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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—Prevention of Illness
& Injury
Rationale
Physicians routinely incorporate strategies for prevention of illness and
injury into routine health supervision. Immunizations have resulted in a drastic
reduction in the rates of certain infectious diseases and, consequently, on
their attendant morbidity and mortality. Injuries, rather than infections, cause
the majority of deaths in childhood and adolescence. Illness and injury
prevention must be a prominent and recurrent theme during health maintenance and
other health care visits. Unfortunately, not all injury is unintentional. Some
are self-inflicted and some intentionally caused by others. Motor vehicle
accidents, homicide and suicide are the three leading causes of death for
adolescents. Abuse also occurs at all ages.
Learning Objectives
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Summarize the basic types of illness and injury prevention routinely
provided to different ages.
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List the immunizations currently recommended from birth through
adolescence including adverse side effects and contraindications of each.
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Provide examples of anticipatory guidance aimed at prevention for
different ages.
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Recognize how risk of illness and injury change during growth and
development. Give examples of the age-and development-related spectrum of
illness and injury.
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Outline the physician's role in the prevention of sports injuries.
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Recognize how the risks of injury vary with pubertal
development.
Competencies
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Initiate a discussion about immunizations with the family of an infant, a
toddler and a child about to enter school. Include immunization side
effects.
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Counsel an adolescent about hepatitis B prevention.
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Provide anticipatory guidance about injury prevention to the family of an
infant, a toddler, a preschool age child, school age child and adolescent.
Also direct prevention strategies to older children/adolescents.
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Demonstrate the inclusion of prevention in every clinical encounter,
including the assessment of immunization status.
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