Pediatrics WMCM-LE-PED-e

LEARNING OUTCOMES
The study program is based on the national medical education standard. For the course delivered in the 2025/26 academic year for 6th-year students, the applicable regulation is Resolution No. 117/2020, Annex No. 2.

WMKL_E.W2, WMKL_E.W3, WMKL_E.W4, WMKL_E.W6, WMKL_E.U2, WMKL_E.U4, WMKL_E.U7, WMKL_E.U8, WMKL_E.U9, WMKL_E.U10, WMKL_E.U11, WMKL_E.U13, WMKL_E.U14, WMKL_E.U16, WMKL_E.U27
Learning outcomes will be verified during the following types of classes:
• Seminars: WMKL_E.W2, WMKL_E.W3, WMKL_E.W4, WMKL_E.W6
• Practical Classes / Clinical Rotations: WMKL_E.U2, WMKL_E.U4, WMKL_E.U7, WMKL_E.U8, WMKL_E.U9, WMKL_E.U10, WMKL_E.U11, WMKL_E.U13, WMKL_E.U14, WMKL_E.U16, WMKL_E.U27
PROGRAM LEARNING OUTCOMES
In terms of Knowledge: The graduate knows and understands:
• E.W2. Principles of nutrition in healthy and ill children, including breastfeeding, protective vaccinations, and conducting child health assessments (well-child checkups);

• E.W3. Causes, symptoms, principles of diagnosis, and therapeutic management in the most common pediatric diseases:
1. rickets, tetany, seizures,
2. heart defects, myocarditis, endocarditis, pericarditis, cardiomyopathies, cardiac arrhythmias, heart failure, arterial hypertension, syncope,
3. acute and chronic diseases of the upper and lower respiratory tract, congenital malformations of the respiratory system, tuberculosis, cystic fibrosis, asthma, allergic rhinitis, urticaria, anaphylactic shock, angioedema,
4. anemias, hemorrhagic diatheses, bone marrow failure states, pediatric neoplastic diseases, including solid tumors typical of childhood,
5. acute and chronic abdominal pain, vomiting, diarrhea, constipation, gastrointestinal bleeding, peptic ulcer disease, inflammatory bowel diseases, pancreatic diseases, cholestasis, and liver diseases, as well as other acquired diseases and congenital malformations of the digestive tract,
6. urinary tract infections, congenital malformations of the urinary system, nephrotic syndrome, urolithiasis (kidney stones), acute and chronic renal failure, acute and chronic nephritis, systemic renal diseases, micturition disorders, vesicoureteral reflux disease,
7. growth disorders, thyroid and parathyroid diseases, adrenal gland diseases, diabetes mellitus, obesity, disorders of puberty and gonadal function,
8. cerebral palsy, encephalitis and meningitis, epilepsy,
9. most common pediatric infectious diseases,
10. genetic syndromes,
11. connective tissue diseases, rheumatic fever, juvenile idiopathic arthritis, systemic lupus erythematosus, dermatomyositis;
• E.W4. Issues concerning child abuse and sexual abuse, intellectual disability, and behavioral disorders – psychoses, addictions, eating and elimination disorders in children;
• E.W6. Most common life-threatening conditions in children and the principles of emergency management in these conditions.
In terms of Skills: The graduate is able to:
• E.U2. Conduct a medical history (anamnesis) with a child and their family;
• E.U4. Perform a physical examination of a child of any age;
• E.U7. Assess the general condition, level of consciousness, and state of awareness of the patient;
• E.U8. Assess the condition of a newborn using the Apgar scale, evaluate neonatal maturity, and examine neonatal reflexes;
• E.U9. Plot anthropometric measurements and blood pressure values on percentile charts;

• E.U10. Assess the stage of sexual maturation;
• E.U11. Perform routine health checkups (child health assessments);
• E.U13. Evaluate and describe the somatic and mental state of the patient;
• E.U14. Recognize immediate life-threatening conditions;
• E.U16. Plan diagnostic, therapeutic, and preventive procedures;
• E.U27. Qualify a patient for protective vaccinations.

COURSE LEARNING OUTCOMES
In terms of Knowledge, the Student:
• W1 – Analyzes complex clinical cases, synthesizes data from medical history, physical examination, and auxiliary tests, and formulates a broad differential diagnosis covering rare, multisystem, genetic, rheumatologic, and psychiatric diseases. (corresponds to E.W3, E.W4)
• W2 – Explains the pathomechanisms, clinical presentation, and management principles of genetic, monogenic, rheumatologic, autoimmune, metabolic, and neoplastic diseases, including atypical and complicated clinical presentations. (corresponds to E.W3)
• W3 – Characterizes diagnostic algorithms for Fever of Unknown Origin (FUO), evaluates possible etiologies (infectious, autoimmune, neoplastic, metabolic), and selects appropriate management. (corresponds to E.W3, E.W6)
• W4 – Describes the principles of diagnosis and management in developmental psychiatric disorders, including mood, anxiety, psychotic, eating, and behavioral disorders. (corresponds to E.W6)
• W5 – Assesses nutritional requirements of a sick child, including premature infants and patients with chronic or multisystem diseases, selects the appropriate mode of nutrition (breastfeeding/natural, enteral, parenteral), and qualifies the patient for protective vaccinations, taking into account contraindications, comorbidities, and current guidelines. (corresponds to E.W2)
In terms of Skills, the Student:
• U1 – Conducts a comprehensive examination of a child with an acute or chronic condition, evaluates general, neurological, mental, and functional status, and detects subtle signs of rare and multisystem diseases. (corresponds to E.U4, E.U7, E.U13)
• U2 – Interprets results of specialized diagnostic tests (EEG, echocardiogram, Holter monitoring, cerebrospinal fluid analysis, genetic, immunological, metabolic testing) and integrates them with the clinical picture. (corresponds to E.U16)
• U3 – Independently plans the full diagnostic process, selects treatment according to current guidelines, evaluates response to therapy, and modifies management depending on the course of the disease. (corresponds to E.U16)
• U4 – Recognizes life-threatening conditions, initiates pre-hospital and hospital management, and coordinates further diagnostic and therapeutic actions. (corresponds to E.U16)
• U5 – Provides care for a child with a chronic disease, coordinates specialist consultations, evaluates treatment complications, and plans rehabilitation and prevention strategies. (corresponds to E.U16)

• U6 – Obtains a complete, targeted, and in-depth pediatric history covering atypical symptoms, chronic course, genetic, environmental, and psychosocial factors, and synthesizes data to formulate diagnostic hypotheses in complex cases. (corresponds to E.U2)
• U7 – Conducts a comprehensive physical examination of a sick child, detects subtle signs of rare and multisystem diseases, and monitors the dynamics of clinical changes during the disease course. (corresponds to E.U4)
• U8 – Evaluates the condition of newborns and infants, including premature infants and neonates with chronic conditions or congenital malformations, interprets abnormalities, and differentiates conditions requiring urgent intervention. (corresponds to E.U8)
• U9 – Analyzes anthropometric measurements and blood pressure, interprets growth and developmental disorders in the context of endocrine, metabolic, genetic, and chronic diseases, and plans further diagnostic evaluation. (corresponds to E.U9)
• U10 – Assesses the stage of sexual maturation, differentiates pubertal disorders, and interprets their potential endocrine, metabolic, genetic, and psychosocial causes. (corresponds to E.U10)
• U11 – Performs health assessments (checkups) in healthy and chronically ill children, evaluates somatic and psychomotor development, and identifies abnormalities requiring specialist diagnosis. (corresponds to E.U11)
• U12 – Recognizes immediate life-threatening conditions, implements management in accordance with current guidelines, and coordinates further diagnostic and therapeutic actions in a pediatric ward setting. (corresponds to E.U14)
• U13 – Qualifies patients for protective vaccinations, evaluates contraindications and risks in children with chronic diseases, immunodeficiencies, genetic disorders, or those undergoing immunosuppressive therapy. (corresponds to E.U27)

DETAILED METHODS OF VERIFICATION (ASSESSMENT)

Formative assessment methods (e.g.):
• Observation of student's performance / work
• Entry test / pre-test
• Assessment of class participation and activity
• Assessment of individual procedure/task completion
• Assessment of preparation for classes
• In-class discussion
• Partial assessments / mid-term quizzes
• Initial assessments / preliminary checks
• Case report / case description

Summative assessment methods (e.g.):
• Oral examination
• Written examination (multiple-choice test, open-ended essay exam, report, Short Answer Questions – SAQ / Short Structure Questions – SSQ, etc.)
• Practical examination (using simulators / manikins)
• Completion of a specific assignment: project, presentation

Social competences (Assessment method):
• Direct observation of student behaviors, attitudes, and opinions expressed during classes

COURSE COMPLETION AND ASSESSMENT
1. Attendance and active participation in all classes are required to pass the course and to be admitted to assessments and the final exam.
2. Missed classes must be made up at another time or, if this is not possible due to organizational reasons, passed under the conditions and within the deadline specified by the instructor.
3. Passing the course is based on the final assessment covering the entire core content of the subject, which consists of:
o topics presented during seminars and practical classes,
o knowledge acquired through self-directed study of required textbooks.
4. Admission to the final assessment requires passing both the seminars and the practical part of the course.
5. A student must obtain a grade of at least "3.0" on the final assessment to pass the course.
6. The student is entitled to take each assessment once on the regular date (first attempt) and once on a retake date (retake attempt). Their form and dates are determined by the course coordinator.
7. Failure to achieve a passing grade on the retake attempt results in failing the course.
8. Retake attempt: The form and date for passing practical classes/seminars are determined by the course coordinator. Contact with the course coordinator is recommended.
9. Making up missed classes:
1. Attendance at classes is mandatory; however, an absence may be excused (and made up) upon presenting a medical certificate or under other circumstances.
2. Missed classes must be made up at another time or, if this is not possible due to organizational reasons, passed under the conditions and within the deadline specified by the instructor.
1. Seminars: Making up an absence by attending a seminar with another group / contacting the Pediatrics Coordinator.
2. Practical classes: Absences from practical classes must be made up according to the rules set by the instructor (a different date, attending a medical call shift) / contacting the Pediatrics Coordinator.
3. Passing Pediatrics requires not only a passing test score, but also attendance at all practical classes and seminars / excused absences.
PRACTICAL CLASSES
The scope of assessment covers the following skills:
• Physical examination (bedside evaluation of the skill to examine at least 2 organ systems / organs chosen by the physician) and:
• Analysis of selected diagnostic tests / conducting differential diagnosis / determining diagnostic and therapeutic procedures.
The instructor conducts the assessment orally or in writing (3 questions) based on clinical cases encountered by the student during practical classes or based on medical records of other patients hospitalized in the Department.
Obtaining correct answers to 2 out of 3 questions (60%) is required to pass.
The attending physician/instructor logs the assessment result (passed / failed) on the student evaluation card, which is then submitted to the Pediatrics Course Coordinator.
In case of failing the practical classes, the student agrees on an additional retake date with the instructor.
SEMINARS
The seminar assessment takes the form of a multiple-choice test (colloquium: 25 single-choice questions, options A, B, C, D, E, one correct answer), taken on the last day of classes / date determined individually.
Passing the practical classes is a prerequisite for taking the seminar assessment.
Students may take the test with a maximum of 1 day of excused absence. In case of absence exceeding 1 day, the test must be taken with another group (usually on their last day of classes) / after agreement with the Pediatrics Coordinator.
Passing threshold: 60% of correct answers.
Grading scale:
• < 60% – 2.0
• 60–67% – 3.0
• 68–75% – 3.5
• 76–83% – 4.0
• 84–91% – 4.5
• 92–100% – 5.0
Retake attempt: The form and date for passing the seminars are determined by the course coordinator (oral or written test assessment – test at the end of another group's rotation block). Contact with the course coordinator is recommended.

RECOMMENDED LITERATURE
Lissauer, T., & Carroll, W. Illustrated Textbook of Paediatrics (5th Edition). Elsevier
Buda, P., & Grenda, R. (Eds.). On-Call Guide – Pediatrics (Poradnik dyżuranta – pediatria). Standardy Medyczne / Media-Press, Warsaw 2021 (pp. 19–241).

SUPPLEMENTARY LITERATURE
Kliegman, R. M., & St. Geme, J. W. (Eds.). Nelson Textbook of Pediatrics (22nd Edition). Elsevier.

Dodatkowe informacje (np. o kalendarzu rejestracji, prowadzących zajęcia, lokalizacji i terminach zajęć) mogą być dostępne w serwisie USOSweb:

• Strona przedmiotu WMCM-LE-PED-e w USOSweb