This document describes the development of e-modules for teaching clinical pediatrics examinations to medical students. Video recordings were made of child examinations and development milestones over multiple sessions with consenting parents and children. The recordings were edited into individual clips and compiled longitudinally to demonstrate progression. The aim was to create an innovative online format for students to learn how to examine children and understand development, as this is difficult to teach from textbooks alone. Formal evaluation of the e-modules by students is pending, but initial feedback suggests students appreciate this interactive teaching approach. The project required significant time and organization from a dedicated team.

1. E-modules in clinical Paediatrics
By Dr Ian Sinha and Sanjay Patel

2. Acknowledgements
• Dr Mark Dalzell and Dr Melissa Gladstone
• University of Liverpool – Debbie Prescott and
R&D subgroup for funding
• Tutors at Alder Hey
• Children and parents
• Alder Hey nursery
• Department of Medical Illustration

3. Why did we do this?
• Theory needs to be learned, and then the
skills must be practiced
– time spent examining children is irreplaceable
• Observation is a powerful tool
• Examination of children different to adults
– Some students struggle to make the transition
• Development very difficult to teach using
textbook

4. Aim
• Develop e-modules which show students how
examinations should be done
• Develop an innovative format for teaching
child development : “longitudinal”

5. Recruitment and Consent
• Children recruited from nursery and wards.
• Before project
– Ethics committee approval
– Parental consent
• Following the project
– Each parent received a copy of their child’s
examination and parents/participants were given
a payment
– Patient identifiable information kept confidential

6. Method: Filming
• What did we film
– Development videos
– Examinations
– Lectures
• Filming
– Completed over 2 days + other sessions by the medical
photography department at Alder Hey
– Examinations and lectures demonstrated by staff at Alder
Hey
– Melissa Gladstone completed the development
examinations.
– All performed within Alder Hey hospital grounds

7. Method: Editing
• Completed by myself with the help of Ian
Sinha and Melissa Gladstone.
• How were the videos made?
– Recordings were split into clips showing individual
developmental milestones
– Individual clips were complied to demonstrate
progression
• Required lots of time and video editing
software

8. Example MCQ
• Which of the following are causes of speech
delay in children? (tick all that apply)?
– Deafness
– Autism
– Duchenne muscular dystrophy
– Cerebral palsy
– Tongue-tie

9. What have we learned?
• Innovation is possible with enthusiastic staff
• E-modules take time to develop
• Need somebody with dedicated time
• Organisationis key
• Students seem to like this format
– (pending formal evaluation)