LIBRO + ANEXOS NEONATOLOGÍA

Libro Blanco de las ACES Pediátricas 2024 58 ❚ 6 preferentially, devoted a period of time out of clinical training for conducting a dedicated research project. Training in methods and practice of evidence-based practice should be mandatory. Trainees should be familiar with using the PICO approach (patient, intervention, comparison, outcome) to define the key words for a (re-)searchable clinical scenario. Participation in, for instance, the NOTE (Neonatal Online Training and Education) Programme, EBN (European Board of Neonatology, former European Society of Neonatology) Teaching Courses or ESN (European School of Neonatology) educational offers as well as courses related to quality assessment and improvement, searching the scientific literature, designing a clinical trial is desirable. Trainees should be familiar with methods of effective literature search in electronic databases and the critical appraisal of medical literature and its applicability to clinical practice. 1.5 Requirements for training institutions The recognition of training institutions will ultimately be part of a joint process involving NTAs, EBP-UEMS and the competent specialist society. It is anticipated that the ESPR/EBN will act as the agent for EBP- UEMS and UEMS in executing this task. A list of the names and characteristics of existing national training centres will be created and held by the EBN and EAP/EBP-UEMS, which will oversee quality assurance of the recognised centres at periodic intervals every 5 years using the guidelines suggested by the UEMS. 1.6 Accreditation of centres For each EU Member country, a list of centres, units, training directors, tutors and teachers should be compiled and updated on an annual basis. Each centre is characterised by the available modules, for instance point-of-care diagnostics, ECHO or ultrasound training facilities, etc., or areas of other teaching activity, as well as the number of tutors and teachers available and the size of the clinical practice as defined by the needs of the trainee. Accreditation will initially be given by the NTA and ultimately be approved by EAP/EBP-UEMS. The approval process will follow EU Guidelines (currently in preparation). At present, the EAP will review National Inspections and EBN will act as arbiter in situations of disagreement. 1.7 Full training centre A training centre can be a single institution or a group of related establishments. The centre should provide a wide breath of experience in the field of neonatal medicine, including emergency care. A minimum of 12 months in a maximum care level perinatal centre to gain experience with immediate postnatal stabilisation of compromised term and preterm infants is expected. The centre is expected to provide tuition and, ideally practical exposure, on all levels of neonatal medicine. This includes training in perinatal and newborn physiology and pathophysiology of newborn disease, organ system specific diagnostic and therapeutic management, parent-patient management, organisation of ongoing paediatric care and also palliative care. The number of training activities should be sufficient to provide at least a minimum experience for a trainee to practice largely independently with consultant supervision. A group of related establishments can be considered a centre and each component considered as a unit contributing one or more modules. The centre should have easy access to, and close relationships with, other relevant specialities. Demonstration of involvement of other care teams particularly specialised nurses, paediatric nutritionists, physiotherapists, social workers, paediatric surgeons and psychologists is