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Survey of procedural and resuscitation requirements for paediatricians working in a non‐tertiary centre: Implications for training
Author(s) -
Hardy Andrew,
Fuller David G,
Forrester Mike,
Anderson Kym P,
Cooper Chris,
Jenner Bernard,
Marshall Isaac,
Sanderson Christine,
Standish Jane,
Worth Janie,
Vuillermin Peter,
McCloskey Kathleen
Publication year - 2019
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14224
Subject(s) - medicine , tertiary care , workload , resuscitation , neonatal resuscitation , emergency medicine , medical emergency , pediatrics , family medicine , computer science , operating system
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.