Teaching Week 1
  • Acute Medical Care (AMC)
  • Surgery, Anaesthetics and Perioperative Care (SAPOC)
  • Community Care
• Year GEP 1
  • Movement and Posture
  • Carriage of Oxygen
  • Human Sciences and Public Health
  • Digestion, Growth and Metabolism
  • Infection and Immunity
  • Brain and Behaviour
  • Consolidation and Integration
  • Human Development
  • Medicine in Society (GEP)
  • IPE Programme Week (inc. IP Days within Modules)

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Year 4 CH4: Child Health

• Dr Steve Kempley
• s.t.kempley@qmul.ac.uk

Introduction

Child Health in Year 4 builds on the knowledge you will have gained in the Human Development Years 1 and 2; building on the problem solving approach of these years.

We intend to provide a comprehensive framework and a basic grounding in clinical skills and knowledge.

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Index

• General Outcomes for Obstetrics and Gynaecology
• General Outcomes for Child Health
• Asthma (Priority 1*)
• Neonatal Disorders - General
• Puberty and Pubertal Problems
• Childhood Emergencies (A & E)
• Cardio-Vascular Disorders in Childhood
• Respiratory Disorders
• Neurological Disorders of Childhood
• Haematological Disorders
• Gastrointestinal Disorders
• Renal and Urinary Tract Disorders in Childhood
• Psychiatric / Psychological Problems in Childhood
• Congenital and Genetic Abnormalities
• Child Abuse

• General Outcomes for Obstetrics and Gynaecology
  • Medical knowledge: PHYSIOLOGY
    • Physiology of Growth and Puberty
      1. Understand the physiology of puberty and the associated physical changes
• General Outcomes for Child Health
  • Medical knowledge: PHYSIOLOGY
    • Adaptation of Fetus to Neonate - General
      1. Understand the adaptation to extra-uterine life with particular reference to cardio-respiratory and metabolic changes
    • Developmental Issues
      1. Have a basic knowledge of normal child development
  • Clinical skills: HISTORY and EXAMINATION
    • Examination of Children
      1. Know the specific items required in a paediatric history
    • History from children
      1. Know the specific items required in a paediatric history
• Asthma (Priority 1*)
  • General Outcomes for Asthma
    1. Describe and demonstrate the use of a Peak Flow Meter to a patient. Be able to interpret the values obtained using charts and tables for normal values with respect to age, gender and height.
• Neonatal Disorders - General
  • Surgical Problems in the Neonate
    1. Know the primary defect in Gastroschisis and Exomphalos
  • General Outcomes for Neonatal Disorders
    1. Know about the major causes of congenital and neonatal infections and how to diagnose and treat/prevent
  • Normal Newborn and Feeding
    1. Know how to initiate feeding in a newborn infant
    2. Understand the adaptation to extra-uterine life with particular reference to cardio-respiratory and metabolic changes
  • Birth Asphyxia
    1. Know the causes, grading and sequelae of Hypoxic Ischaemic Encephalopathy
• Puberty and Pubertal Problems
  • Puberty and Disorders of Puberty - General
    1. Understand the physiology of puberty and the associated physical changes
• Childhood Emergencies (A & E)
  • Childhood Emergencies - General
    1. Know how to assess the critically ill child and appreciate the importance of early recognition
    2. Know the diagnosis of acute poisoning in childhood
    3. Know how to manage acute anaphylaxis in children
• Cardio-Vascular Disorders in Childhood
  • Congenital Heart Disease
    1. Know the anatomy and physiology of congenital heart disease
    2. Know the presenting features of cyanotic and acyanotic congenital heart disease
    3. Understand the role of prostaglandins and diuretics in the acute management of congenital heart disease
  • Cardio-Vascular Disorders in Childhood - General
    1. Know the anatomy and physiology of congenital heart disease
    2. Know the presenting features of cyanotic and acyanotic congenital heart disease
    3. Understand the role of prostaglandins and diuretics in the acute management of congenital heart disease
• Respiratory Disorders
  • Asthma in Childhood
    1. Know the commonly used inhaler devices and how to explain their use to families and children
    2. Be able to recognise the clinical features and manage an acute asthma attack in a child
  • General Outcomes for Childhood Respiratory Disorders
    1. Understand the physiological basis and treatment of Respiratory Distress Syndrome
    2. Know the causes of wheezing in children of different ages. This should include knowledge of the clinical features and management of Bronchiolitis, Asthma and Foreign Body inhalation.
  • Respiratory Infections in Children
    1. Know the clinical features, causative organisms, diagnosis and management of most common causes of respiratory tract infections, both upper and lower
• Neurological Disorders of Childhood
  • Cerebral Palsy
    1. Know the presentation, clinical signs, and multidisciplinary management of Cerebral palsy
    2. Know the multidiciplinary management of Cerebral palsy
• Haematological Disorders
  • Sickle Cell Disease in Childhood - General
    1. Know the diagnosis of Sickle cell crisis in children
    2. Understand that abdominal pain may result from Sickle cell crisis
    3. Know the management of Sickle cell crisis in children
  • Haematological Malignancies in Childhood - General
    1. Know the treatment needed for a patient with Neutropenic sepsis (patient on chemotherapy, bone marrow failure)
  • Haemoglobinopathies - General (exc. Sickle Cell)
    1. Know the clinical presentation and molecular basis of haemoglobinopathies
• Gastrointestinal Disorders
  • General Outcomes for Childhood Gastrointestinal Disorders
    1. Know the primary defect in Gastroschisis and Exomphalos
    2. Understand the causes and management of Malabsorption syndromes in childhood
    3. Understand the presentation and management of Inflammatory Bowel Disease in childhood
    4. Appreciate the clinical features, differential diagnosis and management of abdominal pain in childhood, including appendicitis, abdominal sepsis, Idiopathic (including psychological) causes, inflammatory bowel disease and rare diseases (e.g. porphyrias).
    5. Know the common gastrointestinal problems seen in children and within these conditions know their management and treatment, and prognosis
    6. Understand that abdominal pain may result from Inflammatory bowel disease
  • Nutritional and Feeding Problems in Childhood
    1. Know about the common presentation of allergy in childhood
    2. Know how to manage a child with nutritional problems, including plotting weight and height charts accurately, and appreciating the significance of changes in the centiles
    3. Be able to take a history of childhood feeding and understand the causes of feeding problems in childhood
  • Acute Abdomen in Children
    1. Appreciate the clinical features, differential diagnosis and management of abdominal pain in childhood, including appendicitis, abdominal sepsis, Idiopathic (including psychological) causes, inflammatory bowel disease and rare diseases (e.g. porphyrias).
    2. Be capable of taking a history and examining a child with acute abdominal pain.
    3. Know the common surgical problems throughout childhood: both acute and chronic; recognition, management, and prognosis; preparing a child and family for the operating theatre
  • Coeliac Disease
    1. Be able to recognise the clinical presentation and understand the pathological features of Coeliac disease
• Renal and Urinary Tract Disorders in Childhood
  • Renal and Urinary Tract Disorders in Childhood - General
    1. Know the aetiology and pathophysiology of the common urinary tract problems seen in children
    2. Know the clinical presentation of the common urinary tract problems seen in children
    3. Know the relevant investigation of the common urinary tract problems seen in children
    4. Know the management of common urinary tract problems seen in children
• Psychiatric / Psychological Problems in Childhood
  • Behavioural Problems in Childhood - General
    1. Know the presentation and clinical signs of behavioural problems of early childhood
    2. Understand psychological development at different ages
    3. Understand that many childhood presenting complaints have no organic basis and to be able to confidently and confidentially explore these areas with the family
    4. Be able to carry out a mental state examination of a child and present the findings in an ordered and logical manner
    5. Be able to describe observed behaviours clearly in a confident manner
    6. Be able to discuss what needs to be considered when assessing behaviour and mental health problems
    7. Be able to make informed decisions about whether observed behaviours are inappropriate
    8. Be aware of the concept of competence and how this relates to decision making in the older child.
    9. Know the presentation, clinical signs and management of ADHD
    10. Be able to recognise the child with Autistic Spectrum Disorder
    11. Know the multidiciplinary management of Behavioural problems of early childhood
• Congenital and Genetic Abnormalities
  • General Outcomes for Congenital and Genetic Abnormalities
    1. Know the primary defect in Gastroschisis and Exomphalos
    2. Know about the major causes of congenital and neonatal infections and how to diagnose and treat/prevent
    3. Know the major features of other chromosomal syndromes (trisomies and microdeletion syndromes)
  • Down's Syndrome
    1. Know the physical and developmental features of Downs syndrome
    2. Know the presentation, clinical signs, and multidisciplinary management of Down's syndrome
• Child Abuse
  • General Outcomes for Child Abuse
    1. Know the multidiciplinary management of Emotional neglect
    2. Know the presentation and clinical signs of Emotional neglect
    3. Know and recognise the signs of Non accidental injury
    4. Know the legal measures available for the protection of children
    5. Understand the effects of social deprivation/neglect on the psychological development of the child
    6. Be aware of the legal aspects of Child protection, and the close working relationship with the police and social services that is necessary
    7. Understand local Child protection procedures and appreciate the importance of close liaison with all professionals dealing with child abuse

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