Libro blanco de las ACES Pediátricas 2024

Gastroenterología, Hepatología y Nutrición Pediátrica. Anexos ❚ 287 9 Table 1: Summary of principles tertiary care paediatric PGHN: A BASIC KNOWLEDGE 1. Anatomy (gross and microscopic) of the liver, pancreas and gastrointestinal tract H 2. Embryology of the liver, pancreas and gastrointestinal tract B 3. Biochemistry, especially GI hormones, enzymes and neurotransmitters H 4. Hepatic metabolism and transport, biliary physiology and pathophysiology H 5. Cellular turnover, growth, differentiation and death B 6. Mucosal immunity and immunology H 7. Physiology including motility, digestion, absorption and secretion H 8. Physiological and other changes in the GI tract and liver associated with growing B 9. Basic knowledge in genetics and applied PGHN genetics. B B BASIC SKILLS 1. Establishing an appropriate atmosphere and putting the patient and parents/caregivers at ease and at the centre of the consultation H 2. Understanding the need to deliver compassionate care H 3. Taking an appropriate medical history H 4. Performing a thorough physical examination H 5. Considering initial diagnosis and differential diagnosis H 6. Arranging appropriate, cost-effective and ethical diagnostic investigations H 7. Reaching diagnostic conclusions H 8. Communicating diagnostic results and possible treatment options clearly to parents/caregivers and patients taking into consideration the patient’s age in language that they all understand H 9. Understanding the particular needs of adolescents with regard to their independence and autonomy, compliance with treatment, and how this affects management of chronic conditions H 10. Considering various treatment options H 11. Obtaining help or second opinions from colleagues or other health professionals H 12. Prescribing or recommending therapies or procedures H 13. Providing sensitive and empathetic emotional support allowing efficient consultation time H 14. Understanding principles of evidence-based medicine including implications for clinical practice H 15. Understands adolescent medicine and knowledge of how to manage the process of transition and transfer to adult care H C BIOSTATISTICS 1. Application of parametric and nonparametric statistics B 2. Statistical modelling B 3. Principles of screening and surveillance programmes B 4. Study design B 5. Evidence based PGHN B