LIBRO + ANEXOS ENDOCRINOLOGÍA PEDIÁTRICA

Endocrinología Pediátrica. Anexos ❚ 51 27 8b SPECIALTY SPECIFIC CONTENT FOR TERTIARY CARE PAEDIATRIC ENDOCRINOLOGY AND DIABETES 8b.1 Knowledge and skills The core content for tertiary care paediatric endocrinology and diabetes comprises: • Knowledge: basic and speciality specific clinical knowledge • Clinical skills: consultation and reasoning (cognitive) skills • Procedural skills required for assessing, investigating and managing patients Achieving competence to provide holistic care in Paediatric endocrinology and diabetes requires integrating and assimilating all three. The levels of competence for these and as defined by UEMS are shown in Table 2. A sound basic knowledge base is a prerequisite and provides the foundations for clinical practice. The content items for this are labelled 'B' in section 8b.2. It includes the physiology, biochemistry and pathology concepts that underpin the deeper understanding of conditions encountered in Paediatric Endocrinology and Diabetes. Although trainees will have acquired these during undergraduate studies and common trunk paediatric training, they will need to revisit and expand through teaching and personal study (e.g. specialty e-learning, digital media and textbooks). Additionally, speciality specific clinical knowledge, skills and reasoning are required to provide care and multi-disciplinary management for children and young persons with paediatric endocrine and diabetes problems. The problems encountered include those that are: • common • emergency, life threatening, serious • easily missed. Clinical knowledge includes understanding about disease frequency, aetiology, clinical features (symptoms and signs), natural history, complications, diagnostic evaluation, medicines and interventions. Clinical skills includes gathering information, taking a history, sharing information and physical examination. Clinical reasoning comprises the thinking strategies for diagnostic, clinical judgement and decision making skills. These are used to: • gather and assess patients' problems from history, clinical examination and appropriate investigations (including biochemical, radiological, genetic tests) • interpret correctly, analyse and evaluate the meaning of the information • integrate information to formulate and evaluate plausible differential diagnoses/problem lists, and make definitive diagnosis • decide actions to improve outcomes • review and revise decisions Management and followup includes • monitoring, preventing and treating • working with relevant professionals • sharing information, supporting and educating patients and carers