Royal College of Paediatrics and Child Health Research This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Shocking statistics.
Abstract An independent panel of experts last year declared the NHS to be the best healthcare system in the world. So why, as highlighted in a report published last year by the Royal College of Paediatrics and Child Health and the National Children's Bureau ( www.tinyurl.com/nejf77s ), does the UK have more child deaths than most of our Western European counterparts? PMID: 26350849 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - September 9, 2015 Category: Nursing Authors: Ellis J Tags: Nurs Stand Source Type: research

Response to 'Supervisor or mentor: is there a difference? Implications for paediatric practice'
We read with interest the paper by Andrew Mellon and Deborah Murdoch-Eaton, ‘Supervisor or mentor: is there a difference? Implications for paediatric practice’.1 In this paper, the authors acknowledge the significant differences in perception and definitions of mentoring that exist within paediatric practice and beyond, which contribute to uncertainty about how mentoring best sits within the supervisor-trainee relationship. Recognition of these important issues led to the development of the Royal College of Paediatrics and Child Health (RCPCH) Mentoring Standards and Definitions, published in 2014.2 Central to ...
Source: Archives of Disease in Childhood - August 18, 2015 Category: Pediatrics Authors: Brightwell, A., Eisen, S. Tags: PostScript Source Type: research

Experience of training in communication skills among trainee neonatologists
This study aimed to explore the experience of and need for communication training among trainee neonatologists. Using a short open-ended questionnaire, we explored the involvement of trainee neonatologists (ST3-8) in communications skills training. Data were collected during a British Association of Perinatal Medicine national training day during September 2014. Forty nine of 58 trainees attending completed the questionnaire. Of the 49, 51% (n=25) had participated in compulsory communications training, 33% (n=16) in non-compulsory... (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition)
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - August 18, 2015 Category: Perinatology & Neonatology Authors: Gallagher, K., Shaw, C., Marlow, N. Tags: PostScript Source Type: research

Identification of cleft palate in the newborn
This recent UK guideline was published by the Royal College of Paediatrics and Child Health in October 2014, with support from many other associations, and endorsed by the National Institute of Health and Care Excellence. It was written due to concern over high rates of delayed detection of cleft palate, potentially affecting infancy growth and development, medical and surgical management, parental distress and litigation costs. Visual inspection of the palate is recommended in the guideline as it can be difficult to detect an isolated cleft palate by palpation alone. what should I be doing? Examine both the hard and soft ...
Source: Archives of Disease in Childhood - Education and Practice - July 17, 2015 Category: Pediatrics Authors: Prentice, P. Tags: Journalology, Health policy, Dentistry and oral medicine, Health service research Guideline review Source Type: research

Congenital limb deficiencies in Alberta—a review of 33 years (1980–2012) from the Alberta Congenital Anomalies Surveillance System (ACASS)
The objectives were to examine patterns and temporal trends of congenital limb deficiencies in Alberta and compare rates with those of other jurisdictions. The Alberta Congenital Anomalies Surveillance System data on live births, stillbirths, and terminations of pregnancy (<20 weeks gestation) occurring between 1980 through 2012 with the ICD‐10 Royal College of Paediatrics and Child Health Adaptations codes Q71‐Q73 (limb reduction defects), Q79.80 (congenital constriction bands), and Q87.24 (sirenomelia syndrome) were reviewed. Cases were classified as having amelia, transverse, longitudinal (preaxial, postaxial, ce...
Source: American Journal of Medical Genetics Part A - July 14, 2015 Category: Genetics & Stem Cells Authors: Tanya Bedard, Robert Brian Lowry, Barbara Sibbald, Gerhard N. Kiefer, Amy Metcalfe Tags: Research Article Source Type: research

Optimal management of allergic rhinitis
Allergic rhinitis (AR), the most common chronic disease in childhood is often ignored, misdiagnosed and/or mistreated. Undertreated AR impairs quality of life, exacerbates asthma and is a major factor in asthma development. It can involve the nose itself, as well as the organs connected with the nose manifesting a variety of symptoms. Evidence-based guidelines for AR therapy improve disease control. Recently, paediatric AR guidelines have been published by the European Academy of Allergy and Clinical Immunology and are available online, as are a patient care pathway for children with AR and asthma from the Royal College of...
Source: Archives of Disease in Childhood - May 18, 2015 Category: Pediatrics Authors: Scadding, G. K. Tags: Patients, Immunology (including allergy), TB and other respiratory infections, Drugs: CNS (not psychiatric), Child health, Asthma, Ear, nose and throat/otolaryngology, Guidelines Review Source Type: research

Junior doctor prescribing: introduction of an electronic prescribing assessment
Conclusion This work has highlighted several obstacles in providing an electronic assessment including the need for IT support, equipment and the difficulty in sourcing these at short notice for resits. The electronic assessment has enabled the test to be marked more efficiently, it is clear who the prescriber is and the prescriptions are legible. Using e-prescribing allowed the doctors to be evaluated on their ability to use the system. However this is not the intention of the RCPCH assessment tool, which has been designed to assess the doctor's ability to follow instructions, use the BNFc and perform calculations correct...
Source: Archives of Disease in Childhood - May 18, 2015 Category: Pediatrics Authors: Hibberd, S., Dempsey, R., Bevan, A. Tags: Posters Source Type: research

NHS is failing the nation's children.
Authors: Abstract A health service 'bedevilled' by professionals working in 'bunkers and silos' for too long has failed the UK's children. That was the message from the former children's commissioner for England Professor Sir Al Aynsley-Green at the joint RCN/Royal College of Paediatrics and Child Health conference in Birmingham. PMID: 25942949 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - May 6, 2015 Category: Nursing Tags: Nurs Stand Source Type: research

Guidance helps open discussion of neonate organ donation.
Abstract Following a recent high-profile case in the media of neonatal organ donation, last month's report from the Royal College of Paediatrics and Child Health on the diagnosis of death by neurological criteria in infants less than two months old is very welcome. PMID: 25942979 [PubMed - in process] (Source: Nursing Standard)
Source: Nursing Standard - May 6, 2015 Category: Nursing Authors: Jones R Tags: Nurs Stand Source Type: research

[Editorial] Guidance for clinicians involved in end-of-life care of children
Clinicians in the UK faced with difficult decisions about restricting treatment for children with life-threatening or life-limiting conditions were given an updated framework for practice by the UK Royal College of Paediatrics and Child Health (RCPCH) last week. (Source: LANCET)
Source: LANCET - April 3, 2015 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

[News] Including children in life-sustaining treatment decisions
Children with life-limiting and life-threatening conditions should be involved in decision making about continuation of their own life-sustaining treatment, suggest guidelines from the Royal College of Paediatrics and Child Health (London, UK). (Source: The Lancet Oncology)
Source: The Lancet Oncology - April 2, 2015 Category: Cancer & Oncology Authors: Sanjeet Bagcchi Tags: News Source Type: research

Developing clinical guidelines: how much rigour is required?
Clinical guidelines that are rigorously developed play a fundamental role in improving healthcare and reducing unnecessary variations in practice. National guidelines are increasingly used by healthcare professionals, patients and commissioners; however, national bodies are unable to meet the demand for guidance on all topics. There are fewer resources available for guidance produced locally or by specialty groups, and it is necessary to achieve a balance between pragmatism and rigour while conforming to the widely accepted norms of what constitutes a good guideline. This paper introduces the key concepts around this topic...
Source: Archives of Disease in Childhood - Education and Practice - March 17, 2015 Category: Pediatrics Authors: Haroon, M., Ranmal, R., McElroy, H., Dudley, J., On behalf of the Royal College of Paediatrics and Child Health Clinical Standards Committee Tags: Child health, Guidelines Quality improvement Source Type: research

An evaluation of demographic factors affecting performance in a paediatric membership multiple-choice examination
Conclusions MRCPCH part 1B outcome was related to place of primary medical qualification, with a significantly lower pass rate for international medical graduates compared with UK graduates, as well as significant variation in examination outcome between graduates from different UK medical schools. These data may be used to guide new initiatives to improve support and education for these trainees and to inform development of undergraduate curricula and help trainees prepare more successfully for postgraduate examinations. (Source: Postgraduate Medical Journal)
Source: Postgraduate Medical Journal - February 5, 2015 Category: Journals (General) Authors: Menzies, L., Minson, S., Brightwell, A., Davies-Muir, A., Long, A., Fertleman, C. Tags: Original article Source Type: research

The development and implementation of a training package for dietitians on cow’s milk protein allergy in infants and children based on UK RCPCH competencies for food allergies – a pilot study
Conclusions Educating dietitians using the format of one day teaching with pre and post course assessment has improved both knowledge and competencies in the diagnosis and management of cow’s milk protein allergy. Further courses in other areas of food allergy could be developed using this approach within the UK and worldwide. (Source: Clinical and Translational Allergy)
Source: Clinical and Translational Allergy - February 3, 2015 Category: Allergy & Immunology Source Type: research

Feedback after Supervised Learning Events (SLEs)
Discussions and Mini Clinical Exercises) which should aid in providing feedback to trainees on their performance. We aimed to assess the feedback trainees have received in relation to their SLEs. We devised a pro forma with questions adapted from the feedback literature1–4 addressing the major elements of effective feedback. Each question consists of a statement and the pro forma is completed by the respondent indicating on a visual analogue scale how much they agree with the statement. Trainees at Liverpool Women's Hospital from August 2013 were asked to complete one pro forma for each SLE they had over their 6 ...
Source: Archives of Disease in Childhood - December 15, 2014 Category: Pediatrics Authors: Seethamraju, R., Shaw, N. J. Tags: PostScript Source Type: research