Veidlapa Nr. M-3 (8)
Study Course Description

Paediatrics Part 1 (Basics of Paediatrics I)

Main Study Course Information

Course Code
PEK_064
Branch of Science
Clinical medicine; Paediatrics
ECTS
6.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Paediatrics
Contacts

Riga, 45 Vienibas gatve, pk@rsu.lv, +371 67621730

About Study Course

Objective

The study course is designed for 4th and 5th year medical students to learn the fundamentals of paediatrics, including the structural and functional characteristics of a child's body, growth and development, common paediatric diseases (including infectious and surgical conditions), as well as essential skills for examining children and handling emergency situations while adhering to children's rights and ethical principles.

The course consists of four modules: Basics of Paediatrics I, studied in the 4th year, and Basics of Paediatrics II, Infectious Diseases of Children, and Paediatric Surgery, studied in the 5th year. Successful completion of the course ensures the student's readiness for further professional medical practice in residency training.

Preliminary Knowledge

Medical students can begin the course after successfully completing the 1st–3rd study years and subsequently the 4th year’s preclinical and clinical courses, including internal medicine and general surgery. Knowledge of humanitarian studies and social sciences is required to develop critical thinking and understanding of an individual in society. Proficiency in English is necessary. Knowledge of other EU languages is desirable. Additionally, a good understanding of medical terminology in Latin is required.

Learning Outcomes

Knowledge

1.Has a thorough understanding of the anatomical and physiological characteristics of the child, the patterns of growth and development at various stages of life, including the neonatal period, as well as the functional characteristics of the child’s organs and organ systems.

Individual work and tests

Cumulative final grade for the course • Preparation for lessons • Final assessment for the course

2.Is familiar with the principles of clinical examination and health assessment in children, including the principles of assessing neonatal reflexes, determining gestational age and evaluating physical development, as well as the characteristics of physiological and pathological signs appropriate to the child’s age.

Individual work and tests

Final assessment for the course • Preparation for lessons • Cumulative final grade for the course

3.Describes the aetiology, pathogenesis and clinical manifestations of acute and chronic childhood diseases covered in the course, and understands the principles of their diagnosis, treatment and prevention, covering endocrine, gastroenterological, respiratory, cardiovascular, rheumatological, haematological and urinary tract diseases, as well as the most common pathological conditions and infections in the neonatal period.

Individual work and tests

Cumulative final grade for the course • Preparation for lessons • Final assessment for the course

4.Explains the principles of clinical reasoning and the development of algorithms for managing paediatric conditions, including differential diagnosis, assessment of disease severity and warning signs, priorities for investigation and treatment, as well as planning for follow-up care.

Individual work and tests

Final assessment for the course • Preparation for lessons • Cumulative final grade for the course

5.Understands the principles and specific features of interpreting the results of laboratory and diagnostic tests at different stages of a child’s development, including the evaluation of blood tests and electrocardiograms, as well as the significance of these tests in the diagnosis and differential diagnosis of the most common diseases.

Individual work and tests

Preparation for lessons • Cumulative final grade for the course • Final assessment for the course

6.Understands the principles of protecting children’s rights, ensuring child safety and respecting the best interests of the child in paediatric care, including the recognition of child abuse and shaken baby syndrome, assessing risk factors for sudden infant death syndrome and the importance of preventing other life-threatening conditions.

Individual work and tests

Final assessment for the course • Cumulative final grade for the course • Preparation for lessons

Skills

1.Can, by assessing the child’s age, complaints, medical history and the results of clinical examinations, formulate a well-founded initial clinical assessment and, in consultation with a lecturer or healthcare professional, justify a possible diagnostic and management plan, considering the child’s best interests and the principles of evidence-based medicine.

Individual work and tests

Cumulative final grade for the course • Skills assessments | Clinical assessment of a child • Final assessment for the course

2.Can interpret the results of laboratory and diagnostic tests, using age-appropriate reference intervals and considering the patient’s medical history, clinical manifestations and evidence-based medical knowledge.

Individual work and tests

Final assessment for the course • Cumulative final grade for the course • Skills assessments | Clinical assessment of a child

3.Can systematically take a child’s medical history, including information on growth, development, nutrition and preventive care, as well as to carry out an age-appropriate physical examination, including palpation, percussion and auscultation, and to determine and assess vital signs in accordance with the child’s age and clinical condition.

Individual work and tests

Final assessment for the course • Cumulative final grade for the course • Skills assessments | Clinical assessment of a child

4.Can analyse paediatric clinical situations, identify the most significant health problems, evaluate possible diagnostic approaches, justify their opinion and formulate reasoned conclusions whilst participating in constructive professional discussions.

Individual work and tests

Skills assessments | Clinical assessment of a child • Final assessment for the course • Cumulative final grade for the course

5.Can communicate with the child, their parents or legal guardians, colleagues and other healthcare professionals, adapting communication to the child’s age, individual needs, level of understanding and cultural characteristics, whilst observing the principles of professional ethics and confidentiality.

Individual work and tests

Cumulative final grade for the course • Skills assessments | Clinical assessment of a child • Final assessment for the course

Competences

1.Can integrate theoretical knowledge, medical history data, and the results of clinical examinations and laboratory and diagnostic tests to identify the child’s health problems, justify an initial clinical assessment and formulate a provisional working diagnosis and priority differential diagnosis, evaluate a possible pathological process, identify signs of risk of complications, and describe the likely course and prognosis of the disease, taking into account the child’s age and clinical situation.

Individual work and tests

Skills assessments | Clinical assessment of a child • Skills assessments | Assessment of professional and ethical conduct during classes • Final assessment for the course • Cumulative final grade for the course

2.Acts in accordance with the principles of professional ethics, conduct and responsibility; demonstrates respectful attitude towards patients, their families and colleagues; and accepts and utilises feedback to improve their professional practice.

Individual work and tests

Cumulative final grade for the course • Final assessment for the course • Skills assessments | Assessment of professional and ethical conduct during classes • Skills assessments | Clinical assessment of a child

3.Demonstrates empathy, compassion, integrity and respect towards the child and their family; upholds the child’s best interests, children’s rights and the principles of confidentiality; and respects the individual needs of patients and their families, as well as their social and cultural diversity.

Individual work and tests

Skills assessments | Clinical assessment of a child • Skills assessments | Assessment of professional and ethical conduct during classes • Final assessment for the course • Cumulative final grade for the course

Assessment

Individual work

Title
% from total grade
Grade
1.

Preparation for lessons

-
Test

Task description: study the specified learning materials and prepare answers to the self-assessment questions on the class topic.

Requirements: to be completed individually before the relevant class, using the sources specified in the course.

Assessment criteria: accuracy of knowledge, explanation of key concepts, and justification of the principles of diagnosis, treatment and prevention during the discussion of clinical cases in the practical session.

Type and weighting of assessment: formative assessment – during the practical class, the lecturer and students provide feedback on the clinical reasoning process and the rationale behind the decisions made. Not graded; this does not affect the final course grade (weighting – 0 %).

Relevant learning outcomes: Z1 – Z6, depending on the topic of the session.

Examination

Title
% from total grade
Grade
1.

Cumulative final grade for the course

-
10 points

The final grade for the study course is combined to form the cumulative course grade. The grade reflects the student’s knowledge of the most common acute and chronic childhood illnesses, their clinical and practical skills, their ability to analyse clinical situations and justify diagnostic and therapeutic decisions, as well as their professional and ethical conduct and communication skills.

Requirements for completion: To obtain the final course grade, the student must complete the compulsory independent assignments and pass the final written and oral tests in accordance with the requirements set out for the course.

Assessment criteria: Assessment includes the accuracy of student’s knowledge and understanding of childhood diseases, the interpretation of clinical data, the logic of clinical reasoning, the rationale behind diagnostic and therapeutic decisions, the demonstration of practical skills, adherence to patient safety principles, professional ethics and communication. The cumulative final course grade is calculated by aggregating the summative grades obtained and the results of the final tests in accordance with the assessment procedure specified for the course.

Type and weighting of assessment: Summative assessment on a 10-point scale. The weighting of the final test in the overall course grade is determined in accordance with the course’s assessment procedures.

Extracurricular activities: Successful participation in extracurricular activities in the field of paediatrics, for example, the ‘School of Excellence in Paediatrics’, may be taken into account in raising the final grade by one grade, provided that this option and the conditions for its application are specified in the course assessment procedure.

2.

Final assessment for the course

-
10 points

Task description: the student answers, in writing, theoretical questions on the course material studied independently and self-assessment questions on the topics covered in the classes, orally – to questions based on clinical cases, justifying diagnostic and therapeutic decisions; the student presents a structured oral analysis of a clinical case and justifies the differential diagnosis, as well as the plan for investigation, treatment and follow-up care.

Conditions of assessment: the written test is taken individually at a specified time; the oral test is conducted individually following a standardised structure for case analysis.

Assessment criteria:

  • Clinical logic and justification of choices – assesses the ability to analyse the patient’s situation systematically, select an appropriate algorithm for action, and logically justify one’s choices;
  • Accuracy of knowledge and data interpretation, and prioritisation of actions – assesses how accurately the answers reflect current guidelines, terminology, aetiology, pathogenesis, clinical presentation, diagnosis, treatment and prevention;
  • Quality of reasoning and presentation of answers, including language – assesses how clearly the reasoning is formulated, whether it is supported by clinical logic or evidence, and whether it is superficial or oversimplified; also assesses the correct use of medical terminology;
  • Signs of excellence – assesses whether knowledge, skills and competence exceed the requirements for completing the study course and demonstrate the ability to carry out independent additional research into the problem (max. 1 point).

Assessment method and weighting: a summative assessment on a 10-point scale, evaluating the entire set of answers according to four criteria:

  • clinical logic and the rationale behind choices — up to 4 points;
  • accuracy of knowledge — up to 3 points;
  • quality of reasoning and presentation of the answer — up to 2 points;
  • signs of excellence — up to 1 point.

Maximum total grade: 10 points. Pass grade — at least 4 points. The written test accounts for 50% of the final grade.

Relevant learning outcomes: depending on the content of the test and the topic of the clinical case.

3.

Skills assessments | Clinical assessment of a child

-
Test

Task description: takes a medical history, carries out a physical examination and assesses the child’s condition either in the presence of the patient or based on a clinical case description, including the degree of dehydration/hypovolaemia or the level of risk in the event of a fever, and selects the appropriate course of action.

Conditions of completion: carried out individually under the supervision of a lecturer in a clinical setting or in a simulation, following a standardised task description.

Assessment criteria: recognition of clinical signs, accuracy in assessing the severity of the condition, evaluation of the course of action, communication and respect for the child’s rights.

Type and weighting of assessment: formative assessment is used in practical classes – the lecturer and students provide feedback on the clinical reasoning process, sequence of actions and justification of decisions. Not graded; weighting in the final assessment – 0 %.

The analysis of clinical cases is additionally assessed summatively in a written and oral test according to specified criteria: clinical logic and the justification of choices, accuracy of knowledge, quality of argumentation and signs of excellence. The grade is included in the final grade of the written and oral tests on a 10-point scale; the written test accounts for 50 per cent of the course final grade.

4.

Skills assessments | Assessment of professional and ethical conduct during classes

-
Test

Task description: demonstrates professional conduct, respectful communication, respect for children’s rights and the ability to act on feedback received.

Assessment conditions: assessed during classes according to criteria previously explained to students, with feedback provided.

Assessment criteria: responsible fulfilment of duties, respect, honesty, empathy, confidentiality, appropriate communication and responsiveness to feedback.

Type and weighting of assessment: formative assessment, observing the student’s behaviour/conduct, for example, adherence to confidentiality, respectful communication and the use of feedback provided during classes, whilst giving individual feedback in accordance with the specified criteria. Assessment is expressed individually as ‘meets requirements’ or ‘needs improvement’, specifying particular areas for improvement. Not graded; weighting in the final course assessment – 0 %. If improvements are required, the necessary actions are agreed upon and reassessed in subsequent classes.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Paediatrics as a medical field. Early stages of human development, their peculiarities and course. Description of childhood periods. Healthy child and criteria of development of a healthy child. Peculiarities of examination of a child by organ systems at different ages. Neonatal screening. Early diagnosis of metabolic disorders. Children’s state of health in Latvia. Ethics of child healthcare. The concept of paediatric palliative care.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Newborn baby – a full term child, preterm birth, post-term birth, the characteristics and the associated complications. Assessment of a newborn according to the gestational age. Description of the newborn period and adaptation period and clinical manifestations. Clinical manifestations of newborn disorders.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Anatomical physiological features of the respiratory system in different age groups of children. Bronchial asthma. Cystic fibrosis.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Cardiovascular and ECG peculiarities in children. The most common rhythm disorders in children.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Peculiarities of the endocrine system in different age groups. Specifics of hormonal analyses evaluation. Evaluation of children's bone health.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

The most common hemato-oncological diseases in children and description thereof. Peculiarities of leucosis in children.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Anatomically functional features of the digestive organ system. Malabsorption syndrome (cow’s milk protein allergy, celiac disease, cystic fibrosis). Differential diagnosis of vomiting and abdominal pain (colic, constipation, functional abdominal pain).
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

The most common urinary tract diseases in children and differential diagnosis thereof. Glomerulonephritis with nephritic and nephrotic syndrome in children. Acute renal failure. Chronic kidney disease. Pediatric hypertension.
Description

Video lecture

  1. Video Lecture

Modality
Location
Contact hours
Off site
Video
2

Topics

Possibilities and peculiarities of radiological examination of children.
Description

Video lecture

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Practical skills of examining a child through organ systems. Neonatal reflexes. MITC.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Child abuse as a medical problem. Clinical reasoning and action algorithms in clinical cases: shaken baby syndrome, sudden infant death syndrome, sudden death.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Age-related characteristics of diagnostic laboratory tests in children. The most common changes in blood counts, clinical reasoning, and diagnostic and management algorithms for clinical cases. Clinical reasoning and action algorithms in clinical cases: pancytopenia.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and functional characteristics of the endocrine system and the most common disorders in children. Clinical signs and symptoms (hypoglycaemia, hypothyroidism, thyrotoxicosis, polydipsia). Clinical reasoning and action algorithms in clinical cases: congenital hypothyroidism, congenital adrenal hyperplasia.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and physiological characteristics of the gastrointestinal system and the most common diseases in children. Clinical signs and symptoms (constipation, acute and chronic abdominal pain, vomiting, food intolerance). Clinical reasoning and action algorithms in clinical cases: peptic ulcer disease and gastritis.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Child growth and development: physical, motor and sexual development. Clinical reasoning and action algorithms in clinical cases: puberty disorders, obesity, malnutrition.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and functional characteristics of the airways and the most common diseases in children. Clinical signs and symptoms (cough, stridor, shortness of breath). Clinical reasoning and action algorithms in clinical cases: acute bronchitis with wheezing, community-acquired pneumonia.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Principles of child nutrition up to the age of 18. Clinical reasoning and action algorithms in clinical cases: difficulties with breastfeeding, feeding disorders in infants.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and physiological characteristics of the cardiovascular system and the most common diseases in children. ECG characteristics in children. Clinical signs and syndromes (cyanosis, heart failure). Clinical reasoning and action algorithms in clinical cases: congenital heart defects.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and functional characteristics of the musculoskeletal system and the most common diseases in children. Acute and chronic arthritis. Arthralgia. Differential diagnosis of fever. Clinical reasoning and action algorithms in clinical cases: juvenile idiopathic arthritis.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and physiological characteristics of the urinary tract in children. Clinical signs and symptoms (haematuria, urinary dysfunction). Clinical reasoning and action algorithms in clinical cases: urinary tract infections.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anatomical and functional characteristics of the haematopoietic system in children. Clinical reasoning and action algorithms in clinical cases: physiological anaemia, iron-deficiency anaemia and chronic inflammatory anaemia.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

The neonatal period – clinical examination and assessment of the newborn according to time of birth, weight/length, determination of gestational age, manifestations of the adaptation period. Infant colic. Clinical reasoning and action algorithms in clinical cases: a preterm infant.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

The most common conditions in the neonatal period. Localised infections in the neonatal period (skin, umbilicus, eyes). Clinical reasoning and action algorithms in clinical cases: jaundice, hypoxic-ischaemic encephalopathy.
Description

Practical Class

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Test - written
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Test - oral
Total ECTS (Creditpoints):
6.00
Contact hours:
66 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Kliegman, Robert M., St Geme, Joseph W., Blum, Nathan J., Shah,Samir S.,Tasker, Robert C., Wilson, Karen M. 2025. Nelson textbook of pediatrics. Elsevier Inc.Suitable for English stream

2.

E - studijās ievietotie mācību materiāli.Suitable for English stream

3.

RSU tiešsaistes datu bāzes: brīvpieejas datubāzes (PubMed), uz pierādījumiem balstītas medicīnas datubāzes- ClinicalKEY, DynaMedPlus, UpToDate.Suitable for English stream

Additional Reading

1.

Kliegman, Robert M., Lye, Patricia S., Bordini, Brett J., Toth, Heather, Basel, Donald. Nelson Pediatric Symptom-Based Diagnosis. 2022. Elsevier, Inc. All rights reserved.Suitable for English stream

2.

Marcdante, Karen J., Kliegman, Robert M. Nelson Essentials of Pediatrics. 2023, Elsevier, Inc. All rights reserved.Suitable for English stream