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Diploma in Pediatrics

Diploma in Pediatrics

Course accredited with NBEMS(41217)

DCH (NBEMS) Post MBBS 2 Years 4 Seat

Introduction

The goal of “ Diploma in child health [ DCH (NBE)]” 2 years course in pediatrics is to produce a competent pediatrician who:

  • Recognize the health needs of infants, children and adolescents and carries our professional obligations in neonates keeping with principles of National Health Policy and professional ethics
  • Is specially oriented towards providing optimal child health services at the primary level and has acquired the competencies pertaining to pediatrics that are required to be practiced in the community and at non-teaching pediatric hospital settings.
  • Has acquired skills in effectively communicating with the child, family and the community
  • Is aware of contemporary advances and developments in medical sciences as related to child health
  • Has acquired skills in educating medical and paramedical professionals

What are the admission requirements for the program

  • Candidates should have successfully completed MBBS, recognized by MCI and completed one year of Internship.
  • Candidates interested in PG Courses should have appeared in the NEET exam of NBE, conducted recently.
Objectives

At the end of the DCH in Pediatrics, the student should be able to :

(1) Cognitive Domain :

  • Recognize the key importance of child health in the context of the health priorities of the country.
  • Practice the specialty of Pediatrics in keeping with the principles of professional ethics.
  • Identify social, economic, environmental, biological and emotional determinants of fetal, neonatal child and adolescent health, rehabilitative, preventive and promotive measures to provide holistic care to children.
  • Recognize the importance of growth and development as the foundation of Pediatrics and help each child realize her/his optimal potential in this regard.
  • Take detailed history perform full physical examination including neuro development and behavioral assessment and behavioral assessment and anthropometric measurements of the child and make clinical diagnosis.
  • Plan relevant, cost-effective investigative and therapeutic procedures in confirming the possible diagnosis and excluding the other differential diagnosis.
  • Interpret important imaging and laboratory results.
  • Diagnose illness in children based on the analysis of history, physical examination and investigative work up.
  • Plan and deliver comprehensive treatment for illness in children using principles of rational drug therapy.
  • Manage childhood emergencies efficiently.
  • Plan and advise measures for the prevention of childhood disease and disability.
  • Plan rehabilitation of children suffering from chronic illness and handicap and those with special needs.
  • Provide comprehensive care to normal, ‘at risk’ and sick neonates.
  • Recognize the emotional and behavioral characteristics of children, and keep these fundamental attributes in focus while dealing with them.
  • Understands and demonstrate empathy and humane approach towards patients and their families and respect their sensibilities.
  • Has knowledge about communication skills in explaining management and prognosis, providing counseling and giving health education messages to patients, families and communities.
  • Understands the importance of a self-directed learner, recognize continuing educational needs; use appropriate learning resources, and critically analyze relevant published literature in order to practice evidence-based pediatrics.
  • Play the assigned role in the implementation of national health programs, effectively and responsibly.
  • Organize and supervise the desired managerial and leadership skills.
  • Has requisite knowledge about medico legal registration according to prevailing laws of the country/state.
  •  Functions as a productive member of a team engaged in health care, especially in community pediatrics settings.
  • Understands and requisite knowledge about the importance of environmental health related to child health.
  • To document, collect and send health related information as required by government and other health agencies and help them effectively formulation of health policies pertaining to child health.
  • Has requisite knowledge  to investigate diagnose and manage emerging infections as per national guidelines (e.g. Covid-19).
  • Recall and follow appropriate infection control precautions relevant to the situation.

(2) Affective Domain :

  • Should be able to function as a part of a team, develop an attitude of cooperation with colleagues, and interact with the patient and the clinician or other colleagues to provide the best possible diagnosis or opinion.
  •  Always adopt ethical principles and maintain proper etiquette in dealings with patients, relatives and other health personnel and to respect the rights of the patient including the right to information and second opinion.
  • Develop communication skills to word reports and professional opinion as well as to interact with patients, relatives, peers and paramedical staff, and for effective teaching.

(3) Psychomotor Domain :

  • Professional and research ethics
  • Appropriate relation with pharmaceutical industry
  • Communication and relationship with colleagues, nurses and paramedical workers.
  • Counseling adolescents on the common health concerns and issues prevalent in this age group
  • Counseling parents on IYCF including breastfeeding, Nutrition in older children and adolescents, immunization, disease prevention, promoting healthy lifestyle.
  • Communicating with parents/child about nature of illness and management plan prognostication, breaking bad news.
Communication Skills; Attitudes; Professionalism
  • Filling of discharge diagnosis and cause of death as per latest WHO-ICD coding (presently ICD10)
  • Identifying need for timely referral to appropriate departments/health facility & pre-transport stabilization of the sick childhood
  • Recognize the need for medico-legal registration and take appropriate action
  • Prescribing rational antibiotics and other drugs
  • Care of a normal and sick newborn, management of neonatal disorders: hypothermia, sepsis, convulsions, jaundice, metabolic problems
  • Documenting patient records on day to day basis and problem oriented medical record
  • Drawing and executing patient management plan and long-term care
  • Proficiency in management of pediatric emergencies, including emergency triaging
Patient Management Skills
  • Examination of CSF and other body fluids (desirable)
  • Blood sugar
  • Stool microscopy and hanging drop
  • Urinalysis
  • Complete blood counts, micro ESR, peripheral smear
Bedside investigations, including the following skills must be achieved
  • History and Examination
  • Proficiency in eliciting, processing and systemically presenting pediatrics history and examination with due emphasis of the important facts.
  • Recognition and demonstration of physical findings.
  • Recording of height, weight, head circumference and mid arm circumference and interpretation of these parameters using growth reference standard assessment of nutritional status and growth.
  • Assessment of pubertal growth(SMR)
  • Complete development assessment by history and physical examination, and recognizing development disabilities, including autism.
  • Systematic examination
  • Neonatal examination including gestation assessment by physical neurological Criteria
  • Skills related to integrated management of Neonatal and Childhood illnesses (IMNCI) & Infant and Young Child Feeding(IYCF)
  • Psycho social assessment of adolescents (HEADSSS screening)
  • Examination of the fundus and the ear (desirable)

(A) Monitoring Skills :

  • Non-invasive monitoring of blood pressure, pulse and respiratory rates, saturation and other case-based parameters (abdominal girth, input output charting etc.)
  • Venous, capillary and arterial blood sampling using appropriate precautions including arterial and venous blood gases.
  • Pleural, pertioneal, and lumbar puncture
  • Tuberculin test
  • Bone marrow aspiration and biopsy
  • Urethral catheterization and suprapublic tap
  • Gastric content aspiration
  • Pericardial aspiration; subdural, ventricular, Biopsy of liver and kidney(desirable and under supervision)

(B) Therapeutic Skills :

  • Breast feeding assessment and counseling; management of common problems
  • IYCF counseling
  • Establishment of peripheral vascular access
  • Puttying central line and CVP monitoring (desirable and under supervision if facilities available)
  • Administration of injections using safe injection practices
  • Determination of fluid requirement and composition of intravenous fluids and their administration
  • Inserting NG/feeding tube and give feeding and fluid resuscitation in emergency
  • Neonatal (NRP) and Pediatric basic and advanced life support(mandatory certification from the recognized bodies)
  • Blood and blood component therapy
  • Intra-osseous fluid administration
  • Photo therapy, umbilical artery and venous catheterization and exchange transfusion
  • Common dressings ans abscess drainage
  • Basic principles of rehabilitation
  • Peritoneal dialysis (desirable and under supervision if facilities available)
  • Mechanical ventilation (desirable if facilities available)

(C) Interpretation of Investigations :

  • Electrocardiogram
  • Arterial and venous blood gases
  • Plain x-ray chest, abdomen, skeletal system
  • Contrast radiological studies: Barium swallow, barium meal, barium enema
  • MCU
  • Ultrasound skull and abdomen
  • Histopathological, biochemical and microbiological investigations
  • CT Scan and MRI – Brain, abdomen, chest (desirable)
  • Desirable: Electroencephalogram, interpretation of radio-isotope studies, audiogram, neuro physiological studies, (BERA, VER, EMG, NCV), lung function tests

(D) Academic Skills :

  • Demonstrate skills in documentation of case details, and of morbidity and mortality data relevant to the assigned situation and in place of work
  • Familiarity with basic IT skills.
  • Familiarity with evidence-based medicine
  • Interpret research paper, and present at least one paper (original research, research brief, case series or case reports) in a National conference or state conference of repute(oral/poster)
  • Facilitate learning of medical/nursing students and paramedical health workers and other providers as a teacher-trainer
  • Attend other programs: Antimicrobial stewardship and current modules of IAP and IMA (desirable)
  • Attending e-module courses: SAM management, IYCF practices (desirable)

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