STUDY GUIDE

DEPARTMENT OF PAEDIATRICS

CMH LAHORE MEDICAL

COLLEGE

1

Table of Content

Table of Content:

1. Department Introduction ---------------------------------------------------------- 2

2. Course Content --------------------------------------------------------------------- 3

3. Examination Schedule ------------------------------------------------------------- 8

4. Time Table -------------------------------------------------------------------------- 9

Weekly Lecture Plan ------------------------------------------------------ 10

Clinical teaching Schedule ----------------------------------------------- 11

Academic Calendar 4th

year MBBS ------------------------------------- 12

Academic Calendar 5th

year MBBS ------------------------------------- 13

5. Resources --------------------------------------------------------------------------- 14

2

Department Introduction:

Department of Peadiatrics is headed by Brig.(R). Huma Farrukh, Professor of Paediatrics.

Faculty consist of:

Brig Tanveer Ashraf as Professor

Brig.(R). Rahat Malik as Associate Professor

Col Talal Waqar as Associate Professor

Brig Tariq Nadeem as Assistant Professor

Dr. Spenta Kakalia as Assistant Professor

Lt. Col. Irfan Ahmad as Assistant Professor

Dr. Arouj Waqqas as Senior Registrar

Dr. Saher Gul Ahdi as Senior Registrar

Maj Ayesha Batool as Senior Registrar

Dr. Hina Khalid as Registrar

Dr. Amna Nasrullah as Medical officer/ PGR 4th

year

Dr. Tayyaba Awan as Medical officer/ PGR 4th

year

Dr. Nida Zeeshan as Medical officer/ PGR 4th

year

Dr. Syed Arsalan Hassan as Medical officer/ PGR 4th

year

Dr. Tayyaba Kiyani as Medical officer/ PGR 3

rd year

Dr. Tooba Karim as Medical officer/ PGR 3

rd year

Dr. Umber Mushtaq as Medical officer/ PGR 2

nd year

Dr. Aisha Ammar as Medical officer/ PGR 2nd

year

Dr. Hafiza Hira Zeb as Medical officer/ PGR 1st year

Dr. Yumna Asma as Medical officer/ PGR 1st year

3

Brig.(R). Huma Farrukh

Brig.(R). Rahat Malik Col Talal Waqar

Brig. Tariq Nadeem Dr. Spenta Kakalia Lt. Col. Irfan Ahmad

Dr. Arouj Waqqas Dr. Saher Gul Ahdi Maj. Ayesha Batool Dr. Hina Khalid

Brig Tanveer Ashraf

Dr. Tayyaba Kiyani

Dr. Aisha Ammar

Dr. Umber Mushtaq

Dr. Nida Zeeshan

Dr. Tooba Karim

Dr. Syed Arsalan

Dr. Amra Rehman

Dr. Hafiza Hira

Dr. Yumna Asma

Dr. Amna Nasrullah

Dr. Tayyaba Awan

4

COURSE CONTENT

5th

Year MBBS

UHS Syllabus Topic:

• Common problems of children in Pakistan and statistics of Pakistani children.

• Clinical methods in pediatrics.

• Nutrition (breast feeding, infant feeding, weaning) and nutritional disorders:(PEM, rickets, vitamin A deficiency, iodine deficiency, iron deficiency).

• Growth and development.

• Common pediatric infections: measles, tetanus, polio, diphtheria, whooping cough, aids.

• Malaria, enteric fever, tuberculosis, chicken pox, common skin infections.

• Expanded program of immunization (EPI). Newer vaccines.

• Diarrheal diseases.

• Acute respiratory infections (ARI).

• IMCI (integrated management of childhood illness).

• Neonatology: resuscitation of new born, care of normal new born, birth asphyxia, premature and low birth weight babies, neonatal jaundice, neonatal sepsis, neonatal fits,

respiratory distress of new born, common skin conditions of neonates; pyloric stenosis,

myelomeningocele, hydrocephalus, common congenital abnormalities and birth trauma.

• Neurology: meningitis, febrile, convulsions, epilepsy, cerebral palsy, mental handicap,

cerebral malaria, encephalitis.

• Cardiology: congenital heart diseases [VSD, PDA, TOF, ASD], rheumatic fever. Congestive cardiac failure, clinical assessment of a cyanotic neonate/infant.

• Hematology: anemias, thalassemia, leukemias, bleeding disorders.

• Nephrology: nephrotic syndrome, urinary tract infections, acute glomerulonephritis.

• Endocrinology: hypothyroidism, short stature, diabetes.

• Pulmonology: croup, asthma, tuberculosis, pneumonias, pleural effusions.

• Gastroenterology: abdominal pain, malabsorption, hepatitis, cirrhosis, acute liver failure. diarrhea [acute/chronic] dysentery, worm infestations, giardia, amoebiasis, rectal

polyp.

5

• Genetics: patterns of inheritance, Down’s syndrome

• Social pediatrics: right of child, child abuse, enuresis, encopresis, hyperactivity,

dyslexia, attention deficit disorder

• Miscellaneous: poisoning, prevention of home accidents, behavioral disorders.

• Pediatric surgery: hernia, intussusceptions, intestinal obstruction, talipes, congenital

dislocation of hip, vesico-ureteral reflux.

SKILLS:

1) Students will demonstrate his ability to obtain a relevant clinical history from a

parent or an older child.

2) Student will demonstrate his ability to perform adequate clinical examination of a

child of any age (including newborn).

3) Student will be able to interpret clinical and laboratory data to arrive at a

diagnosis.

4) Student will be able to advise appropriate nutritional measures for healthy and sick

children (Breast feeding, avoidance of bottle, proper weaning)

5) Student will be able to counsel the parents on health promotive and disease

preventive strategies for the child e.g. immunization procedures; hand washing)

6) Student will be able to recognize and manage common health problems of

children.

7) Student will recognize the danger signs of disease in children and be able to

appropriately refer children with severe disease to appropriate

specialists/hospitals.

8) Student will demonstrate his ability to perform essential clinical procedures

relevant to children e.g.

Resuscitation of newborn

Basic cardio-pulmonary resuscitation

Anthropometric measurements

Measuring blood pressure

Starting intravenous lines/ draw blood sample

Administration of oxygen therapy

Giving nebulizer therapy [bronchodilator]

Use of growth chart

6

OBSERVE THE FOLLOWING SKILLS:

1. Lumbar puncture

2. Bone marrow aspiration

3. Supra pubic puncture

4. Subdural tap

5. Thoracentesis

6. Pericardiocentesis

7. Liver biopsy

8. Renal biopsy

9. Observe passing of catheter

10. Observe pericardial tap

7

3rd

& 4th Year MBBS

NUMS Topics:

Immunization: EPI schedule, vaccine administration

Nutrition: protein energy malnutrition, rickets, basis of paediatric nutrition

Development: development milestones, anthropometry

Respiratory diseases: stridor, diphtheria, pertussis, ARI, IMNCI guidelines,

asthma, pulmonary tuberculosis

Infections: measles, mumps, chicken pox, rheumatic fever, infective

endocarditis, malaria, enteric fever, meningitis, encephalitis, poliomyelitis,

croup, tetanus, AGE, ear infections

Gastroenterology: AGE, recurrent abdominal pain, chronic liver disease,

chronic diarrhea, celiac disease, malabsorption

Neonatology: normal newborn, breast feeding, neonatal jaundice, neonatal

sepsis, LBW/prematurity, neonatal convulsions, vomiting in newborn, birth

asphyxia, resuscitation, vitamin K deficiency, RDS, NEC, HIE

Cardiology: Acynotic heart diseases, Tetralogy of Fallot, CCF in children,

Rheumatic heart disease

Neurology: febrile seizures, epilepsy, meningitis, cerebral palsy, acute

flaccid paralysis, ataxia and movement disorder, neurodegenerative

disorders.

Endocrinology: diabetes mellitus, DKA, hypothyroidism, short stature,

disorders of puberty

Hematology: IDA, Thalassemia, hemolytic anemia, G6PD, hereditary

spherocytosis, bleeding disorders, aplastic anemia

Malignancies: ALL, AML, CML, CLL

Nephrology: UTI, nephrotic syndrome, AKI, CKD, APSGN, neuroblastoma,

Wilms tumor

Childhood poisoning

3rd

Year MBBS:

Clinical teaching is done in form of clinical bedside examinations and case

discussions.

8

Examination Schedule

1) Ward test is conducted for all clinical batches of 3rd

year and 4th

year in form of

bedside examinations followed by viva.

2) End of ward rotation evaluation is done for Final year in form of short cases, viva

and OSPE.

3) Class tests are taken starting from 4th

year MBBS (2 per session).

4) Class tests for Final year MBBS are arranged (3 per session).

5) Mid-term exam is taken for Final year MBBS.

6) Send up exam is held for Final year MBBS at end of academic session.

9

Time Table

Teaching Routine

i. There are three lectures per week of fourth and final year MBBS classes. These

lectures are interactive and focused on scenario-based learning.

ii. Weekly Problem based learning (PBL) is conducted for final year students.

iii. Clinicopathological conferences are held on regular basis where students prepare

CPC under the supervision of faculty members. All presentations are made by

students.

iv. Workshops are held for Final year MBBS for each clinical batch on Fluid and

Electrolytes, Neonatal resuscitation and Oxygen Therapy.

v. Clinical teaching is carried out in wards daily (morning & evening classes) in form

of history taking, bedside examinations & case presentations.

vi. Final year students are divided into three groups weekly. 1st group is assigned to

learn basic ward procedures including cannulation and NG insertion. 2nd

group is

involved in vaccination administration and 3rd

group observes Neonatal ICU

procedures.

vii. Class tests & mid-term exams are held to evaluate undergraduate students.

viii. Clinical assessment of undergraduate students is done in form of Ward test

including TOACs & short cases.

10

Weekly Lecture Plan

AMENDED

DAYS DATE 0800 - 0850 0850 - 09401030 -

11001100 - 1445

1445-

15001500 - 1700

1500-

18001800 - 2000

SURGERY GYNAE

SURGERYMEDICINE

0850 - 09300930 - 1000 1200 - 1445

DAYS DATE 0800 - 0850 0850 - 09401030 -

11001100 - 1445 1500 - 1700 1800 - 2000

SURGERY PAEDS

RHEUMATIC FEVER

BRIG. HUMA FARRUKH (R)

MEDICINE MEDICINE

MEDICINE SURGERYPAEDS

0940-1030

TOPIC

SUPER

VISORROLL

NOTOPIC

SUPER

VISORROLL

NOBRIG. HUMA FARRUKH (R)

1. ALL LECTURES WILL BE HELD IN LECTURE HALL “F” (PHARMACOLOGY).

3. AFTERNOON CLINICAL TRAINING IN RESPECTIVE WARDS WILL BE ON MON, TUE, WED AND THUR FROM 1500 HRS – 1700 HRS.

Lt Col (R)

22-07-2019 Assistant Director Medical Education

Miss Huma (M. Saad Ullah Khan Sumbal)

CMH LAHORE MEDICAL COLLEGE

WEEKLY TRAINING PROGRAMME OF FINAL YEAR MBBS 2018-19

(22 July 2019 - 26 July 2019)

WEEK - 33

MON22 July

2019

CLINICAL

TRAINING

SESSION I

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

BR

EA

K

(Batc

h D

, G, H

on

ly)

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

TUE23 July

2019

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

WED24 July

2019

CLINICAL

TRAINING

SESSION I

Prepared by :

2

BURNS (PLASTIC SURGERY)

LT COL. AHSAN MASOOD

92,93,94,95,96

(ATTENDANCE COMPULSORY)

FRI26 July

2019

1030-1230

1

MITRAL STENOSIS (CARDIOLOGY)

DR. AHMED USMAN

BR

EA

K

2. STUDENT WILL GO TO THE WARDS IN THE MORNING OF MON, TUE, WED AND THUR FROM 1100 HRS -1445 HRS.

4. BATCHES ON CLINICAL ROTATION IN SURGERY-I, SURGERY-II, SURGERY-III (ORTHOPAEDICS) WILL UNDERGO SELF DIRECTED STUDY

(SDS) ON FRIDAY WHEN THERE IS NO CPC.

Dated:

60,61,88,90,91

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

THU25 July

2019

CLINICAL

TRAINING

SESSION I

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

CLINICAL

TRAINING

SESSION II

(Except Batch

D, G, H)

SURGERY

1000 - 1200

SEMINAR

"WORKPLACE -

BASED

EDUCATION"

BR

EA

K

0940 - 1030

GYNAE

PAEDS

BR

EA

K

CLINICAL

TRAINING

SESSION I

CYSTIC FIBROSIS

PSYCHIATRY

0940 - 1030

11

Clinical teaching Schedule, 2018-2019

1st Week

Days

3rd

Year.

Mon– Thurs

CMH Hospital

4th

Year

Mon – Fri

CMH Hospital

Final Year

Mon – Fri

CMH Hospital

Monday Dr. Hina Dr. Saher Brig.(R) Huma

Tuesday Dr. Arouj Brig.(R) Huma Brig. Rahat

Wednesday Brig.(R) Huma Dr. Arouj Brig. Tanveer

Thursday Dr. Saher Dr. Hina Brig. Tariq

Friday ----No Class---- ----No Class---- Dr. Arouj/ Dr. Saher

2nd

Week

Days

3rd

Year

Mon – Thurs

CMH Hospital

4th

Year

Mon- Fri

CMH Hospital

Final Year

Mon- Fri

CMH Hospital

Monday Brig. Tanvir Col. Talal Brig.(R) Huma

Tuesday Dr. Arouj Brig.(R) Huma Brig.(R) Rahat

Wednesday Brig.(R) Huma Brig. Tariq Brig. Tanveer

Thursday Dr. Saher Brig.(R) Rahat Brig. Tariq

Friday ----No Class---- ----No Class---- Lt. Col.Irfan

3rd

Week

Days

3rd

Year Mon – Thursday

CMH Hospital

4th

Year Mon- Fri

CMH Hospital

Final Year Mon- Fri

CMH Hospital

Monday Brig. Tanvir Col. Talal Brig.(R) Huma

Tuesday Dr. Arouj Brig.(R) Huma Brig.(R) Rahat

Wednesday Brig.(R) Huma Brig. Tariq Brig. Tanveer

Thursday Dr. Saher Brig.(R) Rahat Brig. Tariq

Friday ----No Class---- ----No Class---- Lt. Col.Irfan

Evening Classes to be held in wards

12

Academic Calendar - 3rd Year MBBS Session (2018 – 2019)

Weeks Details Dates

From To

Start of New Class 24 Sep 2018

1-12 1st Module (12 Weeks) 24 Sep 2018 12 Dec 2018

13

1st Module Exam 13 Dec 2018 21 Dec 2018

Forensic Medicine 13 Dec 2018 (Thu)

Gen Pathology 17 Dec 2018 (Mon)

Pharmacology 19 Dec 2019 (Wed)

Behavioural Sciences 21 Dec 2019 (Fri)

14 Winter Vacations 22 Dec 2018 30 Dec 2018

15-23 2nd Module (9/11 Weeks) 31 Dec 2018 03 March 2019

24 Co- Curricular Week 04 March 2019 10 March 2019

Sports Day 08 March 2019

25-26 2nd Module (2/11 Weeks) 11 March 2019 20 March 2019

27

2nd Module Exam 21 March 2019 29 March 2019

Behavioural Sciences 21 March 2019 (Thu)

Pharmacology 25 March 2019 (Mon)

Gen Pathology 27 March 2019 (Wed)

Forensic Medicine 29 March 2019 (Fri)

28-35

3rd Module (8 weeks) 30 March 2019 23 May 2019

Ramadan 06 May 2019 04 June 2019

Eid ul Fitr (Tentatively) 05-07 June 2019

36

3rd Module Exam 24 May 2019 31 May 2019

Forensic Medicine 24 May 2019 (Fri)

Pharmacology 27 May 2019 (Mon)

Gen Pathology 29 May 2019 (Wed)

Behavioural Sciences 31 May 2019 (Fri)

37-42 Summer Vacations 01 June 2019 11 July 2019

43-44

Pre-Annual Exam 12 July 2019 25 Jul 2019

Pharmacology 12 July 2019 (Fri)

Gen Pathology 15 July 2019 (Mon)

Beh Sciences 17 July 2019 (Wed)

Forensic Medicine 19 July 2019 (Fri)

Practical’s 22 (Mon), 23 (Tue), 24 (Wed), 25 (Thu) July

2019

45-47 Prep Leave Annual Exam (24 days) 26 July 2019 18 Aug 2019

Eid ul Azha (Tentatively) 12-14 Aug 2019

NUMS University Annual Exam 19 Aug 2019 onwards

13

Academic Calendar - 4th Year MBBS Session (2018-19)

Weeks Details Dates

From To

Start of New Class 24 Sep 2018

1-11 1st Module (11 Weeks) 24 Sep 2018 06 Dec 2018

12

1st Module Exam (01 week) 07 Dec 2018 14 Dec 2018

EYE 07 Dec 2018 (Fri)

ENT 10 Dec 2018 (Mon)

COMMUNITY MEDICINE 12 Dec 2018 (Wed)

SPECIAL PATHOLOGY 14 Dec 2018 (Fri)

13 2nd Module (1/11 weeks) 15 Dec 2018 21 Dec 2018

14 Winter Vacations 22 Dec 2018 30 Dec 2018

15-23 2nd Module (9/11 weeks) 31 Dec 2018 03 March 2019

24 Co-Curricular Week 04 March 2019 10 March 2019

Sports Day 08 March 2019

25 2nd Module (1/11 weeks) 11 March 2019 14 March 2019

26

2nd Module Exam (01 week) 15 March 2019 22 March 2019

EYE 15 March 2019 (Fri)

SPECIAL PATHOLOGY 18 March 2019 (Mon)

COMMUNITY MEDICINE 20 March 2019 (Wed)

ENT 22 March 2019 (Fri)

27-35 3rd Module (9 weeks) 23 March 2019 26 May 2019

Ramadan (Tentatively) 06 May 2019 04 June 2019

36

3rd Module Exam (01 week) 27 May 2019 03 June 2019

SPECIAL PATHOLOGY 27 May 2019 (Mon)

EYE 29 May 2019 (Wed)

ENT 31 May 2019 (Fri)

COMMUNITY MEDICINE 03 June 2019 (Mon)

37-43 Summer Vacations & Eid ul Fitr 04 June 2019 21 July 2019

44-46

Pre-Annual Exam 22 July 2019 07 Aug 2019

EYE 22 July 2019 (Mon)

ENT 24 July 2019 (Wed)

COMMUNITY MEDICINE 26 July 2019 (Fri)

SPECIAL PATHOLOGY 29 July 2019 (Mon)

Practical’s 31 (Wed) July 2019

02 (Fri), 05 (Mon), 07 (Wed) Aug 2019

47-49 Prep Leave Annual Exam (25 days) 08 Aug 2019 01 Sep 2019

Eid ul Azha 12-14 Aug 2019

NUMS University Annual Exam 02 Sep 2019 onwards

Weeks Details Dates

14

Academic Calendar - Final Year MBBS Session (2018-19)

Resources

From To

Start of New Class 10 Dec 2018

1 - 2 Academic Classes / Wards (2/18 Weeks) 10 Dec 2018 21 Dec 2018

3 Winter Vacations 22 Dec 2018 30 Dec 2018

4 - 12 Academic Classes / Wards (9/18 Weeks) 31 Dec 2018 03 Mar 2019

13 Sports Week 04 Mar 2019 10 Mar 2019

Sports Day 08 Mar 2019

14 - 20 Academic Classes / Wards (7/18 Weeks) 11 Mar 2019 28 Apr 2019

21-22

Mid - Term Exams 29 Apr 2019 09 May 2019

Surgery 29 Apr 2019 (Mon)

Medicine 02 May 2019 (Thu)

Gynae / Obs 06 May 2019 (Mon)

Paeds 09 May 2019 (Thu)

23 – 26

Academic Classes / Wards (4/16 Weeks) 10 May 2019 09 June 2019

Ramadan (Tentativey) 06 May 2019 04 June 2019

Eid ul Fitr (Tentatively) 05 - 07 June 2019

27 – 31 Summer Vacations (5 Weeks) 10 June 2019 14 July 2019

32 – 43

Academic Classes / Wards (12/16 Weeks) 15 July 2019 04 Oct 2019

Eid ul Azha (Tentatively) 12 - 14 Aug 2019

Ashoorah (Tentatively) 09 - 10 Sep 2019

44 Prep Leave for Final Term Exam (1 week) 05 Oct 2019 10 Oct 2019

45 - 46

Final - Term Exam / OSPE 11 Oct 2019 24 Oct 2019

Written Exam

Surgery 11 Oct 2019 (Fri)

Medicine 14 Oct 2019 (Mon)

Gynae / Obs 16 Oct 2019 (Wed)

Paeds 18 Oct 2019 (Fri)

OSPE 21 (Mon), 22 (Tue), 23 (Wed),

24 (Thu) October 2019

47 - 50 Prep Leave for Professional Exams

(4 weeks) 25 Oct 2019 26 Nov 2019

UHS Annual Exams (Tentatively) 27 Nov 2019

15

Lecture Halls for lectures in college with audio-visual aid.

PBL room for problem-based learning with audio-visual aid.

Departmental Conference room in college for small group discussions.

Teaching Class room in ward for case discussions and examinations.

Departmental Conference room in hospital OPD for case presentations and

CPC with audio-visual aid.

College library for reference books.

Departmental library both in college and hospital.

Campus Internet for e-learning.

Skills Lab with mannequins.