Pediatrics 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
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
    Temporomandibular Joint Dysfunction/Syndrome
Rhinorrhea Allergies and Rhinitis Nasal Foreign Body
  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
    Peptic Ulcer Disease
Diarrhea Gastroenteritis Celiac Disease
    Clostridium difficile infection
    Inflammatory Bowel Disease – Crohn’s Disease and Inflammatory Bowel Disease – Ulcerative Colitis
    Toddler’s diarrhea
Vomiting Gastroenteritis Bowel obstruction
  Gastroesophageal Reflux (GERD) Congenital Adrenal Hyperplasia
  Pyloric Stenosis Diabetic Ketoacidosis
  Urinary Tract Infections/Pyelonephritis Eating Disorders
    Inborn Errors of Metabolism
    Intracranial Process (Increased Intracranial Pressure)
    Malrotation and Volvulus
Rash Atopic Dermatitis Drug Reaction
  Contact Dermatitis Erythema Toxicum
  Cellulitis Molluscum Contagiosum
  Impetigo Warts
  Head Lice  
  Fungal Infections  
  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
    Intracranial Process (Increased Intracranial Pressure)
    Metabolic Disorders
Seizures Febrile Seizures Idiopathic Seizures
    Post Traumatic Seizures
    Toxic Ingestion
Bruising Trauma Coagulopathy
Petechiae/Purpura Immume (Idiopathic) Thrombocytopenic Purpura Leukemia
  Sepsis Coagulopathy
  Trauma Rickettsial Disease
  Viral Illnesses  
Heart Murmur Innocent Murmur Anemia
    Congestive Heart Failure

    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  
White Pupillary Reflex Cataract  
Red Eye or Wandering Eye Conjunctivitis Allergy
  Strabismus Esotropia
    Foreign Body
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