Child Health Undergraduate Teaching Programme

U N I V E R S I T Y O F L E I C E S T E R

TEACHING PROGRAMME

CHILD HEALTH

2002 - 2003 Block 8

24 June 2002 – 16 August 2002

Department of Child Health

5th floor, Robert Kilpatrick Clinical Sciences Building

Head of Department: Professor M Silverman

Module Director: Dr J Grigg

Undergraduate Co-ordinator: Alison Brown (external tel: 0116 252 3269)

(internal ext: (709)3269)

(NB Mon-Fri, 10.00 am – 1.30 pm)

Tutors: LRI Ward 12 Dr J Grigg (Airpage: via LRI Switchboard)

Ward 14 Dr P Houtman ( " " )

Ward 28 Dr P Swift/ ( " " ) Dr K Aminu

Neonatal Unit: Dr Currie

Glenfield: Dr Tofeig (bleep via Glenfield switchboard)

DEPARTMENT OF CHILD HEALTH

STUDENT PLACEMENTS

Block 8: 24 June 2002-16 August 2002

1st placement / 2nd placement
GROUP

Green

/ Dates: / 26.06.02-21.07.02 / 24.07.02-12.08.02
1 / Tim LEITCH / LRI Ward 12 / Lincoln
Roya DABESTANI / " / "
2 / Helen KAY / " / Kettering
Elliot TASH / " / "
3 / Rahul SHAH / " / Burton
Dimple VARMA / " / "
4 / Hazrini ABDULLAH / LRI Ward 14 / Peterborough
Izam ISMAIL / " / "
5 / Christopher HILL / " / Boston
Rebecca GREENWOOD / " / "
6 / Paul SCHOFIELD / " / Coventry
Anna MUNASINGHE / " / "
7 / Lydiana ABDUL KADIR / LRI Ward 28 / Nuneaton
Sohaib AHMED / " / "
8 / Virinder RAI / " / Warwick
Khaled DAJANI / " / "
9 / Kalijit BHULLER / " / Burton
Heather GALLIE / " / "
26.06.02-21.07.02 / 24.07.02-12.08.02
10 / Esme PORTER / Burton / LRI Ward 12
Rebecca PAYNE / " / "
11 / Devna PRASHARA / Warwick / "
Anita JOSHI / " / "
12 / Alexandra CRITCHLEY / Boston / "
Jessica CROSS / " / "
13 / Anjalee BRAHMBHATT / Coventry / LRI Ward 14
Sarah THOMASSET / " / "
14 / Ruth WHITEHOUSE / Peterborough / "
Shorna PATEL / " / "
15 / Stuart WEBBER / Burton / "
John FRYEARSON / " / "
16 / Minesh JOBANPUTRA / Kettering / LRI Ward 28
Jasjit DHILLON / " / "
17 / - / - / -
- / - / -
18 / Rachel TALLENT / Nuneaton / "
Martin DORAN / " / "

CHILD HEALTH UNDERGRADUATE TEACHING PROGRAMME

- AIMS AND OBJECTIVES

Aims

Your clinical attachment in Paediatrics and Child Health lasts eight weeks and is based in two different wards, an outpatient setting and, to a lesser extent, the community. The aims of the course are:

1. to provide an introduction to children as patients;

2. to emphasise the importance of growth and development and their interactions with disease;

3. to promote a framework of approach that will enable you to evaluate symptoms and assess children for evidence of disease, to consider possible diagnosis and the need for investigation, and to formulate a plan of management;

4. to increase awareness of the scope for prevention of disease and promotion of health;

5. to encourage curiosity and a questioning approach to the elucidation of problems, thereby contributing to the acquisition of safe and contemporary attitudes throughout your clinical practice.

Objectives

General objectives are listed in the Phase II handbook.

Specific objectives are also given in the Phase II handbook and are set out in detail in your individual Log Book.

Content of course

The initial Introductory Course is designed to help to guide you in history-taking and examination of children. It also provides an introduction to the clinical settings and to the role of play. The Mid-module will help to consolidate the approach to a variety of acute and chronic illnesses that affect children. The Community Medicine block during the final week of the course is described separately.

Ward attachments

Each student will spend time on two wards, one of the children's wards at Leicester Royal Infirmary and another at Peterborough, Lincoln, Nuneaton, Warwick, Coventry, Boston, Burton or Kettering. In each ward in Leicester the Lecturer or the most senior Registrar will act as your tutor. He/she will meet with you at the beginning of your attachment to discuss ward duties, and the prioritisation of options listed on your programme, to advise on project topics and portfolio cases, and to indicate their availability if you need help. The Consultants usually fulfil this role in the out-lying hospitals.

You are expected to complete 4 portfolio cases during the 8-week course, during weeks 2-4 and 6-8. Start as soon as possible so that your cases are completed before the end of weeks 4 and 8 respectively and to give time for feedback and possible modification, before the end of each half-block. You will be assigned a named Consultant with whom to discuss your portfolio cases.

Assessments

A formative examination based around Short Answer questions will be held at 2.00pm on the final Thursday of the course. Results will be available on the Friday morning (see p6 for details).

Other methods of formative assessment include: portfolio cases, presentations in Ward and outpatient settings and a general evaluation by tutors of attitude and attendance. The results will be recorded on the Phase 2 Formative Assessment Form - Child Health. The completed form MUST be returned by you to Dr Grigg/Professor Silverman at the feedback meeting on the final Friday of the block. The original will then be forwarded to the Faculty office, one copy will be retained by the Child Health office and a further copy sent to the student. See p23 for further details of assessments.

Feedback

Group and individual feedback and counselling sessions will be held on the final Friday of your course, starting at 11.00am in Room 104, first floor, Clinical Sciences Building.

INTRODUCTORY COURSE

The following Introductory Course is designed to help orientate the student to history taking and clinical examination in children. It provides, in addition, core information on a variety of acute and chronic illnesses which affect children. Lectures and seminars will be held during the first two days of each module, the dates being as follows: Monday 29 April–Tuesday 30 April 2002; Monday 24–Tuesday 25 June 2002; Tuesday 3 September–Wednesday 4 September 2002; Monday 28 October–Tuesday 29 October 2002; Monday 6 January–Tuesday 7 January 2003.

The venue will be the Seminar Room 104, 1st floor, Clinical Sciences Building, LRI, unless otherwise stated:

DAY 1 Monday 24 June 2002 – ROOM 531 csb

09.00-10.30 Introduction and

History taking and clinical examination Professor C O’Callaghan

10.30-11.00 Coffee

11.00-12.30 Introduction to community paediatrics Dr A Oommen

12.30-13.30 Lunch

13.45-15.15 Normal Development and its assessment Dr W Hoskyns

15.15-15.30 Tea

15.30-17.00 Resuscitation and life support * Dr E Carter

(*Venue: Room 1, Clinical Skills Centre)

DAY 2 TUESDAY 25 JUNE 2002 – ROOM 531 CSB

09.00-10.00 Genetics in paediatrics Dr M Barrow

10.00-10.30 Coffee

10.30-11.30 Introduction to neonatal paediatrics Dr S Kotecha

11.30-12.30 Wards, Play areas, Outpatients etc Dr A Oommen, Ms Tina Clegg

12.30-14.00 Lunch

14.00-15.00 Growth and its assessment Dr P Swift

15.00-15.15 Tea

15.15-16.00 The relevance of social science in paediatrics Dr A Dolan

11.30-12.30 Where do students fit into the system? Dr J Grigg

CLINICAL TEACHING:

PETERBOROUGH/ LINCOLN/ NUNEATON/ KETTERING/BOSTON/BURTON/ COVENTRY/WARWICK

These details will be given to you separately – travel Tuesday afternoon or very early Thursday morning to arrive by 9.00 am.

MID-MODULE TEACHING

These lectures will be held during the fifth week, Monday and Tuesday, in the Seminar room 104, 1st floor, Clinical Sciences Building, LRI unless otherwise stated, on the following dates: Monday 27-Tuesday 28 May 20021, Monday 22-Tuesday 23 July 2002, Monday 30 September-Tuesday 1 October 2002; Monday 25-Tuesday 26 November 2002; Monday 3-Tuesday 4 February 2003.

DAY 1 MONDAY 22 JULY 2002 – ROOM 531 CSB

09.00-10.00 Radiology Dr A Rickett

10.00-10.30 Coffee

10.30-12.00 The relevance of social science in paediatrics Dr A Dolan

12.45-14.00 Clinical meeting (Room 104, CSB)

14.00-15.30 Genetic Case Review Dr M Barrow

15.30-16.00 Coffee

16.00-17.30 Skills Fair Paediatric Specialist Nurses

DAY 2 TUESDAY 23 JULY 2002 – ROOM 531 CSB

09.00-10.00 Congenital heart disease Dr F Bu’lock

Management of disease:

10.30-11.30 Asthma Dr J Grigg

11.30-12.30 Diabetes Dr P Swift

14.00-15.00 Paediatric Neurology Dr Gosalakkal

15.30-16.30 Oncology Dr M Madi

FINAL WEEK - 12 AUGUST – 16 AUGUST 2002

Monday Long case assessments at current placements

Tuesday am " " " "

pm )Community teaching Rooms 104/105 CSB

Wednesday am ) " " Rooms 104/105 CSB

pm ) " " Rooms 104/105 CSB

Thursday

14.00-16.00 Short answer question paper Lecture Theatre CSB

Friday

11.00-13.00 Exam results/Feedback session Room 104, CSB

POSTGRADUATE TEACHING ACTIVITIES

All students are welcome to attend Postgraduate teaching activities in the Department:

Monday 12.45pm Clinical meeting Room 104,CSB

Tuesday (1st) 12.30pm Paediatric and Medical Pathology Level 3, CSB

Thursday 1.00pm X-ray meeting (Ward 12 & 14) Ward 14 Sem Rm

Friday 9.00am X-ray meeting (Ward 28) Ward 14 Sem Rm

Friday 12.15pm Paediatric Surgical X-ray meeting Sem Rm, Lev 2,Windsor

Friday(3rd) 2.00pm Audit meeting Ward 14 or 29 Sem Rm

In addition, there are Clinical Research Meetings at 12.30pm on Wednesdays in Room 531, 5th Floor CSB.

CLINICAL TEACHING, LRI - WARD 12

(including postgraduate meetings)

On the first morning of your LRI attachment (after your Introductory/Mid-module course), please attend CAU at 0840 hours to meet the Ward Manager before going to your ward base.

DAY / am / pm
Mon / 9.00 Outpatients clinic -
Prof Silverman/Dr Grigg (2 students)
11.30 Teaching – Prof O'Callaghan
(meet on Ward 12)
12.45 Clinical meeting
(Room 104, CSB) / 2.00 Outpatients clinic -
Prof O'Callaghan (2 students)
3.30 Neonatal Teaching
Drs Bohin/Kotecha
(Seminar Room, Neonatal Unit)
Tues / 8.30 Post take Ward Round (when on
take)
9.45 Cardiology,Wd 30 Glenfield
- Dr Runciman
(2 July) / 4.00 Neonatal teaching - Professor Field/
Dr Currie
(Seminar Room, Neonatal Unit)
Wed / 9.45 Cardiology,Wd 30 Glenfield
- Dr Tofeig
(24 July)
11.00 Intensive Care – meet at PICU
(17 July, 7 August) / 3.00 Teaching – Dr Hoskyns
(Ward 12)
Thurs / 8.30 Ward Round – Post Take
(Ward 14 Sem Rm)
10.00 Paediatric Surgery – Mr Nour
(18 July, 1 August - Ward 14 Sem Rm)
11.00 Registrar teaching (NB: The day/time of this session may change subject to Registrar commitments). / 1.00 X-ray meeting,
Ward 14 Sem Rm
4.00 Paediatric Oncology – Dr Shannon
(4 July, 25 July) Ward 27
Fri / 9.00 Teaching - (Ward 12)
Professor Silverman
11.00 Teaching Ward Round - Dr Grigg
Sat / 8.30 Ward Round when on-take

Daily 9.00am ward rounds with Registrar - 2 students urged to attend each day.

NB 8.30am mornings after On-Take Day - this is the time for start of important post-take ward round (Seminar Room Ward 14); if you were on duty please attend this round as a priority. At weekends this usually takes place in the Doctors' Office.

CLINICAL TEACHING, LRI - WARD 14

(including postgraduate meetings)

On the first morning of your LRI attachment (after your Introductory/Mid-module course), please attend CAU at 0840 hours to meet the Ward Manager before going to your ward base.

DAY / am / pm
Mon / 9.30 Teaching – Dr D Rutter
11.00 Teaching – Dr Houtman
(Ward 14 Sem Rm)
12.45 Clinical mtg
(Room 104, CSB) / 3.30 Neonatal Teaching
Drs Bohin/Kotecha
(Seminar Room, Neonatal Unit)
Tues / 8.30 Post take Ward Round (when on
take)
9.00 Paed OP clinic – Dr Houtman
(1 student)
11.00 Teaching – Dr E Carter / 2.00 Registrar Teaching
4.00 Neonatal teaching – Professor Field/
Dr Currie
(Seminar Room, Neonatal Unit)
Wed
/ 8.30 Post take Ward Round (when on
take)
9.45 Cardiology, Wd 30, Glenfield
- Dr Tofeig
(10 July, 7 August)
11.00 Intensive Care – meet at PICU
(3 July, 24 July) / 2.00 Teaching – Dr Ross
Thurs / 9.00 Paed OP clinic -
Dr Houtman (2 students)
10.00 Paediatric Surgery - Mr Nour
(18 July, 1 August)
Ward 14 Seminar Room) / 1.00 X-ray meeting
(Ward 14 Sem Rm)
2.00 Teaching – Dr Gosalakkal
4.00 Paediatric Oncology – Dr Shannon
Ward 27 (11 July, 1 August)
Fri / 9.00 Paed OP clinic -
Dr Carter (2 students)
11.30 Ward Round – Dr Holton
Sat / 8.30 Ward Round when on-take

Daily 9.00am ward rounds with Registrar - 2 students urged to attend each day

CLINICAL TEACHING - WARD 28

(including postgraduate meetings)

On the first morning of your LRI attachment (after your Introductory/Mid-module course), please attend CAU at 0840 hours to meet the Ward Manager before going to your ward base.

DAY / am / pm
Mon / 9.00 Outpatients clinic
(Dr Aminu)
9.30 Ward Round – Ward 28
(Dr Green)
12.45 Clinical meeting
(Room 104, CSB) / 2.00 Ward Round – Ward 28 (Dr Aminu)
3.30 Neonatal Teaching
Drs Bohin/Kotecha
(Seminar Room, Neonatal Unit)
Tues / 8.30 Post take Ward Round (when on
take)
9.45 Cardiology, Wd 30, Glenfield
- Dr Runciman
(16 July, 30 July) / 2.00 Registrar Teaching
4.00 Neonatal teaching – Professor Field/
Dr Currie
(Seminar Room, Neonatal Unit)
Wed / 9.00 Outpatients clinic LRI
(Dr Elias-Jones)
11.00 Intensive Care – meet at PICU
(10 July, 31 July) / 2.00 Ward Round – Dr Aminu
2.00 Outpatients clinic - Dr Green
Thurs / 10.00 Paediatric Surgery – Mr Nour
(18 July, 1 August
Ward 14 Seminar Room)
11.00 Teaching – Dr M Green / 4.00 Paediatric Oncology – Dr Shannon
(18 July, 8 August)
Ward 27
Fri / 8.30 Post take Ward Round (when on
take)
9.00 Radiology meeting
(Ward 14 Sem Rm)
10.15 Ward Round (Ward 28)
(post-take or consultant round)
Sat / 8.30 Post take Ward Round
(after Friday take)

Daily 9.00am ward rounds with Registrar - 2 students urged to attend each day.