Pediatrics

Pediatrics or paediatrics is the branch of medicine that deals with the medical care of infants, children, andadolescents. A medical practitioner who specializes in this area is known as a pediatrician or paediatrician. The word pediatrics and its cognates mean healer of children; they derive from two Greek words: παῖς (pais = child) and ἰατρός (iatros = doctor or healer).


There may be other differences in spelling: in the USA, a pediatrician (US spelling) is often a primary care physician who specializes in children, whereas in the Commonwealth a paediatrician (British spelling) generally is a medical specialist not in primary general practice.


Training of pediatricians

The training of pediatricians varies considerably across the world.

Depending on jurisdiction and university, a medical degree course may be either undergraduate-entry or graduate-entry. The former commonly takes five or six years, and has been usual in the Commonwealth. Entrants to graduate-entry courses (as in the USA), usually lasting four or five years, have previously completed a three- or four-year university degree, commonly but by no means always in sciences. Medical graduates hold a degree specific to the country and university in and from which they graduated. This degree qualifies that medical practitioner to become licensed or registered under the laws of that particular country, and sometimes of several countries, subject to requirements for "internship" or "conditional registration".

Pediatricians must undertake further training in their chosen field. This may take from four to eight or more years, (depending on jurisdiction and the degree of specialization). The post-graduate training for a primary care physician, including primary care pediatricians, is generally not as lengthy as for a hospital-basedmedical specialist.

In most jurisdictions, entry-level degrees are common to all branches of the medical profession, but in some jurisdictions, specialization in pediatrics may begin before completion of this degree. In some jurisdictions, pediatric training is begun immediately following completion of entry-level training. In other jurisdictions, junior medical doctors must undertake generalist (unstreamed) training for a number of years before commencing pediatric (or any other) specialization. Specialist training is often largely under the control of pediatric organizations (see below) rather than universities, with varying degrees of government input, depending on jurisdiction.

Becoming a Specialist

From the NST

Medicine is often portrayed on TV as a glamorous profession, but it is not. Doctors have a tough job, and it is no goldmine.

This reality check was offered today by Health Minister Datuk Dr Chua Soi Lek, who observed that students who did well in the SPM examination inevitably wanted to become doctors in the hope of earning big money.

“Medicine in Malaysia is no pot of gold, even for specialists,” he cautioned them. “The market is competitive, so unless you have the passion, do not go into medicine.”

Dr Chua said some 1,600 medical students were now graduating every year, with the number set to increase to 2,500 annually by 2010. Five years after that, it is expected there will be between 3,500 and 4,000 new doctors graduating annually.

“At this rate, we will achieve our target ratio of one doctor for every 600 citizens before 2020. So the market is going to be very competitive, even for specialists, as we will have a glut of doctors.”

Dr Chua, speaking at the Parliament lobby, said of the 1,600 medical students now graduating each year, 700 were from public universities, 500 from private universities and the rest from foreign universities.

“Being a doctor is not a glamorous job,” he said. “People are influenced by what they see on television and think that doctors lead comfortable lives on high salaries. It’s simply not true.

“Maybe if you are a specialist you may earn a lot of money, but even then, it depends on a lot of things.”

And becoming a specialist is not a breeze, either.
Dr Chua said it would take between 8 1/2 and 12 years, depending on the field of study, for a doctor to become a specialist.

Malaysia Immunization Chart

Vaccines help make you immune to serious diseases without getting sick first. Without a vaccine, you must actually get a disease in order to become immune to the germ that causes it. Vaccines work best when they are given at certain ages.

Malaysia - Mandatory

Age

Vaccine

Immunisation Against

Birth

BCG
Hep B

Bacille Calmette-Guérin vaccine
Hepatitis B vaccine

2 months

Hep B
DTP / Hib / Polio

Hepatitis B vaccine
Diphtheria and tetanus toxoid, pertussis vaccine Haemophilus influenzae vaccine Oral Polio vaccine

3 months

Hep B
DTP / Hib / Polio

Hepatitis B vaccine
Diphtheria and tetanus toxoid, pertussis vaccine Haemophilus influenzae vaccine Oral Polio vaccine

5 months

Hep B
DTP / Hib / Polio

Hepatitis B vaccine
Diphtheria and tetanus toxoid, pertussis vaccine Haemophilus influenzae vaccine Oral Polio vaccine

1 year

MMR

Measles, Mumps and Rubella vaccine

18 months

DTP / Hib / Polio

Diphtheria and tetanus toxoid, pertussis vaccine Haemophilus influenzae vaccine Oral Polio vaccine


Malaysia - Recommended

Age

Immunisation Against

2 months

Rotavirus
Pneumococcal C

3 months

Rotavirus
Pneumococcal C

5 months

Pneumococcal C

6 months

Influenza (annually)

1 year

Chicken Pox
Pneumococcal C

2 years

Pneumococcal P
Hepatitis A

2.5 years

Hepatitis A




Childhood Immunisation Schedule

VaccineAt
Birth
1st
Month
3rd
Month
4th
Month
5th
Month
9th
Month
18th
Month
5 - 7
Years
BCG
(Tuberculosis)
Hepatitis B
Poliomyelitis
DPT / DT
(Diphtheria, Pertussis, Tetanus)
Hib
MMR / Measles
(Measles, Mumps, Rubella)

First DoseSecond DoseThird DoseBooster Dose

Note: For information on AAFP, AAP and ACIP Release 1998 Recommended Childhood Immunization Schedule, click on

Source: Ministry of Health Malaysia.