Pediatric Clerkship Module

PEDIATRIC CLERKSHIP MODULE
Placement in curriculum: Final Year

Module code:
Module Duration: 03 weeks
Pre requisite: All Modules of the First and Second Spiral
Module Team
Chairman Curriculum Committee
Prof. Masood Anwar
Module Planner
Prof. Samiya Naeemullah
Associate Director Education
Dr. Rahila Yasmeen
Assistant Dean Medical Education
Dr. Rehan Ahmed Khan
Module Coordinator
Dr. Mahwish Rabia, Dr. Asma Shabbir
Clinical Curriculum Committee
Dr. Shams un Nisa Sadia, Dr. Asma Shabbir, Dr. Asim
members
Zulfiqar,
Clinical Teaching Team
Prof. Samiya Naeem Ullah, Prof. Tahir Ch. Dr. Mahwish,

Dr. Asma
Introduction/ Pediatrics is the discipline concerned with all aspects of the well being of
Rationale
infants and children including their health, their physical, mental and
psychological growth and development and their opportunity to achieve
full potential as adults. The young are also among the most vulnerable and
their needs require special attention.
The pediatric clerkship is designed to provide the final year student with an
opportunity to apply their knowledge of the common pediatric domains
including preventive pediatrics, common neonatal problems, infectious
diseases and other common systemic illnesses.
The aim of this clerkship is to train the final year students in neonatal and
pediatric history taking and physical examination. They are expected to
diagnose, investigate and treat common pediatric illnesses and
appropriately refer patients for specialized care when necessary. They also
need to focus on special needs of sick patients like fluid requirements and
calculation of drug doses.
Learning
Outcomes
By the end of the clerkship the students should be able to:

Apply the basic concepts of pediatrics formed in 1st and 2nd Spiral
modules to solve common pediatric clinical problems.
Demonstrate proficiency in taking age appropriate history and
performing neonatal and pediatric clinical examination.
Interpret investigations of common pediatric diseases.
Diagnose and treat common pediatric problems.
Recognize a sick child and provide initial management to a critically
ill child.
Communicate effectively with the patient and/or care givers.
Educate the patients/ caregivers regarding disease prevention,
nutrition and immunization.
Calculate the age and weight appropriate fluid requirement and
medication doses of pediatric patients.
CORE CLINICAL PROBLEMS OBSTETRICS

CORE CLINICAL
PROBLEM
KNOWLEDGE
SKILLS
ATTITUDE
A1 reaction
A2 response
A3 internalization
History taking,
investigations
treatment,
complications and
follow-up
C1- Remember C2
Understand C3- Apply
C4- Analyse C5Evaluate C6Create
P1 Observation
P2 Perform under direct
supervision
P3 Perform under indirect
supervision
P4 Perform
independent
Growth and
development
Normal developmental milestones

C4
Normal growth and Growth
retardation C4
Micro and macrocephaly C4
Normal nutritional requirements C4
Malnutrition C4
Anthropometric
measurements P4
Use of growth charts P4
Preventive
pediatrics
Neonatology
Medical Genetics
and
Congenital
Malformations
Care of normal newborn C4

Prematurity C4
Sepsis C4
Jaundice C4
Respiratory distress C4
Chromosomal
abnormalities
Infant
of diabetic
mother C4 (e.g.
Trisomy 21) C4
Congenital malformations (e.g.
Spinal bifida)C4
History and Examination of a

child with malnutrition P3
Making a feeding chart
P3
History
and
Examination of
newborn P4
Neonatal resuscitation
P2
Examination of Downs
Counseling of a
syndrome patient P4
patient with Downs
syndrome
Fever
Urinary tract infection C4

Enteric fever C4
Malaria C4
Tuberculosis C4
Mumps C4
Rheumatic fever C4
Meningitis C4
History and clinical

examination of a patient
with fever C4
Rash
Chicken pox C4
Measles C4
Scarlet fever C4
Meningococcemia C4

with rash C4
Counseling
Cough
Diarrhoea
Jaundice
Seizures
Pneumonia C4
WHO ARI protocol C4
Pulmonary tuberculosis C4
Bronchiolitis C4
Bronchial
Asthma
Acute diarrhea
C4 C4
History of patient with

WHO diarrhoea protocol C4
diarrhoea C4
Fluid requirement for dehydration signs of dehydration P4
C4
Chronic diarrhea C4
Viral hepatitis C4
History of a patient with
Chronic liver disease Wilson
jaundice C4
disease C3
Examination of
gastrointestinal
system
Febrile convulsions C4
HistoryP4
of a patient with
Epilepsy C3
Metabolic seizures C4
Mental retardation Cerebral Palsy C4
Murmur
Oedema
Pallor/anemia
History and Examination of

respiratory system P4
Counseling
Counseling
seizures C4
Examination of central
nervous system P4
History and examination of
patient with cerebral palsy
P4
Acyanotic congenital heart disease

(VSD, PDA) C4
Cyanotic congenital heart disease
(TGA,streptococcal
TOF) C4
Post
acute
Rheumatic heart disease
Glomerulonephritis
C4 C4
Nephrotic syndrome C4
History of a patient with

congenital / acquired heart
disease C4
Examination
of
History
and Examination
cardiovascular
system
P4
of
a patient with
oedema
P3
Iron deficiency anemia C4

Megaloblastic anemia C3
Thalassemia C4
Examination of a patient
with aneamia
P4
Bruising/petechiae Hemophilia C4
Henoch-Schonleinpurpura C2
Leukemia C3
Idiopathic
Thrombocytopenicpurpura C4
Endocrine disorders Hypothyroidism C4
Counseling of
patient with
bronchial asthma
A2
Counseling a
patient of
thalassemia A2

with bruising/ bleeding
C4
History and examination of
a patient with
hypothyroid child
TABLE OF SPECIFICATION
CORE CLINICAL
PROBLEM
KNOWLEDGE
PSYCOMOTOR SKILLS
ATTITUDE
%age
Growth and
development
Preventive pediatrics
Genetics and
dysmorphology
fever
10
Rash
Cough
Diarrhoea
Jaundice
Seizure
Mental retardation
Murmur
Anemia
Oedema
Bruising/ petechiea
Neonatology
7
3
7
5
5
Endocrine disorder
5
3
Total
55
39
100
GROWTH AND DEVELOPMENT

Knowledge
Learning Objectives
Describe
the
developmental
domains of childhood (gross motor,
fine motor, language and social
development) and normal growth
pattern
Differentiate between various
diseases resulting in
deviation from normal growth and
developmental patterns according
to age (short stature, obesity,
microcephaly, macrocephaly)
Instructional strategy
Assessment Tool
Interactive tutorial
MCQ
CBD
MCQ
Skills
Learning Objectives
Assessment Tool
Take an appropriate history of a

child with developmental delay
Case presentation
Structured
Long case
Perform a developmental
assessment of a child at a given
age
perform anthropometric
measurement and plot height,
weight and head circumference
on age appropriate charts.
Clinical method
OSCE
Clinical methods/
skill lab
OSCE
PREVENTIVE PEDIATRICS
Knowledge
Learning Objectives
Assessment Tool
Classify the degree of malnutrition

in a malnourished child
CBD/ ward round
MCQ
Differentiate between clinical

features of kwashiorkor and
marasmus on a patient
Devise a plan for management of a
malnourished child
CBD/ ward round
MCQ
CBD
MCQ
Learning Objectives
Assessment Tool
Obtain a history in a
malnourished child at a given age
Case discussion
Structured
long case
Perform a clinical examination of

a malnourished child
Clinical
examination
OSCE
Skills
NEONATOLOGY
Knowledge
Learning Objectives
Assessment Tool
Discuss causes, complications and

management of a preterm/low
birth weight neonate
CBD
MCQ
Discuss the causes and

pathophysiologies of neoatal
jaundice and neonatal sepsis
CBD
MCQ
Interpret investigations required

for neoatal jaundice and neonatal
sepsis
CBD
MCQ
Outline treatment plan of neoatal

jaundice and neonatal sepsis
CBD
MCQ
Learning Objectives
Assessment Tool
Case discussion
Structured
long case
Clinical
examination
Skill lab
OSCE
Skills
Demonstrate history taking of a
neonate
Perform a complete clinical
examination of a neonate
Demonstrate steps of neonatal
resuscitation on a dummy
OSCE
MEDICAL GENETICS AND DYSMORPHOLOGY

Knowledge
Learning Objectives
Assessment Tool
Describe the chromosomal

abnormality and clinical features
of trisomy 21
CBD
MCQ
Discuss the etiology, clinical

features and management of spina
bifida
CBD
MCQ
Assessment Tool
Clinical examination
OSCE
Skills
Learning Objectives
Perform physical examination of a
child with Downs Syndrome
Attitude
Learning Objectives
Counsel the parents of a child with
Down s Syndrome
Assessment Tool
Role play
OSCE
FEVER
Knowledge
Learning Objectives
Discuss the differential diagnosis of
patient with fever ( urinary tract
infection, Enteric fever, Malaria,
meningitis, Rheumatic fever,
Tuberculosis)
Interpret the results of investigation
of a patient with fever
Devise the management plan of a
patient with fever depending upon
underlying cause
Assessment Tool
CBD
MCQ
CBD
MCQ
CBD
MCQ
Assessment Tool
Case presentation
Structured Long case
Clinical methods
Structured Long case/
Assessment Tool
Role play
OSCE
Skills
Learning Objectives
Take a comprehensive history of
patient with fever
Perform a detail clinical
examination of a patient with fever
Attitude
Learning Objectives
fever
10
RASH
Knowledge
Learning Objectives
Assessment Tool
Discuss the differential diagnosis of a

Pediatric patient according to
appreance of rash (measles, chicken
pox, scarlet fever and
meningococcemia)
Describe the complication and
prevention of rash producing diseases
Interpret the result of investigation in a
patient with rash
Discuss the management plan according
to type of rash
CBD
MCQ
CBD
MCQ
CBD
MCQ
CBD
MCQ
Skills
Learning Objectives
Take a detail history of a patient with
rash
Perform a clinical examination of a
patient with rash
Assessment Tool
Case presentation
Structured long case
OSCE
11
COUGH
Knowledge
Learning Objectives
Assessment Tool
Discuss differential diagnosis of a

Pediatric patient having cough on the
basis of clinical features neumonia,
bronchiolitis, bronchial Asthma,
Pulmonary Tuberculosis)
Discuss WHO ARI classification
CBD
MCQ
CBD
MCQ
Interpret the result of investigations

of patient having cough
CBD
MCQ
Outline the management plan of the

patient having cough depending upon
their underlying diagnosis
CBD
MCQ
Skills
Learning Objectives
Take a comprehensive history of a
pediatrics patient with cough
Perform a respiratory system
examination of a patient with cough
Assessment Tool
Case presentation
OSCE
Assessment Tool
Attitude
Learning Objectives
Counsel/ educate a patient with
Bronchial Asthma
Role play
OSCE
12
DIARRHEA
Knowledge
Learning Objectives
Assessment Tool
Discuss differential diagnosis in a patient

with acute diarrhea on the basis of etiology
and clinical features
Discuss differential diagnosis in a patient
with chronic diarrhea on the basis of
etiology and clinical features
Discuss WHO classification of dehydration
and its management
Case presentation
MCQ
Case presentation
MCQ
Case presentation
MCQ
Interpret the result of investigation with

diarrhoea
Case presentation
MCQ
Devise a management plan of a patient with

diarrhoea
Case presentation
MCQ
Skills
Learning Objectives
Take a detail history of a pediatric
patient with acute/ chronic diarrhoea
Examine a patient for signs of
dehydration
Assessment Tool
Case presentation
OSCE
Assessment Tool
Role play
OSCE
Attitude
Learning Objectives
acute diarrhoea
13
JAUNDICE
Knowledge
Learning Objectives
jaundice depending upon their acute
liver disease children
jaundice depending upon their chronic
liver disease in children
Interpret the result of investigation of a
patient with jaundice
Out line the treatment plan of a patient
with jaundice depending upon their
underlying cause
Assessment Tool
CBD/ward round
MCQ
CBD/ward round
MCQ
CBD/ward round
MCQ
CBD/ward round
MCQ
Skills
Learning Objectives
Assessment Tool
Take a detail history of a patient

with jaundice
Case presentation
Examine a patient with jaundice
OSCE
Attitude
Learning Objectives
Counsel the parents of a jaundiced
child
Assessment Tool
Role play
OSCE
14
SEIZURES
Knowledge
Learning Objectives
Assessment Tool
Discuss the differential diagnosis of a

seizure in childhood (febrile seizures,
epilepsy, CNS infections, SOL)
CBD/case presentation
MCQ
Interpret the results of investigations

of a patient with seizures.
MCQ
Outline the treatment plan of seizures

according to underlying cause
MCQ
Skills
Learning Objectives
Take a history of a patient with
seizures disorder
Perform central nervous system
examination of patient with
seizures disorder
Assessment Tool
Case presentation
OSCE
15
MENTAL RETARDATION
Knowledge
Learning Objectives
Describe etiology
,pathophysiology, and clinical
features of patient with cerebral
palsy
Formulate the treatment plan of
cerebral palsy
Assessment Tool
Ward round/ CBD
MCQ
Ward round/ CBD
MCQ
Assessment Tool
Skills
Learning Objectives
Take a detail history of patient with
cerebral palsy
Perform clinical examination of
patient with cerebral palsy
Case discussion
OSCE
16
MURMURS
Knowledge
Learning Objectives
Assessment Tool
Ward round/ CBD/ OMP
MCQ
Ward round/ CBD
MCQ
Devise treatment plan of cyanotic

congenital heart disease depending
upon underlying cause
Discuss the valvular involvement in
rheumatic heart disease
Ward round/ CBD
MCQ
Ward round/ CBD
MCQ
Interpret the results of basic

investigations (CXR, ESR, CRP) of
rheumatic
disease
Formulate heart
treatment
plan of rheumatic
Ward round/ CBD
MCQ
Ward round/ CBD
MCQ
Differentiate between cyanotic and

acyanotic congenital heart diseases on
the basis of clinical features
Interpret the results of basic
investigations (CXR) required to
diagnose congenital heart disease
heart disease depending upon

underlying cause.
Skills
Learning Objectives
Take a detail history of a patient
having heart disease
Perform a clinical examination
(cardio vascular system
examination) of a patient having
murmur.
Assessment Tool
Case discussion
OSCE
17
ANEMIA/PALLOR
Knowledge
Learning Objectives
Assessment Tool
Differentiate among the diseases

causing anemia at various ages on
the basis of clinical features (iron
deficiency anemia, Vitamin B12
and folic acid anemia, thalassemia
major)
Interpret the results of
investigations in a pediatric
patient with anemia
CBD/ walk round
MCQ
CBD/ walk round
MCQ
Devise a plan of management for

a patient of anemia according to
the underlying cause (iron
deficiency anemia, Vitamin B12
and folic acid deficiency anemia)
Discuss the clinical features,
pathophysiology and
complications, investigations and
treatment plan of thalassemia
CBD/ walk round
MCQ
CBD/ walk round
MCQ
Skills
Learning Objectives
Assessment Tool
Take an age appropriate history in an

anemic pediatric
patient (nutritional anemia/ thalassemia)
Case discussion
Structured Long
case
Perform appropriate physical examination

of an anemic
patient (nutritional anemia/ thalassemia)
Clinical
examination
OSCE
Assessment Tool
Role play
OSCE
Attitude
Learning Objectives
Counsel a patient of thalassemia
18
BRUISING/PETECHIEA
Knowledge
Learning Objectives
Assessment Tool
CBD/ walk round
MCQ
CBD/ / walk round
MCQ
CBD/ / walk round
MCQ
Assessment Tool
Take an age appropriate history of a

patient with bruising/petechiea
Case presentation
Structured Long
case
Perform an appropriate physical

examination in patient with bleeding
clinical
examination
OSCE
Discuss differential diagnosis of

bleeding in a pediatric
patient according to clinical
features (ITP, hemophilia, ,
henochschonleinpurpura,
leukemia)
Interpret the results of investigations
of a patient with petechiea and
bruises.
Devise a management plan in a
pediatric patient with
bruises/ petechiea according to
underlying cause
Skills
Learning Objectives
19
OEDEMA
Knowledge
Learning Objectives
Assessment Tool
Differentiate among the causes of

generalized oedema in children on
the basis of clinical features.
CBD/ward rounds
MCQ
Interpret the investigations of a

patient with oedema
(nephrotic
syndrome , AGN)
Devise a management
plan in a
CBD/ward rounds
MCQ
CBD/ward rounds
MCQ
CBD/ward rounds
MCQ
Assessment Tool
Case discussion
Structured Long
case
Clinical
examination
OSCE
patient with oedema

(nephrotic syndrome , AGN)
Discuss complications in patient
with nephrotic syndrome / AGN
Skills
Learning Objectives
Take an appropriate history in a
patient with oedema
Perform an appropriate clinical
examination of a child with oedema
20
ENDOCRINE PROBLEMS
Knowledge
Learning Objectives
Assessment Tool
Differentiate between the clinical

features of hypothyroidism
Interpret the investigations required
for diagnosis of hypothyroidism
Ward round/ CBD
MCQ
Ward round/ CBD
MCQ
Outline management plan in pediatric

patient with hypothyroidism
Ward round/ CBD
MCQ
Assessment Tool
Take an age appropriate history of a

Case presentation
Perform examination of a pediatric

Clinical methods
OSCE
Skills
Learning Objectives
21
DAILY TIME TABLE

8-9:30
9:30-10:30
11-1:00
Clinical
methods
Walk round
CBD/TBL/CP
Role play
Clinical Method
Walk round
CBD/TBL/CP
Wednesday
Clinical
methods
Walk round
CBD/TBL/CP
Interactive tutorial/OM
PX3
Role play
Thursday
Clinical
methods
Walk round
OMP X 3
(OPD)
CBD/TBL/C
P
Friday
Clinical
methods
Walk round
CBD/TBL/CP
-------
Saturday
Clinical
methods
Walk round
CBD/TBL/CP
OMP X
3(ER)
Day
Monday
Tuesday
1-2
22
Week 1
Monday
growth &
development
Week 2
Diarrhea
Week 3
Rash
Tuesday
Preventive
pediatrics
Wednesday
Neonatology
Thursday
Fever
Friday
Genetics
Saturday
Cough
Bruising/
petechiea
Seizures
Mental
retardation
Jaundice
Murmurs
Anemia
Oedema
Endocrine
disorders
assessment
23
CHECKLISTS FOR CLINICAL METHODS

CLINICAL METHODS
CHECK LISTS
MALNUTRITION
Take consent
Perform anthropometric measurements
Examine for macronutrient and micronutrient deficiencies
Examine for signs of dehydration
EXAMINATION OF NEWBORN
Take consent
Wash hands
Examine for color, cry, activity and vital signs
Examine for congenital anamolies
Perform neonatal reflexes
NEONATAL RESUSCITATION
Prepare to receive the baby
Check instruments
Perform steps of neonatal resuscitation
Document the procedure and babys condition
ANTHROPOMETRY
Take consent
Takeheight, weight and OFC accurately
Plot the data on age appropriate charts
Interpret the findings
GIT
Take consent
Inspect abdomen
Palpate for tenderness and masses
Palpate and percuss the liver
Palpate and percuss the spleen
Palpate kidneys
Perform shifting dullness and fluid thrill
Examine hernia orifices
Examine back
24
RESPIRATORY SYSTEM
Take consent
Listen for abnormal sounds (stridor, wheeze)
Examine for cyanosis, chest deformities, chest indrawings
Percuss chest anteriorly, posteriorly and laterally
Auscultate chest anteriorly, posteriorly and laterally
Perform vocal resonance
CVS
Take consent
Examine for central and peripheral cyanosis, clubbing,oral hygiene, JVP, oedema.
Examine pulses
Check blood pressure with appropriate sized cuff
Examine shape of precordium and pulsation
Palpate for pulsations and thrills
Auscultate precordium for heart sounds and murmurs
Examine liver and spleen
Examine for signs of infective endocarditis
CNS
Take consent
Check GCS accurately in infants and older children
Examine higher mental functions
Examine cranial nerves
Examine gait
Examine the motor system
Examine the sensory system
Examine for cerebellar signs
BRUISES/PETECHIEA
Take consent
Examine for pallor, bruises, petechiea on skin
Examine oral cavity for petechiea
Examine all lymph nodes
Examine joints for swelling and tenderness
25
PALLOR/ANEMIA
Take consent
Examine nails and conjunctiva for pallor and anemia
Examine lymph nodes
Examine for bruises and petechiae
Examine for other micronutrient deficiency.
SIGNS OF DEHYDRATION
Take consent
Look for conscious level
Look for sunken eyes
Look for tears in eyes
Feel for skin turgor
Palpate peripheral pulses
RASH
Take consent
Inspect for general condition
Evaluate GCS
Examine for SOMI
Check vital signs
Examine conjunctiva
Examine for stomatitis
Examine the skin for rash (palpate and look for blanching)
Examine lymph nodes
Auscultate chest
Examine for signs of dehydration
DOWNS SYNDROME
Take consent
Inspect general condition
Examine for dysmorphic features of Downs syndrome
Take anthropometric measurements
Examine for hypotonia
Examine heart for murmurs
Examine abdomen for distension
Examine anal opening
26
OEDEMA
Take consent
Take vital signs (pulse, B.P. R/R, temperature)
Examine for extent of oedema (ankles, ascites, pleural effusion, facial puffiness)
Examine for signs of heart failure
Examine for jaundice and bleeding
Examine liver, spleen and kidneys
FEVER
Take consent
Take vitals
Examine for rash
Examine ear and throat, conjunctivitis and stomatitis.
Examine for koplick spots
Examine lymph nodes
Examine for hepatosplenomegaly
Examine joints
JAUNDICE
Take consent
Examine general condition
Examine conscious level
Look for jaundice, pallor. Clubbing, asterixis palmar erythema, spider neavi, oedema
Examine abdomen for prominent veins/ caput medusae
Examine for hepatosplenomegaly
Examine for ascites
HYPOTHYROIDISM
Take consent
Examine for dysmorphic features
Examine neck for goiter
Examine the skin for dryness and temperature
Examine for hypotonia
Examine for poor suck
Examine knee jerk
Take anthropometric measurements
27
CHECKLIST FOR COUNSELLING SKILLS

TOPICS
CHECK LISTS
BRONCHIAL ASTHMA
Introduction/ putting patient at ease
Demonstrate Active listening
Avoid technical language
Invite open ended questions
Demonstrate empathy
History (symptoms of cough and breathlessness, family history of asthma, atopy)
Ask about risk factors
Explain about various options for treatment
Explain use of metered dose inhalers
Emphasize on practicing preventive measures
Summarize
THALASSEMIA
Demonstrate empathy
Discuss History and examination findings
Discuss relevance of investigations
Discuss treatment options and prognosis
Genetic counseling
Screening of siblings/ other family members
Prenatal diagnosis
Summarize
DOWNS SYNDROME
Demonstrate empathy
Explain the cause of Downs syndrome and correlation of maternal age
Discuss the results of investigations
Explain about
28
o Discuss management options

o Discuss prognosis
o Summarize
FEVER

Demonstrate empathy
History (duration, associated symptoms)
Discuss investigations
Discuss treatment options
DIARRHOEA
Demonstrate empathy
History (duration, frequency, characteristics of stool, vomiting, fever,state of dehydration)
Discuss investigations required
Discuss treatment plan
JAUNDICE
Demonstrate empathy
History
Discuss investigations required
Discuss treatment plan
29
REFERENCE BOOKS
Illustrated textbook of Pediatrics by Tom Lissauer and Graham Clayden
Basis of Pediatrics by Pervaiz Akbar 7th Edition
Text Book of Pediatrics , PPA, 3rd Edition
30

Pediatric Clerkship Module

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PEDIATRIC CLERKSHIP MODULE

Placement in curriculum: Final Year

Prof. Masood Anwar

Prof. Samiya Naeemullah

Associate Director Education

Dr. Rahila Yasmeen

Assistant Dean Medical Education

Dr. Rehan Ahmed Khan

Dr. Mahwish Rabia, Dr. Asma Shabbir

Clinical Curriculum Committee

Dr. Shams un Nisa Sadia, Dr. Asma Shabbir, Dr. Asim

Clinical Teaching Team

Prof. Samiya Naeem Ullah, Prof. Tahir Ch. Dr. Mahwish,

By the end of the clerkship the students should be able to:

CORE CLINICAL PROBLEMS OBSTETRICS

Normal developmental milestones

Care of normal newborn C4

History and Examination of a

Urinary tract infection C4

History and clinical

History and clinical

History of patient with

Mental retardation Cerebral Palsy C4

History and Examination of

Acyanotic congenital heart disease

History of a patient with

Iron deficiency anemia C4

History and clinical

GROWTH AND DEVELOPMENT

Take an appropriate history of a

Classify the degree of malnutrition

CBD/ ward round

Differentiate between clinical

CBD/ ward round

Perform a clinical examination of

Discuss causes, complications and

Discuss the causes and

Interpret investigations required

Outline treatment plan of neoatal

MEDICAL GENETICS AND DYSMORPHOLOGY

Describe the chromosomal

Discuss the etiology, clinical

Structured Long case

Structured Long case/

Discuss the differential diagnosis of a

Structured long case

Discuss differential diagnosis of a

Interpret the result of investigations

Outline the management plan of the

Structured long case

Discuss differential diagnosis in a patient

Interpret the result of investigation with

Devise a management plan of a patient with

Structured long case

Take a detail history of a patient

Structured long case

Examine a patient with jaundice

Discuss the differential diagnosis of a

Interpret the results of investigations

Outline the treatment plan of seizures

Structured long case

Ward round/ CBD

Ward round/ CBD