By the end of the 3 week placement the students will possess the knowledge and skills necessary to provide appropriate medical care to infants, children, and adolescents. As a member of the health care team, the student will gain an understanding of the importance of initiating and promoting interpersonal relationships with patients and health care professionals. The student may have some areas of weakness but will, overall, be safe.
It is important to remember that the primary purpose of this experience is to prepare Physician Associate students to deal professionally and confidentially with paediatric health issues they may encounter in a variety of healthcare settings. The focus is therefore on the diagnosis and/or management of common and important paediatric conditions.
History Taking and Consultation Skills
The student will be able to obtain an appropriate paediatric medical history from the patient or patient's parent/guardian or other informed source, sufficient to diagnose and treat a medical problem or to provide preventative care to a paediatric patient.
Physical Examination
The student will be able to perform an appropriate physical examination using flexible age-appropriate examining techniques for the paediatric patient identifying normal and abnormal physical findings.
Clinical Judgement in Diagnosis and Treatment
The student will use laboratory and diagnostic studies appropriately and use the results of diagnostic tests to support or modify the tentative diagnostic impressions.
Therapeutics and Prescribing
Awareness of pharmacologic therapy, demonstrating understanding of the indications contraindications, major side-effects/adverse reactions and correct dosing schedules for medications commonly used in paediatrics.
Clinical Planning and Procedures
The student will analyse information obtained from the history, physical examination, formulate a problem list, develop a comprehensive prioritised differential diagnosis, utilise all available clinical data to accurately determine the diagnosis and appropriately manage common and important paediatric conditions. The student will also demonstrate ability to appropriately manage common medical emergencies encountered in paediatrics, recognising indications for consultation or referral.
Below is an extensive but not exhaustive list of conditions that PA students are encouraged to see by the end of their 3 week rotation in General Medicine. Once qualified, PAs are expected to diagnose a patient on initial presentation with these conditions and will not usually require further referral.
Students will be able to describe for each of these conditions:
1. Signs and symptoms
2. Cause and natural history
3. Diagnostic lab tests
4. Appropriate therapeutic and management consideration
Cardiovascular
Congenital heart disease
Rheumatic fever
Neurological
Meningitis
Fits
Headaches
Infections
Contagious childhood diseases
Upper respiratory infection
Otitis media and externa
Respiratory
Asthma and bronchiolitis
Upper respiratory infection
Pneumonia
Tuberculosis/positive PPD
Croup
Cystic Fibrosis
Endocrine and Metabolic disorders
Diabetes
Gastro-Intestinal
Gastroenteritis
Diarrhoeal illness
Coeliac Disease
Inflammatory Bowel disorder
Reflux Oesophagitis
Umbilical hernia
Inguinal Hernia
Renal and GU
Enuresis and encopresis
Urinary tract infection
ENT
Otitis media and externa
Strep pharyngitis
Acute epiglottitis
Musculoskeletal
Common orthopaedic problems
Other
Fever of unknown origin
Hyperactivity
Dehydration
Learning disability
School phobia
Obesity
Non-Accidental Injury
Allergies