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2018 MOCA-Peds Learning Objectives and Guidelines

Background:

2018 MOCA-Peds pilot questions will be based on 40 learning objectives drawn from the General Pediatrics Content Outline that reflect the breadth of knowledge required for practice. During the year, participating diplomates will receive two questions associated with each learning objective (not necessarily in the same quarter). While each diplomate will receive 40 learning objectives, diplomates will receive slightly different learning objectives depending on the practice profile setting they select the first time they login to the MOCA-Peds platform (general pediatrics with an inpatient focus, general pediatrics with an outpatient focus, or general pediatrics). These learning objectives will be uploaded to participants’ personal MOCA-Peds portfolio at the beginning of the pilot year. 

Featured Guidelines:

Each year, select guidelines/articles will be featured that all diplomates engaging in MOCA-Peds should read. The featured guideline is listed with its respective, starred (**) learning objective. Two questions for each guideline will appear within MOCA-Peds so diplomates should familiarize themselves with the guidelines prior to starting questions. These questions will be clinical vignettes, similar in style and format to other questions in MOCA-Peds.

Learning Objectives for 2018:

General Pediatrics with an Inpatient Focus

  1. **Evaluate and manage brief resolved unexplained events (BRUE).
    1. Subcommittee on Apparent Life Threatening Events. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants
  2. **Understand the recommendations for the prevention of peanut allergy.
    1. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel
  3. Evaluate a child with acute ataxia.
  4. Evaluate a child with arthritis/arthralgia.
  5. Evaluate a child with chronic headache.
  6. Evaluate a child with secondary enuresis.
  7. Evaluate a patient with chronic abdominal pain.
  8. Evaluate a patient with jaundice beyond the neonatal period.
  9. Evaluate an 18-month-old child with an abdominal mass.
  10. Evaluate and manage a child with possible bone or joint infection.
  11. Evaluate and manage a neonate with suspected sepsis.
  12. Evaluate and manage a patient with eye redness.
  13. Evaluate and manage a patient with metabolic acidosis.
  14. Evaluate the developmental status of infants from birth to 6 months of age.
  15. Evaluate the likelihood of abuse in an infant with a fracture.
  16. Identify an adolescent who is abusing opiates.
  17. Identify the child at risk for caregiver-fabricated illness.
  18. Know the differential diagnosis of back pain in an adolescent.
  19. Know the differential diagnosis of knee pain.
  20. Manage a patient with pleural effusion.
  21. Manage atopic dermatitis in a young child.
  22. Manage breast-feeding difficulties.
  23. Manage pain syndrome in a patient with sickle cell anemia.
  24. Manage symptoms of allergic rhinitis.
  25. Provide appropriate treatment for a sexually transmitted infection in an adolescent.
  26. Provide guidance regarding methods of contraception.
  27. Recognize and apply ethical principles regarding minors as decision makers.
  28. Recognize and evaluate an infant with an inborn error of metabolism.
  29. Recognize and plan initial evaluation of a child with suspected congenital adrenal hyperplasia.
  30. Recognize clinical and laboratory manifestations of hepatic failure.
  31. Recognize clinical manifestations of Henoch-Schönlein purpura.
  32. Recognize congenital abnormalities of the neck.
  33. Recognize health care barriers faced by undocumented immigrants.
  34. Recognize normal variations in pubertal development.
  35. Recognize respiratory distress and manage appropriately.
  36. Recognize the complications of chronic corticosteroid therapy.
  37. Recognize the features of congestive heart failure.
  38. Recognize the manifestations of separation anxiety.
  39. Respond to abnormal results of congenital heart disease screening in a neonate.
  40. Understand the principles and applications of study designs.

General Pediatrics with an Outpatient Focus

  1. **Evaluate and manage brief resolved unexplained events (BRUE).
    1. Subcommittee on Apparent Life Threatening Events. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants
  2. **Understand the recommendations for the prevention of peanut allergy.
    1. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel
  3. Evaluate a child with arthritis/arthralgia.
  4. Evaluate a child with chronic headache.
  5. Evaluate a child with secondary enuresis.
  6. Evaluate a child with tall stature.
  7. Evaluate a patient with chronic abdominal pain.
  8. Evaluate a patient with chronic cough.
  9. Evaluate a patient with jaundice beyond the neonatal period.
  10. Evaluate an 18-month-old child with an abdominal mass.
  11. Evaluate and manage a child with possible bone or joint infection.
  12. Evaluate and manage a neonate with suspected sepsis.
  13. Evaluate and manage a patient with eye redness.
  14. Evaluate and manage the behavioral complications of autism spectrum disorder.
  15. Evaluate the developmental status of infants from birth to 6 months of age.
  16. Evaluate the likelihood of abuse in an infant with a fracture.
  17. Identify an adolescent who is abusing opiates.
  18. Identify the child at risk for caregiver-fabricated illness.
  19. Know the differential diagnosis of back pain in an adolescent.
  20. Know the differential diagnosis of knee pain.
  21. Manage acne in the adolescent.
  22. Manage atopic dermatitis in a young child.
  23. Manage breast-feeding difficulties.
  24. Manage symptoms of allergic rhinitis.
  25. Plan the evaluation of a child with new-onset leukopenia.
  26. Provide appropriate treatment for a sexually transmitted infection in an adolescent.
  27. Provide guidance regarding methods of contraception.
  28. Recognize and apply ethical principles regarding minors as decision makers.
  29. Recognize and plan initial evaluation of a child with suspected congenital adrenal hyperplasia.
  30. Recognize clinical manifestations of Henoch-Schönlein purpura.
  31. Recognize congenital abnormalities of the neck.
  32. Recognize health care barriers faced by undocumented immigrants.
  33. Recognize normal variations in pubertal development.
  34. Recognize respiratory distress and manage appropriately.
  35. Recognize the complications of chronic corticosteroid therapy.
  36. Recognize the features of congestive heart failure.
  37. Recognize the genetic syndromes that may present as a learning disability.
  38. Respond to abnormal results of congenital heart disease screening in a neonate.
  39. Understand the differential diagnosis of excessive daytime sleepiness including narcolepsy.
  40. Understand the principles and applications of study designs.

General Pediatrics

  1. **Evaluate and manage brief resolved unexplained events (BRUE).
    1. Subcommittee on Apparent Life Threatening Events. Brief resolved unexplained events (formerly apparent life-threatening events) and evaluation of lower-risk infants
  2. **Understand the recommendations for the prevention of peanut allergy.
    1. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel
  3. Evaluate a child with acute ataxia.
  4. Evaluate a child with arthritis/arthralgia.
  5. Evaluate a child with chronic headache.
  6. Evaluate a child with secondary enuresis.
  7. Evaluate a patient with chronic abdominal pain.
  8. Evaluate a patient with chronic cough.
  9. Evaluate a patient with jaundice beyond the neonatal period.
  10. Evaluate an 18-month-old child with an abdominal mass.
  11. Evaluate and manage a child with possible bone or joint infection.
  12. Evaluate and manage a child with possible tick-borne illness.
  13. Evaluate and manage a neonate born to a diabetic mother.
  14. Evaluate and manage a neonate with suspected sepsis.
  15. Evaluate and manage a patient with eye redness.
  16. Evaluate the developmental status of adolescents.
  17. Evaluate the developmental status of infants from birth to 6 months of age.
  18. Evaluate the likelihood of abuse in an infant with a fracture.
  19. Identify an adolescent who is abusing opiates.
  20. Identify the child at risk for caregiver-fabricated illness.
  21. Know the differential diagnosis of back pain in an adolescent.
  22. Know the differential diagnosis of knee pain.
  23. Manage atopic dermatitis in a young child.
  24. Manage breast-feeding difficulties.
  25. Manage symptoms of allergic rhinitis.
  26. Plan the evaluation of a child with new-onset leukopenia.
  27. Provide guidance regarding methods of contraception.
  28. Recognize and apply ethical principles regarding religious or cultural exemptions for medical treatment.
  29. Recognize and plan initial evaluation of a child with suspected congenital adrenal hyperplasia.
  30. Recognize clinical manifestations of Henoch-Schönlein purpura.
  31. Recognize congenital abnormalities of the neck.
  32. Recognize health care barriers faced by undocumented immigrants.
  33. Recognize normal variations in pubertal development.
  34. Recognize patterns of opportunistic infection in an immunocompromised host.
  35. Recognize respiratory distress and manage appropriately.
  36. Recognize the complications of chronic corticosteroid therapy.
  37. Recognize the features of congestive heart failure.
  38. Recognize the genetic syndromes that may present as a learning disability.
  39. Recognize the manifestations of separation anxiety.
  40. Understand the principles and applications of study designs.