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J Paediatr Child Health. 2018 Oct 9. doi: 10.1111/jpc.14224. [Epub ahead of print]

Survey of procedural and resuscitation requirements for paediatricians working in a non-tertiary centre: Implications for training.

Hardy A1, Fuller DG1,2,3, Forrester M1,2,3, Anderson KP1,2,3, Cooper C1,2,3, Jenner B1,2,3, Marshall I1,2,3, Sanderson C1,2,3, Standish J1,2,3, Worth J1,2,3, Vuillermin P1,2,3,4, McCloskey K1,2,3,4.

Author information

1
Children's Services, Barwon Health, Geelong, Victoria, Australia.
2
School of Medicine, Deakin University, Geelong, Victoria, Australia.
3
St John of God Hospital, Geelong, Victoria, Australia.
4
Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Abstract

AIM:

There are minimal data to guide the continuing medical education (CME) of general paediatricians working in non-tertiary hospitals. The aim of this study was to determine the procedural and resuscitation skills required by non-tertiary paediatricians and the frequency with which these skills are utilised.

METHODS:

Over a 12-month period (December 2012 to December 2013), each of the 11 paediatricians involved in acute inpatient care at University Hospital Geelong (UHG) completed a weekly online survey regarding their inpatient clinical experience. This included procedures performed or directly supervised as well as their resuscitation involvement.

RESULTS:

Each of the 11 paediatricians who managed inpatients on a regular or semi-regular basis during the study period agreed to participate, and each completed all of the weekly surveys. There were seven UHG paediatricians with an inpatient appointment (each with a 0.27 full-time equivalent (FTE) paediatrician workload) and four paediatricians providing inpatient cover on a locum basis. Over the course of 12 months, each 0.27 FTE paediatrician was, on average, involved in 11.3 neonatal, 1.7 infant and 2.4 child resuscitations and performed 0.9 intubations.

CONCLUSIONS:

Paediatricians working at non-tertiary hospitals are required to perform and supervise critical procedural and resuscitation skills but have limited opportunities to maintain proficiency in such skills. General paediatric training and consultant paediatrician CME programmes should ensure the acquisition and maintenance of the procedural and resuscitation skills required for the management of seriously ill children in non-tertiary acute care settings.

KEYWORDS:

endotracheal intubation; procedural skills; resuscitation; training

PMID:
30298956
DOI:
10.1111/jpc.14224

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