The department of paediatrics was established in the year 1994. The first 2 members of the department were professor Al Idrisi and the late professor Awad mahadi. Wore members joined the department in the following years until they are now 26 members. The paediatric course was run through lectures, then seminars were added and the clinical rounds were conducted in 2 hospitals. Ahmed Gasiem and Abrahim malik hospitals. As more staff members were appointed, Bahrie Hospital and Mohammed ElAmin Hamid hospitals . Jonied +Abdel rhaman Almahdi + Albuluk + Ombadda .The Paediatrics department was a pioneer department in shifting from old ashioned classical examination method of long and short cases to the recent stations method . The departmental meeting were held twice monthy before the Corona epidemic .Now meeting one held monthy.
The paediatric curriculum is an integrated program. The staff is involved in the preclinical teaching, of the moudules where paediatric related topics are taught with clinical exposure. Number of staff in department is23. No of students in each period is around 200, distributed to training centers. The numbers of students in each group is between 10-15.
1. Introduction: period is two weeks. In this period students are taught how to :
1. Take a good history
. 2. How to do classical examination for children of different age groups and how to interpretate the clinical findings.
3. Good communication skills.
4. Active listening to the child & family.
5. Consideration of impact of disease on the family.
6. Preventive measures for child hood disease.
7. Nutritional problems.
8. Mamagement of emergency.
Training also involves: a visit to hospital lab to learn simple techniques of investigation, vaccination room, Blood bank & nutritional department. One seminar & 5 tutorials for all the important common paediatric problems. (Table attached). At the end of the introduction period there is an evaluation exam where clinical and communication skills are assessed. Each candidate is examined in three short cases by two examiners.
2. Residency: Of 16 weeks. In five different training centers. Student rotates the training as follows:
a. Two clinical rounds per week where the student clarks, examines cases and then presents the case to the tutor and the group.
b. One day for problem based solving where the students are handed written problems which will be discussed in the presence of the tutor and the group. (This is changed to on line teaching due to Coved 19).
c. One day seminars.
d. Activities twice per week supervised by member of staff where National program of tuberculosis, Malaria protocol of the ministry of health, New guide lines of malnutrition and other topics are discussed.
e. Students must t attend the casualty department once per week. There is a mid semester exam after 9 weeks. Written exam is composed 30 best of four questions, two problems & one extended matching. The clinical exam consists of two stations of history , communication , case based discussion and four clinical examination. 0
At the end of the training program each candidate must submit a log book. This contains.
1. 8-10 cold case from the wards. Which he followed it from admission time to discharge.
2. Five emergency cases from the emergency department, supervised by the department registrars.
3. IMCI cases. The log book also evaluated the attendance of the student. Activity is graded according to the level of participation
The final exam is two papers. Paper one is composed of 60 best of four questions. Paper two is composed of five paediatric problems & five extended matching. The clinical Exam is composed of 8 stations as follows 2 history taking. 4 different system examination skills.
1 communication skill .
1 Emergency problem.
OSPE : which contain10 stations of photographic ( XR, data interpretations , instrument used paediatric.
Continues valuation is 20 marks.
10 mark for mid semester exam.
10 marks for the log book.
Written Exam is 40 marks
Paper one 20 marks
Paper two 20 marks
Clinical Exam is 40 marks.
By the end of this module the graduate will be able to develop the following experience:
1. Experience to be gained on observations:
2. Skills to be gained under supervision:
3. Other skills :
a. History taking.
b. Physical examination interpretation of physical findings, planning proper investigation & management.
c. Presentation skills with detailed discussion .And good communication skills.
d. Sound knowledge on the normal growth from birth to adulthood. And knowledge of factors which adversely affect health an psychosocial development.
e. Weighing infants and young children.
f. Measuring the length, head and foream circumference chest skin fold.
g. Measuring the blood pressure and calculating the pulse rate and respiratory rate.
h. Rectal examination.
i. Examination of the fundus of the eye by ophthalmoscope.
j. Calculating the Apgar score.
k. Delivering oxygen.
l. Using the nebulizer.
m. Urinary catheterization and collection of urine.
n. Insertion of NGT.
o. Insertion of rectal tube.
p. Taking swab for culture from the pharynx.
q. Preparation of thick blood film.
r. Haemoglobin measurement .
s. Urinalysis and stool examnation.
t. Sickling test.
u. Gram stain + field stain+ Giemsa stain
*There is regular meeting of the department staff .
Commintte who prepare the exam & meet regularly for the preparation of the exam. Each question has a best model answer agreed upon by the course examination committee. The clinical exam is carried at Ahmed Gassim paediatric hospital and Omdurman hospital exam center. There is good spacing between the stations with observation and no disturbance. There is good number of examiners. From different universities &ministry of health who examine the students.
Future Plan of the department.
1. To reduce the members of students in each group to ten.
2. To update the curriculum according to recent advances in health and management
Text Book of Paediatrics
2. Nelson Essentials.
4. For Far
5. Jullin Cardiology.
6. Zelva Clinical biochemistry.
7. Paediatrics priorties indeveloping country (david morley)
8. Growth and development (llling Worth)
9. Disease of children in subtropical & tropica ( jelliffe )