The American Board of Pediatrics® Content Outline
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THE AMERICAN BOARD OF PEDIATRICS® CONTENT OUTLINE General Pediatrics In-Training, Certification, and Maintenance of Certification Examinations Effective for examinations administered beginning January 2016 i INTRODUCTION This document was prepared by the American Board of Pediatrics for the purpose of developing certification examinations for general pediatricians. The outline, which was developed by a committee of pediatric practitioners and educators, contains the categories that will be reflected in the general pediatrics examinations. If you have comments or questions about these content specifications, or about how they are used, please send an e-mail to [email protected]. ii General Pediatrics Exam Percentage List Approximate Percent Page I. Growth and Development .................................................... 5.0 ................................... 1 II. Nutrition and Nutritional Disorders ..................................... 4.0 ................................... 2 III. Preventive Pediatrics ............................................................ 5.0 ................................... 5 IV. Poisoning and Environmental Exposure to Hazardous Substances ................................................. 2.0 ................................... 8 V. Fetus and Newborn Infant .................................................... 3.5 ................................... 9 VI. Fluid and Electrolyte Metabolism ........................................ 2.5 ................................. 12 VII. Genetics and Dysmorphology .............................................. 2.5 ................................. 14 VIII. Allergic and Immunologic Disorders ................................... 3.5 ................................. 16 IX. Infectious Diseases ............................................................... 4.5 ................................. 17 X. Metabolic Disorders ............................................................. 1.5 ................................. 25 XI. Endocrine Disorders ............................................................. 3.5 ................................. 26 XII. Gastrointestinal Disorders .................................................... 3.5 ................................. 29 XIII. Respiratory Disorders ........................................................... 4.0 ................................. 33 XIV. Cardiovascular Disorders ..................................................... 3.0 ................................. 35 XV. Blood and Neoplastic Disorders ........................................... 2.5 ................................. 37 XVI. Renal and Urologic Disorders .............................................. 2.5 ................................. 40 XVII. Genital System Disorders ..................................................... 1.5 ................................. 43 XVIII. Neurologic Disorders ........................................................... 3.0 ................................. 44 XIX. Musculoskeletal Disorders ................................................... 3.0 ................................. 47 XX. Skin Disorders ...................................................................... 3.5 ................................. 49 XXI. Collagen Vascular and Other Multisystem Disorders .......... 1.5 ................................. 51 XXII. Disorders of the Eye ............................................................. 1.0 ................................. 52 XXIII. Ear, Nose and Throat Disorders ........................................... 3.5 ................................. 53 XXIV. Adolescent Medicine and Gynecology................................. 4.0 ................................. 57 XXV. Sports Medicine and Physical Fitness .................................. 2.5 ................................. 60 XXVI. Substance Abuse................................................................... 1.5 ................................. 62 XXVII. Disorders of Cognition, Language, and Learning ................ 3.0 ................................. 63 XXVIII. Behavioral and Mental Health Issues ................................... 4.0 ................................. 65 XXIX. Psychosocial Issues .............................................................. 2.0 ................................. 67 XXX. Child Abuse and Neglect ...................................................... 2.0 ................................. 68 XXXI. Critical Care ......................................................................... 2.0 ................................. 69 XXXII. Emergency Care ................................................................... 3.0 ................................. 70 XXXIII. Pharmacology and Pain Management .................................. 2.0 ................................. 71 XXXIV. Research and Statistics ......................................................... 1.5 ................................. 73 XXXV. Ethics for Primary Pediatricians ........................................... 1.0 ................................. 74 XXXVI. Patient Safety and Quality Improvement ............................. 1.5 ................................. 76 iii 1. Growth and Development A. Normal growth 1. Measurement a. Understand the uses and limitations of the various anthropometric techniques available to assess growth and/or nutritional status 2. Linear growth and weight gain a. Use a growth chart to monitor linear growth and weight gain b. Understand the utility of the body mass index c. Differentiate between normal and abnormal variations in linear growth and weight gain d. Differentiate between normal and abnormal growth velocity in neonates and infants e. Understand the effect of chronic disease on linear growth velocity f. Recognize the differences in upper body segment-to-lower body segment ratio in children compared with that of adults 3. Head growth a. Differentiate between normal and abnormal variations in head shape and/or growth (eg, craniosynostosis, plagiocephaly, microcephaly, macrocephaly) b. Differentiate among the possible causes of abnormal head shape and/or growth (eg, craniosynostosis, plagiocephaly, microcephaly, macrocephaly) c. Plan the management of a patient with an abnormal head shape and/or growth (eg, craniosynostosis, plagiocephaly, microcephaly, macrocephaly) B. Failure to thrive 1. Recognize and evaluate a patient with failure to thrive 2. Differentiate among the possible causes of failure to thrive 3. Plan the management of an infant with failure to thrive C. Obesity 1. Recognize the various complications associated with obesity 2. Formulate a differential diagnosis in a patient who is obese 3. Know which interventions have been effective and ineffective in caring for patients of various ages who are obese 4. Understand the importance of body mass index (BMI) in identifying obesity and overweight 5. Identify the genetic and environmental risk factors for obesity, including lifestyle choices 6. Counsel a family with regard to obesity prevention and treatment D. Surveillance and screening 1. Understand the uses and limitations of various developmental screening tools 2. Distinguish between isolated, global, and atypical developmental delay 3. Understand the factors that can cause variations in the normal developmental sequence and recognize their associated features E. Developmental milestones (birth to 12 years) 1. Neonatal period (first four weeks after birth) a. Evaluate the developmental progress/status of a neonate through the first four weeks after birth 2. Two months a. Evaluate the motor developmental progress/status of an infant at 2 months of age, including recognition of abnormalities b. Evaluate the cognitive and behavioral developmental progress/status of an infant at 2 months of age, including recognition of abnormalities 3. Four months a. Evaluate the motor developmental progress/status of an infant at 4 months of age, including recognition of abnormalities 1 b. Evaluate the cognitive and behavioral developmental progress/status of an infant at 4 months of age, including recognition of abnormalities 4. Six months a. Evaluate the motor developmental progress/status of an infant at 6 months of age, including recognition of abnormalities b. Evaluate the cognitive and behavioral developmental progress/status of an infant at 6 months of age 5. Nine months a. Evaluate the motor developmental progress/status of an infant at 9 months of age, including recognition of abnormalities b. Evaluate the cognitive and behavioral developmental progress/status of an infant at 9 months of age 6. Twelve months a. Evaluate the motor developmental progress/status of an infant at 12 months of age b. Evaluate the cognitive and behavioral developmental progress/status of an infant at 12 months of age 7. Fifteen months a. Evaluate the motor developmental progress/status of a child at 15 months of age b. Evaluate the cognitive and behavioral developmental progress/status of a child at 15 months of age 8. Eighteen months a. Evaluate the motor developmental progress/status of a child at 18 months of age, including recognition of abnormalities b. Evaluate the cognitive and behavioral developmental progress/status of a child at 18 months of age 9. Twenty-four months a. Evaluate the motor developmental progress/status of a child at 24 months of age b. Evaluate the cognitive and behavioral developmental progress/status of a child at 24 months of age, including recognition of abnormalities 10. Thirty-six months a. Evaluate