Pediatrics

Pediatric Nephrology clinic:

Venue: Pediatric OPD no.13

Timing: Monday 2PM to 4PM

Faculty In charge: Dr. Shradda Kulkarni

Assisted by: Senior and Junior Residents

Primary objective:

1. Registration of children suffering from Acute and Chronic kidney disorders. Detailed record is maintained in hard and soft copy as an excel sheet document.
2. To recognize and diagnose specific kidney disorder and provide optimum care
3. To address other co-existing co morbidities in children with kidney disease
4. To educate and counsel care givers with help of information booklets and AV Aids
5. To have Written treatment plan for every patient and facility for inter departmental discussion

Secondary objectives:

1. To conduct and organize training modules and workshops in pediatric nephrology for undergraduate, Post graduate students and faculty.
2. Data entry and storage
3. Conduct research in common pediatric kidney disorders like Nephrotic syndrome, Acute renal failure and secondary hypertension.
4. To discuss difficult cases with other faculty and experts outside institute.

Pediatric Respiratory and Asthma clinic:

Venue: Pediatric OPD no.13

Timing: Tuesday 2PM to 4PM

Faculty In charge: Dr. Suhas Kulkarni

Assisted by: Senior and Junior Residents

Primary objectives:

1. Registration of all children with uncontrolled or poorly controlled asthma across all units in the asthma clinic. A detailed file is maintained for each patient in the form of hard copy as well as an excel document. Spirometry is conducted of children.
2. Develop and implement treatment plans for children with respiratory issues
3. To maintain long term, follow up both remotely by tele consults and in person at the clinic
4. Offer education to parents and caregivers on managing and preventing respiratory issues to children including proper use of medications and recognizing early signs of exacerbation.
5. To have a written asthma action plan (short term and long term) for every patient
6. Provide emotional and practical support to children and their families regarding impact of respiratory conditions on overall wellbeing

Secondary objectives:

1. Data Entry and storage
2. Follow-up care to track the progress of child and make adjustments to treatment plan as needed
3. Offering counselling and guidance to patients and their families addressing concerns, fears.
4. Conduct research in asthma including publications, conference presentations and dissertations.
5. Collaboration with educational institutions to create asthma or respiratory action plans for children, ensuring that necessary support is in place during school hours.
6. Engage in community outreach programs to raise awareness about pediatric respiratory health, prevention strategies and available resources.
7. Encouraging and facilitating the participation of pediatric patients in relevant clinical trials or research.
8. To discuss difficult cases with other faculty in the department as well as experts in the field of asthma outside the institute as well.
9. To report the activities of the clinic every quarter to the HOD and other faculty.

Resources available:

1. Asthma patient Information Booklet, self-monitoring asthma symptom sheet
2. Asthma patient file and Pediatric respiratory clinic file-both for new and follow up patients.
3. Various drug delivery devices, medications, peak flowmeters to use for demonstration along with placebo medications which can be used for teaching and training purpose as well.

Pediatric Cardiology clinic:

Venue: Pediatric OPD no.13

Timing: Tuesday 2PM to 4PM

Faculty In charge: Dr. Ravindra Pawar

Assisted by: Senior and Junior Residents

Primary objectives:

• Registration of all children who attend cardiology clinic, a detailed file is maintained of each patient in form of hard and soft copies or an excel document
• Clinical examination is performed by pediatric cardiologist and chest Xray, ECG, ECHO, CT angiography as and when necessary.
• To maintain long term follow of patient suffering from cardiac disease to educate and counsel caregivers regarding disease process with the help of AV AIDS, information booklets and cardiac models.
• To emphasize on importance of compliance for treatment and follow up

Secondary objectives:

1. To organize and conduct training modules and workshops for post graduate students and faculty
2. Data entry and storage
3. Conduct research in pediatric cardiac disorders including publication, presentation and dissertation
4. To discuss difficult cases with other faculty and experts outside institute.
5. To report the activity of the clinic to the HOD every month.

Resources available:

1. Spacious OPD and 2DEcho facility in OPD complex
2. Facility of ECG, Chest Xray, color doppler, CT Angiography
3. Pediatric cardiology file
4. Patient information booklet, growth record and immunization record.

Well baby clinic:

Venue: Pediatric OPD no.13

Timing: Wednesday 2PM to 4PM

Faculty In charge: Dr. Nivedita Patil

Assisted by: Senior and Junior Residents

Primary objectives:

1. Regularly assessing and monitoring the physical and developmental health of infants and young children.
2. Administering and tracking vaccinations to ensure children are protected against preventable diseases.
3. Providing guidance and support for proper infant and child nutrition to promote healthy growth and development.
4. Conducting developmental screenings to identify any potential delays or issues early on, allowing for timely interventions.
5. Disseminating information about common health concerns, such as breastfeeding, sleep patterns, and common illnesses, to empower parents with knowledge.
6. Educating parents and caregivers on essential childcare practices, including hygiene, safety, and early childhood development.

Secondary objectives:

1. Data entry and storage
2. Establish a resource center with educational materials, brochures, and online resources to further assist parents in their child-rearing journey.
3. Conducting Early Intervention Programs by collaborating with early intervention services for children with identified developmental delays, ensuring prompt and tailored interventions.
4. Conduct workshops on relevant topics such as child safety, first aid, and mental health awareness for parents and caregivers.
5. Collaborate with researchers to contribute to the understanding of child health trends and effective interventions, ensuring practices are evidence-based.
6. To report the activity of the clinic to the HOD every month.

High risk new born follow up clinic:

Venue: Pediatric OPD no.13

Timing: Wednesday 2PM to 4PM

Faculty In charge: Dr. Vijay Mali

Assisted by: Senior and Junior Residents

Primary objectives:

1. Follow up of NICU graduates which includes preterm<36 weeks, Low birth weight neurological problems, chronic lung disease, long ventilation days babies.
2. Evaluation of growth (intergrowth 21) a development (GDM score) of high risk neonates.
3. Detect early signs of Neuro motor delay and cerebral palsy.
4. Consultation with speech therapist, ophthalmologist, physiotherapist, nutritional counselling and social support.

Secondary objectives:

1. Data entry and storage
2. To discuss difficult cases with other faculty and experts outside institute
3. Conducting outreach programs to raise awareness within the community about high-risk newborns, their unique needs, and the importance of early intervention and support.
4. Foster a culture of research within the clinic to continuously explore new treatment modalities, interventions, and technologies that can enhance outcomes for high-risk newborns.
5. Implementing continuous quality improvement initiatives to enhance the effectiveness of care delivery, incorporating feedback from parents and healthcare professionals.
6. To report the activity of the clinic to the HOD every month.

Hematology and Thalassemia clinic:

Venue: Pediatric OPD no.13

Timing: Thursday 2PM to 4PM

Faculty In charge: Dr. Priti Naik

Assisted by: Senior and Junior Residents

Primary objectives:

1. Diagnosing and treating disorders of the blood and blood-forming tissues such as anemia, leukemia, and hemophilia.
2. Assessing and managing blood clotting disorders, including thrombosis and bleeding disorders.
3. Interpretation and analyzing blood tests, such as complete blood counts, coagulation profiles, and bone marrow biopsies, to aid in the diagnosis and monitoring of blood disorders.
4. Providing genetic counseling and testing for inherited blood disorders, such as sickle cell disease or thalassemia.
5. Establishing a systematic and timely blood transfusion schedule for patients with thalassemia to manage anemia effectively
6. Monitoring and administering iron chelation therapy to prevent iron overload complications associated with regular blood transfusions.

Secondary objectives:

1. Thalassemia day celebration
2. Conducting community outreach programs to raise awareness about thalassemia, its prevention, and the importance of carrier screening within at-risk populations.
3. Conducting research in thalassemia related projects.
4. Providing ongoing education and training for healthcare professionals involved in pediatric hematology, ensuring a high standard of care and staying current with advancements.
5. Data entry and storage
6. To report the activity of the clinic to the HOD every month.

Pediatric Neurology clinic:

Venue: Pediatric OPD no.13

Timing: Friday 2PM to 4PM

Faculty In charge: Dr. Mohan Patil sir

Assisted by: Senior and Junior Residents

Primary objectives:

1. Identifying and addressing neurological disorders in children, ranging from common conditions like epilepsy and headaches to more complex issues such as neurogenetic disorders.
2. Tracking and assessing the neurological development of children, identifying any delays or abnormalities that may require intervention.
3. Specialize in the diagnosis, treatment, and management of seizures and epilepsy in pediatric patients.
4. Addressing conditions affecting the muscles and nerves, such as muscular dystrophy and neuropathies, in order to optimize function and quality of life.
5. Evaluation and managing neurological issues impacting a child’s cognitive and behavioral functions, including attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorders.
6. Specialize in the diagnosis and treatment of headaches and migraines in children, considering both acute and preventive approaches.
7. Addressing neurological issues that arise in newborns, including birth-related injuries and conditions affecting the developing brain.

Secondary objectives:

1. Contributing to scientific research in pediatric neurology, seeking to understand the underlying mechanisms of neurological disorders and exploring innovative treatment approaches.
2. Collaboration with Multidisciplinary Teams: Working closely with other healthcare professionals, including pediatricians, neurosurgeons, psychologists, and therapists, to ensure comprehensive care for children with neurological conditions.
3. Contributing to the education and training of medical students, residents, and other healthcare professionals, sharing expertise in pediatric neurology.
4. Data entry and storage
5. To report the activity of the clinic to the HOD every month.

Child guidance clinic:

Venue: Pediatric OPD no.13

Timing: Saturday 2PM to 4PM

Faculty In charge: Mrs. Urmila Bhosale and Dr. Devyani Kulakarni

Assisted by: Senior and Junior Residents

Primary objectives:

1. Identifying and assessment of early signs of behavioral, emotional and developmental issues in child through comprehensive screenings and assessments.
2. Assessment of physical (e.g., height) and pubertal changes (e.g., delayed changes, menses related) during adolescence.
3. Overweight/obesity /eating disorders.
4. Adolescent behavioral and emotional problems requiring counseling.
5. Coping Skills to handle chronic illnesses (requiring prolonged medication and multiple hospital visits with any other department)
6. Sexuality related issues
7. Drug use and abuse issues
8. ‘Risky behaviors’ related counseling.
9. Guidance to parents on adolescent parenting

Secondary objectives:

1. Training of undergraduate and postgraduate students in Adolescent friendly health service (AFHS) and approach to an adolescent patient
2. Research opportunities on Teen health issues
3. Data entry and storage
4. To report the activity of the clinic to the HOD every month.

Resources available:

1. Adolescent growth charts
2. Reference charts for Tanner staging
3. Orchidometer
4. Menstrual calendar

ORT and Immunization clinic:

Venue: Pediatric OPD no.13

Timing: Everyday 2PM to 4PM

Faculty In charge: Dr. Devyani Kulakarni

Assisted by: Senior and Junior Residents

Primary objectives:

1. Administering and promoting timely and age-appropriate vaccinations to protect children from preventable diseases, following national immunization schedules.
2. Monitoring and tracking vaccine coverage rates within the community, aiming for high immunization coverage to establish herd immunity and prevent outbreaks.
3. Educating parents and caregivers on the importance of oral rehydration therapy, including proper preparation of oral rehydration solutions and recognizing signs of dehydration.
4. Monitoring the progress of children receiving oral rehydration therapy and provide appropriate follow-up care to assess their recovery and prevent relapses.

Secondary objectives:

1. ORS day celebration
2. Collaborate with schools to organize immunization clinics, ensuring that students are up-to-date with their vaccinations and providing convenient access for parents.
3. Engaging in research initiatives to assess the effectiveness of vaccines in the local population
4. Provides training for care givers to educate families about the benefits of ORT and recognize early signs of dehydration in children.
5. Develop and distribute educational materials, including pamphlets and videos, to reinforce key messages about oral rehydration therapy, dehydration prevention, and proper fluid management.
6. Data entry and storage
7. To report the activity of the clinic to the HOD every month.