LIBRO + ANEXOS NEONATOLOGÍA

Neonatología. Anexos ❚ 57 5 1. OUTLINE EUROPEAN NEONATAL SUBSPECIALIST TRAINING SYLLABUS, v3, 2021 1.1 Aims of higher training The training provided should equip the doctor with the necessary knowledge, skills (procedure-related), competences (solving problems or managing situations) and attitudes required to practice high-quality neonatal medicine. The aim is to define the minimal level of detailed specialist knowledge of neonatal medicine and minimal mandatory practical skill sets and competences as the common denominators for practicing neonatal medicine at subspecialist level in neonatal units, under consultant supervision, to enable unrestricted professional movement of medical professionals throughout the European Union (EU). 1.2 End result of training The end result of training is defined as being able to practice largely independently as a neonatal subspecialist doctor. National regulations will specify whether the specialist may practice fully independently or whether a degree of consultant supervision is required until full consultant level, according to national guidance, which may require training exit examinations etc. Therefore, the minimum denominator of completeness of training is defined as the recognition of the particular needs of newborn infants in accordance to their gestational age and disease progression. With completion of training, the neonatal specialist doctor should be capable of identifying the infant in need of medical attention, to formulate a diagnosis and set of differential diagnoses, a plan for appropriate investigations and, based on the results of these investigations, be able to formulate a concise treatment plan. It is expected that by the end of training, the neonatal subspecialist doctor has a clear understanding of the complexity of neonatal illnesses and their often-varied presentation. It is expected that diagnostic tests can be ordered or performed in person, as much as the results be independently interpreted. Further, the doctor with completed training in Neonatology is expected to acknowledge their own limitations and be confident to discuss the patient with a multi-disciplinary team of colleagues from other paediatric subspecialties to formulate a concise treatment plan. Completion of training also signifies that the neonatal subspecialist doctor recognises and helps resolve the social and psychological needs of families. The neonatal subspecialist also acknowledges and values the involvements of parents as partners in care and their role in shared responsibility for the wellbeing of the child. Recognition of the, sometimes ultimate, futility of medical intervention, leading to a change of direction of care from treatment to palliative care, is also expected. 1.3 Training period Doctors whose practice involves to a large part the medical care of children should complete a basic training in General Paediatrics of at least 3 years, in accordance to the European Union of Medical Specialists the European Union of Medical Specialists training syllabus for Paediatrics (UEMS 2015). This basic paediatric training must be completed before the completion of the subspecialist neonatal training. For the completion of the subspecialist neonatal training, the training period is 3 years (36 months) of full- time equivalent training, including night and weekend work. 1.4 Quality improvement and research training We recommend that trainees in subspecialist neonatal training should have contributed to quality improvement projects, have independently performed clinical audit (with senior supervision) and,