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Professional Conduct
& Attitude
Skills
Knowledge
Health Supervision
Growth
Development
Behavior
Nutrition
Prevention of Illness
Issues Unique to Adolescence
Issues Unique to Newborns
Medical Genetics
Common Illnesses
& Problems
Common Chronic Illnesses/Disabilities
Therapeutics
Fluid & Electrolyte Management
Poisoning
Pediatric Emergencies
Child Abuse
Child Advocacy
Clinical Cases
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Medical Student Curriculum Guide
Knowledge—Behavior
Rationale
Attention to the non-medical concerns of infants, children, and adolescents
and their families enhances total patient care by providing preventive service
and anticipatory guidance especially in the areas of normative or expected
behaviors, stress and coping, child rearing issues, school-related expectations
and problems, and the effects of illness on behavior. Such an approach will
increase self-confidence in patients and their families, resulting in less
anxiety and fewer problems. Knowledge of age-appropriate behavior also allows
the physician to recognize significantly deviant behaviors and facilitates
earlier intervention.
Learning Objectives
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Identify behavioral and psychosocial problems using the medical history
and physical examination.
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Discuss the typical presentation of common behavioral problems at various
developmental levels and ages (e.g. infant: sleep problems;
toddler/preschool: temper tantrums, toilet training, eating problems;
elementary school age: enuresis, attention deficit disorder; middle
school/high school: conduct disorders, eating disorders, risk taking
behaviors).
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Recognize that somatic complaints may represent psychosocial problems
(e.g. recurrent abdominal pain, headache, fatigue, and neurological
complaints).
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Recognize the types of situations where pathology in the family
contributes to childhood behavior problems, e.g. alcoholism, domestic
violence, depression.
Competencies
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Take a complete and relevant history and perform a pertinent physical
examination on a patient who presents with a behavioral
problem.
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Elicit age appropriate behavioral concerns during the health
supervision visit.
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Distinguish between age-appropriate "normative" behavior and
serious psychiatric illness.
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