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

HEALTH SUPERVISION

Rationale
Prerequisites
Competencies
Processes

Rationale

Health supervision which includes assessment of growth and development, prevention of disease by immunization, prevention of injury by education, screening for treatable conditions and promotion of a healthy environment and a healthy lifestyle is essential to pediatric practice and primary care.

Prerequisites

  • Introductory data gathering skills.
  • Knowledge of metabolic processes in the body including the respective roles of dietary fats, carbohydrates, and protein, and the need for vitamins and minerals
  • Knowledge of normal immune responses, mechanisms of immunization, and modes of transmission of communicable diseases.
  • Knowledge of clinical epidemiologic concepts and the appropriate uses of screening in clinical medicine and the characteristics of a good screening test (i.e. sensitivity, specificity, positive and negative predictive values).

Competencies

Knowledge

  1. List the most common preventable morbidities in childhood and describe strategies for prevention. (CP)
  2. Describe the components of a health supervision visit including health promotion and disease and injury prevention, the appropriate use of screening tools, and immunizations for newborns, infants, toddlers, school aged children, and adolescents. (CP)
  3. Describe the rationale for childhood immunizations. (See Prevention). (CP)
  4. Discuss the rational for screening tests (such as environmental lead questionnaire, domestic violence screening, CBC, urinalysis, blood lead level, and PPD). (CP)
  5. Describe the indications (CP), appropriate use (CP), interpretation (M), and limitations (M) of the following screening tests:

    • Neonatal screening
    • Developmental screening
    • Hearing and vision screening
    • Lead screening
    • Anemia screening
    • Tuberculosis testing

  6. Define anticipatory guidance and describe how it changes based on the age of the child. (CP)

Skills.

  1. Demonstrate an ability to provide age-appropriate anticipatory guidance about nutrition (CP), behavior (CP), immunizations (CP), injury prevention (CP), pubertal development (CP), sexuality (M), and substance use and abuse (M).

Processes
All students should see during the course of the Pediatric Clerkship should see an infant, toddler, school aged, and adolescent child for a health care supervision visit.

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