pediatrics theme ‘curriculum’
TRANSCRIPT
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
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