Curriculum Map for Medical Students' Pediatric Education from COMSEP

COMSEP is the Council on Medical Student Education in Pediatrics

Presenting Symptom, Finding, or Laboratory Value	Core Pediatric Level (Learner demonstrates these competencies by the end of core pediatric clerkship)	Mastery Level (Learner may demonstrate these competencies by end of medical school)
Cough and/or Wheeze	Asthma	Allergic Rhinitis
	Bronchiolitis	Chlamydia Pneumonia
	Community Acquired Pneumonia	Cystic Fibrosis
	Croup	Gastroesophageal Reflux (GERD)
	Viral Upper Respiratory Tract Infection	Laryngomalacia and Tracheomalacia
		Pertussis
		Tuberculosis

Fever Without a Focus	Bacterial Infections and Sepsis	Juvenile Rheumatoid Arthritis
	Meningitis	Malignancy and Leukemia
	Occult Bacteremia
	Urinary Tract Infections/Pyelonephritis
	Viral Illnesses

Sore Throat	Group A Streptococcal Pharyngitis	Peritonsillar Abscess
	Mononucleosis	Retropharyngeal Abscess
	Postnasal Drip
	Viral Upper Respiratory Tract Infection

Otalgia	Otitis Media, Acute and Recurrent	Dental caries
	Otitis Media with Effusion	Foreign Body of the Canal
	Otitis Externa	Mastoiditis
		Pharyngitis
		Temporomandibular Joint Dysfunction/Syndrome

Rhinorrhea	Allergies and Rhinitis	Nasal Foreign Body
	Sinusitis
	Viral Upper Respiratory Tract Infection

Fever and Rash	Group A Streptococcal Infection	Drug Reaction
	Kawasaki disease	Juvenile Rheumatoid Arthritis
	Meningococcemia	Lyme disease
	Viral Exanthem	Rickettsial Disease
		Toxic Shock Syndrome – Staphylococcal Infections and Toxic Shock Syndrome – Streptococcal Infections

Abdominal Pain	Appendicitis	Bowel Obstruction
	Constipation and Encopresis	Cholecystitis
	Gastroenteritis	Dysmenorrhea
	Henoch-Schönlein Purpura	Gastritis
	Intussusception	Incarcerated Hernia
	Pelvic Inflammatory Disease	Inflammatory Bowel Disease – Crohn’s Disease and Inflammatory Bowel Disease – Ulcerative Colitis
	Urinary Tract Infections/Pyelonephritis	Malignancy and Leukemia
		Malrotation and Volvulus
		Ovarian Torsion or Testicular Torsion
		Pancreatitis
		Peptic Ulcer Disease
		Pregnancy

Diarrhea	Gastroenteritis	Celiac Disease
		Clostridium difficile infection
		Constipation/Encopresis
		Inflammatory Bowel Disease – Crohn’s Disease and Inflammatory Bowel Disease – Ulcerative Colitis
		Malabsorption
		Toddler’s diarrhea

Vomiting	Gastroenteritis	Bowel obstruction
	Gastroesophageal Reflux (GERD)	Congenital Adrenal Hyperplasia
	Pyloric Stenosis	Diabetic Ketoacidosis
	Urinary Tract Infections/Pyelonephritis	Eating Disorders
		Hepatitis
		Inborn Errors of Metabolism
		Intracranial Process (Increased Intracranial Pressure)
		Malrotation and Volvulus
		Meningitis
		Poisoning
		Pregnancy

Rash	Atopic Dermatitis	Drug Reaction
	Contact Dermatitis	Erythema Toxicum
	Cellulitis	Molluscum Contagiosum
	Impetigo	Warts
	Head Lice
	Fungal Infections
	Scabies
	Seborrhea
	Urticaria
	Viral Exanthem

Limp or Extremity Pain	Developmental Dysplasia of the Hip	Acute Rheumatic Fever
	Fractures	Henoch-Schönlein Purpura
	Legg-Calvé-Perthes disease	Juvenile Rheumatoid Arthritis
	Nursemaid’s Elbow	Lyme Disease
	Osgood Schlatter Disease	Malignancy and Leukemia
	Osteomyelitis	Reactive Arthritis
	Septic Arthritis	Sickle Cell Crisis
	Slipped Capital Femoral Epiphysis
	Transient Synovitis

Headache	Meningitis	Brain Tumor
	Tension Headache	Concussion
		Hydrocephalus
		Intracranial Process (Increased Intracranial Pressure)
		Metabolic Disorders

Seizures	Febrile Seizures	Idiopathic Seizures
		Meningitis
		Post Traumatic Seizures
		Toxic Ingestion

Bruising	Trauma	Coagulopathy
		Leukemia

Petechiae/Purpura	Immume (Idiopathic) Thrombocytopenic Purpura	Leukemia
	Sepsis	Coagulopathy
	Trauma	Rickettsial Disease
	Vasculitis
	Viral Illnesses

Heart Murmur	Innocent Murmur	Anemia
		Congestive Heart Failure
		Myocarditis
		Patent Ductus Arteriosus
		Valvular Defects

Lymphadenopathy	Bacterial Adenitis	Cat Scratch Disease
	Group A Streptococcal Pharyngitis	HIV/AIDS
	Viral Illnesses (General or Specific such as EBV)	Kawasaki Disease
		Malignancy and Leukemia
		Mycobacterial Adenitis

Splenomegaly	Malignancy and Leukemia	Hemolytic Anemia
	Mononucleosis	Sickle Cell Anemia (Infancy)
		Systemic Infectious Diseases

Hepatomegaly	Hepatitis	Congestive Heart Failure
		Inborn Errors of Metabolism
		Systemic Infectious Diseases

Abdominal mass	Hydronephrosis
	Malignancy and Leukemia
	Pregnancy
	Stool

White Pupillary Reflex	Cataract
	Retinoblastoma

Red Eye or Wandering Eye	Conjunctivitis	Allergy
	Strabismus	Esotropia
		Exotropia
		Foreign Body
		Trauma

Anemia	Iron Deficiency Anemia	Anemia of Chronic Disease
	Sickle Cell Anemia	Bone Marrow Failure
	Thalassemia	Hemolytic Anemia
		Hemolytic Uremic Syndrome
		Malignancy and Leukemia

Hematuria	Glomerulonephritis	Benign Familial Hematuria
	Trauma	Hemolytic Uremic Syndrome
	Urinary Tract Infections/Pyelonephritis	Hypercalciuria

Proteinuria	Nephrotic Syndrome	Transient Proteinuria
	Orthostatic Proteinuria	Glomerulonephritis

Positive Mantoux Skin Test	Latent Tuberculosis	Non-tuberculosis Mycobacterial Infection
	Active Tuberculosis

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