Index of Competencies

As per the latest NMC Guidelines | Competency Based Medical Education (CBME)

Curriculum under Graduate Medical Education Regulation

PE1.1: Define the terminologies growth and development and discuss the factors affecting normal growth and 2.1 development

PE1.2: Discuss and describe the patterns of growth in infants, children and adolescents 2.2

PE1.3: Discuss and describe the methods of assessment of growth including use of WHO and Indian national standards.

Enumerate the parameters used for assessment of physical growth in infants, children and adolescents

PE1.4: Perform Anthropometric measurements, document in growth charts and interpret 2.5

PE1.5: Define development and discuss the normal developmental milestones with respect to motor, behavior, 2.6

social, adaptive and language

PE1.6: Discuss the methods of assessment of development 2.7

PE1.7: Perform developmental assessment and interpret 2.7

PE2.1: Discuss the etiopathogenesis, clinical features and management of a child who fails to thrive 3.1

PE2.2: Assessment of a child with failing to thrive including eliciting an appropriate history and examination 3.1

PE2.3: Counseling a parent with failing to thrive child 3.1

PE2.4: Discuss the etiopathogenesis, clinical features and management of a child with short stature 3.3

PE2.5: Assessment of a child with short stature: Elicit history, perform examination, document and present 3.3

PE2.6: Enumerate the referral criteria for growth related problems 3.3

PE3.1: Define, enumerate and discuss the causes of developmental delay and disability including intellectual 3.5, 3.6

disability in children

PE3.2: Discuss the approach to a child with developmental delay 3.5

PE3.3: Assessment of a child with developmental delay—Elicit document and present history 3.5

PE3.4: Counsel a parent of a child with developmental delay 3.5

PE3.5: Discuss the role of the child developmental unit in management of developmental delay 3.5

PE3.6: Discuss the referral criteria for children with developmental delay 3.5

PE3.7: Visit a child developmental unit and observe its functioning 3.5

PE3.8: Discuss the etiopathogenesis, clinical presentation and multi-disciplinary approach in the management of 18.11

cerebral palsy

PE4.1: Discuss the causes and approach to a child with scholastic backwardness 3.10

PE4.2: Discuss the etiology, clinical features, diagnosis and management of a child with learning disabilities 3.7

PE4.3: Discuss the etiology, clinical features, diagnosis and management of a child with attention deficit

hyperactivity disorder (ADHD) 3.12

PE4.4: Discuss the etiology, clinical features, diagnosis and management of a child with autism 3.11

PE4.5: Discuss the role of child guidance clinic in children with developmental problems 4.9

PE4.6: Visit to the child guidance clinic -

PE5.1: Describe the clinical features, diagnosis and management of thumb sucking 4.4

PE5.2: Describe the clinical features, diagnosis and management of feeding problems 4.2

PE5.3: Describe the clinical features, diagnosis and management of nail biting 4.4

PE5.4: Describe the clinical features, diagnosis and management of breath holding spells 4.6

PE5.5: Describe the clinical features, diagnosis and management of temper tantrums 4.6

PE5.6: Describe the clinical features, diagnosis and management of Pica 4.2

PE5.7: Describe the clinical features, diagnosis and management of fussy infant 4.1

PE5.8: Discuss the etiology, clinical features and management of enuresis 4.3

PE5.9: Discuss the etiology, clinical features and management of encopresis 4.3

PE5.10: Discuss the role of child guidance clinic in children with behavioral problems and the referral criteria 4.9

PE5.11: Visit to child guidance clinic and observe functioning 4.9

Contd...

PE6.1: Define adolescence and stages of adolescence 13.1

PE6.2: Describe the physical, physiological and psychological changes during adolescence (Puberty) 13.1

PE6.3: Discuss the general health problems during adolescence 13.2

PE6.4: Describe adolescent sexuality and common problems related to it 13.1, 13.3

PE6.5: Explain the adolescent nutrition and common nutritional problems 13.2

PE6.6: Discuss the common adolescent eating disorders (anorexia nervosa, bulimia) 13.3

PE6.7: Describe the common mental health problems during adolescence 13.3

PE6.8: Respecting patient privacy and maintaining confidentiality while dealing with adolescence 13.4

PE6.9: Perform routine adolescent health check-up including eliciting history, performing examination including 13.4

SMR (sexual maturity rating), growth assessments (using growth charts) and systemic exam including thyroid and breast exam and the HEADSS screening

PE6.10: Discuss the objectives and functions of AFHS (adolescent friendly health services) and the referral criteria 13.5

PE6.11: Visit to the adolescent clinic -

PE6.12: Enumerate the importance of obesity and other NCD in adolescents 13.2

PE6.13: Enumerate the prevalence and the importance of recognition of sexual drug abuse in adolescents and children 13.3

PE7.1: Awareness on the cultural beliefs and practices of breastfeeding 5.2

PE7.2: Explain the physiology of lactation 5.2

PE7.3: Describe the composition and types of breast milk and discuss the differences between cow's milk and 5.2 human milk

PE7.4: Discuss the advantages of breast milk 5.2

PE7.5: Observe the correct technique of breastfeeding and distinguish right from wrong techniques 5.2

PE7.6: Enumerate the baby friendly hospital initiatives 5.3

PE7.7: Perform breast examination and identify common problems during lactation such as retracted nipples, 5.2 cracked nipples, breast engorgement, breast abscess 5.2

PE7.8: Educate mothers on ante natal breast care and prepare mothers for lactation 5.2

PE7.9: Educate and counsel mothers for best practices in breastfeeding 5.2

PE7.10: Respects patient privacy 5.2

PE7.11: Participate in breastfeeding week celebration -

PE8.1: Define the term complementary feeding 5.5

PE8.2: Discuss the principles, the initiation, attributes, frequency, techniques and hygiene related to 5.5

complementary feeding including IYCF

PE8.3: Enumerate the common complimentary foods 5.5

PE8.4: Elicit history on the complementary feeding habits 5.5

PE8.5: Counsel and educate mothers on the best practices in complimentary feeding 5.5., 5.6

PE9.1: Describe the age related nutritional needs of infants, children and adolescents including micronutrients and 5.1 vitamins

PE9.2: Describe the tools and methods for assessment and classification of nutritional status of infants, children and 5.9

adolescents

PE9.3: Explains the calorific value of common Indian foods 5.8

PE9.4: Elicit document and present an appropriate nutritional history and perform a dietary recall 5.9

PE9.5: Calculate the age related calorie requirement in health and disease and identify gap 5.1

PE9.6: Assess and classify the nutrition status of infants, children and adolescents and recognize deviations 5.9

PE9.7: Plan an appropriate diet in health and disease Relevant

chapters

PE10.1: Define and describe the etio-pathogenesis, classify including WHO classification, clinical features, 6.1

complication and management of severe acute malnourishment (SAM) and moderate acute malnutrition (MAM)

PE10.2: Outline the clinical approach to a child with SAM and MAM 6.1

PE10.3: Assessment of a patient with SAM and MAM, diagnosis, classification and planning management including 6.1 hospital and community based intervention, rehabilitation and prevention

PE10.4: Identify children with under nutrition as per IMNCI criteria and plan referral 6.1,29.1

PE10.5: Counsel parents of children with SAM and MAM 6.1

PE10.6: Enumerate the role of locally prepared therapeutic diets and ready to use therapeutic diets 6.1

PE11.1: Describe the common etiology, clinical features and management of obesity in children 3.2

PE11.2: Discuss the risk approach for obesity and discuss the prevention strategies 3.2

PE11.3: Assessment of a child with obesity with regard to eliciting history including physical activity, charting and 3.2 dietary recall

PE11.4: Examination including calculation of BMI, measurement of waist hip ratio, identifying external markers 3.2 like acanthosis, striae, pseudogynecomastia, etc.

PE11.5: Calculate BMI, document in BMI chart and interpret 3.2

PE11.6: Discuss criteria for referral 3.2

PE12.1: Discuss the RDA, dietary sources of Vitamin A and their role in health and disease 6.2

PE12.2: Describe the causes, clinical features, diagnosis and management of deficiency/excess of Vitamin A 6.2

PE12.3: Identify the clinical features of dietary deficiency/excess of Vitamin A 6.2

PE12.4: Diagnose patients with Vitamin A deficiency, classify and plan management 6.2

PE12.5: Discuss the Vitamin A prophylaxis program and their recommendations 6.2

PE12.6: Discuss the RDA, dietary sources of Vitamin D and their role in health and disease 6.5

PE12.7: Describe the causes, clinical features, diagnosis and management of deficiency/excess of Vitamin D 6.5

(Rickets and hypervitaminosis D)

PE12.8: Identify the clinical features of dietary deficiency of Vitamin D 6.5

PE12.9: Assess patients with Vitamin D deficiency, diagnose, classify and plan management 6.5

PE12.10: Discuss the role of screening for Vitamin D deficiency 6.5

PE12.11: Discuss the RDA, dietary sources of Vitamin E and their role in health and disease 6.6

PE12.12: Describe the causes, clinical features, diagnosis and management of deficiency of Vitamin E 6.6

PE12.13: Discuss the RDA, dietary sources of Vitamin K and their role in health and disease 6.7

PE12.14: Describe the causes, clinical features, diagnosis management and prevention of deficiency of Vitamin K 6.7

PE12.15: Discuss the RDA, dietary sources of Vitamin B and their role in health and disease 6.3

PE12.16: Describe the causes, clinical features, diagnosis and management of deficiency of B complex Vitamins 6.3, 19.4

PE12.17: Identify the clinical features of Vitamin B complex deficiency 6.3, 19.4

PE12.18: Diagnose patients with Vitamin B complex deficiency and plan management 6.3, 19.4

PE12.19: Discuss the RDA, dietary sources of Vitamin C and their role in health and disease 6.4

PE12.20: Describe the causes, clinical features, diagnosis and management of deficiency of Vitamin C (scurvy) 6.4

PE12.21: Identify the clinical features of Vitamin C deficiency 6.4

PE13.1: Discuss the RDA, dietary sources of iron and their role in health and disease 19.4

PE13.2: Describe the causes, diagnosis and management of Fe deficiency 19.4

PE13.3: Identify the clinical features of dietary deficiency of Iron and make a diagnosis 19.4

PE13.4: Interpret hemogram and Iron Panel 19.2, 19.4

PE13.5: Propose a management plan for Fe deficiency anemia 19.4

PE13.6: Discuss the National Anemia Control Programme and its recommendations 19.4

PE13.7: Discuss the RDA, dietary sources of iodine and their role in health and disease 22.3

PE13.8: Describe the causes, diagnosis and management of deficiency of iodine 22.3

PE13.9: Identify the clinical features of Iodine deficiency disorders 22.3

PE13.10: Discuss the National Goiter Control Programme and their recommendations 22.3

PE13.11: Discuss the RDA, dietary sources of calcium and their role in health and disease 7.4

PE13.12: Describe the causes, clinical features, diagnosis and management of Ca deficiency 7.4

PE13.13: Discuss the RDA, dietary sources of magnesium and their role in health and disease 7.5

PE13.14: Describe the causes, clinical features, diagnosis and management of magnesium deficiency 7.5

PE14.1: Discuss the risk factors, clinical features, diagnosis and management of lead poisoning 27.6

PE14.2: Discuss the risk factors, clinical features, diagnosis and management of kerosene ingestion 27.6

PE14.3: Discuss the risk factors, clinical features, diagnosis and management of organophosphorous poisoning 27.6

PE14.4: Discuss the risk factors, clinical features, diagnosis and management of paracetamol poisoning 27.6

PE14.5: Discuss the risk factors, clinical features, diagnosis and management of oxygen toxicity 27.1,26.2

Contd...

PE15.1: Discuss the fluid and electrolyte requirement in health and disease 7.1

PE15.2: Discuss the clinical features and complications of fluid and electrolyte imbalance and outline the management 7.1-7.5

PE15.3: Calculate the fluid and electrolyte requirement in health 7.7

PE15.4: Interpret electrolyte report 7.2-7.5

PE15.5: Calculate fluid and electrolyte imbalance 7.7

PE15.6: Demonstrate the steps of inserting an IV cannula in a model 32.2

PE15.7: Demonstrate the steps of inserting an interosseous line in a mannequin 32.2

PE16.1: Explain the components of Integrated Management of Neonatal and Childhood Illnesses (IMNCI) 29.1-2

guidelines and method of risk stratification

PE16.2: Assess children 2 to 5 years using IMNCI guidelines and stratify risk 29.1

PE17.1: State the vision and outline the goals, strategies and plan of action of NHM and other important national 9.5, 28.3 programs pertaining to maternal and child health including RMNCH A+, RBSK, RKSK, JSSK, Mission

Indradhanush and ICDS

PE17.2: Analyse the outcomes and appraise the monitoring and evaluation of NHM 28.3

PE18.1: List and explain the components, plan, outcome of Reproductive Child Health (RCH) Programme and 28.3

appraise its monitoring and evaluation

PE18.2: Explain preventive interventions for child survival and safe motherhood 28.3

PE18.3: Conduct antenatal examination of women independently and apply at-risk approach in antenatal care 12.3

PE18.4: Provide intra-natal care and conduct a normal delivery in a simulated environment 12.4

PE18.5: Provide intra-natal care and observe the conduct of a normal delivery 12.4

PE18.6: Perform postnatal assessment of newborn and mother, provide advice on breastfeeding, weaning and on 12.5-12.6 family planning

PE18.7: Educate and counsel caregivers of children 12.6-12.7

PE18.8: Observe the implementation of the program by visiting the rural health centre -

PE19.1: Explain the components of the Universal Immunization Programme and the National Immunization Programme 9.5

PE19.2: Explain the epidemiology of Vaccine preventable diseases 10.4-7, 10.9-11,

10.13, 10-15, 10.18-21, 10.23, 10.25-27, 10.33

PE19.3: Vaccine description with regard to classification of vaccines, strain used, dose, route, schedule, risks, 9.2 benefits and side effects, indications and contraindications

PE19.4: Define cold chain and discuss the methods of safe storage and handling of vaccines 9.6

PE19.5: Discuss immunization in special situations - HIV positive children, immunodeficiency, pre-term, organ 9.4 transplants, those who received blood and blood products, splenectomized children, adolescents, travellers

PE19.6: Assess patient for fitness for immunization and prescribe an age appropriate immunization schedule 9.8

PE19.7: Educate and counsel a patient for immunization 9.8

PE19.8: Demonstrate willingness to participate in the national and sub-national immunization days -

PE19.9: Describe the components of safe vaccine practice - patient education/ Counseling; adverse events 9.8

following immunization, safe injection practices, documentation and medico-legal implications

PE19.10: Observe the handling and storing of vaccines 9.6

PE19.11: Document immunization in an immunization record 9.8

PE19.12: Observe the administration of UIP vaccines 9.8

PE19.13: Demonstrate the correct administration of different vaccines in a mannequin 9.8

PE19.14: Practice infection control measures and appropriate handling of the sharps 9.8

PE19.15: Explain the term implied consent in immunization services 9.8

PE19.16: Enumerate available newer vaccines and their indications including pentavalent pneumococcal, rotavirus, 9.2 JE, typhoid IPV and HPV

PE20.1: Define the common neonatal nomenclatures including the classification and describe the characteristics 12.1, of a normal term neonate and high-risk neonates 12.5.12.8

PE20.2: Explain the care of a normal neonate 12.6

PE20.3: Perform neonatal resuscitation in a manikin 12.4

PE20.4: Assessment of a normal neonate 12.5

PE20.5: Counsel/educate mothers on the care of neonates 12.6

PE20.6: Explain the follow-up care for neonates including breastfeeding, temperature maintenance, immunization, 12.5, 9.8, 2.5 importance of growth monitoring and red flags

PE20.7: Discuss the etiology, clinical features and management of birth asphyxia 12.10

PE20.8: Discuss the etiology, clinical features and management of respiratory distress in newborn including 12.13

meconium aspiration and transient tachypnea of newborn

PE20.9: Discuss the etiology, clinical features and management of birth injuries 12.10

PE20.10: Discuss the etiology, clinical features and management of hemorrhagic disease of newborn 12.17

PE20.11: Discuss the clinical characteristics, complications and management of low birth weight (preterm and 12.11 Small for gestation)

PE20.12: Discuss the temperature regulation in neonates, clinical features and management of neonatal hypothermia 12.12 PE20.13: Discuss the temperature regulation in neonates, clinical features and management of neonatal hypoglycemia 12.12, 12.18 PE20.14: Discuss the etiology, clinical features and management of neonatal hypocalcemia 12.18

PE20.15: Discuss the etiology, clinical features and management of neonatal seizures 12.16

PE20.16: Discuss the etiology, clinical features and management of neonatal sepsis 12.15

PE20.17: Discuss the etiology, clinical features and management of perinatal infections 12.15

PE20.18: Identify and stratify risk in a sick neonate using IMNCI guidelines 29.2

PE20.19: Discuss the etiology, clinical features and management of neonatal hyperbilirubinemia 12.14

PE20.20: Identify clinical presentations of common surgical conditions in the newborn including TEF, esophageal 14.5-7, 14.13 atresia, anal atresia, cleft lip and palate, congenital diaphragmatic hernia and causes of acute abdomen

PE21.1: Enumerate the etiopathogenesis, clinical features, complications and management of urinary tract infection 21.15 in children

PE21.2: Enumerate the etiopathogenesis, clinical features, complications and management of acute post- 21.6

streptococcal glomerular nephritis in children

PE21.3: Discuss the approach and referral criteria to a child with proteinuria 21.7

PE21.4: Discuss the approach and referral criteria to a child with hematuria 21.5

PE21.5: Enumerate the etiopathogenesis, clinical features, complications and management of acute renal failure in 21.9 children

PE21.6: Enumerate the etiopathogenesis, clinical features, complications and management of chronic renal failure 21.10 in children

PE21.7: Enumerate the etiopathogenesis, clinical features, complications and management of Wilms Tumor 20.5 PE21.8: Elicit, document and present a history pertaining to diseases of the Genitourinary tract 21.2

PE21.9: Identify external markers for Kidney disease, like Failing to thrive, hypertension, pallor, Ichthyosis, anasarca 21.2 PE21.10: Analyse symptom and interpret the physical findings and arrive at an appropriate provisional/differential 21.2 diagnosis

PE21.11: Perform and interpret the common analytes in a urine examination 21.2

PE21.12: Interpret report of Plain X Ray of KUB 21.2

PE21.13: Enumerate the indications for and Interpret the written report of Ultra sonogram of KUB 21.2

PE21.14: Recognize common surgical conditions of the abdomen and genitourinary system and enumerate the 14.9, 14.13-14

indications for referral including acute and subacute intestinal obstruction, appendicitis, pancreatitis, 14.16, 21.16

perforation intussusception, phimosis, undescended testis, chordee, hypospadias, torsion testis, hernia hydrocele, vulval Synechiae

PE21.15: Discuss and enumerate the referral criteria for children with genitourinary disorder 21.3-16

PE21.16: Counsel/educate a patient for referral appropriately 21.3-16

PE21.17: Describe the etiopathogenesis, grading, clinical features and management of hypertension in children 17.12

PE22.1: Enumerate the common rheumatological problems in children.

recognition and referral of a child with Rheumatological problem

PE22.2: Counsel a patient with chronic illness 24.1-4

PE22.3: Describe the diagnosis and management of common vasculitic disorders including Henoch-Schonlein 24.2-4 purpura, kawasaki disease, SLE, JIA

Contd...

PE23.1: Discuss the hemodynamic changes, clinical presentation, complications and management of acyanotic 17.5 heart diseases -VSD, ASD and PDA

PE23.2: Discuss the hemodynamic changes, clinical presentation, complications and management of cyanotic 17.5 heart diseases - Fallot's physiology

PE23.3: Discuss the etiopathogenesis, clinical presentation and management of cardiac failure in infant and children 17.4

PE23.4: Discuss the etiopathogenesis, clinical presentation and management of acute rheumatic fever in children 17.6

PE23.5: Discuss the clinical features, complications, diagnosis, management and prevention of acute rheumatic fever 17.6 PE23.6: Discuss the etiopathogenesis, clinical features and management of infective endocarditis in children 17.8

PE23.7: Elicit appropriate history for a cardiac disease, analyse the symptoms, e.g. breathlessness, chest pain, 17.2

tachycardia, feeding difficulty, failing to thrive, reduced urinary output, swelling, syncope, cyanotic spells, suck rest cycle, frontal swelling in infants. Document and present

PE23.8: Identify external markers of a cardiac disease, e.g. cyanosis, clubbing, dependent edema, dental caries, 17.2 arthritis, erythema rash, chorea, subcutaneous nodules, Oslers node, Janeway lesions and document

PE23.9: Record pulse, blood pressure, temperature and respiratory rate and interpret as per the age 17.2, 31

PE23.10: Perform independently examination of the cardiovascular system - look for precordial bulge, pulsations 17.2

in the precordium, JVP and its significance in children and infants, relevance of percussion in pediatric examination, auscultation and other system examination and document

PE23.11: Develop a treatment plan and prescribe appropriate drugs including fluids in cardiac diseases, anti-failure 17.4 drugs, and inotropic agents

PE23.12: Interpret a chest X-ray and recognize cardiomegaly

PE23.13: Choose and interpret blood reports in cardiac illness 17.3

PE23.14: Interpret pediatric ECG 17.3

PE23.15: Use the ECHO reports in management of cases 17.3

PE23.16: Discuss the indications and limitations of cardiac catheterization 17.3

PE23.17: Enumerate some common cardiac surgeries like BT shunt, Potts and Waterston's and corrective surgeries 17.5

PE23.18: Demonstrate empathy while dealing with children with cardiac diseases in every patient encounter -

PE24.1: Discuss the etiopathogenesis, classification, clinical presentation and management of diarrheal diseases in 14.10 children

PE24.2: Discuss the classification and clinical presentation of various types of diarrheal dehydration 14.10

PE24.3: Discuss the physiological basis of ORT, types of ORS and the composition of various types of ORS 14.10

PE24.4: Discuss the types of fluid used in pediatric diarrheal diseases and their composition 14.10

PE24.5: Discuss the role of antibiotics, antispasmodics, anti-secretory drugs, probiotics, anti-emetics in acute 14.10

diarrheal diseases

PE24.6: Discuss the causes, clinical presentation and management of persistent diarrhea in children 14.11

PE24.7: Discuss the causes, clinical presentation and management of chronic diarrhea in children 14.12

PE24.8: Discuss the causes, clinical presentation and management of dysentery in children 10.8

PE24.9: Elicit, document and present history pertaining to diarrheal diseases 14.10

PE24.10: Assess for signs of dehydration, document and present 14.10, 7.1

PE24.11: Apply the IMNCI guidelines in risk stratification of children with diarrheal dehydration and refer 29.1-2

PE24.12: Perform and interpret stool examination including hanging drop 14.3

PE24.13: Interpret RFT and electrolyte report 21.2,7.2-5

PE24.14: Plan fluid management as per the WHO criteria 14.10

PE24.15: Perform NG tube insertion in a manikin 32.7

PE24.16: Perform IV cannulation in a model 32.3

PE24.17: Perform interosseous insertion model 32.3

PE25.1: Discuss the etiopathogenesis, clinical presentation and management of malabsorption in children and its 14.12 causes including celiac disease

PE26.1: Discuss the etiopathogenesis, clinical features and management of acute hepatitis in children 15.4

PE26.2: Discuss the etiopathogenesis, clinical features and management of fulminant hepatic failure in children 15.5

PE26.3: Discuss the etiopathogenesis, clinical features and management of chronic liver diseases in children 15.7

PE26.4: Discuss the etiopathogenesis, clinical features and management of portal hypertension in children 15.8

PE26.5: Elicit document and present the history related to diseases of gastrointestinal system 14.2

PE26.6: Identify external markers for GI and liver disorders, e.g.

PE26.7: Perform examination of the abdomen, demonstrate organomegaly, ascites, etc. 14.2

PE26.8: Analyse symptoms and interpret physical signs to make a provisional/ differential diagnosis 14.2, 15.2-3

PE26.9: Interpret liver function tests, viral markers, ultra sonogram report 15.1

PE26.10: Demonstrate the technique of liver biopsy in a perform liver biopsy in a simulated environment 32.6

PE26.11: Enumerate the indications for upper GI endoscopy 14.3

PE26.12: Discuss the prevention of Hep B infection - universal precautions and immunization 15.4

PE26.13: Counsel and educate patients and their family appropriately on liver diseases 15.4-8

PE27.1: List the common causes of morbidity and mortality in the under five children 1.2-3, 28.2

PE27.2: Describe the etiopathogenesis, clinical approach and management of cardiorespiratory arrest in children 27.1

PE27.3: Describe the etiopathogenesis of respiratory distress in children 16.4, 27.2

PE27.4: Describe the clinical approach and management of respiratory distress in children 16.4, 27.2

PE27.5: Describe the etiopathogenesis, clinical approach and management of shock in children 27.3

PE27.6: Describe the etiopathogenesis, clinical approach and management of status epilepticus 18.6

PE27.7: Describe the etiopathogenesis, clinical approach and management of an unconscious child 18.3

PE27.8: Discuss the common types, clinical presentations and management of poisoning in children 27.6

PE27.9: Discuss oxygen therapy, in pediatric emergencies and modes of administration 27.1, 32.4

PE27.10: Observe the various methods of administering oxygen 24.1, 32.4

PE27.11: Explain the need and process of triage of sick children brought to health facility 29.1-2

PE27.12: Enumerate emergency signs and priority signs 29.1-2, 27.4

PE27.13: List the sequential approach of assessment of emergency and priority signs 27.1.1

PE27.14: Assess emergency signs and prioritize 27.1.1

PE27.15: Assess airway and breathing: Recognize signs of severe respiratory distress. Check for cyanosis, severe 27.1-3, 16.4

chest indrawing, grunting

PE27.16: Assess airway and breathing. Demonstrate the method of positioning of an infant and child to open airway 27.1 in a simulated environment

PE27.17: Assess airway and breathing: Administer oxygen using correct technique and appropriate flow rate 27.1

PE27.18: Assess airway and breathing: Perform assisted ventilation by bag and mask in a simulated environment 27.1, 32.4

PE27.19: Check for signs of shock, i.e. pulse, blood pressure, CRT 27.3

PE27.20: Secure an IV access in a simulated environment 32.3

PF27.21: Choose the type of fluid and calculate the fluid requirement in shock 27.3

PE27.22: Assess level of consciousness and provide emergency treatment to a child with convulsions/coma

• Position an unconscious child 18.3

• Position a child with suspected trauma 18.3, 27.1

• Administer IV/per rectal diazepam for a convulsing child in a simulated environment 18.6, 27.1

PE27.23: Assess for signs of severe dehydration 7.1, 14.10

PE27.24: Monitoring and maintaining temperature: Define hypothermia. Describe the clinical features, complications 12.12

and management of hypothermia

PE27.25: Describe the advantages and correct method of keeping an infant warm by skin to skin contact 12.12

PE27.26: Describe the environmental measures to maintain temperature 12.12

PE27.27: Assess for hypothermia and maintain temperature 12.12

PE27.28: Provide BLS for children in manikin 27.1

PE27.29: Discuss the common causes, clinical presentation, medico-legal implications of abuse 28.4

PE27.30: Demonstrate confidentiality with regard to abuse 28.4

PE27.31: Assess child for signs of abuse 28.4

PE27.32: Counsel parents of dangerously ill/terminally ill child to break a bad news 27.4

PE27.33: Obtain informed consent 32.1

PE27.34: Willing to be a part of the ER team -

PE27.35: Attends to emergency calls promptly -

PE28.1: Discuss the etiopathogenesis, clinical features and management of Nasopharyngitis 16.5

PE28.2: Discuss the etiopathogenesis of pharyngo tonsillitis 16.5

PE28.3: Discuss the clinical features and management of pharyngo tonsillitis 16.5

PE28.4: Discuss the etiopathogenesis, clinical features and management of acute otitis media (AOM) 16.5

PE28.5: Discuss the etiopathogenesis, clinical features and management of epiglottitis 16.6

PE28.6: Discuss the etiopathogenesis, clinical features and management of acute laryngo- tracheo-bronchitis 16.6

PE28.7: Discuss the etiology, clinical features and management of Stridor in children 16.4, 16.6

Contd...

Contd...

PE28.8: Discuss the types, clinical presentation, and management of foreign body aspiration in infants and children 27.5 PE28.9: Elicit, document and present age appropriate history of a child with upper respiratory problem including 16.4-6 Stridor

PE28.10: Perform otoscopic examination of the ear 16.5

PE28.11: Perform throat examination using tongue depressor 16.5

PE28.12: Perform examination of the nose 16.5

PE28.13: Analyse the clinical symptoms and interpret physical findings and make a provisional/differential diagnosis 16.5 in a child with ENT symptoms

PE28.14: Develop a treatment plan and document appropriately in a child with upper respiratory symptoms 16.5

PE28.15: Stratify risk in children with stridor using IMNCI guidelines 29.1

PE28.16: Interpret blood tests relevant to upper respiratory problems 16.3

PE28.17: I nterpret X-ray of the paranasal sinuses and mastoid; and /or use written report in case of management. 16.3

Interpret CXR in foreign body aspiration and lower respiratory tract infection, understand the significance of thymic shadow in pediatric chest X-rays

PE28.18: Describe the etiopathogenesis, diagnosis, clinical features, management and prevention of lower 16.7, 16.9,

respiratory infections including bronchiolitis, wheeze associated LRTI pneumonia and empyema 16.12

PE28.19: Describe the etiopathogenesis, diagnosis, clinical features, management and prevention of asthma in children 16.8 PE28.20: Counsel the child with asthma on the correct use of inhalers in a simulated environment 16.8, 32.5

TOPIC: Anemia and Other Hemato-oncologic Disorders in Children

PE29.1: Discuss the etiopathogenesis, clinical features, classification and approach to a child with anemia 19.2

PE29.2: Discuss the etiopathogenesis, clinical features and management of iron deficiency anemia 19.4

PE29.3: Discuss the etiopathogenesis, clinical features and management of Vit B12, Folate deficiency anemia 19.4

PE29.4: Discuss the etiopathogenesis, clinical features and management of hemolytic anemia, thalassemia major, 19.5

sickle cell anemia, hereditary spherocytosis, autoimmune hemolytic anemia and hemolytic uremic syndrome

PE29.5: Discuss the National Anemia Control Programme 19.4

PE29.6: Discuss the cause of thrombocytopenia in children: describe the clinical features and management of 19.11

idiopathic thrombocytopenic purpura (ITP)

PE29.7: Discuss the etiology, classification, pathogenesis and clinical features of hemophilia in children 19.12

PE29.8: Discuss the etiology, clinical presentation and management of acute lymphoblastic leukemia in children 20.2

PE29.9: Discuss the etiology, clinical presentation and management of lymphoma in children 20.3

PE29.10: Elicit, document and present the history related to hematology 19.2, 19.10

PE29.11: Identify external markers for hematological disorders, e.g. jaundice, pallor, petechiae purpura, 19.2, 19.10,

ecchymosis, lymphadenopathy, bone tenderness, loss of weight, mucosal and large joint bleed 19.17

PE29.12: Perform examination of the abdomen, demonstrate organomegaly 14.2, 15.2,

19.16

PE29.13: Analyse symptoms and interpret physical signs to make a provisional/ differential diagnosis 19.2, 19.10

PE29.14: Interpret CBC, LFT 19.2, 15.1

PE29.15: Perform and interpret peripheral smear 19.2

PE29.16: Discuss the indications for hemoglobin electrophoresis and interpret report 19.2, 19.5

PE29.17: Demonstrate performance of bone marrow aspiration in manikin 32.6

PE29.18: Enumerate the referral criteria for hematological conditions 19.2,4-15

PE29.19: Counsel and educate patients about prevention and treatment of anemia 19.2,4-6

PE29.20: Enumerate the indications for splenectomy and precautions 19.16.1

TOPIC: Systemic Pediatrics-Central Nervous System

PE30.1: Discuss the etiopathogenesis, clinical features, complications, management and prevention of meningitis 18.12 in children

PE30.2: Distinguish bacterial, viral and tuberculous meningitis 18.12

PE30.3: Discuss the etiopathogenesis, classification, clinical features, complication and management of 18.10

hydrocephalus in children

PE30.4: Discuss the etiopathogenesis, classification, clinical features, and management of microcephaly in children 18.10,23.2

PE30.5: Enumerate the neural tube defects. Discuss the causes, clinical features, types, and management of neural 18.10

tube defect

PE30.6: Discuss the etiopathogenesis, clinical features, and management of infantile hemiplegia 18.7-8

PE30.7: Discuss the etiopathogenesis, clinical features, complications and management of febrile seizures in children 18.6

PE30.8: Define epilepsy. Discuss the pathogenesis, clinical types, presentation and management of epilepsy in 18.6

children

PE30.9: Define status Epilepticus. Discuss the clinical presentation and management 18.6

PE30.10: Discuss the etiopathogenesis, clinical features and management of mental retardation in children 3.6

Contd...

PE30.11: Discuss the etiopathogenesis, clinical features and management of children with cerebral palsy 18.11

PE30.12: Enumerate the causes of floppiness in an infant and discuss the clinical features, differential diagnosis and 18.19 management

PE30.13: Discuss the etiopathogenesis, clinical features, management and prevention of poliomyelitis in children 10.21

PE30.14: Discuss the etiopathogenesis, clinical features and management of Duchenne muscular dystrophy 18.18

PE30.15: Discuss the etiopathogenesis, clinical features and management of ataxia in children 18.9

PE30.16: Discuss the approach to and management of a child with headache 18.5

PE30.17: Elicit document and present an age appropriate history pertaining to the CNS 18.1

PE30.18: Demonstrate the correct method for physical examination of CNS including identification of external 18.1 markers. Document and present clinical findings

PE30.19: Analyse symptoms and interpret physical findings and propose a provisional /differential diagnosis 18.1, 18.3-9,

18.17, 18.19 PE30.20: Interpret and explain the findings in a CSF analysis 18.2

PE30.21: Enumerate the indication and discuss the limitations of EEG, CT, MRI 18.2

PE30.22: Interpret the reports of EEG, CT, MRI 18.2

PE30.23: Perform in a mannequin lumbar puncture. Discuss the indications, contraindication of the procedure 18.2, 32.6

PE31.1: Describe the etiopathogenesis, management and prevention of allergic rhinitis in children 16.5

PE31.2: Recognize the clinical signs of allergic rhinitis 16.5

PE31.3: Describe the etiopathogenesis, clinical features and management of atopic dermatitis in children 25.8

PE31.4: Identify atopic dermatitis and manage 25.8

PE31.5: Discuss the etiopathogenesis, clinical types, presentations, management and prevention of childhood asthma 16.8

PE31.6: Recognise symptoms and signs of asthma 16.8

PE31.7: Develop a treatment plan for asthma appropriate to clinical presentation and severity 16.8

PE31.8: Enumerate criteria for referral 16.8

PE31.9: Interpret CBC and CX-ray in asthma 16.8

PE31.10: Enumerate the indications for PFT 16.3, 16.8

PE31.11: Observe administration of nebulization 16.8,32.5

PE31.12: Discuss the etiopathogenesis, clinical features and complications and management of urticaria angioedema 25.5

PE32.1: Discuss the genetic basis, risk factors, complications, prenatal diagnosis, management and genetic 11.3

counseling in Down's syndrome

PE32.2: Identify the clinical features of Down's syndrome 11.3

PE32.3: Interpret normal Karyotype and recognize Trisomy 21 11.3

PE32.4: Discuss the referral criteria and multidisciplinary approach to management 11.3

PE32.5: Counsel parents regarding 1. Present child 2. Risk in the next pregnancy 11.3

PE32.6: Discuss the genetic basis, risk factors, clinical features, complications, prenatal diagnosis, management 11.3

and genetic Counseling in Turner's syndrome

PE32.7: Identify the clinical features of Turner syndrome 11.3

PE32.8: Interpret normal Karyotype and recognize the Turner karyotype 11.3

PE32.9: Discuss the referral criteria and multidisciplinary approach to management of Turner syndrome 11.3

PE32.10: Counsel parents regarding 1. Present child, 2. Risk in the next pregnancy 11.3

PE32.11: Discuss the genetic basis, risk factors, complications, prenatal diagnosis, management and genetic 11.3

Counseling in Klinefelter syndrome

PE32.12: Identify the clinical features of Klinefelter syndrome 11.3

PE32.13: Interpret normal karyotype and recognize the klinefelter karyotype 11.3

PE33.1: Describe the etiopathogenesis clinical features, management of hypothyroidism in children 22.3

PE33.2: Recognize the clinical signs of hypothyroidism and refer 22.3

PE33.3: Interpret and explain neonatal thyroid screening report 22.3

PE33.4: Discuss the etiopathogenesis, clinical types, presentations, complication and management of diabetes 22.7

mellitus in children

PE33.5: Interpret blood sugar reports and explain the diagnostic criteria for Type 1 Diabetes 22.7

PE33.6: Perform and interpret urine dip stick for sugar 22.7

PE33.7: Perform genital examination and recognize ambiguous genitalia and refer appropriately 22.6

PE33.8: Define precocious and delayed puberty 22.6

PE33.9: Perform sexual maturity rating (SMR) and interpret 13.1

PE33.10: Recognize precocious and delayed puberty and refer 22.6

PE33.11: Identify deviations in growth and plan appropriate referral 2.4-5

TOPIC: Vaccine Preventable Diseases-Tuberculosis

PE34.1: Discuss the epidemiology, clinical features, clinical types, complications of tuberculosis in children and 10.13 adolescents

PE34.2: Discuss the various diagnostic tools for childhood tuberculosis 10.13

PE34.3: Discuss the various regimens for management of tuberculosis as per national guidelines 10.13

PE34.4: Discuss the preventive strategies adopted and the objectives and outcome of the National Tuberculosis 10.13

Control Programme

PE34.5: Able to elicit, document and present history of contact with tuberculosis in every patient encounter 10.13

PE34.6: Identify a BCG scar (Photograph) 10.13, 9.2

PE34.7: Interpret a Mantoux test 10.13

PE34.8: Interpret a chest radiograph 10.13

PE34.9: Interpret blood tests in the context of laboratory evidence for tuberculosis 10.13

PE34.10: Discuss the various samples for demonstrating the organism, e.g. gastric aspirate, sputum, CSF, FNAC 10.13

PE34.11: Perform AFB staining 10.13

PE34.12: Enumerate the indications and discuss the limitations of methods of culturing M. tuberculi 10.13

PE34.13: Enumerate the newer diagnostic tools for tuberculosis including BACTEC, CBNAAT and their indications 10.13

PE34.14: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1

and management of fever in children

PE34.15: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1, 10.18-20 and management of child with exanthematous illness like Measles, Mumps, Rubella and Chickenpox

PE34.16: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1, 10.5-6, and management of child with Diphtheria, Pertussis, Tetanus. 10.15

PE34.17: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1, 10.7 and management of child with typhoid

PE34.18: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1, 10.23 and management of child with Dengue, Chikungunya and other vector born diseases

PE34.19: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1,

and management of children with common parasitic infections, malaria, leishmaniasis, filariasis, 10.33-37

helminthic infestations, amebiasis, giardiasis

PE34.20: Enumerate the common causes of fever and discuss the etiopathogenesis, clinical features, complications 10.1, 10.17 and management of child with Rickettsial diseases

PE35.1: Identify, discuss and defend medicolegal, socio-cultural and ethical issues as they pertain to health care 27.4, 28.4, in children (including parental rights and right to refuse treatment) 32.1