Paediatrics
Learning opportunities and educational objectives
Learning objectives
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Good knowledge base in common paediatric problems
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| Knowledge |
- Symptoms:
- Vomiting, fever, drowsiness, developmental delay, infantile colic, ‘failure to thrive’ and growth disorders, behavioural problems.
- Common and/or important conditions:
- Neonatal problems: birthmarks, feeding problems, heart murmur, sticky eye, jaundice
- Constipation, abdominal pain (acute and recurrent)
- Pyrexia, febrile convulsions
- Cough/dyspnoea, wheezing including respiratory infections, bronchiolitis
- Otitis media
- Sensory deficit especially deafness
- Gastroenteritis
- Viral exanthems
- Urinary tract infection
- Meningitis
- Epilepsy
- Chronic disease: asthma, diabetes, arthritis, learning disability
- Child abuse, deprivation
- Mental health problems such as attention deficit hyperactivity disorder, depression, eating disorders, substance misuse and self-harm, autistic spectrum disorder and related conditions
- Psychological problems: enuresis, encopresis, bullying, school refusal, behaviour problems including tantrums
- Child and young person development (physical and psychological).
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| Skills |
- Recognition SxSy common conditions, treatment, management and prevention.
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| Attitudes |
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Prescribing for children |
| Knowledge |
- Understands risks and benefits of prescribing in children
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| Skills |
- Able to use and be familiar with Childrens BNF
- Competent in calculating drug doses
- Liase with paediatric consultants re use of unlicenced medication with children
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| Attitudes |
- Awareness of needs or cultural differences of different ethnic groups
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Preventive care |
| Knowledge |
- Accident prevention
- Immunisations and health promotion
- Health promotion – obesity, T.T.T, eating disorders
- Sexual health e.g. teenage
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| Skills |
- Ability to give injections
- Good knowledge of contra-indications to immunisations
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| Attitudes |
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Community paediatrics and chronic childhood problems
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| Knowledge |
- Chronic childhood conditions e.g.
- Behavioural problems e.g.
- Child and adolescent mental health services
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| Skills |
- Know which inter-agency professional to refer to
- Multi-agency working
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| Attitudes |
- Multi-disciplinary approach
- Non-judgmental
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Patient centred care
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| Knowledge |
- Ability to take adequate family centred history. Holistic, including parents/carers (psycho-social) e.g.
- Substance abuse.
- Mental Health
- Domestic violence
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| Skills |
- Listening and involving child
- Supporting parents including fathers
- Empathetic
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| Attitudes |
- Empathy child centred approach
- Non-judgmental attitude
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Examination of child and history taking
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| Knowledge |
- Adequate examination and history
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| Skills |
- Adequate examination of neonate, infant, child
- Targeted examination based on history/symptoms
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| Attitudes |
- Aware of subtle/vague symptoms/clues
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Recognise child abuse
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| Knowledge |
- Multi-disciplinary approach to child abuse cases / N.A.I.
- Knowing local arrangements
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| Skills |
- Referring effectively
- Awareness of symptoms and signs N.A.I. and Neglect
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| Attitudes |
- Non-judgmental.
- Awareness of vulnerability of child
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Working with colleagues
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| Knowledge |
- Awareness of importance of multi-agency working
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| Skills |
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| Attitudes |
- Awareness pf inter-professional dependency / multi-agency working
- Importance of being child advocate
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Clinical governance
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| Knowledge |
- Broad understanding of unique clinical governance issues related to children
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| Skills |
- Evidence-based practice
- CPD
- Clinical audit
- Effective prescribing
- Adequate documentation
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| Attitudes |
- Awareness of children as separate groups with unique risks etc.
- Confidentiality
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Opportunities
Secondary care
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Primary care
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Outpatients
Carlisle
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Consultants with
specific interests e.g. Diabetes
Visiting Clinics e.g. Cardiology
Neurology
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Health Visitor Clinics?
Fairfield Centre/Central Clinic
Counsellor
Autism assessment
Eating disorder
Child CPNs
Drug and Alcohol (NCABS)
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Outpatient
Newcastle
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Genetics
Diabetic
Autistic
CF
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| Inpatient teaching |
Small group teaching
Problem based teaching
Avoid TOPIC based lectures from consultants
GPR led presentations/case discussions
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Problems/challenges
- Lack of community clinics in this area
- Conflict between service provision and learning needs
- Difficulty addressing specific GP learning need by attending outpatients because outpatient clinics mixed
- Difficulty with 4 month post
- Lack of exposure to international illnesses/refugees.
Updated by BC on 24/2/08
