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UNIVERSITY OF ZAGREB SCHOOL OF MEDICINE

Plan of the course

Pediatrics

Academic year 2019/2020

izv. prof. dr. sc. Duška Tješić-Drinković

I. COURSE AIMS

Acquisition of basic knowledge of growth and development (physical, physiologic and psychosocial) and of its clinicalapplication from birth through adolescence.

Development of communication skills that will facilitate the clinical interaction with children, adolescents and their familiesand thus ensure that complete and accurate data are obtained. Development of competency in the physical examination ofinfants, children and adolescents. Acquisition of the knowledge necessary for the diagnosis and initial management ofcommon acute and chronic illnesses.

Development of clinical problem-solving skills.

An understanding of the influence of family, community and society on the child in health and disease.

The Clinical Performance Objectives are:

Inpatients:

Applies clinical knowledge in conducting a thorough history and physical examination of patients and is able to focusappropriately in the ambulatory setting.

Uses appropriate clinical decision-making skills to generate appropriate list of differential diagnoses and rationale for each.

Proposes appropriate diagnostic evaluations (laboratory tests and other procedures) based on differential diagnoses.

Generates and prioritizes list of management issues based on completed assessment of patients. Provides appropriate andeffective patient education in the prevention and treatment of commonly encountered health problems.

Presents cases clearly, concisely, and comprehensively, in the proper sequence.

Documents patient encounters appropriately in a problem-oriented medical record format. Demonstrates enthusiasm, interestand self-motivation; pursues self-directed learning

Development of strategies for health promotion as well as disease and injury prevention. Development of the attitudes andprofessional behaviors appropriate for clinical practice.

Objectives are met by individual study, patient care and didactic teaching.

Exhibits responsibility, integrity, and caring in establishing trusting relationships with patients, family members, and healthprofessionals.

The student participate in the inpatient experiences with patient care responsabilities similar to the first year pediatricresident. The student will provide care to hospitalized pediatric patients under careful supervision of faculty and seniorhouse staff.

The student will participate in the initial care of acute and chronic pediatric patient admitted to different divisions of pediatricdepartment. Patient will be new and follow up patients.

Student will have opportunity to integrate classroom physiology and clinical practice

Outpatients:

The student will deal with specific diagnostic and therapeutic interventions in the outpatient care as well as withidentification, prevention and treatment of complications of the disease entities Conducts a focused history of the reason forvisit (i.e., chief complaint or routine follow-up).

Initiates an appropriately focused physical examination, with attention to presenting signs and symptoms.

Develops an accurate differential diagnosis of the presenting problem, taking into account data from the history, physicalexamination, and available laboratory data.

Outlines appropriate treatment plan, including primary and secondary prevention measures. Instructs patient on presentingillness and self-care, taking into account pertinent social, cultural, and economic issues.

Makes/recommends appropriate referrals to other health professionals

Presents cases clearly, concisely, and comprehensively, in the proper sequence.

Documents patient encounters appropriately in a problem-oriented medical record format.

Exhibits responsibility, integrity, and caring in establishing trusting relationships with patients, family members, and healthprofessionals.

The student will be capable of systematically analysing and discussing complex, moral issues respecting the points of viewof the various parties concerned (patient, other care providers and society).

II. COURSE STRUCTURE

Course hours:

Lectures: 50

Seminar: 60

Special clinical practicals: 160

Total hours: 270

III. PLAN OF THE COURSE AND COURSE SCHEDULE

BLOCKS OF THE COURSE

Number of blocks: 1Blocknumber Start End

1. 11.11.2019 17.1.2020

BLOCKS OF THE COURSE SHEME

Block 1

Date Time Group Coursehours type Theme Teaching staff

Monday11.11.2019.

10:00-11:30;KBC, Edukacijskiistok - 2

All Lectures Introduction to Pediatrics prof. dr. sc. JuricaVuković


All LecturesState of Children’s Health and Patternsof Health Care. Growth andDevelopmental Factors

prof. dr. sc. AidaMujkić-Klarić


All Lectures Essentials of Human Genetics Sanda HuljevFrković, dr. med.

Tuesday12.11.2019.

08:00-09:30;KBC, Zelenazgrada, -1,dvorana A

All Lectures Physiology of the Newborn prof. dr. sc. BorisFilipović-Grčić


All Lectures Respiratory Distress Syndrome izv. prof. dr. sc.Ruža Grizelj


All Lectures Lymphadenopathies prof. dr. sc. ErnestBilić

Wednesday13.11.2019.


All Lectures Pediatric Cardiology: C linical Evaluationof the Sick Child

doc. dr. sc. DanielDilber


All Lectures Evaluation of Suspected RheumaticDisease and connective tissue disorders

izv. prof. dr. sc.Marija Jelušić


All Lectures Shock doc. dr. sc. MarioĆuk

Thursday14.11.2019.


All Lectures Pediatric Neurology: Evaluation of theSick Child. Neuromuscular Diseases.

prof. dr. sc. NinaBarišić


All Lectures Seizures in the Neonate prof. dr. sc. NinaBarišić


All Lectures Pediatric Nephrology: C linical Evaluationof the Sick Child

prof. dr. sc. DankoMilošević

Friday15.11.2019.


All Lectures Rare and unknown diseases doc. dr. sc. MarioĆuk


All Lectures Pediatric Gastroenterology: C linicalEvaluation of the Sick Child

izv. prof. dr. sc.Duška Tješić-Drinković


All Lectures Recurrent abdominal pain and functionalGI disorders


Monday18.11.2019.


All Lectures Inherited Metabolic Disorders prof. dr. sc. IvoBarić


All Lectures Neonatal Jaundice prof. dr. sc. IvoBarić


All Lectures Pediatric and Adolescent InflammatoryBowel Disease

doc. dr. sc. IrenaSenečić-Čala

Tuesday19.11.2019.


All Lectures Hemolytic Anemias prof. dr. sc. ErnestBilić


All Lectures The Leukemias. Bleeding Disorders prof. dr. sc. ErnestBilić



All Lectures Myocarditis and Myocardiopathies doc. dr. sc. DanielDilber


All Lectures Vitamin D in health and disease prof. dr. sc. DankoMilošević


All Lectures Glomerulonephritis. Tubular disorders prof. dr. sc. DankoMilošević

Thursday21.11.2019.


All Lectures Evaluation of Liver Disease in PediatricPatient

prof. dr. sc. JuricaVuković



All Lectures Pediatric Endocrinology: C linicalEvaluation of the Sick Child dr. sc. Nevena Krnić


All Lectures Precocious puberty dr. sc. Nevena Krnić

Friday22.11.2019.


All Lectures Overview of nutrition and health: fromfood allergy to epigenetics



All Lectures Congenital Heart Disease doc. dr. sc. DanielDilber


All Lectures Pneumonia, C linical Evaluation ofCommon Respiratory Disorders

Lana Omerza, dr.med.

Monday25.11.2019.

08:15-12:45;KBC, Pedijatrija,4 odjel -endokrinologija idijabetes

Group3

Specialclinicalpracticals

Practical dr. sc. Katja DumićKubat

08:15-12:45;KBC, Pedijatrija,5. odjel -neurologija

Group4


Practical Ivan Lehman, dr.med.

08:15-12:45;KBC, Pedijatrija,1. odjel -genetika

Group1


Practical doc. dr. sc. MarioĆuk

08:15-12:45;KBC, Pedijatrija,6. odjel - NICU

Group5


Practical izv. prof. dr. sc.Ruža Grizelj

08:15-12:45;KBC, Pedijatrija,6. odjel - PICU

Group6


Practical Sonja Hodžić, pred.

08:15-12:45;KBC, Pedijatrija,9. odjel -reumatologija iimunologija

Group9


Practical Marijan Frković, dr.med.

08:15-12:45;KBC, Pedijatrija,7. odjel -gastroenterologija

Group7


Practicalizv. prof. dr. sc.Duška Tješić-Drinković

08:15-12:45;KBC, Pedijatrija,8. odjel -henatoonkologija

Group8


Practical prof. dr. sc. ErnestBilić

08:15-12:45;KBC, Klinika zapedijatriju, 3.odjel -kardiologija

Group11


Practical doc. dr. sc. DanielDilber

08:15-12:45;KBC, Klinika zapedijatriju, 10.odjel - nefrologija

Group9


Practical prof. dr. sc. DankoMilošević

08:15-12:45;KBC, Klinika zaženske bolesti iporode

Group2


Practical izv. prof. dr. sc.Emilja Juretić


All Seminar Febrile Child prof. dr. sc. IvoBarić



All Seminar Medical genetics in clinical practice Sanda HuljevFrković, dr. med.

Tuesday26.11.2019.


Group3


Practical Anita Špehar-Uroić,dr. med.


Group4


Practical prof. dr. sc. NinaBarišić


Group1


Practical prof. dr. sc. IvoBarić


Group5


Practical prof. dr. sc. BorisFilipović-Grčić


Group6




Group9




Group7


Practical doc. dr. sc. IrenaSenečić-Čala


Group8




Group11




Group9




Group2




All Seminar Accidents in Children prof. dr. sc. AidaMujkić-Klarić



Group3




Group4




Group1


Practical Sanda HuljevFrković, dr. med.



Group5


Practical dr. sc. AndreaDasović Buljević


Group6


Practical Toni Matić, dr. med.


Group9


Practical dr. sc. Iva Rukavina


Group7




Group8




Group11




Group9




Group2




All Seminar C lassification of Epileptic Seizures andEpilepsies

prof. dr. sc. NinaBarišić

Thursday28.11.2019.


Group2




Group3




Group4




Group5




Group6




Group7



08:15-12:45;KBC, Pedijatrija,9. odjel -pulmologija ialergologija

Group8


Practical Jadranka Kelečić,dr. med.



Group9




Group1


Practical Tamara Žigman,pred.


Group11




Group2




All Seminar Neurocutaneous Syndromes prof. dr. sc. NinaBarišić

Friday29.11.2019.


Group2




Group3


Practical Branka Bunoza, dr.med.


Group4


Practical dr. sc. DoroteaNinković


Group5




Group6


Practical Mirna NatalijaAničić, dr. med.


Group7




Group8




Group9




Group1




Group11




Group2





All Seminar Diagnostic Methods in PediatricCardiology

doc. dr. sc. DanielDilber

Monday2.12.2019.


Group2




Group3




Group4




Group5




Group6




Group7


Practical Maja Pavlović, dr.med.


Group8


Practical izv. prof. dr. sc.Marija Jelušić


Group9




Group9




Group3




Group1




All Seminar Infant Nutritionizv. prof. dr. sc.Duška Tješić-Drinković


All Seminar Chromosomal Abnormalities Sanda HuljevFrković, dr. med.

Tuesday3.12.2019.


Group9




Group1





Group2




Group3




Group4




Group5




Group6




Group7



08:15-12:45;KBC, Pedijatrija,10. odjel -nefrologija

Group8




Group3




Group1




All Seminar Congenital Adrenal Hyperplasia dr. sc. Katja DumićKubat

Wednesday4.12.2019.


Group9




Group1




Group2




Group3




Group4




Group5





Group6




Group7




Group8




Group3




Group1




All Seminar Pediatric advanced life support Dorotea Bartoniček,dr. med.

Thursday5.12.2019.


Group9


Practical dr. sc. DanijelaPetković Ramadža


Group1




Group2




Group3




Group4




Group5


Practical Lana Omerza, dr.med.


Group6




Group7




Group8




Group3


Practical Dorotea Bartoniček,dr. med.



Group1




All Seminar Urinary Tract Infections. Hematuria prof. dr. sc. DankoMilošević

Friday6.12.2019.


Group9



08:15-12:00;KBC, Pedijatrija,2 odjel -metabolizam

Group8




Group1




Group2




Group3




Group4




Group5




Group6




Group7




Group9




Group1


Practical dr. sc. Nevena Krnić


Group1




All Seminar Connective tissue disorders, systemicvasculitis

izv. prof. dr. sc.Marija Jelušić

Monday9.12.2019.


Group9





Group8

C linicalpracticals Practical prof. dr. sc. Ivo

Barić


Group1




Group6




Group2




Group3




Group4




Group5




Group6




Group7



08:15-12:45;KBC, Klinika zapedijatriju, 4.odjel -endokrinologija idijabetes

Group9




Group10




All Seminar Disorders of Hydration and Acid-BaseBalance

doc. dr. sc. MarioĆuk

Tuesday10.12.2019.


Group9




Group8


Barić


Group1




Group6





Group2




Group3




Group4




Group5




Group6




Group7




Group9




Group10




All Seminar Overview of Neonatal Disorders prof. dr. sc. BorisFilipović-Grčić


All Seminar The Acutely Ill Child doc. dr. sc. MarioĆuk



Group9




Group7


Barić


Group6




Group1




Group2




Group3





Group4




Group5




Group6




Group6




Group1




Group10




All Seminar Heart failure doc. dr. sc. DanielDilber

Thursday12.12.2019.


Group7




Group9




Group1




Group2




Group3




Group4


Practical Ana PetrovićGluščić, dr. med.


Group5




Group6




Group6





Group6




Group1




Group10


Practical doc. dr. sc. MirtaStarčević


All Seminar Cholestasis prof. dr. sc. JuricaVuković

Friday13.12.2019.


Group9




Group7




Group1




Group2




Group3




Group4




Group5




Group6




Group6




Group6




Group1




Group10





All Seminar Cystic Fibrosisizv. prof. dr. sc.Duška Tješić-Drinković

Tuesday7.1.2020.

08:15-12:45;KBC, Klinika zapedijatriju, 6.odjel - PICU

Group9




Group6




Group7




Group4




Group8




Group1




Group2




Group3




Group1




Group1




Group10




All Seminar Renal failure prof. dr. sc. DankoMilošević

Wednesday8.1.2020.


Group9




Group6




Group7





Group4




Group8




Group1




Group2




Group3




Group1




Group1




Group10




All Seminar Diabetes mellitus Anita Špehar-Uroić,dr. med.


All Seminar Case Reports (presented by students) Mirna NatalijaAničić, dr. med.

Thursday9.1.2020.


Group9




Group6




Group7




Group4




Group8




Group1





Group2




Group3




Group1


Practical Dalibor Šarić, pred.


Group1




Group10




All Seminar Hematopoietic Stem Cell Transplantation Jadranka Kelečić,dr. med.

Friday10.1.2020.


Group5




Group6




Group3




Group7




Group8




Group9




Group1




Group2




Group1




Group1


Practical Lucija Mucavac, dr.med.



Group10




All Seminar Coagulopathies Maja Pavlović, dr.med.

Monday13.1.2020.


Group4




Group5




Group2



08:15-12:45;KBC, Klinika zapedijatriju, 8.odjel -hematoonkologija

Group9




Group6




Group7




Group8




Group1




Group7




Group1




Group3




All Seminar Acute Diarrhea and Disorders ofMalabsorption

doc. dr. sc. IrenaSenečić-Čala

Tuesday14.1.2020.


Group4




Group5





Group2




Group9




Group6




Group7




Group8




Group1




Group7




Group1




Group3




All Seminar Basic Life Support in Newborn prof. dr. sc. BorisFilipović-Grčić


All Seminar The Neglected Child and Child Abuse prof. dr. sc. AidaMujkić-Klarić

Wednesday15.1.2020.


Group4




Group5




Group2




Group9




Group6





Group7




Group8




Group1




Group7




Group1




Group3




All Seminar Case Reports (presented by students) Mirna NatalijaAničić, dr. med.

Thursday16.1.2020.


Group5




Group6




Group3




Group7




Group8




Group9




Group1




Group2




Group7





Group9




Group3




All Seminar Disorders producing chronic hepatitis prof. dr. sc. JuricaVuković

Friday17.1.2020.


Group5




Group6




Group3




Group7




Group8




Group9




Group1




Group2




Group7




Group9




Group3




All Seminar Lymphomas and other cancers prof. dr. sc. ErnestBilić


Week 1 & 2 : Lectures, all students in one group;

Weeks 3-8: Students divided into small groups for hands-on training; all students in one group for seminar.

IV. EXAMINATIONS

Students are allowed to miss up to 20% of lectures (10 school hours) and 20% of seminars (6 times) without justification.Practical classes cannot be missed. If a student misses more then 20% of theoretical classes he/she needs to make up forthose that are above 20% by doing a colloquium with an assigned teacher.

After the student fullfils his/hers obligations during the course of pediatrics and confirms it by attendance signature inhis/hers indeks, the student can proceed to written examination (set of questions with multiple choice answers, coveringwhole spectrum of pediatrics). Student has to achieve at least 55% of correct answers to pass. Only after passing the writtenexamination can student procced to the final part of the exam.

Final exam begins with an interview with a patient, and his parents. History taking and performing physical exam of thepatient, bedside interpretation and evaluation of clinical and laboratory data is of outmost importance for the assessment ofstudent’s clinical performance. Final, oral part of the examination, proves that student has or hasn't attained set goals.

1st exam term: January 31st, 2020

2nd exam term: February 21st, 2020

3rd exam term: March 26th, 2020

4th exam term: May 7th, 2020

5th exam term: May 29th, 2020

6th exam term: July 2nd, 2020

V./I. LIST OF LECTURERS AND TEACHING STAFF

1. prof. dr. sc. Ivo Barić

2. prof. dr. sc. Nina Barišić

3. prof. dr. sc. Danko Milošević

4. prof. dr. sc. Boris Filipović-Grčić

5. prof. dr. sc. Jurica Vuković

6. prof. dr. sc. Ernest Bilić

7. izv. prof. dr. sc. Duška Tješić-Drinković

8. izv. prof. dr. sc. Marija Jelušić

9. doc. dr. sc. Irena Senečić-Čala

10. izv. prof. dr. sc. Ruža Grizelj

11. doc. dr. sc. Daniel Dilber

12. prof. dr. sc. Aida Mujkić-Klarić

13. doc. dr. sc. Mario Ćuk

14. dr. sc. Nevena Krnić

15. Toni Matić, dr. med.

16. dr. sc. Katja Dumić Kubat

17. Sanda Huljev Frković, dr. med.

18. dr. sc. Danijela Petković Ramadža

19. Marijan Frković, dr. med.

20. Mirna Natalija Aničić, dr. med.

21. dr. sc. Dorotea Ninković

V./III UNTENURED LECTURERS:

1. doc. dr. sc. Mirta Starčević

V./II EXTERNAL ASSOCIATES:

1. prof. dr. sc. Ivan Malčić

2. Ivan Lehman, dr. med.

3. Petra Grđan, dr. med.

4. Anita Špehar-Uroić, dr. med.

5. dr. sc. Andrea Dasović Buljević

6. Jadranka Kelečić, dr. med.

7. mr. sc. Kristina Vrljičak

8. Lana Omerza, dr. med.

9. Dorotea Bartoniček, dr. med.

10. Maja Pavlović, dr. med.

11. Zvonka Rener Primec

12. Branka Bunoza, dr. med.

13. dr. sc. Iva Rukavina

14. Lucija Mucavac, dr. med.

15. Sonja Hodžić, pred.

16. izv. prof. dr. sc. Emilja Juretić

17. Tamara Žigman, pred.

18. Dalibor Šarić, pred.

19. Ana Petrović Gluščić, dr. med.

20. Filip Rubić, dr. med.

21. Marija Vidaković, dr. med.

VI. LITERATURE

A. Obligatory

01. Kliegman RM, Marcdante K, Jenson HB, Behrman RE, eds. „Nelson Essentials of Pediatrics“, 8th edition, Elsevier, 2018.

B. Additional

01. Selected chapters from Nelson’s Textbook of Pediatrics, 20th ed. Elsevier, 2015.

02.www.pediatrics.org