Kingdom of Saudi Arabia The National Commission for Academic Accreditation & Assessment King Saud University College of Medicine Department of Paediatrics Course PED 73 COURSE SPECIFICATION 73 PED (Course Specification) Page 1
Course Specification Institution King Saud University College/Department College of Medicine /Department of Pediatrics A. Course Identification and General Information 1. Course title and code: Ped 73 2. Credit hours: 11 hrs (3 Theoretical + 8 Clinical) 3. Program(s) in which the course is offered. (If general elective available in many programs indicate this rather than list programs) Medical Bachelor and Bachelor of Surgery (MBBS). Name of faculty member responsible for the course Prof. Asaad Assiri Chairman, UGTPC Dr. Hani Temsah Course Coordinator 5. Level/year at which this course is offered 5 th Year 6. Pre-requisites for this course (if any) Basic science plus introductory clinical sciences 7. Co-requisites for this course (if any) None 8. Location if not on main campus King Khalid University Hospital King Fahd Medical City King Saud Medical Complex. 73 PED (Course Specification) Page 2
B. Objectives 1. Summary of the main learning outcomes for students enrolled in the course To graduate a physician who: 1. is aware of the personal qualities and attitudes required by a physician caring for children and their families e.g. empathy, concern, gentleness, etc. 2. has acquired adequate basic knowledge and skills in pediatrics which enable him/her to proceed into subsequent general practice, specialty training or research activities At the end of the course the student is expected to: 1.2.2 Carry out, record and interpret a complete physical examination in all pediatric age groups. 1.2.3 identify and solve common clinical problems in pediatrics by providing a provisional diagnosis and appropriate differential diagnosis. 1.2. Recognize urgent and emergency situations in pediatrics and be able to outline an appropriate plan of action. 1.2.5 Outline a general plan of investigations and management of common pediatric problems as they relate to Saudi Arabia. 1.2.6 Demonstrate an understanding of how to use the laboratory to reach a diagnosis of common pediatric problems. 1.2.7 Demonstrate knowledge of community problems related to child health. 1.2.8 Demonstrate knowledge of preventive aspects of childhood health problems and to implement them. 1.2.9 Recognize his limitations concerning management of pediatric patients and the need to consult and cooperate with others to provide optimum care. 1.2.10 Interact with children and their parents or relatives in a gentle, emphatic and appropriate manner. 2. Briefly describe any plans for developing and improving the course that are being implemented. (e.g. increased use of IT or web based reference material, changes in content as a result of new research in the field). Introducing tutorials. Distribution of instructional material to staff and students Using case scenario multiple choice questions in exams rather than direct recall questions. Involve the simulation center in students teaching. 73 PED (Course Specification) Page 3
C. Course Description (Note: General description in the form to be used for the Bulletin or Handbook should be attached). Lectures Contact hrs. Introduction to the Course and Exam Orientation 2 Disease of Cardiovascular System 1. Acquired Heart Disease 2. Congenital Heart Disease Diseases of Pulmonary System 1. Common Pediatric Allergies (Including asthma), eczema, AR/AC/urticaria/food allergy 2. Obstructive Lung Diseases 3. Respiratory Tract Infections Diseases of Gastroenterology System 1. Liver Diseases 2. Childhood Nutritional Disorders 3. Chronic Diarrhea and Malabsorption. Pancreatic Disorder Infectious Diseases System 1. Serious Paediatric Infection 2. Common Paediatric Infections 3. Childhood Immunization Endocrine Diseases 1. Disorder of Growth & Puberty 2. Thyroid, Adrenal & Bone Mineralization Disorders and Rickets 3. Pituitary Gland. Diabetic Insulin Dependent Oncology/Haematology Disorders 1. Common Paediatric Oncology Disorders 2. Common Paediatric Hematological Disease 3. Common Paediatric Bleeding Disorders Nephrology Disorders 1. Congenital & Development Abnormality of Urinary Tract & UTI 2. Hematuria & Proteinurea 3. Nephrotic Syndrome Neurology Disorders 1. Normal Development & Behavior 2. Neuromuscular Disorders 3. Seizure Disorders Rheumatology Disorders 1. Common Rheumatic Diseases Genetic Disorders 1. Genetic & Chromosomal Disorders 2. Metabolic Disorders General Pediatric Disorder 1. Pediatric Dermatology 3 3 2 3 2 73 PED (Course Specification) Page
NICU 1. Respiratory Distress Syndrome 2. Common Neonatal Problems 3. Neonatal Jaundice Immunology 1. Common Immunodeficiency 2 5 2. Course components (total contact hours/semester) Lectures Clinical Examination orientation Tutorials Clinical Session Ward Emergency Outpatient clinic Nursery Clerking 5 hours/cycle 2 hours/cycle 26 hours/cycle 52 hours/cycle 8 hours/cycle 2 hours/cycle 2 hours/cycle 12 hours/cycle 30 hours/cycle 3. Additional private study/learning hours expected for students per week. (This should be an average: for the semester not a specific requirement in each week) Encouraging students to attend pediatric courses, symposiums and workshop.. Development of Learning Outcomes in Domains of Learning For each of the domains of learning shown below indicate: A brief summary of the knowledge or skill the course is intended to develop; A description of the teaching strategies to be used in the course to develop the knowledge or skill; The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned. a. Knowledge i. Description of the knowledge to be acquired By the end of this course the student must be able to pick the following:- Identify normal growth and development during infancy, childhood and adolescence. Define appropriate management for abnormalities affecting growth and development. Demonstrate an understanding of the impact of congenital and inherited disease on children and their families. Determine the nutritional requirements and the most common nutritional disorders affecting infants and children, and describe appropriate management for disorders. 73 PED (Course Specification) Page 5
Recognize the indications, contraindications, administration and precautions of the immunizations necessary for infants and children according to the national schedule and the condition of the child. Recognize the most important behavioral and social issues during childhood and adolescence. Describe appropriate measures for health promotion as well as prevention of disease and injury in infants, children and adolescents. Cite the management priorities for different neonatal and pediatric emergencies. Describe the causes and pathogenesis of the most important neonatal and pediatric problems. Describe the clinical symptoms and signs of the most important neonatal and pediatric problems. Identify the appropriate diagnostic tools (and describe how they would be interpreted) and therapeutic lines for the most important neonatal and pediatric problems. ii. Teaching strategies to be used to develop that knowledge Lectures Tutorial Bedside teaching iii. ) Methods of assessment of knowledge acquired Written exams. MCQs Objective Structured Clinical Examination (OSCE) b. Cognitive skills (i) Cognitive skills to be developed Analyze and solve common clinical problems in pediatrics by providing a provisional diagnosis and appropriate differential diagnosis. Recognize urgent and emergency situations in pediatrics and be able to outline an appropriate plan of action. Outline a general plan of investigations and management of common pediatric problems as they relate to Saudi Arabia. Demonstrate an understanding of how to use the laboratory to reach a diagnosis of common pediatric problems. Formulate appropriate management plans for individual patients presenting with the most common Pediatric disorders. (ii) Teaching strategies to be used to develop these cognitive skills Tutorials with case examples. Small group case discussion (iii) Methods of assessment of students cognitive skills Exam MCQs One to one discussion of some clerked patients. c. Interpersonal Skills and Responsibility (i) Description of the interpersonal skills and capacity to carry responsibility to be developed. Work constructively in a group, cooperating with their leaders and seniors. Use means to find new information data or technique analysis, for the best utilization of their lectures and tutorials. 73 PED (Course Specification) Page 6
(ii) (iii) Be able to report comprehensive information about patients in an oral or written manner. Design in certain situations, together with other specialties an appropriate treatment plan thus initiating the value of teamwork and compliance to work through systems. Communicate properly and ethically with the patients in a serious and respectable manner to have relevant data to their complaints. Teaching strategies to be used to develop these skills and abilities Emphasis during small group case discussion. Methods of assessment of students interpersonal skills and capacity to carry responsibility. Feedback and discussion during lectures, tutorials and clinical activities. Continuous Assessment Examination (Multiple Choice Questions). Objective Structures Clinical Examination (OSCE). d. Communication, Information Technology and Numerical Skills (i) (ii) (iii) Description of the skills to be developed in this domain. Interact with children and their parents or relatives in a gentle, emphatic and appropriate manner. Communicate clearly and succinctly to colleagues and other members of the health care team. Use modes of modern communication Access all the information of the scientific activities posted in the Department s web site e.g. seminars, courses, and conferences. Exhibit empathy, tact, and compassion during history taking and physical examination, maintaining a professional and ethical code of conduct. Teaching strategies to be used to develop these skills. Instructions and observation during ward rotation and out-patient clinic assignment. Methods of assessment of students numerical and communication skills Oral case presentations during bi-weekly bedside teaching with students mentor. OSCE e. Psychomotor Skills/Professional skills (i) Description of the psychomotor skills to be developed and the level of performance required Perform record and interpret a full pediatric history.. Carry out, record and interpret a complete physical examination in all pediatric age groups (ii) Teaching strategies to be used to develop these skills Perform during small group case discussions Clinical bedside teaching (iii) Methods of assessment of students psychomotor skills Observe during small group case discussions OSCE 5. Schedule of Assessment Tasks for Students During the Semester 73 PED (Course Specification) Page 7
Assessment Assessment task (eg. essay, test, group project, examination etc.) Week due Proportion of Final Assessment 1 Clerking of patients 10 6% 2 Presentation during small group case discussion 11 % 3 Attendance 12 5% Mid-cycle Exam 9 25% 5 Final Exam MCQs 0% OSCE 20% 60% D. Student Support (i) Arrangements for availability of faculty for individual student consultations and academic advice. (include amount of time faculty are available each week). Academic advisors office Weekly meeting with course organizers All teaching staff of the department are available during their office hours for any inquiry and support for the students. Course secretary who is available 7hours/day, 5 days/week for any inquiry and support for the students. E. Learning Resources BOOK TITLE 1. Required Text(s): Illustrated Textbook of Paediatrics 2. Essential References Nelson Essential Pediatrics Edition AUTHOR(s)/EDITOR Tom Lissauer/ Graham Clayden Kliegman / Marcdantel / Jenson / Behram 3. Recommended Books and Reference Material (Journal, Reports, etc) Attach List Pediatric Clinical Examination Edition Illustrated Self Assessment in Pediatrics Edition Gill and O Brien Graham Roberts / Caroline Foster / Michael Coren / Tom Lissauer أ.د. عبداهلل به سليمان الحربش الطفل: التاريخ المرضي و الفحص السريري. Electronic Materials, Web Sites etc Under construction 5. Other learning material such as computer-based programs/cd, professional standards/regulations. Child Physical Examination CD is available. 73 PED (Course Specification) Page 8
F. Facilities Required Indicate requirements for the course including size of classrooms and laboratories (i.e. number of seats in classrooms and laboratories, extent of computer access etc.) 1. Accommodation (Lecture rooms, laboratories, etc.) Lecture room equipped with a black board, overhead projector, computer and internet connection. The room should accommodate 150 students at least. 6 Small group rooms for small sessions (15 students each). 3 mid-size rooms with computer, projector, and black board (30 students each). 2. Computing resources. An easily accessible computer lab for 50 students. 3. Other resources (specify e.g. If specific laboratory equipment is required, list requirements or attach list). We are extremely short of patients beds. We need to collaborate with other facilities. G. Course Evaluation and Improvement Processes 1. Strategies for Obtaining Student Feedback on Effectiveness of Teaching Student course evaluation at the conclusion of the course. 2 Other Strategies for Evaluation of Teaching by the Instructor or by the Department Staff Performance Evaluation by the Academic Quality Unit Students Questionnaire at the end of the course 3 Processes for Improvement of Teaching Undergraduate Committee will review deficiencies based on the student evaluation, faculty input, course file, and program assessment. Organize workshop on effective teaching methods to enable instructors to improve their teaching skill.. Processes for Verifying Standards of Student Achievement (eg. check marking by an independent faculty member of a sample of student work, periodic exchange and remarking of a sample of assignments with a faculty member in another institution). Delivering standardized exams which are corrected using computer machines that gives statistical analysis of students performance. Exposure to different examiners during the OSCE. Manual double checked with random samples. 5. Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement. Reviewing the student's results and course effectiveness annually by the undergraduate committee. Inviting external examiners and taking their opinion on the course material. Attached is the external examiner evaluation for the 2 nd cycle 130-31. Revised By: Dr. Hani Temsah Course Coordinator 73 PED (Course Specification) Page 9