LIBRO + ANEXOS CARDIOLOGÍA

Cardiología Pediátrica. Anexos ❚ 45 Page 3 of 64 Paediatric Cardiology curriculum 1. Introduction The purpose of the Paediatric Cardiology curriculum is to produce doctors with the generic professional and specialty specific capabilities needed to manage children with acquired heart disease and patients with congenital heart disease presenting at any age; in-utero, in childhood and throughout their adult lives. This unique and rapidly evolving specialty, while still called 'Paediatric' Cardiology, crosses boundaries with obstetrics, neonatology, interventional and diagnostic radiology, palliative medicine and adult cardiology. After satisfactory completion of training, doctors will be eligible for a CCT (or CESR CP). At this stage they will be regarded as capable of independent unsupervised practice in general Paediatric Cardiology, will be eligible for appointment as an NHS consultant with one or more relevant special interests, and be ready to further develop their expertise post CCT. The curriculum for Paediatric Cardiology has been developed with input of trainees, consultants actively involved in delivering teaching and training across the UK, service representatives and lay persons. This has been through the work of the JRCPTB, the Paediatric Cardiology Specialist Advisory Committee and the British Congenital Cardiac Association. 2. Purpose 2.1 Purpose of the curriculum The Shape of Training (SoT) review was a catalyst for reform of postgraduate training of all doctors to ensure more patient focus, more generalism (especially in the early years) and with more flexibility of career structure and indeed the specialty of Paediatric Cardiology has welcomed this. There were 774,835 live births in the UK in 2016. The UK population in 2016 was 65.6 Million (Reference 1: ONS). As 0.8 % of babies are affected by congenital heart disease (6000 babies a year in the UK), and with others acquiring heart problems in childhood, a workforce with wider and more general skills will be required alongside theme for service skills. With modern therapies available the vast majority of these (even with the most complex disease) are expected to survive. Hence, training doctors to treat these infants, children and adults will be required for the foreseeable future. Many of these patients will have had their cardiac abnormalities detected prenatally and hence paediatric and congenital cardiologists will also be required with expertise in prenatal cardiology. This speciality area therefore requires a deep knowledge of the diagnostic and therapeutic modalities available throughout life. However, it also requires high quality communication skills and an appreciation of the importance of epidemiology, genetics, lifetime care planning and the promotion of patient empowerment with family centred care. This is in line with the outputs from the GMC review of the curricula and assessment standards and the introduction of the GPC framework in which all postgraduate curricula should now be based on higher level learning outcomes and must incorporate the generic professional