Pediatric Clinic

Knowledge of growth, maturation and development, nutrition, healthy life patterns and anticipatory health guidance to preserve and prevent disease, risk or accident factors.
• The knowledge of health deviation, of diseases, both in its biological and psychological or social component, including clinical, diagnosis, prognosis and treatment and the fastest and most complete recovery possible of personal, family, school and social life. Because of the long life expectancy of children and adolescents, any prevention strategy has a significantly higher cost / benefit ratio than in any other period of life.
• The identification of the child and adolescent as different from the adult. The child and the adolescent have more and more information and knowledge at an earlier age, which should favor their conversion into an active caregiver of their health and well-being and the recovery of the disease. It must be a valid interlocutor for the doctor, without diminishing the apex the relevant role of parents, pediatricians and teachers (the three ps) in their care, protection of their health and education.
• Contact the medical student with the history and general physical examination and by devices in the healthy and sick child, as well as with the most frequent diagnostic and therapeutic techniques in the pediatric consultation.

Pediatrics, which includes the chronobiological period that runs from conception to adulthood (0-18 years). It is a critical period from the biopsychosocial point of view, since it takes place the growth, maturation and development of organs and devices, reproductive capacity, behavior and behavior, personality and social relationships. Genetics and the environment, nature and nurture, interact permanently determining your future as an adult.
It has particularities and specificities that make it special, such as the patient's comprehensive vision, the structural and functional particularities of organs and devices, the biopsychosocial impact of the pathologies, the fact that the patient depends on third parties and the difficulty in obtaining data. for the patient's medical history and examination, as well as the legal limitations of the patient to decide and authorize the performance of techniques for diagnostic and therapeutic procedures. These characteristics make Pediatrics one of the specialties with a high degree of responsibility, but also a very attractive, rewarding and training. The child and his physical, psychic and social well-being is always a priority.

Recommended textbooks
Basic
* CRUZ (Manual of Pediatrics, 4rd edition 2020)

Generals
* CRUZ (Treaty of Pediatrics, 11th edition 2014).
* NELSON (Treaty of Pediatrics, 21th edition 2020).
* Illustrated Textbook of Paediatrics, 5 Ed. Lissauer T, Will Carroll W (eds). Elsevier 2017

Of pediatric specialties:
M. POMBO (Pediatric Endocrinology Treaty. 4th Edition. McGraw-Hill Interamerican Editorial. Madrid 2009
R. TOJO (Pediatric Nutrition Treaty. Edit. Doyma. Barcelona 2001)
M. CASTRO-GAGO (Treatment of neurological diseases in children and adolescents. Edit. Espaxs. Barcelona, ​​1999)
Resident Handbook of Pediatrics and its Specific Areas. Training guide Crespo Hernández M, Brines Solares J, Cruz Hernández M, Delgado Rubio A, Garagorri Otero JM, Hernández Rodríguez M, Ruza Tarrío FJLitofinter, S.A. Madrid, 1997. Emergency and Treatment of Serious Children. Guiding symptoms, techniques and procedures Married Flores J, Serrano A. Ergon, S.A. Madrid, 2000

Each clinical tutor, if deemed appropriate, and depending on the topics and their relevance, will recommend a series of bibliography that should be accessible to the student. Likewise, the address of Internet pages where topics can be located will be provided. Both in the library of the Faculty of Medicine and in the bibliographic funds of the Department of Pediatrics at the University Clinical Hospital and in the Hospital's own library there is a complete up-to-date endowment of books and monographs of Pediatrics and their specialties.

GENERAL BEHAVIORS
1.- Guiding a mother in relation to the suitability of breastfeeding.
2.- Know and know how to communicate, what are the hygienic care for a normal or risk newborn (food, bath, posture, walks, roupa, smoking, stimulation, etc.).
3.- Know what the chronology of the dental rash is. When it is pathological and how to guide it.
4.- Know the rules of infant hygiene (bath, sleep rules, food)
5.-Periods of infant feeding and general recommendations in each period.
5.- Know what to do before an infant, child or adolescent with fever

KNOW HOW TO DO WITH COMPETITION (routinely and without supervision):
1. Obtaining and ordering pediatric anamnestic data: the medical history (history of the current disease, pathological and perinatal history, vaccines, nutritional and food history, social and cultural aspects, family pathological history).
2. Systematization of clinical exploration in children and adolescents.
3. Measurement of basic physiological parameters (temperature, pulse, BP, respiratory and heart rate, neurological and sensory semiology).
4. First care of the newborn in childbirth.
5. Basic infant cardiopulmonary resuscitation.
6. Value growth and development. Assess secondary sexual characteristics and their normality.
7. Obtaining and extracting biological samples.
8. Nasogastric catheterization.
9. Bladder catheterization.
10. Assessment of bone age.
11. Planning and calculation of diets.
12. Explore the hips of a newborn and an infant.
13. Cures. First measures before an injury. Epistaxis Insolation preventive measures.
14. Assess the acid-base and electrolyte balance.
15. Vaccination schedule: recommendation and application
16. Dosage of the main drugs for pediatric use (anti-thermal, pain therapy, seizure, respiratory distress).
17. Explore inguinal canal.
18. Interpretation of hematological counts in pediatric age
19. Interpretation of global studies of hemostasis.

The student will be integrated into a pediatric service, under the direct supervision of a clinical tutor and will participate in the assistance activities and in the programmed teaching activities such as clinical, bibliographic sessions, etc.
Individual student work and follow-up through the tutorials implemented by the Departments.
In case of difficulties, a more individualized follow-up may be requested by the tutor or one of the teachers of the discipline.

Continuous assessment of the student's knowledge and skills by the responsible tutor. The tutor will qualify the student as apt (6:00) or not apt, being necessary to be apt to be able to pass and present to the ACOE that must be carried out at the end of the rotations for the different services.

The tutor's assessment will be PASS or FAIL. The evaluation as NOT SUITABLE assumes that the student cannot pass the subject on that occasion and will be accompanied by a numerical grade from 0 to 4.9 to be included in the record.

The ACOE will be mandatory and essential.

To obtain a grade higher than 6, the following criteria will be used:

From 0 to 30% of the score obtained in the ACOE: it does not add anything to the final grade.
From 30 to 100% of the score obtained in the ACOE: proportionally to the grade obtained.

The final qualification will be the result of adding the tutor's qualification (6:00) and that of the ACOE, which will account for 40% of the final grade.

Each student makes a stay of 3 consecutive weeks in a unit of the Pediatrics area (including Health Centers), performing a minimum of three guards (126 contact hours and 12 hours of personal study). An internship week represents a face-to-face of 35 hours (from 8:00 a.m. to 3:00 p.m. from Monday to Friday) to which 7 hours must be added for each guard performed (from 3:00 p.m. to 10:00 p.m.).

Assistance and active participation in the practices and scientific sessions organized by the Department. Consultation book. Iconographic and audiovisual material. Search for updated bibliographic documentation.

The student must regularly acquire the skills during the periods of rotation through the different teaching areas. In addition, it requires personal work and follow-up through the tutorials implemented by the Departments.