Aquifer Pediatrics
In collaboration with:
The Council on Medical Student Education in Pediatrics (COMSEP)
The Council on Medical Student Education in Pediatrics (COMSEP)

The 32 interactive virtual patient cases in Aquifer Pediatrics deliver on the learning objectives of the Council on Medical Student Education in Pediatrics (COMSEP) clerkship curriculum.


Aquifer Pediatrics helps students develop clinical reasoning skills critical to becoming a successful practitioner. Our virtual cases provide key content correlated to COMSEP’s learning objectives—a proven path to success in developing clinical reasoning skills.

  • Created for educators, by educators, to cover the full range of COMSEP’s curriculum
  • Available for institutional subscription or for direct purchase by individual subscribers
  • Validated 100-question online summative exam available at no additional cost through the 2022-23 subscription year and innovative new formative assessments in development
  • Proven pedagogy that standardizes experiences—overcoming geography, seasonality, and accessibility
  • Evidence-based, peer-reviewed, and continuously updated content
  • Self-assessment questions emphasize key content and enable students to test their knowledge and skills
  • A wealth of source material, tools, and full references in each case
  • Course-specific student and educator resources, including active learning modules (TBL-style application exercises), interactive table of childhood developmental milestones, and a case analysis tool
  • Delivered via the Aqueduct learning management system, which includes user management options, easy reporting on student progress and course usage, plus tools for creating custom courses to match a specific curriculum

With realistic case scenarios that demonstrate best practices, our course builds a bridge from content to practice for our students. Aquifer Pediatrics’ interactive virtual patient cases are based on the COMSEP curriculum, recently revised for renewed and improved attention to clinical reasoning process. The cases ensure that students are exposed to all the various clinical scenarios, irrespective of location or time of year.

Aquifer Pediatrics can be used by third-year medical students, Physician Assistant students, and Nurse Practitioner students as a complement to a clerkship or course on pediatrics. The complementary Aquifer Pediatrics Exam can be used as a summative course exam or as practice for another standardized exam.

We are excited to share that innovative new formative assessments are now in development for Aquifer Pediatrics. The new assessments will combine the concepts of test-enhanced learning and distributed practice to facilitate efficient study planning and self-directed learning for students, and identify at-risk students and curricular gaps for faculty.

Our current 100-question summative multiple-choice exam will continue to be available through June 2023. Aquifer’s online validated summative exam includes 100 multiple-choice questions created by the Council on Medical Student Education in Pediatrics (COMSEP) leaders as an assessment tool based specifically on the pediatrics clerkship curriculum.

The exam is delivered in a secure browser and accompanied by student assessment reports with individual and class data. It can be used to replace or enhance an existing comprehensive assessment or to remediate students.

Pediatrics 01: Newborn male infant evaluation and care

Pediatrics 02: Infant female well-child visits (2, 6, and 9 months)

Pediatrics 03: 3-year-old male well-child visit

Pediatrics 04: 8-year-old male well-child check

Pediatrics 05: 16-year-old female health maintenance visit

Pediatrics 06: 16-year-old male preparticipation evaluation

Pediatrics 07: 2-hour-old male newborn with respiratory distress

Pediatrics 08: 6-day-old female with jaundice

Pediatrics 09: 2-week-old female with lethargy

Pediatrics 10: 6-month-old female infant with a fever

Pediatrics 11: 4-year-old male with fever and adenopathy

Pediatrics 12: 10-month-old female with a cough

Pediatrics 13: 6-year-old female with chronic cough

Pediatrics 14: 18-month-old female with congestion

Pediatrics 15: Two siblings: 4-year-old male and 8-week-old male with vomiting

Pediatrics 16: 7-year-old female with abdominal pain and vomiting

Pediatrics 17: 4-year-old female refusing to walk

Pediatrics 18: 2-week-old male with poor feeding

Pediatrics 19: 16-month-old male with first seizure

Pediatrics 20: 7-year-old male with a headache

Pediatrics 21: 6-year-old male with bruising

Pediatrics 22: 16-year-old female with abdominal pain

Pediatrics 23: 15-year-old female with lethargy and fever

Pediatrics 24: 2-year-old female with altered mental status

Pediatrics 25: 2-month-old male with apnea

Pediatrics 26: 9-week-old male not gaining weight

Pediatrics 27: 8-year-old female with abdominal pain

Pediatrics 28: 18-month-old male with developmental delay

Pediatrics 29: Male infant with hypotonia

Pediatrics 30: 2-year-old male with sickle cell disease

Pediatrics 31: 5-year-old female with puffy eyes

Pediatrics 32: 5-year-old female with rash

From Our Cases

Educator Resources

In addition to the 32 cases included with this course, the Aquifer Educators Consortium has developed Educator Resources to accompany this course, available to all subscribers. Resources include valuable teaching and learning tools to increase student engagement and maximize efficiency for faculty.

To access these tools, sign in to your Aquifer account and visit the Educator Resources section.

Aquifer Pediatrics Educator Guide
New Educator Guide Available

Course Overview – Integration Strategies – Educator Resources – Learning Objectives

The Educator Guide—available to all subscribers—provides a quick reference guide for all cases, resources, and features included with Aquifer Pediatrics. The Educator Guide is ideal for educators who are getting started using Aquifer, or experienced users who want to be sure they are taking advantage of Aquifer’s extensive resources and tools. Learn more…

Active Learning Modules

These team-based learning exercises have been thoughtfully prepared with the aim of minimizing teacher preparation time and maximizing learner achievement. Learn more about the Pediatrics Active Learning Modules.

  • Fever Module
  • Immunizations Module
  • Patient Safety Module
  • Child Development Module
Case Analysis Tool

The toolkit contains a structured worksheet completed by the students as they work through the virtual patient case, designed to enhance the development of clinical reasoning skills. Each step mirrors the process through which clinicians gather and process information about a patient, leading up to the development of an initial evaluation and treatment plan. Answer keys are included for most cases. Learn more about the Case Analysis Tool.

Questions for Further Consideration

A series of questions available to promote further discussion of some of the important points in each case. These can be used to emphasize areas such as basic science, clinical reasoning, management, public health, and communications. The questions are formatted on an excel sheet to allow for easy sorting by case or topic

User Story Video

Learn how Aquifer Pediatrics can benefit medical students and faculty in your program:

Aquifer Pediatrics Course Board