Taking a history and performing the physical exam remain the basic tools of the physician. Developing a differential and working diagnosis are the next essential steps. Finally, the plan for further work-up and treatment culminate the skills which are necessary.
Miami Children's Hospital has organized a program for medical students to expand their practical knowledge of pediatrics. The student is expected to learn well different aspects of history taking applicable to infants, children, and adolescents. They should be able to detect variations applicable to different age groups. Among the various situations covered in this course, the following will be included:
1. History in a full-term newborn and in a pre-term infant.
2. General pediatric history.
3. Variants in patients with problems related to different sub-specialties.
4. Neonatal examination.
5. Examination of older infants.
6. Examination of toddlers and children of school age.
7. Examination of adolescents.
8. Denver Development Test.
9. Vision and hearing screening.
10. Otoscopic examination (tympanoscopy).
11. Fundoscopic examination.
The student in this program should become familiar with some of the methods utilized to offset the lack of cooperation of infants and children. These should include the following:
1. Approach to very young infants.
2. Examination in older infants and toddlers.
3. Examination of the baby with a possible acute abdomen.
4. How to examine the chest in an uncooperative child.
5. Checking the baby for deafness.
6. Ocular examination by the pediatrician.