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Board #242 - Program Innovation Paediatric Preparation Day: Smoothing the Transition (Submission #9661).
Conclusion: Data will be analysed to identify the difference between candidate confidence and knowledge pre- and post-course. We will be looking for statistical significance using Chi squared test. This course should prepare Foundation and GP doctors for the practical aspects of a Paediatrics job, facilitate quicker and smoother clinical transition and benefit patients and other healthcare professionals. Following pilot course evaluation, we aim to further develop the course and provide regular course availability for all Foundation and GP trainees rotating into Paediatrics throughout the academic year. References: 1. Agga...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts: 2ND PLACE AWARD WINNER: PDF Only Source Type: research

European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol
Conclusion There is a need for a European consensus protocol to imaging in suspected non-accidental injury. We recommend implementing the joint RCR/RCPCH guidance, a move supported by the ESPR. (Source: Pediatric Radiology)
Source: Pediatric Radiology - November 20, 2014 Category: Radiology Source Type: research

Highlights from this issue
In the UK, paediatricians, in common with other doctors, are required to learn and develop as professionals, or "do CPD". There are probably as many approaches to this as there are people who maintain professional status. To briefly summarise for those not in the UK, or who are in a training job where things are done a little differently: Our regulatory body, the Royal College of Paediatrics and Child Health, describes the range of things we can legitimately describe as CPD. We—mostly—fill out a diary of our activities, which is scrutinised at our yearly appraisal, the record of which is used by our Responsible...
Source: Archives of Disease in Childhood - Education and Practice - November 13, 2014 Category: Pediatrics Authors: Wacogne, I. Tags: Oncology, Neuroimaging, Neurooncology, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Medical humanities Epistle Source Type: research

How best to teach developmental assessment? A single-blinded randomised study
Conclusions The IDT is an effective teaching method in large groups, improves competencies compared to didactic lecturing, and is as effective as small group teaching. Adoption of the IDT appears to facilitate learning and can be easily delivered with falling ratios of teachers to students. (Source: Archives of Disease in Childhood)
Source: Archives of Disease in Childhood - November 13, 2014 Category: Pediatrics Authors: Feyereislova, S., Nathan, D. Tags: Original article Source Type: research

The science of paediatrics, child health research, and the Royal College of Paediatrics and Child Health
INTRODUCTION Having completed a five year term as Science & Research Vice President of the Royal College of Paediatrics and Child Health (RCPCH), I offer a personal reflection. I explain why I believe the science of paediatrics, and child health research in the UK, are vibrant and strong and present my view that with a strengthened RCPCH, and sustained vision by paediatricians, these could become an international beacon, benefiting child and population health globally. The science of paediatrics and child health research The word ‘science’ derives from the Latin scientia, meaning knowledge. The science of ...
Source: Archives of Disease in Childhood - October 12, 2014 Category: Pediatrics Authors: Modi, N. Tags: Liver disease, Immunology (including allergy), Drugs: infectious diseases, Hepatitis and other GI infections, Vaccination / immunisation, Childhood nutrition, Diet, Malnutrition, Child and adolescent psychiatry (paedatrics), Childhood nutrition (paediatri Source Type: research

Guidance on clinical research involving infants, children and young people: an update for researchers and research ethics committees
Background The British Paediatric Association, the forerunner of the Royal College of Paediatrics and Child Health (RCPCH), first published guidance in relation to research involving children in 1980.1 Prior to this time, little clinical research involved children. The 1980 guidance initiated a sea change, stating ‘research involving children is important’, ‘should be supported and encouraged’ and ‘research which involves a child and is of no benefit to that child (non-therapeutic research) is not necessarily either unethical or illegal’. Updated guidance was issued by the RCPCH in 2000....
Source: Archives of Disease in Childhood - September 11, 2014 Category: Pediatrics Authors: Modi, N., Vohra, J., Preston, J., Elliott, C., Van't Hoff, W., Coad, J., Gibson, F., Partridge, L., Brierley, J., Larcher, V., Greenough, A., for a Working Party of the Royal College of Paediatrics and Child Health Tags: Journalology, Editor's choice, Child health, Infant health, Research and publication ethics Leading article Source Type: research

Managing palliation in the neonatal unit
Background and aims Professionals working in neonatology have a duty to act in the best interests of the infant. Normally, the goal of care is to sustain life and restore health. However, there are circumstances in which treatments that sustain life are not considered to be in the infant's best interests. The Royal College of Paediatrics and Child Health (RCPCH) guidance, Withholding or Withdrawing Life Sustaining Treatment in Children: A Framework for Practice,1 focuses on the decision making process. The British Association of Perinatal Medicine guidance, Palliative Care (Supportive and End of Life Care) A Framework for ...
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - August 12, 2014 Category: Perinatology & Neonatology Authors: Uthaya, S., Mancini, A., Beardsley, C., Wood, D., Ranmal, R., Modi, N. Tags: End of life decisions (palliative care), Hospice, Artificial and donated transplantation, End of life decisions (ethics) Leading articles Source Type: research

Estimating the prevalence of chronic conditions in children who die in England, Scotland and Wales: a data linkage cohort study
Conclusions The majority of children who died had a chronic condition. Neurological/sensory conditions were the most prevalent. Linkage between death certificate and hospital discharge data avoids some of the under-recording of non-cancer conditions on death certificates, and provides a low-cost, population-based method for monitoring chronic conditions in children who die. (Source: BMJ Open)
Source: BMJ Open - August 1, 2014 Category: Journals (General) Authors: Hardelid, P., Dattani, N., Gilbert, R., Macfarlane, Saxena, Muller-Pebody, Knowles, Parslow, Stiller, Shah, Sidebotham, Davey, on behalf of the Programme Board of the Royal College of Paediatrics and Child Health and the Child Death Overview Working Group Tags: Open access, Epidemiology, Paediatrics Research Source Type: research

[This Week in Medicine] July 26–August 1, 2014
Child obesity is on the rise in Northern Ireland. According to a Royal College of Paediatrics and Child Health (RCPCH) survey, almost 20% of children in Northern Ireland are overweight or obese before they start primary school, because many lead sedentary lifestyles. RCPCH is opening an office in Belfast to help improve children's health. (Source: LANCET)
Source: LANCET - July 26, 2014 Category: Journals (General) Authors: The Lancet Tags: This Week in Medicine Source Type: research

Junior doctor prescribing: teaching and assessment
Conclusion This report highlights our experience at Southampton Children's Hospital of using the RCPCH prescribing tool and assessment. The majority of junior doctors sitting the assessment passed. The test was able to identify individuals unable to meet the required prescribing standards who were then supported. Further discussion is needed to ensure that a safe level of cover is maintained if doctors have to be temporarily removed from on-call services. We hope to extend the assessment to include GP trainees and other specialities and generate an on-line tool for use next year following the introduction of electronic pre...
Source: Archives of Disease in Childhood - July 11, 2014 Category: Pediatrics Authors: Dempsey, R., Hibberd, S., Bevan, A. Tags: POSTERS Source Type: research

Highlights from this issue
In the odd delay built into a journal like E&P, I'm writing this in the immediate aftermath of attending the Royal College of Paediatrics and Child Health Spring Conference. It's interesting that in this age of more real print and virtual print than we can even begin to think of completing, and more resources for learning than our predecessors could have imagined, we still make the time to travel and to sit in the same room as a speaker, to hear them talk. I wonder why we do this? I suspect there are a few reasons. One of them is to do with trusting that an eminent speaker will have prepared an interesting and stimulat...
Source: Archives of Disease in Childhood - Education and Practice - May 14, 2014 Category: Pediatrics Authors: Wacogne, I. Tags: Immunology (including allergy), Drugs: infectious diseases, Neurological injury, Child health, Dentistry and oral medicine, Ear, nose and throat/otolaryngology, Trauma, Injury Epistle Source Type: research

[Editorial] Mental health and wellbeing in children and adolescents
On March 25, an important milestone was reached in making children's and adolescents' mental health, wellbeing, and development everyone's business. A UK consortium, including the Royal College of Paediatrics and Child Health, the Royal College of Psychiatrists, the Royal College of General Practitioners, and others, launched a new website, MindEd, funded by the Department of Health and aimed at any adult who is working with children, young people, and families. It consists of free online information and education modules that support anyone interested in recognising what healthy behaviour and development is, how wellbein...
Source: LANCET - April 4, 2014 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

Surveying child patients in emergency care is possible
Patient experience is one of the eight Quality Indicators for Emergency Departments (EDs) in England. Patient surveying in EDs can be a tricky business, given the kind of patients we see. Fortunately, the wealth of expertise and experience held by the Picker Institute Europe has enabled adult surveying for several years now. Surveying the 25% of our patients who are children is less tried and tested, and could easily be put in the ‘too difficult box’. This is not necessary, as a new survey has been launched by the Royal College of Paediatrics and Child Health (RCPCH), specifically for use in Urgent and Emergenc...
Source: Emergency Medicine Journal - March 12, 2014 Category: Emergency Medicine Authors: Davies, F. C. W., Clancy, M. Tags: Commentary Source Type: research

Using the new UK-WHO growth charts
Abstract: The Royal College of Paediatrics and Child Health has now published a complete set of growth charts for preterm infants up to adolescents for the purpose of surveillance and the assessment of individual children with health and growth problems. This paper describes the various new charts and advises on how they should be used. Novel features of the charts include look-up charts for Body Mass Index (BMI) centile, predicted adult height and mid parental centile. The charts now include detailed evidence based instructions on topics such as how to plot the growth of preterm infants and a simplified classification of ...
Source: Paediatrics and Child Health - March 1, 2014 Category: Pediatrics Authors: Robert Moy, Charlotte Wright, Royal College of Paediatrics and Child Health Growth Chart Working Group Tags: Symposium: Social Paediatrics Source Type: research

The analysis of the use of 'unascertained' for sudden unexpected deaths in infancy from 1988 to 2010
In England and Wales, the rate of sudden infant death syndrome (SIDS) has had a near eightfold decline, from 2.3 deaths per 1000 live births in 1988 to 0.3 in 2009.1 Most of this decline can be attributed to the ‘back to sleep’ campaign in 1991 which led to a 75% drop.2 From 1995, part of this fall could be attributed to the introduction of the classification of some deaths as ‘unascertained’.3 This has led to concerns being raised. In 2004, a report of a working group convened by The Royal College of Pathologists and The Royal College of Paediatrics and Child Health chaired by Baroness Helena Kenne...
Source: Archives of Disease in Childhood - February 13, 2014 Category: Pediatrics Authors: Crisp, E., Julious, S. A. Tags: PostScript Source Type: research