Study-Unit Description

Study-Unit Description


CODE MDS4019

 
TITLE Paediatrics 1

 
UM LEVEL 04 - Years 4, 5 in Modular UG or PG Cert Course

 
MQF LEVEL 6

 
ECTS CREDITS 10

 
DEPARTMENT Faculty of Medicine and Surgery

 
DESCRIPTION The Paediatric study-unit covers the teaching of medicine relating to children and includes acute illness, specialist paediatrics, paediatric genetics, preventative healthcare, social paediatrics, surveillance and screening.

Teaching is essentially patient-based with an emphasis on clinical, hands-on exposure in the clinical setting, supported by formal lectures and small group teaching. The Clinical Department spans acute and general paediatric patients, as well as sub-specialty interests in paediatric cardiology, endocrinology, gastroenterology, infectious diseases, neonatology, neurology, oncology, social and community paediatrics. Students will be offered opportunities and are encouraged to review patients in all these domains.

Study-unit Aims

- To provide an overview of the more common conditions in Paediatric Practice
- To cover broad areas of Paediatrics including General Paediatrics, Specialist Paediatrics, Neonatology and Community Paediatrics including Social Paediatrics
- To develop communication skills with children, relatives and peers
- To give the opportunity to students to physically examine children under supervision and increase their proficiency in these skills

Learning Outcomes

1. Knowledge & Understanding:

By the end of the study-unit the student will be able to:
- Explain normal growth and development of infants, children and adolescents.
- Describe common Paediatric clinical problems and their management.
- Discuss the diverse characteristics and needs of different cultural groups and specific populations, e.g., immigrants, socially deprived, ethnic minorities, etc.
- Explain the principles of law as they apply to the practice of Paediatrics.
- Describe the major ethical dilemmas in the care of infants, children and adolescents, and an approach to resolving these.

CPH:
- Show an understanding of basic principles involved in clinical pharmacology and therapeutics specific classes of drugs specifically antimicrobial drugs and drugs used in relation to Paediatrics.
- Describe the various scientific principles underlying the actions and uses of these specific classes of drugs in the clinical setting in relation to Paediatrics.
- Recognise the importance of understanding the mode of action and clinical use of these classes of drugs in relation to Paediatrics.
- List the clinical principles involved in the selection of these classes of drugs to the individual patient in relation to Paediatrics.
- Predict the effects of these classes of drugs in specific patients in relation to Paediatrics.
- Outline the concept of individualised drug therapy in use of these classes of drugs in relation to Paediatrics.

PAT:
- Describe the aetiology, risk factors and pathogenesis of paediatric infection and common genetically inherited diseases;
- Outline the clinical consequences and complications of paediatric infections;
- Describe the types of laboratory tests available for clinical diagnosis of paediatric infections;
- Describe the vaccines available for use in children.

2. Skills:

By the end of the study-unit the student will be able to:
- Obtain a comprehensive and focused medical and psychosocial history from a caregiver and/or a child or adolescent.
- Perform comprehensive and focused physical and developmental examinations of infants, children and adolescents.
- Select and interpret commonly-employed investigations in infants, children and adolescents.
- Demonstrate the ability to formulate a problem-oriented approach to the infant’s, child’s or adolescent’s health problems.
- Organize these investigations appropriately and judiciously.
- Communicate with children in a professional way while at the same time making them comfortable.
- Assess psychological and social aspects of a child's illness.
- Advise parents regarding issues of preventive healthcare.
- Engage in self-directed learning based on reflective practice (e.g. read around cases).

CPH:
- Show an understanding of the knowledge of the mode of action of drugs to specific clinical scenarios in the use of specific classes of drugs specifically antimicrobial drugs and drugs used in relation to paediatrics.
- Show an understanding of the basic pharmacological principles in prescribing decisions for these classes of drugs in relation to paediatrics.
- Predict inter-patient variability with respect to drug response in these classes of drugs in relation to paediatrics.
- Explain the selection of differing drug therapies in these drug classes for the individual patient in relation to paediatrics.

PAT:
- Interpret common symptoms and signs in terms of possible underlying pathology in paediatric infections and common genetically inherited diseases;
- Correlate the use of simple diagnostic laboratory tests with clinical and morphological features of disease;
- Choose the appropriate laboratory tests to confirm diagnosis and interpret the result;
- Distinguish alterations in chromosome structure in relation to specific syndromes;
- Explain how karyotpe analysis is performed.
- Choose the best antibiotic therapy for microbiological infections;
- Apply the correct vaccination policy in paediatrics practice.

Main Text/s and any supplementary readings

Sources for Consultation:

- Paediatrics: A core text with self-assessment. S. Attard Montalto, V. Saha; Churchill Livingstone, 2nd Edition 2006; ISBN-13 044307495X.
- Illustrated textbook of Paediatrics. T. Lissauer, G. Clayden; Mosby, 3rd Edition 2007; ISBN-13 9780723433972.
- Paediatrics and Child Health, M. Rudolf, M. Levene; Blackwell Publishing, 2nd Edition 2006; ISBN-13 9781405126618.

The following Textbooks are recommended for Reference:

- Nelson Textbook of Pediatrics. R.M. Kliegman, R.E. Behrman, H.B. Jensen, B.F. Stanton; 18th Edition, Saunders 2007; ISBN 9781416024507.
- Forfar & Arneil's Textbook of Paediatrics. N. McIntosh, P.J. Helms, R.L. Rosalind, S. Logan; 7th Edition, Churchill Livingstone 2008; ISBN 9780443103971.
- Caffey's Pediatric Diagnostic Imaging. J.P. Kuhn, T.L. Sovis, J.O. Haller; 11th Edition, Mosby, 2004; ISBN-13 9780323045209.

Recommended Clinical Pharmacology text books:

- Humphrey P. Rang HP, Dale MM, Ritter JM, Flower R. Rang & Dale's Pharmacology. Churchill Livingstone. 6th Ed.
- Grahame-Smith D, Aronson J. Oxford Textbook of Clinical Pharmacology and Drug Therapy. Oxford University Press. 3rd Ed.
- Bennett PN, Brown MJ. Clinical Pharmacology. Churchill Livingstone. 10th Ed.
- British National Formulary. Pharmaceutical Press.

Reference/Additional:

- Brunton L, Lazo J, Parker K. Goodman & Gilman's The Pharmacological Basis of Therapeutics. McGraw-Hill Medical. 11th Ed.
- Waller DG, Renwick AG, Hillier K. Medical Pharmacology and Therapeutics. Saunders. 3rd Ed.

Lecture notes:

- Reid JL, Rubin PC, Walters MW. Clinical Pharmacology and Therapeutics (Lecture Notes). Blackwell. 7th Ed.
- Neal MJ. Medical Pharmacology at a Glance. Wiley-Blackwell. 6th Ed

 
STUDY-UNIT TYPE Lecture, Independent Study, Placement & Tutorial

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
MCQ and Written Examination (3 Hours) SEM2 Yes 100%

 
LECTURER/S Massimo Abela
Simon Attard Montalto
Stephen Attard
Michael Angelo Borg
Pharrah-Jane Debono
Ryan Dominic Farrugia
Maria Annunziata Formosa
Victor Grech
Claire Marantidis Cordina
David Pace
Valerie Said Conti
Doriette Soler
Nadette Spiteri
John Torpiano
Cecil Vella
Adriana Warrington

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2023/4. It may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit