SPECIALISED STUDY PROGRAMME FOR THE SPECIALISED FIELD PAEDIATRICS No. A 041
a) Characteristics of the field and length of specialised study Paediatrics is a specialised field of medicine. In theory and practice it deals with the issues of an ill and a healthy child from the birth up to 18th year of life and further 364 days of the child’s life. It involves theoretical and practical diagnostics, differential diagnostics, treatment and prevention of diseases at infant age, expertise activities and research activities which allow general and specialised health care in paediatrics in an outpatient and inpatient form of high quality. The minimum length of specialised study according to EU directives is four years. The length of specialised study in the Slovak Republic based on decision of the Accreditation Commission of the Ministry of Health for further education of medical workers dated 26 April 2005 is five years. b) Specification of educational level, length and content of professional health care practice required for involvement into a specialised study in the respective specialized field The condition for the involvement into the specialised study in the specialised field Paediatrics shall be completion of university study in the study field General Medicine (MUDr.). c) Scope of theoretical knowledge, practical skills and abilities needed for provision of specialised working activities Scope of theoretical knowledge required for provision of specialised working activities An applicant for the specialisation in paediatrics shall have broad and detailed knowledge in paediatrics and appropriate knowledge in the following fields: • knowledge of physiological development processes and their variations, basics of anatomical functional prenatal development. Assessment of the condition and development of a newborn and the newborn adaptation. Preventive screening programmes. • growth, physiological growth and physical development at infant age, in childhood and in adolescence. • variants, influence of genetic factors and environmental factors, changes in structure of the organism and anatomical changes depended on age, psychomotor, cognitive and social development, speech, puberty, behavioral aspects and sexuality, specific aspects of family functioning, signs of its dysfunction, to assess its possibilities in treating a child in the family, behaviour of a child and his/her most frequent disorders, emotional development and its possible disorders.
• • •
• • •
care for a healthy child, his/her body functions, environment, sleep, specific aspects in a newborn, a child delivered prematurely, with a low delivery weight, psychosocial care, acute and chronically ill child. physiology of nutrition and feeding, nutrition requirements and recommendations, nutrition in adolescent children, structure of diet with acute and chronic diseases. knowledge in preventive and social paediatrics, in infant psychology, in immunization, hygienic issues of healthy and ill children, factors of social environment, epidemiology of the region, health programmes, sudden deaths in infants, an early recognition of developmental disorders and severe diseases, prevention against accidents and intoxications, hospitalized child, intradiscipline team work, pollution. the applicant shall obtain knowledge in specific professional communication with an infant patient and his/her legal representative, the applicant shall know the child’s rights, ethical principles of paediatric care, antidiscrimination decision making the applicant shall learn all about regulations concerning the health care provision.
Management of basic paediatric diagnostic and therapeutic procedures including medical history, physical examination, laboratory methods and visualisation methods, differential diagnostics in the following areas: emergencies, neonatal issues, congenital developmental defects, nutrition disorders, malabsorptions, liver diseases, diseases of respiratory organs, including cystic fibrosis, bronchial hyperreaction, congenital and acquired heart and vascular diseases, immunodeficencies, immunopathologic reactions, allergies, atopies, rheumatic diseases, blood diseases, including anaemia, disorders of haemocoagulation, genetic diseases, malformation syndromes, malignant and benign tumors, diseases of urogenital system, diseases of nervous system, muscle diseases, bones and joints diseases, diseases of endocrine glands, including diabetes mellitus, hereditary metabolic disorders, infectious diseases, parasitic diseases, inflammatory and non-inflammatory skin diseases, basics of rehabilitation treatment, psychological and psychosomatic disorders, behavioral disturbances, adolescent medicine, including puberty issues, sexuality and expertise activities. Basic knowledge in related specialized fields: • child surgery • paediatric orthopaedics • paediatric gynaecology • paediatric otorhinolaryngology • child stomatology • paediatric ophthalmology • paediatric neurology
paediatric psychiatry paediatric dermatovenerology
Scope of practical skills and abilities required for provision of specialised working activities The minimum number of required procedures: • treating an infant patient in hospital 700, • intravenous inlet, blood take 300, • insertion of infusion 200, • planning and breakdown of infusion therapy 200, • blood transfusion 20, • urine take, including catheterization 30, • take of biological material for microscopic examination 50, • per rectum examination 30, • lumbar puncture 10, • otoscopy • dressing wounds 50, • cardiopulmonary resuscitation 10, • assessment of puberty development according to Tanner 50, • emergency health service 20, • hospital emergency service 130, • treating spasm conditions 20, • evaluation of growth 50, • X-ray evaluation (thorax, skeleton, native screen of belly, cranium) 200, • vaccination 100, • preparing a diet in individual diseases 100. Procedures which the applicant is obliged to indicate, interpret or assist while performing them: • intravenous urography, cystography, suture of non-complicated wound, pleural puncture, ascites puncture, subdural puncture, USG, ECHO –cardiography, Doppler USG, CT, NMR, renal biopsy, radioisotope examinations (DMSA, DTPA), gastrofibroscopy, colonoscopy, rectoscopy, examination of fundus oculi, perimetry, principles of laboratory examinations and their interpretation, indications and principles of genetic examination, skin tests, cannulation of central vein. d) Organisational form of specialised study Specialised study in Paediatrics lasts five years. It consists of theoretical and practical parts of education. Specialised study shall be completed with a specialised examiantion, a part of which is defense of a written work. e) Scope and orientation of professional health training performed at individual workplaces, its minimum length and time course • 1 month intensive care unit of infant department, • 2 months aenestesiological –resuscitation department,
• one and a half months department of child infectology, • 2 months neonatal workplace, including one month at the department of physiological newborns and one month at the workplace of pathological newborns, • 4 months paediatric general practitioner’ s office, • 1 month surgery (hospital ward and doctor’ s office of child surgery), • 1 month traumatology (hospital ward and doctor’ s office), • 1month otorhinolaryngology (hospital ward and paediatric doctor’s office of otorhinolaryngology, • half a month ophthalmology (hospital ward and ophthalmological doctor’ s office), • half a month dermatovenerology (hospital ward and paediatric doctor’s office of dermatovenerology), • 1 month workplace of laboratory biochemistry or half a month workplace of haematology and transfusiology and half a month workplace of clinical biochemistry, • 1 month paediatric neurology (hospital ward or doctor’ s office), • 1 month radiological department, • 1 month workplace of child oncology, • half a month pathological-anatomical department. Practice at the child department 28 months, including 6 months in a training health facility of the educational institution. The applicant shall subsequently complete: • 6 months adolescent or other specialised department (or doctor’ s office), • 3 months paediatric clinical doctor’ s office, • 2 months psychological workplace focusing on infant age and adolescent age, • 1 month workplace focusing on child psychiatry (or hospital ward). Note: Model programme was : • approved by a working team of the Accreditation Commission of the Ministry of Health of the Slovak Republic for further education of medical workers for the category doctor (physician) dated 19 April 2005, • presented and approved by the Accreditation Commission of the Ministry of Health of the Slovak Republic for further education of medical workers dated 19 April 2005, approved by the Ministry of Health of the Slovak Republic dated 28 November 2005.