Curriculum Map for Family Practice Residents from the American Academy of Family Physicians’
From the American Academy of Family Physicians’ Recommended Curriculum Guidelines
Attitudes
The resident should develop attitudes that encompass:
- The empathic concern for the health of the child in the context of the family
- The importance of continuity of and access to care for prevention of illness
- The promotion of health lifestyles in children and families
- The awareness of the unique vulnerabilities of infants and children that may require special attention, consultation and/or referral
- The impact of social, cultural and environmental factors that will affect the health and well-being of infants and children
- The important of educating the public about environmental factors that can adversely affect children and about development of community programs that promote the health of children
- Important of obtaining information about school performance and learning disabilities
Knowledge
- Fetal and Neonatal period
- Risk factors determined by gestational age assessment
- Effects of labor and delivery on the infant
- Adaptations to extrauterine life
- Diagnosis and role-appropriate management of:
- Meconium-stained amniotic fluid
- Perinatal asphyxia
- Respiratory distress
- Cyanosis
- Apnea
- Seizures
- Hypoglycemia
- Evaluations of possible sepsis
- Developmental dysplasia of the hip
- Birth-related injuries
- Anemia
- Rh and blood type incompatibility
- Polycythemia
- Jaundice
- Premature and Post-date gestations
- Maternal infections (HIV, Hepatitis, etc.)
- Well newborn and child care
- Recommended schedule and content for examinations from birth to adolescence years of age
- Anticipatory guidance appropriate to age and developmental stage
- Circumcision
- Feeding options and variations
- Temperament and behavior
- Developmental stages and milestones
- Developmental screening tests
- Family and social relationships
- Effective parenting
- School readiness
- Physical growth
- Feeding
- Growth and caloric requirements
- Normal growth and variants including Dental development
- Prevention and Screening
- Sudden infant death syndrome
- Psychological disorders
- Recognize families at high risk for parent-child interaction or psychiatric problems
- Evaluation, treatment and referrals for:
- Social and Ethical issues
- Genetics
- Screening issues, Metabolic disorders and Newborn screening
- Appropriate referral for necessary genetic diagnosis and counseling
- Developmental disabilities
Medical problems of infants and children: recognition, management and appropriate referrals
- Allergic
- Asthma
- Atopy
- Inflammatory
- Renal/urologic
- Endocrine/metabolic and Nutritional problems
- Neurologic problems
- Common skin
- Musculoskeletal
- Gastrointestinal
- Cardiovascular
- Respiratory tract – Pulmonary and Otolaryngology
- Ear
- Eye
- Other serious infections
Skills
See also Critical Care, Emergency Medicine and Neonatology for commonly performed procedures.
- Assign APGAR scores accurately
- Resuscitation of newborns, infants and children
- Perform and document age-appropriate history and physical examination, including use of growth charts
- Administer and interpret developmental screening tests
- Perform appropriate history and physical examination for physical or sexual abuse
- Interpret behavior questionnaires for parent/teacher assessment of attention/deficit problems
- Interpret hearing and vision screening tests
- Perform and interpret pneumatic otoscopy and tympanograms
- Bladder catheterization and suprapubic aspiration
- Vascular access, emergency and elective
- Perform lumbar puncture
- Calculate maintenance and replacement fluid and electrolyte requirements
- Coordinate patient care and specialty services when required
