Download MUHS MBBS 3rd year Paediatric Syllabus

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

This post was last modified on 29 June 2021

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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)

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1. Total Teaching hours:
105 hours (Lectures + Tutorials);
15 hours (Self-directed learning);
174 hours Clinical posting
2. A. Lectures(hours):

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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)

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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 ))

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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)

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S.
Topic
Hour Lectures
SLO
Horizontal

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N
s
(Competency
Integration
o

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No.)
1
Normal
01
Developmental

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1. Definition of Development
Psychiatry
Growth and
milestones (PE
2. Principals of development

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Development
1.5, 1.6)
3. Factors affecting Development
4. Domains of Development
5. Milestones in various domains

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Page 1 of 96

6. Developmental assessment
2
Common
02

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Failure to thrive
1.Definition
problems
(PE 2.1, 2.4)
2. Etiology

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related to
1. Clinical Features
growth
2. Evaluation of a child with Failure to
thrive

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3. Management
Short stature
1. Definition
(PE 2.6)
2. Etiology

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3. Clinical Features
4. Evaluation of a child with Short
stature
5. Management
3. Care of the

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02
Care of normal
1. Define the common neonatal
Obs &
Normal

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newborn
nomenclatures including the
Gynae
Newborn, and
(PE 20.1, 20.2,

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classification
High-risk
20.6,)
2. Describe the characteristics of a
Newborn

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Normal Term Neonate and High-Risk
Neonates.
3. Explain the care of a normal neonate
Temperature
1. Temperature regulation in neonates

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regulation and
2. Disorders of temperature regulation
Neonatal
3. Definition of hypothermia
hypothermia

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4. Prevention of hypothermia
(PE 20.12)
5. Clinical features of hypothermia
6. Management of hypothermia
4. To promote

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01
Breast Feeding
1. Awareness on the cultural beliefs and
Obs &
and support

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(PE 7.1, 7.2,
practices of breast feeding.
Gynae
optimal Breast
7.3, 7.4, 7.6)

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2. Enumerate advantages of breast
feeding for
feeding
infants
3. Explain the physiology of lactation.

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4. Technique of breast feeding
5. Problems in breast feeding
6. Enumerate the baby friendly hospital
initiatives
7. Describe the composition and types of

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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

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5. Complementa 01
Complementar
1. Define the term Complementary
ry Feeding
y feeding and

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Feeding.
2. Discuss the principles, the initiation,
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IYCF (PE 8.1,
attributes, frequency, techniques and

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8.2, 8.3)
hygiene related to Complementary
Feeding
3. IYCF
4. Enumerate the common

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complimentary foods
6. Provide
01
Protein Energy
1. Define malnutrition

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nutritional
Malnutrition
2. Classify malnutrition including WHO
support,
(PE 10.1, 10.2,

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classification,
assessment
10.4, 10.6)
3. Describe the etio-pathogenesis,
and

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clinical features, complication of
monitoring for
Severe Acute Malnourishment (SAM)
common
and Moderate Acute Malnutrition

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(MAM).
nutritional
4. Differentiate between kwashiorkor
problems
and marasmus

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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

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prepared therapeutic diets and ready
to use therapeutic diets.
8. Strategies to prevent malnutrition
7.
Obesity in

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01
Obesity (PE
1. Define obesity
Children
11.1, 11.2,

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2. Describe the common etiology,
11.6)
clinical features and management of
obesity in children.
3. Discuss the risk approach for obesity

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and criteria for referral
4. Discuss the prevention strategies
8.
Micronutrient 04
Vitamin A

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Vitamin A
s in health and
Vitamin E, K (PE
1. RDA, dietary sources of Vitamin A
disease 1:

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12.1, 12.2,
and their role in Health and disease.
(Vitamins
12.4, 12.5,
2. Describe the causes, clinical features,

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A,D,E,K, B
12.11, 12.12,
diagnosis and management of
Complex and
12.13, 12.14)

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Deficiency / excess of Vitamin A.
C)
3. Discuss the Vitamin A prophylaxis
Micronutrient
program and their recommendations

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s in health and
Vitamin E
disease 2:
1. Discuss the RDA, dietary sources of
Iron, Iodine,

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Vitamin E and their role in health and
disease.
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Calcium and
2. Describe the causes, clinical features,

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Magnesium
diagnosis and management of
deficiency of Vitamin E.
Vitamin K
1. Discuss the RDA, dietary sources of

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Vitamin K and their role in health and
disease.
2. Describe the causes, clinical features,
diagnosis management and
prevention of deficiency of Vitamin K

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Vitamin B, C
Vitamin B
and Iodine
1. Discuss the RDA, dietary sources of
deficiency

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Vitamin B and their role in health and
disorders
disease
(PE 12.15,
2. Describe the causes, clinical features,

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12.16, 12.18,
diagnosis and management of
12.19, 12.20,
deficiency of B complex Vitamins.
13.7, 13.8,

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Vitamin C
13.10, 13.10)
1. Discuss the RDA , dietary sources of
Vitamin C and their role in Health and
disease

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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

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Iodine and their role in Health and
disease.
2. Describe the causes, clinical features,
diagnosis and management of
deficiency of Iodine.

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3. Discuss the National Goiter Control
program and their
recommendations.
Iron deficiency
1. Discuss the RDA, dietary sources of

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anemia
Iron and their role in health and
(PE 13.1, 13.2,
disease'
13.5, 13.6)

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2. Describe the causes, clinical
features,diagnosis and management
of Fe deficiency
3. Discuss the National Anemia control
program and its recommendations.

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Vitamin D and
Vitamin D/Ca/Mg
Calcium &
1. Discuss the RDA, dietary sources of
Magnesium

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Vitamin D and their role in health and
deficiency
disease.
(PE 12.6, 12.7,
2. Describe the causes, clinical features,

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12.9, 12.10,
diagnosis and management of
13.11, 13.12,
Deficiency / excess of Vitamin D

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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

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Calcium and their role in health and
disease
5. Describe the causes, clinical features,
diagnosis and management of Ca
Deficiency

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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

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Magnesium Deficiency
29 Anemia and
02
Anemia
1. Definition

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.
other Hemato-
(PE 29.1)
2. Etiopathogenesis
oncologic

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3. Classification
disorders in
4. Approach to a child with anemia
children
Nutritional

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Iron def anemia/ Megaloblastic anemia
anemia
1. Etiopathogenesis
(PE 29.2, 29.3,
2. Clinical features

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29.5)
3. Lab investigations
4. Management
5. Discuss the National Anemia Control
Program

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9.
Fluid and
01
Fluid and
1. Composition of body fluids

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electrolyte
electrolytes
2. Water balance and Osmolality
balance
(PE 15.1, 15.2)

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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

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10 National
02
Vaccines in
1. Components of the Universal
.

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Programs, RCH
children
Immunization Program and the
? Universal
(PE 19.1, 19.2,

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National Immunization Program.
Immunizations
19.3, 19.4)
2. Epidemiology of Vaccine preventable
program

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diseases
3. Vaccine description with regard to
classification of vaccines, strain used,
dose, route, schedule, risks, benefits
and side effects, indications and

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contraindications. (BCG, OPV, IPV Hep
B, DPT, Hib, MMR)
4. Define cold chain and discuss the
methods of safe storage and handling

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of vaccines
Immunization
1. Immunization in special situations ?
in special
HIV positive children,

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situations and
immunodeficiency, pre-term, organ
newer vaccines
transplants, those who received blood
(PE 19.5, 19.16)

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and blood products, splenectomised
children, adolescents, travelers.
2. Enumerate available newer vaccines
and their indications including
pentavalent pneumococcal, rotavirus,

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JE, typhoid IPV & HPV.
3. Combination vaccines
4. AEFI
11 Respiratory
02

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RTI GEM ? I
Naso pharyngitis/ Pharyngo Tonsil itis/
system
(PE 28.1, 28.2,
Acute Otitis Media (AOM)

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28.3, 28.4,
1. Etio-pathogenesis
28.5, 28.6,
2. Clinical features
28.7, 28.8))

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3. Management
4. Complications
Stridor/Epiglottitis/Acute
laryngotracheobronchitis/Foreign Body
Aspiration

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1. Etiopathogenesis
2. Clinical features
3. Management
RTI GEM -I
Bronchiolitis and wheeze associated LRTI/

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(PE 28.18)
Empyema/Lung Abscess
1. Etio-pathogenesis
2. Clinical features
3. Diagnosis

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4. Management
5. Prevention
12 Vaccine
02
Fever

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1. Enumerate the common causes of
.
preventable
&Exanthemato
fever

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Diseases&
us Fever
2. Etiopathogenesis
Tuberculosis
(PE 34.14,

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3. Clinical features
34.15)
4. Complications
5. Management
6. Approach to a child with

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Exanthematous Fever
Measles,
1. Etiopathogenesis
Mumps,
2. Clinical features

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Rubella &
3. Complications
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Chicken pox
4. Management

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(PE 34.15)
5. Prevention
6. Measles, Mumps, Rubella & Chicken
pox vaccines
13 Chromosomal

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01
Down
1. Genetic basis
General
.

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Abnormalities
syndrome,
2. Risk factors
Medicine ?
Turner

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3. Clinical features
PE 32.3,
&Klinefelter
4. Complications
32.9

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syndrome
5. Prenatal diagnosis
Obs&
(PE 32.1, 32.3,
6. Management

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Gynae ? PE
32.4, 32.5,
7. Genetic counselling.
32.9
32.6, 32.8,

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32.9, 32.10,
32.11, 32.13)
14 Diarrheal
01
Diarrheal

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1. Etio-pathogenesis
.
diseases and
diseases &
2. Classification

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Dehydration
dehydration
3. Clinical presentation
incl
4. Management

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Persistent
5. Physiological basis of ORT
diarrhea,
6. Types of ORS
Chronic

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7. Composition of various types of ORS
diarrhea and
8. Classification and clinical presentation
dysentery
of various types of diarrheal

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(PE 24.1, 24.2,
dehydration
24.3, 24.4,
9. Types of fluid used in Pediatric
24.5, 24.6,

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diarrheal diseases and their
24.7, 24.8,
composition
24.14)
10. Role of antibiotics, antispasmodics,

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anti-secretory drugs, probiotics, anti-
emetics in acute diarrheal diseases
15 Pediatric
02
Poisoning

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1. Clinical approach to a child with
General
.
Emergencies ?
(PE 27.8, 14.1,

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suspected poisoning
Medicin
Common
14.2, 14.3,
2. Common poisonings ?

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e
Pediatric
14.4)
Hydrocarbon/OP/PCM/Lead/Enveno
Emergencies

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mation
3. Etiopathogenesis
4. Clinical features
5. Lab investigations
6. Management

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Child abuse
1. Causes
(PE 27.29)
2. Clinical presentation
Medico-legal implications

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16 Allergic
01
Allergy in
Al ergic Rhinitis/Atopic Dermatitis/Urticaria
.

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Rhinitis,
children
Angioedema
Atopic
(PE 31.1, 31.3,

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1. Etiology
Dermatitis,
31.12)
2. Clinical features
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Bronchial
3. Management
Asthma ,
4. Complications
Urticaria

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5. Prevention
Angioedema
17 Adolescent
01
Adolescence &

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1. Visit to the Adolescent Clinic. Discuss
Psychiatry
.
health and
Puberty

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the objectives and functions of AFHS
common
(PE 6.10, 6.11)
(Adolescent Friendly Health Services)
problems

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and the referral criteria.
related to
Adolescent
Health.
18 Common

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01
Developmental
1. Visit a Child Developmental Unit and
.
problems

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delay
observe its functioning. Discuss the role
related to
(PE 3.5, 3.6,
of the child developmental unit in

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Development-
3.7)
management of developmental delay.
1
Discuss the referral criteria for children

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(Development
with developmental delay
al delay,
Cerebral palsy)
19 Common

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01
Scholastic
1. Visit to child guidance clinic. Discuss the
.
problems

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backwardness
role of Child Guidance clinic in children
related to
and Learning
with Developmental problems&

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Development-
Disabilities (LD)
Behavioral problems.
2
(PE 4.5, 4.6,

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(Scholastic
5.10,5.11)
backwardness,
Learning
disabilities,

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Autism ADHD)
TOTAL
30
Theory III (Part I) MBBS (20 hours)
S.

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Topic
Hours Lectures
SLO
Horizontal
No

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(Competency
Integration
No)
1.
Normal Growth 01

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Growth &
1. Definition of Growth
Psychiatry
and
Development

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2. Definition of Development
Development
(PE 1.1, 1.2, 1.3,
3. Physiology of Growth &
1.5)

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Development
4. Normal Growth ? Somatic and
physical
5. Assessment of Growth
Page 8 of 96

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parameters; Growth charts
6. Factors affecting Growth &
Development
7. Overview of disorders related to
Growth & Development

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2.
Common
02
Developmental
1. Definition

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problems
delay
2. Developmental delay vs
related to
(PE 3.1, 3.2,

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Intellectual disability
Development-1
30.10)
3. Etiology
(Developmental

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4. Clinical Features
delay, Cerebral
5. Approach to developmental
palsy)
delay and ID

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6. Prevention and management
Cerebral palsy
1. Definition
Physical
(PE 3.8, 30.11)

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2. Etiopathogenesis
Medicine &
3. Types of CP
Rehabilitation
4. Evaluation of a child with CP

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5. Prevention and management
3.
Common
02
Scholastic

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1. Causes of Scholastic
problems
backwardness
backwardness
related to

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and Learning
2. Approach to a child with
Development-2
Disabilities (LD)
Scholastic backwardness

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(Scholastic
(PE 4.1, 4.2)
3. Definition of LD
backwardness,
4. Types of LD and clinical features

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Learning
5. Etiology
disabilities,
6. Approach to a child with LD and
Autism ADHD)

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management
ADHD and
1. Etiology of ADHD
Autism
2. Clinical features of ADHD

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(PE 4.3, 4.4)
3. Diagnosis and management of
ADHD
4. Etiology of Autism
5. Clinical features of Autism

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6. Diagnosis and management of
Autism
4.
Common
01

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Behavioral
1. Describe the clinical features,
Psychiatry
problems
problems of

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diagnosis and management of
related to
children incl
common behavioral problems
behavior

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Enuresis &
like
Encopresis
Thumb sucking,
(PE 5.1, 5.2, 5.3,

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Feeding problems,
5.4, 5.5, 5.6, 5.7,
Nail biting
5.8, 5.9)
Breath Holding spells,

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Pica,
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Fussy infant.
2. Definition of enuresis and
encopresis

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3. Differentiate between primary
and secondary enuresis
4. Maturation of bowel and bladder
control
5. Etiology of Enuresis and

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Encopresis
6. Clinical features of Enuresis and
Encopresis
7. Management of Enuresis and
Encopresis

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5.
Adolescent
01
Adolescence &
1. Define Adolescence

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Psychiatry
health and
Puberty
2. Stages of adolescence and SMR
common

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(PE 6.1, 6.2, 6.3,
3. Describe the physical,
problems
6.4, 6.5, 6.6, 6.7,
physiological and psychological

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related to
6.12, 6.13)
changes during adolescence and
Adolescent
Puberty.

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Health.
4. Outline the general health
problems during adolescence.
5. Describe adolescent sexuality
and common problems related to

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it.
6. Explain the Adolescent Nutrition
and common nutritional
problems.
7. Outline the common Adolescent

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eating disorders (Anorexia
Nervosa, Bulimia).
8. Describe the common mental
health problems during
adolescence.

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9. Enumerate the importance of
obesity and other NCD in
adolescents.
10. Enumerate the prevalence and
the importance of recognition of

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sexual drug abuse in adolescents
and children.
6.
Normal
01

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Normal
1. Describe the age-related
nutrition,
Nutrition
nutritional needs of infants,

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assessment and
(PE 9.1, 9.2, 9.3,
children and adolescents
monitoring.
9.7)

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including micronutrients and
Page 10 of 96

vitamins
2. Concept of RDA and balanced
diet.

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3. Describe the tools and methods
for assessment and classification
of nutritional status of infants,
children and adolescents.
4. Explains the Calorific value of

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common Indian foods
7.
Vaccine
8
Tuberculosis in

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1. Epidemiology
Respiratory
preventable
children
2. Clinical features and clinical types

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Medicine
Diseases&
(PE 34.1, 34.2,
3. Complications of Tuberculosis
Tuberculosis

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34.12, 34.13)
4. Diagnostic tools for childhood
tuberculosis.
5. Indications and discuss the
limitations of methods of

--- Content provided by‌ FirstRanker.com ---

culturing M. Tuberculosis.
6. Newer diagnostic tools for
Tuberculosis including BACTEC
CBNAAT and their indications
Management of

--- Content provided by FirstRanker.com ---

1. Various regimens for
Respiratory
tuberculosis
management of Tuberculosis as
Medicine

--- Content provided by⁠ FirstRanker.com ---

(PE 34.3, 34.4)
per National Guidelines.
2. Preventive strategies adopted
and the objectives and outcome
of the National Tuberculosis

--- Content provided by⁠ FirstRanker.com ---

Control Programme
Diphtheria,
1. Etiopathogenesis
Pertussis,
2. Clinical features

--- Content provided by⁠ FirstRanker.com ---

Tetanus
3. Complications
(PE 34.16)
4. Management
5. Prevention

--- Content provided by FirstRanker.com ---

6. Diphtheria, Pertussis, Tetanus
vaccines
Enteric fever
1. Etiopathogenesis
(PE 34.17)

--- Content provided by‌ FirstRanker.com ---

2. Clinical features
3. Complications
4. Management
5. Prevention
6. Typhoid vaccines

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Rickettsial
1. Etiopathogenesis
diseases
2. Clinical features
(PE 34.20)

--- Content provided by⁠ FirstRanker.com ---

3. Complications
4. Management
5. Prevention
Parasitic
Common Parasitic infections -

--- Content provided by‌ FirstRanker.com ---

infections
leishmaniasis, filariasis, helminthic
Page 11 of 96

(PE 34.19)
infestations, amebiasis, giardiasis

--- Content provided by‌ FirstRanker.com ---

1. Etiopathogenesis
2. Clinical features
3. Complications
4. Management
5. Prevention

--- Content provided by FirstRanker.com ---

Malaria
1. Etiopathogenesis
(PE 34.19)
2. Clinical features
3. Complications

--- Content provided by FirstRanker.com ---

4. Management
5. Prevention
6. National Malaria Eradication
Programme
Dengue Fever

--- Content provided by‍ FirstRanker.com ---

1. Etiopathogenesis
(PE 34.18)
2. Clinical features
3. Complications
4. Management

--- Content provided by⁠ FirstRanker.com ---

5. Prevention
6. Overview of Chikungunya
8.
Systemic
01

--- Content provided by‌ FirstRanker.com ---

Acute Flaccid
1. Etiology
Pediatrics-
Paralysis (AFP)
2. Approach to a child with AFP

--- Content provided by FirstRanker.com ---

Central
and
3. Evaluation
Nervous system
Poliomyelitis

--- Content provided by‌ FirstRanker.com ---

4. Management
(PE 30.13)
5. AFP Surveillance
9.
Endocrinology

--- Content provided by‌ FirstRanker.com ---

03
Hypothyroidism
1. Physiology of thyroid gland
(PE 33.1)
2. Thyroid function test

--- Content provided by FirstRanker.com ---

3. Etiology
4. Congenital vs Acquired
5. Clinical features
6. Evaluation
7. Management

--- Content provided by‍ FirstRanker.com ---

8. New-born Screening
Diabetes
1. Etiopathogenesis
mellitus in
2. Diagnostic criteria

--- Content provided by FirstRanker.com ---

children and
3. Classification
DKA
4. Clinical features
(PE 33.4)

--- Content provided by FirstRanker.com ---

5. Management
6. Complications incl DKA
Disorders of
Precocious and delayed Puberty
puberty

--- Content provided by FirstRanker.com ---

1. Definition
(PE 33.8)
2. Etiology
3. Clinical Features
4. Evaluation

--- Content provided by FirstRanker.com ---

5. Management
TOTAL
20
Page 12 of 96

Self-Directed Learning III (Part I) MBBS (05 hours)

--- Content provided by⁠ FirstRanker.com ---

S.
Topic
Hours Lectures
SLO
Horizontal

--- Content provided by⁠ FirstRanker.com ---

No
(Competency
Integration
No.)
1.

--- Content provided by‌ FirstRanker.com ---

The National 02
National
1. State the vision and outline the
Obs &
Health

--- Content provided by⁠ FirstRanker.com ---

programs
goals, strategies and plan of
Gynae
Programs,
pertaining to

--- Content provided by FirstRanker.com ---

action of NHM and other
NHM
maternal & child
important national programs
The National

--- Content provided by⁠ FirstRanker.com ---

health, child
pertaining to maternal and child
Health
survival & safe
health including RMNCH A+,

--- Content provided by‌ FirstRanker.com ---

Programs,
motherhood
RBSK, RKSK, JSSK mission Indra
RCH
(PE 17.1, 17.2,

--- Content provided by‍ FirstRanker.com ---

Dhanush and ICDS.
18.1, 18.2)
2. List and explain the components,
plan, outcome of Reproductive
Child Health (RCH) program and

--- Content provided by‍ FirstRanker.com ---

appraise its monitoring and
evaluation
3. Explain preventive interventions
for child survival and safe
motherhood

--- Content provided by‍ FirstRanker.com ---

TOTAL
02
Page 13 of 96

Tutorials/ Smal Group Discussions III (Part II) MBBS (35 hours)
S.

--- Content provided by‍ FirstRanker.com ---

Topic
Hours Domain (Competency
SLO
Horizontal
No

--- Content provided by‌ FirstRanker.com ---

No.)
Integration
1
Group
01

--- Content provided by FirstRanker.com ---

Fluids & Electrolytes,
1. Calculate fluid and electrolyte
Discussions
Nutrition
imbalance, Interpret

--- Content provided by‌ FirstRanker.com ---

(PE 15.3, 15.4, 15.5,
electrolyte report,
9.5)
2. Calculate the fluid and
electrolyte requirement in

--- Content provided by‌ FirstRanker.com ---

health
3. Plan an appropriate diet in
health & disease
01
Cardiac Failure

--- Content provided by‍ FirstRanker.com ---

1. Develop a treatment plan and
(PE 23.11, 23.16, 23.17,
prescribe appropriate drugs
23.18)
including fluids in cardiac

--- Content provided by⁠ FirstRanker.com ---

diseases, anti -failure drugs,
and inotropic agents.
2. Discuss the indications and
limitations of Cardiac
catheterization.

--- Content provided by⁠ FirstRanker.com ---

3. Enumerate some common
cardiac surgeries like BT shunt,
Potts and Waterston's and
corrective surgeries
4. Demonstrate empathy while

--- Content provided by⁠ FirstRanker.com ---

dealing with cardiac disease.
01
Oxygen Therapy
1. Discuss oxygen therapy in
(PE 27.9, 27.10, 14.5)

--- Content provided by FirstRanker.com ---

Pediatric emergencies and
modes of administration.
2. Observe the various methods
of administering Oxygen.
3. Discuss oxygen toxicity and

--- Content provided by FirstRanker.com ---

free radical injury
01
Counselling
1. Counselling a parent with
(PE 2.3, 3.4, 8.5, 27.32,

--- Content provided by FirstRanker.com ---

failing to thrive child
27.33, 28.20)
2. Counselling a parent with
developmental delay
3. Counsel & educate mothers on

--- Content provided by FirstRanker.com ---

the best practices in
complimentary feeding
4. Obtain Informed Consent.
Page 14 of 96

5. Counsel parents of

--- Content provided by‍ FirstRanker.com ---

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

--- Content provided by⁠ FirstRanker.com ---

01
Hemat
1. Enumerate the referral criteria
(PE 29.18, 29.20)
for Hematological conditions.

--- Content provided by FirstRanker.com ---

2. Enumerate the indications for
splenectomy and precautions
2.
Radiology
01

--- Content provided by⁠ FirstRanker.com ---

X-
1. Interpret report of Plain X Ray
Ray/USG/Neuroimaging
of KUB
(PE 21.12, 21.13,

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by FirstRanker.com ---

34.8)
KUB
3. Interpret a chest X ray and
recognize Cardiomegaly
4. Interpret Liver USG

--- Content provided by FirstRanker.com ---

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

--- Content provided by‌ FirstRanker.com ---

aspiration and lower
respiratory tract infection,
understand the significance of
thymic shadow in pediatric
chest X-rays

--- Content provided by‍ FirstRanker.com ---

7. Enumerate the indication and
limitations &Interpret the
reports of CT, MRI Brain &
Spine
8. Interpret CX Ray in Asthma

--- Content provided by FirstRanker.com ---

9. Interpret a Chest Radiograph in
pediatric TB
3.
Cards (Case
01

--- Content provided by FirstRanker.com ---

(PE 21.11, 23.13, 23.14.
1. Interpret Hemogram and Iron
Scenario
24.13, 26.9, 26.11,
Panel

--- Content provided by FirstRanker.com ---

based)
28.16, 29.14, 19.15,
2. interpret the common analytes
29.16, 30.20, 30.21,
in a Urine examination

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by‌ FirstRanker.com ---

5. Interpret RFT and electrolyte
report
6. Interpret Liver Function Tests,
Page 15 of 96

viral markers.

--- Content provided by FirstRanker.com ---

7. Enumerate indications of UGI
Endoscopy
8. Interpret blood tests relevant
to upper respiratory problems.
9. Interpret CBC, LFT in anemia

--- Content provided by⁠ FirstRanker.com ---

10. Perform and interpret
peripheral smear
11. Discuss the indications for
Hemoglobin electrophoresis
and interpret report

--- Content provided by⁠ FirstRanker.com ---

12. Interpret and explain the
findings in a CSF analysis
13. Interpret and explain neonatal
thyroid screening report
14. Perform and interpret Urine

--- Content provided by FirstRanker.com ---

Dip Stick for Sugar. Interpret
Blood sugar reports and
explain the diagnostic criteria
for Type 1 Diabetes
15. Interpret the reports of EEG

--- Content provided by FirstRanker.com ---

16. Perform Sexual Maturity
Rating (SMR) and interpret
17. Interpret blood tests in the
context of laboratory evidence
for tuberculosis. Discuss the

--- Content provided by FirstRanker.com ---

various samples for
demonstrating the organism
e.g. Gastric Aspirate, Sputum,
CSF, FNAC.
4.

--- Content provided by‌ FirstRanker.com ---

Skills Lab
02
(PE 15.6, 15.7, 19.9,
1. Demonstrate the steps of
AETCOM

--- Content provided by⁠ FirstRanker.com ---

19.13, 20.3, 24.15,
inserting an IV cannula in a
? PE 19.9
24.16, 24.17, 26.10,
model

--- Content provided by⁠ FirstRanker.com ---

27.20, 29.17, 30.23)
2. Demonstrate the steps of
inserting an interosseous line
in a mannequin
3. Demonstrate the correct

--- Content provided by FirstRanker.com ---

administration of different
vaccines in a mannequin.
4. Describe the components of
safe vaccine practice ? Patient
education/ counselling;

--- Content provided by FirstRanker.com ---

adverse events following
immunization, safe injection
practices, documentation and
Medico-legal implications
5. Perform Neonatal resuscitation

--- Content provided by‍ FirstRanker.com ---

Page 16 of 96

in a manikin
6. Perform NG tube insertion in a
manikin
7. Perform IV cannulation in a

--- Content provided by‍ FirstRanker.com ---

model
8. Demonstrate the technique of
liver biopsy or perform Liver
Biopsy in a simulated
environment.

--- Content provided by FirstRanker.com ---

9. Demonstrate performance of
bone marrow aspiration in
manikin
10. Perform in a mannequin
lumbar puncture. Discuss the

--- Content provided by‍ FirstRanker.com ---

indications, contraindication of
the procedure
5.
Genito-
02

--- Content provided by FirstRanker.com ---

Urinary
Hypertension in
1. Definition
system
children

--- Content provided by⁠ FirstRanker.com ---

2. Etiopathogenesis
(PE 21.17)
3. Grading
4. Clinical features
5. Management

--- Content provided by‍ FirstRanker.com ---

6. Complications
7. Acute severe hypertension
Voiding Disorders
1. Discuss & Enumerate the
(PE 21.15)

--- Content provided by⁠ FirstRanker.com ---

referral criteria for children
with genitourinary disorder
2. Counsel & educate patients
regarding referral
6.

--- Content provided by FirstRanker.com ---

Cardiovascular 04
Congestive cardiac
1. Etiology
system: Heart
failure in infants and

--- Content provided by‍ FirstRanker.com ---

2. Pathogenesis
disease
children
3. Clinical presentation
(PE 23.3)

--- Content provided by‌ FirstRanker.com ---

4. Management
Acyanotic congenital
VSD, ASD and PDA
heart diseases
1. Etiology

--- Content provided by FirstRanker.com ---

(PE 23.1)
2. Hemodynamic changes
3. Clinical features
4. Investigations
5. Management

--- Content provided by‌ FirstRanker.com ---

Cyanotic congenital
1. Classify Cyanotic congenital
heart diseases
heart disease
(PE 23.2)

--- Content provided by‌ FirstRanker.com ---

Fal ot's Physiology
2. Etiology
3. Hemodynamic changes
4. Clinical features
5. Investigations

--- Content provided by‌ FirstRanker.com ---

Page 17 of 96

6. Management
Infective endocarditis
Acquired Heart Disease
1. Etio-pathogenesis

--- Content provided by⁠ FirstRanker.com ---

(PE 23.4, 23.5, 23.6)
2. Clinical features
3. Diagnosis
4. Management
Acute rheumatic fever

--- Content provided by‌ FirstRanker.com ---

1. Etio-pathogenesis
2. Clinical features
3. Diagnosis
4. Management and prevention
5. Complications

--- Content provided by FirstRanker.com ---

7.
Pediatric
03
1. Definition
Emergencies ?

--- Content provided by FirstRanker.com ---

Shock in children
2. BP regulation
Common
(PE 27.5)
3. Pathophysiology

--- Content provided by‌ FirstRanker.com ---

Pediatric
4. Classification
Emergencies
5. Monitoring
6. Management

--- Content provided by‌ FirstRanker.com ---

Status epilepticus
1. Definition
(PE 27.6, 30.9)
2. Etiology
3. Approach to a child with status

--- Content provided by FirstRanker.com ---

epilepticus
4. Evaluation
5. Management
Unconscious child and
1. Definition

--- Content provided by‌ FirstRanker.com ---

Coma
2. Etiopathogenesis
(PE 27.8)
3. Evaluation
4. Management

--- Content provided by FirstRanker.com ---

5. Brain death
8.
Care of the
04
Care of low birth

--- Content provided by FirstRanker.com ---

1. Definition
Normal
weight (LBW) babies
2. Etiology
Newborn, and

--- Content provided by‌ FirstRanker.com ---

(PE 20.11)
3. Explain the terminologies ?
High-risk
IUGR/SGA
Newborn

--- Content provided by⁠ FirstRanker.com ---

4. Clinical features
5. Issues in LBW care
6. Feeding in LBW babies
7. Management of LBW babies
8. Growth monitoring of LBW

--- Content provided by FirstRanker.com ---

babies
Neonatal hypoglycemia Hypoglycemia and hypocalcemia
& hypocalcemia
1. Definition
(PE 20.13, 20.14)

--- Content provided by⁠ FirstRanker.com ---

2. Etiology
3. Clinical features
4. Management
Neonatal Seizures
1. Etiology

--- Content provided by FirstRanker.com ---

(PE 20.15)
2. Clinical features
3. Management
Page 18 of 96

Perinatal infections

--- Content provided by FirstRanker.com ---

TORCH/Tuberculosis/Hep
(PE 20.17)
B/Varicella
1. Etiology
2. Transmission

--- Content provided by‌ FirstRanker.com ---

3. Clinical features
4. Management
9.
Anemia and
02

--- Content provided by FirstRanker.com ---

Hemolytic anemia
1. Etiology
other
(PE 29.4)
2. Classification

--- Content provided by FirstRanker.com ---

Hemato-
3. Approach to a child with
oncologic
hemolytic anemia
disorders in

--- Content provided by FirstRanker.com ---

4. Management
children
5. Overview of HS, AIHA and HUS
Thalassemia and Sickle
1. Etiology

--- Content provided by⁠ FirstRanker.com ---

Cell Anemia
2. Clinical features
(PE 29.4)
3. Lab investigations
4. Management incl Iron

--- Content provided by‍ FirstRanker.com ---

Chelation therapy
5. Complications
10. Acute and
02
Acute liver disease &

--- Content provided by FirstRanker.com ---

Acute hepatitis in children ? Viral
chronic liver
Fulminant hepatic
(Hep A,B,C), Autoimmune and
disorders

--- Content provided by‌ FirstRanker.com ---

failure
Wilsons disease
(PE 26.1, 26.2)
1. Etio-pathogenesis
2. Clinical features

--- Content provided by‌ FirstRanker.com ---

3. Management
Fulminant Hepatic Failure in
children
1. Etio-pathogenesis
2. Clinical features

--- Content provided by‍ FirstRanker.com ---

3. Management
Chronic liver disease &
Chronic liver diseases in children
Portal hypertension
1. Etio-pathogenesis

--- Content provided by FirstRanker.com ---

(PE 26.3, 26.4, 26.11,
2. Clinical features
26.12)
3. Evaluation
4. Complications ? hepatic

--- Content provided by‌ FirstRanker.com ---

encephalopathy and ascites
5. management
Portal Hypertension in children
1. Etio-pathogenesis
2. Clinical features

--- Content provided by‍ FirstRanker.com ---

3. Management
4. Complications
11. Respiratory
01
Pneumonia and ARDS

--- Content provided by‌ FirstRanker.com ---

1. Etio-pathogenesis
system
(PE 27.3, 27.4)
2. Clinical features
3. Diagnosis

--- Content provided by‌ FirstRanker.com ---

4. Management
Page 19 of 96

5. Prevention
4.
Malabsorption 01

--- Content provided by⁠ FirstRanker.com ---

Malabsorption
1. Etio-pathogenesis
(PE 25.1)
2. Clinical presentation
3. Management

--- Content provided by⁠ FirstRanker.com ---

4. Overview of celiac disease
TOTAL
28
Theory III (Part II) MBBS (20 hours)
S.

--- Content provided by⁠ FirstRanker.com ---

Topic
Hours Lectures
SLO
Horizontal
No

--- Content provided by FirstRanker.com ---

(Competency No.)
Integration
1.
Care of the
05

--- Content provided by FirstRanker.com ---

Birth asphyxia
1. Definition
Normal
(PE 20.7)
2. Etiology

--- Content provided by⁠ FirstRanker.com ---

Newborn, and
3. Clinical features
High-risk
4. Management
Newborn

--- Content provided by‌ FirstRanker.com ---

5. Prevention
Respiratory
RDS/TTNB/MAS
distress in
1. Etiology

--- Content provided by FirstRanker.com ---

newborn
2. Clinical features incl scoring
(PE 20.8)
systems
3. Management

--- Content provided by FirstRanker.com ---

Birth injuries
Birth Injuries
&Hemorrhagic
1. Etiology
disease of

--- Content provided by‍ FirstRanker.com ---

2. Clinical features
newborn (HDN)
3. Management
(PE 20.9, 20.10)
HDN

--- Content provided by‌ FirstRanker.com ---

1. Definition and classification
2. Etiology
3. Clinical features
4. Management
5. Prevention

--- Content provided by⁠ FirstRanker.com ---

Neonatal Sepsis
1. Classification
(PE 20.16)
2. Etiology
3. Clinical features

--- Content provided by FirstRanker.com ---

4. Investigations
5. Management
Surgical conditions TEF, esophageal atresia, anal atresia,
in newborn
cleft lip and palate, congenital

--- Content provided by⁠ FirstRanker.com ---

(PE 20.20)
diaphragmatic hernia
1. Etiology
2. Clinical presentation
3. Management

--- Content provided by FirstRanker.com ---

4. Causes of acute abdomen in
Page 20 of 96

neonates
2.
Genito-

--- Content provided by FirstRanker.com ---

03
UTI
1. Etiology and predisposing factors
Urinary
(PE 21.1)

--- Content provided by FirstRanker.com ---

2. Clinical features
system
3. Diagnosis
4. Management
5. VUR

--- Content provided by‍ FirstRanker.com ---

Approach to
Hematuria
hematuria& Acute
1. Definition
glomerulonephritis

--- Content provided by FirstRanker.com ---

2. Diagnostic evaluation
(PE 21.2, 21.4)
3. Referral criteria
Acute Glomerulonephritis
1. Definition

--- Content provided by FirstRanker.com ---

2. Etiology
3. Clinical features of PSGN
4. Management of PSGN
5. Complications
Acute kidney

--- Content provided by FirstRanker.com ---

1. Definition and classification
injury (AKI) and
2. Etiology and pathophysiology
Chronic kidney
3. Approach to a child with AKI

--- Content provided by FirstRanker.com ---

disease (CKD)
4. Management
(PE 21.5, 21.6)
5. Complications
6. Renal replacement therapy

--- Content provided by FirstRanker.com ---

3.
Approach to
02
Approach to
1. Enumerate the common

--- Content provided by‌ FirstRanker.com ---

and
Rheumatological
Rheumatological problems in
recognition of
Problems incl JIA

--- Content provided by FirstRanker.com ---

children.
a child with
and SLE
2. Approach to a child with arthritis
possible

--- Content provided by‌ FirstRanker.com ---

(PE 22.1)
3. Referral criteria for a child with
rheumatologic
possible rheumatologic problem
problem

--- Content provided by‌ FirstRanker.com ---

JIA/SLE
1. Definition
2. Etiopathogenesis
3. Clinical subtypes/Clinical features
4. Diagnosis

--- Content provided by‌ FirstRanker.com ---

5. Management
Vasculitic
Enumerate common Vasculitic
disorders in
disorders in children and its

--- Content provided by‍ FirstRanker.com ---

children
classification
(PE 22.3)
Kawasaki disease/HSP
1. Etiology

--- Content provided by‌ FirstRanker.com ---

2. Clinical features
3. Diagnosis
4. Management
4.
Anemia and

--- Content provided by‌ FirstRanker.com ---

02
Thrombocytopenia Thrombocytopenia
other
and Hemophilia
1. Causes of thrombocytopenia

--- Content provided by FirstRanker.com ---

Hemato-
(PE 29.6, 29.7)
2. Etiology of ITP
Page 21 of 96

oncologic

--- Content provided by⁠ FirstRanker.com ---

3. Clinical features and
disorders in
management of ITP
children
Hemophilia

--- Content provided by FirstRanker.com ---

1. Approach to a child with bleeding
disorder
2. Etiology and types of hemophilia
3. Clinical features and
management of hemophilia

--- Content provided by‍ FirstRanker.com ---

Leukemia,
ALL/Lymphoma/Wilm'sTumor
Lymphomas and
1. Etiology
Solid Tumors in

--- Content provided by FirstRanker.com ---

2. Clinical features
children
3. Management
(PE 29.8, 29.9,
21.17)

--- Content provided by‌ FirstRanker.com ---

5.
Systemic
08
Meningitis in
1. Etio pathogenesis

--- Content provided by‍ FirstRanker.com ---

Pediatrics-
children
2. Clinical features
Central
(PE 30.1, 30.2)

--- Content provided by‌ FirstRanker.com ---

3. Lab investigations
Nervous
4. Management
system
5. Prevention

--- Content provided by‍ FirstRanker.com ---

6. Differentiate between Bacterial,
Viral and TB Meningitis
7. Approach to a child with acute
febrile encephalopathy
Hydrocephalus

--- Content provided by FirstRanker.com ---

1. Etio pathogenesis
(PE 30.3)
2. Clinical features
3. Investigations
4. Complications

--- Content provided by⁠ FirstRanker.com ---

5. Management
6. Overview of I H
Microcephaly and
1. Etio pathogenesis
Neural tube

--- Content provided by‍ FirstRanker.com ---

2. Classification/Types
defects
3. Clinical features
(PE 30.4, 30.5)
4. Complications

--- Content provided by‍ FirstRanker.com ---

5. Management
Infantile
1. Etio pathogenesis
hemiplegia/ Stroke
2. Clinical features

--- Content provided by‌ FirstRanker.com ---

(PE 30.6)
3. Investigations
4. Management
Epilepsy in
1. Definition

--- Content provided by FirstRanker.com ---

children
2. Pathogenesis
(PE 30.8)
3. Types of Epilepsy
4. Clinical presentation

--- Content provided by FirstRanker.com ---

5. Management
6. Overview of status epilepticus
Muscular
DMD/BMD
Page 22 of 96

--- Content provided by‍ FirstRanker.com ---

dystrophy
1. Etiology
(PE 30.14)
2. Clinical features
3. Differential diagnosis

--- Content provided by FirstRanker.com ---

4. Evaluation
5. Management
Ataxia in children
1. Definition
(PE 30.15)

--- Content provided by⁠ FirstRanker.com ---

2. Etiology
3. Clinical features
4. Differential Diagnosis
5. Management
1. Pathophysiology of headache

--- Content provided by FirstRanker.com ---

Approach to
2. Approach to a child with
headache in
headache
children

--- Content provided by⁠ FirstRanker.com ---

3. Types of Headache
(PE 30.16)
4. Management
TOTAL
20

--- Content provided by FirstRanker.com ---

Self-Directed Learning III (Part II) MBBS (10 hours)
S.
Topic
Hours Lectures
SLO

--- Content provided by‍ FirstRanker.com ---

Horizontal
No
(Competency No.)
Integration
1.

--- Content provided by‍ FirstRanker.com ---

Systemic
04
Floppy infant
1. Etiology
Pediatrics-

--- Content provided by‍ FirstRanker.com ---

(PE 30.12)
2. Clinical features
Central
3. Differential diagnosis
Nervous

--- Content provided by⁠ FirstRanker.com ---

4. Evaluation
system
5. Management
Febrile seizures
1. Definition

--- Content provided by‌ FirstRanker.com ---

(PE 30.7)
2. Types
3. Etio pathogenesis
4. Clinical features
5. Investigations

--- Content provided by‌ FirstRanker.com ---

6. Complications
7. Management
2.
Care of the 02
Neonatal

--- Content provided by⁠ FirstRanker.com ---

1. Physiological vs pathological
Normal
hyperbilirubinemia
jaundice
Newborn,

--- Content provided by‌ FirstRanker.com ---

(PE 20.19)
2. Etiology
and High-
3. Clinical features
risk

--- Content provided by⁠ FirstRanker.com ---

4. Approach to a neonate with
Newborn
jaundice
5. Management
6. Follow-up

--- Content provided by FirstRanker.com ---

3.
Genito-
02
Approach to
Proteinuria

--- Content provided by FirstRanker.com ---

Urinary
Proteinuria
1. Definition
system
&Nephrotic

--- Content provided by‌ FirstRanker.com ---

2. Diagnostic evaluation
Page 23 of 96

syndrome
3. Referral criteria
(PE 21.3)

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Nephrotic Syndrome
1. Definition
2. Etiology
3. Terminologies ?
Remission/Relapse/Steroid

--- Content provided by‌ FirstRanker.com ---

dependence/Steroid resistance
4. Clinical features
5. Management
6. Complications
7. SDNS/SRNS/Congenital nephrotic

--- Content provided by FirstRanker.com ---

syndrome
4.
Respiratory 02
Asthma in children
1. Pathophysiology incl Triggers

--- Content provided by‌ FirstRanker.com ---

system
(PE 28.19, 28.20,
2. Clinical features
31.5, 31.7, 31.8,
3. Diagnosis and differential diagnosis

--- Content provided by‌ FirstRanker.com ---

31.10)
4. Management
5. Inhalational therapy
6. Monitoring and modification of
treatment

--- Content provided by⁠ FirstRanker.com ---

8. Management of acute
exacerbation of bronchial asthma
TOTAL
10
Page 24 of 96

--- Content provided by‌ FirstRanker.com ---

Internal Assessment
Subject ? Pediatrics
Applicable w.e.f October 2020 onwards examination for batches
admitted from June 2019 onwards
Phase

--- Content provided by‍ FirstRanker.com ---

Theory
Practical
Second
-
EOP Practical Examination may be conducted.

--- Content provided by⁠ FirstRanker.com ---

MBBS
However, these marks shall not be added to the
Internal Assessment.
3rd Year (III MBBS, PART I)
Phase

--- Content provided by FirstRanker.com ---

I-Exam (January)
II-Exam (April)
Theory
Practical
Total

--- Content provided by FirstRanker.com ---

Marks
Theory
Practical
Total
Marks

--- Content provided by FirstRanker.com ---

I I/I
50
50
100
50

--- Content provided by FirstRanker.com ---

50
100
MBBS
4th Year (III MBBS, PART II)
Clinical posting- 4 weeks

--- Content provided by‌ FirstRanker.com ---

Theory- lectures- 20, tutorials- 35, self-directed learning-10. Total 65 hrs
Phase
III-Exam (May)
IV-Exam (Preliminary examination)
(November)

--- Content provided by‍ FirstRanker.com ---

Theory
Practical
Total
Marks
Theory

--- Content provided by FirstRanker.com ---

Practical
Total
Marks
I I/I
50

--- Content provided by‍ FirstRanker.com ---

50
100
100
100
200

--- Content provided by‍ FirstRanker.com ---

MBBS
Page 25 of 96

Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.

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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

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by⁠ FirstRanker.com ---

from the University. Conversion Formula for calculation of marks in internal
assessment examinations.
Theory
Practical
Phase II

--- Content provided by‌ FirstRanker.com ---

-
-
Phase III/I
100
100

--- Content provided by FirstRanker.com ---

Phase III/II
150
150
Total
250

--- Content provided by⁠ FirstRanker.com ---

250
Conversion out of
25
25
Conversion

--- Content provided by FirstRanker.com ---

Total marks in 4 Total marks in 4
formula
IA
theory IA
Practical

--- Content provided by FirstRanker.com ---

examinations /10 examinations /10
Eligibility criteria
10
10
after conversion

--- Content provided by FirstRanker.com ---

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

--- Content provided by⁠ FirstRanker.com ---

Final rounded
marks
13.01 to 13.49
13
13.50 to 13.99

--- Content provided by FirstRanker.com ---

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.

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by‍ FirstRanker.com ---

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

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by‌ FirstRanker.com ---

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.

--- Content provided by⁠ FirstRanker.com ---

Page 27 of 96

Theory
Practical
Remedial
100

--- Content provided by‌ FirstRanker.com ---

100
examination
Conversion out of
25
25

--- Content provided by FirstRanker.com ---

Conversion
Marks in remedial Marks in remedial
formula
theory
Practical

--- Content provided by⁠ FirstRanker.com ---

examinations /4
examinations /4
Eligibility criteria
10
10

--- Content provided by⁠ FirstRanker.com ---

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.

--- Content provided by⁠ FirstRanker.com ---

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 .

--- Content provided by FirstRanker.com ---

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

--- Content provided by⁠ FirstRanker.com ---

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

--- Content provided by FirstRanker.com ---

Internal Assessment Practical Examinations
Pediatrics
Internal Assessment Practical ? I, II and III
Subject: Pediatrics Practical (IA ? I, I and I I)
Practical

--- Content provided by⁠ FirstRanker.com ---

Journal & log
Case
OSCE 1
OSCE 2
Total

--- Content provided by FirstRanker.com ---

book
marks
20
10
10

--- Content provided by‌ FirstRanker.com ---

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.

--- Content provided by‍ FirstRanker.com ---

Prelim Practical
Subject: Pediatrics Practical (Prelims)
Long Case
Short Case
Viva

--- Content provided by FirstRanker.com ---

Journal
Practical
(Including clinical
(Including
OSCE

--- Content provided by‌ FirstRanker.com ---

& log
Total
skills
communication
(4 stations x 10

--- Content provided by FirstRanker.com ---

book
marks
demonstration)
skills)
marks each)

--- Content provided by FirstRanker.com ---

25
15
40
10
10

--- Content provided by‍ FirstRanker.com ---

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)

--- Content provided by FirstRanker.com ---

Long Case
Short Case
Viva
Practical
OSCE

--- Content provided by‌ FirstRanker.com ---

(Including clinical skills
(Including
Total marks
(4 stations x 10
demonstration)

--- Content provided by FirstRanker.com ---

communication skills)
marks each)
30
20
40

--- Content provided by‍ FirstRanker.com ---

10
100
OSCE 1 ? Clinical Skills , OSCE 2 ? Anthropometry assessment, OSCE 3 ? Certifiable procedural
skills , OSCE 4 ? AETCOM related skills
Page 29 of 96

--- Content provided by‍ FirstRanker.com ---

Internal Assessment Examination (I, II and III) Pediatrics
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.

--- Content provided by FirstRanker.com ---

2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)

--- Content provided by FirstRanker.com ---

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)

--- Content provided by FirstRanker.com ---

(_10_x_1_=_10__)
a) b) c) d) e) f) g) h) i) j)
SECTION "B" & "C"
Instructions:
1)

--- Content provided by FirstRanker.com ---

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)

--- Content provided by⁠ FirstRanker.com ---

All questions are compulsory.
4)
The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.

--- Content provided by FirstRanker.com ---

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)

--- Content provided by⁠ FirstRanker.com ---

.
a) b) c) d) e)
f)
3 Long Answer Questions
(15x1=15)

--- Content provided by⁠ FirstRanker.com ---

.
a)
Page 30 of 96

MUHS Final Theory Examination
Paediatrics

--- Content provided by FirstRanker.com ---

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
SECTION "A" MCQ
Instructions:
5)

--- Content provided by‍ FirstRanker.com ---

Put in the appropriate box below the question number once only.
6)
Use blue ball point pen only.
7)
Each question carries One mark.

--- Content provided by FirstRanker.com ---

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.

--- Content provided by‍ FirstRanker.com ---

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)

--- Content provided by‌ FirstRanker.com ---

SECTION "B" & "C"
Instructions:
1)
Use blue/black ball point pen only.
2)

--- Content provided by FirstRanker.com ---

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)

--- Content provided by FirstRanker.com ---

The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
Use a common answer book for all sections.

--- Content provided by FirstRanker.com ---

SECTION "B" (40 Marks)
2. Long Answer Questions (Any 2 out of 3) structured clinical questions
(15 x 2=30)
a)
b) c)

--- Content provided by⁠ FirstRanker.com ---

(5 x 3=15)
3.Short Answer Questions (All 3),(including 1 on AETCOM)
a)
b) c)
SECTION C (40 Marks )

--- Content provided by‍ FirstRanker.com ---

4 Long answer questions
(15x1=15)
a)
5 Short answer questions( any 4 out of 5) (Clinical Reasoning)
(5x4=20)

--- Content provided by‍ FirstRanker.com ---

a)
b) c) d) e)
Page 31 of 96

Journal
of

--- Content provided by FirstRanker.com ---

Paediatrics
Page 32 of 96
1

College
NAME OF THE COLLEGE

--- Content provided by FirstRanker.com ---

MUHS,Nasi
Logo
kLogo
DEPARTMENT OF PAEDIATRICS
Journal of Paediatrics

--- Content provided by FirstRanker.com ---

Name of the Student: - ________________________________________
Batch Year: - ___________________
Roll No. :- ____________________
Phase: II (Year-
)

--- Content provided by⁠ FirstRanker.com ---

Phase: III-I (Year-
)
Phase: III-II (Year-
)
Page 33 of 96

--- Content provided by FirstRanker.com ---

College
NAME OF THE COLLEGE
MUHS,Nasi
Logo

--- Content provided by‌ FirstRanker.com ---

DEPARTMENT OF PAEDIATRICS
kLogo
DEPARTMENT OF PAEDIATRICS
POSTING Certificate
Date-

--- Content provided by‌ FirstRanker.com ---

/ /
Term
From
To
Absent Case- Histories

--- Content provided by‍ FirstRanker.com ---

Skills
Remark
Signatureof
days
Written

--- Content provided by‍ FirstRanker.com ---

achieved
Unit Head
Phase: II
(2 weeks)
Phase:III-I

--- Content provided by FirstRanker.com ---

( 4 weeks)
Phase: III-II
(4 weeks)
- Signature-
Date-

--- Content provided by FirstRanker.com ---

Name of college-
Seal-
Professor and Head
Department of Paediatrics.
Note-

--- Content provided by‌ FirstRanker.com ---

? 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

--- Content provided by‍ FirstRanker.com ---

Hip
H p
ip ocrat

--- Content provided by⁠ FirstRanker.com ---

p
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c

--- Content provided by FirstRanker.com ---

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Oat
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"
e

--- Content provided by FirstRanker.com ---

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e r b
a y
y Apollo
A

--- Content provided by FirstRanker.com ---

, the he
e a
he le
a r, A
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--- Content provided by FirstRanker.com ---

sc
r, A lepius,
le
Hygie
y ia

--- Content provided by‌ FirstRanker.com ---

gie , a
ia nd P
, a
ana
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--- Content provided by FirstRanker.com ---

na e
c a
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a nd I take
I ta to w

--- Content provided by FirstRanker.com ---

ke
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tne
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--- Content provided by FirstRanker.com ---

a
gods
ll the
, all the
, a

--- Content provided by⁠ FirstRanker.com ---

ll the goddesse
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sse
kee

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--- Content provided by‍ FirstRanker.com ---

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following O
ollow

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d a ee
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e

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To c
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onside dea
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me
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, a my pa
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m

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ho taugh
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rt; to live in c
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--- Content provided by⁠ FirstRanker.com ---

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y to share

--- Content provided by⁠ FirstRanker.com ---

to sha my go
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--- Content provided by‌ FirstRanker.com ---

m To look
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--- Content provided by⁠ FirstRanker.com ---

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to the me
m di
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c l la
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--- Content provided by FirstRanker.com ---

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w
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s, a d no others.

--- Content provided by‌ FirstRanker.com ---

he
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sc
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--- Content provided by FirstRanker.com ---

sc ibe re
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--- Content provided by‍ FirstRanker.com ---

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a
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--- Content provided by FirstRanker.com ---

judgme
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nd neve
nd ne

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ve do har
ha m to a
m
n

--- Content provided by FirstRanker.com ---

to a yo
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ne
I will give
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--- Content provided by FirstRanker.com ---

ill give no dea
no de dl
a y
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e

--- Content provided by‌ FirstRanker.com ---

ine
dic
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y
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one as
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c
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--- Content provided by⁠ FirstRanker.com ---

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a
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m
rl
ila y I
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give a w
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--- Content provided by⁠ FirstRanker.com ---

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--- Content provided by⁠ FirstRanker.com ---

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bo
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--- Content provided by‍ FirstRanker.com ---

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prese
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--- Content provided by‍ FirstRanker.com ---

the purity of
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--- Content provided by FirstRanker.com ---

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--- Content provided by FirstRanker.com ---

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or stone eve
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ve
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--- Content provided by FirstRanker.com ---

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c lists
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a
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--- Content provided by FirstRanker.com ---

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r
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--- Content provided by FirstRanker.com ---

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--- Content provided by‍ FirstRanker.com ---

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--- Content provided by FirstRanker.com ---

mys
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--- Content provided by⁠ FirstRanker.com ---

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--- Content provided by⁠ FirstRanker.com ---

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--- Content provided by‍ FirstRanker.com ---

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--- Content provided by FirstRanker.com ---

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--- Content provided by‌ FirstRanker.com ---

ve
All tha
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ll tha ma

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m y
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--- Content provided by‍ FirstRanker.com ---

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--- Content provided by⁠ FirstRanker.com ---

xe ise
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--- Content provided by FirstRanker.com ---

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c mm
m e
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--- Content provided by‍ FirstRanker.com ---

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--- Content provided by⁠ FirstRanker.com ---

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--- Content provided by FirstRanker.com ---

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--- Content provided by⁠ FirstRanker.com ---

y ma
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--- Content provided by FirstRanker.com ---

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--- Content provided by‌ FirstRanker.com ---

c d b
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y all
a

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huma
m nit
a
y a
y nd in all

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nd in a time
m s; but if
e
I swe
I sw rve

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e
f
rve rom it or viola
m
t

--- Content provided by FirstRanker.com ---

it or viola e it,
e
ma
m y
y the reve

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re
rse
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be
rse

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be my
life.
e
Page 35 of 96
4

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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

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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.

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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.

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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

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Sequence of workbook
No
Topic
Page no.
Hippocratic Oath

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-
Medical Students
-
1
General instructions

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07
2
Index
08
3

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Templates
A.
Long Case
10
B.

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Short Case
15
C.
Newborn
19

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D.
Immunisation Clinics Attended
23
E.
Emergency Cases Observed

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24
F.
Paediatrics Procedures Observed
26
G.

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Common Drugs Used In Paediatrics
27
H.
Instruments Used In Paediatrics
29

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I.
Nutrition Related To Paediatrics
30
4.
Annexure-1: Course Content- Phase II

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31
5
Annexure-2 : Course Content- Phase III-I
32
6

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Annexure-3 : Course Content- Phase III-II
33
7.
Annexure-4: Exam Pattern
34

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8
Annexure-5 : Distribution Of Journal Marks
35
9
Recommended books

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36
10
Paediatrics in General
37
11

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List of abbreviations
41
Page 37 of 96
6

GENERAL INSTRUCTIONS

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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

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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

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- 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.

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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

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INDEX
1. Long Cases:
Sr. No.
Date

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Name of Patient
Diagnosis
Page No.
Sign of Teacher
1

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2
3
4
5
6

--- Content provided by FirstRanker.com ---

7
8
9
10
11

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12
2. Short Cases:
Sr. No.
Date
Name of Patient

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Diagnosis
Page
Sign of Teacher
No.
1

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2
3
4
5
6

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3. New Born Cases:
Sr. No.
Date
Name of Patient / New Born
Diagnosis

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Page
Sign of Teacher
No.
1
2

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3
4
5
6
Page 39 of 96

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4. Immunization O.P.D. attended:
Sr. No.
Date
Immunization Attended

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Sign of Teacher
1
2
3
4

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5
5. Procedures observed:
Sr. No.
Date
Name of Procedure Observed

--- Content provided by‍ FirstRanker.com ---

Sign of Teacher
1
2
3
4

--- Content provided by‍ FirstRanker.com ---

5
6. Emergencies attended:
Sr. No.
Date
Name of Patient

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Diagnosis
Sign of Teacher
1
2
3

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4
5
7. Drug information:
Sr. No.
Date

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Name of Drugs
Sign of Teacher
1
2
3

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4
5
6
7
8

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9
10
Page 40 of 96
9

8. Nutrition-

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Sr. No.
Date
Name of food item
Sign of Teacher
1

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2
3
4
5
6

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7
8
9
10
9. X-Ray

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Sr. No.
Date
Diagnosis of X-Ray
Sign of Teacher
1

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2
3
4
5
6

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7
8
9
10
10. Instruments-

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Sr. No.
Date
Name of Drugs
Sign of Teacher
1

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2
3
4
5
6

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7
8
9
10
Page 41 of 96

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Template for Clinical Cases of Paediatrics
A. LONG CASE-
Informant-
Reliability ? Good/Bad, consistent/ non consistent

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OPD/IPD no.-
Name of the child-
Birth date-
/
/

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Age -
Gender - M/F
Religion and caste.
Address-
Date of admission-

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/ /
Date of examination-
/ /
Chief Complaints ? (in chronological order)
1)

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2)
History of Present Illness ?
Past History ?
Personal History -
Bladder-

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Bowel-
Sleep-
Appetite-
Addictions-
Habits-

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Menstrual cycle-
Relation with friends-
Sports participation-
Family history- Pedigree chart:
Birth History-
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Antenatal history -
Age of mother at marriage-
Age of mother at pregnancy-
Registration of pregnancy.
Medication taken like iron, folic acid and calcium-

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Drug intake during pregnancy -
Immunization of mother ?
History of trauma.
Any illness or infection-
Radiation exposure-

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Hospitals stay during pregnancy.
History of smoking, drinking alcohol, any other-
Natal history ?
Gestational age-
Duration of Labor-

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Page 42 of 96
11

Place of delivery- Home/ Hospital
Person conducting the delivery-
Mode of delivery-

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Babies cry immediately after birth-
Birth weight of the baby-
Date and time of birth-
Any congenital malformation noted
Post-natal history

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Neonatal history -
Time of first breast feeding-
Top feeds given-
Any feeding difficulty-
Prelacteal feeds given-

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NICU stay-
Time of passage of first meconium-
urine-
History of neonatal convulsions or jaundice-
Developmental history-

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1) Motor milestones-
Grossmotormilestones
Finemotormilestones
2)Adoptivemilestones-
3)Socialmilestones

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4)Languagemilestones-
Immunization History ?
BCG- given/ not, Scar- present/absent
OPV 0, 1,2, 3, booster
DPT- 1,2 3, booster

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Measles
Vitamin-A
MMR-
Other vaccines-
? Dietary History-

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Protein intake? Actual--------------------------------Expected------------
Calorie intake- Actual---------------------------------Expected------------
? Socioeconomic History -
Total no. of members in the family-
Floor space area-

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Per capita income-
Education of the Father ------------------- Mother------------------------
Occupation of the Father ----------------- Mother-------------------------
Housing type- kaccha/pakka
Ventilation-

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Water supply-
Sanitation ? toilet facilities / open air defecation.
Socio economic status.-
Page 43 of 96
12

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General Examination:
Anthropometry:
No.
Parameter
Actual

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Expected
1
Weight
2
Height / Length:

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3
Head circumference:
4
Chest circumference:
5

--- Content provided by⁠ FirstRanker.com ---

Mid arm circumference:
6
Upper segment: lower segment ratio:
7
Body mass index:

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8
Arm span:
9
Midpoint of stature:
Vital Parameters: -

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1. Temperature: ----------F/ -----------C
2. Pulse ?
? Rate-
beats/min.
Rhythm-Regular /Irregular

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? Character-
Volume-
? Radio femoral Delay-
Capillary refill-
3. Respiration- Rate---- - cycles/min

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4. Blood pressure -
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
? Right upper limb-

--- Content provided by‍ FirstRanker.com ---

/ mmHg Left upper limb-
/ mmHg
5. Jugular venous pressure-
Head to Toe Examination-
a. Head-

--- Content provided by FirstRanker.com ---

? Size- normal/ microcephaly/macrocephaly
? Shape-
? Cephalic index-
? Craniosynostosis-
? Bossing / prominence-

--- Content provided by FirstRanker.com ---

? Fontanel- anterior- open (size-
)/closed
? Post. Fontanels- (size-
)/closed
? Scalp swelling -

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? Transillumination of skull
Page 44 of 96
13

b. Hair-
Colour-

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Texture Pigmentation-
Luster -
Hair line ?Low/normal/high
c. Face-
d. Eyes-

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Eyelids-
Intercanthal distance-
Eyebrows-
Eyelashes-
Conjunctiva-

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Cornea ?
Lens-
Sclera-
Fundus
Conjunctiva -

--- Content provided by‍ FirstRanker.com ---

e. Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?
External auditory canal-

--- Content provided by‌ FirstRanker.com ---

Tympanic membrane
f.
Mouth-
? Oral cavity-
Buccal mucosa-

--- Content provided by‌ FirstRanker.com ---

? Dentition: Gums:
? Tongue : Examination of throat-
? Lips : Cyanosis-
Philthrum-
other-

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? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g. Neck-
? Swelling of neck : Webbing of neck

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? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-
Thyroid gland-
? Position of trachea -

--- Content provided by⁠ FirstRanker.com ---

Neck stiffness
h. Skin-
? Colour-
Turgor-
Infections -

--- Content provided by FirstRanker.com ---

Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-
Stria-
i.

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Hand-
? Congenital malformation -
? Single Palmar crease -
? Finger ?
Clubbing-

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Nails-
j.
External gentile ?
? Tanner staging sexual maturity score-
? Penile length:

--- Content provided by⁠ FirstRanker.com ---

k. Bones, Joints, Spine and Back-
l.
Any Obvious Congenital Anomalies:
Page 45 of 96
14

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Systemic Examination:
Provisional Diagnosis-
1)
2)
3)

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4)
Investigations-
Final Diagnosis-
Treatment-
Case Summary-

--- Content provided by⁠ FirstRanker.com ---

Date-
Signature of Teacher
Page 46 of 96
15

B. SHORT CASE

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Informant-
Reliability ?
Consistent/ non consistent
OPD/IPD no.-
Name of the child-

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Birth date-
/
/
Age -
Gender - M/F Religion and caste.

--- Content provided by‌ FirstRanker.com ---

Address ?
Date of admission-
/ / Date of examination-
/ /
Chief Complaints ? (in chronological order)

--- Content provided by FirstRanker.com ---

1)
2)
3)
General Examination:
Anthropometry:

--- Content provided by FirstRanker.com ---

No.
Parameter
Actual
Expected
1

--- Content provided by FirstRanker.com ---

Weight
2
Height / Length:
3
Head circumference:

--- Content provided by‍ FirstRanker.com ---

4
Chest circumference:
5
Mid arm circumference:
6

--- Content provided by FirstRanker.com ---

Upper segment: lower segment ratio:
7
Body mass index-
8
Arm span-

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9
Midpoint of stature-
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?

--- Content provided by‍ FirstRanker.com ---

? Rate-
beats/min. Rhythm-Regular /Irregular
? Character-
Volume-
? Radiofemoral Delay-

--- Content provided by‍ FirstRanker.com ---

Capillary refill-
3. Respiration- Rate---- - cycles/min
4. Blood pressure -
? Right upper limb-
/ mmHg Left upper limb-

--- Content provided by FirstRanker.com ---

/ mmHg
? Right upper limb-
/ mmHg Left upper limb-
/ mmHg
Page 47 of 96

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5. Jugular Venous Pressure-
Head to Toe Examination-
a) Head-
? Size- normal/ microcephaly/macrocephaly Shape-

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? Cephalic index-
? Craniosynostosis-
Bossing / prominence-
? Fontanel- anterior- open (size-
)/closed

--- Content provided by⁠ FirstRanker.com ---

? Post. Frontanelle- (size-
)/closed
? Scalp swelling -
? Transillumination of skull
b) Hair-

--- Content provided by FirstRanker.com ---

Colour-
Texture Pigmentation-
Luster -
Hair line ?Low/normal/high
c) Face-

--- Content provided by⁠ FirstRanker.com ---

d) Eyes-
Eyelids-
Intercanthal distance-
Eyebrows-
Eyelashes-

--- Content provided by FirstRanker.com ---

Conjunctiva-
Cornea ?
Lens-
Sclera-
Fundus

--- Content provided by FirstRanker.com ---

Conjuctiva -
e) Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?

--- Content provided by‌ FirstRanker.com ---

External auditory canal-
Tymphanic membrane
f) Mouth-
? Oral cavity-
Buccal mucosa-

--- Content provided by‍ FirstRanker.com ---

? Dentition: Gums:
? Tongue :
Examination of throat-
? Lips : Cyanosis-
Philthrum-

--- Content provided by FirstRanker.com ---

other-
? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g) Neck-

--- Content provided by⁠ FirstRanker.com ---

? Swelling of neck :
Webbing of neck
? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-

--- Content provided by FirstRanker.com ---

Thyroid gland-
? Position of trachea -
Neck stiffness
h) Skin-
? Colour-

--- Content provided by‍ FirstRanker.com ---

Turgor-
Infections -
Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-

--- Content provided by FirstRanker.com ---

Stria-
i) Hand-
? Congenital malformation -
? Single Palmar crease -
Page 48 of 96

--- Content provided by‌ FirstRanker.com ---

? Finger ?Clubbing-
Nails
j.
External Gentile ?
--- Content provided by FirstRanker.com ---
Tanner staging sexual maturity score-
Penile length:
k. Bones, Joints, Spine and Back-
l.
Any Obvious Congenital Anomalies:

--- Content provided by FirstRanker.com ---

Systemic Examination-
Provisional Diagnosis-
1)
2)
3)

--- Content provided by‌ FirstRanker.com ---

4)
5)
Investigations-
Final Diagnosis-
Treatment-

--- Content provided by‌ FirstRanker.com ---

Case Summary-
Date-
Signature of Teacher
Page 49 of 96
18

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C. NEONATAL CASE
OPD/IPD NO. -
Date-
Name of mother-
Name of father-

--- Content provided by⁠ FirstRanker.com ---

Date of delivery-
Sex of baby-
m/f caste /religion-
Place of delivery-
date of examination-

--- Content provided by FirstRanker.com ---

Maternal History-
Antenatal history -
? Age at marriage-
Age at pregnancy-
? Registration of pregnancy-

--- Content provided by FirstRanker.com ---

P-
, G-
, L-
,A-
? Family history-

--- Content provided by FirstRanker.com ---

? 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 ?

--- Content provided by‌ FirstRanker.com ---

? Radiation exposure-
Hospitals stay during pregnancy-
? History of smoking, drinking alcohol, any other.-
? History of trauma-
Natal history ?

--- Content provided by FirstRanker.com ---

? Apgar score-
? Gestational age-
Duration of Labor-
? Place of delivery- Home/ Hospital
? Person conducting the delivery-Mode of delivery-

--- Content provided by‌ FirstRanker.com ---

? Babies cried immediately after birth-
? Birth weight of the baby-
? Date and time of birth-
? Any congenital malformation noted-
Postnatal history ?

--- Content provided by⁠ FirstRanker.com ---

Neonatal history -
? Time of first breast feeding-
? Top feeds given-
? Any feeding difficulty-
? Prelacteal feeds given-

--- Content provided by‍ FirstRanker.com ---

? NICU stay-
? Time of passage of first meconium-
first urine-
? History of convulsions or jaundice-
? Inj. Vit. K given/not-

--- Content provided by‌ FirstRanker.com ---

? Anyotherproblems-
Feeding History -
Page 50 of 96
19

--- Content provided by FirstRanker.com ---

--- Content provided by⁠ FirstRanker.com ---

--- Content provided by FirstRanker.com ---

Immunization History ?

--- Content provided by⁠ FirstRanker.com ---

BCG-
OPV `0' dose Any Other vaccines-
General Examination:
Anthropometry:
No.

--- Content provided by FirstRanker.com ---

Parameter
Actual
Expected
1
Weight

--- Content provided by‌ FirstRanker.com ---

2
Length
3
Head circumference:
4

--- Content provided by FirstRanker.com ---

Chest circumference:
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
? Rate-

--- Content provided by FirstRanker.com ---

beats/min.
? Rhythm-Regular /Irregular
? Character-
? Volume-
? Radio-femoral Delay-

--- Content provided by⁠ FirstRanker.com ---

?
Capillary refill-
3. Respiration-Rate---- - cycles/min
4. Blood Pressure -
? Right upper limb-

--- Content provided by⁠ FirstRanker.com ---

/ mmHg
? Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg

--- Content provided by‍ FirstRanker.com ---

? Left upper limb-
/ mmHg
5.Pulse Oximetry- (Pre and Post Ductal Saturation)
Head to Toe Examination-
a) Head-

--- Content provided by‌ FirstRanker.com ---

? Size- normal/ microcephaly/macrocephaly Shape-
? Cephalic index-
? Craniosynostosis-
Bossing / prominence-
? Fontanel- anterior- open (size-

--- Content provided by FirstRanker.com ---

)/closed
? Post. Frontanelle- (size-
)/closed
? Scalp swelling -
Transillumination of skull

--- Content provided by⁠ FirstRanker.com ---

b) Hair-
Colour-
Texture
Pigmentation-
Luster -

--- Content provided by‌ FirstRanker.com ---

Hair line ?Low/normal/high
c) Face-
d) Eyes-
Eyelids-
Intercanthal distance-

--- Content provided by FirstRanker.com ---

Eyebrows-
Eyelashes-
Page 51 of 96
20

Conjunctiva-

--- Content provided by⁠ FirstRanker.com ---

Cornea ?
Lens-
Sclera-
Fundus
Conjuctiva -

--- Content provided by⁠ FirstRanker.com ---

e) Ear-
Setting of ears ?Low/normal Ear tag ?
Large prominent ear-
Pinna ?
External auditory canal-

--- Content provided by FirstRanker.com ---

Tymphanic membrane
f) Mouth-
? Oral cavity-
Buccal mucosa-
? Dentition:

--- Content provided by FirstRanker.com ---

Gums:
? Tongue : Examination of throat-
? Lips : Cyanosis-
Philthrum-
other-

--- Content provided by‍ FirstRanker.com ---

? Tonsil-
Uvula-
? Posterior pharyngeal wall-
g) Neck-
? Swelling of neck : Webbing of neck

--- Content provided by FirstRanker.com ---

? Enlarged distended neck veins-
Short neck
? cervical group of lymph nodes-
Thyroid gland-
? Position of trachea -

--- Content provided by‌ FirstRanker.com ---

Neck stiffness
h) Skin-
? Colour-
Turgor-
Infections -

--- Content provided by⁠ FirstRanker.com ---

Rash
? Subcutaneous nodules-
Xanthoma and xanthelasma-
Stria-
i) Hand-

--- Content provided by⁠ FirstRanker.com ---

? Congenital malformation -
? Single Palmar crease -
? Finger ?
Clubbing-
Nails-

--- Content provided by FirstRanker.com ---

j.
External Gentile ?
Tanner staging sexual maturity score-
Penile length:
k. Bones, Joints, Spine And Back
--- Content provided by‌ FirstRanker.com ---
l.
Any Obvious Congenital Anomalies:
Neonatal Reflexes-
1) Rooting reflex:
2) Suckling reflex:

--- Content provided by FirstRanker.com ---

3) Doll's eye response:
4) Light reflex:
5) Glabellar tap:
6) McCarthy's reflex:
7) Gallant's reflex:

--- Content provided by FirstRanker.com ---

8) Perez reflex:
9) Landau's reflex:
10) Moro's reflex-
11) Stepping reflex
12) Placing reflex-

--- Content provided by‍ FirstRanker.com ---

13) Prone crawl reflex :
Page 52 of 96
21

14) Plantar & palmar grasp:
15) Crossed adductor reflex: :

--- Content provided by⁠ FirstRanker.com ---

16) Magnet reflex:
17) Asymmetric tonic neck reflex:-
18) Symmetric tonic neck reflex:-
19) Pull-to-sit-
20) Babinski or plantar reflex :-

--- Content provided by‍ FirstRanker.com ---

21) Righting reflexes-
Systemic Examination--
Provisional Diagnosis-
1)
2)

--- Content provided by FirstRanker.com ---

Investigations-
Final Diagnosis-
Treatment-
Case Summary-
DateSignature of Teacher

--- Content provided by⁠ FirstRanker.com ---

Page 53 of 96
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D. IMMUNIZATION O.P.D. ATTENDED
Date-
Paste picture of

--- Content provided by‌ FirstRanker.com ---

vaccine
Name of vaccine ?
Dose-
Route-
Special precautions-

--- Content provided by‍ FirstRanker.com ---

Indications-
Contraindications-
Side effects-
Storage-
Any other Details of vaccine-

--- Content provided by‌ FirstRanker.com ---

Sign of vaccinator-
Page 54 of 96
23

E. EMERGENCY CASES OBSERVED-
Common Paediatrics Emergencies-

--- Content provided by⁠ FirstRanker.com ---

1.
Basic Paediatrics and Neonatal Life Support and Advanced Cardiac Life Support.
2.
Organophosphorous Poisoning
3.

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Kerosene Poisoning
4.
Iron Poisoning
5.
Dhatura Poisoning

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6.
Snake Bite
7.
Scorpion Bite
8.

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Anaphylactic Shock
9.
Hematemesis
10. Shock
11. Severe Dehydration

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12. Acute Respiratory Failure
13. Acute Renal Failure
14. Status Asthamaticus
15. Severe Hypokalemia
16. Status Epilepticus

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17. Hepatic Encephalopathy
18. Diabetic Ketoacidosis
19. Coma
20. Hypoglycemia
Template-

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OPD/IPD no.-
Name of the child-
Birth date-
/ /
Age -

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Gender - M/F
Date of admission-
/ /
Date of examination-
/ /

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Chief Complaints ? (in chronological order)
1)
2)
3)
4)

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History of Present Illness ?
Vital Parameters: -
1. Temperature: ----------F/ -----------C
2. Pulse ?
Page 55 of 96

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? Rate-
beats/min. Rhythm-Regular /Irregular
? Character-
Volume-

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? Radio femoral Delay-
Capillary refill-
3. Respiration-Rate---- - cycles/min
4. Blood Pressure -
? Right upper limb-

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/ mmHg Left upper limb-
/ mmHg
? Right upper limb-
/ mmHg Left upper limb-
/

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mmHg
5. Jugular Venous Pressure-
Head to Toe Examination- Any positive findings
Systemic Examination- positive findings only
Details of emergency attended

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Final Diagnosis-
Treatment-
Case Summary-
Date-
Signature of Teacher

--- Content provided by‍ FirstRanker.com ---

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F. PAEDIATRIC PROCEDURES OBSERVED
Requires certification-
- Anthropometry

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- Development assessment
- Breast feeding, observation and counseling
- BMI calculation
- Prescription of Immunizations schedule
- Naso-gastric tube passage in manikin

--- Content provided by‌ FirstRanker.com ---

- IV line in manikin
- Interosseous insertion in manikin
- Airway management
- Oxygen administration
- Bag ventilation

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- Monitoring of shock
- IV access
- Calculation of fluid requirements
- Monitoring of unconscious
- Dehydration assessment

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- BLS in manikin
- Urine dipstick
- Identification of BCG scar
- Interpret Mantoux
Following procedures to be only observed-

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? Lumbar Puncture
? Liver biopsy
? Renal biopsy
? Bone marrow
? Bladder Catheterization

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? Peripheral IV Insertion
? Insertion of Umbilical Venous and Arterial Lines
? Insertion of Naso -Gastric Feeding Tubes/Ryles tube
? Neonatal Intubation
? Neonatal Resuscitation

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? Pediatric Resuscitation
? Intramuscular, intra-dermal, subcutaneous injections
? Bag and mask use
Template-
Name of Procedure

--- Content provided by‌ FirstRanker.com ---

OPD/IPD no.-
Name of the child-
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AGE-

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SEX-
Address ?
Date of admission-
/ /
Date of procedure-

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/ /
Chief Complaints ? (in chronological order)
1)
2)
3)

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4)
History of Present Illness ?
Prerequisites-
Preparation-
Procedure details-
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Post Procedure Care-
Complications Known-
Any Other-
Date-
Signature of Teacher

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Page 58 of 96
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G. COMMON DRUGS USED IN PAEDIATRICS
Name of drug-
Class/ Group of Drug-

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Paste picture of
drug here
Doses-
Mechanism of action-
Uses-

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Side effects-
Contraindications-
Any other-
Date-
Signature of Teacher

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Page 59 of 96
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H. INSTRUMENTS USED IN PAEDIATRICS
Name of instrument-
Photograph of

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Instrument
Uses-
Precautions-
Describe procedure where it is used-
Any other ?

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Sign of Teacher
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I. NUTRITION RELATED TO PAEDIATRICS
Name of food item-

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Class-
Photograph
Nutritive contents ?
Nutritive values-
Medicinal use-

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Contraindications
Any other details-
Sign of Teacher-
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Page 62 of 96
31

Annexure- 1.--
Course Content Phase II( October 2020)
Subject: PAEDIATRICS

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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):

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No
B. Self-directed learning (hours):
C. Clinical Postings(hours):
? Weeks- 2 wks
? Hours per week-15

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? Monday to Friday- 3 hours per day.
D. Small group teachings/tutorials/Integrated teaching/Practical(hours):No
Tentative Clinical posting schedule-
Day
Topic

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Day
Topic
1
Round to Paediatric ward, Maternal
6

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Systemic examination of child-
ward, Kangaroo Mother Care,
CVS
PICU, NICU, Labour room, OPD,
Immunisation room etc.

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2
History taking in Paediatrics
7
Systemic examination of child- RS
and PA

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3
Assessment
of
growth
and

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8
Neonatal examination
development
4
General examination of child.

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9
Elicitation of neonatal reflexes
5
Systemic examination of child- 10
Posting ending exam

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CNS
Competency Nos.
Topics, Subtopics and Lectures
Page 63 of 96
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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.)

--- Content provided by FirstRanker.com ---

Total Teaching hours:
A. Lectures (hours): 20
B. Self-directed learning (hours): 5
C. Clinical Postings (hours):
? Weeks- 4

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? 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

--- Content provided by⁠ FirstRanker.com ---

Topic
Day
Topic
1
Round to Paediatric ward, Maternal ward, Kangaroo

--- Content provided by FirstRanker.com ---

11
Elicitation
of
neonatal
Mother Care, PICU, NICU, Labour room, OPD,

--- Content provided by‌ FirstRanker.com ---

reflexes
Immunisation room etc.
2
History taking in Paediatrics
12

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Immunisation clinic
3
Assessment of growth and development
13
Immunisation clinic

--- Content provided by‍ FirstRanker.com ---

4
General examination of child.
14
Immunisation clinic
5

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Systemic examination of child- CNS
15
Immunisation clinic
6
Systemic examination of child- CNS

--- Content provided by FirstRanker.com ---

16
Paediatric Emergencies
7
Systemic examination of child- RS
17

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Paediatric Emergencies
8
Systemic examination of child- Per Abdomen
18
Paediatric Emergencies

--- Content provided by FirstRanker.com ---

9
Systemic examination of child- CVS
19
Paediatric Emergencies
10

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Neonatal case taking and examination.
20
Posting ending exam
Competency Nos.
Topics, Subtopics and Lectures

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Page 64 of 96
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Annexure- 3.
Course Content Phase: III-II( October 2020)
Subject: PAEDIATRICS (Theory / Practical )

--- Content provided by FirstRanker.com ---

(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

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B. Self-directed learning (hours): 10
C. Clinical Postings (hours):
? Weeks- 4
? Hours per week- 15
? Monday to Friday- 3 hours per day.

--- Content provided by‌ FirstRanker.com ---

D. Seminars/Small group teachings/tutorials/Integrated teaching/Practical (hours): 35
Tentative Clinical posting schedule-
Day
Topic
Day

--- Content provided by‍ FirstRanker.com ---

Topic
1
History taking and General examination
11
Neonatal case taking, examination and

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of child.
Elicitation of neonatal reflexes
2
Systemic examination of child- CNS
12

--- Content provided by‍ FirstRanker.com ---

Demonstration of Common procedures
related to Paediatrics
3
Systemic examination of child- CNS
13

--- Content provided by FirstRanker.com ---

Demonstration of Common procedures
related to Paediatrics
4
Systemic examination of child- RS
14

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Common Drugs used in Paediatrics
5
Systemic examination of child- Per 15
Common Drugs used in Paediatrics
Abdomen

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6
Systemic examination of child- CVS
16
Common Instruments used in Paediatrics
7

--- Content provided by‌ FirstRanker.com ---

Systemic examination of child- CVS
17
X-Ray film reading related to Paediatrics.
8
Short case discussion

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18
Nutrition
9
Neonatal case taking, examination and
19

--- Content provided by‌ FirstRanker.com ---

Nutrition
Elicitation of neonatal reflexes
10
Neonatal case taking, examination and
20

--- Content provided by‍ FirstRanker.com ---

Posting ending exam
Elicitation of neonatal reflexes
Competency Nos.
Topics, Subtopics and Lectures
Page 65 of 96

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Annexure- 4.
Exam Pattern ? Paediatrics
Theory Paper (100 marks)
Section A- MCQ-:

--- Content provided by FirstRanker.com ---

Section B-
Section C-
Practical exam (100 marks)
? Long case-
? Short case/ New born-

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? 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

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University Examination
? Mandatory 50% marks separately in theory and practical (practical = practical/ clinical +
viva)
Page 66 of 96
35

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Annexure- 5
Distribution of journal marks
Total- 10 marks
Parameter
Total

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Marks
Phase
Long cases
-
-

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Phase: II (Second year)
6 (CNS-2, RS-1, PA-1,
1
Phase: III-1 (Third Minor)
CVS-2)

--- Content provided by⁠ FirstRanker.com ---

66 (CNS-2, RS-1, PA-1,
1
Phase: III-II (Third Major)
CVS-2)
Short cases

--- Content provided by FirstRanker.com ---

3
1/2
Phase: II (Second year)
3
1/2

--- Content provided by FirstRanker.com ---

Phase: III-1 (Third Minor)
3
1/2
Phase: III-II (Third Major)
Newborns

--- Content provided by‌ FirstRanker.com ---

3
1/2
Phase: II (Second year)
3
1/2

--- Content provided by‍ FirstRanker.com ---

Phase: III-1 (Third Minor)
3
1/2
Phase: III-II (Third Major)
Emergencies

--- Content provided by‍ FirstRanker.com ---

5
1
Phase: III-1 (Third Minor)
Procedures
5

--- Content provided by FirstRanker.com ---

1
Phase: III-II (Third Major)
Vaccines
All vaccines as per
1

--- Content provided by FirstRanker.com ---

Phase: III-I
Government of India.
Drugs
10
1

--- Content provided by FirstRanker.com ---

Phase: III-II
Instruments
10
1/2
Phase: III-II

--- Content provided by FirstRanker.com ---

Nutrition
10
1/2
Phase: III-II
Total- 10 marks

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Page 67 of 96
36

Recommended books
Sr.no.
Author

--- Content provided by FirstRanker.com ---

Title of book/ Material
Publisher
1.
Vinod Paul,
Ghai Essential Pediatrics

--- Content provided by FirstRanker.com ---

CBS Publishers
Arvind Bagga
2.
Meherban Singh
Pediatric Clinical Methods

--- Content provided by‍ FirstRanker.com ---

CBS Publishers
3.
Michael Glynn
Hutchison's Clinical Methods
Elsevier

--- Content provided by FirstRanker.com ---

William M Drake
4.
A Parthasarathy
IAP Colour Atlas of Pediatrics
Jaypee

--- Content provided by‌ FirstRanker.com ---

5.
Tom Lissauer
Illustrated Textbook of Pediatrics
Elsevier
Will Carroll

--- Content provided by‍ FirstRanker.com ---

6.
Meherban Singh
Care of newborn
CBS Publishers
Page 68 of 96

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PEDIATRICS (CODE: PE) IN GENERAL
Competencies: The student must demonstrate:
1. Ability to assess and promote optimal growth, development and nutrition of children and

--- Content provided by FirstRanker.com ---

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,

--- Content provided by FirstRanker.com ---

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

--- Content provided by‍ FirstRanker.com ---

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

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Page 70 of 96
39

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Page 71 of 96
40

Page 72 of 96
41

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--- Content provided by⁠ FirstRanker.com ---

List of abbreviations
A
Attitude

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AETCOM
Attitude Ethics and Communication
Anat
Anatomy
Biochem

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Biochemistry
Cardio
Cardiology
Com Med
Community Medicine

--- Content provided by FirstRanker.com ---

Derm
Dermatology
DOAP
Demonstrate Observe Assist Perform
ENT

--- Content provided by FirstRanker.com ---

ENT
Forensic
Forensic Medicine
Gastro
Gastroenterology

--- Content provided by FirstRanker.com ---

K
Knows
KH
Know How
S

--- Content provided by FirstRanker.com ---

Shows
C
Communication
Med
Gen Medicine

--- Content provided by‌ FirstRanker.com ---

Micro
Microbiology
N
No
OBG

--- Content provided by‌ FirstRanker.com ---

Obstetrics & Gynecology
Ophthal
Ophthalmology
OSCE
Objective Structured Clinical Examination

--- Content provided by‌ FirstRanker.com ---

OSPE
Objective Structured Practical Examination
Psych
Psychiatry
PMR

--- Content provided by FirstRanker.com ---

Physical Medicine Rehabilitation
Path
Pathology
Physio
Physiology

--- Content provided by‌ FirstRanker.com ---

Pharm
Pharmacology
SAQ
Short Answer Question
SGD

--- Content provided by‍ FirstRanker.com ---

Small Group Discussion
Surg
Gen Surgery
RadioD
Radio diagnosis

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Resp Med
Respiratory Medicine
Y
Yes
Pages for all the phases will be added and color coded as follows-

--- Content provided by‌ FirstRanker.com ---

Phase II : yellow
Phase III-I: Green
Phase III-II: Brown.
Page 73 of 96
42

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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

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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

--- Content provided by‍ FirstRanker.com ---

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

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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.

--- Content provided by FirstRanker.com ---

2 | P a g e
Page 75 of 96

Name of the College
___________________________________________________________________________
_____________________________________________________

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Admission Year: ____________
CERTIFICATE
This is to certify that,
Mr/Ms.______________________________________________________
Roll No. ________ has satisfactorily attended/completed all assignments mentioned in this

--- Content provided by FirstRanker.com ---

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

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Professor and Head
Department of PAEDIATRICS
3 | P a g e
Page 76 of 96

Instructions

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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).

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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

--- Content provided by FirstRanker.com ---

this type of situation?)
5) The logbook assessment will be based on multiple factors like
Attendance
Active participation in the sessions
Timely completions

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Quality of write up of reflections
Overall presentation
4 | P a g e
Page 77 of 96

INDEX

--- Content provided by FirstRanker.com ---

Sr. No
Description
Page No's
REMARK
Signature of
--- Content provided by‌ FirstRanker.com ---
Teacher
1
Clinical Paediatrics
Skills
2

--- Content provided by‌ FirstRanker.com ---

Self-Directed
Learning, Seminars,
Projects, Quizzes
3
AETCOM Module

--- Content provided by⁠ FirstRanker.com ---

4
Attendance Records
5
Records of Internal
Assessment

--- Content provided by‌ FirstRanker.com ---

* 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

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structured clinical assessment the checklist, MiniCex, as per the institutional preference.
I) SECOND PHASE MBBS
Compete
Name of activity
Site

--- Content provided by‌ FirstRanker.com ---

Date
Attempt
Sign of
Sign of
Meth

--- Content provided by⁠ FirstRanker.com ---

S
WARD,
ncy #
skill lab, com
at

--- Content provided by‍ FirstRanker.com ---

faculty
Learner
od of
C
addresse

--- Content provided by‍ FirstRanker.com ---

OPD ,
plet
activity
assess
O

--- Content provided by‌ FirstRanker.com ---

d
Casualty
ed
First (F)
ment

--- Content provided by FirstRanker.com ---

R
,
Repeat
E
(R)

--- Content provided by‌ FirstRanker.com ---

6 | P a g e
Page 79 of 96

II) THIRD PHASE MBBS PART I
Competency
Name Site

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Date
Attempt
Sign
Sign of
Method of

--- Content provided by FirstRanker.com ---

SCORE
of
WARD,
# addressed
activi skill lab, comple

--- Content provided by FirstRanker.com ---

at
of
Learner
assessment
ty

--- Content provided by FirstRanker.com ---

opd
ted
activity
facult
casualty,

--- Content provided by‌ FirstRanker.com ---

First (F)
y
Repeat
(R)
7 | P a g e

--- Content provided by‌ FirstRanker.com ---

Page 80 of 96

II) THIRD PHASE MBBS PART II
Competen
Name of
Site

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Date
Attempt
Sign of
Sign of
Method of

--- Content provided by FirstRanker.com ---

SCOR
activity
WARD,
cy #
skill lab, complet

--- Content provided by‌ FirstRanker.com ---

at
faculty
Learner
assessment
E

--- Content provided by⁠ FirstRanker.com ---

addressed
OPD ,
ed
activity
casualty

--- Content provided by‍ FirstRanker.com ---

First (F)
,
Repeat
(R)
8 | P a g e

--- Content provided by‌ FirstRanker.com ---

Page 81 of 96

Reflection on Clinical Paediatrics Skills
Topic:
Date:
Signature of Teacher-in- charge

--- Content provided by‌ FirstRanker.com ---

9 | P a g e
Page 82 of 96

Reflection on Clinical Paediatrics Skills
Topic:
Date:

--- Content provided by⁠ FirstRanker.com ---

Signature of Teacher-in- charge
10 | P a g e
Page 83 of 96

Reflection on Clinical PAEDIATRICS Skills
Topic:

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Date:
Signature of Teacher-in- charge
11 | P a g e
Page 84 of 96

2. Self Directed Learning, Seminars, Tutorials, Projects, Quizzes

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S.No
PHASE
Self Directed
Date
Signature of

--- Content provided by FirstRanker.com ---

Learning, Seminars,
Teacher
Tutorials, Projects,
Quizzes
12 | P a g e

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Page 85 of 96

Reflection on self directed learning activities
Topic:
Date:
Signature of Teacher-in- charge

--- Content provided by‌ FirstRanker.com ---

13 | P a g e
Page 86 of 96

Reflection on self directed learning activities
Topic:
Date:

--- Content provided by FirstRanker.com ---

Signature of Teacher-in- charge
14 | P a g e
Page 87 of 96

Reflection on self directed learning activities
Topic:

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Date:
Signature of Teacher-in- charge
15 | P a g e
Page 88 of 96

3: AETCOM Module

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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.

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Criteria
Phase II
Phase III/I
Phase III/II Score
Score

--- Content provided by FirstRanker.com ---

Score
Builds relationship
Opens the discussion
Gathers information
Understands the parent's

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perspective
Shares information
Manages flow
Overall rating
Signature of teacher

--- Content provided by‍ FirstRanker.com ---

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)

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Compete
Name of
Site
Date
Attempt

--- Content provided by FirstRanker.com ---

Sign of
Sign
Metho
SCORE
competen WARD,

--- Content provided by‌ FirstRanker.com ---

ncy #
cy
skill lab, complet
at
faculty

--- Content provided by FirstRanker.com ---

of
d of
addresse
opd ,
ed

--- Content provided by FirstRanker.com ---

activity
Learn
assess
d
casualty,

--- Content provided by FirstRanker.com ---

First (F)
er
ment
Repeat
(R)

--- Content provided by‌ FirstRanker.com ---

PHASE III PART 1 (TWO ASSESSMENTS)
Competency Name of
Site
Date
Attempt

--- Content provided by‌ FirstRanker.com ---

Sign
Sign of
Method of
SCORE
Competency WARD,

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# addressed
skill lab, completed
at
of
Learner

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assessment
opd ,
activity
faculty
casualty,

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First
(F)
Repeat
(R)
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PHASE III PART 2 (TWO ASSESSMENTS)
Competency
Name of
Site

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Date
Attempt
Sign
Sign of
Method of

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Score
Competency
# addressed
WARD, completed
at

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of
Learner
assessment
skill lab,
activity

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faculty
opd ,
First
casualty,
(F)

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Repeat
(R)
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Reflection on AETCOM module

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Topic:
Date:
Signature of Teacher-in- charge
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Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge
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Reflection on AETCOM module
Topic:
Date:
Signature of Teacher-in- charge

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4A: Attendance Record of the Student
S. No
Term

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Theory (%)
Practical (%)
Signature of
Signature of
the Student

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the Teacher
A
II PHASE
B
III PHASE

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PART 1
C
III PHASE
PART 2
E

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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)]

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S.No
Date
Period
Total hrs
Signature of

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Signature of
student
Teacher
Total hours
Note: Above information is for the benefit of students and parents. In case of any
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discrepancy departmental record will be treated as final.
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Section 5. Records of Internal Assessment Examinations
Records of Internal Assessment examinations

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S.No
Exam
Theory
Practical
Signature of

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Signature of
including
student
Teacher
log book

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1
I Internal
/50
/ 50
Assessment

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2
II Internal
/ 50
/ 50
Assessment

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3
III Internal
/ 50
/ 50
Assessment

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4
IV Internal
/100
/100
Assessment
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(Prelim)
4
Internal
/ 250
/ 250

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Assessment marks
5
Converted marks
/25
/25

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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.

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Document Outline

Course content.pdf
Internal assessment format.pdf
8. Pediatrics Journal.pdf

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8. Pediatrics Log book.pdf

This post was last modified on 29 June 2021

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