MD HANDBOOK

Pediatrics Junior

Faculty of Medicine and Health

Sciences
An-Najah National University



About this report Contents

The MD Clinical Handbook is created to oversee and guide medical

students during their clinical rotations. It is the responsibility of each Medical Tests before starting clinical training 

clinical group to keep the MD clinical handbook tidy, completely filled,

Dress Code for Clinical Students 
and up to date. The MD clinical handbook contains instructions about
clinical rotations, timetables, and rotation maps for each clinical Attendance and Absence Instructions 
course. The MD handbook structure and design is created by
An-Najah National University (ANU) and will be updated regularly to Course Description and Objectives 

meet ANU goals and objectives.

Intended Learning Outcomes (ILO’s) 

Rotation Maps 

Assessment Methods 

Contact Faculty Members 

Medical Tests before starting clinical training  The clothes (including the white coat) must be neat, clean and not
wrinkled.
 Students should wear their identification badges that show their
Medicine Department students who are training at An-Najah National name, code, and university logo, ideally placed on the white coat, at all
University Hospital must take the following vaccinations and tests times in clinical settings.
before starting the clinical training:  Students must remove Personal Protective Equipment (PPE) before
leaving the Operating Room following the Infection Control
Department instructions
 Td/Tdap, MMR, Hepatitis B vaccines.
 Avoid wearing excessive make-up, perfumes, or jewelry.
 In case the student did not have had Chickenpox, s/he must do
 The clothes must be in good repair (should not be ripped or
Titer and take the vaccination if needed.
frayed).
 A chest X-ray with a report showing that the student is
Blue jeans and ripped or frayed cloths are not acceptable.
tuberculosis-free.
 Shorts are not allowed.
 Hepatitis B surface antibody (anti-HBs) test.
 Cloths with screen-printing on any side are not allowed.
 HCV antibody and HIV antibody tests.
 Shoes must be clean, in good repair and fully enclosed. High
 Flu vaccination between October and January.
heels, sandals and open-toe shoes are not allowed, as it is better to
wear comfortable footwear to reduce fatigue.
Dress Code for Clinical Students  For female students: Hair must be neat at all times. Long hair
should be tied back or covered when working in clinical areas.
In order to maintain a professional appearance for medical students
 For male students: Beards must be neat and trimmed at all times
during clinical practice, the Medicine Department imposed standards
 Nails should be short, clean and neatly trimmed, and nail polish is
and guidelines for dress and appearance. All medical students in clinical
not allowed.
phase should adhere to the dress standards, as disciplinary action will
 Chewing gum is not acceptable at all times during clinical
be taken if violated.
practice.
The following are some guidelines to be followed during clinical practice
 Male students should not have long or spiky hair.
whether in hospitals or other health facilities such as outpatient clinics
 Tattoos are not allowed on uncovered areas of the body.
and primary healthcare clinics.
 Sunglasses are not allowed inside the Hospital
Guidelines on Students Appearance  Necklace and accessories that include religious, sectarian or
partisan logos are not allowed.
Generally, clothes should be conservative and should not outrage  Female students are allowed to wear earrings in each ear,
public decency.
provided that they are not larger than the earlobe size when dealing
Students need to wear white coats at all times, in hospitals, clinics
with patients directly, and must not be larger than ٣ cm in other
or primary healthcare centers.
clinical settings.
 The white coat length must reach the knee.
 Headphones and ear buds are not allowed during training.
 
 Students need to make sure to take off their white coats when
Seventh: The email is the only official mean of communication between
they are outside the hospital.
staff members and students; therefore, students will receive the faculty’s
 Students are expected to possess a stethoscope, tape measure,
decisions and announcements via email, thus should check their emails
and a penlight.
constantly.
 Smoking is prohibited except in smoking areas.
Eighth: Guidelines on student dress code will be distributed among
Please note that not adhering to these standards gives the supervising students, titled: “Doctors in Training” which students should adhere to, as
physician the right to expel the student from clinical training for that day disciplinary action will be taken if violated.
(absent, without excuse) Ninth: The Medical Department represented by its director, and teaching
and research assistant staff is the student reference regarding attendance
Attendance and Absence Instructions and absence.
Tenth: If the teaching physician is absent, students should directly contact
First: Clinical training starts daily at ٨:٠٠ am, all students should be present at the teaching and research assistants or will be considered absent without
the morning meeting hall of their department. If the teaching physician is late, excuse.
they should attend the morning meeting and start clinical practice, even if the
physician is still absent. Attending the morning meeting is obligatory, and not Course Description and Objectives
attending means an absence without excuse and will be dealt with according to
This course is offered to fifth-year students. It has a general introductory
the Medical Department regulations.
course in pediatric medicine, pediatric surgery, neonatology and pediatric
Second: If the student is absent without an excuse accepted by the Medical gynecology in addition to specific aspects of ethical issues in pediatric.
Department, it will be dealt with according to the Medical Department Inpatient and outpatient Pediatric clerkship of ١٢ weeks is designed to expose
regulations students to child care. Emphasis is on history taking and physical examination
Third: Excused Absences: of infants, children and decedents are also emphasized. Principle of preventive
Students are not allowed to exceed more than ٪١٠ absence of the actual medicine such as vaccination and nutrition are covered in this course. Students
training days from the course duration, after the approval of the Department's are exposed to the environment of child care. Instruction includes ward rounds,
teaching and research assistants who coordinate with the course teacher. outpatients, seminars, on-calls and lectures. This course includes two weeks of
As for sick leaves, students should provide a medical certificate, which the neonatology which includes comprehensive assessments and interpretation of
University physician must approve. Medical certificates will not be taken into diagnostic data on newborns/infants and their families. Systematic data
consideration if not approved by the University physician. collection, diagnostic reasoning, and clinical problem solving for a variety of
newborns and infants are emphasized. Content focuses on perinatal
Fourth: Students are not allowed to leave before the end of working hours at
assessment, fetal assessment, gestational age assessment, neurobehavioral and
pm, on the pretext of scientific research purposes
developmental assessments, congenital anomalies evaluation, physical exam of
Fifth: No gathering is allowed in the hallways
newborns and infants, and the use of diagnostics such as laboratory studies,
Sixth: Students can only communicate with staff members and research and radiographs, and instrumentation/monitoring devices.
teaching assistants via email. They are not allowed to communicate with them
through social media or phone calls, especially during off-hours.

 
Intended Learning Outcomes (ILO’s) Rotation Maps

Instructor's
 Identify normal growth, development and behavior, as well as  Plan
Signature
approaches to abnormalities from infancy through adolescence
Recognize common acute and chronic pediatric conditions, congenital Introduction
and genetic syndromes, and the importance of age on their  Pediatric History taking
manifestations and treatment.
 General physical Examination
 Apply principles of physiology and pharmacology to children from   Measuring & assessing growth parameters, using different growth
birth through adulthood, that help to understand the mechanism of
different pediatric diseases to help him reach a diagnosis, and provide charts
more rational pharmacologic management.  Normal child growth and development
 Demonstrate pediatric history taking, including complete history of  Communication skills
present illness, past medical and surgical history, medications, allergies,
family history, social history, developmental, immunizations, diet and Skill lab
complete review of systems.
  General assessment of pediatric patients/ well vs unwell child
 Apply physical examination skills to infants, children and adolescents,
 Vital signs Assessment for different age group / normal vs abnormal
adapting appropriately to the age of the patient.
 Interpret data from history, physical, labs and studies to define  Video - based case study for different abnormalities
problems, develop a differential diagnosis and patient management plan   Photo session
and identify associated risks.  Pediatric Radiology session
 Demonstrate interpersonal communication skills that facilitate  ECG & Arrhythmia station/ monitor
empathic relationships and effective collaborations with families,
 Demonstration of neonatal exam/ Manikin
children and adolescents, and other health care professionals and teams.
. Laboratory test interpretation
 Describe how to modify the interview depending on the age of the
child, with particular attention to the following age groups: Gastroenterology
toddler/preschooler, school-age child, adolescent, including when to
address questions to child versus parent.   Physical exam (abdominal examination & Extraintestinal

 Demonstrate a commitment to achieving personal and professional manifestation of different Gastroenterological disease)
excellence, including lifelong-self learning, evaluation of the  Approach to the management of patients with acute GI disease:
performance of peers and self, and promotion of collaborative learning.  including acute gastroenteritis, intestinal obstruction, GI bleeding,
Apply the research, scientific method, evaluate the literature, and
child with jaundice, acute abdominal pain.
apply this knowledge to patient care.
 Approach to the management of patients with chronic GI disease:
 Demonstrate respect for patient, parent, and family attitudes,
behaviors and lifestyles, paying particular attention to cultural, ethnic failure to thrive, chronic diarrhea, chronic constipation, recurrent
and socioeconomic influences, showing flexibility to meet the needs of abdominal pain
the patient and family.

 
 Respiratory system Hematology oncology

 . Physical Exam (respiratory system exam in children, toddlers and   Physical exam: ecchymosis and hematomas, reticuloendothelial
system, neck masses, abdominal masses)
infants) 
 . Approach to causes of upper airway disease / abstractive and  Approach to the management of bleeding tendency,

inflammatory.
. Approach to pallor and anemia

. Approach to child with lower airway disease/ pneumonia, recurrent . Childhood leukemia and common solid tumors.

respiratory infection and chronic cough, child with wheezing, Nephrology

Cardiac system   Physical exam (genitourinary system)

 Approach to child with edema, dark urine color
  Cardiovascular examination 
  Acute and chronic renal failure
 Approach to cyanotic and non - cyanotic congenital heart disease
 Urinary tract infection
 Approach to murmur
 Fluid and electrolytes disturbance
 Approach to child with heart failure

Endocrine and metabolic

Neonatology
 . Approach to the management of child with polyuria and polydipsia
  Neonatal examination,
 . Approach to child with suspected inborn error of metabolism
 Care of normal newborn.
  Child with ambiguous genitalia
 Approach to different neonatal disorder, jaundice, respiratory distress,
. Congenital hypothyroidism
congenital anomalies, prematurity

 Approach to infectious disease in neonate: neonatal sepsis, Immune and infectious disorder
congenital infection.
 Approach to child with recurrent infections

Nervous system  Approach to common pediatric exanthems


 Urticaria and anaphylaxis.
  Physical Exam (nervous system exam in different age
 Vaccination
groups/cognitive, cranial nerve, motor, sensory & cerebellum)
  Approach to fever
 Approach to children with different neurological manifestations:
seizure, syncope, abnormal gait and ataxia, altered level of
  Review
consciousness, headache.
  Feedback session & evaluation
. Approach to child with developmental delay
 End Rotation OSCE

 
 Contact Faculty Members
Timetables

The Deanship and the Council of Medicine Department

Time Topic Name Position Email/phone


Morning reports
Dr. Khalil Issa Dean of Faculty of Medicine and Health [email protected]

 
Clinical rounds Sciences

Director of Medicine Department and


 
Break Dr. Hasan Fitian hasan.fi[email protected]
Head of IRB Committee
Regular case -based
Formative assessment (Mini - [email protected] /
discussion (physical cases,
Dr. Husam Salameh Head of Internal Medicine Division


 
CCX)
virtual cases, simulation) [email protected] /
Once per ٢ weeks Dr. Ahmad Dalbah Head of General Surgery Division
- times per week 

[email protected] /

 
Bedside teaching (taking history, physical examination, etc..) Dr. Maysaa Alawneh Head of Pediatrics Division

On days of outpatient Head of Obstetrics and Gynecology
will have clinic rotation with history taking, examination and Dr. Abdallateef [email protected]
clinic Daraghmeh Division
management discussion
  
Dr. Mohammad Head of Surgical Subspecialties Division
[email protected] /

Students have On-calls

Ma'zoz 
Head of Familyand community Medicine [email protected] /
Dr. Lubna AlSaudi Division 
Head of Selected Medical Specialties wafi[email protected] /
Dr. Wafiq Othman
Assessment Methods Division 

Dr. Rayyan Al Ali Director of Forensic Medicine Institute

 Formative Assessment (Mini-CEX). Dr.Rasha Khayyat Scientific Research Unit Head [email protected]
Summative Assessment:
 OSCE. Nour Al - Qadi Medicine Department Secretary [email protected]

  Clinical case Reports. Deanship Secretary

Deanship of the Faculty of Medicine and
[email protected]
  In-Training Evaluation. Health Sciences Secretary

 Final Exam.