Pediatrics (clinical practice)

Code:

MI633

Acronym:

PED

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2022/2023 - SP

Active?	Yes
Responsible unit:	Departamento de Ginecologia-Obstetrícia e Pediatria
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	265	Plano Oficial 2021	6	-	6	96	162

Teaching language

Suitable for English-speaking students

Objectives

Learning objectives - knowledge, skills and competences (cognitive, affective and psycho-motor domains) to be developed by the students:

General objectives: Improvement of knowledge, attitudes and skills which allow the student to provide child health-care in a familial and social environment.

Specific objectives:
Development of Knowledge, Skills and Attitudes on growth and development; familial, social and community issues; nutritional needs according to age; prevention by vaccination; promotion of heathy life styles; social child protection and health-care network.

Students must learn to diagnose and to treat common child diseases; to screen and refer rare diseases; to provide health-care in urgent situation; to recognize the disease impact on the child and his family.

In summary, the student must have knowledge and skills in order:

To communicate with patients, their families and other health professionals

To perform anamnesis and clinical examination in different age groups

To decide if/which diagnostic tests should be chosen 

To discuss differential diagnosis 

To perform current diagnostic tests and treatments

To make appropriate therapeutic decisions

To follow the child 

To bear always in mind ethics behavior.

Learning outcomes and competences

Demonstration of the syllabus coherence with the curricular unit’s intended learning outcomes:

The syllabus meets the semiology, clinical framework, pathophysiological approach, therapeutic principles, and referral criteria on frequent and/or relevant entities in Paediatrics.

Syllabus will also allow a better knowledge of healthy children and adolescents and also a better ability in preventive medicine practice.

Students will be integrated in clinical activities in the nursery, ambulatory and urgencies rooms of Paediatric Departments.

In daily clinical practice the student must integrate knowledge, attitudes and skills acquired in the previous year (5^th year of the course) with those of basic and clinical disciplines closely related, particularly concerning:

• Prevention
• Infections
• Currentproblems in Pediatrics
• Pathologic growth
• Cardiac diseases
• Diseases of the newborn
• Gastrointestinal diseases
• Genetics diseases
• Renal diseases
• Lung diseases
• Abnormal behavior
• Blood diseases
• Basic support of pediatric life
• Severely ill child

 

Working method

Presencial

Program

Syllabus:

Students will be integrated in clinical activities in the nursery, ambulatory and urgencies rooms of Pediatrics Departments.
In daily clinical practice the student must integrate knowledge, attitudes and skills acquired in the previous year (5^th year of the course) with those of basic and clinical disciplines closely related, particularly concerning:

• Prevention
• Infections
• Current problems in Pediatrics
• Pathologic growth
• Cardiac diseases
• Diseases of the newborn
• Gastrointestinal diseases
• Genetics diseases
• Renal diseases
• Lung diseases
• Abnormal behavior
• Blood diseases
• Basic pediatric life support
• Severely ill child

Mandatory literature

Guerrero-Fernández J., Cartón Sánchez A, Barreda Bonis A., Menéndez Suso J., Ruiz Domínguez J. ; Manual de Diagnóstico y Terapéutica en Pediatría, Panamericana, 2018. ISBN: 13: 9788491101307

Complementary Bibliography

Beheram and Vaughan eds; o Nelson’s Textbook of Pediatrics - . Saunders company. 19th edition, Philadelphia, 2017.
Videira-Amaral JM; Tratado de Clinica Pediátrica, 2022. ISBN: 978-989-54122-3-5
Guiomar Oliveira; Jorge Saraiva (Coordenadores); ; Lições de Pediatria (vol. I e vol. II), , Imprensa da Universidade de Coimbra, 2017. ISBN: ISBN 978-989-26-1300-0
Long S, Pickering LK & Prober C.; Principles and Practice of Pediatric Infectious Diseases, 5th Edition. 2018
Tom Lissauer & Will Carroll; llustrated Textbook of Paediatrics,6th Edition, Elsevier, 2021
Karen Marcdante; Robert M. Kliegman; Nelson Essentials of Pediatrics, 8th Edition, Elsevier, 2018
Karen Duderstadt; Pediatric Physical Examination 3rd Edition, Elsevier, 2018. ISBN: 9780323476508

Teaching methods and learning activities

Demonstration of the teaching methodologies coherence with the curricular unit’s intended learning outcomes:

The teaching methodologies offer the opportunities for the learning of competences (knowledge, attitudes and skills) that enable the basic clinical performance in the field of pediatrics.  

The most effective and coherent way in order to achieve the learning outcomes of students is by the integration in clinical activities in the nursery, ambulatory and urgencies rooms of the paediatric departments. This will allow students to learn how to diagnose and reat common child diseases and to screen and guide rare diseases beyond their competences.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	75,00
Trabalho escrito	15,00
Trabalho prático ou de projeto	10,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Realização de Estágio	82,00
Estudo autónomo	66,00
Frequência das aulas	14,00
Total:	162,00

Eligibility for exams

Assessment will include the continuous evaluation of the performance and logbook by his mentor and will contribute with 75% for the final classification. For the assessment the mentor will analyze practical skills (through direct observation); relationship with patients; attitudes and professionalism with patients, relatives and health care team; integration in team work; self-learning abilities and application in clinical care;and ethical practice.

For a positive assessment the student must obtain a minimum of 9.6 in this component of the assessment.

Calculation formula of final grade

Teaching methodologies (including evaluation):

 75% Internship Classification (Evaluation by Tutor)

10% Group Work / Clinical case presentation and discussion

15% Individual work / Clinical case presentation and discussion

The training period corresponds to 4 weeks (6 ECTS) (total of 162 hours).

During that period students will have clinical activity in Centro Hospitalar de São João or in any of their affiliated Hospitals.The student must complete 96 hours of clinical work in the different settings (nursery, ambulatory and emergency departments).

Each student will report in a portfolio all their clinical activities and skills achieved, which must be evaluated by his tutor.

Evaluation will include continuous evaluation (tutor responsibility) that will contribute 75% for the final classification. A discussion of a clinical case (group work)  contributes 10% to the final classification.

At the end of the training period each student must present a detailed clinical case to be discuted with a teacher; it contributes 15% to the final classification.

Classification improvement

An oral examination can be required for improvement of the final classification.