Year 4 Paediatrics & Child Health — Junior Clerkship

Mount Kenya University Department of Paediatrics. Six units across three trimesters: lectures plus clerking patients on the wards and in clinic, with a logbook, a written CAT each trimester and a long case + OSCE at the end of the year.

Trimester 1

• Week 1 Paediatric history taking and examination
• Week 2 Growth and development — Developmental milestones, adolescent growth, growth assessment.
• Weeks 3–4 Nutrition — Breastfeeding, protein-energy malnutrition, rickets, micronutrient deficiencies.
• Weeks 5–8 Neonatology — Birth asphyxia, neonatal jaundice, respiratory distress syndrome, neonatal sepsis, prematurity and low birth weight, meconium aspiration, kangaroo mother care, neonatal history and examination.
• Weeks 9–11 Respiratory — Pneumonia, asthma, reporting a chest X-ray, pulmonary TB, aspiration syndromes, croup, bronchiolitis.
• Weeks 12–13 Nephrology — Acute kidney injury, acute glomerulonephritis, nephrotic syndrome, urinary tract infections, chronic kidney disease.
• Week 14 Assessment test

Trimester 2

• Weeks 1–2 Gastrointestinal system — GORD, gastritis and peptic ulcer disease, hepatitis, acute liver failure, acute gastroenteritis.
• Week 3 Neurology — Meningitis and other CNS infections, convulsive disorders, movement disorders, encephalopathies, neurocutaneous syndromes.
• Weeks 4–6 Cardiovascular — Acute rheumatic fever, rheumatic heart disease, infective endocarditis, congenital heart disease, arrhythmias, ECG.
• Weeks 7–8 Blood disorders — Anaemia, haemophilias, sickle cell disease, blood components and transfusion, other bleeding and thrombotic disorders.
• Weeks 9–10 Fluids, electrolytes and acid–base — Hyponatraemia, hypernatraemia, hypokalaemia, hyperkalaemia, blood gas analysis.
• Weeks 11–12 Endocrinology — Hypothyroidism, hyperthyroidism, diabetes and DKA, congenital adrenal hyperplasia, Addison disease, precocious puberty.
• Week 13 Assessment

Trimester 3

• Weeks 1–10 Shock
• Weeks 1–10 Immunisation practices and the KEPI schedule
• Weeks 1–10 Fever and fever of unknown origin
• Weeks 1–10 Bacterial infections
• Weeks 1–10 Viral infections
• Weeks 1–10 Human immunodeficiency virus
• Weeks 1–10 Fungal infections
• Weeks 1–10 Protozoal infections
• Weeks 1–10 Malaria
• Weeks 1–10 Parasites and helminths
• Week 11 Poisoning — Paraffin, organophosphate, paracetamol, other household products.
• Week 12 Assessment
• Week 13 Revision
• Week 14 End-of-year examinations

Compiled by Abongo Davis · Ompath Study · shared for MBChB students at Mount Kenya University and other universities.