Dr. Adelle Atkinson
Associate Chair of Paediatrics, Education

Dr. Angela Punnett
Director, Undergraduate Medical Education

A. Pre-clerkship Curriculum in Paediatrics

1. Art and Science of Clinical Medicine Course

This course provides an introduction to clinical skills and begins in the first year of the curriculum. In the second year, there are five four-hour sessions in paediatrics. Small groups of three to four students are assigned to one clinical preceptor for hands-on clinical skills teaching which takes place at the Hospital for Sick Children or in the private offices of community paediatricians. The newborn session takes place at Mount Sinai Hospital, Sunnybrook Hospitalor St. Michael’s Hospital.

2. Mechanisms, Manifestations and Management of Disease (MMMD)

This is a problem-based learning course that spans 21 weeks and involves all of the major clinical disciplines. Each week is characterized by a "case of the week", problem-based learning tutorials and a small number of lectures and seminars. There are 2 1/2 weeks for which Paediatrics is responsible, but some additional cases in which paediatric objectives are included. 

3. Other Courses

The second year of the Determinants of Community Health (DOCH) course is entitled Researching Health in the Community. DOCH-2 has two core components: learning and demonstrating core research methods competencies and completion of each student's own research project. This course is a unique opportunity to demonstrate independent skills, reflection, and collaboration. Many students choose to pursue a project in Paediatrics. 

B. Clerkship Curriculum in Paediatrics

1. Third Year Clerkship in Paediatrics

Clerkship in Paediatrics is a six week course during which students are placed at SickKids (ward or ER) for 3 weeks and a community practice for 3 weeks or at a community hospital for 6 weeks. There are core seminars and teaching scheduled throughout the period at SickKids.
Link to clerkship handbook: http://www.md.utoronto.ca/Assets/FacMed+Digital+Assets/Student+Handbook+2012-2013.pdf

Course Objectives:


1.1 Apply a science-based approach to the diagnosis and management of common clinical problems in childhood and adolescence and demonstrate an empathic approach appropriate to clinical paediatric practice, in relation to children, parents, health professionals, peers, others and self. *See content list below

1.2 Demonstrate a thorough knowledge of normal growth and development of infants, children and adolescents; their interaction with common paediatric clinical problems and their management, including the immunizations and anticipatory guidance necessary for the promotion of well-being and optimal development, and the prevention of infections and unintentional injury; as well as the recognition and management of life-threatening illness in these age groups.

1.3 Demonstrate:
a) The ability to obtain and document a comprehensive and focused medical and psychosocial history from a caregiver and a child/adolescent regarding the health and illness of infants, children and adolescents.

b) The ability to perform and document an opportunistic, comprehensive and focused physical and developmental examinations of infants, children and adolescent, as the situation requires.

c) The ability to select and interpret commonly-employed laboratory tests, including tests of blood and other body fluids, various imaging modalities, and other specific tests in infants, children and adolescents.

d) The ability to synthesize the data derived from the history, physical and laboratory assessments and formulate a problem-oriented approach to the infant’s, child’s or adolescent’s health problems.

e) An approach to the common health problems of infants, children and adolescents including their treatment and ongoing management

1.4 Retrieve, analyze, and synthesize relevant and current data and literature, using information technologies and library resources, to supplement information provided in syllabus and seminars in order to address clinical paediatric problems.

1.5 Apply an approach based on evidence and clinical expertise integrated with family values to the diagnosis and management of common paediatric clinical problems.

2. Portfolio

The goal of this third year course is to promote greater professional self-awareness, as students enter the clinical world, specifically related to the six non-Medical Expert CanMEDS roles of Collaborator, Communicator, Manager, Health Advocate, Scholar, and Professional, using the specific skill of reflection. Paediatricians participate as Scholars and Junior Scholars in this course.

3.  Electives

Approximately 2000 Canadian and foreign elective students are accommodated for all types of experiences in the Department of Paediatrics each year. All divisions offer elective opportunities. All elective applications are processed by the electives office in the Faculty of Medicine at the University of Toronto. 

University of Toronto student electives link: http://www.md.utoronto.ca/program/electives.htm

International student electives link: http://admin.med.utoronto.ca/utme/international/index.cfm


Please see here for details on electives available at SickKids.