PNPSS study materials
PNPSS study resources

PNPSS study plan

PNPSS · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Health Promotion, Disease Prevention, and Anticipatory Guidance

  • Build a one-page immunization schedule map from birth through 18 years, marking catch-up windows and contraindications from memory, then verify against a current schedule source and correct errors in red.

  • Write 12 anticipatory-guidance talking points (injury prevention, safe sleep, nutrition, dental, screen time) and rehearse each aloud in under 60 seconds.

  • Classify 25 preventive-screening topics by age band (newborn, infancy, early childhood, school age, adolescence) and flag the three you understand least.

  • Draft a 10-question self-quiz on health supervision visit intervals and scored developmental surveillance, then answer it closed-book and log your score.

Your checkpoint

A dated one-page immunization and screening map plus a scored 10-question self-quiz with a written list of your three weakest subtopics.

Week 2

Health Promotion, Disease Prevention, and Anticipatory Guidance & Assessment, Diagnosis, and Management of Common Pediatric Acute Conditions

  • Explain the rationale for each well-child visit interval and the preventive content unique to it, in writing, without notes.

  • Compare three counseling frameworks (motivational interviewing, teach-back, shared decision-making) and write one scripted 90-second example of each applied to a vaccine-hesitant parent.

  • Work through 20 acute-condition vignettes involving fever, otitis media, pharyngitis, bronchiolitis, and gastroenteritis, and justify each management decision in two sentences.

  • Identify which red-flag findings in a febrile infant change the workup, and list them from memory.

Your checkpoint

Three written counseling scripts plus a 20-vignette answer log with a two-sentence rationale for every management choice.

Week 3

Assessment, Diagnosis, and Management of Common Pediatric Acute Conditions

  • Distinguish viral from bacterial upper respiratory presentations using at least five discriminating features per condition, and record them in a comparison table.

  • Sequence the assessment and initial management steps for a child presenting with dehydration, and state the rehydration thresholds you would use.

  • Practice interpreting 10 sets of basic labs and vital signs in acutely ill children and write the single most likely diagnosis for each.

  • List the indications for urgent referral or emergency transfer in common pediatric acute presentations and defend each in one line.

Your checkpoint

A completed differential-diagnosis comparison table covering at least eight acute conditions, with referral triggers annotated.

Week 4

Assessment, Diagnosis, and Management of Common Pediatric Acute Conditions & Pharmacology and Therapeutic Management

  • Calculate weight-based pediatric doses for 15 commonly used medications, showing the mg/kg arithmetic and the maximum ceiling dose for each.

  • Match 10 drug classes to their pediatric-specific cautions (age restrictions, monitoring parameters, adverse effects) and write the caution beside each.

  • Explain how to verify a dose against a reference and what to do when a calculated dose exceeds the adult maximum.

  • Review your week 1-3 error log and rewrite the five concepts you missed most often into corrected one-line rules.

Your checkpoint

A 15-drug weight-based dosing worksheet with worked calculations, ceiling doses, and a corrected error log.

Week 5

Growth, Development, and Developmental-Behavioral Assessment

  • Map gross motor, fine motor, language, and social milestones across the first five years and identify the earliest age at which each red flag warrants referral.

  • Describe at least four validated developmental screening and autism-specific tools, stating what each measures and its age range.

  • Outline the evaluation pathway after an abnormal screening result, including who coordinates referral and what happens while the family waits.

  • Write a 10-minute parent conversation explaining a suspected developmental delay using plain language and a strengths-first frame.

Your checkpoint

A milestone-and-red-flag reference chart plus a written parent-conversation script.

Week 6

Management of Chronic and Complex Pediatric Conditions & Pharmacology and Therapeutic Management

  • Summarize the monitoring priorities and care-coordination needs for at least six chronic pediatric conditions (for example asthma, type 1 diabetes, epilepsy, sickle cell disease, congenital heart disease, obesity).

  • Build a written care plan for one complex patient scenario that names the roles of family, primary care, specialty teams, school, and community services.

  • Identify medication-adherence barriers specific to adolescents and caregivers, and propose two concrete interventions for each.

  • Explain how a medical home model changes outcomes for children with special health care needs, citing the mechanism rather than the slogan.

Your checkpoint

A one-page care-coordination plan for a complex pediatric patient with named roles, monitoring intervals, and adherence supports.

Week 7

Family-Centered Care, Communication, and Cultural Humility & Professional Practice, Ethics, Advocacy, and Health Policy

  • Demonstrate three communication techniques (interpreters, teach-back, chunk-and-check) in written dialogue form for a low-health-literacy family.

  • Analyze four ethical scenarios (confidentiality in adolescence, refusal of treatment, consent and assent, resource allocation) and state the governing principle and your recommended action for each.

  • Describe how implicit bias and social determinants alter assessment and management, using two concrete clinical examples.

  • Outline the advocacy pathway for one pediatric health policy issue, from identifying the problem to a specific actionable ask of a decision-maker.

Your checkpoint

A four-scenario ethics and communication analysis with a stated principle and recommended action for each.

Week 8

Evidence-Based Practice, Quality Improvement, and Care Coordination & Health Promotion, Disease Prevention, and Anticipatory Guidance & Assessment, Diagnosis, and Management of Common Pediatric Acute Conditions

  • Appraise two study designs for internal validity, bias, and applicability to a pediatric primary care population, and state whether you would change practice.

  • Design a small quality-improvement cycle using a measurable aim, an intervention, and a run chart, and specify the data you would collect.

  • Complete two timed 60-question mixed-domain practice sets and record accuracy by domain.

  • Re-review every item you have missed across weeks 1-7 and convert each into a one-line rule you can recall cold.

Your checkpoint

A timed practice-set score report by domain plus a consolidated one-page rule sheet drawn from all prior errors.

Milestones

Week 2: You can state the immunization and screening schedule and the rationale for well-child intervals without notes, and your week 1 self-quiz score has improved on retake.

Week 4: You complete 15 weight-based dose calculations with correct arithmetic and ceiling doses on a closed-book retry, and your acute-condition vignette accuracy is at or above 75%.

Week 6: You can produce the milestone-and-red-flag chart from memory in outline and explain the care-coordination roles for a complex patient without referring to your written plan.

Week 8: Timed mixed-domain practice accuracy is at or above 70% overall with no domain below 60%, and every logged error has a matching one-line corrective rule.