Pediatrics

Introduction

The Department of Paediatrics thrived even more in the areas of patient care, education, and research, as well as the ongoing fight against COVID-19 during the year 2020-2021. It has been a forerunner in the region in terms of paediatric education and research, as well as fulfilling the Institute's mandate of providing specialised tertiary paediatric care. The following are some of the highlights for the 2020-21 fiscal year:

  • Establishment of dedicated Paediatric COVID area to deal with COVID-19 infected children.
  • Extension of services to add 30 more beds to the existing Paediatric facilities at C2A ward.
  • In view of increasing number of COVID-19 MIS-C cases, the department had started dedicated area in PICU to provide specific care to these patients.
  • The department has further consolidated its existing Paediatric sub-speciality clinics and started Paediatric haemato-oncology and Adolescent clinic on Thursday afternoon. The dedicated filing & record keeping for all registered patients across all sub-speciality clinics have been further strengthened with involvement of designated residents under direct supervision of consultant.
  • The department had conducted 2nd and 3rd PICU observer-ship training programs for doctors and nurses of Bihar government and residents of the institute.
  • Parental education and mass awareness initiative in OPD area and indoor areas.
  • Department conducted multiple BLS foundation courses for undergraduate students under MBBS curriculum at our institute including AIIMS Kalyani and Gorakhpur.
  • Mass awareness of CPR, Sanjeevani Program for the health care providers in the hospital.
  • Revamp of Undergraduate (UG) curriculum to include major national Paediatric modules for more problem oriented –resource based Paediatric training of MBBS graduates.
  • Formulation of academic schedule for residents of the department to promote research interests &evidence-based management.
  • Formalisation of academic schedule of Continuing Nursing Education for staff nurses of the department along with continuation of Directly Observed Procedural Skills (DOPS) as a learning tool to promote safe healthcare.
  • Organisation of Paediatric Subspecialty CMEs & workshops with a vision to enhance intramural capabilities.
  • Publication & initiation of patient oriented, pragmatic research.

Paediatric facilities at C2A ward

1. Clinical Patient Care: The department, which is located in one of the most underserved areas in terms of health infrastructure in child health, has worked since its inception to bring evidence-based, protocol-driven, and holistic child health care to the region. The department firmly established itself as a tertiary referral centre for the region in 2020-21. The Department of Paediatrics offers services to both sick and healthy children.

  1. General OPD
  2. Dedicated COVID-19 patient care for the ongoing epidemic
  3. Specialty Clinics
  4. Indoor Services
  5. Pediatric Intensive Care Unit
  6. Neonatal Services
  7. Pediatric Emergency
  8. Postnatal services
  9. Child psychology services
  10. Interdepartmental services to sick children admitted in other specialties
2. Non-Clinical
  • Medical and nursing staff provide regular counselling to parents and attendants.
  • Every Thursday, a child psychologist manages parental stress (for admitted patients).
  • Telemedicine services for COVID-19 infected health care workers and their children.
  • COVID-19 ‘Help Desk’ for children and their parents.
3. Community service / Outreach Programme:
The landmark Sanjeevani programme teaches CPR skills to both health care providers and laypeople. The e-Sanjeevani (IAP e-BLS foundation course in collaboration with AIIMS Patna) was launched, with over 8,000 registrations; approximately 4,000 certificates have already been issued.
4. Teaching & Training: Courses being run by the department
Education:

Undergraduate Education: The Department of Paediatrics at AIIMS, Patna offers one of the most comprehensive curriculums for undergraduates, with over 140 hours of didactic teaching, 138 hours of tutorials, and 600 hours of clinical postings in the previous year. This year, the department redesigned the undergraduate curriculum to incorporate the NMC competency-based medical education (CBME) curriculum and modules such as Facility Based Integrated Management of Neonatal & Childhood Illnesses (FIMNCI), Facility Based Neonatal Care (FBNC), Basic Life Support (BLS), and Advanced Life Support (ALS), with the goal of producing medical graduates capable of bolstering child health services in the country. It held the 33rd IAP UG quiz in July 2020, which helped, pique the undergraduates' interest in the subject and foster higher order learning in them.

Postgraduate Education: The department currently employs thirteen PG trainees. This year, daily morning academics for postgraduate trainees, senior residents, and faculty totalled more than 146 hours. The department started ‘theme or organ system-based’ monthly exams for postgraduates to improve their recall, understanding, interpretation, and analysis skills. The scientific research awareness fostered by these academic sessions has resulted in a slew of projects, original papers, and research letters. We held the 14th IAP PG quiz in July 2020 to improve postgraduate students' mental stability in making quick decisions in an emergency situation and to stimulate their brain to learn more.

Nursing Education: The department strongly believes in empowering a supportive team of nursing professionals to provide dedicated, holistic, and safe health care. Regular sessions for staff nurses assigned to the department are held to improve capabilities in areas such as triage, procedures, asepsis routines, and so on. In the academic year 2020-21, the department has actively participated in the delivery of didactic weekly lectures in Paediatrics to B.Sc. Nursing students. In addition, in the academic year 2020-21, a number of BLS/CPR training sessions were held for nursing students.

Education innovation: As part of its efforts to improve workforce training, the Department has implemented an Objective Structured Clinical Examination (OSCE) and Directly Observed Procedural Skills (DOPS) for routine paediatric procedures. In addition, we have implemented student CMEs, integrated teaching for undergraduates, and microteaching at the senior resident level. DOPS has been a proven modality in improving Knowledge, Attitude, and Practices (KAP) of units worldwide, and thus it reflects the department's commitment to safe and quality healthcare in addition to being an innovation in training. Microteaching has also improved senior-level teaching and learning capabilities. The department's faculty are also participating in a Faculty development programme, which will help them improve their academics, research, and leadership skills.

SL No.Name of FacultyDesignation
1.Dr. Lokesh Kumar TiwariAdditional Professor & Head
2.Dr. Chandra Mohan KumarAdditional Professor
3.Dr. Pratap Kumar PatraAssociate Professor
4.Dr. Pradeep KumarAssistant Professor
5.Dr. Arun PrasadAdditional Professor - Paediatrics (T & E)
6.Dr. Bhabesh Kant ChoudhryAssistant Professor & Head - Paediatrics (Neonatology)

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In order to ensure protocol-driven management and organised patient follow-ups, the department established a number of speciality clinics. This year, the previously operating specialty clinics grew into formidable units in terms of total number of registered patients. The following is a list of the Department's specialty clinics.

Specialty clinics
  • Pediatric Renal Clinic (PRC)
  • Pediatric Immunology Clinic (PIC)
  • Pediatric Allergy & Asthma Clinic (PAAC)
  • Neurodevelopment Clinic (NDC)
  • Follow Up Clinic (General)
    Neonatal Follow up Clinic
  • Pediatric Seizure Clinic (PSC)
  • Adolescent clinic
  • Friday Pediatric Endocrinology Clinic
  • Pediatric Cardiology Clinic
Indoor Services:

Indoor Paediatric General Ward: Despite the fact that the hospital served only covid patients the majority of the time, there were 293 non-COVID patients admitted during the times when non-covid admissions were permitted.

COVD-19 services: The department has consistently contributed to the management of COVID patients in adult wards and the intensive care unit (ICU), besides adult patients 213 paediatric covid patients were also admitted. In addition, the department provided care and services to 53 neonates born to COVID-19 positive mothers in the COVID-NICU.

Paediatric Intensive Care Unit (PICU): We have a 14-bed PICU on the second floor of the D Block to care for sick and critically ill children. Despite the hospital being a dedicated COVID centre for the majority of the year, there were 416 admissions in 2019-20 and 103 non-covid admissions in 2020-21.

Neonatal Services: The paediatrics department continues to support and run neonatal services from paediatric areas while waiting for another dedicated neonatal ICU space. There is currently a Level III NICU that can provide comprehensive neonatal intensive care. In 2020-21, there were 99 admissions to the NICU.

Paediatric Emergency: The department could see 108 non-COVID emergency patients in the year 2020-21, as covid restrictions forced the closure of emergency services for the majority of the year.

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