Introduction to Child Health- Med Stud 2009

8/12/2019 Introduction to Child Health- Med Stud 2009

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Introduction to

Child Health

E.O.D. ADDO-YOBO MD FGCP MWACP MSc DTCH

11THSEPTEMBER 2008


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Introduction Paediatrics = the branch of medicine

dealing with the development and care

of infants and children, and with thetreatment of their diseases, illnesses,etc.

Child Health = the broader senseincluding preventive aspects

Forms Part 1B of MB CHB Examinations


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Course Objective

To Understand, and be able toRecognise, and appropriately manage

through the use of requisite skills, abroad range of common childhood medicalproblems, as found both in the clinic

and in the community (especially inGhana),on a basis of sound medicalprinciples.


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Training Activities Lectures:1-2 hours [08:00-10:00] - Tues, Thurs, (Fri).

Clinical work:Predominantly individual: Personal involvement in patient care at all stages:(For REST OF DAY) Clerking (History taking) Examination Forming ImpressionsDifferential diagnosis [Individual reading around case/Case discussions] Conducting Appropriate Procedures/Investigations Synthesis of data Making Appropriate diagnosis/differentials Initiate managementConduct preliminary investigations and

treatment/counsel. Appreciate dangerous situations and manage, consult or refer (abilities and

limitationsSafe Practice)

Case discussion at various levels


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Learning Processes Dailyparticipation in teams activities apprenticeship.

Clinical discussion of casesIndividual initiative

Observe and Perform procedures Evaluate the effectiveness of management plans through proper

recording and periodic assessment of the patients progress

Communicate with other members of health team as indicated

Ward roundsPresentation of cases

Bedside Teaching

Small Group Tutorials

Student Seminars (Senior clerkship)


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RotationsWards/Subspecialty Units:

B4- Malnutrition/Nephrology B5Haematology/Oncology

C5Cardiology/Pulmonology

PEUEmergency Care

MBUNeonatology

All deal with Infectious diseases


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ProgrammeClerkships:

Junior ClerkshipPrimary acquisition of skills

Community Health District Posting

Senior ClerkshipConsolidation of skills


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Rotation cycle:

B5

PEU

B4

C5

MBU


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Examinations/Assessments Continuous Assessment/Group Assessment

[30% FINAL SCORE ] General attendance /Day to day performance (Log Book Entries)

End of Rotation Exams End of Junior clerkship assessment

Post District Exams (MCQ)

Mock (Senior Clerkship Exam)

Final Examinations (MB ChB Part 1B) at end of Programme70% FINAL SCORE

Theory & Oral -50%Clinical50%: Obligatory pass


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Log Book


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Log Book -2

Recent

Passport size picture

Students Signature..


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Log book Introductory Notes The logbook is a record of important activities that should be

covered by the student during the clerkship in Child Health.

It is the evidence that the student has worked consistently and

diligently under supervisionduring the rotation and hasacquired a minimum of skills that make him/her eligible for thefinal examinations and certification in Child Health.

The logbook will be evaluated periodically and at the end of thecourse. This evaluation will form a major part of the Continuous

Assessment of the student during the course, and will contributetoward the overall score for the final Mb ChB Part 1Bexamination in Child Health.


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Notes on using log book-1

The emphasis of the logbook entries is supervised teachingandgradual learning on a weekly basis leading to mastery.

Students must sign inon entering a team/rotation and sign outonleaving the team/rotation.

Entries should be made only after discussions with the SupervisingLecturer or Authorised Clinician.

It is the duty of the student to ensure that all entries made in this bookare endorsed immediately after the teaching session by the SupervisingLecturer or Authorised Clinician.Retrospective entries are NOT entertained. Endorsements byHouse Officers are NOT permissible.


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Notes on using log book-2 Activities of every week should be appropriately recorded and

endorsed. Activities work of one week cannot be used to compensatefor losses in previous weeks.

Students will be expected to do AT LEAST TWO night duties and ONEweekend duty per rotation. (to get acquainted with what happens atnight)

As a self-monitoring tool, it is expected that the logbook will enable the

Medical Student make a personal assessment of his/her ownattendance of teaching sessions, progress in the acquisition of skillsand knowledge on a regular basis during clerkship.


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Log book Content-1Contents

INTRODUCTION............................................................................................................................... 3JUNIOR CLERKSHIP ....................................................................................................................... 5

WARD ROTATIONS ....................................................................................................................... 5JUNIOR CLERKSHIP WARD ATTENDANCE ............................................................................ 6

A: INDIVIDUAL WORK: Cases Clerked ............................................................................ 7B: BEDSIDE TEACHING -1 .................................................................................................. 17C: GROUP TUTORIAL -1 ...................................................................................................... 21D: OUT-PATIENTS CLINIC -1 ............................................................................................. 23CERTIFIED ACTIVITY SCORE - JUNIOR CLERKSHIP ..................................................... 25

SENIOR CLERKSHIP ..................................................................................................................... 26WARD ROTATIONS ..................................................................................................................... 26SENIOR CLERKSHIP WARD ATTENDANCE .......................................................................... 27

A: INDIVIDUAL WORK: Cases Clerked ......................................................................... 28B: BEDSIDE TEACHING -1 .................................................................................................. 38C: GROUP TUTORIAL -1 ...................................................................................................... 41D: OUT-PATIENTS CLINIC -1 ............................................................................................ 43

LIST OF PROCEDURES ................................................................................................................ 45SPECIAL CLINICS.......................................................................................................................... 52

CERTIFIED ACTIVITY SCORE - SENIOR CLERKSHIP ..................................................... 54


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Log book Content-2

ROTATIONDate

Started

Date

Completed

Date & Signature

Of

Unit Head

UNITS

B4

B5

C5

MBU

PEU


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Log book Content-3INDIVIDUAL WORK: Cases Clerked

WEEK 1: Date beginning: Supervising Lecturer/Unit Head: ..

Ward

Patients Name, Age, Sex DiagnosesDiscussed

with

Lecturers /Authorised Clinicians

Signature and date

Night/Weekend duties:

Date Ward Time In Time out Supervising Doctors Signature

1.

2.

3.


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Log book Content-4

Date Ward TopicSpecialist/Authorised

Clinician

Clinicians

signature

Bedside Teaching


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Log book Content-5

Date TopicSpecialist/Authorise

d ClinicianClinicians signature

GROUP TUTORIAL


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Log book Content-6

Date Venue/Clinic Specialist/Authorised Clinicians sign.

OUT-PATIENT CLINICS


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Log book Content-7

DESCRIPTION DATE OBSERVED PERFORMEDSUPERVISING

CLINICIANS NAME

& SIGNATURE.

Intravenousline setting

Blood letting

LIST OF PROCEDURES


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Log book Content-8

Clinic Date Specialist/Consultant

1 Asthma

2 Cleft Lip & Palate

Clinic

3 Paediatric Chest Clinic

4 Paediatric HIV Clinic

SPECIAL PROCEDURES


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Log book Content-9

IVLine

setting/Blood

letting

Performed

Lumbar

Punctures

Performed

CPR

observed

B4

B5

C5

MBU

PEU

Total

GroupTutor

ials

attended

Special

Clinics

Attended

Signature of Unit Head &Date

Core Procedures

ROTATION

CaseClerke

d&

Discussed

NightDuties

DaysofWa

rd

Rounds/Bedside

Teaching

Out-patien

ts

Clinicsatten

ded

UNIT

Certified Activity Score

CERTIFIED ACTIVITY SCORE Junior and Senior Clerkships


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EXCERPT FROM PTS CHARTER

A. Respect for the patient as an individualwith a right of choice in the decision of

his/her health care plans.

B. The Right to protection from

discrimination based on culture,ethnicity, language, religion, gender,age and type of illness or disability.


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EXCERPT FROM PTS CHARTER 2

1. The patient has the RIGHT to KNOWthe identity of all his/her caregivers and

other persons who may handle him/herINCLUDING STUDENTS, trainees andancillary workers.

NAME TAGS!!!


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PATIENT,S CHARTER 3

The patient has the right to privacyduring consultation, examination and

treatment. In cases where it isnecessary to use the patient or his/hercase notes for teaching and

conferences, the consent of the patientmust be sought.


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PATIENTS CHARTER 4

The patient is entitled to confidentialityof information obtained about him or

her and such information shall not bedisclosed to a third party withouthis/her consent or the person entitled

to act on his/her behalf except wheresuch information is required by law or isin the public interest.


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SELF- TEACHING!!!

PROVERBS 2:2-5.

Turn your ear to wisdomAPPLY your heart tounderstanding..CALL OUTfor insight.LOOK FOR IT asfor silver..SEARCH FOR IT

AS FOR HIDDEN TREASURE

THERE IS A GOLD MINE OF

INFORMATION ON THEWARDSDIG FOR IT!


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for the Grasshopper

Pro 6:10-11

A little sleep,a little slumber,a little folding of hands to sleep

so shall your poverty(of medicalknowledge) come on you like a prowler,and your need like an armed man


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Standard Recommended Textbooks

Current Diagnosis and Treatment in Pediatrics- by William W. Hay, Myron J. Levin, Judith M. Sondheimer, Robin R Deterding

Illustrated Textbook of Paediatrics: With STUDENT CONSULT Online AccessTom Lissauer MB BChir FRCP FRCPCH, Graham Clayden MD FRCP FRCPCH

Nelson Essentials of Pediatrics, 5E with STUDENT CONSULTby Robert Kliegman, Robert Kliegman

Textbook of Paediatrics - DB Jelliffe and Stanfield

Child Health in the Tropics- Stanfield

Reference:Nelsons Textbook of Paediatrics

Paediatrics - Fofar
http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Myron%20J.%20Levinhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Judith%20M.%20Sondheimerhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_4?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Robin%20R%20Deterdinghttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Graham%20Clayden%20MD%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/Robert-Kliegman/e/B001IXMJ5C/ref=ntt_athr_dp_pel_1http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?%5Fencoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hayhttp://www.amazon.com/Robert-Kliegman/e/B001IXMJ5C/ref=ntt_athr_dp_pel_1http://www.amazon.com/Robert-Kliegman/e/B001IXMJ5C/ref=ntt_athr_dp_pel_1http://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Graham%20Clayden%20MD%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Graham%20Clayden%20MD%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Graham%20Clayden%20MD%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Graham%20Clayden%20MD%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Tom%20Lissauer%20MB%20%20BChir%20%20FRCP%20%20FRCPCHhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_4?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Robin%20R%20Deterdinghttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_4?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Robin%20R%20Deterdinghttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Judith%20M.%20Sondheimerhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_3?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Judith%20M.%20Sondheimerhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_2?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=Myron%20J.%20Levinhttp://www.amazon.com/exec/obidos/search-handle-url/ref=ntt_athr_dp_sr_1?_encoding=UTF8&sort=relevancerank&search-type=ss&index=books&field-author=William%20W.%20Hay


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Introduction to Child Health- Med Stud 2009

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