1. Methodical developments: “Methodic of clinical examination of child

2. Tables: “Periods of children's age”, “Signs of maturity and prematurity of newborn child”, “Physiology and transitional conditions of neonatal period ”.

3. Tests of entrance control (10 examples).

4. Situation clinical tasks (10 examples).

Information sources.

А) Basic:

1. Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 71-89, 196-214

B) Additional:

2. Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. С.- Петербурg, 2001 – P.32-59.

Program of self-preparation of student to the theme:

1. To study the theoretical questions of theme (see List of information sources)

2. To be able to inquire healthy and sick child and his relatives, estimate the general condition of sick child depending on age. To be able to estimate the general condition of newborn, determine maturity of newborn, physiological and transitional conditions of neonatal period.

3. Pay attention to anatomical and physiological features of different periods of childhood and the features of structure and current of diseases. Understand a difference between the signs of born in term and mature newborn.

Semantic module 3. Physical and psychomotor development of children

Concrete aims:

• to measure the basic parameters of body of child (mass, length, circumference of head, thorax, thigh, shin, humerus)

• to calculate anthropometrical indexes

• to estimate of development by empirical formulas, sigma and percentile tables

• to make conclusion about physical development of child on the basis of findings

Theme 5. Physical development of children and anthropometry.

Theme 6. Estimation of physical development of children.

Theme of practical training: Physical development of children.

Place: Educational room in the somatic department.

Professional orientation of students.

The level of physical development in children's age is one of objective indexes of the condition of health. Indexes of physical development closely connected with numerous factors, which influence on the condition of heath, and is the result of cooperation of genetic factors and factors of environment. Indexes of physical development easily changes under influence of unfavorable factors. And estimation of physical development is element of control for the condition of health of the child and it is important in practical activity of doctor pediatrician.

Base level of knowledge and abilities

№	Discipline	To know
1	Anatomy	Anatomic structure of bones and muscles in children.
2	Physiology	Physiology indexes of growth and development of the child
3	Pathological physiology	Etiology and pathogenesis of infringements of growth and development.
4	Histology	Development of tissues structure of child's organism with age

Plan of conducting of training

№	Elements of practical training	Time (minutes)
1 2 3 4 5 6 7	Test control and its analysis Demonstration of technique of measuring of basic parameters of body of child (the mass, length, circ. of head, thorax, thigh, shin, humerus) Explaining of basic criteria and methods of estimation of physical development of different age children, and features of estimation of development of newborn. Independent work with children, measuring of basic parameters of body of child. Calculation of anthropometrical indexes, estimation of the measured indexes after empiric formulas, percentile tables. Estimation of physical development of child on the basis of findings. Registration estimation of physical development of child in reports and substantiation of syndromes of violation of physical development. Discussion and analysis of results of estimation of physical development of children, which students worked with. Results and final estimation of knowledge and abilities of students, and tasks to independent preparation to a next training.	15 min 15 min. 15 min. 15 min 45 min. 40 min. 15 min. Total 160 min.

List of theoretical questions:

1) Concept about physical development, value of its estimation.

2) Concepts about acceleration of development of children, basic hypotheses and mechanisms of acceleration.

3) Rules and modern tendency of physical development of children

4) Periods of „ stretching” and „rounding” in children's age, dependence them of sex, dwelling.

5) Indexes of physical development of children of different age and their estimation.

6) Empiric formulas of calculation of mass of body for the children of different age.

7) Empiric formulas of calculation of height of children in different periods.

8) Average monthly increases of mass of body on the first year of life.

9) Methods of estimation of physical development of children.

10) Features of estimation of physical development of newborns.

11) Rule and technique of measuring of height of children different age.

12) Rule and technique of measuring of mass of body of children

13) Rule and technique of measuring of circumferences of head, thorax, thigh, shin, humerus

14) semiotics of violations of physical development of children.

15) Physical education of children.

Method of conducting of practical training:

а) After verification of presents and announcement of theme of training with pointing on its actuality a teacher conducts the writing test entrance control of knowledge.

b) In the ward of department teacher demonstrates the technique of measuring of basic parameters of body of child (mass, length, circumference of head, thorax, thigh, shin, humerus)

c) The teacher explains basic criteria and methods of estimation of physical development of children, and feature of estimation of development of newborns.

d) The teacher distributes children for independent work, assigns:

• to conduct measuring of anthropometrical indexes of child;

• to calculate anthropometrical indexes of the child;

• to estimate the got indexes after empiric formulas, percentile tables;

• to make a conclusion about physical development of child, define the syndrome of its infringement.

e) Students design protocols of inspection of child with estimation of physical development, its violation.

f) The teacher conducts the analysis and discusses the results of estimation of physical development of children, which students worked with, signs protocols.

g) A teacher informs the students about the results of training, estimates the knowledge and abilities of students and gives the task for independent preparation to a next training.

Forms and methods of self-control:

Tests and situation tasks for the control: