The Curriculum Outline of Pediatrics
（ for oversea MBBS students ）
Wei Fang Medical University
Department of Pediatrics
Total period 324 Theory 108 Practice 216
Chapter Contents Theory Practice
Chapter 1 Intruduction to Pediatrics 3 6
Chapter 2 Growth and Development 5 10
Chapter 3 Children Health Care and Preventive Pediatrics 9 18
Chapter 4 Nutrition and Nutritional Diseases 9 18
Chapter 5 Neonatology 10 20
Chapter 6 The Immunologic System and Immunodeficiency 8 16
Disorder
Chapter 7 Connective Tissue Diseases 7 14
Chapter 8 Gastrointestinal Tract Disorders 6 12
Chapter 9 Respiratory System Disorders 8 16
Chapter 10 Cardiac System Disorders 8 16
Chapter 11 Nephrologic Disorders 8 16
Chapter 12 Hematologic Disorder 8 16
Chapter 13 Diseases of Nervous System 6 12
Chapter 14 Endocrine and Metabolic Disorders 5 10
Chapter 15 Tuberculosis 5 10
Chapter 16 Pediatric Emergencies 3 6
Total 108 216
period
Goals of the Curriculum
The goals of this curriculum in Pediatrics are to foster:
• Acquisition of basic knowledge of growth and development (physical, physiologic
and psychosocial) and its clinical application from birth through adolescence.
• Development of communication skills that will facilitate the clinical interaction
with children, adolescents and their families and thus ensure that complete, accurate
data is obtained.
• Development of competency in the physical examination of infants, children and
adolescents.
• Acquisition of the knowledge necessary to provide appropriate nutritional and fluid
support for infants, children and adolescents.
• Acquisition of the knowledge necessary for the diagnosis and initial management of
common acute and chronic illnesses, as well as common emergencies in pediatrics.
• An understanding of the impact of congenital and inherited diseases on children and
their families.
• Development of clinical problem-solving skills.
• An understanding of the influence of family, community and society on the child in
health and disease.
• Development of strategies for health promotion as well as disease and injury
prevention.
• Development of the attitudes and professional behaviors appropriate for clinical
practice.
The teaching of theory
Chapter 1 Intruduction to Pediatrics
Objectives
Know well mission, scope and characteristics of pediatrics
Master age group distribution and the characteristics of various age groups
Contents
1. Mission, scope and characteristics of pediatrics
2. Age group distribution
3. Basic and clinical characteristics of pediatrics
Chapter 2 Growth and Development
Objectives
Understand rules and significance of growth and development of children
Know well the factors influencing growth and development
Master the indicators of physical growth (including techniques of measurements
and calculating )
Contents
1. Rules of growth and development of children
2. The factors influencing growth and development
3. The indicators of physical growth
4. The behavioral and psychological development
Chapter 3 Children Health Care and Preventive Pediatrics
Objectives
Master principle and main points of health supervision visits at various ages
(newborn, infant, preschool, school age, adolescent )
Know the immunizations currently recommended from birth through adolescence
(including the benefits, limitations, adverse side effects, and contraindications of
each immunization)
Master the pediatric case history writing and physical examination (take complete
medical history from: general condition, presenting complaint, presenting illness,
past history, birth history, mothers health during pregnancy, details of delivery,
personal history, family history, examine children of any age)
Know well the characteristics of fluid and electrolyte homeostasis of children
Know the pathophysiology of electrolyte disorders
Master clinical manifestations and therapy of dehydration, hypokalemia and
metabolic acidosis
Contents
1. Definition, scope and goals of preventive pediatrics and topics of frequent concern
during health supervision visits
2. Principle and main points of health care at different age periods
3. The immunization procedures currently recommended from birth through
adolescence
4. The pediatric case history writing and physical examination
5. Fliud and electrolyte homeostasis and fluid therapy
Chapter 4 Nutrition and Nutritional Diseases
Objectives
Know well nutritional requirements of infants and children
Master the technique of infant feeding
Understand etiology, pathophysiology, clinical manifestation and treatment of
malnutrition
Understand vitamin D metabolism and physiology
Know well etiology and pathogenesis of rickets of vitamin D deficiency
Master clinical manifestation, diagnosis, treatment and prevention of rickets and
tetany of vitamin D deficiency
Contents
1. Nutritional requirements of infants and children
2. The advantages of human milk, methods of breast-feeding and introduction of
additional foods
3. Etiology, pathophysiology, clinical manifestation and treatment of malnutrition
4. Vitamin D metabolism and physiology etiology and pathogenesis of rickets of
vitamin D deficiency
5. Clinical manifestation, diagnosis, treatment and prevention of rickets and tetany of
vitamin D deficiency
Chapter 5 Neonatology
Objectives
Master classification (including full-term infant, preterm infant, post-term infant,
low birth weight infant, normal birth weight infant, high birth weight infant,
larger for gestational age, small for gestational age, appropriate for gestational
age and high-risk infant), defination, characteristics and care of newborn
Master etiology, pathophysiology, clinical manifestation, diagnosis and treatment
of RDS
Know etiology, clinical manifestation, diagnosis and treatment of MAS
Know well etiology and clinical manifestation of intracranial hemorrhage of the
newborn
Know neonatal bilirubin metbolism
Master physiologic and pathologic hyperbilirubinemia of the newborn
Know well etiology and pathogenesis of hemolytic jaundice of newborn
Master clinical manifestation of hypoxic-ischemic encephalopathy (HIE)
Know etiology, clinical manifestation, diagnosis and treatment of neonatal sepsis
Contents
1.Classification, defination, characteristics and care of newborn
2. Etiology, pathophysiology, clinical manifestation, diagnosis and treatment of RDS
3. Etiology, clinical manifestation, diagnosis and treatment of MAS
4. Etiology and clinical manifestation of intracranial hemorrhage of the newborn
5. Neonatal bilirubin metbolism
6. Physiologic and pathologic hyperbilirubinemia of the newborn
7. Etiology and pathogenesis of hemolytic jaundice of newborn
8. Clinical manifestation of hypoxic-ischemic encephalopathy (HIE)
9. Etiology, clinical manifestation, diagnosis and treatment of neonatal sepsis
Chapter 6 The Immunologic System and Immunodeficiency Disorders
Objectives
Understand development and future of the immune system
Know evaluation of the patient for immune deficiency
Understand diagnosis and therapy of common immune deficiency disorders
Contents
1. Development and future of the immune system
2. Evaluation of the patient for immune deficiency
3. Diagnosis and therapy of common immune deficiency disorders
Chapter 7 Connective Tissue Diseases
Objectives
Master clinical manifestation, diagnosis and treatment of rheumatic fever
Master clinical manifestation, diagnosis and differential diagnosis of Henoch-
Schonlein purpura
Master clinical manifestation, diagnosis and differential diagnosis of Kawasaki
disease
Know clinical characteristics, diagnosis, differential diagnosis and treatment of juvenile
rheumatoid arthritis
Contents
1.Clinical manifestation, criteria for diagnosis, treatment and prophylaxis of
rheumatic fever
2. Clinical manifestation, diagnosis and differential diagnosis of Henoch-Schonlein
purpura
3. Clinical manifestation, diagnosis, differential diagnosis and treatment of Kawasaki
disease
4. Clinical characteristics, diagnosis, differential diagnosis and treatment of juvenile
rheumatoid arthritis
Chapter 8 Gastrointestinal Tract Disorders
Objectives
Understand anatomical and physiological characteristics of digestive system in
children
Know well characteristics of gastrophageal reflux disorder, gastritis and peptic
ulcer in children
Know well etiology and pathogenesis of infantile diarrhea
Master clinical manifestation, diagnosis and treatment of infantile diarrhea
Contents
1. Anatomical and physiological characteristics of digestive system in children
2. Characteristics of gastrophageal reflux disorder, gastritis and peptic ulcer in
children
3. Etiology and pathogenesis of infantile diarrhea
4. clinical manifestation, diagnosis and treatment of infantile diarrhea
Chapter 9 Respiratory System Disorders
Objectives
Understand anatomy and pgysiology of respiratory system
Master etiology, clinical manifestation, diagnosis and treatment of AURTI and
acute bronchitis
Master etiology, clinical manifestation, diagnosis and treatment of pneumonia
Know well classification, pathophysiology of pneumonia, and complication and
treatment principle of bronchopneumonia
Master clinical characteristics and differential points of respiritary syncytial virus
pneumonia, staphylococcal pneumonia, hemophilus influenza pneumonia and
mycoplasmal pneumonia
Know well pathogenesis of childhood asthma
Master diagnosis and treatment principle of childhood asthma
Know well common used drugs of asthma and inhaled therapy
Contents
1. Anatomy and pgysiology of respiratory system
2. Etiology, clinical manifestation, diagnosis and treatment of AURTI and acute
bronchitis
3. Etiology, clinical manifestation, diagnosis and treatment of pneumonia
4. Classification, pathophysiology of pneumonia, and complication and treatment
principle of bronchopneumonia
5.Clinical characteristics and differential points of respiritary syncytial virus
pneumonia, staphylococcal pneumonia, hemophilus influenza pneumonia and
mycoplasmal pneumonia
6. Pathogenesis, diagnosis and treatment principle of childhood asthma
7. Common used drugs of asthma and inhaled therapy
Chapter 10 Cardiac System Disorders
Objectives
Understand development of the cardiovascular system
Know well fetal circulation and fetal-to-neonatal transition after birth
Know well etiology and diagnostic approach of congenital heart disease
Master the category of congenital heart disease and pathophysiology, clinical
manifestation of common congenital heart defects(VSD, ASD, PDA and
Tetralogy of Fallot) and diagnosis of common complications
Contents
1. Development of the cardiovascular system
2. Fetal circulation and fetal-to-neonatal transition after birth
3. Etiology and diagnostic approach of congenital heart disease
4.The category of congenital heart disease and pathophysiology, clinical manifestation
of common congenital heart defects (VSD, ASD, PDA and Tetralogy of Fallot) and
diagnosis of common complications
Chapter 11 Nephrologic Disorders
Objectives
Understand development of renal structure and function
Know well etiology and pathogenesis of poststreptococcal acute
glomerulonephritis (PS-AGN)
Master clinical manifestation, diagnosis and treatment of PS-AGN and nephritic
syndrome(NS)
Master complications of PS-AGN and nephritic syndrome (NS)
Know well clinical manifestation, diagnosis and treatment of urinary tract
infection
Contents
1. Development of renal structure and function
2. Etiology and pathogenesis of poststreptococcal acute glomerulonephritis (PS-AGN)
3. Clinical manifestation, diagnosis and treatment of PS-AGN and nephritic syndrome
(NS)
4. Complications of PS-AGN and nephritic syndrome (NS)
5. Clinical manifestation, diagnosis and treatment of urinary tract infection
Chapter 12 Hematologic Disorder
Objectives
Know well characteristics of hematopoiesis and blood in children
Understand classification and causes of anemia
Master causes, clinical manifestation, diagnosis and management of iron
deficiency anemia (IDA) and nutritional megaloblastic anemia
Know well pathogenesis and treatment principle of bleeding disorders and acute
leukemia
Contents
1. Characteristics of hematopoiesis and blood in children
2. Classification and causes of anemia
3. Causes, clinical manifestation, diagnosis and management of iron deficiency
anemia (IDA) and nutritional megaloblastic anemia
4. Pathogenesis and treatment principle of bleeding disorders and acute leukemia
Chapter 13 Diseases of Nervous System
Objectives
Understand assessment of child with neurological disorders (including physical
examination and diagnostic testing)
Know well pathology and pathogenesis of bacterial meningitis
Master clinical manifestation and laboratory tests (especially, characteristics of
CSF) of bacterial meningitis
Master diagnosis, differential diagnosis and treatment of bacterial and viral
meningitis and encephalitis
Contents
1. Assessment of child with neurological disorders (including physical examination
and diagnostic testing)
2. Pathology and pathogenesis of bacterial meningitis
3. Clinical manifestation and laboratory tests (especially, characteristics of CSF) of
bacterial meningitis
4. Diagnosis, differential diagnosis and treatment of bacterial and viral meningitis and encephalitis
Chapter 14 Endocrine and Metabolic Disorders
Objectives
Understand etiology, pathogenesis, diagnosis and treatment principle of common
endocrine disorders
Know well etiology and pathogenesis of congenital hypothyroidism
Master clinical manifestation, diagnosis and treatment of congenital
hypothyroidism
Contents
1. Etiology, pathogenesis, diagnosis and treatment principle of common endocrine
disorders
2. Etiology and pathogenesis of congenital hypothyroidism
3. Clinical manifestation, diagnosis and treatment of congenital hypothyroidism
Chapter 15 Tuberculosis
Objectives
Understand etiology and pathogenesis of tuberculosis
Master test approach and clinical significance of tuberculosis skin test
Know well laboratory tests (including tuberculous bacteria in the phlegm, gastric
fluid, cerebrospinal fluid, and pleural fluid, serologic diagnosis and molecular
biologic diagnosis, ESR, X-ray imaging, et al.)
Know well preventive measures of tuberculosis, anti-tuberculosis drugs and
treatment regiments
Understand pathogenesis and pathology of tuberculous meningitis
Master clinical manifestation, diagnosis and treatment of tuberculous meningitis
Contents
1. Etiology and pathogenesis of tuberculosis
2. Test approach and clinical significance of tuberculosis skin test
3. Laboratory tests (including tuberculous bacteria in the phlegm, gastric fluid,
cerebrospinal fluid, and pleural fluid, serologic diagnosis and molecular biologic
diagnosis, ESR, X-ray imaging, et al.)
4. Preventive measures of tuberculosis, anti-tuberculosis drugs and treatment
regiments
5. Pathogenesis, pathology, clinical manifestation, diagnosis and treatment of
tuberculous meningitis
Chapter 16 Pediatric Emergencies
Objectives
Understand characteristics of pediatric emergencies
Master management of pediatric emergencies, for example, advanced life support
for infants and children
Know well commom emergency pediatric drugs
Understand treatment principle of poisoning
Contents
1. Characteristics of pediatric emergencies
2. Management of common pediatric emergencies, for example, advanced life support
for infants and children
3. Commom emergency pediatric drugs
4. Treatment principle of poisoning
Reference books
Behrman and Vaughan, Nelsons Textbook of pediatrics, 17th edition, 2003
Zhang Baoqin, Pediatrics, 2004
William W and Hay Jr, Current pediatric Diagnosis & treatment, 2000
