LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 87 European Curriculum Recommendations Syllabus items Knowledge Skills Attitude and behaviour Level of competence Minimumclinical exposure Assessment tools* Sample clinical situation 1) Basic science of aerosol production and delivery • Importance of the interaction of aerosol characteristics, such as particle size and other physico- chemical properties and airway and breathing characteristics and its relation to the basic mechanisms of aerosol deposition (impaction, sedimentation and diffusion) • Self-directed learn- ing 3 • Having read and presented a review article or book chapter on the topic • Initiating ap- propriate aerosol therapy in a child with a newly diag- nosed respiratory disease 2) Indications for aerosol therapy • Relationship between patho- physiological mechanisms of air- way diseases and aerosol therapy • Ability to indicate appropriate aerosol therapy in various forms of respiratory disease • Ability to choose appropriate aerosol therapy for children with different conditions and at different ages • Teaching aerosol therapy to patients and families • Teaching aerosol therapy to allied health professionals •Willingness to trans- late basic knowledge about aerosol therapy into an individualised approach to a specific patient • Patience when communicating with patients and families 3 • Observe and par- ticipate in the regular respiratory outpatient clinic of patient with respiratory disease and the need for in- haled therapy (at least 500 patients per yr) • CbD 3) Understanding available techniques and their advantag- es and limitations • Aerosol characteristics: particle size, drug formulation • Design characteristics e.g. face mask • Technical requirements: required inspiratory flow of available techniques, nebulisers, pressurised metered dose inhalers (pMDIs), holding chambers and dry powder inhalers (DPIs) • Potential limitations for the use of certain drugs and in certain age groups 3 • Observe and par- ticipate in the regular respiratory outpatient clinic of patient with respiratory disease and the need for in- haled therapy (at least 50 patients per yr) 4) Delivery of drugs in children with artifical airways • Indications and application of inhaled therapy to children with artificial airways i.e. tracheostomy, endotracheal tubes •Willingness to com- municate with inten- sive care specialists 3 • Observe and par- ticipate in the regular respiratory outpatient clinic of patients with artificial airways and the need for inhaled therapy (at least three patients per year) • MiniCEX * all items can be assessed using MCQ in a written knowledge-based examination; refer to assessment toolbox for suggestedmethods O) INHALATION THERAPY Mandatory