Libro blanco de las ACES Pediátricas 2024

Libro Blanco de las ACES Pediátricas 2024 580 ❚ European Curriculum Recommendations Syllabus items Knowledge Skills Attitude and behaviours Level of competence Minimumclinical exposure Assessment tools* Sample clinical situation 12) Diagnosis and management of other rare lung diseases • Diagnosis and dif- ferential diagnosis of different types of uncommon respiratory diseases. • Initiation of diagnostic protocol including selection of an ap- propriate imaging and functional assessment. •Willingness to work in amultidisciplinary team involving other specialists according to the type of the disease. • Ability to explain to the family the diag- nosis and the paucity of data in some rare diseases. 3 • Observe and partici- pate in the care of at least one case of rare disease. • Portfolio • CbD • MiniCEX • Setting up a target- ed investigation with appropriatemanage- ment according to the diagnosed disease * all items can be assessed using MCQ in a written knowledge-based examination; refer to assessment toolbox for suggestedmethods Syllabus items Knowledge Skills Attitude and behaviour Level of com- petence Minimumclinical exposure Assessment tools* 1) Physiology and pathophysiology of sleep relevant for paediatric respiratory medicine • Physiology of sleep • Pathophysiology of sleep-disorderd breathing (SDB) •Willingness to under- take self-directed learning 3 • Diagnosis of 10 new cases 2) Diagnosis of and screening for obstruc- tive sleep apnoea and upper airway resistance syndrome and hypoven- tilation • Presenting symptoms of SDB in different age groups • Advantages and limitations of dif- ferent diagnostic tools for SDB • Conditions at high risk of SDB where screeningmay be appropriate • Ability to take a sleep history • Recognising indications for different diagnostic tools for studying SDB • Performance and interpretation of oximetry and oxicapnography recordings • Willingness to recog- nise and address SDB 3 • Participate in diagnosis and screening • Report on diagnostic oximetries or oxicapnog- raphy, at least 10 studies • CbD • MiniCEX 3) Polysomnography • Current recommmended scoring criteria for cardiorespiratory vari- ables in a polysomnograph • Validity and reliability of polysom- nography in the diagnosis of sleep disordered breathing (SDB) • Different stages of sleep and how they are recognised at different ages • Performance and inter- pretation of a cardiorespi- ratory polysomnograph at different ages •Willingness to explain the process of polysom- nography to the child and parents •Willingness to judge when to compromise between patient distress and less rigorous inves- tigation 2 • Interpret five polysom- nographies • DOPS M) SLEEPMEDICINE Mandatory