PG Diploma in Child Health, Pediatrics: Admissions, Medical Colleges, fee, eligibility criteria details here

Competency-Based Training Programme For PG Diploma In Pediatrics (DCH)

Course contents

During the training period, effort must be made that adequate time is spent in discussing child health problems of public health importance in the country or particular region.

Basic Sciences

• Principles of inheritance, chromosomal disorders, single gene disorders, multifactorial/ polygenic disorders, genetic diagnosis and prenatal diagnosis, pedigree drawing

• Embryogenesis or different organ system especially heart, genitourinary system, gastrointestinal tract Applied anatomy and functions of different organ systems

• Physiology of micturition and defecation; placental physiology; fetal and neonatal circulation; regulation of temperature, blood pressure, acid base balance, fluid electrolyte balance and calcium metabolism

• Vitamins and their functions

• Hematopoiesis, hemostasis, bilirubin metabolism

• Growth and development at different ages, growth charts; puberty and its regulation

• Nutrition, requirements and sources of various nutrients

• Pharmacokinetics of common drugs, microbial agents and their epidemiology

• Basic immunology, ethical and medico-legal issues

Understanding, where necessary, the definition, epidemiology, etiopathogenesis, presentation, complications, differential diagnosis and treatment of the following, but not limited to:

Growth and development

• principles of growth and development • normal growth and development,

• abnormal growth and development • sexual maturation and its disturbances

• failure to thrive and short stature • Autism (as mentioned in objective 21)

Neonatology

• perinatal care • low birth weight

• care in the labor room and resuscitation • newborn feeding

• prematurity • respiratory distress

• common transient phenomena • apnea

• infections • anemia and bleeding disorders

• jaundice • gastrointestinal disorders

• neurologic disorders • malformations

• renal disorders • understanding of perinatal medicine

• thermoregulation and its disorders

Nutrition

• maternal nutritional disorders; • nutrition for the low birth weight impact on fetal outcome • breast feeding

• infant feeding including • vitamin and mineral deficiencies complementary feeding

• protein energy malnutrition • obesity

• adolescent nutrition • parenteral and enteral nutrition

• nutritional management of systemic illness (GI, hepatic, renal illness)

Cardiovascular

• congenital heart diseases • rheumatic fever and rheumatic heart (cyanotic and acyanotic) disease

• infective endocarditis • arrhythmia

• disease of myocardium • diseases of pericardium (cardiomyopathy, myocarditis) • systemic hypertension

Respiratory

• congenital and acquired disorders of nose • infections of upper respiratory tract tonsils and adenoids • obstructive sleep apnea

• congenital anomalies of lower respiratory tract • acute upper airway obstruction

• foreign body in larynx trachea & bronchus • subglottic stenosis (acute, chronic)

• asthma

• pneumonia, bronchiolitis • aspiration pneumonia, GER

• recurrent, interstitial pneumonia • suppurative lung disease

• atelectasis • lung cysts, mediastinal mass

• diseases of pleura

Gastrointestinal and liver disease

• disease of oral cavity • disorders of deglutition and esophagus

• peptic ulcer disease • congenital pyloric stenosis

• intestinal obstruction • acute & chronic pancreatic disorders

• malabsorption syndrome • acute, persistent and chronic diarrhea

• irritable bowel syndrome • inflammatory bowel disease

• Hirschsprung disease • anorectal malformations

• hepatitis • hepatic failure

• chronic liver disease • Budd-Chiari syndrome

• metabolic diseases of liver • cirrhosis and portal hypertension

Nephrologic and Urologic disorders

• acute and chronic glomerulonephritis • nephrotic syndrome

• hemolytic uremic syndrome • urinary tract infection

• VUR and renal scarring • involvement in systemic diseases

• renal tubular disorders • neurogenic bladder, voiding dysfunction

• congenital and hereditary renal disorders • renal and bladder stones

• posterior urethral valves • hydronephrosis

• undescended testis, hernia, hydrocoele • Wilms tumor

Neurologic disorders

• seizure and non-seizure paroxysmal events • epilepsy, epileptic syndromes

• meningitis, encephalitis • brain abscess

• febrile encephalopathies • Guillain-Barre syndrome

• neurocysticercosis and other neuroinfestations • HIV encephalopathy

• SSPE • cerebral palsy

• neurometabolic disorders • neurodegenerative disorders

• neuromuscular disorders • mental retardation

• learning disabilities • muscular dystrophies

• acute flaccid paralysis and AFP surveillance • malformations

• movement disorders • Tumors

Hematology & Oncology

• deficiency anemias • hemolytic anemias

• aplastic anemia • pancytopenia

• thrombocytopenia • disorders of hemostasis

• blood component therapy • transfusion related infections

• bone marrow transplant/stem cell transplant • acute and chronic leukemia

• myelodysplastic syndrome • Lymphoma

• neuroblastoma • hypercoagulable states

Endocrinology

• hypopituitarism/hyperpituitarism • diabetes insipidus

• pubertal disorders • hypo- and hyper-thyroidism

• adrenal insufficiency • Cushing's syndrome

• adrenogenital syndromes • diabetes mellitus

• hypoglycemia • short stature

• gonadal dysfunction and intersexuality • obesity

Infections

• bacterial (including tuberculosis) • viral (including HIV)

• fungal • parasitic

• rickettssial • mycoplasma

• protozoal and parasitic • nosocomial infections

• control of epidemics and infection prevention • safe disposal of infective material

Emergency and Critical Care

• emergency care of shock • cardio-respiratory arrest

• respiratory failure • acute renal failure

• status epilepticus • acute severe asthma

• fluid and electrolyte disturbances • acid-base disturbances

• poisoning • accidents

• scorpion and snake bites

Immunology and Rheumatology

• arthritis (acute and chronic) • vasculitides

• immunodeficiency syndromes • systemic lupus erythematosus

ENT

• acute and chronic otitis media • hearing loss

• post-diphtheritic palatal palsy • acute/chronic tonsillitis/adenoids

• allergic rhinitis/sinusitis • foreign body

Skin Diseases

• exanthematous illnesses • vascular lesions

• pigment disorders • vesicobullous disorders

• infections • Steven-Johnson syndrome

• atopic, seborrheic dermatitis • drug rash

• alopecia • icthyosis

Eye problems

• refraction & accommodation • partial/total loss of vision

• cataract • night blindness

• strabismus • conjunctival and corneal disorders

• disorders of retina, including tumors

Behavioral and Developmental disorders

• rumination, pica • enuresis, encopresis

• sleep disorders • habit disorders

• breath holding spells • anxiety disorders

• mood disorders • temper tantrums

• attention deficit hyperactivity disorders • autism (as mentioned in objective 21)

Social/Community Pediatrics

• National health programs related to child health • IMNCI

• Vaccines: constituents, efficacy, storage, contraindications and adverse reactions

• rationale and methodology of pulse polio immunization

• child labor, abuse, neglect • adoption

• disability and rehabilitation • rights of the child

• National policy of child health and population • juvenile delinquency

• Principles of prevention, control of infections (food, water, soil, vector borne)

• Investigation of an epidemic

Orthopedics

• major congenital orthopedic deformities • bone and joint infections

• common bone tumors

Approach to Clinical Problems Growth and development

• precocious and delayed puberty • developmental delay

• impaired learning

Neonatology

• low birth weight newborn • sick newborn

Nutrition

• lactation management and complementary • protein energy malnutrition feeding (underweight, wasting, stunting)

• failure to thrive and micronutrient deficiencies

Cardiovascular

• Murmur • cyanosis

• congestive heart failure • systemic hypertension

• arrhythmia • shock

GIT and Liver

• Acute diarrhea • persistent and chronic diarrhea

• abdominal pain and distension • ascites

• vomiting • constipation

• gastrointestinal bleeding • jaundice

• hepatosplenomegaly • hepatic failure and encephalopathy

Respiratory

• Cough/chronic cough • hemoptysis

• wheezy child • respiratory distress

Infections

• acute onset pyrexia • prolonged pyrexia with and

• recurrent infections without localizing signs

• nosocomial infections • fever with exanthem

Renal

• Hematuria/dysuria • bladder/bowel incontinence

• voiding dysfunctions • renal failure (acute and chronic)

• hypertension

Hematology and Oncology

• anemia • bleeding

Neurology

• limping child • convulsions

• paraplegia, quadriplegia • cerebral palsy

• macrocephaly and microcephaly • floppy infant

• acute flaccid paralysis • headache

Endocrine

• thyroid swelling • ambiguous genitalia

• obesity • short stature

Miscellaneous

• skin rash • lymphadenopathy

• epistaxis • proptosis

• arthralgia, arthritis