paeds

Night Paediatricites
Dr. Garbutt would like to meet with all of us at 9:30 am tomorrow. Please carry your papers for they are also due tomorrow. 
N.B you have to personally hand in your papers because your signature is required

Reminder for OSCE

PAEDS REMINDER: the OSCE is tomorrow and all students should assemble in the ward 16 seminar room by no later than 8:45 am. Also I was asked to remind you guys that the paediatrics rotation doesn't end tomorrow but Friday and as such we should still attend classes up to Friday. Our papers are due on Friday where we should hand it to Ms. Campbell the secretary of the paediatrics department by no later than 4:00 pm. You have to sign for your own papers.
All the best tomorrow everyone.

Paeds for January

The next Paediatric rotation will commence on jan 2.  Orientation will be in the Seminar Room of Ward 16.  This will begin at 7:30 am.

 

Attendance is required!!!!!!

 

All will be expected to commence posts on that day.  This first day is a long day.

 

This is a short rotation for all of you due to holidays and exams.  Make the most of your time.  Please log into Ourvle to review topics and reading list.

 

Ensure all are able to log into OURVLE

 

Please provide me with a list of email addresses for your group for use in correspondence regarding passes/resits as well as a contact number for you

 

Dr. A. Garbutt

Paeds

Can you please post this on the blog for me. Dear All

Please be reminded of your OSCE resit to be held on Dec 12 

Please assemble in the the seminar room by 8:45 am

ID tags will be given out

You will only need a pen or pencil. This is a University Exam. No phones, books or bags allowed so please do not bring any.

Your exam is 15 min in duration. The first 13 mins is when you will take your history and the final 2 mins are for you to summarize and present.

A single whistle will start the exam and a double whistle will end your OSCE.

Good Luck

A. Garbutt

Paeds

Could all those students who are currently on paediatrics who have any resits next week please contact Dr. Garbutt. Please indicate that you do have the exam so that she can have a record of it.

Notice

paeds students have have the TMRI class at 8:00 tomorrow morning

Junior Medicine: Group C: Section 2 @ KPH

Schedule is here

Tomatoes

http://www.mediafire.com/?u4qnwnmg47dpq

Paeds

Good night all students on paeds please note the following changes to our Friday time table.
1) the 11:00am tutorial with Dr. Gooden on the dehydrated child has been switched with Prof Thame's tutorial on next Wednesday titled growth issues.
2) we have two additional classes this Friday to make up for last week Friday. @ 12:15 we have Well Baby care with Dr. Crosdale ( this is a working lunch so grab your lunch quickly and carry it to the seminar room) and @ 2:30 we have Principles of Pediatric Examination with Dr. Olugbuyi .

Resources

These are the files available for the different clerkships. Please note I have no idea when some of these were sent and thus all both past and present clerkship files are present. With regards to notices present in these folders please check the date to ensure it applies to you.



Jnr Surgery

Jnr Medicine

Family Medicine   

Paeds

Paediatric OSCE

Paediatric OSCE

The exam is 15 minutes long, your examiner will be with you observing you elicit your history. You will be given 13 minutes to do so. In the final two minutes you will be required to SUMMARIZE the key features of the history and give a differential diagnosis. There will be a whistle blow to indicate the start of your station and a final double blow of the whistle at 15 minutes to indicate the end of the exam. You will not be required to present your full history nor to give in a written record of your history. There however will be paper available to make jottings during your history taking but these must be left with the examiner.


Paediatric MCQ

The exam consists of 80 questions. Each has 5 options; you are to select the best option. Duration of MCQ exam is 90 mins. This is an online exam. Ensure from early that you are able to log into OurVle. This is your responsibility!!!

Both MCQ and OSCE are UWI exams. Hence they are conducted in similar fashion to other UWI exams: no cell phones, paper etc


Dr. A Garbutt



Download Tutorial Questions here

Books for Print from Dr Thomas

As you go onward, just a reminder about ordering your books from early:

Books available are as below. Hopefully with time we may be able to increase the range of books offered.

	List of Books for Medical Students Available for Print
	Title	Price (JA$)
1	Roop Gynaecology	1800
2	Roop Obstetrics	2000
3	Roop Obstetrics + Bassaw Review	2300
4	OnG question book	1700
	MBBS 2008 - 2011
5	Medicine Questions	2900
6	Surgery Questions	2300
7	MBBS Compilation 90s – 2007	3800
8	Get Through Medical School	700
9	Harrison's Principles of Internal Medicine	2400
10	Notes in Paediatrics	700
11	Notes in Surgery	500
12	Aids to Undergraduate Medicine	500
13	Cases in Chemical Pathology	1500

Contact: Dr. Daniel Thomas #352-1885 or getmymedbooks@gmail.com

Summary and recommendations:

For your 3^rd Year clerkships the followings books are recommended:

1.       Aids in Undergraduate Medicine (a handy companion for medical clerkship especially for the OSCE, a definite must for any medical student entering their clinical years)

2.       Notes in Paediatrics (foundation topics and principles for the Paediatric rotation)

3.       Notes in Surgery (foundation topics and principles for the Surgery rotation)

4.     Notes in General Surgery $1000

5.       Get Through Medical School (1000 Questions to carry you through your 4 chief rotations, namely Medicine, Surgery, Paediatrics, and Obs & Gyn. A priceless tool in the preparation for end of clerkship exams as well as final MBBS.)

Also you may want to consider getting one or all of the following:

1.       MBBS compilation 90s to 2007

2.       Medicine Questions (Includes: MBBS 2008 – 11; End of clerkship exams)

3.       Surgery Questions (Includes: MBBS 2008- 11; 100 Cases in surgery)

For your 4^th Year clerkships:

1.       Roopnarinesingh Obstetrics Text +/- Dr. Bassaw’s Essentials of Obstetrics. (Dr. Bassaw is a Trinidadian OnG consultant, one of the examiners and also sets the MBBS OnG paper when Trinidad is assigned.)

2.       Obstetrics and Gynaecology Question book (Includes: MBBS question 2008 – 11; Roop MCQs; and more)

3.       Cases in Chemical Pathology (4^th year Pathology and Microbiology rotation)

In final year you commence Gynaecology and would then require the Roopnarinesingh Gynaecology text.

Harrison’s Principles of Internal Medicine: Board Review is recommended for those who want further questions to practice for MBBS also for USMLEs. Divided into questions based on medical subspecialties, it will definitely prove to be a useful study tool.

ORDER HERE:   https://docs.google.com/spreadsheet/viewform?formkey=dE5lUXVaUGkxRkg1czFnVEVnc0dKNHc6MQ

Junior Medicine Tutorial Schedule

Junior Medicine Topic List--Click here

Jnr Paeds

New students scheduled to participate in the Junior Paediatric clerkship between Nov 19- Dec 14 that they will be having orientation at 7:30 am on November 19 in the seminar room which is at the rear of ward 16.

It is a long day as it doesn't end before 6

All should be in their assigned areas by 845 am.

Please become familiar with the curse outline on OurVle

Dr. A Garbutt

Jnr Med

So attached are scanned copies of the Medicine Allocation.  So each person needs to Check each section for their names.  Each location corresponds to the diff blocks..

For each allocation you will need to find if you are at KPH or UHWI. So if you arent at KPH , you will need to find the sub group you are allocated whether Gen Med or Specialty.

Section 1 - Nov 19 - Dec 2.

Section 2 - Dec 3 - Jan 6 (including 2 weeks off from Dec 17 - Jan 1)

Section 3 - Jan 7 - FRIDAY Jan 25

After, you will need to find out what days you are on call.  Remember you are only on call at UHWI.  So you will only need to check the section that applies.  On average everyone is on call at least twice per section (once you are posted at UHWI).

Attachments

ALSO SEE:
1. PROCEDURE LIST
2. TUTORIAL SCHEDULE
3. JUNIOR CLERKSHIP HANDBOOK
Click Me

Groups C and D (Community Health and Psychiatry Group)

Dear Members of Groups C and D (Community Health and Psychiatry Group)

Please see attached orientation memo. Kindly note all materials relating to your Community Health and Psychiatry rotation is available on Ourvle. You are to make copies of Timetable, Handbook,Lectures,Reading materials ect... a copy of the attendance sheet will be provided on the morning of orientation.

Thank you.

MEMO

Tomatoes

Tomatoes are available in the clerkship folders

Tomatoes

Group A Sx

Re: Group A Junior Surgery - Nov. 19, 2012 - Jan. 25, 2013

In reference to the captioned, please post to the class' blog spot the attached and advise  (Group A) of the following:

• Orientation for the CRH students
  
  • Friday, November 16, 2012 @ 2pm in the Skills Lab
• Orientation  for the UHWI and KPH students
  • Monday, November 19, 2012 @ 8:30 am - 2pm in the Pathology Teaching Lab

Regards,

Mrs.M

Allocations

Diagnostic Kits

Good day all, just sending a reminder that I will be accepting orders 2 sets of orders for the rest of the year, 2012. One for this month and one    By mid next month as to try and avoid the christmas rush. If your interested in ordering please email me at simonsmith876@gmail.com or give me a call at 898-5465. Orders still can be done throughout the school year as of January 2013 until the end of the school year.

Welch Allyn 97200 MS + package and warranty= $64,000

Welch Allyn 97200 MC + package and warranty= $55,000

Thanks for your support, and continue to work hard in your rotations!

Junior Surgery Exam

Exam information available >>>  HERE

Paeds

Updated Lec

Jr Sx

lectures  http://www.mediafire.com/?rhbe0yhvozsc6

Hand Book >> http://www.mediafire.com/view/?vbfri98105bst2u

PAEDS: Announcement & Exam Format

Please note that the TMRI lecture has been broken down into two groups.  On the first Fri students who are assigned to the wards are expected to attend and at the second sitting those whoare currently in Well baby/Casualty are to attend

A. Garbutt

 ______________________________________________________________________________

Paediatric OSCE

The exam is 15 minutes long, your examiner will be with you observing you elicit your history, you will be given 13 minutes to do so. In the final two minutes you will be required to SUMMARIZE the key features of the history and give a differential diagnosis. There will be a whistle blow to indicate the start of your station, a further whistle blow at 13 minutes when you must stop your history taking, SUMMARIZE the key points for the examiner and give a differential diagnosis. There will be a final double blow of the whistle at 15 minutes to indicate the end of the exam. You will not be required to present your full history nor to give in a written record of your history. There however will be paper available to make jottings during your history taking but these must be left with the examiner.

Paediatric MCQ

The exam consists of 80 questions. Each has 5 options; you are to select the best option. Duration of MCQ exam is 90 mins. This is an online exam. Ensure from ealry that you are able to log into OurVle.

Both MCQ and OSce are UWI exams. Hence they are conducted in similar fashion to other UWI exams: no cell phones, paper etc

Dr. A Garbutt

Paediatric Tutorial Questions (C - Groups C&D)

Tutorial Questions

The Dehydrated Child

CASE SCENARIO

An 11 month old male infant is brought to casualty by his mother with a one day history of vomiting, a two day history of watery stools and poor oral intake.

1.      What further historical information would you like to know?

2.      What are the clinical features of mild, moderate and severe dehydration?

Examination reveals a lethargic, drowsy infant. Temperature of 38°C, Weight          is 10kg

       Pulse is weak, rate of 160/min. Blood pressure 60/40

Capillary refill > 2 seconds, his eyes and anterior fontanelle are sunken and there is no salivary pool.

3.      Classify the severity of this patient’s dehydration.

4.      Calculate the fluid deficit.

5.      Does this patient need oral or IV fluid therapy?

6.      What investigations would you do and why?

7.      What are the principles of rehydration therapy?

Child with a rash 

A 4 year old child presents to your practice with a two day history of fever, headache, vomiting and sore throat.  Temperature recorded by mom was initially 101 degrees F responsive to paracetamol given every 4 hours.  The following day the temperature increased to 103 degrees F with the appearance of a fine papular 

rash which started in the neck and armpits but spread to the entire body after a few hours. 

(1)     What is the likely diagnosis in this patient?

(2)     What is characteristic about the rash in the above scenario? 

(3)     How does the timing of onset and nature of a rash assist you in arriving at a diagnosis?

(4)      What are the common clinical scenarios in paediatrics where a rash is characteristic?

(5)     Outline options for treatment based on likely pathophysiology                                                                   

Well Child Care

A teenage mother is visiting you for the first time.  She has recently moved to Kingston with her 6 month old child.  During your first visit as you enquire about what her “son is currently doing”, she seems unaware of what you are asking about.

1.      Explain to Mother the purpose of her Well baby visit and what all it should entail

2.      Provide explanations  as to what is developmental surveillance and its importance

3.      Provide age appropriate anticipatory guidance to mother.

Mrs Martin presents to you with her 24 month old daughter whom she is concerned about as she is not yet “talking”.  As you explore her history, outline important aspects that need to be addressed in her history as well as possible diagnoses.

You are asked to address a group of parents at a local kindergarten on temper tantrums.  What important points should you make?

 “The Child with Cold, Cough and Shortness of Breath ”

Instructions to students:

Seek out as many patients as you can who present to clinic, casualty or wards with cold, cough with or without shortness of breath and answer the following questions.

How does the clinical presentation (symptoms and signs) of a child with cold and cough help in arriving at a diagnosis?

How does the etiology of various conditions with symptoms of cold and cough with or without shortness of breath affect diagnosis investigation and treatment?

How does the pathophysiology and prognosis of these conditions help to direct treatment?

Bring your cases, books/resource materials to the tutorial.

Recommended Reading: See resources on OurVLE

THE INFANT OR CHILD WITH FEVER

Objectives:

At the end of the tutorial(s) the student should be able to:

1.      Define fever

2.      Describe the pathophysiology of fever

3.      Classify fever and explain the significance according to the classification

4.      Describe the aetiology of fever with respect to pattern of fever and certain patient factors e.g. age group

5.      Describe the complications of fever

6.      Define febrile seizures

7.      Decribe the pathophysiology of febrile seizures

8.      Describe the management of the infant/ child with fever

The following case scenarios have been developed to emphasise the above learning points.

Case scenario 1

A mother brings a 10-month-old male infant to casualty, with a complaint that he has been having fever for the past 5 days. The fever is intermittent and worse at night. She used a thermometer at home and the highest temperature recorded was 39.8 ⁰ C. She tried sponging the infant with cold water, but he began shivering. His appetite has been decreased and he is irritable.

a)      How would you determine if this child has fever (state methods and interpretation)?

b)      How does the body produce fever? (Be prepared to explain this process to parents and colleagues.)

c)      What other causes of elevated body temperature exist and how do they differ from true fever?

d)      How can fever be classified? What is the relevance of these classification systems?

e)      What additional history do you need to determine the cause of this infant’s problem? Give reasons for each historical point.

f)       What important examination findings would lead you to a diagnosis?

g)      What other historical data should you elicit if the boy was less than one month old and older than 3 years old?

h)      What features in the examination would support a diagnosis of meningitis? How do these features change with age?

i)        What are the common causes of fever in children less than one month old, 3-36 months old, older than 3 years old?

j)        What groups of children are considered high risk when they have fever?

k)      What investigations would you do? Do investigations vary with age? Explain why?

l)        What complications may occur with fever?

m)   How is fever treated?

Jr. Surgery

Allocation List - Group B

Books for Print from Dr Thomas

As you go onward, just a reminder about ordering your books from early:

Books available are as below. Hopefully with time we may be able to increase the range of books offered.

	List of Books for Medical Students Available for Print
	Title	Price (JA$)
1	Roop Gynaecology	1800
2	Roop Obstetrics	2000
3	Roop Obstetrics + Bassaw Review	2300
4	OnG question book	1700
	MBBS 2008 - 2011
5	Medicine Questions	2900
6	Surgery Questions	2300
7	MBBS Compilation 90s – 2007	3800
8	Get Through Medical School	700
9	Harrison's Principles of Internal Medicine	2400
10	Notes in Paediatrics	700
11	Notes in Surgery	500
12	Aids to Undergraduate Medicine	500
13	Cases in Chemical Pathology	1500

Contact: Dr. Daniel Thomas #352-1885 or getmymedbooks@gmail.com

Summary and recommendations:

For your 3^rd Year clerkships the followings books are recommended:

1.       Aids in Undergraduate Medicine (a handy companion for medical clerkship especially for the OSCE, a definite must for any medical student entering their clinical years)

2.       Notes in Paediatrics (foundation topics and principles for the Paediatric rotation)

3.       Notes in Surgery (foundation topics and principles for the Surgery rotation)

4.     Notes in General Surgery

5.       Get Through Medical School (1000 Questions to carry you through your 4 chief rotations, namely Medicine, Surgery, Paediatrics, and Obs & Gyn. A priceless tool in the preparation for end of clerkship exams as well as final MBBS.)

Also you may want to consider getting one or all of the following:

1.       MBBS compilation 90s to 2007

2.       Medicine Questions (Includes: MBBS 2008 – 11; End of clerkship exams)

3.       Surgery Questions (Includes: MBBS 2008- 11; 100 Cases in surgery)

For your 4^th Year clerkships:

1.       Roopnarinesingh Obstetrics Text +/- Dr. Bassaw’s Essentials of Obstetrics. (Dr. Bassaw is a Trinidadian OnG consultant, one of the examiners and also sets the MBBS OnG paper when Trinidad is assigned.)

2.       Obstetrics and Gynaecology Question book (Includes: MBBS question 2008 – 11; Roop MCQs; and more)

3.       Cases in Chemical Pathology (4^th year Pathology and Microbiology rotation)

In final year you commence Gynaecology and would then require the Roopnarinesingh Gynaecology text.

Harrison’s Principles of Internal Medicine: Board Review is recommended for those who want further questions to practice for MBBS also for USMLEs. Divided into questions based on medical subspecialties, it will definitely prove to be a useful study tool.

ORDER HERE:   https://docs.google.com/spreadsheet/viewform?formkey=dE5lUXVaUGkxRkg1czFnVEVnc0dKNHc6MQ