Title of presentation umanitoba.ca

Pediatrics Theme ‘curriculum’

Pediatrics • Pediatrics is a THEME not a course or a

module in pre-clerkship • Pediatrics is a mandatory major core

rotation in clerkship • Unique body of knowledge, skills and

attitudes that pertain to the health care and well being of children and youth

Goals • Students must come to clerkship with the

foundational knowledge, skills & attitudes necessary to maximize their learning and success in the core rotation

• Students must pass the Pediatrics NBME at the end of the rotation and MCCQE – This drives students’ studying

Student Feedback • “No pediatrics” in current pre-clerkship

– Students do not perceive that they learn pediatric concepts in the current model

• “Do not feel prepared for the Pediatrics clerkship” – Is not unique to Peds but students tell us

they feel less prepared for this rotation compared to others

Issues

• Students should feel better prepared with the new curriculum

• Pediatrics concepts should be included and be identified as such as students learn basic medicine concepts.

• Core Pediatric concepts and foundational knowledge need to be included in the individual modules and courses

• Should be improved scaffolding and integration

Pediatric Undergraduate Program Directors of Canada (PUPDOC)

PUPDOC

Building a Canadian Pediatric Curriculum with National Vision and Consensus

1. Problem ID & General Needs Assessment Environmental Scan:

General Medical Council of Canada examination objectives

CanMEDS (RCPSC) competency framework

Paediatrics COMSEP Curriculum CLIPP cases

Local Canadian Initiatives Eg. PedsCases

Billing data Common paed presentations

CCFP – Top 99 cases Paediatric topics

2. Targeted Needs Assessment Collective Vision:

• Comprehensive curriculum • Pre-clerkship and clerkship • Matrix of educational resources • To meet Canadian educational and

health needs

Presenter

Presentation Notes

Hold up card. If you want one, ask PUPDOC person

3. Goals & Objectives - Medical Expert:

- 26 clinical presentations – see next slide - associated key conditions – see handouts

- Communicator Collaborator - Manager Health advocate - Scholar Professional

Medical Expert: 26 Key Conditions Pediatric Health Supervision

Developmental & Behavioural problems

Inadequately explained Injuries

Edema Urinary Complaints

Newborn Respiratory Distress & Cough

Growth Problems

Heart murmur Limp or Extremity Pain

Neonatal Jaundice

Abdominal pain

Seizures Bruising & Bleeding

Rash

Fever Vomiting Headaches Pallor Sore throat / mouth

Dehydration Diarrhea Altered LOC

Lymphadenopathy Sore ear Sore / Red Eye

Question #1: • Concepts taught in HD block 2 – WHERE???

– 27 sessions (lectures, demonstrations, tutorials) – Well child care, adolescent health – Nutrition (?GI) – Developmental - behavioural pediatrics – Parenting, child abuse – Injury prevention, Child health status (?CH) – Effect of chronic illness on child and adolescent – Communication with children (?CS) – ID (peds pathogens, vaccines) (ID)

Question# 2: • What is the role of Pediatrics in M0? • Integration of Pediatrics with

longitudinal courses and other themes?

Canadian curriculum core presentations not included in the CP4: • Pediatric health supervision • Newborn issues • Dehydration • Developmental behavioural problems • Growth Problems • Heart murmur • Pallor (anemia) • Sore ear

• M1/2 current content – Some are unique pediatric content – Some are included in the adult sessions

• Integration – All these will require development

• Current M3/4 – Content is reviewed through AHD, tutorials and

CLIPP cases • TTC

– Current Peds review of 3-4 hours

M0 M1/2 Clinical Skills

Integration

TTC M4/M5 TTR

Pediatric Health Supervision

Newborn

Neonatal Jaundice

Developmental & Behavioural problems

Inadequately explained Injuries

currently covered

Potentially Orphaned

to be developed

M0 M1/2 Clinical Skills

Integration

TTC M4/M5 TTR

Fever

Abdominal Pain

Vomiting

Diarrhea

Dehydration

Limp or Extremity Pain Currently Covered

To Be Developed

M0 M1/2 Clinical Skills

Integration

TTC M4/M5 TTR

Respiratory Distress & Cough

Heart Murmur

Edema

Urinary Complaints

Rash

Currently Covered

To Be Developed

M0 M1/2 Clinical Skills

Integration

TTC M4/M5 TTR

Bruising & Bleeding Pallor

Lymphadenopathy

Sore throat / mouth Sore ear Sore / Red Eye Currently Covered

To Be Developed

• M1/2 current content – Some are unique pediatric content – Some are included in the adult sessions

• Integration – All these will require development

• Current M3/4 – Content is reviewed through AHD, tutorials and

CLIPP cases • TTC

– Current Peds review of 3-4 hours

4. Educational Strategies

• Foundational Knowledge – Developed by consensus

Discussion