PAEDIATRICS

INTRODUCTION
The two-part syllabus has been designed with the objective of delivering to the candidate the entire experience of basic and applied aspects of Homoeopathic health- care applicable to the discipline of Paediatrics & Neonatology Medicine.

MD-Part I takes the candidate on the journey from Man in health → Man in disease. The ground that he has covered earlier in the undergraduate course is gone over again but from a very different clinical perspective. The integrated approach a clinician needs to adopt will underlie the exposure to these subjects. This will be facilitated since the candidate is simultaneously doing his resident training and is seeing the phenomena of health being transformed into disease in his clinical studies. Having thus re-visited the basic sciences, the candidate is now prepared to undertake the journey deeper into the healing science and art attempt to come into more intimate contact with the principles that Hahnemann identifies as critical for the success of the Operation Cure.

Hence we should be very dear about the philosophical and conceptual basis of the syllabus, the ground that we need to cover. We should evolve matching methods and techniques that wiIl experientially deliver to the candidate the entire experience of 'Healing ' in its Hahnemannian sense. We must also remember that unlike in Modern medicine, there can be no standardization of Homoeopathic management of different clinical conditions. All  the same, we should be able to define a common approach to the understanding of the condition and it is expected that with the passage of time and accurate documentation (which will follow the establishment of Postgraduate education), an approach will evolve. Till then we will be required to integrate our general understanding of the clinical and pathological phenomena of disease with our knowledge of Materia Medica and apply philosophical concepts to evolve the approach. References to literature is thus, at best, only general and constitute preliminary readings for take off. The role of the guide and teacher will be paramount in evolving guidelines along with homoeopathic concepts following competency in field of Paediatrics & Neonatology will go a long way in becoming a efficient clinician, teacher & researcher. Being conscious of the enormous importance that children will play in the future of our developing society, we are able to sense the importance of the task before a Paediatrician in a developing country like ours. Its essential to emphasize the following learning objectives specifically:

LEARNING OBJECTIVES:
I) Analyse Paediatric and neonatal health problems scientifically, taking into account the biological basis as well as the socio-behavioural epidemiology of the perinatal neonatal and paediatric disease and advise and implement strategies aimed at prevention of neonatal childhood morbidity, mortality.
2) Provide primary, secondary care to all neonates, infants and children.
3) Implement a comprehensive follow up and early intervention programme for the “At risk" children and neonates and plan, counsel and advise rehabilitation of the neuro-developmentally and physically challenged infants and children.
4) Take rational decisions in the face of ethical dilemmas in perinatal neonatal and paediatric diseases.
5) Exhibit communication skills of a high order and demonstrate com passionate attributes in the field of Paediatrics and Neonatology.
6) Plan and carry out research in neonatal health in clinical areas, in the community and in the laboratory settings.
7) Teach Paediatrics and newborn care to medical and nursing students as well as to grass root health functionaries and develop learning resource materials for them.
8) Plan, establish andmanage level I Paediatric and Neonatal units and I independently.
9) Use and maintain the essential neonatal equipment and keep abreast with advances in neonatal and Paediatric care technology.
10) Organise Paediatric and Neonatal care in the community and at the secondary level of health system and play the assigned role in the national programmes aimed at the health of mothers and their infants and children.
I1) Work as a productive member of the interdisciplinary team consisting of obstetricians, paediatricians, paediatric surgeons, other doctors, nurses and grass root functionaries providing care to the pregnant mother, the fetus, newborn and the children in any setting of health care system.
12) Seek and analyse new literature and information on Paediatrics and Neonatology and update the concepts and practice evidence based Paediatrics and Neonatology.

BASIC CONCEPTS
Part — I has dealt with the following areas: -
(1) Structural basis of health and disease. (Anatomical organization of man and its degeneration into structural pathology)
(2) Functional basis of health and disease. (Physiological organization of man and its degeneration into pathophysiology)
(3) Psychological basis of health and disease and the abnormal psychological processes which initiate abnormal mental and psycho physiological functioning.
(4) The Concept of Man that the clinician needs in order to function in the clinical setting.
(5) The scientific and full use of the extended senses of Clinical Investigations to unravel the hidden, often nascent stage in the evolution of the disease.
(6) Final integration of all of the above with the basic tenets of Homoeopathic Philosophy through the assessment of Suscepti bility’ (Stuart Close) and the modem interpretation of the concept of Miasms (Dhawale).

Part — II will further take the candidate to understand the application of the above knowledge in terms of the following:
(I) Evolving an approach to the Definition of the Clinical Problem
(2) Understanding the crucial role of documentation in the scientific understanding of the of the clinical state
(3) Possessing a sound understanding of the Bio-Psycho-Social concept of Aetiopathogenesis and evolution of the disease phenomena
(4) Evolving clinico-pathological correlations to grasp the essence of the disease phenomena and integrating in terms of the structural, functional and formal correlations.
(5) Learning the basics of Classification of Disease and integrating these principles with the Hahnemannian approach.
(6) Integrating a of the above in erecting a Hahneniannian Totality.
(7) Processing this totality through the appropriate Repertorial/ Non-repertorial approach
(8) Application in terms of evolving suitable Materia Medica portraits
(9) Understanding the clinical approach to the assessment of susceptibility and its influence in decision-making of Remedy Reaction assessment and Posology
(10) Scope & Limitation of the current state of knowledge of Homoeopathy with the demands of Paediatrics & neonatological Medicine especially the hyperacute aspects
11)Finally, the need for the physician to take on the role of the ‘Unprejudiced Observer (Aphorism 6) while carrying out aIl of the above actions.

In addition to the above and taking Into account the preventive and health- promoting role of Homoeopatbic Medical Science, the following are the specific concepts that the course would rest on:
1. Embryological Development including influence of Maternal Health on the Foetus.
2. Physical (structural & functional) & Psychological (Personality) Growth & Development of the Infant, Child & Adolescent.
3. To evolve a concept of Normalcy with regards to I & 2 above. To evolve an understanding of the concept of Virgin Susceptibility.
4. identifying  Abnormal Psychological development and Pathology in the developing stages in order to prevent their full-scale development or modify the expression.
5. Non-Invasive and Invasive methods of Clinical Investigations in ascertaining status of Health and Disease.

SYLLABUS
This will follow the four general guidelines as per the PG notification:

(I) DISEASES OF CHILDREN INCLUDING NUTRITIONAL BEHAVIORAL DISORDERS, PREVENTIVE ASPECTS OF PAEDIATRICS
A.  VITAL STATISTICS:
Definition and overview of Paediatrics with special reference to age-related disorders. Population structure, pattern of morbidity and mortality in children. Maternal, perinatal, neonatal, infant and preschool mortality rates. Definition, causes, present status and measures for attainment of goals.

B. GROWTH AND DEVELOPMENT
Normal growth from conception to maturity. Anthropometery — measurement and interpretation of weight, length/height, head circumference, mid-arm circumference. Use of weighing machines, infantometer.
Interpretation of Growth Charts: Road to Health card and percentile growth curves
Abnormal growth patterns-failure to thrive, short stature.
Growth pattern of different organ systems such as lymphoid. brain and sex organs.
Normal pattern of teeth eruption.
Principles of normal development.
Important milestones in infancy and early childhood in the areas of Gross Motor, Fine motor, language and Personal-Social development. 3-4 milestones in each of the developmental fields, age of normal appearance and the upper age of normal.
Preventable causes and assessment of developmental retardation.
Psychological and behavioral problems.
Measurement and interpretation of sitting height, US:LS ratio and arm span.
A anthropometric measurement-principles and application.
Sexual Maturity rating.

C. NUTRITION
Normal requirements of protein, carbohydrates, fats, minerals and vitamins for newborn, children and pregnant and lactating mother. Common food sources. Breast feeding:- Physiology of lactation, composition of breast milk, Colostrum,
Initiation and technique of feeding. Exclusive breast feeding-Definition and benefits. Characteristics and advantages of breast milk. Hazards and demerits of prelacteal feed, top milk and bottle-feeding. Feeding of LBW babies. Infant feeding /weaning foods, method of weaning.
Assessment of nutritional status of a child based on history and physical examination. -
Protein energy malnutrition-Definition, classification according to IAP/Wellcome Trust, acute versus chronic malnutrition. Clinical features of marasmus & kwashiorkar. Causes and management of PEM including that of complications. Planning a diet for PEM.
Vitamins-Recognition of vitamin deficiencies (A. D,K,C, B-Complex) Etiopathogenesis, clinical features, biochemical and radiological findings, differential diagnosis and management of nutritional rickets & scurvy. Hypervitaminosis A and D.
Characteristics of transitional and mature milk (foremilk & hind milk). Prevention and management of lactation failure and feeding problems. Definition, causes and management of obesity.

D. IMMUNIZATION
National Immunization Programme.
 Principles of Immunization. Vaccine preservation and cold-chain.

E .CLINICAL PAEDIATRICS:
i. NEONATOLOGY: newborn care — examination & diseases.
*Definition —live birth, neonatal period, classification according to weight and gestation, mortality rates.
* Aetiology, clinical features, principles of management and prevention of birth asphyxia.
* Care of the normal newborn in the first week of life. Normal variations and clinical signs in the neonate.
* Breastfeeding-physiology and its clinical management
* Neonatal Jaundice: causes, diagnosis and principles of management.
* Neonatal infection —aetiology, diagnosis, principles of management. Superficial infections, sepsis.
* Identification of sick newborn (i.e. detection of abnormal signs— cyanosis, jaundice, respiratory distress, bleeding, seizures, refusal to feed, abdominal distension, failure to pass meconium and urine)

ii. GENETICS
* Principles of inheritance and diagnosis of genetic disorders
* Down’s syndrome and other congenital conditions

iii. INFECTIOUS DISEASES
• Epidemiology, basic pathology, natural history, symptoms, signs, complications, investigations, differential diagnosis, management and prevention of common bacterial, viral and parasitic infections in the region, with special reference to vaccine-preventable diseases: Tuberculosis, - Poliomyelitis, Diphtheria. Whooping cough, tetanus including neonatal tetanus, Measles, Mumps. Rubella, Typhoid, Viral Hepatitis, Cholera, Chickenpox, Giardiasis, Amoebiasis, Intestinal helminthiasis, Malaria etc.

iv. HEMATOLOGY
* Causes of anaemia in childhood. Classification based on aetiology and morphology.
* Epidemiology, recognition, diagnosis. management and prevention of nutritionalanemia-iron deficiency, megaloblastic anaemia.
* Clinical approach to a child with anaemia with lymphadenopathy and/or hepatosplenomegaly.
* Epidemiology, clinical features, investigations and management of thalassemia.
* Approach to a bleeding child.
* Diagnosis of acute lymphoblastic leukemia and principles of treatment
* Clinical features and management of hemophilia, ITP.

v. RESPIRATORY SYSTEM
* Clinical approach to a child with cyanosis, respiratory distress, wheezing.
*Significance of recession, retraction of chest muscles.
* Etiopathogenesis, clinical features, complications, investigations, differential diagnosis and management of acute upper respiratory infections, pneumonia with emiphasis on bronchopneumonlia, bronchiolitis, bronchitis. Acute and chronic otitis media.
* Etiopathogenesis, clinical features, diagnosis, classification and management of bronchial asthma. Treatment of acute severe asthma.
* Pulmonary tuberculosis-tuberculous infection versus tuberculous disease, difference between primary and post-primary tuberculosis. Etiopathogenesis, diagnostic criteria in children versus adults. Diagnostic aids-technique and interpretation of Mantoux test and BCG test. Radiological patterns, Multi drug resistant tuberculosis, Bronchiectasis.

vi. GASTROINTESTINAL TRACT
* Clinical approach to a child with jaundice, vomiting, abdominal pain, bleeding, hepatosplenomegaly.
*Acute diarrhoeal disease-Etiopathogenesis, clinical differentiation of watery and invasive diarrhoea, complications of diarrhoeal illness. Assessment of dehydration, treatment at home and in hospital. Fluid and electrolyte management. Oral rehydration, composition of ORS.
* Clinical features and management of acute viral hepatitis, causes & diagnosis of Chronic Liver Disease.
* Common causes of constipation.

vii.. CENTRAL NERVOUS SYSTEM
* Clinical approach to a child with coma, convulsions, mental retardation.
* Clinical diagnosis, investigations and treatment of acute pyogenic meningitis, encephalitis & Tubercular Meningitis.
* Seizure Disorder-Causes and types of convulsions at different ages. Diagnosis, categorization & management of Epilepsy (Broad outline). Febrile convulsions-definition, types, management.
* Causes, diagnosis and management of cerebral palsy.

viii. CARDIOVASCULAR SYSTEM
* Clinical features, diagnosis, investigation, treatment and prevention of acute rheumatic fever. Common forms of rheumatic heart disease in childhood. Differentiation between rheumatic and rheumatoid arthritis.
* Recognition of congenital acyanotic and cyanotic heart disease. Hemodynamics, clinical features and management of VSD, PDA, ASO and Fallots tetralogy (Cyanotic spells).
* Recognition of congestive cardiac failure in children.
* Hypertension in children-recognition and referral.
* Diagnosis of bacterial endocarditis, pericardial effusion, myocarditis.

ix. GENITOURINARY SYSTEM
* Basic etiopathogenesis, clinical features, diagnosis, complications and management of acute post-streptococcal glomerulonephritis and nephrotic syndrome.
* Aetiology, clinical features, diagnosis and management of urinary tract infection- acute and recurrent.
* Aetiology, diagnosis and principles of management of acute renal failure.
* Causes and diagnosis of obstructive uropathy in children.
* Causes and diagnosis of hematuria
* Renal and bladder stones

x. ENDOCRINOLOGY
* Aetiology clinical features & diagnosis of diabetes and hypothyroidism.
hyperthyroidism and goitre in children.
* Delayed and precocious puberty

xi. PEDIATRIC EMERGENCIES: Critical judgement &  referral
* Status epilepticus
* Status asthmaticus /Acute severe asthma
* Shock and anaphylaxis
* Hypertensive emergencies
*Gastrointestinal bleed
* Comatose child
* Congestive cardiac failure
* Acute renal failure

xii. FLUID-ELECTROLYTE
* Principles at fluid and electrolyte therapy in children
* Pathophysiology of acid-base imbalance and principle of management

xiii. BEHAVIOURAL PROBLEMS
* Breath holding spells, nocturnal enuresis, temper tantrums, pica.

xiv. PEDIATRIC SURGICAL PROBLEMS
* Diagnosis and advise for surgery of Cleft lip palate, hypospadias, undescended testis, tracheo-esophageal fistula, hydrocephalus, CTEV, Umbilical and inguinal hernia, anorectal malformations, hypertrophic pyloric stenosis.
Special attention shall be given to inculcation of humanitarian approach, and attitudes in the students towards patients, their relatives & their behaviour towards professional colleagues in and out of work places. Rural aspects, NHP and clinical epidemiological approach, aspects related to public health, and health education shall be taught in all sessions. lnterdepartmental/integrated teaching programs at PG levels shall form a regular/periodic features in which some of the subjects stated above can be covered n a better manner. (e.g. Genetics, Bone and its, Hepatobiliary. Haematology etc.)

(ii) MIASMATIC STUDY OF MEDICINE:
Application of knowledge acquired in Part-I in terms of Clinical, Pathological, Immunological, Functional, Structural, changes in a cell—tissue—organ— system to understand the Miasm taking into consideration Evolutionary aspect of a particular disease, specifically in terms of Psora—Sycosis — Tubercular — Syphilis. Application of this knowledge to understand the susceptibility and its implication in defining Posology, Remedy reaction, Course of Disease, use of remedies & Prognosis.

(iii) DIAGNOSTIC PROCEDURES:
Knowledge about indication, interpretation, implications in terms of Diagnosis & differential Diagnosis, Prognosis. Susceptibility, Posology, Remedy reaction, course of diseases & use of remedies. The investigative procedures will range from the routine clinical skills to perform the basic investigative procedures & collection of sample needed to be acquired along with basic bedside procedures to sophisticated techniques. Below are outlined the list which should not be treated as all-inclusive.

 A. Profession related clerical Skills:
1. Detailed Paediatric History:
Elaborate history with emphasis of Homoeopathic view point& knowledge of psychiatric in understanding a Mental state of a child.
2. Physical Examination
3. Anthropometry and interpretation of growth of child
4. Developmental Assessment of child
5. Distinguish between normal newborn and those requiring special care
6. Care of Newborn at birth and in the ward
7. Counselling for breast feeding and infant feeding

 B. Clinical Demonstrations:
I. Neonatal History taking.
2. Care of Normal Newborn at birth.
3. Examination of Newborn.
4. Breast Feeding.
(A) Identification of sick newborn — Danger Signs.
Proper history taking, presentation writing/ maintaining Bed Head Ticket(BHT) writing informed and referred notes. Notes in legal cases, and their reporting. etc.
C. Psychomotor aspects:

* CLINICAL:
* Paediatric and Neonatal examination anthropometry and developmental assessment
* Paediatric and Neonatal resuscitation
* Paediatric and Neonatal Ventilation: CP AP, IMV;  newer modes of ventilation.
* Neonatal and Paediatric Blood sampling: capillary, venous, arterial
* Insertion of peripheral venous, umbilical venous and umbilical arterial catheters.
* Monitoring: invasive, non invasive.
* Enteral feeding (katori-spoon, gavage, breast)
* Lactation management.
* Parenteral nutrition.
* Lumbar puncture and ventricula, tap.
* Placing of Chest tube.
* Exchange transfusion.
* Bedside tests: shake test, sepsis screen, hematocrit, urine examination, CSF examination, Kleihauer technique, Apt test, Blood Peripheral Smear Examination Total and Differential Count Estimation.
* Paediatric and neonatal drug therapy
* Nursery and ward house keeping routines and asepsis procedures.
* Universal precautions
D. Cognitive aspects:
Learning (by reading, questioning, discussion) the scientific basis for interpretation, & analysis of clinical features and diagnostic approaches interpretation of microscopic slides Blood films, etc.
E. Behavioral aspects (Attitudinal):
The student shall be able to interact with professional colleagues, teachers, seniors, juniors, patients, patient relatives in a respectful manner. He shall be able to create atmosphere conducive to patient care, motivate relatives for donating blood, clinical autopsy etc. Supervised management of the common medical emergencies and initial treatment of complicated cases e shall be learnt at all levels of PG course. Communication with parents, families and communities. Handling, effective utilization and trouble shooting of neonatal and pediatric equipment.

(iv) Diagnostic procedures
Apart from the routine haematological, biochemical and radiological investigations which are a part of undergraduate studies, the postgraduate must be conversant with a host of detailed and sophisticated investigations which further the understanding of the disease in its depth and extent. Given below are representative samples of these. These are not exhaustive nor are they a 'must know’ for the candidate in all their details. However, he must have a nodding acquaintance with all of these and the place that they hold in the diagnostic and prognostic work-up.

GIT  INVESTIGATION:
+ Barium studies
+  Endoscopy
+ Radionuclide imaging
+ Angiography
+ USG
+ CT scan

RESPIRATORY SYSTEM:
+Trans tracheal aspiration
+ G astric lavage
+Serological test
+ CT scan
+MRI
+ Bronchography
+ Pulmonary angiography
+USG
+ Radio isotope lung scan
+ Fibro optic bronchoscopy
+ Broncho-alveolar lavage
+ Mediastinoscopy
+ Thoracocentacic and pleural fluid examination
+ Pleural biopsy
+ Lung biopsy
+ Thoracoscopy
+ PFT
+ Arterial blood gas

 CVS:
+ 2DECHO
+ CTscan
+MRI

HEPATOBILIARY:
+ Viral markers
+ Immunological markers
+ Tumour markers
+ Alfa feto protein
+ Aminopyrin breath test
+ Needle biopsy
+ Hepato biliary imaging

PANCREATIC:
+ Serum immunoreactive - trypsin/trypsinogen
+ Imaging
+ DuaI labile schilling test
+ Others: foecal chymotrypsin/ plasma pancreatic polypeptide
+USG
+ Endoscopic USG
+ lnterventional USG
+ CTscan. +MRI
+ Oral cholecystography
 + Endoscopic retrograde cholangio-pancreatography
+ Percutaneous trans hepatic cholangiography
+Angiography
+ Laproscopy

RENAL:
+ GFR
+ Insulin clearance
+ Creatinine clearance
+ 24- hour Protein estimation
+ Paraaminohippuric acid excretion test
+ Tubularfunction
+ USG
.+IVP
+ Renalscan
+ Antegrade/retrograde pyelography
+Renal arteriography
+ CTscan
+ Biopsy

CNS:
+ CTSCAN
+ MRI
+ Echoencephalopathy
+ Doppler study of cerebral vessels
+ Radio isotope brain scan
+ Radio nuclide angiograpby
+ Single photo emission CT scan
+ Positron emission tomography
+ Neuroimaging of the spine
+ Plane radiography of spine
+Myelography
+ Radionucleiod scanning
+ NeuroUSG
+ Spinalangiography
+ EEG

HAEMATOLOGY:
+ Bone marrow examination

ENDOCRINE:
+ Plasma hormonal estimation
+ Urinary determination
+ Dynamic endocrine test
+ Receptor studies and antibodies
+ Endocrine imaging

OSTEOLOGY:
+ Bone isotope scanning
+ Measurement of bone mass and bone density
+ Total body calcium
+ Histopathology and histo morphometric analysis of bone
C. Steroid suppression test
C. PTH hormone infusion test

 INFECTION:
+ Detection method- biological signals
+ Detection system
+ Amplification
+ Direct detection: microscopy/staining/macroscopic antigen detection
+ Culture
+ Identification method: classic phenotyping/gas liquid chromatography/ nucleic acid probe
+Susceptibility testing
+  Automation of microbial detection in blood
+ Detection of the pathological agents by serological methods

IMMUNE DISORDERS
 +Serum Immunoglobulin levels-lgM, IgG, lgA, gE
+ Ouantification of blood mononuclear populations
T cells: CD3, CD4, CDB, TCRαß, TCRγ∂
B cells: CD19 CD2O, CD2I, Ig Roitt, Brotoff a (μ,∂,γ,α,κ,λ), Ig associated
molecules(α,ß)
NK cells: CD16
Monocytes: CD15
Activation markers: HLA-DR, CD25, CD8O (B cells)
+T cell functional evaluation
+ B cell functional evaluation
+Complement evaluation
+ Phagocyte function
+ Histocompatibility gene complex
+ Autoantibodies ANA, anti-dsDNA etc.
+ Serological Tests
ONCOLOGY
+ Tumor markers
+ Screening Tests for common variety of cancers

(v). PRACTICE OF HOMOEOPATHY IN PAEDIATRIC & NEONATOLOGY MEDICINE INCLUDING TROPICAL MEDICINE:
Case Receiving, Examination, Recording and Processing the Homoeopathic Case as applicable to general medicine cases while meticulously following the directions given in the ‘Organon of Medicine. Knowledge acquired in MD Part-I along with (a) to (c) of Part-II will form a platform for the practice of Homoeopathy in Paediatric. & neonatal medicine. Understanding the basic disease process in terms of Clinico—Pathologic—Immunologic— Miasmatic understanding, symptom classification and evaluation, erection of the totality, repertorial approach & reference & its application through differential Materia Medica. Definition of susceptibility, Posology& remedy reaction along with scope & limitation of Homoeopathic remedies will lead to further application in terms of understanding Therapeutics while keeping the Clinico— Pathologic—Immunologic—Miasmatic understanding in the background. The study of remedies through the concept of relationships (Boger Boenninghausen) so that differentiation gets established at the bedside should be the aim. Also application of the knowledge of disease classification & its evolution in terms of acute, chronic, sub-acute phases for defining the type of remedies in terms of acute - chronic— intercurrent — constitutional becomes clinically useful. 

 COURSE OUTLINE
1. The course of study would be for a period of three years. Part I examination will be held at the end of 11/2 years and Part I after three years. The teaching of the specialty subject will begin from the first year itself.
2. There would be regular internal evaluation in the form of evaluation of written assignments, presentation at seminars and journal clubs and maintenance and processing of case records and clinical activities like acquisition of skills and ward work on the standard format.
3. The examination will be held after three years, the details of which are appended below.
4. Guidelines for thesis are also appended separately

 Reference Readings:
Recommended journals for post graduate students of paediatrics
I. Indian paediatrics
2. Indian journal of paediatrics
3. American journal of paediatrics
4. Archives of diseases of children
5. American journal of dis child
6. Pediatric neurology
7. Pediatric Infectious disease journal
8. Journal of national neonatology forum
9. Journal of rural pediatrics
10. Pediatric clinic of north america
11. Clinics in perinatology

Recommended books: -
I. Paediatrics priorities in office practice — V. K. Amdekar, R. P.Khubchandani
2. Normal Child -R.S. lllingworth
3. Child Psychiatry- Rutter
4. lAP Text booK of Paediatrics.
5. Essential Paediatrics by OP. Ghai.
6. Text book of Neonatology by Meharban Singh.
7. Textbook of Pediatrics by Suraj Gupte.
8. Clinical methods in Paediatrics by Meharban Singh.
9. Principles of Paediatrics, by Tirthankar Dutta.
10. Approach to Pediatric Problems by S.K. Mittal & Vijay Aggarwal.
11. Text book of Paediatrics by S.T. Achar
12. Text book of Forfer

Reference Books
1. Text book of Paediatrics by Nelson.

Homoeopathy books:
I. Hahnemann S.: Organon of Medicine
2. Hahnemann S.: LesserWrltings. Pub: Swaran Publishing House, New Delhi
3. Dhawale M. L: ICR Symposium Voume on Hahnemannian Totality 5 volumes  Pub: ICR Symposium Council, Mumbai
4. Kent J. T: Lesser Writings
5. All standard repertories
6. All available commentaries on Materia Medica and Therapeutics
7. Children’s type: Borland
8. The Homoeopathic treatment of children (Peediatric constitutional types)
9. Paediatrics in Homoeopathy —An approach by I.C Publications.

 SCHEME OF EXAMINATION
A. Theory
A .I Theory examination shall comprise 2 written papers; each of 100 marks (Total 200 marks). Passing shall be separate for theory.
A.2 Each paper will be divided in to two parts of 50 each and shall consist of  two patterns of questions.
(a) SAQs (b) LAQs in the ratio 30:40 Each part will have
     SAQ shall be 03 each of 5 mark = 15
     SAQs shall be 03 each of 5 marks = 15
     LAQs shall be 02 each of 10 marks =20
     Total Marks= 50
Time duration for each paper shall be 3 hours.
A.3. Three examiners (Out of which at least 2 are external) shall value the papers
A.4. Passing’ shall be considered as score of 100 more marks out of total 200.
Passing shall be separate for theory. 

Paper I
Section I: General-Paediatrics & Neonatology Medicine including Tropical Medicine.
Section II: Miasmatic Study of Paediatrics & Neonatology

Paper II
Section I: Diagnostic procedures in view of latest technology

Section II Practice of Homoeopathy in Paediatrics &Neonatology including Tropical medicine
B. Practical:
B. 1) 3 Examiners out of which 2 are External
B. 2) Clinical =Long Case = 1 = 60 Marks (1 hr.)   =Short Case=1=4OMarks(1 hr.)
C. Viva Voce:
Amongst 3 examiners the marks shall be equally divided under four heads covering all the aspects of general medicine as described in syllabus above. They can be broadly divided into four heads as below:
C.1                                      C.2                             C.3                                      C.4
Neonate stress                Instruments                  Therapeutic                           Research
test                                Equipment                    Radiological                           aptitude
Radio diagnosis               Procedures                Immunological Genetic     Including thesis, Affective do                                                                           main Attitudes knowledge about                                                                          recent advances in medical field.
(10min)                            (10min)                         (10 min)                             (10 min)

Marksmax.25                25                                       25                                           25
Viva & practicals: 50%marks are allotted for homoeopathic application

Total marks: Cases 100    Viva 100 = 200 marks
Separate passing in individual heads A, B & C is essential to pass in Examination.