LIBRO + ANEXOS NEONATOLOGÍA
Neonatología. Anexos ❚ 67 15 in key or mandatory areas is to be obtained and in which units. Training programmes may comprise experience of more than one neonatal centre, indeed this is encouraged so that the trainee is exposed to different styles of neonatal care. For example, the prospectus may indicate where the candidate will receive experience, for example, in fetal medicine or neonatal surgery or pre-/post cardiac surgery care, if these are not available in the host institution. 7.2 Training centres Individual training centres are defined by their ability to provide well supervised training content and the availability of teachers. Each training centre should seek accreditation as such from its national body. If this is not available the EBN, in collaboration with the Paediatric Section of UEMS, will provide a scheme whereby such institutions may register their ability to train individuals centrally. Several institutions, located in close proximity, may contribute to a training programme. In such a case, one qualified individual should be designated as training programme director with overall responsibility for the offered programme. The key features of a suitable training centre are set out in Appendix 1. 7.3 Trainers 7.3.1. Each neonatal training programme must identify a Programme Director. This individual will usually be a senior neonatologist in an academic centre and a committed teacher. The Director should have teaching experience, documented in form of a teaching assignment to a local university. The Programme Director is responsible for developing the prospectus for a training programme, for identifying, supervising and allocating mentors to trainees (the Director may undertake this role him/herself). He/she should also meet regularly with trainees and coordinate feedback for the training programme. 7.3.2. For each EU member state, a list of training programmes, training centres and programme directors should be compiled and updated on an annual basis. This may be facilitated by the EBN and EBP. Each centre is defined by the available modules and trainers. Accreditation is given by the EBP, based on recommendations of the national guidelines of the country. EBP ensures that the national guidelines of a European country meet or exceed the minimal requirements of the training programmes and training centres as defined in sections 3 and 5. 8. CROSS CUTTING SKILLS AND TOPICS Trainee neonatologists should acquire detailed knowledge of the below cross cutting skills: 8.1.1 Epidemiology and statistics: Mortality and morbidity rates in the perinatal period and factors which influence mortality and morbidity. Methods of data collection at national and local level, including birth and death notification systems and audits aimed at quality assessment. Statistical methods applied to biomedical science allowing to analyse epidemiological information, and design and evaluate scientific information. 8.1.2 Pathophysiology of the foetus: Fetal growth and development and the means of its assessment. Impact of the major diseases of pregnancy on the foetus, e.g. hypertensive disease, maternal medical conditions, ante partum haemorrhage, and preterm labour. Detection of fetal anomalies and collaborative prenatal counselling. Evidence-based perinatal therapies for known foetal conditions and improving outcomes of, for example, preterm birth.
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