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Pediatric Clerkship Curriculum

The Pain Series is funded through the generosity of the MAYDAY Fund, which has, over the years, supported investigators and projects that have dramatically improved the pain management of children throughout the world.

Released:

May 28, 2020

Audience

Nurses

Learning Objectives
  • Learn key aspects of the newborn physical exam.

  • Focus on normal versus abnormal physical findings in a newborn.

  • Understand the differential diagnosis for newborn respiratory distress.

  • Learn the epidemiology, pathophysiology, presentation, diagnosis, and management of the most common causes of newborn respiratory distress.

  • Understand the basic epidemiology of neonatal jaundice.

  • Explain basic bilirubin metabolism and apply this understanding to the pathophysiology of neonatal hyperbilirubinemia.

  • Recognize the clinical presentation of neonatal jaundice.

  • Conduct an appropriate diagnostic evaluation for a neonate presenting with jaundice.

  • Describe the management of neonatal jaundice.

  • Define Brief Resolved Unexplained Events (BRUEs).

  • Recognize the clinical presentation of a BRUE.

  • Diagnose and risk-stratify a patient with a BRUE.

  • Understand the principles of BRUE management.

  • Describe the pathophysiology of asthma.

  • Assess the clinical presentation of asthma.

  • Navigate diagnostic criteria for asthma.

  • Discuss asthma management in inpatient and outpatient settings.

  • Understand the epidemiology and pathophysiology of bronchiolitis.

  • Understand the clinical presentation of bronchiolitis.

  • Diagnose and care for children affected by bronchiolitis.

  • Describe the pathophysiology of croup.

  • Recognize the clinical presentation of croup.

  • Navigate diagnostic criteria for croup.

  • Discuss the management of croup.

  • Summarize the clinical basics of fever.

  • Describe the physiology of body temperature regulation and the pathogenesis of fever.

  • Discuss the evaluation and management of fever in children.

  • List risk factors for urinary tract infections (UTIs) in children.

  • Describe the pathophysiology of UTIs in children.

  • Discuss the common presentations of UTIs across different pediatric age groups.

  • Diagnose a UTI based on clinical presentation and laboratory findings.

  • Select empiric therapy for an infant with a febrile UTI.

  • Describe the approach to imaging after a first febrile UTI in infants.

  • Explain the pathophysiology of Kawasaki disease (KD).

  • Recognize the clinical features and diagnostic criteria of KD.

  • Describe the potential complications of KD.

  • Discuss the key steps in managing a child with KD.

  • Understand the importance of monitoring child development.

  • Explain the difference between developmental surveillance and developmental screening.

  • Identify major developmental milestones from birth through five years of age.

  • Provide anticipatory guidance to parents and caregivers for each stage of development.

  • Describe common risk factors and the basic epidemiology of acute otitis media.

  • Understand the relationship between anatomy and microbiology in the pathophysiology of acute otitis media.

  • Differentiate among acute otitis media, otitis media with effusion, and middle ear effusion.

  • Recognize the common clinical presentation, perform an appropriate ear examination, understand diagnostic criteria, and develop a differential diagnosis for otitis media and otalgia.

  • Understand the fundamentals of acute otitis media management.

  • Explain the basic pathophysiology of pediatric constipation.

  • Recognize the clinical presentation of pediatric constipation.

  • Discuss the diagnosis of pediatric constipation.

  • Understand the management of pediatric constipation.

Author(s)

Holly Hodges, MD
Clinic Chief, Developmental-Behavioral Pediatrics Specialist | Texas Children's Hospital
Assistant Professor of Pediatrics | Baylor College of Medicine


Bianca Shagrin, MD
Pediatrician | Cambridge Health Alliance


Lucy Rubin, MD
Neonatal Fellow | Ann & Robert H. Lurie Children's Hospital of Chicago
Resident Physician | Ann & Robert H. Lurie Children's Hospital of Chicago
Project Coordinator | OPENPediatrics


Alexander Hirsch, MD
Assistant in Pediatrics, Division of Emergency Medicine | Boston Children's Hospital
Instructor of Pediatrics | Harvard Medical School


Elizabeth Pingree, MD
Attending Physician, Hospital Medicine | Boston Children's Hospital
Instructor | Harvard Medical School


Jonathan Fried, MD, MPP
Primary Care | Atrius Health


Beth Harper, MD
Attending Physician, Hospital Medicine | Boston Children's Hospital
Assistant Professor of Pediatrics | Harvard Medical School


Lauren (Veit) Collen, MD
Co-Director, VEOIBD Clinic; Gastroenterologist, Division of Gastroenterology, Hepatology and Nutrition | Boston Children's Hospital
Assistant Professor of Pediatrics | Harvard Medical School


Lisa DiPietro, MD
Assistant Professor, Clinical Pediatrics Critical Care Medicine | Vanderbilt University Medical Center


Nina B. Gold, MD, MS
Clinical Cytogenetics, Pediatrics | Massachusetts General Hospital


Megan S. Connelly, MD
Associate Medical Director of Well Newborn Services, Pediatric Medicine | Brigham and Women's Hospital
Instructor in Pediatrics | Harvard Medical School


Amanda Growdon, MD
Clinical Chief, Hospital Medicine | Boston Children's Hospital
Assistant Professor | Harvard Medical School


Julia Pian, MD
Senior Associate / Associate | Atlas Venture
Attending Pediatric Hospitalist | Boston Medical Center
Attending Physician | Boston Children's Hospital


Laura Chiel, MD, MHPE
Associate Program Director, Pulmonary Fellowship Program
Associate Program Director, Boston Combined Residency Program (BCRP) | Boston Children's Hospital
Instructor of Pediatrics | Harvard Medical School


Piyawat (Sukijthamapan) Arichai, MD
Pediatrics | Children's National Hospital


Daniel S. Kamin, MD
Gastroenterologist, Division of Gastroenterology, Hepatology and Nutrition | Boston Children's Hospital
Assistant Professor of Pediatrics | Harvard Medical School


Alex Ruan, MD
Fellow, Division of Neonatology | Children's Hospital of Philadelphia


Jennifer Cheng, MD
Pediatrician, Children's Hospital Primary Care Center (CHPCC) | Boston Children's Hospital
Assistant Professor of Pediatrics | Harvard Medical School


Eli Freiman, MD
Pediatric Emergency Medicine Physician | Newton-Wellesley Hospital
Pediatric Emergency Medicine Fellow | Boston Children's Hospital
Chief Resident | Boston Children's Hospital


Ryoko Hamaguchi, MD
Resident Physician | Harvard Plastic Surgery Residency Program


Katherine O'Donnell, MD
Undergraduate Medical Education Director | Boston Children's Hospital
Attending Physician, Hospital Medicine and Medical Toxicology | Boston Children's Hospital
Assistant Professor | Harvard Medical School


Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children's Hospital
Associate Professor of Anaesthesia | Harvard Medical School

Course Director(s)

Traci Wolbrink, MD, MPH
Co-Director, OPENPediatrics; Co-Director, Center for Educational Excellence and Innovation; Program Director, Pediatric Critical Care Medicine Fellowship; Senior Associate in Critical Care Medicine | Boston Children’s Hospital
Associate Professor of Anaesthesia | Harvard Medical School


Amanda Growdon, MD
Clinical Chief, Hospital Medicine | Boston Children's Hospital
Assistant Professor | Harvard Medical School


Elizabeth Pingree, MD
Attending Physician, Hospital Medicine | Boston Children's Hospital
Instructor | Harvard Medical School


Katherine O'Donnell, MD
Undergraduate Medical Education Director | Boston Children's Hospital
Attending Physician, Hospital Medicine and Medical Toxicology | Boston Children's Hospital
Assistant Professor | Harvard Medical School

Citation

Growdon A, Pingree E, O’Donnell K, Wolbrink TA. *Pediatric Clerkship Curriculum.* 05/2020. OPENPediatrics. Online Curriculum: [https://learn.openpediatrics.org/learn/courses/4095/pediatric-clerkship-curriculum](https://learn.openpediatrics.org/learn/courses/4095/pediatric-clerkship-curriculum).

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