PED3-4130 Goals and Objectives



GOAL 1: History & Physical Examination


1. The student will be expected to obtain a detailed history from the patient and/or the parent. This will include:


  • Present Illness
  • Past History
  • Social History
  • Family History
  • Environmental History
  • Review of Systems
  • Any previous evaluation and physician visits
  • Special emphasis to be placed on the history pertaining to the respiratory system.
2. The student will perform a complete physical examination of all the major organ systems with special emphasis on the respiratory tract. The specific areas to emphasize are:
  • Configuration of the chest wall
  • Presence or absence of retractions
  • Use of accessory muscles
  • Ausculatory findings
  • Presence or absence of digital clubbing
  • Examination of the nasal mucosa
  • Examination of the middle ear
GOAL 2: Pertinent Laboratory Information
The student will learn the value of common pulmonary procedures.
1. The student will also be expected to interpret the findings on the chest radiograph, airway films, and CT of the chest.
2. The student will understand indications for and interpretation of pulmonary function studies. This would include: spirograms before and after bronchodilators, lung volume, single breath carbon monoxide diffusion and oxygen saturation. The student will observe pulmonary function studies performed by the pulmonary function technician.
3. The student will be expected to learn the indications for invasive procedures such as flexible bronchoscopy. He or she will observe bronchoscopies done by the attending physician. Teaching files in a digital format will be available for review.
GOAL 3: Normal Human Lung Development
1. The student will demonstrate knowledge of the normal embryology of the human lung and how deviation from normal development may cause disease. He/She will understand the growth and development of the postnatal lung.
GOAL 4: Pulmonary Physiology
1. The student will demonstrate knowledge of pulmonary mechanics including pulmonary compliance, resistance and time constants.
2. The student will understand the alveolar air equation and use it to predict oxygen requirement in given hypoxic disease states.
3. The student will understand normal ventilation perfusion relationships (V/Q) within the lung and how disease states produce alterations. Specifically they will understand the difference between high V/Q and low V/Q mismatches.
4. The student will be able to understand the difference between arterial oxygen saturation, partial pressure of oxygen and oxygen content.
GOAL 5: Specific Disease States
1. The student will demonstrate knowledge of the following disease states with mucociliary clearance defencts. These include cystic fibrosis, asthma, bronchiectasis and primary ciliary dyskinesia.
2. The student will demonstrate knowledge of infectious diseases of the lung such as Respiratory Syncytial Virus, Chlamydia, Pertussis, tuberculosis and bacterial or viral pneumonia. He or She will understand complications of bacterial pneumonia including management of parapneumonic effusions.
3. The student will understand concepts of diseases which cause disordered breathing in pediatric patients. These include: Sudden Infant Death Syndrome, apparent life threatening events, and obstructive sleep apnea.
4. The student will demonstrate knowledge of miscellaneous diseases or conditions affecting the lung including gastroesophageal reflux with or without aspiration, sickle cell disease, interstitial lung diseases, bronchopulmonary dysplasia, chronic granulomatous disease and hypstersititivity pneumonitis.
GOAL 6: Common Signs and Symptoms
1. The student will understand common sighs and symptoms such as:
  • Acute and chronic cough
  • Wheezing
  • Tachypnea
  • Dyspnea
  • Exercise intolerance
  • Failure to thrive
  • Recurrent pneumonia
  • Noisy breathing (stridor, snoring)
  • Digital clubbing
  • Hemoptysis
  • Apnea
  • Sleep disturbance
  • Cyanosis


UT College of Medicine Chattanooga     960 East Third Street, Suite 100     Chattanooga, TN 37403     (800)947-7823, ext 6956

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