Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd year Paediatric Syllabus

Pediatrics
Course Content
(Based on Medical Council of India,
Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018. Vol. 2
/ 3; page nos. 150-201)
1. Total Teaching hours:
105 hours (Lectures + Tutorials);
15 hours (Self-directed learning);
174 hours Clinical posting
2. A. Lectures(hours):
40(20 hours each in I I MBBS Part I & Part II)
B. Self-directed learning (hours): 15 (5 hours in I I MBBS Part I & 10 hours in I I MBBS
Part I )
C. Clinical Postings (hours):
174 (2 weeks/ 4 weeks/ 4 weeks)
D. Small group teachings/tutorials/Integrated teaching/Practicals (hours):
65 hours (30 hours in I I MBBS Part I and 35 hours in II MBBS Part I )
8 symposia wil be conducted from theory topics in
o 15 hours of Self-directed Learning (3 in I I MBBS (Part I) and
o 5 in II MBBS (Part I ))
Two (02) Ful day workshops
o IMNCI
o NRP
Module 4.7 AETCOM Module wil be covered in I I MBBS (Part I ) (05 hours)
Tutorials/ Smal Group Discussions III (Part I) MBBS (30 hours)
S.
Topic
Hour Lectures
SLO
Horizontal
N
s
(Competency
Integration
o
No.)
1
Normal
01
Developmental
1. Definition of Development
Psychiatry
Growth and
milestones (PE
2. Principals of development
Development
1.5, 1.6)
3. Factors affecting Development
4. Domains of Development
5. Milestones in various domains
Page 1 of 96

---

6. Developmental assessment
2
Common
02
Failure to thrive
1.Definition
problems
(PE 2.1, 2.4)
2. Etiology
related to
1. Clinical Features
growth
2. Evaluation of a child with Failure to
thrive
3. Management
Short stature
1. Definition
(PE 2.6)
2. Etiology
3. Clinical Features
4. Evaluation of a child with Short
stature
5. Management
3. Care of the
02
Care of normal
1. Define the common neonatal
Obs &
Normal
newborn
nomenclatures including the
Gynae
Newborn, and
(PE 20.1, 20.2,
classification
High-risk
20.6,)
2. Describe the characteristics of a
Newborn
Normal Term Neonate and High-Risk
Neonates.
3. Explain the care of a normal neonate
Temperature
1. Temperature regulation in neonates
regulation and
2. Disorders of temperature regulation
Neonatal
3. Definition of hypothermia
hypothermia
4. Prevention of hypothermia
(PE 20.12)
5. Clinical features of hypothermia
6. Management of hypothermia
4. To promote
01
Breast Feeding
1. Awareness on the cultural beliefs and
Obs &
and support
(PE 7.1, 7.2,
practices of breast feeding.
Gynae
optimal Breast
7.3, 7.4, 7.6)
2. Enumerate advantages of breast
feeding for
feeding
infants
3. Explain the physiology of lactation.
4. Technique of breast feeding
5. Problems in breast feeding
6. Enumerate the baby friendly hospital
initiatives
7. Describe the composition and types of
breast milk
8. Discuss the differences between
cow's milk and Human milk.
9. Discuss the advantages of breast milk.
10. Overview about expressed breast milk
5. Complementa 01
Complementar
1. Define the term Complementary
ry Feeding
y feeding and
Feeding.
2. Discuss the principles, the initiation,
Page 2 of 96

---

IYCF (PE 8.1,
attributes, frequency, techniques and
8.2, 8.3)
hygiene related to Complementary
Feeding
3. IYCF
4. Enumerate the common
complimentary foods
6. Provide
01
Protein Energy
1. Define malnutrition
nutritional
Malnutrition
2. Classify malnutrition including WHO
support,
(PE 10.1, 10.2,
classification,
assessment
10.4, 10.6)
3. Describe the etio-pathogenesis,
and
clinical features, complication of
monitoring for
Severe Acute Malnourishment (SAM)
common
and Moderate Acute Malnutrition
(MAM).
nutritional
4. Differentiate between kwashiorkor
problems
and marasmus
5. Outline the clinical approach to a
child with SAM and MAM.
6. Management of a child with SAM and
MAM.
7. Enumerate the role of locally
prepared therapeutic diets and ready
to use therapeutic diets.
8. Strategies to prevent malnutrition
7.
Obesity in
01
Obesity (PE
1. Define obesity
Children
11.1, 11.2,
2. Describe the common etiology,
11.6)
clinical features and management of
obesity in children.
3. Discuss the risk approach for obesity
and criteria for referral
4. Discuss the prevention strategies
8.
Micronutrient 04
Vitamin A
Vitamin A
s in health and
Vitamin E, K (PE
1. RDA, dietary sources of Vitamin A
disease 1:
12.1, 12.2,
and their role in Health and disease.
(Vitamins
12.4, 12.5,
2. Describe the causes, clinical features,
A,D,E,K, B
12.11, 12.12,
diagnosis and management of
Complex and
12.13, 12.14)
Deficiency / excess of Vitamin A.
C)
3. Discuss the Vitamin A prophylaxis
Micronutrient
program and their recommendations
s in health and
Vitamin E
disease 2:
1. Discuss the RDA, dietary sources of
Iron, Iodine,
Vitamin E and their role in health and
disease.
Page 3 of 96

---

Calcium and
2. Describe the causes, clinical features,
Magnesium
diagnosis and management of
deficiency of Vitamin E.
Vitamin K
1. Discuss the RDA, dietary sources of
Vitamin K and their role in health and
disease.
2. Describe the causes, clinical features,
diagnosis management and
prevention of deficiency of Vitamin K
Vitamin B, C
Vitamin B
and Iodine
1. Discuss the RDA, dietary sources of
deficiency
Vitamin B and their role in health and
disorders
disease
(PE 12.15,
2. Describe the causes, clinical features,
12.16, 12.18,
diagnosis and management of
12.19, 12.20,
deficiency of B complex Vitamins.
13.7, 13.8,
Vitamin C
13.10, 13.10)
1. Discuss the RDA , dietary sources of
Vitamin C and their role in Health and
disease
2. Describe the causes, clinical features,
diagnosis and management of
deficiency of Vitamin C (scurvy)
Iodine deficiency Disorder
1. Discuss the RDA, dietary sources of
Iodine and their role in Health and
disease.
2. Describe the causes, clinical features,
diagnosis and management of
deficiency of Iodine.
3. Discuss the National Goiter Control
program and their
recommendations.
Iron deficiency
1. Discuss the RDA, dietary sources of
anemia
Iron and their role in health and
(PE 13.1, 13.2,
disease'
13.5, 13.6)
2. Describe the causes, clinical
features,diagnosis and management
of Fe deficiency
3. Discuss the National Anemia control
program and its recommendations.
Vitamin D and
Vitamin D/Ca/Mg
Calcium &
1. Discuss the RDA, dietary sources of
Magnesium
Vitamin D and their role in health and
deficiency
disease.
(PE 12.6, 12.7,
2. Describe the causes, clinical features,
Page 4 of 96

---

12.9, 12.10,
diagnosis and management of
13.11, 13.12,
Deficiency / excess of Vitamin D
13.13, 13.14)
(Rickets and Hypervitaminosis D).
3. Discuss the role of screening for
Vitamin D deficiency
4. Discuss the RDA, dietary sources of
Calcium and their role in health and
disease
5. Describe the causes, clinical features,
diagnosis and management of Ca
Deficiency
6. Discuss the RDA, dietary sources of
Magnesium and their role in health
and disease.
7. Describe the causes, clinical features,
diagnosis and management of
Magnesium Deficiency
29 Anemia and
02
Anemia
1. Definition
.
other Hemato-
(PE 29.1)
2. Etiopathogenesis
oncologic
3. Classification
disorders in
4. Approach to a child with anemia
children
Nutritional
Iron def anemia/ Megaloblastic anemia
anemia
1. Etiopathogenesis
(PE 29.2, 29.3,
2. Clinical features
29.5)
3. Lab investigations
4. Management
5. Discuss the National Anemia Control
Program
9.
Fluid and
01
Fluid and
1. Composition of body fluids
electrolyte
electrolytes
2. Water balance and Osmolality
balance
(PE 15.1, 15.2)
3. Normal maintenance fluid and
electrolyte requirements
4. Sodium balance and its disorders
5. Potassium balance and its disorders
6. Overview of Acid-Base disorders
10 National
02
Vaccines in
1. Components of the Universal
.
Programs, RCH
children
Immunization Program and the
? Universal
(PE 19.1, 19.2,
National Immunization Program.
Immunizations
19.3, 19.4)
2. Epidemiology of Vaccine preventable
program
diseases
3. Vaccine description with regard to
classification of vaccines, strain used,
dose, route, schedule, risks, benefits
and side effects, indications and
Page 5 of 96

---

contraindications. (BCG, OPV, IPV Hep
B, DPT, Hib, MMR)
4. Define cold chain and discuss the
methods of safe storage and handling
of vaccines
Immunization
1. Immunization in special situations ?
in special
HIV positive children,
situations and
immunodeficiency, pre-term, organ
newer vaccines
transplants, those who received blood
(PE 19.5, 19.16)
and blood products, splenectomised
children, adolescents, travelers.
2. Enumerate available newer vaccines
and their indications including
pentavalent pneumococcal, rotavirus,
JE, typhoid IPV & HPV.
3. Combination vaccines
4. AEFI
11 Respiratory
02
RTI GEM ? I
Naso pharyngitis/ Pharyngo Tonsil itis/
system
(PE 28.1, 28.2,
Acute Otitis Media (AOM)
28.3, 28.4,
1. Etio-pathogenesis
28.5, 28.6,
2. Clinical features
28.7, 28.8))
3. Management
4. Complications
Stridor/Epiglottitis/Acute
laryngotracheobronchitis/Foreign Body
Aspiration
1. Etiopathogenesis
2. Clinical features
3. Management
RTI GEM -I
Bronchiolitis and wheeze associated LRTI/
(PE 28.18)
Empyema/Lung Abscess
1. Etio-pathogenesis
2. Clinical features
3. Diagnosis
4. Management
5. Prevention
12 Vaccine
02
Fever
1. Enumerate the common causes of
.
preventable
&Exanthemato
fever
Diseases&
us Fever
2. Etiopathogenesis
Tuberculosis
(PE 34.14,
3. Clinical features
34.15)
4. Complications
5. Management
6. Approach to a child with
Exanthematous Fever
Measles,
1. Etiopathogenesis
Mumps,
2. Clinical features
Rubella &
3. Complications
Page 6 of 96

---

Chicken pox
4. Management
(PE 34.15)
5. Prevention
6. Measles, Mumps, Rubella & Chicken
pox vaccines
13 Chromosomal
01
Down
1. Genetic basis
General
.
Abnormalities
syndrome,
2. Risk factors
Medicine ?
Turner
3. Clinical features
PE 32.3,
&Klinefelter
4. Complications
32.9
syndrome
5. Prenatal diagnosis
Obs&
(PE 32.1, 32.3,
6. Management
Gynae ? PE
32.4, 32.5,
7. Genetic counselling.
32.9
32.6, 32.8,
32.9, 32.10,
32.11, 32.13)
14 Diarrheal
01
Diarrheal
1. Etio-pathogenesis
.
diseases and
diseases &
2. Classification
Dehydration
dehydration
3. Clinical presentation
incl
4. Management
Persistent
5. Physiological basis of ORT
diarrhea,
6. Types of ORS
Chronic
7. Composition of various types of ORS
diarrhea and
8. Classification and clinical presentation
dysentery
of various types of diarrheal
(PE 24.1, 24.2,
dehydration
24.3, 24.4,
9. Types of fluid used in Pediatric
24.5, 24.6,
diarrheal diseases and their
24.7, 24.8,
composition
24.14)
10. Role of antibiotics, antispasmodics,
anti-secretory drugs, probiotics, anti-
emetics in acute diarrheal diseases
15 Pediatric
02
Poisoning
1. Clinical approach to a child with
General
.
Emergencies ?
(PE 27.8, 14.1,
suspected poisoning
Medicin
Common
14.2, 14.3,
2. Common poisonings ?
e
Pediatric
14.4)
Hydrocarbon/OP/PCM/Lead/Enveno
Emergencies
mation
3. Etiopathogenesis
4. Clinical features
5. Lab investigations
6. Management
Child abuse
1. Causes
(PE 27.29)
2. Clinical presentation
Medico-legal implications
16 Allergic
01
Allergy in
Al ergic Rhinitis/Atopic Dermatitis/Urticaria
.
Rhinitis,
children
Angioedema
Atopic
(PE 31.1, 31.3,
1. Etiology
Dermatitis,
31.12)
2. Clinical features
Page 7 of 96

---

Bronchial
3. Management
Asthma ,
4. Complications
Urticaria
5. Prevention
Angioedema
17 Adolescent
01
Adolescence &
1. Visit to the Adolescent Clinic. Discuss
Psychiatry
.
health and
Puberty
the objectives and functions of AFHS
common
(PE 6.10, 6.11)
(Adolescent Friendly Health Services)
problems
and the referral criteria.
related to
Adolescent
Health.
18 Common
01
Developmental
1. Visit a Child Developmental Unit and
.
problems
delay
observe its functioning. Discuss the role
related to
(PE 3.5, 3.6,
of the child developmental unit in
Development-
3.7)
management of developmental delay.
1
Discuss the referral criteria for children
(Development
with developmental delay
al delay,
Cerebral palsy)
19 Common
01
Scholastic
1. Visit to child guidance clinic. Discuss the
.
problems
backwardness
role of Child Guidance clinic in children
related to
and Learning
with Developmental problems&
Development-
Disabilities (LD)
Behavioral problems.
2
(PE 4.5, 4.6,
(Scholastic
5.10,5.11)
backwardness,
Learning
disabilities,
Autism ADHD)
TOTAL
30
Theory III (Part I) MBBS (20 hours)
S.
Topic
Hours Lectures
SLO
Horizontal
No
(Competency
Integration
No)
1.
Normal Growth 01
Growth &
1. Definition of Growth
Psychiatry
and
Development
2. Definition of Development
Development
(PE 1.1, 1.2, 1.3,
3. Physiology of Growth &
1.5)
Development
4. Normal Growth ? Somatic and
physical
5. Assessment of Growth
Page 8 of 96

---

parameters; Growth charts
6. Factors affecting Growth &
Development
7. Overview of disorders related to
Growth & Development
2.
Common
02
Developmental
1. Definition
problems
delay
2. Developmental delay vs
related to
(PE 3.1, 3.2,
Intellectual disability
Development-1
30.10)
3. Etiology
(Developmental
4. Clinical Features
delay, Cerebral
5. Approach to developmental
palsy)
delay and ID
6. Prevention and management
Cerebral palsy
1. Definition
Physical
(PE 3.8, 30.11)
2. Etiopathogenesis
Medicine &
3. Types of CP
Rehabilitation
4. Evaluation of a child with CP
5. Prevention and management
3.
Common
02
Scholastic
1. Causes of Scholastic
problems
backwardness
backwardness
related to
and Learning
2. Approach to a child with
Development-2
Disabilities (LD)
Scholastic backwardness
(Scholastic
(PE 4.1, 4.2)
3. Definition of LD
backwardness,
4. Types of LD and clinical features
Learning
5. Etiology
disabilities,
6. Approach to a child with LD and
Autism ADHD)
management
ADHD and
1. Etiology of ADHD
Autism
2. Clinical features of ADHD
(PE 4.3, 4.4)
3. Diagnosis and management of
ADHD
4. Etiology of Autism
5. Clinical features of Autism
6. Diagnosis and management of
Autism
4.
Common
01
Behavioral
1. Describe the clinical features,
Psychiatry
problems
problems of
diagnosis and management of
related to
children incl
common behavioral problems
behavior
Enuresis &
like
Encopresis
Thumb sucking,
(PE 5.1, 5.2, 5.3,
Feeding problems,
5.4, 5.5, 5.6, 5.7,
Nail biting
5.8, 5.9)
Breath Holding spells,
Pica,
Page 9 of 96

---

Fussy infant.
2. Definition of enuresis and
encopresis
3. Differentiate between primary
and secondary enuresis
4. Maturation of bowel and bladder
control
5. Etiology of Enuresis and
Encopresis
6. Clinical features of Enuresis and
Encopresis
7. Management of Enuresis and
Encopresis
5.
Adolescent
01
Adolescence &
1. Define Adolescence
Psychiatry
health and
Puberty
2. Stages of adolescence and SMR
common
(PE 6.1, 6.2, 6.3,
3. Describe the physical,
problems
6.4, 6.5, 6.6, 6.7,
physiological and psychological
related to
6.12, 6.13)
changes during adolescence and
Adolescent
Puberty.
Health.
4. Outline the general health
problems during adolescence.
5. Describe adolescent sexuality
and common problems related to
it.
6. Explain the Adolescent Nutrition
and common nutritional
problems.
7. Outline the common Adolescent
eating disorders (Anorexia
Nervosa, Bulimia).
8. Describe the common mental
health problems during
adolescence.
9. Enumerate the importance of
obesity and other NCD in
adolescents.
10. Enumerate the prevalence and
the importance of recognition of
sexual drug abuse in adolescents
and children.
6.
Normal
01
Normal
1. Describe the age-related
nutrition,
Nutrition
nutritional needs of infants,
assessment and
(PE 9.1, 9.2, 9.3,
children and adolescents
monitoring.
9.7)
including micronutrients and
Page 10 of 96

---

vitamins
2. Concept of RDA and balanced
diet.
3. Describe the tools and methods
for assessment and classification
of nutritional status of infants,
children and adolescents.
4. Explains the Calorific value of
common Indian foods
7.
Vaccine
8
Tuberculosis in
1. Epidemiology
Respiratory
preventable
children
2. Clinical features and clinical types
Medicine
Diseases&
(PE 34.1, 34.2,
3. Complications of Tuberculosis
Tuberculosis
34.12, 34.13)
4. Diagnostic tools for childhood
tuberculosis.
5. Indications and discuss the
limitations of methods of
culturing M. Tuberculosis.
6. Newer diagnostic tools for
Tuberculosis including BACTEC
CBNAAT and their indications
Management of
1. Various regimens for
Respiratory
tuberculosis
management of Tuberculosis as
Medicine
(PE 34.3, 34.4)
per National Guidelines.
2. Preventive strategies adopted
and the objectives and outcome
of the National Tuberculosis
Control Programme
Diphtheria,
1. Etiopathogenesis
Pertussis,
2. Clinical features
Tetanus
3. Complications
(PE 34.16)
4. Management
5. Prevention
6. Diphtheria, Pertussis, Tetanus
vaccines
Enteric fever
1. Etiopathogenesis
(PE 34.17)
2. Clinical features
3. Complications
4. Management
5. Prevention
6. Typhoid vaccines
Rickettsial
1. Etiopathogenesis
diseases
2. Clinical features
(PE 34.20)
3. Complications
4. Management
5. Prevention
Parasitic
Common Parasitic infections -
infections
leishmaniasis, filariasis, helminthic
Page 11 of 96

---

(PE 34.19)
infestations, amebiasis, giardiasis
1. Etiopathogenesis
2. Clinical features
3. Complications
4. Management
5. Prevention
Malaria
1. Etiopathogenesis
(PE 34.19)
2. Clinical features
3. Complications
4. Management
5. Prevention
6. National Malaria Eradication
Programme
Dengue Fever
1. Etiopathogenesis
(PE 34.18)
2. Clinical features
3. Complications
4. Management
5. Prevention
6. Overview of Chikungunya
8.
Systemic
01
Acute Flaccid
1. Etiology
Pediatrics-
Paralysis (AFP)
2. Approach to a child with AFP
Central
and
3. Evaluation
Nervous system
Poliomyelitis
4. Management
(PE 30.13)
5. AFP Surveillance
9.
Endocrinology
03
Hypothyroidism
1. Physiology of thyroid gland
(PE 33.1)
2. Thyroid function test
3. Etiology
4. Congenital vs Acquired
5. Clinical features
6. Evaluation
7. Management
8. New-born Screening
Diabetes
1. Etiopathogenesis
mellitus in
2. Diagnostic criteria
children and
3. Classification
DKA
4. Clinical features
(PE 33.4)
5. Management
6. Complications incl DKA
Disorders of
Precocious and delayed Puberty
puberty
1. Definition
(PE 33.8)
2. Etiology
3. Clinical Features
4. Evaluation
5. Management
TOTAL
20
Page 12 of 96

---

Self-Directed Learning III (Part I) MBBS (05 hours)
S.
Topic
Hours Lectures
SLO
Horizontal
No
(Competency
Integration
No.)
1.
The National 02
National
1. State the vision and outline the
Obs &
Health
programs
goals, strategies and plan of
Gynae
Programs,
pertaining to
action of NHM and other
NHM
maternal & child
important national programs
The National
health, child
pertaining to maternal and child
Health
survival & safe
health including RMNCH A+,
Programs,
motherhood
RBSK, RKSK, JSSK mission Indra
RCH
(PE 17.1, 17.2,
Dhanush and ICDS.
18.1, 18.2)
2. List and explain the components,
plan, outcome of Reproductive
Child Health (RCH) program and
appraise its monitoring and
evaluation
3. Explain preventive interventions
for child survival and safe
motherhood
TOTAL
02
Page 13 of 96

---

Tutorials/ Smal Group Discussions III (Part II) MBBS (35 hours)
S.
Topic
Hours Domain (Competency
SLO
Horizontal
No
No.)
Integration
1
Group
01
Fluids & Electrolytes,
1. Calculate fluid and electrolyte
Discussions
Nutrition
imbalance, Interpret
(PE 15.3, 15.4, 15.5,
electrolyte report,
9.5)
2. Calculate the fluid and
electrolyte requirement in
health
3. Plan an appropriate diet in
health & disease
01
Cardiac Failure
1. Develop a treatment plan and
(PE 23.11, 23.16, 23.17,
prescribe appropriate drugs
23.18)
including fluids in cardiac
diseases, anti -failure drugs,
and inotropic agents.
2. Discuss the indications and
limitations of Cardiac
catheterization.
3. Enumerate some common
cardiac surgeries like BT shunt,
Potts and Waterston's and
corrective surgeries
4. Demonstrate empathy while
dealing with cardiac disease.
01
Oxygen Therapy
1. Discuss oxygen therapy in
(PE 27.9, 27.10, 14.5)
Pediatric emergencies and
modes of administration.
2. Observe the various methods
of administering Oxygen.
3. Discuss oxygen toxicity and
free radical injury
01
Counselling
1. Counselling a parent with
(PE 2.3, 3.4, 8.5, 27.32,
failing to thrive child
27.33, 28.20)
2. Counselling a parent with
developmental delay
3. Counsel & educate mothers on
the best practices in
complimentary feeding
4. Obtain Informed Consent.
Page 14 of 96

---

5. Counsel parents of
dangerously ill/terminally ill
child to break bad news
6. Counsel the child with asthma
on the correct use of inhalers
in a simulated environment
01
Hemat
1. Enumerate the referral criteria
(PE 29.18, 29.20)
for Hematological conditions.
2. Enumerate the indications for
splenectomy and precautions
2.
Radiology
01
X-
1. Interpret report of Plain X Ray
Ray/USG/Neuroimaging
of KUB
(PE 21.12, 21.13,
2. Enumerate the indications for
23.12, 26.9, 28.17,
and Interpret the written
30.21, 30.22, 31.9,
report of Ultra sonogram of
34.8)
KUB
3. Interpret a chest X ray and
recognize Cardiomegaly
4. Interpret Liver USG
5. Interpret X-ray of the
paranasal sinuses and mastoid;
and /or use written report in
case of management
6. Interpret CXR in foreign body
aspiration and lower
respiratory tract infection,
understand the significance of
thymic shadow in pediatric
chest X-rays
7. Enumerate the indication and
limitations &Interpret the
reports of CT, MRI Brain &
Spine
8. Interpret CX Ray in Asthma
9. Interpret a Chest Radiograph in
pediatric TB
3.
Cards (Case
01
(PE 21.11, 23.13, 23.14.
1. Interpret Hemogram and Iron
Scenario
24.13, 26.9, 26.11,
Panel
based)
28.16, 29.14, 19.15,
2. interpret the common analytes
29.16, 30.20, 30.21,
in a Urine examination
30.22, 33.3, 33.6, 33.9,
3. Interpret Pediatric ECG
34.9, 34.10)
4. Choose and Interpret blood
reports in Cardiac illness
5. Interpret RFT and electrolyte
report
6. Interpret Liver Function Tests,
Page 15 of 96

---

viral markers.
7. Enumerate indications of UGI
Endoscopy
8. Interpret blood tests relevant
to upper respiratory problems.
9. Interpret CBC, LFT in anemia
10. Perform and interpret
peripheral smear
11. Discuss the indications for
Hemoglobin electrophoresis
and interpret report
12. Interpret and explain the
findings in a CSF analysis
13. Interpret and explain neonatal
thyroid screening report
14. Perform and interpret Urine
Dip Stick for Sugar. Interpret
Blood sugar reports and
explain the diagnostic criteria
for Type 1 Diabetes
15. Interpret the reports of EEG
16. Perform Sexual Maturity
Rating (SMR) and interpret
17. Interpret blood tests in the
context of laboratory evidence
for tuberculosis. Discuss the
various samples for
demonstrating the organism
e.g. Gastric Aspirate, Sputum,
CSF, FNAC.
4.
Skills Lab
02
(PE 15.6, 15.7, 19.9,
1. Demonstrate the steps of
AETCOM
19.13, 20.3, 24.15,
inserting an IV cannula in a
? PE 19.9
24.16, 24.17, 26.10,
model
27.20, 29.17, 30.23)
2. Demonstrate the steps of
inserting an interosseous line
in a mannequin
3. Demonstrate the correct
administration of different
vaccines in a mannequin.
4. Describe the components of
safe vaccine practice ? Patient
education/ counselling;
adverse events following
immunization, safe injection
practices, documentation and
Medico-legal implications
5. Perform Neonatal resuscitation
Page 16 of 96

---

in a manikin
6. Perform NG tube insertion in a
manikin
7. Perform IV cannulation in a
model
8. Demonstrate the technique of
liver biopsy or perform Liver
Biopsy in a simulated
environment.
9. Demonstrate performance of
bone marrow aspiration in
manikin
10. Perform in a mannequin
lumbar puncture. Discuss the
indications, contraindication of
the procedure
5.
Genito-
02
Urinary
Hypertension in
1. Definition
system
children
2. Etiopathogenesis
(PE 21.17)
3. Grading
4. Clinical features
5. Management
6. Complications
7. Acute severe hypertension
Voiding Disorders
1. Discuss & Enumerate the
(PE 21.15)
referral criteria for children
with genitourinary disorder
2. Counsel & educate patients
regarding referral
6.
Cardiovascular 04
Congestive cardiac
1. Etiology
system: Heart
failure in infants and
2. Pathogenesis
disease
children
3. Clinical presentation
(PE 23.3)
4. Management
Acyanotic congenital
VSD, ASD and PDA
heart diseases
1. Etiology
(PE 23.1)
2. Hemodynamic changes
3. Clinical features
4. Investigations
5. Management
Cyanotic congenital
1. Classify Cyanotic congenital
heart diseases
heart disease
(PE 23.2)
Fal ot's Physiology
2. Etiology
3. Hemodynamic changes
4. Clinical features
5. Investigations
Page 17 of 96

---

6. Management
Infective endocarditis
Acquired Heart Disease
1. Etio-pathogenesis
(PE 23.4, 23.5, 23.6)
2. Clinical features
3. Diagnosis
4. Management
Acute rheumatic fever
1. Etio-pathogenesis
2. Clinical features
3. Diagnosis
4. Management and prevention
5. Complications
7.
Pediatric
03
1. Definition
Emergencies ?
Shock in children
2. BP regulation
Common
(PE 27.5)
3. Pathophysiology
Pediatric
4. Classification
Emergencies
5. Monitoring
6. Management
Status epilepticus
1. Definition
(PE 27.6, 30.9)
2. Etiology
3. Approach to a child with status
epilepticus
4. Evaluation
5. Management
Unconscious child and
1. Definition
Coma
2. Etiopathogenesis
(PE 27.8)
3. Evaluation
4. Management
5. Brain death
8.
Care of the
04
Care of low birth
1. Definition
Normal
weight (LBW) babies
2. Etiology
Newborn, and
(PE 20.11)
3. Explain the terminologies ?
High-risk
IUGR/SGA
Newborn
4. Clinical features
5. Issues in LBW care
6. Feeding in LBW babies
7. Management of LBW babies
8. Growth monitoring of LBW
babies
Neonatal hypoglycemia Hypoglycemia and hypocalcemia
& hypocalcemia
1. Definition
(PE 20.13, 20.14)
2. Etiology
3. Clinical features
4. Management
Neonatal Seizures
1. Etiology
(PE 20.15)
2. Clinical features
3. Management
Page 18 of 96

---

Perinatal infections
TORCH/Tuberculosis/Hep
(PE 20.17)
B/Varicella
1. Etiology
2. Transmission
3. Clinical features
4. Management
9.
Anemia and
02
Hemolytic anemia
1. Etiology
other
(PE 29.4)
2. Classification
Hemato-
3. Approach to a child with
oncologic
hemolytic anemia
disorders in
4. Management
children
5. Overview of HS, AIHA and HUS
Thalassemia and Sickle
1. Etiology
Cell Anemia
2. Clinical features
(PE 29.4)
3. Lab investigations
4. Management incl Iron
Chelation therapy
5. Complications
10. Acute and
02
Acute liver disease &
Acute hepatitis in children ? Viral
chronic liver
Fulminant hepatic
(Hep A,B,C), Autoimmune and
disorders
failure
Wilsons disease
(PE 26.1, 26.2)
1. Etio-pathogenesis
2. Clinical features
3. Management
Fulminant Hepatic Failure in
children
1. Etio-pathogenesis
2. Clinical features
3. Management
Chronic liver disease &
Chronic liver diseases in children
Portal hypertension
1. Etio-pathogenesis
(PE 26.3, 26.4, 26.11,
2. Clinical features
26.12)
3. Evaluation
4. Complications ? hepatic
encephalopathy and ascites
5. management
Portal Hypertension in children
1. Etio-pathogenesis
2. Clinical features
3. Management
4. Complications
11. Respiratory
01
Pneumonia and ARDS
1. Etio-pathogenesis
system
(PE 27.3, 27.4)
2. Clinical features
3. Diagnosis
4. Management
Page 19 of 96

---

5. Prevention
4.
Malabsorption 01
Malabsorption
1. Etio-pathogenesis
(PE 25.1)
2. Clinical presentation
3. Management
4. Overview of celiac disease
TOTAL
28
Theory III (Part II) MBBS (20 hours)
S.
Topic
Hours Lectures
SLO
Horizontal
No
(Competency No.)
Integration
1.
Care of the
05
Birth asphyxia
1. Definition
Normal
(PE 20.7)
2. Etiology
Newborn, and
3. Clinical features
High-risk
4. Management
Newborn
5. Prevention
Respiratory
RDS/TTNB/MAS
distress in
1. Etiology
newborn
2. Clinical features incl scoring
(PE 20.8)
systems
3. Management
Birth injuries
Birth Injuries
&Hemorrhagic
1. Etiology
disease of
2. Clinical features
newborn (HDN)
3. Management
(PE 20.9, 20.10)
HDN
1. Definition and classification
2. Etiology
3. Clinical features
4. Management
5. Prevention
Neonatal Sepsis
1. Classification
(PE 20.16)
2. Etiology
3. Clinical features
4. Investigations
5. Management
Surgical conditions TEF, esophageal atresia, anal atresia,
in newborn
cleft lip and palate, congenital
(PE 20.20)
diaphragmatic hernia
1. Etiology
2. Clinical presentation
3. Management
4. Causes of acute abdomen in
Page 20 of 96

---

neonates
2.
Genito-
03
UTI
1. Etiology and predisposing factors
Urinary
(PE 21.1)
2. Clinical features
system
3. Diagnosis
4. Management
5. VUR
Approach to
Hematuria
hematuria& Acute
1. Definition
glomerulonephritis
2. Diagnostic evaluation
(PE 21.2, 21.4)
3. Referral criteria
Acute Glomerulonephritis
1. Definition
2. Etiology
3. Clinical features of PSGN
4. Management of PSGN
5. Complications
Acute kidney
1. Definition and classification
injury (AKI) and
2. Etiology and pathophysiology
Chronic kidney
3. Approach to a child with AKI
disease (CKD)
4. Management
(PE 21.5, 21.6)
5. Complications
6. Renal replacement therapy
3.
Approach to
02
Approach to
1. Enumerate the common
and
Rheumatological
Rheumatological problems in
recognition of
Problems incl JIA
children.
a child with
and SLE
2. Approach to a child with arthritis
possible
(PE 22.1)
3. Referral criteria for a child with
rheumatologic
possible rheumatologic problem
problem
JIA/SLE
1. Definition
2. Etiopathogenesis
3. Clinical subtypes/Clinical features
4. Diagnosis
5. Management
Vasculitic
Enumerate common Vasculitic
disorders in
disorders in children and its
children
classification
(PE 22.3)
Kawasaki disease/HSP
1. Etiology
2. Clinical features
3. Diagnosis
4. Management
4.
Anemia and
02
Thrombocytopenia Thrombocytopenia
other
and Hemophilia
1. Causes of thrombocytopenia
Hemato-
(PE 29.6, 29.7)
2. Etiology of ITP
Page 21 of 96

---

oncologic
3. Clinical features and
disorders in
management of ITP
children
Hemophilia
1. Approach to a child with bleeding
disorder
2. Etiology and types of hemophilia
3. Clinical features and
management of hemophilia
Leukemia,
ALL/Lymphoma/Wilm'sTumor
Lymphomas and
1. Etiology
Solid Tumors in
2. Clinical features
children
3. Management
(PE 29.8, 29.9,
21.17)
5.
Systemic
08
Meningitis in
1. Etio pathogenesis
Pediatrics-
children
2. Clinical features
Central
(PE 30.1, 30.2)
3. Lab investigations
Nervous
4. Management
system
5. Prevention
6. Differentiate between Bacterial,
Viral and TB Meningitis
7. Approach to a child with acute
febrile encephalopathy
Hydrocephalus
1. Etio pathogenesis
(PE 30.3)
2. Clinical features
3. Investigations
4. Complications
5. Management
6. Overview of I H
Microcephaly and
1. Etio pathogenesis
Neural tube
2. Classification/Types
defects
3. Clinical features
(PE 30.4, 30.5)
4. Complications
5. Management
Infantile
1. Etio pathogenesis
hemiplegia/ Stroke
2. Clinical features
(PE 30.6)
3. Investigations
4. Management
Epilepsy in
1. Definition
children
2. Pathogenesis
(PE 30.8)
3. Types of Epilepsy
4. Clinical presentation
5. Management
6. Overview of status epilepticus
Muscular
DMD/BMD
Page 22 of 96

---

dystrophy
1. Etiology
(PE 30.14)
2. Clinical features
3. Differential diagnosis
4. Evaluation
5. Management
Ataxia in children
1. Definition
(PE 30.15)
2. Etiology
3. Clinical features
4. Differential Diagnosis
5. Management
1. Pathophysiology of headache
Approach to
2. Approach to a child with
headache in
headache
children
3. Types of Headache
(PE 30.16)
4. Management
TOTAL
20
Self-Directed Learning III (Part II) MBBS (10 hours)
S.
Topic
Hours Lectures
SLO
Horizontal
No
(Competency No.)
Integration
1.
Systemic
04
Floppy infant
1. Etiology
Pediatrics-
(PE 30.12)
2. Clinical features
Central
3. Differential diagnosis
Nervous
4. Evaluation
system
5. Management
Febrile seizures
1. Definition
(PE 30.7)
2. Types
3. Etio pathogenesis
4. Clinical features
5. Investigations
6. Complications
7. Management
2.
Care of the 02
Neonatal
1. Physiological vs pathological
Normal
hyperbilirubinemia
jaundice
Newborn,
(PE 20.19)
2. Etiology
and High-
3. Clinical features
risk
4. Approach to a neonate with
Newborn
jaundice
5. Management
6. Follow-up
3.
Genito-
02
Approach to
Proteinuria
Urinary
Proteinuria
1. Definition
system
&Nephrotic
2. Diagnostic evaluation
Page 23 of 96

---

syndrome
3. Referral criteria
(PE 21.3)
Nephrotic Syndrome
1. Definition
2. Etiology
3. Terminologies ?
Remission/Relapse/Steroid
dependence/Steroid resistance
4. Clinical features
5. Management
6. Complications
7. SDNS/SRNS/Congenital nephrotic
syndrome
4.
Respiratory 02
Asthma in children
1. Pathophysiology incl Triggers
system
(PE 28.19, 28.20,
2. Clinical features
31.5, 31.7, 31.8,
3. Diagnosis and differential diagnosis
31.10)
4. Management
5. Inhalational therapy
6. Monitoring and modification of
treatment
8. Management of acute
exacerbation of bronchial asthma
TOTAL
10
Page 24 of 96

---

Internal Assessment
Subject ? Pediatrics
Applicable w.e.f October 2020 onwards examination for batches
admitted from June 2019 onwards
Phase
Theory
Practical
Second
-
EOP Practical Examination may be conducted.
MBBS
However, these marks shall not be added to the
Internal Assessment.
3rd Year (III MBBS, PART I)
Phase
I-Exam (January)
II-Exam (April)
Theory
Practical
Total
Marks
Theory
Practical
Total
Marks
I I/I
50
50
100
50
50
100
MBBS
4th Year (III MBBS, PART II)
Clinical posting- 4 weeks
Theory- lectures- 20, tutorials- 35, self-directed learning-10. Total 65 hrs
Phase
III-Exam (May)
IV-Exam (Preliminary examination)
(November)
Theory
Practical
Total
Marks
Theory
Practical
Total
Marks
I I/I
50
50
100
100
100
200
MBBS
Page 25 of 96

---

Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
There shall be 4 internal assessment examinations in Pediatrics including
Prelim.
2.
The suggested pattern of question paper for internal assessment
examinations, except prelim examination is attached at the end. Pattern of the
prelims examinations should be similar to the University examinations.
3.
Internal assessment marks for theory and practical wil be converted to out
of 25 (theory) + 25 (practical). Internal assessment marks, after conversion,
should be submitted to university within the stipulated time as per directives
from the University. Conversion Formula for calculation of marks in internal
assessment examinations.
Theory
Practical
Phase II
-
-
Phase III/I
100
100
Phase III/II
150
150
Total
250
250
Conversion out of
25
25
Conversion
Total marks in 4 Total marks in 4
formula
IA
theory IA
Practical
examinations /10 examinations /10
Eligibility criteria
10
10
after conversion
Combined theory + Practical = 25
Page 26 of 96

---

1. While preparing Final Marks of Internal Assessment, the rounding-off marks
shall done as il ustrated in fol owing table.
Total Internal Assessment Marks
Final rounded
marks
13.01 to 13.49
13
13.50 to 13.99
14
2. Students must secure at least 50% marks of the total marks (combined in theory
and practical / clinical; not less than 40 % marks in theory and practical
separately) assigned for internal assessment in order to be eligible for appearing
at the final University examination of that subject.
3. Internal assessment marks wil not to be added to marks of the University
examinations and wil be shown separately in mark list.
4. Remedial measures
A. Remedial measures for non-eligible students
i) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically. Extra classes for such students
may be arranged.
i ) If majority of the students found to be weak in a particular area then
extra classes must be scheduled for all such students. Even after these
measures, if a student is failed to secure 50% marks combined in theory
and practical (40% separately in theory and practical) after prelim
examination, the student shall not be eligible for final examination.
i i) Non eligible candidates are offered to reappear for repeat internal
assessment examination/s, which must be conducted 2 months before
next University examination. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. The marks in this examination shall be considered for
deciding the eligibility criteria. Fol owing conversion formula shall be
used for converting the marks.
Page 27 of 96

---

Theory
Practical
Remedial
100
100
examination
Conversion out of
25
25
Conversion
Marks in remedial Marks in remedial
formula
theory
Practical
examinations /4
examinations /4
Eligibility criteria
10
10
after conversion
Combined theory + Practical = 25
B. Remedial measures for absent students:
If any of the students is absent for any of the 4 IA examinations due to
any reasons, fol owing measures shall be taken.
i.
The student is asked to apply to the academic committee of the col ege
for reexamination, through HOD, to ascertain the genuineness of the
reason for absentee.
i .
If permitted by academic committee, an additional examination for such
students is to be conducted after prelims examination. Marks for such
additional examination shall be equal to the missed examination.
i i.
Even if a student has missed more than one IA examination, he/she can
appear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,
without changing the denominator.
Page 28 of 96

---

Internal Assessment Practical Examinations
Pediatrics
Internal Assessment Practical ? I, II and III
Subject: Pediatrics Practical (IA ? I, I and I I)
Practical
Journal & log
Case
OSCE 1
OSCE 2
Total
book
marks
20
10
10
10
50
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skills and
Communication skills., history taking of a particular symptom; nutrition history, developmental history,
immunization history.
Prelim Practical
Subject: Pediatrics Practical (Prelims)
Long Case
Short Case
Viva
Journal
Practical
(Including clinical
(Including
OSCE
& log
Total
skills
communication
(4 stations x 10
book
marks
demonstration)
skills)
marks each)
25
15
40
10
10
100
OSCE 1 ? Clinical Skills , OSCE 2 ? Anthropometry assessment, OSCE 3 ? Certifiable procedural
skills , OSCE 4 ? AETCOM related skills
MUHS Final Practical
Subject: Pediatrics Practical (Prelims)
Long Case
Short Case
Viva
Practical
OSCE
(Including clinical skills
(Including
Total marks
(4 stations x 10
demonstration)
communication skills)
marks each)
30
20
40
10
100
OSCE 1 ? Clinical Skills , OSCE 2 ? Anthropometry assessment, OSCE 3 ? Certifiable procedural
skills , OSCE 4 ? AETCOM related skills
Page 29 of 96

---

Internal Assessment Examination (I, II and III) Pediatrics
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10 Marks)
1.
Multiple Choice Questions (Total 10 MCQ of One mark each)
(_10_x_1_=_10__)
a) b) c) d) e) f) g) h) i) j)
SECTION "B" & "C"
Instructions:
1)
Use blue/black ball point pen only.
2)
Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
attempt to resort to unfair means.
3)
All questions are compulsory.
4)
The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
Use a common answerbook for all sections.
SECTION "B" (20 Marks)
2 Short Answer Questions (Five marks each) (Any 5 out of 6)
(5x5= 25)
.
a) b) c) d) e)
f)
3 Long Answer Questions
(15x1=15)
.
a)
Page 30 of 96

---

MUHS Final Theory Examination
Paediatrics
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
SECTION "A" MCQ
Instructions:
5)
Put in the appropriate box below the question number once only.
6)
Use blue ball point pen only.
7)
Each question carries One mark.
8)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each)
(1x20=20)
a)
b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
SECTION "B" & "C"
Instructions:
1)
Use blue/black ball point pen only.
2)
Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
attempt to resort to unfair means.
3)
All questions are compulsory.
4)
The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
Use a common answer book for all sections.
SECTION "B" (40 Marks)
2. Long Answer Questions (Any 2 out of 3) structured clinical questions
(15 x 2=30)
a)
b) c)
(5 x 3=15)
3.Short Answer Questions (All 3),(including 1 on AETCOM)
a)
b) c)
SECTION C (40 Marks )
4 Long answer questions
(15x1=15)
a)
5 Short answer questions( any 4 out of 5) (Clinical Reasoning)
(5x4=20)
a)
b) c) d) e)
Page 31 of 96

---

Journal
of
Paediatrics
Page 32 of 96
1

---

College
NAME OF THE COLLEGE
MUHS,Nasi
Logo
kLogo
DEPARTMENT OF PAEDIATRICS
Journal of Paediatrics
Name of the Student: - ________________________________________
Batch Year: - ___________________
Roll No. :- ____________________
Phase: II (Year-
)
Phase: III-I (Year-
)
Phase: III-II (Year-
)
Page 33 of 96
2

---

College
NAME OF THE COLLEGE
MUHS,Nasi
Logo
DEPARTMENT OF PAEDIATRICS
kLogo
DEPARTMENT OF PAEDIATRICS
POSTING Certificate
Date-
/ /
Term
From
To
Absent Case- Histories
Skills
Remark
Signatureof
days
Written
achieved
Unit Head
Phase: II
(2 weeks)
Phase:III-I
( 4 weeks)
Phase: III-II
(4 weeks)
- Signature-
Date-
Name of college-
Seal-
Professor and Head
Department of Paediatrics.
Note-
? Students must get the signature of the Unit In charge when posting is completed.
? This certificate must be submitted before every Internal assessment and Preliminary
examination.
? Completed Record is Mandatory for appearing for the Final Examination.
Page 34 of 96
3

---

Hip
H p
ip ocrat
p
i
ocrat c
i Oat
c
h
Oat
"I sw
"
e
I sw a
e r b
a y
y Apollo
A
, the he
e a
he le
a r, A
le
sc
r, A lepius,
le
Hygie
y ia
gie , a
ia nd P
, a
ana
a c
na e
c a
e , a
a nd I take
I ta to w
ke
i
to w tness
tne
all the
a
gods
ll the
, all the
, a
ll the goddesse
de
s, to
sse
kee
ke p a
e
c
p a c
c or
c ding to my a
y bility a
y n
a d my
m
y judgme
m n
e t, the
following O
ollow
a
ing O th a
a
n
th a d agr
d a ee
e m
e e
m nt:
e
To c
T
onside
o c
r
onside dea
de r to
a
me
m , as
, a my pa
y
re
pa nts, him w
m
ho taugh
ho ta
t me
m this a
e
rt; to live in c
o live
o
in c mm
m on
m
with hi
w
m a
m nd, if nec
ne e
c ss
e ar
a y,
y to share
to sha my go
y
ods with hi
w
m;
m To look
T
upon his childr
n his c
en a
e
s
n a
my
y own br
ow
others, t
othe
o teac
a h the
c
m th
m
is art; a
is a
n
rt; a d that b
ha
y
y my
y tea
te c
a hing,
c
I will impa
m
rt a
pa
knowle
know dge
le
dge of this art t
this a
o my ow
y
n
ow sons, and to my
y tea
te c
a he
c
r
he 's sons, and
s, a
to disciple
to disc
s bound
by
y an inde
a
n
n inde ture a
ture nd
a
oat
oa h ac
h a c
c ording
c
to the
to the me
m di
e ca
c l la
a
w
l la s, a
w
n
s, a d no others.
he
I will pre
I w
sc
ill pre r
sc ibe re
ibe
gi
re me
m ns for the good of
or the
my p
y atie
a
nts a
tie
c
nts a c
c or
c ding to my abilit
y a
y a
y nd
a
my
judgme
m nt a
e
nd neve
nd ne
r
ve do har
ha m to a
m
n
to a yo
y ne.
ne
I will give
I w
ill give no dea
no de dl
a y
y medic
e
ine
dic
to any one
y
if
one as
a ked, nor su
ke
ggest a
gge
n
st a y
y such c
c
ounse
h c
l;
ounse and
a
simila
m
rl
ila y I
y will not
w
give a w
a
o
w ma
m n a
a
n a pessa
pe
r
ssa y
y to ca
c use
a
a
use n a
a
bo
n a
rtion.
But I will
But I w
prese
pre rve
se
rve the
the purity of
y
my
y life a
e nd
a
my
m
y ar
a ts.
I will not c
I w
ut for stone,
or stone eve
e
n f
ve
or patie
or pa
nts in
tie
wh
w om the
om
dise
the
ase
a is
se
ma
m nif
a
est; I w
e
ill lea
e ve
a
this opera
this ope ti
ra on to be per
pe forme
orm d b
e
y
y prac
pra titio
c
ners
ne , spec
, spe ia
c lists
ia
in this art.
a
In eve
In e
r
ve y ho
y
use w
use
he
w
r
he e I
e co
c me
m I w
e
ill
I w
ente
e
r on
nte
ly f
y or the good
or the
of my
y patie
pa
nts, kee
nts, ke pin
e
g
mys
y elf
e far
a f
r rom a
rom ll i
a
ntentional ill
ntiona
-doing an
doing a d all
d a seduc
se
tion a
duc
nd espe
nd e
cia
c l
ia ly f
y rom the
m
plea
ple s
a ure
s
s of
ure
love w
love
i
w th wo
w me
m n or
e
me
m n, be
e
n, be they f
y ree
re or sla
e
ve
or sla
s.
ve
All tha
A
t
ll tha ma
m y
y co
c me
m t
e o my
y knowle
know dge in t
dge
he e
he xerc
xe ise
rc
of
ise
my
y professio
e
n or in dail
n or in da y
co
c mm
m e
m rc
e e
rc w
e
ith me
m n
e , whom ought
m
not to be sp
be
rea
re d a
a
broa
d a
d,
broa
I will ke
I w
ep sec
p se re
c t a
re
nd
t a
will
w
neve
ne
r re
ve
ve
r re
a
ve l.
a
If I kee
I ke p this oa
e
th f
p this oa
ait
a hfully,
y ma
m y I
y enjo
e
y
y my
y life a
e nd pra
a
c
nd pra tic
c
e
tic
e my a
y r
a t, respe
re
c
spe te
c d b
te
y
y all
a
huma
m nit
a
y a
y nd in all
nd in a time
m s; but if
e
I swe
I sw rve
e
f
rve rom it or viola
m
t
it or viola e it,
e
ma
m y
y the reve
re
rse
ve
be
rse
be my
life.
e
Page 35 of 96
4

---

MEDICAL STUDENT
"The medical student must exhibit a calm and generous disposition, besides
being virtuous and of noble mind.
He must be tolerant of others and exhibit patience and perseverance in his
academic pursuits.
Although of sharp intellect, he must be both rotational and modest.
He should possess a pleasant appearance and good looks, well-proportioned
body which should free from physical defect or obvious diseases.
Above all, he must be compassionate.
He must exhibit deep interest in the art and science of healing.
He must use his intelligence to discuss facts about the disease and to
understand the clinical significance of symptoms.
Such knowledge he must use not only for his own intellectual enrichment, but
also for acquiring requisite skills in practical management.
He must be humble and loyal to his teachers and instructors.
He should be free from any addictions, greed, arrogance, and intolerance."
- Charaka Samhita (1000 BC)
Page 36 of 96
5

---

Sequence of workbook
No
Topic
Page no.
Hippocratic Oath
-
Medical Students
-
1
General instructions
07
2
Index
08
3
Templates
A.
Long Case
10
B.
Short Case
15
C.
Newborn
19
D.
Immunisation Clinics Attended
23
E.
Emergency Cases Observed
24
F.
Paediatrics Procedures Observed
26
G.
Common Drugs Used In Paediatrics
27
H.
Instruments Used In Paediatrics
29
I.
Nutrition Related To Paediatrics
30
4.
Annexure-1: Course Content- Phase II
31
5
Annexure-2 : Course Content- Phase III-I
32
6
Annexure-3 : Course Content- Phase III-II
33
7.
Annexure-4: Exam Pattern
34
8
Annexure-5 : Distribution Of Journal Marks
35
9
Recommended books
36
10
Paediatrics in General
37
11
List of abbreviations
41
Page 37 of 96
6

---

GENERAL INSTRUCTIONS
1. This Journal is a record of the academic activities of the designated student,
who would be responsible for maintaining his/her Journal.
2. The student is responsible for getting the entries in the Journal verified by
the Faculty in charge regularly.
3. Entries in the Journal will reflect the activities undertaken in the department
and have to be scrutinized by the Head of the concerned department.
4. The Journal is a record of various activities by the student like:
- Overall participation and performance
- Attendance
- Participation in sessions
- Record of completion of pre-determined activities.
- Acquisition of selected competencies.
5. The Journal is the record of work done by the candidate in that department /
specialty and should be verified by the college before submitting the
application of the students for the Universityexamination.
6. Proposednumberofcaserecordsshouldbementionedinthejournal-:
Phase: II- first clinical posting (Two weeks)-
Phase: III-I-second clinical posting in Third Minor (Fourweeks)-
Phase: III-II Third Clinical postingin Third Major (Four weeks)-
Page 38 of 96
7

---

INDEX
1. Long Cases:
Sr. No.
Date
Name of Patient
Diagnosis
Page No.
Sign of Teacher
1
2
3
4
5
6
7
8
9
10
11
12
2. Short Cases:
Sr. No.
Date
Name of Patient
Diagnosis
Page
Sign of Teacher
No.
1
2
3
4
5
6
3. New Born Cases:
Sr. No.
Date
Name of Patient / New Born
Diagnosis
Page
Sign of Teacher
No.
1
2
3
4
5
6
Page 39 of 96
8

---

4. Immunization O.P.D. attended:
Sr. No.
Date
Immunization Attended
Sign of Teacher
1
2
3
4
5
5. Procedures observed:
Sr. No.
Date
Name of Procedure Observed
Sign of Teacher
1
2
3
4
5
6. Emergencies attended:
Sr. No.
Date
Name of Patient
Diagnosis
Sign of Teacher
1
2
3
4
5
7. Drug information:
Sr. No.
Date
Name of Drugs
Sign of Teacher
1
2
3
4
5
6
7
8
9
10
Page 40 of 96
9

---

8. Nutrition-
Sr. No.
Date
Name of food item
Sign of Teacher
1
2
3
4
5
6
7
8
9
10
9. X-Ray
Sr. No.
Date
Diagnosis of X-Ray
Sign of Teacher
1
2
3
4
5
6
7
8
9
10
10. Instruments-
Sr. No.
Date
Name of Drugs
Sign of Teacher
1
2
3
4
5
6
7
8
9
10
Page 41 of 96
10

---

Template for Clinical Cases of Paediatrics
A. LONG CASE-
Informant-
Reliability ? Good/Bad, consistent/ non consistent
OPD/IPD no.-
Name of the child-
Birth date-
/
/
Age -
Gender - M/F
Religion and caste.
Address-
Date of admission-
/ /
Date of examination-
/ /
Chief Complaints ? (in chronological order)
1)
2)
History of Present Illness ?
Past History ?
Personal History -
Bladder-
Bowel-
Sleep-
Appetite-
Addictions-
Habits-
Menstrual cycle-
Relation with friends-
Sports participation-
Family history- Pedigree chart:
Birth History-
Antenatal history -
Age of mother at marriage-
Age of mother at pregnancy-
Registration of pregnancy.
Medication taken like iron, folic acid and calcium-
Drug intake during pregnancy -
Immunization of mother ?
History of trauma.
Any illness or infection-
Radiation exposure-
Hospitals stay during pregnancy.
History of smoking, drinking alcohol, any other-
Natal history ?
Gestational age-
Duration of Labor-
Page 42 of 96
11

---

Place of delivery- Home/ Hospital
Person conducting the delivery-
Mode of delivery-
Babies cry immediately after birth-
Birth weight of the baby-
Date and time of birth-
Any congenital malformation noted
Post-natal history
Neonatal history -
Time of first breast feeding-
Top feeds given-
Any feeding difficulty-
Prelacteal feeds given-
NICU stay-
Time of passage of first meconium-
urine-
History of neonatal convulsions or jaundice-
Developmental history-
1) Motor milestones-
Grossmotormilestones
Finemotormilestones
2)Adoptivemilestones-
3)Socialmilestones
4)Languagemilestones-
Immunization History ?
BCG- given/ not, Scar- present/absent
OPV 0, 1,2, 3, booster
DPT- 1,2 3, booster
Measles
Vitamin-A
MMR-
Other vaccines-
? Dietary History-
Protein intake? Actual--------------------------------Expected------------
Calorie intake- Actual---------------------------------Expected------------
? Socioeconomic History -
Total no. of members in the family-
Floor space area-
Per capita income-
Education of the Father ------------------- Mother------------------------
Occupation of the Father ----------------- Mother-------------------------
Housing type- kaccha/pakka
Ventilation-
Water supply-
Sanitation ? toilet facilities / open air defecation.
Socio economic status.-
Page 43 of 96
12

---

General Examination:
Anthropometry:
No.
Parameter
Actual
Expected
1
Weight
2
Height / Length:
3
Head circumference:
4
Chest circumference:
5
Mid arm circumference:
6
Upper segment: lower segment ratio:
7
Body mass index:
8
Arm span:
9
Midpoint of stature:
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
? Rate-
beats/min.
Rhythm-Regular /Irregular
? Character-
Volume-
? Radio femoral Delay-
Capillary refill-
3. Respiration- Rate---- - cycles/min
4. Blood pressure -
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
5. Jugular venous pressure-
Head to Toe Examination-
a. Head-
? Size- normal/ microcephaly/macrocephaly
? Shape-
? Cephalic index-
? Craniosynostosis-
? Bossing / prominence-
? Fontanel- anterior- open (size-
)/closed
? Post. Fontanels- (size-
)/closed
? Scalp swelling -
? Transillumination of skull
Page 44 of 96
13

---

b. Hair-
Colour-
Texture Pigmentation-
Luster -
Hair line ?Low/normal/high
c. Face-
d. Eyes-
Eyelids-
Intercanthal distance-
Eyebrows-
Eyelashes-
Conjunctiva-
Cornea ?
Lens-
Sclera-
Fundus
Conjunctiva -
e. Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?
External auditory canal-
Tympanic membrane
f.
Mouth-
? Oral cavity-
Buccal mucosa-
? Dentition: Gums:
? Tongue : Examination of throat-
? Lips : Cyanosis-
Philthrum-
other-
? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g. Neck-
? Swelling of neck : Webbing of neck
? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-
Thyroid gland-
? Position of trachea -
Neck stiffness
h. Skin-
? Colour-
Turgor-
Infections -
Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-
Stria-
i.
Hand-
? Congenital malformation -
? Single Palmar crease -
? Finger ?
Clubbing-
Nails-
j.
External gentile ?
? Tanner staging sexual maturity score-
? Penile length:
k. Bones, Joints, Spine and Back-
l.
Any Obvious Congenital Anomalies:
Page 45 of 96
14

---

Systemic Examination:
Provisional Diagnosis-
1)
2)
3)
4)
Investigations-
Final Diagnosis-
Treatment-
Case Summary-
Date-
Signature of Teacher
Page 46 of 96
15

---

B. SHORT CASE
Informant-
Reliability ?
Consistent/ non consistent
OPD/IPD no.-
Name of the child-
Birth date-
/
/
Age -
Gender - M/F Religion and caste.
Address ?
Date of admission-
/ / Date of examination-
/ /
Chief Complaints ? (in chronological order)
1)
2)
3)
General Examination:
Anthropometry:
No.
Parameter
Actual
Expected
1
Weight
2
Height / Length:
3
Head circumference:
4
Chest circumference:
5
Mid arm circumference:
6
Upper segment: lower segment ratio:
7
Body mass index-
8
Arm span-
9
Midpoint of stature-
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
? Rate-
beats/min. Rhythm-Regular /Irregular
? Character-
Volume-
? Radiofemoral Delay-
Capillary refill-
3. Respiration- Rate---- - cycles/min
4. Blood pressure -
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
Page 47 of 96
16

---

5. Jugular Venous Pressure-
Head to Toe Examination-
a) Head-
? Size- normal/ microcephaly/macrocephaly Shape-
? Cephalic index-
? Craniosynostosis-
Bossing / prominence-
? Fontanel- anterior- open (size-
)/closed
? Post. Frontanelle- (size-
)/closed
? Scalp swelling -
? Transillumination of skull
b) Hair-
Colour-
Texture Pigmentation-
Luster -
Hair line ?Low/normal/high
c) Face-
d) Eyes-
Eyelids-
Intercanthal distance-
Eyebrows-
Eyelashes-
Conjunctiva-
Cornea ?
Lens-
Sclera-
Fundus
Conjuctiva -
e) Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?
External auditory canal-
Tymphanic membrane
f) Mouth-
? Oral cavity-
Buccal mucosa-
? Dentition: Gums:
? Tongue :
Examination of throat-
? Lips : Cyanosis-
Philthrum-
other-
? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g) Neck-
? Swelling of neck :
Webbing of neck
? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-
Thyroid gland-
? Position of trachea -
Neck stiffness
h) Skin-
? Colour-
Turgor-
Infections -
Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-
Stria-
i) Hand-
? Congenital malformation -
? Single Palmar crease -
Page 48 of 96
17

---

? Finger ?Clubbing-
Nails
j.
External Gentile ?
Tanner staging sexual maturity score-
Penile length:
k. Bones, Joints, Spine and Back-
l.
Any Obvious Congenital Anomalies:
Systemic Examination-
Provisional Diagnosis-
1)
2)
3)
4)
5)
Investigations-
Final Diagnosis-
Treatment-
Case Summary-
Date-
Signature of Teacher
Page 49 of 96
18

---

C. NEONATAL CASE
OPD/IPD NO. -
Date-
Name of mother-
Name of father-
Date of delivery-
Sex of baby-
m/f caste /religion-
Place of delivery-
date of examination-
Maternal History-
Antenatal history -
? Age at marriage-
Age at pregnancy-
? Registration of pregnancy-
P-
, G-
, L-
,A-
? Family history-
? Consanguity- yes/no grade-
? Medication taken like iron, folic acid and calcium supplements-
? Drug intake during pregnancy ?
? Immunization status of mother ?
? Any illness or infection during pregnancy ?
? Radiation exposure-
Hospitals stay during pregnancy-
? History of smoking, drinking alcohol, any other.-
? History of trauma-
Natal history ?
? Apgar score-
? Gestational age-
Duration of Labor-
? Place of delivery- Home/ Hospital
? Person conducting the delivery-Mode of delivery-
? Babies cried immediately after birth-
? Birth weight of the baby-
? Date and time of birth-
? Any congenital malformation noted-
Postnatal history ?
Neonatal history -
? Time of first breast feeding-
? Top feeds given-
? Any feeding difficulty-
? Prelacteal feeds given-
? NICU stay-
? Time of passage of first meconium-
first urine-
? History of convulsions or jaundice-
? Inj. Vit. K given/not-
? Anyotherproblems-
Feeding History -
Page 50 of 96
19

---

Immunization History ?
BCG-
OPV `0' dose Any Other vaccines-
General Examination:
Anthropometry:
No.
Parameter
Actual
Expected
1
Weight
2
Length
3
Head circumference:
4
Chest circumference:
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
? Rate-
beats/min.
? Rhythm-Regular /Irregular
? Character-
? Volume-
? Radio-femoral Delay-
?
Capillary refill-
3. Respiration-Rate---- - cycles/min
4. Blood Pressure -
? Right upper limb-
/ mmHg
? Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg
? Left upper limb-
/ mmHg
5.Pulse Oximetry- (Pre and Post Ductal Saturation)
Head to Toe Examination-
a) Head-
? Size- normal/ microcephaly/macrocephaly Shape-
? Cephalic index-
? Craniosynostosis-
Bossing / prominence-
? Fontanel- anterior- open (size-
)/closed
? Post. Frontanelle- (size-
)/closed
? Scalp swelling -
Transillumination of skull
b) Hair-
Colour-
Texture
Pigmentation-
Luster -
Hair line ?Low/normal/high
c) Face-
d) Eyes-
Eyelids-
Intercanthal distance-
Eyebrows-
Eyelashes-
Page 51 of 96
20

---

Conjunctiva-
Cornea ?
Lens-
Sclera-
Fundus
Conjuctiva -
e) Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?
External auditory canal-
Tymphanic membrane
f) Mouth-
? Oral cavity-
Buccal mucosa-
? Dentition:
Gums:
? Tongue : Examination of throat-
? Lips : Cyanosis-
Philthrum-
other-
? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g) Neck-
? Swelling of neck : Webbing of neck
? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-
Thyroid gland-
? Position of trachea -
Neck stiffness
h) Skin-
? Colour-
Turgor-
Infections -
Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-
Stria-
i) Hand-
? Congenital malformation -
? Single Palmar crease -
? Finger ?
Clubbing-
Nails-
j.
External Gentile ?
Tanner staging sexual maturity score-
Penile length:
k. Bones, Joints, Spine And Back
l.
Any Obvious Congenital Anomalies:
Neonatal Reflexes-
1) Rooting reflex:
2) Suckling reflex:
3) Doll's eye response:
4) Light reflex:
5) Glabellar tap:
6) McCarthy's reflex:
7) Gallant's reflex:
8) Perez reflex:
9) Landau's reflex:
10) Moro's reflex-
11) Stepping reflex
12) Placing reflex-
13) Prone crawl reflex :
Page 52 of 96
21

---

14) Plantar & palmar grasp:
15) Crossed adductor reflex: :
16) Magnet reflex:
17) Asymmetric tonic neck reflex:-
18) Symmetric tonic neck reflex:-
19) Pull-to-sit-
20) Babinski or plantar reflex :-
21) Righting reflexes-
Systemic Examination--
Provisional Diagnosis-
1)
2)
Investigations-
Final Diagnosis-
Treatment-
Case Summary-
DateSignature of Teacher
Page 53 of 96
22

---

D. IMMUNIZATION O.P.D. ATTENDED
Date-
Paste picture of
vaccine
Name of vaccine ?
Dose-
Route-
Special precautions-
Indications-
Contraindications-
Side effects-
Storage-
Any other Details of vaccine-
Sign of vaccinator-
Page 54 of 96
23

---

E. EMERGENCY CASES OBSERVED-
Common Paediatrics Emergencies-
1.
Basic Paediatrics and Neonatal Life Support and Advanced Cardiac Life Support.
2.
Organophosphorous Poisoning
3.
Kerosene Poisoning
4.
Iron Poisoning
5.
Dhatura Poisoning
6.
Snake Bite
7.
Scorpion Bite
8.
Anaphylactic Shock
9.
Hematemesis
10. Shock
11. Severe Dehydration
12. Acute Respiratory Failure
13. Acute Renal Failure
14. Status Asthamaticus
15. Severe Hypokalemia
16. Status Epilepticus
17. Hepatic Encephalopathy
18. Diabetic Ketoacidosis
19. Coma
20. Hypoglycemia
Template-
OPD/IPD no.-
Name of the child-
Birth date-
/ /
Age -
Gender - M/F
Date of admission-
/ /
Date of examination-
/ /
Chief Complaints ? (in chronological order)
1)
2)
3)
4)
History of Present Illness ?
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
Page 55 of 96
24

---

? Rate-
beats/min. Rhythm-Regular /Irregular
? Character-
Volume-
? Radio femoral Delay-
Capillary refill-
3. Respiration-Rate---- - cycles/min
4. Blood Pressure -
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg Left upper limb-
/
mmHg
5. Jugular Venous Pressure-
Head to Toe Examination- Any positive findings
Systemic Examination- positive findings only
Details of emergency attended
Final Diagnosis-
Treatment-
Case Summary-
Date-
Signature of Teacher
Page 56 of 96
25

---

F. PAEDIATRIC PROCEDURES OBSERVED
Requires certification-
- Anthropometry
- Development assessment
- Breast feeding, observation and counseling
- BMI calculation
- Prescription of Immunizations schedule
- Naso-gastric tube passage in manikin
- IV line in manikin
- Interosseous insertion in manikin
- Airway management
- Oxygen administration
- Bag ventilation
- Monitoring of shock
- IV access
- Calculation of fluid requirements
- Monitoring of unconscious
- Dehydration assessment
- BLS in manikin
- Urine dipstick
- Identification of BCG scar
- Interpret Mantoux
Following procedures to be only observed-
? Lumbar Puncture
? Liver biopsy
? Renal biopsy
? Bone marrow
? Bladder Catheterization
? Peripheral IV Insertion
? Insertion of Umbilical Venous and Arterial Lines
? Insertion of Naso -Gastric Feeding Tubes/Ryles tube
? Neonatal Intubation
? Neonatal Resuscitation
? Pediatric Resuscitation
? Intramuscular, intra-dermal, subcutaneous injections
? Bag and mask use
Template-
Name of Procedure
OPD/IPD no.-
Name of the child-
Page 57 of 96
26

---

AGE-
SEX-
Address ?
Date of admission-
/ /
Date of procedure-
/ /
Chief Complaints ? (in chronological order)
1)
2)
3)
4)
History of Present Illness ?
Prerequisites-
Preparation-
Procedure details-
Post Procedure Care-
Complications Known-
Any Other-
Date-
Signature of Teacher
Page 58 of 96
27

---

G. COMMON DRUGS USED IN PAEDIATRICS
Name of drug-
Class/ Group of Drug-
Paste picture of
drug here
Doses-
Mechanism of action-
Uses-
Side effects-
Contraindications-
Any other-
Date-
Signature of Teacher
Page 59 of 96
28

---

H. INSTRUMENTS USED IN PAEDIATRICS
Name of instrument-
Photograph of
Instrument
Uses-
Precautions-
Describe procedure where it is used-
Any other ?
Sign of Teacher
Page 60 of 96
29

---

I. NUTRITION RELATED TO PAEDIATRICS
Name of food item-
Class-
Photograph
Nutritive contents ?
Nutritive values-
Medicinal use-
Contraindications
Any other details-
Sign of Teacher-
Page 61 of 96
30

---

Page 62 of 96
31

---

Annexure- 1.--
Course Content Phase II( October 2020)
Subject: PAEDIATRICS
Theory / Practical
(Based on National Medical Council of India, Competency based Undergraduate curriculum for
the Indian Medical Graduate, 2018. Vol. 2 / 3.)
1. Total Teaching hours:
A. Lectures(hours):
No
B. Self-directed learning (hours):
C. Clinical Postings(hours):
? Weeks- 2 wks
? Hours per week-15
? Monday to Friday- 3 hours per day.
D. Small group teachings/tutorials/Integrated teaching/Practical(hours):No
Tentative Clinical posting schedule-
Day
Topic
Day
Topic
1
Round to Paediatric ward, Maternal
6
Systemic examination of child-
ward, Kangaroo Mother Care,
CVS
PICU, NICU, Labour room, OPD,
Immunisation room etc.
2
History taking in Paediatrics
7
Systemic examination of child- RS
and PA
3
Assessment
of
growth
and
8
Neonatal examination
development
4
General examination of child.
9
Elicitation of neonatal reflexes
5
Systemic examination of child- 10
Posting ending exam
CNS
Competency Nos.
Topics, Subtopics and Lectures
Page 63 of 96
32

---

Annexure- 2.
Course Content Phase III-I( October 2020)
Subject: PAEDIATRICS (Theory / Practical )
(Based on National Medical Council of India, Competency based Undergraduate curriculum for
the Indian Medical Graduate, 2018. Vol. 2 / 3.)
Total Teaching hours:
A. Lectures (hours): 20
B. Self-directed learning (hours): 5
C. Clinical Postings (hours):
? Weeks- 4
? Hours per week- 15
? Monday to Friday- 3 hours per day.
D. Small group teachings/tutorials/Integrated teaching/Practical (hours): 30
Tentative Clinical posting schedule-
Day
Topic
Day
Topic
1
Round to Paediatric ward, Maternal ward, Kangaroo
11
Elicitation
of
neonatal
Mother Care, PICU, NICU, Labour room, OPD,
reflexes
Immunisation room etc.
2
History taking in Paediatrics
12
Immunisation clinic
3
Assessment of growth and development
13
Immunisation clinic
4
General examination of child.
14
Immunisation clinic
5
Systemic examination of child- CNS
15
Immunisation clinic
6
Systemic examination of child- CNS
16
Paediatric Emergencies
7
Systemic examination of child- RS
17
Paediatric Emergencies
8
Systemic examination of child- Per Abdomen
18
Paediatric Emergencies
9
Systemic examination of child- CVS
19
Paediatric Emergencies
10
Neonatal case taking and examination.
20
Posting ending exam
Competency Nos.
Topics, Subtopics and Lectures
Page 64 of 96
33

---

Annexure- 3.
Course Content Phase: III-II( October 2020)
Subject: PAEDIATRICS (Theory / Practical )
(Based on National Medical Council of India, Competency based Undergraduate curriculum for
the Indian Medical Graduate, 2018. Vol. 2 / 3.)
Total Teaching hours:
A. Lectures (hours):
20
B. Self-directed learning (hours): 10
C. Clinical Postings (hours):
? Weeks- 4
? Hours per week- 15
? Monday to Friday- 3 hours per day.
D. Seminars/Small group teachings/tutorials/Integrated teaching/Practical (hours): 35
Tentative Clinical posting schedule-
Day
Topic
Day
Topic
1
History taking and General examination
11
Neonatal case taking, examination and
of child.
Elicitation of neonatal reflexes
2
Systemic examination of child- CNS
12
Demonstration of Common procedures
related to Paediatrics
3
Systemic examination of child- CNS
13
Demonstration of Common procedures
related to Paediatrics
4
Systemic examination of child- RS
14
Common Drugs used in Paediatrics
5
Systemic examination of child- Per 15
Common Drugs used in Paediatrics
Abdomen
6
Systemic examination of child- CVS
16
Common Instruments used in Paediatrics
7
Systemic examination of child- CVS
17
X-Ray film reading related to Paediatrics.
8
Short case discussion
18
Nutrition
9
Neonatal case taking, examination and
19
Nutrition
Elicitation of neonatal reflexes
10
Neonatal case taking, examination and
20
Posting ending exam
Elicitation of neonatal reflexes
Competency Nos.
Topics, Subtopics and Lectures
Page 65 of 96
34

---

Annexure- 4.
Exam Pattern ? Paediatrics
Theory Paper (100 marks)
Section A- MCQ-:
Section B-
Section C-
Practical exam (100 marks)
? Long case-
? Short case/ New born-
? Table viva- (Drugs, Instruments, Nutrition, Vaccines and X-Rays-
? OSCE-
Internal Assessment:
? 50% combined in theory and practical (not less than 40% in each) for eligibility for
appearing for University
University Examination
? Mandatory 50% marks separately in theory and practical (practical = practical/ clinical +
viva)
Page 66 of 96
35

---

Annexure- 5
Distribution of journal marks
Total- 10 marks
Parameter
Total
Marks
Phase
Long cases
-
-
Phase: II (Second year)
6 (CNS-2, RS-1, PA-1,
1
Phase: III-1 (Third Minor)
CVS-2)
66 (CNS-2, RS-1, PA-1,
1
Phase: III-II (Third Major)
CVS-2)
Short cases
3
1/2
Phase: II (Second year)
3
1/2
Phase: III-1 (Third Minor)
3
1/2
Phase: III-II (Third Major)
Newborns
3
1/2
Phase: II (Second year)
3
1/2
Phase: III-1 (Third Minor)
3
1/2
Phase: III-II (Third Major)
Emergencies
5
1
Phase: III-1 (Third Minor)
Procedures
5
1
Phase: III-II (Third Major)
Vaccines
All vaccines as per
1
Phase: III-I
Government of India.
Drugs
10
1
Phase: III-II
Instruments
10
1/2
Phase: III-II
Nutrition
10
1/2
Phase: III-II
Total- 10 marks
Page 67 of 96
36

---

Recommended books
Sr.no.
Author
Title of book/ Material
Publisher
1.
Vinod Paul,
Ghai Essential Pediatrics
CBS Publishers
Arvind Bagga
2.
Meherban Singh
Pediatric Clinical Methods
CBS Publishers
3.
Michael Glynn
Hutchison's Clinical Methods
Elsevier
William M Drake
4.
A Parthasarathy
IAP Colour Atlas of Pediatrics
Jaypee
5.
Tom Lissauer
Illustrated Textbook of Pediatrics
Elsevier
Will Carroll
6.
Meherban Singh
Care of newborn
CBS Publishers
Page 68 of 96
37

---

PEDIATRICS (CODE: PE) IN GENERAL
Competencies: The student must demonstrate:
1. Ability to assess and promote optimal growth, development and nutrition of children and
adolescents andidentify deviations from normal,
2. Ability to recognize and provide emergency and routine ambulatory and First Level Referral
Unit care forneonates, infants, children and adolescents and refer as may be appropriate,
3. Ability to perform procedures as indicated for children of all ages in the primary care setting,
4. Ability to recognize children with special needs and refer appropriately,
5. Ability to promote health and prevent diseases in children,
6. Ability to participate in National Programmes related to child health and in conformation with
the IntegratedManagement of Neonatal and Childhood Illnesses (IMNCI) Strategy,
7. Ability to communicate appropriately and effectively.
Integration: The teaching should be aligned and integrated horizontally and vertically in order
to provide comprehensive care for neonates, infants, children and adolescents based on a sound
knowledge of growth, development, disease and their clinical, social, emotional, psychological
correlates in the context of national health priorities.
Page 69 of 96
38

---

Page 70 of 96
39

---

Page 71 of 96
40

---

Page 72 of 96
41

---

List of abbreviations
A
Attitude
AETCOM
Attitude Ethics and Communication
Anat
Anatomy
Biochem
Biochemistry
Cardio
Cardiology
Com Med
Community Medicine
Derm
Dermatology
DOAP
Demonstrate Observe Assist Perform
ENT
ENT
Forensic
Forensic Medicine
Gastro
Gastroenterology
K
Knows
KH
Know How
S
Shows
C
Communication
Med
Gen Medicine
Micro
Microbiology
N
No
OBG
Obstetrics & Gynecology
Ophthal
Ophthalmology
OSCE
Objective Structured Clinical Examination
OSPE
Objective Structured Practical Examination
Psych
Psychiatry
PMR
Physical Medicine Rehabilitation
Path
Pathology
Physio
Physiology
Pharm
Pharmacology
SAQ
Short Answer Question
SGD
Small Group Discussion
Surg
Gen Surgery
RadioD
Radio diagnosis
Resp Med
Respiratory Medicine
Y
Yes
Pages for all the phases will be added and color coded as follows-
Phase II : yellow
Phase III-I: Green
Phase III-II: Brown.
Page 73 of 96
42

---

Maharashtra University of Health Sciences Nashik
PAEDIATRIC LOGBOOK for MBBS STUDENTS AS PER COMPETENCY BASED
CURRICULUM
PHASE II to PHASE III/II MBBS
1 | P a g e
Page 74 of 96

---

Preface
The Medical Council of India has revised the undergraduate medical education curriculum so
that the Indian Medical Graduate (IMG) is able to recognize "Health for all" as a national
goal. He/she should also be able to fulfil his/her societal obligations. The revised curriculum
has specified the competencies that a student must attain and clearly defined teaching
learning strategies for the same. With this goal in mind, integrated teaching, skill
development, AETCOM and self-directed learning have been introduced. There would be
emphasis on communication skills, basic clinical skills and professionalism. There is a
paradigm shift from the traditional didactic classroom-based teaching to learning
environments where there is emphasis on learning by exploring, questioning, applying,
discussing, analysing, reflecting, collaborating and doing. The recognition of this need is
enshrined by a greatly enhanced allocation of time to these methods and also the assessment
techniques. With this view in mind the log book has been designed as per the guidelines of
competency Based curriculum.
2 | P a g e
Page 75 of 96

---

Name of the College
___________________________________________________________________________
_____________________________________________________
Admission Year: ____________
CERTIFICATE
This is to certify that,
Mr/Ms.______________________________________________________
Roll No. ________ has satisfactorily attended/completed all assignments mentioned in this
logbook as per the guidelines prescribed by Medical Council of India, for MBBS
Competency Based Curriculum in the subject of PAEDIATRICS
Date: ___/___/______
Place: _____________
Teacher In charge
Professor and Head
Department of PAEDIATRICS
3 | P a g e
Page 76 of 96

---

Instructions
1) This logbook is prepared as per the guidelines of MCI for implementation of Competency
based curriculum for MBBS students in the subject of Paediatrics.
2) Students are instructed to keep their logbook entries up to date.
3) Students are expected to write minimum 2 reflections on any two activities each of
Clinical Paediatrics skills & Self-Directed Learning (SDL).
4) Students also have to write reflections on AETCOM Module. Reflections should be
structured using the following guiding questions:
What happened? (What did you learn from this experience)
So what? (What are the applications of this learning)
What next? (What knowledge or skills do you need to develop so that you can handle
this type of situation?)
5) The logbook assessment will be based on multiple factors like
Attendance
Active participation in the sessions
Timely completions
Quality of write up of reflections
Overall presentation
4 | P a g e
Page 77 of 96

---

INDEX
Sr. No
Description
Page No's
REMARK
Signature of
Teacher
1
Clinical Paediatrics
Skills
2
Self-Directed
Learning, Seminars,
Projects, Quizzes
3
AETCOM Module
4
Attendance Records
5
Records of Internal
Assessment
* AETCOM ? Competencies for IMG, 2018, Medical Council of India.
5 | P a g e
Page 78 of 96

---

Record of Clinical PediatricsSkills
Clinical skills can be assessed by case presentation, case based discussion, objective
structured clinical assessment the checklist, MiniCex, as per the institutional preference.
I) SECOND PHASE MBBS
Compete
Name of activity
Site
Date
Attempt
Sign of
Sign of
Meth
S
WARD,
ncy #
skill lab, com
at
faculty
Learner
od of
C
addresse
OPD ,
plet
activity
assess
O
d
Casualty
ed
First (F)
ment
R
,
Repeat
E
(R)
6 | P a g e
Page 79 of 96

---

II) THIRD PHASE MBBS PART I
Competency
Name Site
Date
Attempt
Sign
Sign of
Method of
SCORE
of
WARD,
# addressed
activi skill lab, comple
at
of
Learner
assessment
ty
opd
ted
activity
facult
casualty,
First (F)
y
Repeat
(R)
7 | P a g e
Page 80 of 96

---

II) THIRD PHASE MBBS PART II
Competen
Name of
Site
Date
Attempt
Sign of
Sign of
Method of
SCOR
activity
WARD,
cy #
skill lab, complet
at
faculty
Learner
assessment
E
addressed
OPD ,
ed
activity
casualty
First (F)
,
Repeat
(R)
8 | P a g e
Page 81 of 96

---

Reflection on Clinical Paediatrics Skills
Topic:
Date:
Signature of Teacher-in- charge
9 | P a g e
Page 82 of 96

---

Reflection on Clinical Paediatrics Skills
Topic:
Date:
Signature of Teacher-in- charge
10 | P a g e
Page 83 of 96

---

Reflection on Clinical PAEDIATRICS Skills
Topic:
Date:
Signature of Teacher-in- charge
11 | P a g e
Page 84 of 96

---

2. Self Directed Learning, Seminars, Tutorials, Projects, Quizzes
S.No
PHASE
Self Directed
Date
Signature of
Learning, Seminars,
Teacher
Tutorials, Projects,
Quizzes
12 | P a g e
Page 85 of 96

---

Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
13 | P a g e
Page 86 of 96

---

Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
14 | P a g e
Page 87 of 96

---

Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge
15 | P a g e
Page 88 of 96

---

3: AETCOM Module
Counselling for Investigation, Treatment, Prognosis, Blood donation, Breaking Bad news.
All types of consent. Medicolegal aspects and Ethics, Empathy and professionalism as per the
Phase of the MBBS. Include cases of Allied branches also.
Competency to be assessed during Clinical postings and /or small group discussions.
AetCom skills can be assessed by use of Kalamazoo consensus.
Criteria
Phase II
Phase III/I
Phase III/II Score
Score
Score
Builds relationship
Opens the discussion
Gathers information
Understands the parent's
perspective
Shares information
Manages flow
Overall rating
Signature of teacher
Communication skills rating scale adapted from Kalamazoo consensus statement
Rating 1-3 - Poor, 4 -6 Satisfactory, 6 -10 Superior
16 | P a g e
Page 89 of 96

---

PHASE II- AETCOM (Two assessments)
Compete
Name of
Site
Date
Attempt
Sign of
Sign
Metho
SCORE
competen WARD,
ncy #
cy
skill lab, complet
at
faculty
of
d of
addresse
opd ,
ed
activity
Learn
assess
d
casualty,
First (F)
er
ment
Repeat
(R)
PHASE III PART 1 (TWO ASSESSMENTS)
Competency Name of
Site
Date
Attempt
Sign
Sign of
Method of
SCORE
Competency WARD,
# addressed
skill lab, completed
at
of
Learner
assessment
opd ,
activity
faculty
casualty,
First
(F)
Repeat
(R)
17 | P a g e
Page 90 of 96

---

PHASE III PART 2 (TWO ASSESSMENTS)
Competency
Name of
Site
Date
Attempt
Sign
Sign of
Method of
Score
Competency
# addressed
WARD, completed
at
of
Learner
assessment
skill lab,
activity
faculty
opd ,
First
casualty,
(F)
Repeat
(R)
18 | P a g e
Page 91 of 96

---

Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
19 | P a g e
Page 92 of 96

---

Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
20 | P a g e
Page 93 of 96

---

Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
21 | P a g e
Page 94 of 96

---

4A: Attendance Record of the Student
S. No
Term
Theory (%)
Practical (%)
Signature of
Signature of
the Student
the Teacher
A
II PHASE
B
III PHASE
PART 1
C
III PHASE
PART 2
E
OVER ALL
ATTENDANCE
Note: Above information is for the benefit of students and parents. In case of any
discrepancy departmental record will be treated as final.
SECTION 4B: Details of attending extra classes [For poor attendance (if any)]
S.No
Date
Period
Total hrs
Signature of
Signature of
student
Teacher
Total hours
Note: Above information is for the benefit of students and parents. In case of any
discrepancy departmental record will be treated as final.
22 | P a g e
Page 95 of 96

---

Section 5. Records of Internal Assessment Examinations
Records of Internal Assessment examinations
S.No
Exam
Theory
Practical
Signature of
Signature of
including
student
Teacher
log book
1
I Internal
/50
/ 50
Assessment
2
II Internal
/ 50
/ 50
Assessment
3
III Internal
/ 50
/ 50
Assessment
4
IV Internal
/100
/100
Assessment
(Prelim)
4
Internal
/ 250
/ 250
Assessment marks
5
Converted marks
/25
/25
Total Converted
/50
marks
Note: Above information is for the benefit of students and parents. In case of any
discrepancy departmental record will be treated as final.
23 | P a g e
Page 96 of 96

---

Document Outline

• Course content.pdf
• Internal assessment format.pdf
• 8. Pediatrics Journal.pdf
• 8. Pediatrics Log book.pdf

---