Council on Medical Student Education in Pediatrics

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Curriculum Competencies and Objectives

PREFACE | PROFESSIONAL CONDUCT AND ATTITUDES | SKILLS | HEALTH SUPERVISION | GROWTH | DEVELOPMENT | BEHAVIOR | NUTRITION | PREVENTION |ISSUES UNIQUE TO ADOLESCENCE | ISSUES UNIQUE TO THE NEWBORN | MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON ACUTE PEDIATIC ILLNESS | COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS | FLUID AND ELECTROLYTE MANAGEMENT | POISONING | PEDIATRIC EMERGENCIES | CHILD ABUSE | CHILD ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE | CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS

THERAPEUTICS

Rationale
Prerequisites
Competencies

Rationale

Appropriate and successful treatment requires choice of the correct medication, the appropriate dose, and both a dosage form and a dosing regimen that will maximize compliance. The pharmacokinetics (absorption, metabolism, distribution and elimination) of medications change under the influence of growth and physiologic maturation. Child behavior and psychomotor development influence the form of medication dispensed and the expectation for compliance.

Prerequisites

  • Knowledge of general pharmacokinetics and pharmacodynamics
  • Knowledge of the physiologic and behavioral changes that occur during childhood

Competencies

Knowledge:

  1. Describe how to assess whether a drug is excreted in the breastmilk and safe to use by a breast-feeding mother. (CP)
  2. List medications such as aspirin, tetracycline, and oral retinoic acid that are contraindicated or must be used with extreme caution in specific pediatric populations. (CP)
  3. Describe the appropriate use of the following common medications in the outpatient setting, including when it is NOT appropriate to treat with a medication: (U)

    • Analgesics / antipyretics
    • Antibiotics
    • Bronchodilators
    • Corticosteroids
    • Cough and cold preparations
    • Ophthalmic preparations
    • Otic preparations
    • Vitamin / mineral supplements

  4. Select generally accepted pharmacologic therapy for common or life-threatening conditions in pediatric patients. (CP) These conditions could include:

    Common conditions seen in ambulatory settings:

    • Acne
    • Acute otitis media
    • Allergic rhinitis
    • Asthma
    • Atopic dermatitis
    • Candida dermatitis
    • Fever
    • Impetigo
    • Streptococcal pharyngitis
    • Common conditions seen in hospitalized patients
    • Bronchiolitis
    • Life threatening conditions
    • Sepsis/meningitis
    • Status epilepticus (M)

  5. Describe the ways medication errors are systemically prevented. (U)

Skills:

  1. Calculate a drug dose for a child based on body weight. (CP)
  2. Write a prescription e.g. for a common medication such as an antibiotic. (U)
  3. Negotiate a therapeutic plan with the patient and family to maximize adherence with the agreed upon treatment regimens and assess the family's understanding of the plan. (MU)

Click here to link to the COMSEP Clinical Cases.

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